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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">10.14412/1996-7012-2018-2-79-87</article-id><article-id custom-type="elpub" pub-id-type="custom">mrj-830</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>Симптом-модифицирующие препараты замедленного действия в лечении остеоартрита: от молекулы к клиническому эффекту (взгляд фармаколога)</article-title><trans-title-group xml:lang="en"><trans-title>Symptom-modifying slow-acting drugs in the treatment of osteoarthritis: from molecule to clinical effect (a pharmacologist's view)</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>Духанин</surname><given-names>А. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Dukhanin</surname><given-names>A. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Кафедра молекулярной фармакологии и радиобиологии,</p><p>117997, Москва, ул. Островитянова, 1</p></bio><bio xml:lang="en"><p>Department of Molecular Pharmacology and Radiobiology, </p><p>1, Ostrovityanov St., Moscow 117997</p></bio><email xlink:type="simple">das03@rambler.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБОУ ВО «Российский национальный исследовательский медицинский университет им. Н.И. Пирогова» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>N.I. Pirogov Russian National Research Medical University, Ministry of Health of Russia</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2018</year></pub-date><pub-date pub-type="epub"><day>06</day><month>06</month><year>2018</year></pub-date><volume>12</volume><issue>2</issue><fpage>79</fpage><lpage>87</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Духанин А.С., 2018</copyright-statement><copyright-year>2018</copyright-year><copyright-holder xml:lang="ru">Духанин А.С.</copyright-holder><copyright-holder xml:lang="en">Dukhanin A.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/830">https://mrj.ima-press.net/mrj/article/view/830</self-uri><abstract><p>Систематизированы сведения о фармакокинетике, молекулярных и клеточных механизмах действия «хондропротекторов» (ХП) на примере хондроитина сульфата (ХС) и глюкозамина (ГН). Изложены современные представления о механизмах их всасывания и проникновения в ткани сустава при пероральном применении, действии ХС на цитоплазматическую мембрану хондроцитов при остеоартрите (ОА). Описаны пластические и регуляторные функции ГН на внутриклеточном уровне после его проникновения в клетки с помощью переносчиков глюкозы. Сочетание преимуществ таргетной и метаболической терапии определяет эффективность комбинированных препаратов ХП, активным началом которых являются ХС и ГН.</p></abstract><trans-abstract xml:lang="en"><p>The paper systematizes data on the pharmacokinetics, molecular and cellular mechanisms of action of chondroprotectors (CPs), by using chondroitin sulfate (CS) and glucosamine (GA) as an example. It presents current ideas about the mechanisms of their absorption and penetration into the joint tissues during oral administration, the effect of CS on the cytoplasmic membrane of chondrocytes in osteoarthritis (OA). The paper also describes the plastic and regulatory functions of GA at the intracellular level after its penetration into the cells by glucose carriers. The combination of benefits from targeted and metabolic therapy determines the efficacy of combined CPs, the active principle of which is CS and GA.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>хондроитина сульфат</kwd><kwd>глюкозамин</kwd><kwd>SYSADOA</kwd><kwd>остеоартрит</kwd><kwd>фармакокинетика</kwd><kwd>молекулярные мишени действия</kwd><kwd>фармакотерапия</kwd></kwd-group><kwd-group xml:lang="en"><kwd>chondroitin sulfate</kwd><kwd>glucosamine</kwd><kwd>SYSADOA</kwd><kwd>osteoarthritis</kwd><kwd>pharmacokinetics</kwd><kwd>molecular targets of action</kwd><kwd>pharmacotherapy</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">Алексеева ЛИ. Препараты замедленного действия в лечении остеоартроза. 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