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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">rsp</journal-id><journal-title-group><journal-title xml:lang="ru">Научно-практическая ревматология</journal-title><trans-title-group xml:lang="en"><trans-title>Rheumatology Science and Practice</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1995-4484</issn><issn pub-type="epub">1995-4492</issn><publisher><publisher-name>IMA-PRESS, LLC</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.14412/1995-4484-2019-83-90</article-id><article-id custom-type="elpub" pub-id-type="custom">rsp-2678</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>ПРОГРЕСС В РЕВМАТОЛОГИИ В XXI ВЕКЕ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>PROGRESS IN RHEUMATOLOGY IN THE XXI CENTURY</subject></subj-group></article-categories><title-group><article-title>Психологический стресс и ревматоидный артрит – интерференция патогенетических механизмов</article-title><trans-title-group xml:lang="en"><trans-title>Psychological stress and rheumatoid arthritis – interference of pathogenetic mechanisms</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>Туаева</surname><given-names>Н. О.</given-names></name><name name-style="western" xml:lang="en"><surname>Tuaeva</surname><given-names>N. O.</given-names></name></name-alternatives><bio xml:lang="ru"><p>научный сотрудник ЦНИЛ Казанской государственной академии, химик-эксперт центра биоаналитических исследований и молекулярного дизайна (ЦБИиМД) Первого МГМУ им. И.М. Сеченова, канд. биол. наук;</p><p>420012, Казань, ул. Муштари, 11;</p><p>119991, Москва, ул. Трубецкая, 8, стр. 2</p></bio><bio xml:lang="en"><p>11, Moushtary St., Kazan 420012;</p><p>8, Trubetskaya St., Build. 2, Moscow 119991</p></bio><email xlink:type="simple">Natalya.Tuaeva@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Носырев</surname><given-names>А. Е.</given-names></name><name name-style="western" xml:lang="en"><surname>Nosyrev</surname><given-names>A. E.</given-names></name></name-alternatives><bio xml:lang="ru"><p>руководитель, канд. техн. наук;</p><p>119991, Москва, ул. Трубецкая, 8, стр. 2</p></bio><bio xml:lang="en"><p>8, Trubetskaya St., Build. 2, Moscow 119991</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ренадино</surname><given-names>И.</given-names></name><name name-style="western" xml:lang="en"><surname>Renaudineau</surname><given-names>Y.</given-names></name></name-alternatives><bio xml:lang="ru"><p>профессор, старший научный сотрудник ЦНИЛ КГМА, заведующий лабораторией иммунологии и иммунотерапии Университета Бреста;</p><p>420012, Казань, ул. Муштари, 11;</p><p>2 Avenue Foch, CHRU Morvan, 29609 Brest, France</p></bio><bio xml:lang="en"><p>11, Moushtary St., Kazan 420012;</p><p>2 Avenue Foch, CHRU Morvan, 29609 Brest, France</p></bio><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Арлеевская</surname><given-names>М. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Arleevskaya</surname><given-names>M. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>старший научный сотрудник, канд. мед. наук;</p><p>420012, Казань, ул. Муштари, 11</p></bio><bio xml:lang="en"><p>11, Moushtary St., Kazan 420012</p></bio><xref ref-type="aff" rid="aff-4"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Казанская государственная академия – филиал ФГБОУ ДПО «Российская медицинская академия непрерывного профессионального образования» Минздрава России;&#13;
ФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова» Минздрава России (Сеченовский Университет)</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Kazan State Medical Academy – Branch Campus of Russian Medical Academy of Postgraduate Education, Ministry of Health of Russia;&#13;
I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University)</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова» Минздрава России (Сеченовский Университет)</institution><country>Россия</country></aff><aff xml:lang="en"><institution>I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University)</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>Казанская государственная академия – филиал ФГБОУ ДПО «Российская медицинская академия непрерывного профессионального образования» Минздрава России;&#13;
Laboratory of Immunology and Immunotherapy, INSERM U1227, Hospital Morvan, Centre Hospitalier Regional Universitaire (CHU) de Brest</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Kazan State Medical Academy – Branch Campus of Russian Medical Academy of Postgraduate Education, Ministry of Health of Russia;&#13;
Laboratory of Immunology and Immunotherapy, INSERM U1227, Hospital Morvan, Centre Hospitalier Regional Universitaire (CHU) de Brest</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-4"><aff xml:lang="ru"><institution>Казанская государственная академия – филиал ФГБОУ ДПО «Российская медицинская академия непрерывного профессионального образования» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Kazan State Medical Academy – Branch Campus of Russian Medical Academy of Postgraduate Education, Ministry of Health of Russia</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2019</year></pub-date><pub-date pub-type="epub"><day>20</day><month>03</month><year>2019</year></pub-date><volume>57</volume><issue>1</issue><fpage>83</fpage><lpage>90</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Туаева Н.О., Носырев А.Е., Ренадино И., Арлеевская М.И., 2019</copyright-statement><copyright-year>2019</copyright-year><copyright-holder xml:lang="ru">Туаева Н.О., Носырев А.Е., Ренадино И., Арлеевская М.И.</copyright-holder><copyright-holder xml:lang="en">Tuaeva N.O., Nosyrev A.E., Renaudineau Y., Arleevskaya M.I.</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://rsp.mediar-press.net/rsp/article/view/2678">https://rsp.mediar-press.net/rsp/article/view/2678</self-uri><abstract><p>Проанализированы молекулярные механизмы развития нормального и патологического нейроэндокринного и иммунного адаптивного ответа на психологический (ментальный) стресс с точки зрения его возможной провоцирующей роли в развитии ревматоидного артрита (РА). При детальном анализе выявляется синергизм механизмов, провоцирующих развитие патологического антистрессового адаптивного ответа и РА. Возможно, у лиц группы риска развития РА минимальные и малозаметные для индивидуума стрессовые ситуации, периодически провоцирующие продолжительную продукцию провоспалительных цитокинов, могут, в конце концов, привести к развитию ревматического заболевания.</p></abstract><trans-abstract xml:lang="en"><p>Molecular mechanisms of development of normal and pathological neuroendocrine and immune adaptive response to psychological (mental) stress are analyzed considering its possible provoking role in the development of rheumatoid arthritis (RA). A detailed analysis reveals the synergism of mechanisms that provoke the development of pathological anti-stress adaptive response and RA. It is possible that in persons at risk of developing RA minimal and unobtrusive for the individual stressful situations, periodically provoking prolonged production of pro-inflammatory cytokines, can, finally, lead to the development of rheumatic disease.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>ревматоидный артрит</kwd><kwd>психологический стресс</kwd><kwd>аллостаз</kwd><kwd>эустресс</kwd><kwd>дистресс</kwd></kwd-group><kwd-group xml:lang="en"><kwd>rheumatoid arthritis</kwd><kwd>psychological stress</kwd><kwd>allostasis</kwd><kwd>eustress</kwd><kwd>distress</kwd></kwd-group><funding-group><funding-statement xml:lang="ru">грант Российского научного фонда (№. 17-15-01099)</funding-statement></funding-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Kobayashi S, Momohara S, Kamatani N, et al. Molecular aspects of rheumatoid arthritis: role of environmental factors. 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