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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">vavilov</journal-id><journal-title-group><journal-title xml:lang="ru">Вавиловский журнал генетики и селекции</journal-title><trans-title-group xml:lang="en"><trans-title>Vavilov Journal of Genetics and Breeding</trans-title></trans-title-group></journal-title-group><issn pub-type="epub">2500-3259</issn><publisher><publisher-name>Institute of Cytology and Genetics of Siberian Branch of the RAS</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.18699/vjgb-25-107</article-id><article-id custom-type="elpub" pub-id-type="custom">vavilov-4885</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>СИСТЕМНАЯ КОМПЬЮТЕРНАЯ БИОЛОГИЯ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>SYSTEMS COMPUTATIONAL BIOLOGY</subject></subj-group></article-categories><title-group><article-title>Применение программно-информационной системы AND-System для поиска мишеней таргетной терапии ревматоидного артрита на основе анализа биологических процессов</article-title><trans-title-group xml:lang="en"><trans-title>Searching for biological processes as targets for rheumatoid arthritis targeted therapy with AND-System, an integrated software and information platform</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Мищенко</surname><given-names>Е. Л.</given-names></name><name name-style="western" xml:lang="en"><surname>Mishchenko</surname><given-names>E. L.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Новосибирск</p></bio><bio xml:lang="en"><p>Novosibirsk</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/0009-0001-9245-8988</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Яцык</surname><given-names>И. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Yatsyk</surname><given-names>I. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Новосибирск</p></bio><bio xml:lang="en"><p>Novosibirsk</p></bio><email xlink:type="simple">woikin88@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-9433-8341</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Деменков</surname><given-names>П. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Demenkov</surname><given-names>P. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Новосибирск</p></bio><bio xml:lang="en"><p>Novosibirsk</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/0009-0002-5923-3709</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Адамовская</surname><given-names>А. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Adamovskaya</surname><given-names>A. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Новосибирск</p></bio><bio xml:lang="en"><p>Novosibirsk</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/0000-0002-0005-9155</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Иванисенко</surname><given-names>Т. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Ivanisenko</surname><given-names>T. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Новосибирск</p></bio><bio xml:lang="en"><p>Novosibirsk</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/0000-0002-7537-2525</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Клещев</surname><given-names>М. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Kleshchev</surname><given-names>M. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Новосибирск</p></bio><bio xml:lang="en"><p>Novosibirsk</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/0000-0002-1859-4631</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Иванисенко</surname><given-names>В. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Ivanisenko</surname><given-names>V. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Новосибирск</p></bio><bio xml:lang="en"><p>Novosibirsk</p></bio><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru">Федеральный исследовательский центр Институт цитологии и генетики Сибирского отделения Российской академии наук<country>Россия</country></aff><aff xml:lang="en">Institute of Cytology and Genetics of the Siberian Branch of the Russian Academy of Sciences<country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru">Федеральный исследовательский центр Институт цитологии и генетики Сибирского отделения Российской академии наук; Новосибирский национальный исследовательский государственный университет<country>Россия</country></aff><aff xml:lang="en">Institute of Cytology and Genetics of the Siberian Branch of the Russian Academy of Sciences; Novosibirsk State University<country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2025</year></pub-date><pub-date pub-type="epub"><day>12</day><month>12</month><year>2025</year></pub-date><volume>29</volume><issue>7</issue><fpage>1020</fpage><lpage>1030</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Мищенко Е.Л., Яцык И.В., Деменков П.С., Адамовская А.В., Иванисенко Т.В., Клещев М.А., Иванисенко В.А., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Мищенко Е.Л., Яцык И.В., Деменков П.С., Адамовская А.В., Иванисенко Т.В., Клещев М.А., Иванисенко В.А.</copyright-holder><copyright-holder xml:lang="en">Mishchenko E.L., Yatsyk I.V., Demenkov P.S., Adamovskaya A.V., Ivanisenko T.V., Kleshchev M.A., Ivanisenko V.A.</copyright-holder><license 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://vavilov.elpub.ru/jour/article/view/4885">https://vavilov.elpub.ru/jour/article/view/4885</self-uri><abstract><p>   Ревматоидный артрит (РА) – системное аутоиммунное заболевание, сопровождающееся поражением преимущественно суставов с прогрессирующей деструкцией хрящевой и костной тканей. До настоящего времени РА остается неизлечимым заболеванием, приводящим к значительному ухудшению качества жизни и инвалидизации пациентов. Несмотря на наличие широкого арсенала базисных противовоспалительных препаратов, около 40 % пациентов демонстрируют недостаточный ответ на стандартное лечение, что подчеркивает острую необходимость поиска новых фармакологических мишеней.</p><p>   Целью настоящей работы был поиск новых биологических процессов, которые могут служить перспективными мишенями для таргетной терапии РА.</p><p>   Для достижения поставленной цели был применен подход, основанный на автоматическом извлечении знаний из текстов научных публикаций и биомедицинских баз данных с помощью программно-информационной системы AND-System. Данный подход включал реконструкцию и последующий анализ ассоциативных генных сетей двух типов: а) генные сети, описывающие гены и белки, ассоциированные с развитием РА, и б) генные сети, описывающие гены и белки, вовлеченные в функциональные ответы на действие лекарств, применяемых для терапии заболевания. В результате анализа реконструированных сетей выявлено 11 биологических процессов, играющих значимую роль в патогенезе ревматоидного артрита, но до сих пор не являющихся прямыми мишенями существующих базисных противовоспалительных препаратов. К числу наиболее перспективных относятся следующие процессы, описываемые терминами онтологии генов: а) сигнальный путь Toll-подобных рецепторов; б) активация нейтрофилов; в) регуляция дифференцировки остеобластов; г) регуляция дифференцировки остеокластов; д) биосинтез простагландинов; е) канонический сигнальный путь Wnt. Выявленные биологические процессы и их ключевые регуляторы представляют собой перспективные мишени для разработки новых лекарственных средств, способных повысить эффективность терапии РА, в том числе у пациентов, резистентных к существующим методам лечения. Разработанный подход может быть успешно использован для поиска новых мишеней таргетной терапии и при других заболеваниях.</p></abstract><trans-abstract xml:lang="en"><p>   Rheumatoid arthritis (RA) is a systemic autoimmune disease characterized primarily by joint involvement with progressive destruction of cartilage and bone tissue. To date, RA remains an incurable disease that leads to a significant deterioration in quality of life and patient disability. Despite a wide arsenal of disease-modifying antirheumatic drugs, approximately 40 % of patients show an insufficient response to standard treatment, highlighting the urgent need to identify new pharmacological targets.</p><p>   The aim of this study was to search for novel biological processes that could serve as promising targets for the targeted therapy of RA.</p><p>   To achieve this goal, we employed an approach based on the automated extraction of knowledge from scientific publications and biomedical databases using the ANDSystem software. This approach involved the reconstruction and subsequent analysis of two types of associative gene networks: a) gene networks describing genes and proteins associated with the development of RA, and b) gene networks describing genes and proteins involved in the functional responses to drugs used for the disease’s therapy. The analysis of the reconstructed networks identified 11 biological processes that play a significant role in the pathogenesis of RA but are not yet direct targets of existing disease-modifying antirheumatic drugs. The most promising of these, described by Gene Ontology terms, include: a) the Toll-like receptor signaling pathway; b) neutrophil activation; c) regulation of osteoblast differentiation; d) regulation of osteoclast differentiation; e) the prostaglandin biosynthetic process, and f) the canonical Wnt signaling pathway. The identified biological processes and their key regulators represent promising targets for the development of new drugs capable of improving the efficacy of RA therapy, particularly in patients resistant to existing treatments. The developed approach can also be successfully applied to the search for new targeted therapy targets for other diseases.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>ревматоидный артрит</kwd><kwd>генные сети</kwd><kwd>таргетная терапия</kwd><kwd>AND-System</kwd></kwd-group><kwd-group xml:lang="en"><kwd>rheumatoid arthritis</kwd><kwd>gene networks</kwd><kwd>targeted therapy</kwd><kwd>AND-System</kwd></kwd-group><funding-group xml:lang="en"><funding-statement>The study was supported by budget projects FWNR-2022-0020</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">Adis Editorial. Tofacitinib. Drugs R D. 2010;10(4):271-284. doi: 10.2165/11588080-000000000-00000</mixed-citation><mixed-citation xml:lang="en">Adis Editorial. Tofacitinib. Drugs R D. 2010;10(4):271-284. doi: 10.2165/11588080-000000000-00000</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Alam M.J., Xie L., Ang C., Fahimi F., Willingham S.B., Kueh A.J., Herold M.J., Mackay C.R., Robert R. Therapeutic blockade of CXCR2 rapidly clears inflammation in arthritis and atopic dermatitis models: demonstration with surrogate and humanized antibodies. mAbs. 2020;12(1):1856460. doi: 10.1080/19420862.2020.1856460</mixed-citation><mixed-citation xml:lang="en">Alam M.J., Xie L., Ang C., Fahimi F., Willingham S.B., Kueh A.J., Herold M.J., Mackay C.R., Robert R. Therapeutic blockade of CXCR2 rapidly clears inflammation in arthritis and atopic dermatitis models: demonstration with surrogate and humanized antibodies. mAbs. 2020;12(1):1856460. doi: 10.1080/19420862.2020.1856460</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">Cici D., Corrado A., Rotondo C., Cantatore F.P. Wnt signaling and biological therapy in rheumatoid arthritis and spondyloarthritis. Int J Mol Sci. 2019;20(22):5552. doi: 10.3390/ijms20225552</mixed-citation><mixed-citation xml:lang="en">Cici D., Corrado A., Rotondo C., Cantatore F.P. Wnt signaling and biological therapy in rheumatoid arthritis and spondyloarthritis. Int J Mol Sci. 2019;20(22):5552. doi: 10.3390/ijms20225552</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">Demenkov P.S., Oshchepkova Е.А., Ivanisenko T.V., Ivanisenko V.A. Prioritization of biological processes based on the reconstruction and analysis of associative gene networks describing the response of plants to adverse environmental factors. Vavilov J Genet Breed. 2021;25(5):580-592. doi: 10.18699/VJ21.065</mixed-citation><mixed-citation xml:lang="en">Demenkov P.S., Oshchepkova Е.А., Ivanisenko T.V., Ivanisenko V.A. Prioritization of biological processes based on the reconstruction and analysis of associative gene networks describing the response of plants to adverse environmental factors. Vavilov J Genet Breed. 2021;25(5):580-592. doi: 10.18699/VJ21.065</mixed-citation></citation-alternatives></ref><ref id="cit5"><label>5</label><citation-alternatives><mixed-citation xml:lang="ru">Ding Q., Hu W., Wang R., Yang Q., Zhu M., Li M., Cai J., Rose P., Mao J., Zhu Y.Z. Signaling pathways in rheumatoid arthritis: implications for targeted therapy. Signal Transduct Target Ther. 2023; 8(1):68. doi: 10.1038/s41392-023-01331-9</mixed-citation><mixed-citation xml:lang="en">Ding Q., Hu W., Wang R., Yang Q., Zhu M., Li M., Cai J., Rose P., Mao J., Zhu Y.Z. Signaling pathways in rheumatoid arthritis: implications for targeted therapy. Signal Transduct Target Ther. 2023; 8(1):68. doi: 10.1038/s41392-023-01331-9</mixed-citation></citation-alternatives></ref><ref id="cit6"><label>6</label><citation-alternatives><mixed-citation xml:lang="ru">Figus F.A., Piga M., Azzolin I., McConnell R., Iagnocco A. Rheumatoid arthritis: extra-articular manifestations and comorbidities. Autoimmun Rev. 2021;20(4):102776. doi: 10.1016/j.autrev.2021.102776</mixed-citation><mixed-citation xml:lang="en">Figus F.A., Piga M., Azzolin I., McConnell R., Iagnocco A. Rheumatoid arthritis: extra-articular manifestations and comorbidities. Autoimmun Rev. 2021;20(4):102776. doi: 10.1016/j.autrev.2021.102776</mixed-citation></citation-alternatives></ref><ref id="cit7"><label>7</label><citation-alternatives><mixed-citation xml:lang="ru">Firestein G.S., McInnes I.B. Immunopathogenesis of rheumatoid arthritis. Immunity. 2017;46(2):183-196. doi: 10.1016/j.immuni.2017.02.006</mixed-citation><mixed-citation xml:lang="en">Firestein G.S., McInnes I.B. Immunopathogenesis of rheumatoid arthritis. Immunity. 2017;46(2):183-196. doi: 10.1016/j.immuni.2017.02.006</mixed-citation></citation-alternatives></ref><ref id="cit8"><label>8</label><citation-alternatives><mixed-citation xml:lang="ru">GBD 2021 Rheumatoid Arthritis Collaborators. Global, regional, and national burden of rheumatoid arthritis, 1990–2020, and projections to 2050 : a systematic analysis of the Global Burden of Disease Study 2021. Lancet Rheumatol. 2023;5(10):e594-e610. doi: 10.1016/S2665-9913(23)00211-4</mixed-citation><mixed-citation xml:lang="en">GBD 2021 Rheumatoid Arthritis Collaborators. Global, regional, and national burden of rheumatoid arthritis, 1990–2020, and projections to 2050 : a systematic analysis of the Global Burden of Disease Study 2021. Lancet Rheumatol. 2023;5(10):e594-e610. doi: 10.1016/S2665-9913(23)00211-4</mixed-citation></citation-alternatives></ref><ref id="cit9"><label>9</label><citation-alternatives><mixed-citation xml:lang="ru">Gong L., Thorn C.F., Bertagnolli M.M., Grosser T., Altman R.B., Klein T.E. Celecoxib pathways: pharmacokinetics and pharmacodynamics. Pharmacogenet Genomics. 2012;22(4):310-318. doi: 10.1097/FPC.0b013e32834f94cb</mixed-citation><mixed-citation xml:lang="en">Gong L., Thorn C.F., Bertagnolli M.M., Grosser T., Altman R.B., Klein T.E. Celecoxib pathways: pharmacokinetics and pharmacodynamics. Pharmacogenet Genomics. 2012;22(4):310-318. doi: 10.1097/FPC.0b013e32834f94cb</mixed-citation></citation-alternatives></ref><ref id="cit10"><label>10</label><citation-alternatives><mixed-citation xml:lang="ru">Guo Q., Wang Y., Xu D., Nossent J., Pavlos N.J., Xu J. Rheumatoid arthritis: pathological mechanisms and modern pharmacologic therapies. Bone Res. 2018;6:15. doi: 10.1038/s41413-018-0016-9</mixed-citation><mixed-citation xml:lang="en">Guo Q., Wang Y., Xu D., Nossent J., Pavlos N.J., Xu J. Rheumatoid arthritis: pathological mechanisms and modern pharmacologic therapies. Bone Res. 2018;6:15. doi: 10.1038/s41413-018-0016-9</mixed-citation></citation-alternatives></ref><ref id="cit11"><label>11</label><citation-alternatives><mixed-citation xml:lang="ru">Hill J., Harrison J., Christian D., Reed J., Clegg A., Duffield S.J., Goodson N., Marson T. The prevalence of comorbidity in rheumatoid arthritis : a systematic review and meta-analysis. Br J Community Nurs. 2022;27(5):232-241. doi: 10.12968/bjcn.2022.27.5.232</mixed-citation><mixed-citation xml:lang="en">Hill J., Harrison J., Christian D., Reed J., Clegg A., Duffield S.J., Goodson N., Marson T. The prevalence of comorbidity in rheumatoid arthritis : a systematic review and meta-analysis. Br J Community Nurs. 2022;27(5):232-241. doi: 10.12968/bjcn.2022.27.5.232</mixed-citation></citation-alternatives></ref><ref id="cit12"><label>12</label><citation-alternatives><mixed-citation xml:lang="ru">Ivanisenko T.V., Demenkov P.S., Ivanisenko V.A. An accurate and efficient approach to knowledge extraction from scientific publications using structured ontology models, graph neural networks, and large language models. Int J Mol Sci. 2024;25(21):11811. doi: 10.3390/ijms252111811</mixed-citation><mixed-citation xml:lang="en">Ivanisenko T.V., Demenkov P.S., Ivanisenko V.A. An accurate and efficient approach to knowledge extraction from scientific publications using structured ontology models, graph neural networks, and large language models. Int J Mol Sci. 2024;25(21):11811. doi: 10.3390/ijms252111811</mixed-citation></citation-alternatives></ref><ref id="cit13"><label>13</label><citation-alternatives><mixed-citation xml:lang="ru">Ivanisenko V.A., Demenkov P.S., Ivanisenko T.V., Mishchenko E.L., Saik O.V. A new version of the AND-System tool for automatic extraction of knowledge from scientific publications with expanded functionality for reconstruction of associative gene networks. BMC Bioinformatics. 2019;20(Suppl. 1):34. doi: 10.1186/s12859-018-2567-6</mixed-citation><mixed-citation xml:lang="en">Ivanisenko V.A., Demenkov P.S., Ivanisenko T.V., Mishchenko E.L., Saik O.V. A new version of the AND-System tool for automatic extraction of knowledge from scientific publications with expanded functionality for reconstruction of associative gene networks. BMC Bioinformatics. 2019;20(Suppl. 1):34. doi: 10.1186/s12859-018-2567-6</mixed-citation></citation-alternatives></ref><ref id="cit14"><label>14</label><citation-alternatives><mixed-citation xml:lang="ru">Ivanisenko V.A., Gaisler E.V., Basov N.V., Rogachev A.D., Cheresiz S.V., Ivanisenko T.V., Demenkov P.S., Mishchenko E.L., Khripko O.P., Khripko Y.I., Voevoda S.M. Plasma metabolomics and gene regulatory networks analysis reveal the role of nonstructural SARS-CoV-2 viral proteins in metabolic dysregulation. Sci Rep. 2022; 12(1):19977. doi: 10.1038/s41598-022-24170-0</mixed-citation><mixed-citation xml:lang="en">Ivanisenko V.A., Gaisler E.V., Basov N.V., Rogachev A.D., Cheresiz S.V., Ivanisenko T.V., Demenkov P.S., Mishchenko E.L., Khripko O.P., Khripko Y.I., Voevoda S.M. Plasma metabolomics and gene regulatory networks analysis reveal the role of nonstructural SARS-CoV-2 viral proteins in metabolic dysregulation. Sci Rep. 2022; 12(1):19977. doi: 10.1038/s41598-022-24170-0</mixed-citation></citation-alternatives></ref><ref id="cit15"><label>15</label><citation-alternatives><mixed-citation xml:lang="ru">Ivanisenko V.A., Rogachev A.D., Makarova A.A., Basov N.V., Gaisler E.V., Kuzmicheva I.N., Demenkov P.S., … Kolchanov N.A., Plesko V.V., Moroz G.B., Lomivorotov V.V., Pokrovsky A.G. AI-assisted identification of primary and secondary metabolomic markers for postoperative delirium. Int J Mol Sci. 2024;25(21):11847. doi: 10.3390/ijms252111847</mixed-citation><mixed-citation xml:lang="en">Ivanisenko V.A., Rogachev A.D., Makarova A.A., Basov N.V., Gaisler E.V., Kuzmicheva I.N., Demenkov P.S., … Kolchanov N.A., Plesko V.V., Moroz G.B., Lomivorotov V.V., Pokrovsky A.G. AI-assisted identification of primary and secondary metabolomic markers for postoperative delirium. Int J Mol Sci. 2024;25(21):11847. doi: 10.3390/ijms252111847</mixed-citation></citation-alternatives></ref><ref id="cit16"><label>16</label><citation-alternatives><mixed-citation xml:lang="ru">Kawahara K., Hohjoh H., Inazumi T., Tsuchiya S., Sugimoto Y. Prostaglandin E2-induced inflammation: relevance of prostaglandin E receptors. Biochim Biophys Acta. 2015;1851(4):414-421. doi: 10.1016/j.bbalip.2014.07.008</mixed-citation><mixed-citation xml:lang="en">Kawahara K., Hohjoh H., Inazumi T., Tsuchiya S., Sugimoto Y. Prostaglandin E2-induced inflammation: relevance of prostaglandin E receptors. Biochim Biophys Acta. 2015;1851(4):414-421. doi: 10.1016/j.bbalip.2014.07.008</mixed-citation></citation-alternatives></ref><ref id="cit17"><label>17</label><citation-alternatives><mixed-citation xml:lang="ru">Kawasaki T., Kawai T. Toll-like receptor signaling pathways. Front Immunol. 2014;5:461. doi: 10.3389/fimmu.2014.00461</mixed-citation><mixed-citation xml:lang="en">Kawasaki T., Kawai T. Toll-like receptor signaling pathways. Front Immunol. 2014;5:461. doi: 10.3389/fimmu.2014.00461</mixed-citation></citation-alternatives></ref><ref id="cit18"><label>18</label><citation-alternatives><mixed-citation xml:lang="ru">Kolchanov N.A., Ignatieva E.V., Podkolodnaya O.A., Likhoshvai V.A., Matushkin Yu.G. Gene networks. Vavilovskii Zhurnal Genetiki i Selektsii = Vavilov J Genet Breed. 2013;17(4/2):833-850 (in Russian)</mixed-citation><mixed-citation xml:lang="en">Kolchanov N.A., Ignatieva E.V., Podkolodnaya O.A., Likhoshvai V.A., Matushkin Yu.G. Gene networks. Vavilovskii Zhurnal Genetiki i Selektsii = Vavilov J Genet Breed. 2013;17(4/2):833-850 (in Russian)</mixed-citation></citation-alternatives></ref><ref id="cit19"><label>19</label><citation-alternatives><mixed-citation xml:lang="ru">Kvien T.K., Uhlig T., Ødegård S., Heiberg M.S. Epidemiological aspects of rheumatoid arthritis: the sex ratio. Ann NY Acad Sci. 2006;1069:212-222. doi: 10.1196/annals.1351.019</mixed-citation><mixed-citation xml:lang="en">Kvien T.K., Uhlig T., Ødegård S., Heiberg M.S. Epidemiological aspects of rheumatoid arthritis: the sex ratio. Ann NY Acad Sci. 2006;1069:212-222. doi: 10.1196/annals.1351.019</mixed-citation></citation-alternatives></ref><ref id="cit20"><label>20</label><citation-alternatives><mixed-citation xml:lang="ru">Llorente I., García-Castañeda N., Valero C., González-Álvaro I., Castañeda S. Osteoporosis in rheumatoid arthritis: dangerous liaisons. Front Med (Lausanne). 2020;7:601618. doi: 10.3389/fmed.2020.601618</mixed-citation><mixed-citation xml:lang="en">Llorente I., García-Castañeda N., Valero C., González-Álvaro I., Castañeda S. Osteoporosis in rheumatoid arthritis: dangerous liaisons. Front Med (Lausanne). 2020;7:601618. doi: 10.3389/fmed.2020.601618</mixed-citation></citation-alternatives></ref><ref id="cit21"><label>21</label><citation-alternatives><mixed-citation xml:lang="ru">Miao C.G., Yang Y.Y., He X., Li X.F., Huang C., Huang Y., Zhang L., Lv X.W., Jin Y., Li J. Wnt signaling pathway in rheumatoid arthritis. Cell Signal. 2013;25(10):2069-2078. doi: 10.1016/j.cellsig.2013.04.002</mixed-citation><mixed-citation xml:lang="en">Miao C.G., Yang Y.Y., He X., Li X.F., Huang C., Huang Y., Zhang L., Lv X.W., Jin Y., Li J. Wnt signaling pathway in rheumatoid arthritis. Cell Signal. 2013;25(10):2069-2078. doi: 10.1016/j.cellsig.2013.04.002</mixed-citation></citation-alternatives></ref><ref id="cit22"><label>22</label><citation-alternatives><mixed-citation xml:lang="ru">Mohd Jaya F.N., Garcia S.G., Borràs F.E., Chan G.C.F., Franquesa M. Paradoxical role of Breg-inducing cytokines in autoimmune diseases. J Transl Autoimmun. 2019;2:100011. doi: 10.1016/j.jtauto.2019.100011</mixed-citation><mixed-citation xml:lang="en">Mohd Jaya F.N., Garcia S.G., Borràs F.E., Chan G.C.F., Franquesa M. Paradoxical role of Breg-inducing cytokines in autoimmune diseases. J Transl Autoimmun. 2019;2:100011. doi: 10.1016/j.jtauto.2019.100011</mixed-citation></citation-alternatives></ref><ref id="cit23"><label>23</label><citation-alternatives><mixed-citation xml:lang="ru">Nasonov E.L., Lila A.M., Karateev D.E., Mazurov V.I. et al. Clinical Recommendations. Rheumatoid Arthritis. All-Russian Public Organization “Association of Rheumatologists of Russia”, 2024. KR250 (in Russian)</mixed-citation><mixed-citation xml:lang="en">Nasonov E.L., Lila A.M., Karateev D.E., Mazurov V.I. et al. Clinical Recommendations. Rheumatoid Arthritis. All-Russian Public Organization “Association of Rheumatologists of Russia”, 2024. KR250 (in Russian)</mixed-citation></citation-alternatives></ref><ref id="cit24"><label>24</label><citation-alternatives><mixed-citation xml:lang="ru">Olivera P.A., Lasa J.S., Bonovas S., Danese S., Peyrin-Biroulet L. Safety of Janus kinase inhibitors in patients with inflammatory bowel diseases or other immune-mediated diseases : a systematic review and meta-analysis. Gastroenterology. 2020;158(6):1554-1573. doi: 10.1053/j.gastro.2020.01.001</mixed-citation><mixed-citation xml:lang="en">Olivera P.A., Lasa J.S., Bonovas S., Danese S., Peyrin-Biroulet L. Safety of Janus kinase inhibitors in patients with inflammatory bowel diseases or other immune-mediated diseases : a systematic review and meta-analysis. Gastroenterology. 2020;158(6):1554-1573. doi: 10.1053/j.gastro.2020.01.001</mixed-citation></citation-alternatives></ref><ref id="cit25"><label>25</label><citation-alternatives><mixed-citation xml:lang="ru">Palmroth M., Kuuliala K., Peltomaa R., Virtanen A., Kuuliala A., Kurttila A., Kinnunen A., Leirisalo-Repo M., Silvennoinen O., Isomäki P. Tofacitinib suppresses several JAK-STAT pathways in rheumatoid arthritis in vivo and baseline signaling profile associates with treatment response. Front Immunol. 2021;12:738481. doi: 10.3389/fimmu.2021.738481</mixed-citation><mixed-citation xml:lang="en">Palmroth M., Kuuliala K., Peltomaa R., Virtanen A., Kuuliala A., Kurttila A., Kinnunen A., Leirisalo-Repo M., Silvennoinen O., Isomäki P. Tofacitinib suppresses several JAK-STAT pathways in rheumatoid arthritis in vivo and baseline signaling profile associates with treatment response. Front Immunol. 2021;12:738481. doi: 10.3389/fimmu.2021.738481</mixed-citation></citation-alternatives></ref><ref id="cit26"><label>26</label><citation-alternatives><mixed-citation xml:lang="ru">Park J.Y., Pillinger M.H., Abramson S.B. Prostaglandin E2 synthesis and secretion: the role of PGE2 synthases. Clin Immunol. 2006; 119(3):229-240. doi: 10.1016/j.clim.2006.01.016</mixed-citation><mixed-citation xml:lang="en">Park J.Y., Pillinger M.H., Abramson S.B. Prostaglandin E2 synthesis and secretion: the role of PGE2 synthases. Clin Immunol. 2006; 119(3):229-240. doi: 10.1016/j.clim.2006.01.016</mixed-citation></citation-alternatives></ref><ref id="cit27"><label>27</label><citation-alternatives><mixed-citation xml:lang="ru">Prajapati P., Doshi G. An update on the emerging role of Wnt/β-catenin, SYK, PI3K/AKT, and GM-CSF signaling pathways in rheumatoid arthritis. Curr Drug Targets. 2023;24(17):1298-1316. doi: 10.2174/0113894501276093231206064243</mixed-citation><mixed-citation xml:lang="en">Prajapati P., Doshi G. An update on the emerging role of Wnt/β-catenin, SYK, PI3K/AKT, and GM-CSF signaling pathways in rheumatoid arthritis. Curr Drug Targets. 2023;24(17):1298-1316. doi: 10.2174/0113894501276093231206064243</mixed-citation></citation-alternatives></ref><ref id="cit28"><label>28</label><citation-alternatives><mixed-citation xml:lang="ru">Rabelo F.S., da Mota L.M., Lima R.A., Lima F.A., Barra G.B., de Carvalho J.F., Amato A.A. The Wnt signaling pathway and rheumatoid arthritis. Autoimmun Rev. 2010;9(4):207-210. doi: 10.1016/j.autrev.2009.08.003</mixed-citation><mixed-citation xml:lang="en">Rabelo F.S., da Mota L.M., Lima R.A., Lima F.A., Barra G.B., de Carvalho J.F., Amato A.A. The Wnt signaling pathway and rheumatoid arthritis. Autoimmun Rev. 2010;9(4):207-210. doi: 10.1016/j.autrev.2009.08.003</mixed-citation></citation-alternatives></ref><ref id="cit29"><label>29</label><citation-alternatives><mixed-citation xml:lang="ru">Sherman B.T., Hao M., Qiu J., Jiao X., Baseler M.W., Lane H.C., Imamichi T., Chang W. DAVID: a web server for functional enrichment analysis (2021 update). Nucleic Acids Res. 2022;50(W1):W216-W221. doi: 10.1093/nar/gkac194</mixed-citation><mixed-citation xml:lang="en">Sherman B.T., Hao M., Qiu J., Jiao X., Baseler M.W., Lane H.C., Imamichi T., Chang W. DAVID: a web server for functional enrichment analysis (2021 update). Nucleic Acids Res. 2022;50(W1):W216-W221. doi: 10.1093/nar/gkac194</mixed-citation></citation-alternatives></ref><ref id="cit30"><label>30</label><citation-alternatives><mixed-citation xml:lang="ru">Singh A.K., Haque M., Madarampalli B., Shi Y., Wildman B.J., Basit A., Khuder S.A., Prasad B., Hassan Q., Ouseph M.M., Ahmed S. Ets-2 propagates IL-6 trans-signaling mediated osteoclast-like changes in human rheumatoid arthritis synovial fibroblast. Front Immunol. 2021;12:746503. doi: 10.3389/fimmu.2021.746503</mixed-citation><mixed-citation xml:lang="en">Singh A.K., Haque M., Madarampalli B., Shi Y., Wildman B.J., Basit A., Khuder S.A., Prasad B., Hassan Q., Ouseph M.M., Ahmed S. Ets-2 propagates IL-6 trans-signaling mediated osteoclast-like changes in human rheumatoid arthritis synovial fibroblast. Front Immunol. 2021;12:746503. doi: 10.3389/fimmu.2021.746503</mixed-citation></citation-alternatives></ref><ref id="cit31"><label>31</label><citation-alternatives><mixed-citation xml:lang="ru">Smolen J.S., Aletaha D., McInnes I.B. Rheumatoid arthritis. Lancet. 2016;388(10055):2023-2038. doi: 10.1016/S0140-6736(16)30173-8</mixed-citation><mixed-citation xml:lang="en">Smolen J.S., Aletaha D., McInnes I.B. Rheumatoid arthritis. Lancet. 2016;388(10055):2023-2038. doi: 10.1016/S0140-6736(16)30173-8</mixed-citation></citation-alternatives></ref><ref id="cit32"><label>32</label><citation-alternatives><mixed-citation xml:lang="ru">Smolen J.S., Landewé R.B.M., Bergstra S.A., Kerschbaumer A., Sepriano A., Aletaha D., Caporali R., ... van der Helm-van Mil A., van Duuren E., Vliet Vlieland T.P.M., Westhovens R., van der Heijde D. EULAR recommendations for the management of rheumatoid arthritis: 2022 update. Ann Rheum Dis. 2023;82(1):3-18. doi: 10.1136/ard-2022-223356</mixed-citation><mixed-citation xml:lang="en">Smolen J.S., Landewé R.B.M., Bergstra S.A., Kerschbaumer A., Sepriano A., Aletaha D., Caporali R., ... van der Helm-van Mil A., van Duuren E., Vliet Vlieland T.P.M., Westhovens R., van der Heijde D. EULAR recommendations for the management of rheumatoid arthritis: 2022 update. Ann Rheum Dis. 2023;82(1):3-18. doi: 10.1136/ard-2022-223356</mixed-citation></citation-alternatives></ref><ref id="cit33"><label>33</label><citation-alternatives><mixed-citation xml:lang="ru">Stump K.L., Lu L.D., Dobrzanski P., Serdikoff C., Gingrich D.E., Dugan B.J., Angeles T.S., Albom M.S., Ator M.A., Dorsey B.D., Ruggeri B.A., Seavey M.M. A highly selective, orally active inhibitor of Janus kinase 2, CEP-33779. Arthritis Res Ther. 2011;13(2):R68. doi: 10.1186/ar3329</mixed-citation><mixed-citation xml:lang="en">Stump K.L., Lu L.D., Dobrzanski P., Serdikoff C., Gingrich D.E., Dugan B.J., Angeles T.S., Albom M.S., Ator M.A., Dorsey B.D., Ruggeri B.A., Seavey M.M. A highly selective, orally active inhibitor of Janus kinase 2, CEP-33779. Arthritis Res Ther. 2011;13(2):R68. doi: 10.1186/ar3329</mixed-citation></citation-alternatives></ref><ref id="cit34"><label>34</label><citation-alternatives><mixed-citation xml:lang="ru">Unterberger S., Davies K.A., Rambhatla S.B., Sacre S. Contribution of toll-like receptors and the NLRP3 inflammasome in rheumatoid arthritis pathophysiology. Immunotargets Ther. 2021;10:285-298. doi: 10.2147/ITT.S288547</mixed-citation><mixed-citation xml:lang="en">Unterberger S., Davies K.A., Rambhatla S.B., Sacre S. Contribution of toll-like receptors and the NLRP3 inflammasome in rheumatoid arthritis pathophysiology. Immunotargets Ther. 2021;10:285-298. doi: 10.2147/ITT.S288547</mixed-citation></citation-alternatives></ref><ref id="cit35"><label>35</label><citation-alternatives><mixed-citation xml:lang="ru">van der Kooij S.M., de Vries-Bouwstra J.K., Goekoop-Ruiterman Y.P., van Zeben D., Kerstens P.J., Gerards A.H., van Groenendael J.H., Hazes J.M., Breedveld F.C., Allaart C.F., Dijkmans B.A. Limited efficacy of conventional DMARDs after initial methotrexate failure. Ann Rheum Dis. 2007;66(10):1356-1362. doi: 10.1136/ard.2006.066662</mixed-citation><mixed-citation xml:lang="en">van der Kooij S.M., de Vries-Bouwstra J.K., Goekoop-Ruiterman Y.P., van Zeben D., Kerstens P.J., Gerards A.H., van Groenendael J.H., Hazes J.M., Breedveld F.C., Allaart C.F., Dijkmans B.A. Limited efficacy of conventional DMARDs after initial methotrexate failure. Ann Rheum Dis. 2007;66(10):1356-1362. doi: 10.1136/ard.2006.066662</mixed-citation></citation-alternatives></ref><ref id="cit36"><label>36</label><citation-alternatives><mixed-citation xml:lang="ru">Wang R., Li M., Wu W., Qiu Y., Hu W., Li Z., Wang Z., Yu Y., Liao J., Sun W., Mao J., Zhu Y.Z. NAV2 positively modulates inflammatory response through Wnt/β-catenin signaling in rheumatoid arthritis. Clin Transl Med. 2021;11(4):e376. doi: 10.1002/ctm2.376</mixed-citation><mixed-citation xml:lang="en">Wang R., Li M., Wu W., Qiu Y., Hu W., Li Z., Wang Z., Yu Y., Liao J., Sun W., Mao J., Zhu Y.Z. NAV2 positively modulates inflammatory response through Wnt/β-catenin signaling in rheumatoid arthritis. Clin Transl Med. 2021;11(4):e376. doi: 10.1002/ctm2.376</mixed-citation></citation-alternatives></ref><ref id="cit37"><label>37</label><citation-alternatives><mixed-citation xml:lang="ru">Wang S.Y., Liu Y.Y., Ye H., Guo J.P., Li R., Liu X., Li Z.G. Circulating Dickkopf-1 is correlated with bone erosion and inflammation in rheumatoid arthritis. J Rheumatol. 2011;38(5):821-827. doi: 10.3899/jrheum.100089</mixed-citation><mixed-citation xml:lang="en">Wang S.Y., Liu Y.Y., Ye H., Guo J.P., Li R., Liu X., Li Z.G. Circulating Dickkopf-1 is correlated with bone erosion and inflammation in rheumatoid arthritis. J Rheumatol. 2011;38(5):821-827. doi: 10.3899/jrheum.100089</mixed-citation></citation-alternatives></ref><ref id="cit38"><label>38</label><citation-alternatives><mixed-citation xml:lang="ru">Yao C., Narumiya S. Prostaglandin-cytokine crosstalk in chronic inflammation. Br J Pharmacol. 2019;176(3):337-354. doi: 10.1111/bph.14530</mixed-citation><mixed-citation xml:lang="en">Yao C., Narumiya S. Prostaglandin-cytokine crosstalk in chronic inflammation. Br J Pharmacol. 2019;176(3):337-354. doi: 10.1111/bph.14530</mixed-citation></citation-alternatives></ref></ref-list><fn-group><fn fn-type="conflict"><p>The authors declare that there are no conflicts of interest present.</p></fn></fn-group></back></article>
