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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">mimmun</journal-id><journal-title-group><journal-title xml:lang="ru">Медицинская иммунология</journal-title><trans-title-group xml:lang="en"><trans-title>Medical Immunology (Russia)</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1563-0625</issn><issn pub-type="epub">2313-741X</issn><publisher><publisher-name>SPb RAACI</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.15789/1563-0625-AAN-2482</article-id><article-id custom-type="elpub" pub-id-type="custom">mimmun-2482</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>Аутофагия, апоптоз, некроптоз, пироптоз и нетоз в патогенезе иммуновоспалительных ревматических заболеваний</article-title><trans-title-group xml:lang="en"><trans-title>Autophagy, apoptosis, necroptosis, pyroptosis and netosis in pathogenesis of immune-inflammatory rheumatic diseases</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-6246-4482</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Саидов</surname><given-names>М. З.</given-names></name><name name-style="western" xml:lang="en"><surname>Saidov</surname><given-names>M. Z.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Саидов Марат Зиявдинович – доктор медицинских наук, профессор, заведующий кафедрой патологической физиологии.</p><p>367000, Республика Дагестан, Махачкала, пл. Ленина, 1.</p><p>Тел.: 8 (988) 300-90-45</p></bio><bio xml:lang="en"><p>Marat Z. Saidov - PhD, MD (Medicine), Professor, Head, Department of Pathological Physiology.</p><p>367000, Republic of Dagestan, Makhachkala, Lenin Square, 1.</p><p>Phone: 7 (988) 300-90-45.</p></bio><email xlink:type="simple">marat.saidov.55@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Дагестанский государственный медицинский университет</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Dagestan State Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2022</year></pub-date><pub-date pub-type="epub"><day>13</day><month>07</month><year>2022</year></pub-date><volume>24</volume><issue>4</issue><fpage>659</fpage><lpage>704</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Саидов М.З., 2022</copyright-statement><copyright-year>2022</copyright-year><copyright-holder xml:lang="ru">Саидов М.З.</copyright-holder><copyright-holder xml:lang="en">Saidov M.Z.</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://www.mimmun.ru/mimmun/article/view/2482">https://www.mimmun.ru/mimmun/article/view/2482</self-uri><abstract><p>При иммуновоспалительных ревматических заболеваниях организованными формами клеточного инфильтрата являются эктопические фолликулоподобные лимфоидные структуры и ГЗТ-гранулемы, неорганизованными формами — диффузный клеточный воспалительный инфильтрат. Неотъемлемым компонентом патогенетической динамики этих видов клеточного инфильтрата являются программируемые варианты гибели клеток, из которых наиболее значимыми являются аутофагия, апоптоз, некроптоз, пироптоз и нетоз. Существует тесная взаимосвязь между указанными формами клеточной гибели. Эта взаимосвязь сформировалась в процессе биологической эволюции, отличается выраженным консерватизмом и подчиняется общебиологическим закономерностям молекулярно-клеточных процессов в клетке. Высвобождающиеся в процессе гибели клеток «сигналы опасности» (DAMPs) индуцируют состояние аутореактивности, обусловленной в том числе модуляцией процессов гибели клеток с помощью PRR-рецепторов клеток врожденной иммунной системы. На основании анализа процесса эндоцитоза, сигнальных путей, адапторных молекул, транскрипционных факторов, свойственных каждой из указанных форм гибели клеток, представлена патогенетическая значимость изменений мембранных структур и молекулярных путей реализации программируемой клеточной гибели при иммуновоспалительных ревматических заболеваниях. В этом отношении фундаментальными являются мембран-ассоциированные клеточные процессы, формирование различных видов внутриклеточных инфламмасом, процессы кросс-презентации МНС-рестриктированных продуктов дезорганизации рыхлой волокнистой соединительной ткани и индукция аутореактивности врожденной и адаптивной иммунных систем. Причинно-следственные взаимоотношения молекулярных путей реализации указанных форм клеточной гибели позволяют идентифицировать целевые молекулярные мишени с целью модуляции продуктивного воспаления.</p></abstract><trans-abstract xml:lang="en"><p>There are organized forms of cellular infiltrate observed in immune-inflammatory rheumatic diseases, i.e., ectopic follicle-like lymphoid structures and delayed-type response granulomas, whereas diffuse cellular inflammatory infiltrates represent non-organized forms. In these types of cellular infiltration, an integral pathogenetic link includes programmable cell death variants, with autophagy, apoptosis, necroptosis, pyroptosis and netosis being the most significant. There is a close relationship between these forms of cell death. This relationship occured in the process of biological evolution, being characterized by pronounced conservatism, and it follows general biological laws of molecular cellular processes. The “danger signals” (DAMPs) released during cell death induce a state of autoreactivity caused, e.g., by modulation of cell death processes using cellular PRR receptors of the innate immune system. When analyzing the processes of endocytosis, signaling pathways, adaptive molecules, transcription factors involved into these modes of cell death, we discuss pathogenetic role of changing membrane structures and molecular pathways of programmed cell death in immune-inflammatory rheumatic diseases. In this regard, there are fundamental membrane-associated cellular processes, genesis of various types of intracellular inflammasomes, cross-presentation of MHC-restricted products of disorganized loose fibrous connective tissue, and induction of innate and adaptive immune autoreactivity. Causal relationships of the molecular pathways for initiation of these forms of cell death, thus enabling identification of the molecular targets, in order to modulate productive inflammation.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>воспаление</kwd><kwd>ревматические болезни</kwd><kwd>аутофагия</kwd><kwd>апоптоз</kwd><kwd>некроптоз</kwd><kwd>пироптоз</kwd><kwd>нетоз</kwd><kwd>аутореактивность</kwd><kwd>МНС I класса</kwd><kwd>МНС II класса</kwd></kwd-group><kwd-group xml:lang="en"><kwd>inflammation</kwd><kwd>rheumatic diseases</kwd><kwd>autophagy</kwd><kwd>apoptosis</kwd><kwd>MHC II class necroptosis</kwd><kwd>pyroptosis</kwd><kwd>netosis</kwd><kwd>autoaggression</kwd><kwd>MHC I class</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">Глебов Р.Н. Эндоцитоз и экзоцитоз. М.: Высшая школа, 1987, 91 с.</mixed-citation><mixed-citation xml:lang="en">Glebov R.N. 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