rspНаучно-практическая ревматологияRheumatology Science and Practice1995-44841995-4492IMA-PRESS, LLC10.14412/1995-4484-2017-655-661rsp-2471Research ArticleФОРУМ МОЛОДЫХ УЧЕНЫХYOUNG SCIENTISTS FORUMИФНγ-индуцируемый белок 10 (IP-10) при ревматоидном артрите: обзор литературы и собственные данныеIFN-γ-INDUCED PROTEIN 10 (IP-10) IN RHEUMATOID ARTHRITIS: LITERATURE REVIEW AND THE AUTHORS' OWN DATAАвдееваА. С.AvdeevaA. S.

научный сотрудник лаборатории стандартизации терапии ревматических заболеваний ФГБНУ НИИР им. В.А. Насоновой, канд. мед. наук

9056249400@mail.ruФГБНУ «Научно- исследовательский институт ревматологии им. В.А. Насоновой», МоскваРоссияV.A. Nasonova Research Institute of Rheumatology, MoscowRussian Federation201705012018556655661Copyright © Авдеева А.С., 20182018Авдеева А.С.Avdeeva A.S.This work is licensed under a Creative Commons Attribution 4.0 License.https://rsp.mediar-press.net/rsp/article/view/2471

Ревматоидный артрит (РА) – системное аутоиммунное воспалительное заболевание, характеризующееся хроническим воспалением синовиальной оболочки суставов и прогрессирующей деструкцией костной и хрящевой ткани. В основе хронического воспаления и суставной деструкции при РА лежит массивная инфильтрация синовиальной оболочки иммунными и воспалительными клетками: макрофагами, моноцитами, гранулоцитами, плазматическими и дендритными клетками, В-лимфоцитами, CD4+ и CD8+ Т-лимфоцита- ми, представленными в основном эффекторными Т-клетками (Тэфф). C-X-C-хемокин 10 (CXCL10) первоначально был идентифицирован как хемокин, секретируемый несколькими типами клеток: макрофагами, эндотелиальными клетками и фибробластами в ответ на продукцию интерферона γ (ИФНγ). Также он известен как ИФНγ-индуцируемый белок 10 (IP-10). Недавно было обнаружено, что уровень CXCL10 повышен в сыворотке и ткани суставов у лабораторных животных с коллаген-индуцированным артритом. При РА было продемонстрировано повышение уровня IP-10 в сыворотке, синовиальной жидкости и синовиальной ткани пациентов по сравнению с больными остеоартритом или здоровыми донорами как при ранней, так и при развернутой стадии заболевания. Содержание IP-10 в периферическом кровотоке, в отличие от острофазовых показателей или индексов активности, более точно может отражать состояние ремиссии заболевания, что необходимо учитывать при решении вопроса об оптимизации терапии. IP-10 может являться маркером более тяжелого течения заболевания и использоваться для оценки риска развития псориатического артрита у пациентов с псориазом; его прогностическое значение у пациентов с вероятным РА требует дальнейшего уточнения. Повышенный уровень IP-10 может ассоциироваться с развитием интерстициального поражения легких у пациентов с РА и выявляться у больных на ранней стадии заболевания с бессимптомным течением. Таким образом, IP-10 может являться полезным и перспективным прогностическим маркером при РА, значение которого требует дальнейшего изучения.

 

Rheumatoid arthritis (RA) is a systemic autoimmune inflammatory disease characterized by chronic inflammation of joint synovial membrane and progressive destruction of bone and cartilage. Massive synovial infiltration with immune and inflammatory cells, such as macrophages, monocytes, granulocytes, plasma cells and dendritic cells, B lymphocytes, CD4+ and CD8+ T lymphocytes, presented mainly by effector T cells (Teff), underlies chronic inflammation and joint destruction in RA. C-X-C-chemokine 10 (CXCL10) was originally identified as a chemokine secreted by several types of cells: macrophages, endothelial cells, and fibroblasts in response to the production of interferon-γ (IFN-γ). It is also known as IFN-γ- induced protein 10 (IP-10). It has been recently discovered that the level of CXCL10 is elevated in the serum and joint tissues of laboratory animals with collagen-induced arthritis. Patients with RA demonstrated higher serum, synovial fluid, and synovial tissue levels of IP-10 than those with osteoarthritis or healthy donors at both early and late stages of the disease. Peripheral blood IP-10, unlike acute-phase measures or indices of activity, may more accurately reflect remission status, which should be kept in mind while deciding for therapy optimization. IP-10 may be a marker for more severe disease and can be used to assess the risk of psoriatic arthritis in patients with psoriasis; its prognostic value in patients with probable RA requires further clarification. Elevated IP-10 levels may be associated with the development of interstitial lung disease in patients with RA and identified in asymptomatic early-stage patients. Thus, IP-10 may be a useful and promising prognostic marker in RA, the significance of which requires further investigation.

 

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The authors declare that there are no conflicts of interest present.