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<article 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" xmlns:ali="http://www.niso.org/schemas/ali/1.0/" article-type="review-article" dtd-version="1.2" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">Terapevticheskii arkhiv</journal-id><journal-title-group><journal-title xml:lang="en">Terapevticheskii arkhiv</journal-title><trans-title-group xml:lang="ru"><trans-title>Терапевтический архив</trans-title></trans-title-group></journal-title-group><issn publication-format="print">0040-3660</issn><issn publication-format="electronic">2309-5342</issn><publisher><publisher-name xml:lang="en">LLC Obyedinennaya Redaktsiya</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">31534</article-id><article-categories><subj-group subj-group-type="toc-heading" xml:lang="en"><subject>Editorial article</subject></subj-group><subj-group subj-group-type="toc-heading" xml:lang="ru"><subject>Передовая статья</subject></subj-group><subj-group subj-group-type="article-type"><subject>Review Article</subject></subj-group></article-categories><title-group><article-title xml:lang="en">Use of anti-B-cell therapy in case of antisynthetase syndrome as the severest subtype of polymyositis/dermatomyositis</article-title><trans-title-group xml:lang="ru"><trans-title>Применение анти-В-клеточной терапии при антисинтетазном синдроме как наиболее тяжелом подтипе полимиозита/дерматомиозита</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Antelava</surname><given-names>O A</given-names></name><name xml:lang="ru"><surname>Антелава</surname><given-names>О А</given-names></name></name-alternatives><email>antelavao@gmail.com</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Khelkovskaia-Sergeeva</surname><given-names>A N</given-names></name><name xml:lang="ru"><surname>Хелковская-Сергеева</surname><given-names>А Н</given-names></name></name-alternatives><xref ref-type="aff" rid="aff2"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Tarasova</surname><given-names>G M</given-names></name><name xml:lang="ru"><surname>Тарасова</surname><given-names>Г М</given-names></name></name-alternatives><xref ref-type="aff" rid="aff2"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Nikishina</surname><given-names>N Iu</given-names></name><name xml:lang="ru"><surname>Никишина</surname><given-names>Н Ю</given-names></name></name-alternatives><xref ref-type="aff" rid="aff2"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Lopatina</surname><given-names>N E</given-names></name><name xml:lang="ru"><surname>Лопатина</surname><given-names>Н Е</given-names></name></name-alternatives><xref ref-type="aff" rid="aff2"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Pal'shina</surname><given-names>S G</given-names></name><name xml:lang="ru"><surname>Пальшина</surname><given-names>С Г</given-names></name></name-alternatives><xref ref-type="aff" rid="aff2"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Fedina</surname><given-names>T P</given-names></name><name xml:lang="ru"><surname>Федина</surname><given-names>Т П</given-names></name></name-alternatives><xref ref-type="aff" rid="aff2"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Sazhina</surname><given-names>E G</given-names></name><name xml:lang="ru"><surname>Сажина</surname><given-names>Е Г</given-names></name></name-alternatives><xref ref-type="aff" rid="aff2"/></contrib></contrib-group><aff-alternatives id="aff1"><aff><institution xml:lang="en"></institution></aff><aff><institution xml:lang="ru">ГБОУ ВПО "Первый МГМУ им. И.М. Сеченова" Минздрава России</institution></aff></aff-alternatives><aff-alternatives id="aff2"><aff><institution xml:lang="en"></institution></aff><aff><institution xml:lang="ru">ФГБУ "НИИ ревматологии им. В.А. Насоновой" РАМН, Москва</institution></aff></aff-alternatives><pub-date date-type="pub" iso-8601-date="2014-05-15" publication-format="electronic"><day>15</day><month>05</month><year>2014</year></pub-date><volume>86</volume><issue>5</issue><issue-title xml:lang="en">VOL 86, NO5 ()</issue-title><issue-title xml:lang="ru">ТОМ 86, №5 (2014)</issue-title><fpage>109</fpage><lpage>115</lpage><history><date date-type="received" iso-8601-date="2020-04-10"><day>10</day><month>04</month><year>2020</year></date></history><permissions><copyright-statement xml:lang="en">Copyright ©; 2014, Consilium Medicum</copyright-statement><copyright-statement xml:lang="ru">Copyright ©; 2014, ООО "Консилиум Медикум"</copyright-statement><copyright-year>2014</copyright-year><copyright-holder xml:lang="en">Consilium Medicum</copyright-holder><copyright-holder xml:lang="ru">ООО "Консилиум Медикум"</copyright-holder><ali:free_to_read xmlns:ali="http://www.niso.org/schemas/ali/1.0/"/><license><ali:license_ref xmlns:ali="http://www.niso.org/schemas/ali/1.0/">https://creativecommons.org/licenses/by-nc-sa/4.0</ali:license_ref></license></permissions><self-uri xlink:href="https://ter-arkhiv.ru/0040-3660/article/view/31534">https://ter-arkhiv.ru/0040-3660/article/view/31534</self-uri><abstract xml:lang="en"><p>Antisynthetase syndrome encompassing a symptom complex with severe interstitial lung disease is the severest subtype of polymyositis and dermatomyositis. The characteristic feature of antisynthetase syndrome is the insufficient efficiency of traditional therapy with glucocorticosteroids and cytostatics, which determines the prognosis of the disease and the need for new therapeutic approaches to treating these patients.</p></abstract><trans-abstract xml:lang="ru"><p>Аннотация. Наиболее тяжелым подтипом полимиозита и дерматомиозита является антисинтетазный синдром, включающий симптомокомплекс с тяжелым интерстициальным поражением легких. Характерная особенность антисинтетазного синдрома заключается в недостаточной эффективности традиционной терапии глюкокортикостероидами и цитостатиками, что определяет прогноз болезни и обусловливает необходимость поиска новых терапевтических подходов к лечению этих пациентов.</p></trans-abstract><kwd-group xml:lang="en"><kwd>polymyositis</kwd><kwd>dermatomyositis</kwd><kwd>antisynthetase syndrome</kwd><kwd>rituximab</kwd><kwd>interstitial lung disease</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>полимиозит</kwd><kwd>дерматомиозит</kwd><kwd>антисинтетазный синдром</kwd><kwd>ритуксимаб</kwd><kwd>интерстициальное поражение легких</kwd></kwd-group></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><mixed-citation>Oddis C.V., Reed A.M., Aggarwal R. et al. Rituximab in the Treatment of Refractory Adult and Juvenile Dermatomyositis and Adult Polymyositis. A Randomized, Placebo-Phase Trial. Arthritis Rheum 2013; 65 (2): 314-324.</mixed-citation></ref><ref id="B2"><label>2.</label><mixed-citation>Bohan A., Peter J.B., Bowman R.L., Pearson C.M. A computerassisted analysis of 153 patients with polymyositis and dermatomyositis. Medicine (Baltimore) 1977; 56: 255-86.</mixed-citation></ref><ref id="B3"><label>3.</label><mixed-citation>Идиопатические воспалительные миопатии. Клинические рекомендации. Ревматология. Под ред. Е.Л. Насонова. М 2005: 192-201.</mixed-citation></ref><ref id="B4"><label>4.</label><mixed-citation>Rider L.G., Miller F.W. Deciphering the clinical presentations, pathogenesis, and treatment of the idiopathic inflammatory myopathies. JAMA 2011; 305: 183-190.</mixed-citation></ref><ref id="B5"><label>5.</label><mixed-citation>Насонов Е.Л., Антелава О.А. Идиопатические воспалительные миопатии. В кн.: Национальное руководство по ревматологии Под ред. Е.Л. Насонова, В.А. Насоновой. М: ГЭОТАР-Медиа 2008: 502-517.</mixed-citation></ref><ref id="B6"><label>6.</label><mixed-citation>Plotz P.H., Dalakas M., Leff R.L. et al. Current concepts in the idiopathic inflammatory myopathies: Polymyositis, dermatomyositis and related disorders. Ann Intern Med 1989; 111 (2): 143-157.</mixed-citation></ref><ref id="B7"><label>7.</label><mixed-citation>Антелава О.А., Тарасова Г.М., Сажина Е.Г. и др. Антисинтетазный синдром - наиболее тяжелый подтип полимиозита/дерматомиозита (описание случаев). Совр ревматол 2009; 4: 54-88.</mixed-citation></ref><ref id="B8"><label>8.</label><mixed-citation>Katzap E., Barilla-LaBarca M.L., Marder G. Antisynthetase syndrome. Curr Rheumatol Rep 2011; 13: 175-181.</mixed-citation></ref><ref id="B9"><label>9.</label><mixed-citation>Антелава О.А., Балабанова Р.М., Сажина Е.Г. и др. Особенности дебюта и течения антисинтетазного синдрома как наиболее тяжелого подтипа полимиозита/дерматомиозита. Рус мед журн 2009; 17: 1443-1447.</mixed-citation></ref><ref id="B10"><label>10.</label><mixed-citation>Solomon J., Swigris J.J., Brown K.K. Myositis-related interstitial lung disease and antisynthetase syndrome. J Bras Pneumol 2011; 37: 100-109.</mixed-citation></ref><ref id="B11"><label>11.</label><mixed-citation>Labirua A., Lundberg I.E. Interstitial lung disease and idiopathic inflammatory myopathies: progress and pitfalls. Curr Opin Rheumatol 2010; 22: 633-638.</mixed-citation></ref><ref id="B12"><label>12.</label><mixed-citation>Бондаренко И.Б., Мухин Н.А., Насонов Е.Л. и др. Поражение легких при полимиозите и дерматомиозите. Клин мед 1998; 2: 20-24.</mixed-citation></ref><ref id="B13"><label>13.</label><mixed-citation>Антелава О.А., Бондаренко И.Б., Хитров А.Н., Насонов Е.Л. Поражение дыхательной системы при полимиозите/дерматомиозите. Рус мед журн 2008; 16: 1633-1637.</mixed-citation></ref><ref id="B14"><label>14.</label><mixed-citation>Bajocchi G., Piro R., Lombardini C. et al. Acute respiratory distress syndrome: an undercover antisynthetase syndrome: a case report and a review of the literature. Clin Exp Rheumatol 2012; 30 (3): 424-428.</mixed-citation></ref><ref id="B15"><label>15.</label><mixed-citation>Labirua-Iturburu A., Selva-O'Callaghan A., Vincze M. et al. Anti-PL-7 (anti-threonyl-tRNA synthetase) antisynthetase syndrome: clinical manifestations in a series of patients from a European multicenter study (EUMYONET) and review of the literature. Medicine (Baltimore) 2012; 91 (4): 206-211.</mixed-citation></ref><ref id="B16"><label>16.</label><mixed-citation>Betteridge Z., Gunawardena H., North J. et al. Anti-synthetase syndrome: a new autoantibody to phenylalanyl transfer RNA synthetase (anti-Zo) assotiated with polymyositis and interstitial pneumonia. Rheumatology 2007; 46: 1005-1008.</mixed-citation></ref><ref id="B17"><label>17.</label><mixed-citation>Chen I.J., Jan Wu Y.J., Lin C.W. et al. Interstitial lung disease in polymyositis and dermatomyositis. Clin Rheumatol 2009; 28 (6): 639-646.</mixed-citation></ref><ref id="B18"><label>18.</label><mixed-citation>Santy A., Rochat Th., Schoch О.D., Hamacher J. Pulmonary fibrosis with predominant CDg lymphocytic alveolitis and anti-Jo-1 antibodies. Eur Respir J 1997; 10: 2907-2912.</mixed-citation></ref><ref id="B19"><label>19.</label><mixed-citation>Hervier B., Devilliers H., Stanciu R. et al. Hierarchical cluster and survival analyses of antisynthetase syndrome: Phenotype and outcome are correlated with anti-tRNA synthetase antibody specificity. Autoimmun Rev 2012; 12 (2): 210-217.</mixed-citation></ref><ref id="B20"><label>20.</label><mixed-citation>Frikha F., Saidi N., Snoussi M. et al. Antisynthetase syndrome: A report of four cases and literature review. [Article in French]. Rev Pneumol Clin 2012; 68 (6): 351-360.</mixed-citation></ref><ref id="B21"><label>21.</label><mixed-citation>Stanciu R., Guiguet M., Musset L. et al. Antisynthetase syndrome with anti-Jo1 antibodies in 48 patients: pulmonary involvement predicts disease-modifying antirheumatic drug use. J Rheumatol 2012; 39 (9): 1835-1839.</mixed-citation></ref><ref id="B22"><label>22.</label><mixed-citation>Paepe B.D., Creus K.K., De Bleecker J.L. The Tumor Necrosis Factor Superfamily of Cytokines in the Inflammatory Myopathies: Potential Targets for Therapy. Clin Developmen Immunol 2012, Article ID 369432, 10 pages doi:10.1155/2012/369432.</mixed-citation></ref><ref id="B23"><label>23.</label><mixed-citation>Albayda J., Christopher-Stine L. Novel approaches in the treatment of myositis and myopathies. Ther Adv Musculoskel Dis 2012; 4 (5): 369-377.</mixed-citation></ref><ref id="B24"><label>24.</label><mixed-citation>Visser M. The Efficacy of Rituximab in Refractory Myositis: The Jury Is Still Out. Arthritis Rheum 2013; 65 (2): 303-306.</mixed-citation></ref><ref id="B25"><label>25.</label><mixed-citation>Levine T.D. Rituximab in the treatment of dermatomyositis: anopen-label pilot study. Arthritis Rheum 2005; 52: 601-607.</mixed-citation></ref><ref id="B26"><label>26.</label><mixed-citation>Антелава О.А., Насонов Е.Л. Анти-В-клеточная терапия: фокус на ритуксимаб. В кн: Ритуксимаб в лечении идиопатических воспалительных миопатий. Под ред. Е.Л. Насонова. М: ИМА-ПРЕСС 2012: 178-189.</mixed-citation></ref><ref id="B27"><label>27.</label><mixed-citation>Gottenberg J.E., Guillevin L., Lambotte O. et al. Tolerance and short term efficacy of rituximab in 43 patients with systemic autoimmune diseases. Ann Rheum Dis 2005; 64: 913-920.</mixed-citation></ref><ref id="B28"><label>28.</label><mixed-citation>Lambotte O., Kotb R., Maigne G. et al. Efficacy of rituximab in refractory polymyositis. J. Rheumatol 2005; 32: 1369-1370.</mixed-citation></ref><ref id="B29"><label>29.</label><mixed-citation>Brulhart L., Waldburger J.M., Gabay C. Rituximab in the treatment of antisynthetase syndrome. Ann Rheum Dis 2006; 65: 974-975.</mixed-citation></ref><ref id="B30"><label>30.</label><mixed-citation>Vandenbroucke E., Grutters J.C., Altenburg J. et al. Rituximab in life threatening antisynthetase syndrome. Rheumatol Int 2009; 29: 1499-1502.</mixed-citation></ref><ref id="B31"><label>31.</label><mixed-citation>Frikha F., Rigolet A., Behin A. et al. Efficacy of rituximab in refractory and relapsing myositis with anti-Jo1 antibodies:a report of two cases. Rheumatol (Oxford) 2009; 48: 1166-1168.</mixed-citation></ref><ref id="B32"><label>32.</label><mixed-citation>Sem M., Molberg O., Lund M.B. et al. Rituximab treatment of the anti-synthetase syndrome: a retrospective case series. Rheumatol (Oxford) 2009; 48: 968-971.</mixed-citation></ref><ref id="B33"><label>33.</label><mixed-citation>Ball E.M.A., Savage E.M., Pendleton A. Refractory anti-synthetase syndrome treated with rituximab. Rheumatol (Oxford) 2010; 49: 1013.</mixed-citation></ref><ref id="B34"><label>34.</label><mixed-citation>Marie I., Dominique S., Janvresse A. et al. Rituximab therapy for refractory interstitial lung disease related to antisynthetase syndrome. Respir Med 2012; 106: 571-577.</mixed-citation></ref><ref id="B35"><label>35.</label><mixed-citation>Bader-Meunier B., Decaluwe H., Barnerias C. et al., for the Club Rhumatismes et Inflammation. Safety and efficacy of rituximab in severe juvenile dermatomyositis: results from 9 patients from the French Autoimmunityand Rituximab registry. J Rheumatol 2011; 38: 1436-1440.</mixed-citation></ref><ref id="B36"><label>36.</label><mixed-citation>Mahler E.A., Blom B., Voermans N.C. et al. Rituximab treatment in patients with refractory inflammatory myopathies. Rheumatology (Oxford) 2011; 50: 2206-2213.</mixed-citation></ref><ref id="B37"><label>37.</label><mixed-citation>Rios Fernandez R. Rituximab in the treatment of dermatomyositis and other inflammatory myopathies: a report of 4 cases and review of the literature. Clin Exp Rheumatol 2009; 27: 1009-1016.</mixed-citation></ref><ref id="B38"><label>38.</label><mixed-citation>Valiyil R., Casciola-Rosen L., Hong G. et al. Rituximab therapy for myopathy associated with anti-signal recognition particle antibodies: a case series. Arthritis Care Res (Hoboken) 2010; 62: 1328-1334.</mixed-citation></ref><ref id="B39"><label>39.</label><mixed-citation>Krystufková O., Vallerskog T., Helmers S.B. et al. Increased serum levels of B cell activating factor (BAFF) in subsets of patients with idiopathic inflammatory myopathies [abstract]. Ann Rheum Dis 2009; 68: 836-843.</mixed-citation></ref><ref id="B40"><label>40.</label><mixed-citation>Limaye V., Hissaria P., Liew C.L. et al. Efficacy of rituximab in refractory antisynthetase syndrome. Intern Med J 2012; 42: 4-7.</mixed-citation></ref><ref id="B41"><label>41.</label><mixed-citation>Chiu Y.E., Co D.O. Juvenile dermatomyositis: immunopathogenesis, role of myositis-specific autoantibodies, and review of rituximab use [published erratum appears in Pediatr Dermatol 2011; 28:627]. Pediatr Dermatol 2011; 28: 357-367.</mixed-citation></ref><ref id="B42"><label>42.</label><mixed-citation>Kulkarni H.S., Aggarwal R. Successful treatment of acute respiratory failure using rituximab and cyclophosphamide as a combination immunosuppressive regimen in a ventilator-dependent patient having antisynthetase syndrome. Am J Respir Crit Care Med 2011; 183; A5661.</mixed-citation></ref><ref id="B43"><label>43.</label><mixed-citation>Gazeley D.J. Cronin M.E. Diagnosis and treatment of the idiopathic inflammatory myopathies Therapeutic Advances in Musculoskeletal Disease 2011; 3: 315-324.</mixed-citation></ref></ref-list></back></article>
