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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">sibmed</journal-id><journal-title-group><journal-title xml:lang="ru">Сибирский научный медицинский журнал</journal-title><trans-title-group xml:lang="en"><trans-title>Сибирский научный медицинский журнал</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2410-2512</issn><issn pub-type="epub">2410-2520</issn><publisher><publisher-name>ИЦиГ СО РАН</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.18699/SSMJ20250509</article-id><article-id custom-type="elpub" pub-id-type="custom">sibmed-2441</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>ОБЗОРЫ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>REVIEWS</subject></subj-group></article-categories><title-group><article-title>Влияние терапии генно-инженерными биологическими препаратами на систему гемостаза у пациентов с ревматоидным артритом</article-title><trans-title-group xml:lang="en"><trans-title>The effect of biologic disease-modifying antirheumatic drugs on the pathology of the hemostatic system in patients with rheumatoid arthritis</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-9404-712X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Кононыхин</surname><given-names>А. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Kononykhin</surname><given-names>A. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Кононыхин Алексей Андреевич</p><p>640014, г. Курган, ул. Марии Ульяновой, 6</p></bio><bio xml:lang="en"><p>Aleksey A. Kononykhin</p><p>640014, Kurgan, Marii Ulyanovoy st., 6</p></bio><email xlink:type="simple">kononykhin.al98@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Национальный медицинский исследовательский центр травматологии и ортопедии им. Академика Г.А. Илизарова</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Ilizarov National Medical Research Centre for Traumatology and Orthopedics</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2025</year></pub-date><pub-date pub-type="epub"><day>04</day><month>11</month><year>2025</year></pub-date><volume>45</volume><issue>5</issue><fpage>111</fpage><lpage>129</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Кононыхин А.А., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Кононыхин А.А.</copyright-holder><copyright-holder xml:lang="en">Kononykhin A.A.</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://sibmed.elpub.ru/jour/article/view/2441">https://sibmed.elpub.ru/jour/article/view/2441</self-uri><abstract><p>Пациенты с ревматоидным артритом (РА) имеют повышенный риск развития атеросклероза. Существенный вклад в прогрессирование атеросклеротического поражения артерий у больных РА вносят активация системы гемостаза и системное воспаление. Генно-инженерные биологические препараты (ГИБП) все чаще применяются у пациентов с РА. Учитывая наличие взаимосвязи между системным воспалением и гемостатическими нарушениями, не лишено оснований предположение о том, что ГИБП могут оказывать влияние на систему гемостаза у больных РА. Цель исследования – на основе анализа данных научных исследований продемонстрировать влияние генно-инженерной биологической терапии на систему гемостаза, а также оценить связь между системным воспалением и гиперкоагуляцией у пациентов с РА.</p><sec><title>Материал и методы</title><p>Материал и методы. Поиск публикаций проводился в научных базах данных Scopus, Web of Sciences, PubMed, The Cochrane Library, eLibrary. В качестве маркеров поиска использовались следующие ключевые слова и словосочетания: ревматоидный артрит (rheumatoid arthritis), атеросклероз (atherosclerosis), гемостаз (hemostasis), тромбоз (thrombosis), противоревматическая терапия (antirheumatic therapy), цитокины (cytokines), системное воспаление (systemic inflammation). Глубина поиска – 2014–2024 гг.</p><p>Результаты и их обсуждение. Благоприятное влияние ГИБП на снижение протромбогенного потенциала у больных РА связано со снижением выраженности системного воспаления, модификацией цитокинового статуса, улучшением функции эндотелия. Имеются данные, свидетельствующие о негативном влиянии ГИБП на систему гемостаза у пациентов с РА, что выражается в увеличении риска возникновения венозных и артериальных тромбозов и развития кровотечений.</p></sec><sec><title>Заключение</title><p>Заключение. Изучение влияния ГИБП на свертывающую систему крови, а также уточнение патогенетических взаимосвязей между патологией гемостаза и системным воспалением у пациентов с РА представляет значительный научный интерес с точки зрения как снижения риска развития сердечно-сосудистых заболеваний, профилактики тромбоэмболических осложнений, так и поиска новых терапевтических мишеней.</p></sec></abstract><trans-abstract xml:lang="en"><p>Patients with rheumatoid arthritis (RA) have an increased risk of developing atherosclerosis. A significant contribution to the progression of atherosclerotic arterial disease in patients with RA is made by activation of the hemostatic system and systemic inflammation. Biologic disease-modifying antirheumatic drugs (bDMARD) are increasingly used in patients with RA. Considering the relationship between systemic inflammation and hemostatic disorders, it is not unreasonable to assume that bDMARD may have an effect on the hemostatic system in patients with RA. The aim of the study is to demonstrate the effect of bDMARD on the hemostasis system based on the analysis of scientific research data, as well as evaluate the relationship between systemic inflammation and hypercoagulation in patients with RA.</p><sec><title>Material and methods</title><p>Material and methods. The search for publications was carried out in scientific databases Scopus, Web of Sciences, PubMed, the Cochrane Library, and eLibrary. The following keywords and phrases were used as search markers: rheumatoid arthritis, atherosclerosis, hemostasis, thrombosis, antirheumatic therapy, cytokines, systemic inflammation. Search depth – 2014– 2024.</p></sec><sec><title>Results and discussion</title><p>Results and discussion. The beneficial effect of bDMARD on reducing the prothrombogenic potential in patients with RA is associated with a decrease in systemic inflammation, modification of cytokine status, and improvement of endothelial function. There is evidence of a negative effect of bDMARD on the hemostatic system in patients with RA, which is reflected in an increased risk of venous and arterial thrombosis and the development of bleeding.</p></sec><sec><title>Conclusions</title><p>Conclusions. Studying the effect of bDMARD on the blood coagulation system, as well as clarifying the pathogenetic relationships between the pathology of hemostasis and systemic inflammation in patients with RA is of significant scientific interest from the point of view of both reducing the risk of developing cardiovascular diseases, preventing thromboembolic complications, and searching for new therapeutic targets.</p></sec></trans-abstract><kwd-group xml:lang="ru"><kwd>ревматоидный артрит</kwd><kwd>атеросклероз</kwd><kwd>гемостаз</kwd><kwd>тромбоз</kwd><kwd>противоревматическая терапия</kwd><kwd>цитокины</kwd><kwd>системное воспаление</kwd></kwd-group><kwd-group xml:lang="en"><kwd>rheumatoid arthritis</kwd><kwd>atherosclerosis</kwd><kwd>hemostasis</kwd><kwd>thrombosis</kwd><kwd>antirheumatic therapy</kwd><kwd>cytokines</kwd><kwd>systemic inflammation</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">Насонов Е.Л., Олюнин Ю.А., Лила А.М. 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