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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">10.47360/1995-4484-2020-631-636</article-id><article-id custom-type="elpub" pub-id-type="custom">rsp-2960</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>ПЕРЕДОВАЯ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>LEADING ARTICLE</subject></subj-group></article-categories><title-group><article-title>Хронические фиброзирующие интерстициальные заболевания легких с прогрессирующим фенотипом</article-title><trans-title-group xml:lang="en"><trans-title>Chronic Fibrosing Interstitial Lung Disease with Progressive Phenotype</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>Ананьева</surname><given-names>Л. П.</given-names></name><name name-style="western" xml:lang="en"><surname>Ananieva</surname><given-names>L. P.</given-names></name></name-alternatives><bio xml:lang="ru"><p>115522, Москва, Каширское шоссе, 34а</p></bio><bio xml:lang="en"><p>Lidiya P. Ananieva</p><p>115522, Moscow, Kashirskoye Highway, 34A</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-5999-2150</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Авдеев</surname><given-names>С. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Avdeev</surname><given-names>S. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>119991, Москва, ул. Трубецкая, 8, стр. 2</p></bio><bio xml:lang="en"><p>Sergey N. Avdeev</p><p>119991, Moscow, Trubetskaya str., 8, building 2</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>Тюрин</surname><given-names>И. Е.</given-names></name><name name-style="western" xml:lang="en"><surname>Tyurin</surname><given-names>I. Е.</given-names></name></name-alternatives><bio xml:lang="ru"><p>125993, Москва, ул. Баррикадная, 2/1, стр. 1</p></bio><bio xml:lang="en"><p>Igor Е. Tyurin</p><p>125993, Moscow, Barrikadnaya str., 2/1, building 1</p></bio><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-6068-3080</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Лила</surname><given-names>А. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Lila</surname><given-names>A. М.</given-names></name></name-alternatives><bio xml:lang="ru"><p>115522, Москва, Каширское шоссе, 34а; 125993, Москва, ул. Баррикадная, 2/1, стр. 1</p></bio><bio xml:lang="en"><p>Alexander М. Lila</p><p>115522, Moscow, Kashirskoye Highway, 34A; 125993, Moscow, Barrikadnaya str., 2/1, building 1</p></bio><xref ref-type="aff" rid="aff-4"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-3235-1425</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Загребнева</surname><given-names>А. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Zagrebneva</surname><given-names>A. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>117997, Москва, ул. Островитянова, 1</p></bio><bio xml:lang="en"><p>Alena I. Zagrebneva</p><p>117997, Moscow, Ostrovitianova str., 1</p></bio><xref ref-type="aff" rid="aff-5"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-2427-4148</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Маслянский</surname><given-names>А. Л.</given-names></name><name name-style="western" xml:lang="en"><surname>Maslyanskiy</surname><given-names>А. L.</given-names></name></name-alternatives><bio xml:lang="ru"><p>197341, Санкт-Петербург, ул. Аккуратова, 2</p></bio><bio xml:lang="en"><p>Alexey L. Maslyanskiy</p><p>197341, Saint Petersburg, Akkuratova str., 2</p></bio><xref ref-type="aff" rid="aff-6"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-5444-5943</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Терпигорев</surname><given-names>С. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Terpigorev</surname><given-names>S. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>129110, Москва, ул. Щепкина 61/2, корп. 1</p></bio><bio xml:lang="en"><p>Stanislav А. Terpigorev</p><p>129110, Moscow, Shchepkina, 61/2, korpus</p></bio><xref ref-type="aff" rid="aff-7"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-2985-3379</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Степанян</surname><given-names>И. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Stepanyan</surname><given-names>I. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>107564, Москва, Яузская аллея, 2</p></bio><bio xml:lang="en"><p>Igor V. Stepanyan</p><p>107564, Moscow, Yauzkaya av., 2</p></bio><xref ref-type="aff" rid="aff-8"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-8379-2511</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Лашина</surname><given-names>Е. Л.</given-names></name><name name-style="western" xml:lang="en"><surname>Lashina</surname><given-names>E. L.</given-names></name></name-alternatives><bio xml:lang="ru"><p>105275, Москва, Проспект Буденного, 31</p></bio><bio xml:lang="en"><p>Elena L. Lashina</p><p>105275, Moscow, Budennogo avenue, 31</p></bio><xref ref-type="aff" rid="aff-9"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-7489-3089</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Васильева</surname><given-names>О. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Vasilieva</surname><given-names>O. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>117997, Москва, ул. Островитянова, 1</p></bio><bio xml:lang="en"><p>Olga V. Vasilieva</p><p>117997, Moscow, Ostrovitianova str., 1</p></bio><xref ref-type="aff" rid="aff-5"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-0882-2936</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Лукина</surname><given-names>О. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Lukina</surname><given-names>O. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>197022, Санкт-Петербург, ул. Льва Толстого, 6-8</p></bio><bio xml:lang="en"><p>Olga S. Lukina</p><p>197022, Saint Petersburg, L’va Tolstogo str., 6-8</p></bio><xref ref-type="aff" rid="aff-10"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-3952-6865</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Першина</surname><given-names>Е. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Pershina</surname><given-names>E S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>117049, Москва, Ленинский просп., 8</p></bio><bio xml:lang="en"><p>Ekaterina S. Pershina</p><p>117049, Moscow, Leninskiy prospect, 8</p></bio><xref ref-type="aff" rid="aff-11"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-7410-9784</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Клименко</surname><given-names>А. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Klimenko</surname><given-names>А. А.</given-names></name></name-alternatives><bio xml:lang="ru"><p>117997, Москва, ул. Островитянова, 1</p></bio><bio xml:lang="en"><p>Alesya А. Klimenko</p><p>117997, Moscow, Ostrovitianova str., 1</p></bio><xref ref-type="aff" rid="aff-5"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-4669-1006</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Шостак</surname><given-names>Н. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Shostak</surname><given-names>N. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>117997, Москва, ул. Островитянова, 1</p></bio><bio xml:lang="en"><p>Nadezhda А. Shostak</p><p>117997, Moscow, Ostrovitianova str., 1</p></bio><xref ref-type="aff" rid="aff-5"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-1598-8360</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Насонов</surname><given-names>Е. Л.</given-names></name><name name-style="western" xml:lang="en"><surname>Nasonov</surname><given-names>E. L.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Насонов Евгений Львович</p><p>115522, Москва, Каширское шоссе, 34а; 119991, Москва, ул. Трубецкая, 8, стр. 2</p></bio><bio xml:lang="en"><p>Evgeniy Nasonov</p><p>115522, Moscow, Kashirskoye Highway, 34A; 119991, Moscow, Trubetskaya str., 8, building 2</p></bio><email xlink:type="simple">nasonov@irramn.ru</email><xref ref-type="aff" rid="aff-12"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБНУ Научноисследовательский институт ревматологии им. В.А. Насоновой</institution><country>Россия</country></aff><aff xml:lang="en"><institution>V.A. Nasonova Research Institute of Rheumatology</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ФГБОУ ВО Первый Московский государственный медицинский университет им. И.М. Сеченова МЗ РФ</institution><country>Россия</country></aff><aff xml:lang="en"><institution>I.M. Sechenov First Moscow State Medical University (Sechenovskiy University)</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>ФГБОУ ДПО Российская медицинская академия непрерывного профессионального образования МЗ РФ</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Russian Medical Academy of Continuous Professional Education of the Ministry of Healthcare of the Russian Federation</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-4"><aff xml:lang="ru"><institution>ФГБНУ Научно-исследовательский институт ревматологии им. В.А. Насоновой; ФГБОУ ДПО Российская медицинская академия непрерывного профессионального образования МЗ РФ</institution><country>Россия</country></aff><aff xml:lang="en"><institution>V.A. Nasonova Research Institute of Rheumatology; Russian Medical Academy of Continuous Professional Education of the Ministry of Healthcare of the Russian Federation</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-5"><aff xml:lang="ru"><institution>ФГБОУ ВО Российский Национальный Исследовательский Медицинский Университет им. Н.И. Пирогова МЗ РФ</institution><country>Россия</country></aff><aff xml:lang="en"><institution>N.I. Pirogov Russian National Research Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-6"><aff xml:lang="ru"><institution>ФГБУ Национальный медицинский исследовательский центр имени В.А. Алмазова МЗ РФ</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Almazov National Medical Research Centre</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-7"><aff xml:lang="ru"><institution>ГБУЗ МО Московский областной научно-исследовательский клинический институт им. М.Ф. Владимирского</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Moscow Regional Research and Clinical Institute (“MONIKI”)</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-8"><aff xml:lang="ru"><institution>ФГБНУ Центральный научно-исследовательский институт туберкулеза</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Central Scientific Research Institute of Tuberculosis</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-9"><aff xml:lang="ru"><institution>ФБГНУ Научноисследовательский институт медицины труда имени академика Н.Ф. Измерова</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Scientific Research Institute of Occupational Medicine named after N.F. Izmerov</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-10"><aff xml:lang="ru"><institution>ФГБОУ ВО Первый Санкт-Петербургский государственный медицинский университет имени академика И.П. Павлова МЗ РФ</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Pavlov First Saint Petersburg State Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-11"><aff xml:lang="ru"><institution>ГБУЗ Городская клиническая больница №1 им. Н.И. Пирогова Департамента здравоохранения города Москвы</institution><country>Россия</country></aff><aff xml:lang="en"><institution>City Clinical Hospital N 1 named after N.I. Pirogov of Moscow Department of Healthcare</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-12"><aff xml:lang="ru"><institution>ФГБНУ Научноисследовательский институт ревматологии им. В.А. Насоновой; ФГБОУ ВО Первый Московский государственный медицинский университет им. И.М. Сеченова МЗ РФ</institution><country>Россия</country></aff><aff xml:lang="en"><institution>V.A. Nasonova Research Institute of Rheumatology; I.M. Sechenov First Moscow State Medical University (Sechenovskiy University)</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2020</year></pub-date><pub-date pub-type="epub"><day>13</day><month>01</month><year>2021</year></pub-date><volume>58</volume><issue>6</issue><fpage>631</fpage><lpage>636</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Ананьева Л.П., Авдеев С.Н., Тюрин И.Е., Лила А.М., Загребнева А.И., Маслянский А.Л., Терпигорев С.А., Степанян И.В., Лашина Е.Л., Васильева О.В., Лукина О.С., Першина Е.С., Клименко А.А., Шостак Н.А., Насонов Е.Л., 2021</copyright-statement><copyright-year>2021</copyright-year><copyright-holder xml:lang="ru">Ананьева Л.П., Авдеев С.Н., Тюрин И.Е., Лила А.М., Загребнева А.И., Маслянский А.Л., Терпигорев С.А., Степанян И.В., Лашина Е.Л., Васильева О.В., Лукина О.С., Першина Е.С., Клименко А.А., Шостак Н.А., Насонов Е.Л.</copyright-holder><copyright-holder xml:lang="en">Ananieva L.P., Avdeev S.N., Tyurin I.Е., Lila A.М., Zagrebneva A.I., Maslyanskiy А.L., Terpigorev S.A., Stepanyan I.V., Lashina E.L., Vasilieva O.V., Lukina O.S., Pershina E.S., Klimenko А.А., Shostak N.A., Nasonov E.L.</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/2960">https://rsp.mediar-press.net/rsp/article/view/2960</self-uri><abstract><p>Проблема фиброзирующих интерстициальных заболеваний легких (ИЗЛ) объединяет специалистов разных областей: пульмонологов, рентгенологов, терапевтов, ревматологов, профпатологов и др. Современные достижения в изучении фиброзирующих ИЗЛ, связанные с разработкой иммунологических и молекулярнобиологических методов определения биомаркеров, новых принципов имидж-диагностики патологии легких, поиском новых терапевтических «мишеней», диктуют необходимость интеграции знаний специалистов различных областей медицины для совершенствования алгоритмов фармакотерапии, направленных на подавление прогрессирования фиброза легких при ИЗЛ, улучшение качества и увеличение продолжительности жизни пациентов.</p></abstract><trans-abstract xml:lang="en"><p>The problem of fibrosing interstitial lung diseases (ILDs) unites specialists from different areas: pulmonologists, radiologists, therapists, rheumatologists, occupational doctors and others. Actual achievements in studying fibrosing ILDs which are connected with development of immunology and molecular biological methods for the determination of biomarkers, new principles of image-diagnostics of lung pathology, search of new therapeutic “targets”, dictate the necessity of integration of knowledge by specialists from different areas of medicine for improvement pharmacotherapy algorithms. These algorithms directed to decrease fibrosis progression in ILDs, improve quality and increase lifespan of the patients.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>интерстициальные заболевания легких</kwd><kwd>иммуновоспалительные ревматические заболевания</kwd><kwd>антифибротическая терапия</kwd><kwd>нинтеданиб</kwd></kwd-group><kwd-group xml:lang="en"><kwd>interstitial lung diseases</kwd><kwd>immune-inflammatory rheumatic diseases</kwd><kwd>antifibrotic therapy</kwd><kwd>nintedanib</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">Wijsenbeek M, Cottin V. Spectrum of fibrotic lung diseases. N Engl J Med. 2020;383(10):958-968. DOI: 10.1056/NEJMra2005230</mixed-citation><mixed-citation xml:lang="en">Wijsenbeek M, Cottin V. Spectrum of fibrotic lung diseases. N Engl J Med. 2020;383(10):958-968. 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