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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">10.47360/1995-4484-2025-552-558</article-id><article-id custom-type="elpub" pub-id-type="custom">rsp-3831</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>Аутоиммунные проблемы резистентной шизофрении: уроки ревматологии</article-title><trans-title-group xml:lang="en"><trans-title>Autoimmune problems of resistant schizophrenia: Lessons from rheumatology</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-1209-1443</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Каледа</surname><given-names>В. Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Kaleda</surname><given-names>V. G.</given-names></name></name-alternatives><bio xml:lang="ru"><p>115522, Москва, Каширское шоссе, 34</p></bio><bio xml:lang="en"><p>Vasily G. Kaleda</p><p>115522, Moscow, Kashirskoye Highway, 34</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/0009-0002-0555-3096</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Мохов</surname><given-names>В. Ф.</given-names></name><name name-style="western" xml:lang="en"><surname>Mokhov</surname><given-names>V. F.</given-names></name></name-alternatives><bio xml:lang="ru"><p>119991, Москва, Ломоносовский просп., 27/1</p></bio><bio xml:lang="en"><p>Vladimir F. Mokhov</p><p>119991, Moscow, Lomonosovsky avenue, 27/1</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-3001-7842</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Тихонов</surname><given-names>Д. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Tikhonov</surname><given-names>D. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>115522, Москва, Каширское шоссе, 34</p></bio><bio xml:lang="en"><p>Denis V. Tikhonov</p><p>115522, Moscow, Kashirskoye Highway, 34</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/0000-0002-0649-6663</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Лебедева</surname><given-names>И. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Lebedeva</surname><given-names>I. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>115522, Москва, Каширское шоссе, 34</p></bio><bio xml:lang="en"><p>115522, Moscow, Kashirskoye Highway, 34</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/0000-0001-6175-1076</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Краснова</surname><given-names>Т. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Krasnova</surname><given-names>T. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>119991, Москва, Ломоносовский просп., 27/1</p></bio><bio xml:lang="en"><p>Tatiana N. Krasnova</p><p>119991, Moscow, Lomonosovsky avenue, 27/1</p><p> </p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-2641-9785</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Бекетова</surname><given-names>Т. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Beketova</surname><given-names>T. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Бекетова Татьяна Валентиновна</p><p>115522, Москва, Каширское шоссе, 34а; 121356, Москва, ул. Маршала Тимошенко, 15; 107023, Москва, ул. Большая Семеновская, 38</p></bio><bio xml:lang="en"><p>Tatiana V. Beketova</p><p>115522, Moscow, Kashirskoye Highway, 34A; 121359, Moscow, Marshala Timoshenko str., 19, building 1A; 107023, Moscow, Bolshaya Semyonovskaya str., 38</p></bio><email xlink:type="simple">doc@tvbek.ru</email><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-1598-8360</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>115522, Москва, Каширское шоссе, 34а</p></bio><bio xml:lang="en"><p>Evgeny L. Nasonov</p><p>115522, Moscow, Kashirskoye Highway, 34A</p></bio><xref ref-type="aff" rid="aff-4"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБНУ «Научный центр психического здоровья»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Scientific Center for Mental Health</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ФГБОУ ВО «Московский государственный университет имени М.В. Ломоносова»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Lomonosov Moscow State University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>ФГБНУ «Научно-исследовательский институт ревматологии им. В.А. Насоновой»; ФГБУ «Центральная клиническая больница с поликлиникой» Управления делами Президента Российской Федерации; ФГАОУ ВО «Московский политехнический университет»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>V.A. Nasonova Research Institute of Rheumatology; Central State Medical Academy of the Administrative Directorate of the President of the Russian Federation; Moscow Polytechnic University</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»</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><pub-date pub-type="collection"><year>2025</year></pub-date><pub-date pub-type="epub"><day>30</day><month>12</month><year>2025</year></pub-date><volume>63</volume><issue>6</issue><fpage>552</fpage><lpage>558</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Каледа В.Г., Мохов В.Ф., Тихонов Д.В., Лебедева И.С., Краснова Т.Н., Бекетова Т.В., Насонов Е.Л., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Каледа В.Г., Мохов В.Ф., Тихонов Д.В., Лебедева И.С., Краснова Т.Н., Бекетова Т.В., Насонов Е.Л.</copyright-holder><copyright-holder xml:lang="en">Kaleda V.G., Mokhov V.F., Tikhonov D.V., Lebedeva I.S., Krasnova T.N., Beketova T.V., 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/3831">https://rsp.mediar-press.net/rsp/article/view/3831</self-uri><abstract><p>В статье рассматриваются современные представления о роли иммуно-воспалительных механизмов в развитии резистентной шизофрении. Обсуждается значение аутоиммунных реакций. Рассматриваются перспективные цели терапевтических стратегий. </p></abstract><trans-abstract xml:lang="en"><p>The paper is devoted to modern ideas about the role of immune-inflammatory mechanisms in the development of resistant schizophrenia. The significance of autoimmune reactions is discussed. Promising targets of therapeutic strategies are considered.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>шизофрения</kwd><kwd>резистентная шизофрения</kwd><kwd>иммуновоспалительные механизмы</kwd><kwd>аутоиммунитет</kwd><kwd>нейровоспаление</kwd></kwd-group><kwd-group xml:lang="en"><kwd>schizophrenia</kwd><kwd>resistant schizophrenia</kwd><kwd>immune-inflammatory mechanisms</kwd><kwd>autoimmunity</kwd><kwd>neuroinflammation</kwd></kwd-group><funding-group><funding-statement xml:lang="ru">Исследование не имело спонсорской поддержки</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">Theofilopoulos AN, Kono DH, Baccala R. The multiple pathways to autoimmunity. Nat Immunol. 2017;18(7):716-724. doi: 10.1038/ni.3731</mixed-citation><mixed-citation xml:lang="en">Theofilopoulos AN, Kono DH, Baccala R. The multiple pathways to autoimmunity. 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