rspНаучно-практическая ревматологияRheumatology Science and Practice1995-44841995-4492IMA-PRESS, LLC10.47360/1995-4484-2022-195-204rsp-3153Research ArticleПРОГРЕСС В РЕВМАТОЛОГИИ В XXI ВЕКЕPROGRESS IN RHEUMATOLOGY IN THE XXI CENTURYИнтерлейкин 18 при иммуновоспалительных ревматических заболеваниях и COVID-19Interleukin 18 in Immune-mediated rheumatic diseases and COVID-19https://orcid.org/0000-0002-1598-8360НасоновЕ. Л.NasonovE. L.

Насонов Евгений Львович

115522, Москва, Каширское шоссе, 34а; 119991, Москва, ул. Трубецкая, 8, стр. 2

115522, Moscow, Kashirskoye Highway, 34A; 119991, Moscow, Trubetskaya str., 8, building 2

nasonov@irramn.ruhttps://orcid.org/0000-0003-3057-9175АвдееваА. С.AvdeevaA. S.

115522, Москва, Каширское шоссе, 34а

115522, Moscow, Kashirskoye Highway, 34A

ФГБНУ Научно-исследовательский институт ревматологии им. В.А. Насоновой; ФГАОУ ВО Первый Московский государственный медицинский университет имени И.М. Сеченова Минздрава России (Сеченовский Университет)РоссияV.A. Nasonova Research Institute of Rheumatology; I.M. Sechenov First Moscow State Medical University of the Ministry of Health Care of Russian Federation (Sechenov University)Russian FederationФГБНУ Научно-исследовательский институт ревматологии им. В.А. НасоновойРоссияV.A. Nasonova Research Institute of RheumatologyRussian Federation202214052022602195204Copyright © Насонов Е.Л., Авдеева А.С., 20222022Насонов Е.Л., Авдеева А.С.Nasonov E.L., Avdeeva A.S.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://rsp.mediar-press.net/rsp/article/view/3153

Иммуновоспалительные ревматические заболевания (ИВРЗ) на основе ведущих механизмов патогенеза условно классифицируются на аутоиммунные, аутовоспалительные и ИВРЗ «смешанного генеза» («mixed pattern»). В спектре цитокинов, принимающих участие в развитии иммунопатологического процесса при ИВРЗ, обсуждается роль «провоспалительного» цитокина интерлейкина (ИЛ) 18 – члена семейства ИЛ-1, играющего важную роль в регуляции T-хелпер (Th) 1-, Th2- и Th17-типов иммунного ответа, индуцирующего синтез интерферона (ИФН) γ, других провоспалительных цитокинов и хемокинов. Обсуждается значение определения концентрации ИЛ-18 при ИВРЗ для улучшения диагностики, выделения субтипов заболеваний, прогнозирования эффективности фармакотерапии. ИЛ-18 представляет собой перспективную «мишень» для антицитокиновой терапии, в первую очередь у пациентов с высокой активностью воспаления, связанного с гиперактивацией врожденного иммунитета.

Immune-mediated rheumatic diseases (IMRDs), based on the leading mechanisms of pathogenesis, are conditionally classified into autoimmune, autoinflammatory, and «mixed pattern». In the spectrum of cytokines involved in the development of the immunopathological process in IMRDs, the “pro-inflammatory” cytokine interleukin (IL) 18, a member of the IL-1 family, plays an important role in the regulation of T-helper (Th) 1-, Th2- and Th17- types of immune response that induces the synthesis of interferon (IFN) γ, other pro-inflammatory cytokines and chemokines. The possibility of determining the concentration of IL-18 in IMRDs is discussed to improve diagnosis, identify subtypes of diseases, and predict the effectiveness of pharmacotherapy. IL-18 is a promising target for anticytokine therapy, primarily in patients with high activity of inflammation associated with hyperactivation of innate immunity.

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