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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">mrj</journal-id><journal-title-group><journal-title xml:lang="ru">Современная ревматология</journal-title><trans-title-group xml:lang="en"><trans-title>Modern Rheumatology Journal</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1996-7012</issn><issn pub-type="epub">2310-158X</issn><publisher><publisher-name>IMA-PRESS, LLC</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.14412/1996-7012-2016-2-56-63</article-id><article-id custom-type="elpub" pub-id-type="custom">mrj-685</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ОБЗОРЫ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>REVIEWS</subject></subj-group></article-categories><title-group><article-title>Клеточно-молекулярные механизмы развития остеопороза: современные концепции и будущее направление терапии</article-title><trans-title-group xml:lang="en"><trans-title>Cellular and molecular mechanisms of osteoporosis: current concepts and future direction treatment</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Долженко</surname><given-names>А. Т.</given-names></name><name name-style="western" xml:lang="en"><surname>Dolzhenko</surname><given-names>A. T.</given-names></name></name-alternatives><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Сагаловски</surname><given-names>С.</given-names></name><name name-style="western" xml:lang="en"><surname>Sagalovsky</surname><given-names>S.</given-names></name></name-alternatives><email xlink:type="simple">s.sagalovsky@gmail.com</email><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Институт молекулярной медицины, Университет им. Мартина Лютера Галле-Виттенберг, Германия</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Biomedical Research Unit, Institute of Molecular Medicine Martin-Luther University Halle-Wittenberg, Germany, Bad Lausick, Germany</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Отдел ортопедии клиники Медиан, Бад Лаузик, Германия</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Department of Orthopedics Median Clinic, Bad Lausick, Germany</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2016</year></pub-date><pub-date pub-type="epub"><day>05</day><month>06</month><year>2016</year></pub-date><volume>10</volume><issue>2</issue><fpage>56</fpage><lpage>63</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Долженко А.Т., Сагаловски С., 2016</copyright-statement><copyright-year>2016</copyright-year><copyright-holder xml:lang="ru">Долженко А.Т., Сагаловски С.</copyright-holder><copyright-holder xml:lang="en">Dolzhenko A.T., Sagalovsky S.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://mrj.ima-press.net/mrj/article/view/685">https://mrj.ima-press.net/mrj/article/view/685</self-uri><abstract><p>В обзоре литературы представлены современные взгляды на клеточно-молекулярные механизмы развития ремоделирования кости и патогенез остеопороза. Открытие цитокиновой системы RANKL-RANK-OPG и значительной роли катепсина К в процессе ремоделирования костной ткани способствовало значительному прогрессу в понимание механизмов развития остеопороза и позволило разработать препараты нового поколения – деносумаб, полностью человеческое моноклональное антитело к RANKL (receptor activator nucleus factor kappa B ligand), и ингибитор катепсина К оданакатиб, угнетающие процесс резорбции костной ткани.</p></abstract><trans-abstract xml:lang="en"><p>The article presents review of literature dedicated to the contemporary view on the cellular-molecular mechanisms of the bone remodeling and pathogenesis of the osteoporosis. The discovery of the cytokine RANKL-RANK-OPG system and significant role of the cathepsin K in process bone remodeling has made progress in understanding the mechanisms development disease and possible to development drugs of the new generation – denosumab, a fully human RANKL monoclonal antibody and inhibitor cathepsin K odanacatib that inhibits of the bone resorption.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>остеопороз</kwd><kwd>RANKL-RANK-OPG-сигнальный путь</kwd><kwd>катепсин К</kwd><kwd>деносумаб</kwd><kwd>оданакатиб</kwd></kwd-group><kwd-group xml:lang="en"><kwd>osteoporosis</kwd><kwd>RANKL-RANK-OPG-signaling pathway</kwd><kwd>cathepsin K</kwd><kwd>denosumab</kwd><kwd>odanacatib</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Cauley JA. Public health impact of osteoporosis. 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