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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">10.47360/1995-4484-2022-505-518</article-id><article-id custom-type="elpub" pub-id-type="custom">rsp-3215</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>Перспективы ингибиции интерлейкина-6 при ревматоидном артрите: олокизумаб (новые моноклональные антитела к ИЛ-6)</article-title><trans-title-group xml:lang="en"><trans-title>The prospects of interleukin-6 inhibition in rheumatoid arthritis: Olokizumab (novel monoclonal antibodies to IL-6)</trans-title></trans-title-group></title-group><contrib-group><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>11552, Москва, Каширское шоссе, 34а; 119991, Москва, ул. Трубецкая, 8, стр. 2</p></bio><bio xml:lang="en"><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-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-9872-5282</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Файст</surname><given-names>Е.</given-names></name><name name-style="western" xml:lang="en"><surname>Feist</surname><given-names>E.</given-names></name></name-alternatives><bio xml:lang="ru"><p>39245, Гоммерн, Софи-в.- Беттихер-Штрассе, 1</p></bio><bio xml:lang="en"><p>39245, Gommern, Sophie-v.- Boetticher-Straße, 1</p></bio><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБНУ «Научно-исследовательский институт ревматологии им. В.А. Насоновой»; ФГАОУ ВО «Первый Московский государственный медицинский университет имени И.М. Сеченова» Минздрава России (Сеченовский&#13;
Университет)</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 of the Ministry of Health Care  of Russian Federation (Sechenov University)</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Отделение ревматологии Клиники Гелиос Фогельсанг-Гоммерн, партнер по сотрудничеству Магдебургского университета имени Отто фон Герике</institution><country>Германия</country></aff><aff xml:lang="en"><institution>Department of Rheumatology, Helios Clinic VogelsangGommern, cooperation partner of the Otto-vonGuericke University Magdeburg</institution><country>Germany</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2022</year></pub-date><pub-date pub-type="epub"><day>10</day><month>11</month><year>2022</year></pub-date><volume>60</volume><issue>5</issue><fpage>505</fpage><lpage>518</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Насонов Е.Л., Файст Е., 2022</copyright-statement><copyright-year>2022</copyright-year><copyright-holder xml:lang="ru">Насонов Е.Л., Файст Е.</copyright-holder><copyright-holder xml:lang="en">Nasonov E.L., Feist E.</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/3215">https://rsp.mediar-press.net/rsp/article/view/3215</self-uri><abstract><p>Ревматоидный артрит (РА) – хроническое иммуновоспалительное ревматическое заболевание (ИВРЗ), проявляющееся прогрессирующей деструкцией суставов, системным воспалением внутренних органов и широким спектром коморбидных заболеваний, связанных с хроническим воспалением. В спектре цитокинов, принимающих участие в патогенезе РА и других ИВРЗ, большое внимание уделяется роли интерлейкина (ИЛ) 6. Внедрение в клиническую практику моноклональных антител (мАТ) – тоцилизумаба (ТЦЗ), а затем сарилумаба (САР), блокирующих клеточные эффекты этого цитокина, относится к числу крупнейших достижений в лечении ИВРЗ в начале XXI века. Особое внимание привлекают гуманизированные мАТ к ИЛ-6 – олокизумаб (ОКЗ), разработанные Российской компанией «Р-ФАРМ» в рамках лицензионного соглашения с UCB Pharma. В обзоре рассматриваются новые данные, касающиеся эффективности и безопасности ОКЗ при РА и перспективы применения ОКЗ в ревматологии.</p></abstract><trans-abstract xml:lang="en"><p>Rheumatoid arthritis (RA) is a chronic immune-mediated rheumatic diseases (IMRDs) manifested with progressive destruction of joints, systemic inflammation of visceral organs and a wide range of co-morbidities associated with chronic inflammation. Among the cytokines involved in the pathogenesis of RA and certain other IMRDs, the role of interleukin (IL) 6 is of special interest. The introduction of mAbs tocilizumab (TCZ) and later sarilumab (SAR), both blocking the receptor of this cytokine, into clinical practice was an important achievement in the treatment of IIRDs at the beginning of the 21st century. As a novel approach in the treatment of RA, the humanized mAb against IL-6 olokizumab (OKZ) is in development by the Russian company R-PHARM under the license agreement with UCB Pharma. The review examines new data on efficacy and safety of OKZ in RA and the prospects of its use in rheumatology</p></trans-abstract><kwd-group xml:lang="ru"><kwd>ревматоидный артрит</kwd><kwd>генно-инженерные биологические препараты</kwd><kwd>интерлейкин-6</kwd><kwd>ингибиторы интерлейкина-6</kwd><kwd>тоцилизумаб</kwd><kwd>олокизумаб</kwd></kwd-group><kwd-group xml:lang="en"><kwd>rheumatoid arthritis</kwd><kwd>biological agents</kwd><kwd>interleukin-6</kwd><kwd>interleukin-6 inhibitors</kwd><kwd>tocilizumab</kwd><kwd>olokizumab</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">Smolen JS, Aletaha D, McInnes IB. Rheumatoid arthritis. Lancet. 2016;388(10055):2023–2038. doi: 10.1016/S0140-6736(16)30173-8</mixed-citation><mixed-citation xml:lang="en">Smolen JS, Aletaha D, McInnes IB. Rheumatoid arthritis. 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