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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="other" dtd-version="1.2" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">Annals of the Russian academy of medical sciences</journal-id><journal-title-group><journal-title xml:lang="en">Annals of the Russian academy of medical sciences</journal-title><trans-title-group xml:lang="ru"><trans-title>Вестник Российской академии медицинских наук</trans-title></trans-title-group></journal-title-group><issn publication-format="print">0869-6047</issn><issn publication-format="electronic">2414-3545</issn><publisher><publisher-name xml:lang="en">"Paediatrician" Publishers LLC</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">194</article-id><article-id pub-id-type="doi">10.15690/vramn.v68i4.609</article-id><article-categories><subj-group subj-group-type="toc-heading" xml:lang="en"><subject>RHEUMATOLOGY: CURRENT ISSUES</subject></subj-group><subj-group subj-group-type="toc-heading" xml:lang="ru"><subject>АКТУАЛЬНЫЕ ВОПРОСЫ РЕВМАТОЛОГИИ</subject></subj-group><subj-group subj-group-type="article-type"><subject></subject></subj-group></article-categories><title-group><article-title xml:lang="en">IMMUNOGENETIC ASPECTS ОF EARLY RHEUMATOID ARTHRITIS</article-title><trans-title-group xml:lang="ru"><trans-title>ИММУНОГЕНЕТИЧЕСКИЕ АСПЕКТЫ РАННЕГО РЕВМАТОИДНОГО АРТРИТА</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Guseva</surname><given-names>I. A.</given-names></name><name xml:lang="ru"><surname>Гусева</surname><given-names>И. А.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>PhD, Senior Research Worker, Laboratory of Clinical Immunology and Molecular Biology of Rheumatic Diseases, Research Institute of Rheumatology Russian Academy of Medical Sciences Address: 115522, Moscow, Kashirskoye Highway, 34A; tel.: (499) 615-93-07</p></bio><email>irrgus@yandex.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Demidova</surname><given-names>N. V.</given-names></name><name xml:lang="ru"><surname>Демидова</surname><given-names>Н. В.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>PhD, Research Worker, Department of Early Arthritis, Research Institute of Rheumatology Russian Academy of Medical Sciences Address: 115522, Moscow, Kashirskoye Highway, 34A; tel.: (499) 614-42-79</p></bio><email>natasha-demidova@mail.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Soroka</surname><given-names>N. E.</given-names></name><name xml:lang="ru"><surname>Сорока</surname><given-names>Н. Е.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>Research Worker of Scientific and Production Department, Research and Production Company DNA Technology. Address: 115478, Moscow, Kashirskoye Highway 2/2; tel.: (495) 980-45-55</p></bio><email>nataliyasoroka@yandex.ru</email><xref ref-type="aff" rid="aff2"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Novikov</surname><given-names>A. A.</given-names></name><name xml:lang="ru"><surname>Новиков</surname><given-names>А. А.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>PhD, Leading Research Worker, Laboratory of Clinical Immunology and Molecular Biology of Rheumatic Diseases, Research Institute of Rheumatology Russian Academy of Medical Sciences Address: 115522, Moscow, Kashirskoye Highway, 34A; tel.: (499) 614-09-33</p></bio><email>irramnlab@rambler.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Luchikhina</surname><given-names>E. L.</given-names></name><name xml:lang="ru"><surname>Лучихина</surname><given-names>Е. Л.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>PhD, Leading Research Worker, Department of Early Arthritis, Research Institute of Rheumatology Russian Academy of Medical Sciences Address: 115522, Moscow, Kashirskoye Highway, 34A; tel.: (499) 614-42-79</p></bio><email>eleluch@yandex.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Aleksandrova</surname><given-names>E. N.</given-names></name><name xml:lang="ru"><surname>Александрова</surname><given-names>Е. Н.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>PhD, Head of the Laboratory of Clinical Immunology and Molecular Biology of Rheumatic Diseases, Research Institute of Rheumatology Russian Academy of Medical Sciences Address: 115522, Moscow, Kashirskoye Highway, 34A; tel.: (499) 614-09-33</p></bio><email>irramnlab@rambler.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Lukina</surname><given-names>G. V.</given-names></name><name xml:lang="ru"><surname>Лукина</surname><given-names>Г. В.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>PhD, Head of the Laboratory of Clinical Pharmacology, Research Institute of Rheumatology Russian Academy of Medical Sciences Address: 115522, Moscow, Kashirskoye Highway, 34A; tel.: (499) 618-92-38</p></bio><email>gvl3@yandex.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Fedorenko</surname><given-names>E. V.</given-names></name><name xml:lang="ru"><surname>Федоренко</surname><given-names>Е. В.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>PhD, Junior Research Worker, Laboratory of Clinical Pharmacology Research Institute of Rheumatology Russian Academy of Medical Sciences Address: 115522, Moscow, Kashirskoye Highway, 34A; tel.: (499) 618-92-38</p></bio><email>ev_f@bk.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Aronova</surname><given-names>E. S.</given-names></name><name xml:lang="ru"><surname>Аронова</surname><given-names>Е. С.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>PhD, Junior Research Worker, Laboratory of Clinical Pharmacology Research Institute of Rheumatology Russian Academy of Medical Sciences Address: 115522, Moscow, Kashirskoye Highway, 34A; tel.: (499) 618-92-38</p></bio><email>eugpozd@mail.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Samarkina</surname><given-names>E. Yu.</given-names></name><name xml:lang="ru"><surname>Самаркина</surname><given-names>Е. Ю.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>Junior Research Worker, Laboratory of Clinical Immunology and Molecular Biology of Rheumatic Diseases, Research Institute of Rheumatology Russian Academy of Medical Sciences Address: 115522, Moscow, Kashirskoye Highway, 34A; tel.: (499) 615-93-07</p></bio><email>samarkinale@list.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Boldyreva</surname><given-names>M. N.</given-names></name><name xml:lang="ru"><surname>Болдырева</surname><given-names>М. Н.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>PHD, Leading Research Worker, Department of Immunogenetics, Institute of Immunology. Address: 115478, Kashirskoye Highway 24/2; tel.: (499) 617-78-22</p></bio><email>rita@dna-technology.ru</email><xref ref-type="aff" rid="aff3"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Trofimov</surname><given-names>D. Yu.</given-names></name><name xml:lang="ru"><surname>Трофимов</surname><given-names>Д. Ю.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>PhD, General Director of Research and Production Company DNA Technology. Address: 115478, Kashirskoye Highway 24/2; tel.: (495) 980-45-55</p></bio><email>molgen@bk.ru</email><xref ref-type="aff" rid="aff2"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Karateev</surname><given-names>D. E.</given-names></name><name xml:lang="ru"><surname>Каратеев</surname><given-names>Д. Е.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>PhD, Head of Department of Early Arthritis, Research Institute of Rheumatology Russian Academy of Medical Sciences Address: 115522, Moscow, Kashirskoye Highway, 34A; tel.: (499)614-31-73</p></bio><email>dekar@inbox.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Nasonov</surname><given-names>E. L.</given-names></name><name xml:lang="ru"><surname>Насонов</surname><given-names>Е. Л.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>PhD, Professor, RAMS academician, Director of Research Institute of Rheumatology, Russian Academy of Medical Sciences Address: 115522, Moscow, Kashirskoye Highway, 34A; tel.: (499) 614-44-90</p></bio><email>sokrat@irramn.ru</email><xref ref-type="aff" rid="aff1"/></contrib></contrib-group><aff-alternatives id="aff1"><aff><institution xml:lang="en">Research Institute of Rheumatology RAMS, Moscow, Russian Federation</institution></aff><aff><institution xml:lang="ru">Научно-исследовательский институт ревматологии РАМН, Москва, Российская Федерация</institution></aff></aff-alternatives><aff-alternatives id="aff2"><aff><institution xml:lang="en">Joint Stock Company «DNA-Technology», Moscow, Russian Federation</institution></aff><aff><institution xml:lang="ru">Научно-производственная фирма «ДНК-Технология», Москва, Российская Федерация</institution></aff></aff-alternatives><aff-alternatives id="aff3"><aff><institution xml:lang="en">National Research Centre Institute of Immunology FMBA, Moscow, Russian Federation</institution></aff><aff><institution xml:lang="ru">Институт иммунологии ФМБА, Москва, Российская Федерация</institution></aff></aff-alternatives><pub-date date-type="pub" iso-8601-date="2013-04-14" publication-format="electronic"><day>14</day><month>04</month><year>2013</year></pub-date><volume>68</volume><issue>4</issue><issue-title xml:lang="en">Vestnik Rossiiskoi akademii medetsinskikh nauk / Annals of the Russian academy of medical sciences</issue-title><issue-title xml:lang="ru">Вестник Российской академии медицинских наук</issue-title><fpage>36</fpage><lpage>43</lpage><history><date date-type="received" iso-8601-date="2015-08-07"><day>07</day><month>08</month><year>2015</year></date></history><permissions><copyright-statement xml:lang="en">Copyright ©; 1970, "Paediatrician" Publishers LLC</copyright-statement><copyright-statement xml:lang="ru">Copyright ©; 1970, Издательство "Педиатръ"</copyright-statement><copyright-year>1970</copyright-year><copyright-holder xml:lang="en">"Paediatrician" Publishers LLC</copyright-holder><copyright-holder xml:lang="ru">Издательство "Педиатръ"</copyright-holder><ali:free_to_read xmlns:ali="http://www.niso.org/schemas/ali/1.0/"/></permissions><self-uri xlink:href="https://vestnikramn.spr-journal.ru/jour/article/view/194">https://vestnikramn.spr-journal.ru/jour/article/view/194</self-uri><abstract xml:lang="en"><p><italic>The study is aimed to investigate the distribution of alleles of </italic><italic>HLA-DRB1 </italic><italic>gene </italic><italic>in patients with early rheumatoid arthritis and healthy </italic><italic>individuals</italic><italic> in Russian population, and evaluate their significance as molecular genetic markers of rheumatoid arthritis predisposition and protection. The association between alleles of</italic><italic> </italic><italic>HLA-DRB1 </italic><italic>genes, </italic><italic>antibodies to cyclic citrullinated peptides and IgM rheumatoid factor </italic><italic>was also studied. Low and high resolution HLA-DRB1 genotyping were compared. </italic><italic>In the cohort of patients</italic><italic> </italic><italic>with </italic><italic>early rheumatoid arthritis, the alleles of </italic><italic>HLA-DRB1 gene were found to be markers of </italic><italic>rheumatoid arthritis</italic><italic> protection/risk, especially in</italic><italic> </italic><italic>the homozygous</italic><italic> </italic><italic>state. They determined production of</italic><italic> antibodies to cyclic citrullinated peptides</italic><italic> but were not associated with </italic><italic>rheumatoid factor </italic><italic>IgM levels. These</italic><italic> findings support different autoimmune mechanisms of rheumatoid arthritis pathogenesis.</italic></p><p> </p></abstract><trans-abstract xml:lang="ru"><p><italic>Изучено распределение аллелей гена </italic><italic>HLA</italic><italic>-</italic><italic>DRB</italic><italic>1 </italic><italic>у больных ранним ревматоидным артритом и здоровых лиц контрольной группы российской популяции и оценена их значимость в качестве молекулярно-генетических маркеров предрасположенности и протекции ревматоидного артрита. Определена сила ассоциативной связи аллелей гена </italic><italic>HLA</italic><italic>-</italic><italic>DRB</italic><italic>1 </italic><italic>с продукцией антител к циклическим цитруллинированным пептидам и ревматоидному фактору класса М. В исследовании проведено сравнение методов высоко- и низкоразрешающего генотипирования аллелей </italic><italic>HLA</italic><italic>-</italic><italic>DRB</italic><italic>1. У больных ранним ревматоидным артритом обнаружены аллели гена </italic><italic>HLA</italic><italic>-</italic><italic>DRB</italic><italic>1, являющиеся маркерами риска и протекции ревматоидного артрита, детерминирующие продукцию антител к циклическим цитруллинированным пептидам, но не ассоциированные с антителами класса </italic><italic>M</italic><italic> к ревматоидному фактору. Полученные данные могут свидетельствовать о различных аутоиммунных механизмах патогенеза ревматоидного артрита.</italic></p><p> </p><p> </p></trans-abstract><kwd-group xml:lang="en"><kwd>rheumatoid arthritis</kwd><kwd>HLA-DRB1</kwd><kwd>shared epitope</kwd><kwd>antibodies to cyclic citrullinated peptides</kwd><kwd>rheumatoid factor</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>ревматоидный артрит</kwd><kwd>HLA-DRB1</kwd><kwd>shared epitope</kwd><kwd>антитела к циклическим цитруллинированным пептидам</kwd><kwd>ревматоидный фактор</kwd></kwd-group><funding-group/></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><mixed-citation>1.	Nasonov E.L., Karateev D.E., Balabanova R.M. Revmatoidnyi artrit. V kn.: Revmatologiya. Natsional'noe rukovodstvo. Pod redaktsiei E.L. Nasonova, V.A. Nasonovoi [Rheumatoid Arthritis. In: Rheumatology. National Guideline. Edited by E.L. Nasonov, V.A. Nasonova]. 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