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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">nodgo</journal-id><journal-title-group><journal-title xml:lang="ru">Российский журнал детской гематологии и онкологии (РЖДГиО)</journal-title><trans-title-group xml:lang="en"><trans-title>Russian Journal of Pediatric Hematology and Oncology</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2311-1267</issn><issn pub-type="epub">2413-5496</issn><publisher><publisher-name>LTD “Graphica”</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.17650/2311-1267-2017-4-3-51-57</article-id><article-id custom-type="elpub" pub-id-type="custom">nodgo-315</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 литературы</subject></subj-group></article-categories><title-group><article-title>Классификация первичных иммунодефицитов как отражение современных представлений об их патогенезе и терапевтических подходах</article-title><trans-title-group xml:lang="en"><trans-title>Classification of primary immunodeficiencies as a reflection of modern ideas about their pathogenesis and therapeutic approaches</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>Кузьменко</surname><given-names>Н. Б.</given-names></name><name name-style="western" xml:lang="en"><surname>Kuzmenko</surname><given-names>N. B.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Россия, 117997, Москва, ул. Саморы Машела, 1</p></bio><bio xml:lang="en"><p>1 Samory Mashela St., Moscow, 117997, Russia</p></bio><email xlink:type="simple">plunge@list.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Щербина</surname><given-names>А. Ю.</given-names></name><name name-style="western" xml:lang="en"><surname>Shcherbina</surname><given-names>A. Yu.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Россия, 117997, Москва, ул. Саморы Машела, 1</p></bio><bio xml:lang="en"><p>1 Samory Mashela St., Moscow, 117997, Russia</p></bio><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБУ «НМИЦ ДГОИ им. Дмитрия Рогачева» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology, Ministry of Health of Russia</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2017</year></pub-date><pub-date pub-type="epub"><day>21</day><month>09</month><year>2017</year></pub-date><volume>4</volume><issue>3</issue><fpage>51</fpage><lpage>57</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Кузьменко Н.Б., Щербина А.Ю., 2017</copyright-statement><copyright-year>2017</copyright-year><copyright-holder xml:lang="ru">Кузьменко Н.Б., Щербина А.Ю.</copyright-holder><copyright-holder xml:lang="en">Kuzmenko N.B., Shcherbina A.Y.</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://journal.nodgo.org/jour/article/view/315">https://journal.nodgo.org/jour/article/view/315</self-uri><abstract><p>Первичные иммунодефициты (ПИД) представляют собой разнородную группу генетически обусловленных заболеваний, вызван- ных дефектами более чем 300 различных генов. Современная классификация ПИД построена на основном патогенетическом механизме заболеваний, однако в большой мере опирается на наличие того или иного генетического дефекта. Таким образом, роль молекулярно-генетических методов обследования пациентов выходит на первый план и нередко определяет подходы к таргетной консервативной и куративной терапии ПИД. Несмотря на успешное использование новых терапевтических подходов, терапия внутривенными иммуноглобулинами остается актуальной для подавляющего большинства пациентов с ПИД.</p><p> </p></abstract><trans-abstract xml:lang="en"><p>Primary immune deficiencies (PID) are the heterogeneous group of genetically associated disorders developed due to defects of more than 300 different genes. Modern classification of PID based on main pathogenic mechanism of disease, but to a large extent relies on presence of any genetic defect. Thus, role of molecular and genetic methods of investigation of patients comes to the fore and often determines approaches to a target conservative or curative therapy of PIDs. Despite of successful application of new therapeutic approaches, therapy with the help of intravenous immune globulins remains actual for majority of patients with PID.</p><p> </p></trans-abstract><kwd-group xml:lang="ru"><kwd>первичный иммунодефицит</kwd><kwd>классификация</kwd><kwd>генетический дефект</kwd><kwd>таргетная терапия</kwd><kwd>внутривенный иммуноглобулин</kwd></kwd-group><kwd-group xml:lang="en"><kwd>primary immunodeficiency</kwd><kwd>classification</kwd><kwd>genetic defect</kwd><kwd>targeted therapy</kwd><kwd>intravenous immunoglobulin</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">Иммунология детского возраста. Практическое руководство по детским болезням. Под ред. А.Ю. Щербины и Е.Д. Пашанова. М.: Медпрактика-М, 2006. [Childhood Immunology. A practical guide to children’s illnesses. Ed.: A.Yu. Shcherbina, Ye.D. Pashanov. M.: Medpraktika-M, 2006. (In Russ.)].</mixed-citation><mixed-citation xml:lang="en">Иммунология детского возраста. Практическое руководство по детским болезням. Под ред. А.Ю. Щербины и Е.Д. Пашанова. М.: Медпрактика-М, 2006. [Childhood Immunology. A practical guide to children’s illnesses. Ed.: A.Yu. Shcherbina, Ye.D. Pashanov. M.: Medpraktika-M, 2006. (In Russ.)].</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Mahlaoui N., Warnatz K., Jones A., Workman S., Cant A. Advances in the Care of Primary Immunodeficiencies (PIDs): from Birth to Adulthood. J Clin Immunol 2017;37(5):452–60. doi: 10.1007/s10875-017- 0401-y.</mixed-citation><mixed-citation xml:lang="en">Mahlaoui N., Warnatz K., Jones A., Workman S., Cant A. Advances in the Care of Primary Immunodeficiencies (PIDs): from Birth to Adulthood. J Clin Immunol 2017;37(5):452–60. doi: 10.1007/s10875-017- 0401-y.</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">Швец О.В., Продеус А.П., Щербина А.Ю. Синдром делеции del22q 11.2 (Синдром ДиДжорджи): клинические и иммунологические аспекты патологии. Российский иммунологический журнал 2011;2(14): 101–11. [Shvets O.V., Prodeus A.P., Shcherbina A.Yu. Clinical and immunological aspects of del 22q11.2 syndrome (Digeorge Syndrome). Rossiyskiy immunologicheskiy zhurnal = Russian Journal of Immunology 2011;2(14):101–11. (In Russ.)].</mixed-citation><mixed-citation xml:lang="en">Швец О.В., Продеус А.П., Щербина А.Ю. Синдром делеции del22q 11.2 (Синдром ДиДжорджи): клинические и иммунологические аспекты патологии. Российский иммунологический журнал 2011;2(14): 101–11. [Shvets O.V., Prodeus A.P., Shcherbina A.Yu. Clinical and immunological aspects of del 22q11.2 syndrome (Digeorge Syndrome). Rossiyskiy immunologicheskiy zhurnal = Russian Journal of Immunology 2011;2(14):101–11. (In Russ.)].</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">Winkelstein J.A., Marino M.C., Lederman H.M. et al. X-linked agammaglobulinemia: report on a United States registry of 201 patients. Medicine (Baltimore) 2006;85(4):193–202. doi: 10.1097/01.md.0000229482.27398.ad.</mixed-citation><mixed-citation xml:lang="en">Winkelstein J.A., Marino M.C., Lederman H.M. et al. X-linked agammaglobulinemia: report on a United States registry of 201 patients. Medicine (Baltimore) 2006;85(4):193–202. doi: 10.1097/01.md.0000229482.27398.ad.</mixed-citation></citation-alternatives></ref><ref id="cit5"><label>5</label><citation-alternatives><mixed-citation xml:lang="ru">Church A.C. X-linked severe combined immunodeficiency. Hosp Med 2002;63(11):676– 80. PMID: 12474613.</mixed-citation><mixed-citation xml:lang="en">Church A.C. X-linked severe combined immunodeficiency. Hosp Med 2002;63(11):676– 80. PMID: 12474613.</mixed-citation></citation-alternatives></ref><ref id="cit6"><label>6</label><citation-alternatives><mixed-citation xml:lang="ru">Ochs H.D., Hitzig W.H. History of primary immunodeficiency diseases. Curr Opin Allergy Clin Immunol 2012;12(6):577–87. doi: 10.1097/ACI.0b013e32835923a6.</mixed-citation><mixed-citation xml:lang="en">Ochs H.D., Hitzig W.H. History of primary immunodeficiency diseases. Curr Opin Allergy Clin Immunol 2012;12(6):577–87. doi: 10.1097/ACI.0b013e32835923a6.</mixed-citation></citation-alternatives></ref><ref id="cit7"><label>7</label><citation-alternatives><mixed-citation xml:lang="ru">Bruton O.C., Apt L., Gitlin D., Janeway C.A. Absense of serum gamma globulins. AMA Am J Dis Child 1952;84(5):632–6. PMID: 12984834.</mixed-citation><mixed-citation xml:lang="en">Bruton O.C., Apt L., Gitlin D., Janeway C.A. Absense of serum gamma globulins. AMA Am J Dis Child 1952;84(5):632–6. PMID: 12984834.</mixed-citation></citation-alternatives></ref><ref id="cit8"><label>8</label><citation-alternatives><mixed-citation xml:lang="ru">Hinman J., Tullis J.L., Saravis C.A., Pennell R.B. Intravenous use of plasmin treated immunoglobulin G. I. Preliminary report on tolerance by immunologically deficient patients. Vox Sang 1967;13(1):85–90. PMID: 4166594.</mixed-citation><mixed-citation xml:lang="en">Hinman J., Tullis J.L., Saravis C.A., Pennell R.B. Intravenous use of plasmin treated immunoglobulin G. I. Preliminary report on tolerance by immunologically deficient patients. Vox Sang 1967;13(1):85–90. PMID: 4166594.</mixed-citation></citation-alternatives></ref><ref id="cit9"><label>9</label><citation-alternatives><mixed-citation xml:lang="ru">Gatti R.A., Meuwissen H.J., Allen H.D., Hong R., Good R.A. Immunological reconstitution of sex linked lymphopenic immunological deficiency. Lancet 1968;2(7583):1366–9. PMID: 4177932.</mixed-citation><mixed-citation xml:lang="en">Gatti R.A., Meuwissen H.J., Allen H.D., Hong R., Good R.A. Immunological reconstitution of sex linked lymphopenic immunological deficiency. Lancet 1968;2(7583):1366–9. PMID: 4177932.</mixed-citation></citation-alternatives></ref><ref id="cit10"><label>10</label><citation-alternatives><mixed-citation xml:lang="ru">ESID Registry. Working definitions for clinical diagnosis of PID. https://esid.org/ Working-Parties/Clinical/Resources/Diagnostic-criteria-for-PID2.</mixed-citation><mixed-citation xml:lang="en">ESID Registry. Working definitions for clinical diagnosis of PID. https://esid.org/ Working-Parties/Clinical/Resources/Diagnostic-criteria-for-PID2.</mixed-citation></citation-alternatives></ref><ref id="cit11"><label>11</label><citation-alternatives><mixed-citation xml:lang="ru">Orkin S.H., Daddona P.E., Shewach D.S. et al. Molecular cloning of human adenosine deaminase gene sequences. J Biol Chem 1983;258(21):12753–6. PMID: 6688808.</mixed-citation><mixed-citation xml:lang="en">Orkin S.H., Daddona P.E., Shewach D.S. et al. Molecular cloning of human adenosine deaminase gene sequences. J Biol Chem 1983;258(21):12753–6. PMID: 6688808.</mixed-citation></citation-alternatives></ref><ref id="cit12"><label>12</label><citation-alternatives><mixed-citation xml:lang="ru">Takeshita T., Asao H., Ohtani K. et al. Cloning of the gamma chain of the human IL-2 receptor. Science 1992;257(5068):379– 82. PMID: 1631559.</mixed-citation><mixed-citation xml:lang="en">Takeshita T., Asao H., Ohtani K. et al. Cloning of the gamma chain of the human IL-2 receptor. Science 1992;257(5068):379– 82. PMID: 1631559.</mixed-citation></citation-alternatives></ref><ref id="cit13"><label>13</label><citation-alternatives><mixed-citation xml:lang="ru">Vetrie D., Vorechovský I., Sideras P. et al. The gene involved in X-linked agammaglobulinaemia is a member of the src family of protein-tyrosine kinases. Nature 1993;361(6409):226–33. doi: 10.1038/361226a0.</mixed-citation><mixed-citation xml:lang="en">Vetrie D., Vorechovský I., Sideras P. et al. The gene involved in X-linked agammaglobulinaemia is a member of the src family of protein-tyrosine kinases. Nature 1993;361(6409):226–33. doi: 10.1038/361226a0.</mixed-citation></citation-alternatives></ref><ref id="cit14"><label>14</label><citation-alternatives><mixed-citation xml:lang="ru">Bousfiha A., Jeddane L., Al-Herz W. et al. The 2015 IUIS Phenotypic Classification for Primary Immunodeficiencies. J Clin Immunol 2015;35(8):727–38. doi: 10.1007/s10875- 015-0198-5.</mixed-citation><mixed-citation xml:lang="en">Bousfiha A., Jeddane L., Al-Herz W. et al. The 2015 IUIS Phenotypic Classification for Primary Immunodeficiencies. J Clin Immunol 2015;35(8):727–38. doi: 10.1007/s10875- 015-0198-5.</mixed-citation></citation-alternatives></ref><ref id="cit15"><label>15</label><citation-alternatives><mixed-citation xml:lang="ru">Qamar N., Fuleihan R.L. The hyper IgM syndromes. Clin Rev Allergy Immunol 2014;46(2):120–30. doi: 10.1007/s12016- 013-8378-7.</mixed-citation><mixed-citation xml:lang="en">Qamar N., Fuleihan R.L. The hyper IgM syndromes. Clin Rev Allergy Immunol 2014;46(2):120–30. doi: 10.1007/s12016- 013-8378-7.</mixed-citation></citation-alternatives></ref><ref id="cit16"><label>16</label><citation-alternatives><mixed-citation xml:lang="ru">Boisson B., Quartier P., Casanova J.L. Immunological loss-of-function due to genetic gain-of-function in humans: autosomal dominance of the third kind. Curr Opin Immunol 2015;32:90–105. doi: 10.1016/j. coi.2015.01.005.</mixed-citation><mixed-citation xml:lang="en">Boisson B., Quartier P., Casanova J.L. Immunological loss-of-function due to genetic gain-of-function in humans: autosomal dominance of the third kind. Curr Opin Immunol 2015;32:90–105. doi: 10.1016/j. coi.2015.01.005.</mixed-citation></citation-alternatives></ref><ref id="cit17"><label>17</label><citation-alternatives><mixed-citation xml:lang="ru">Lucas M., Lee M., Lortan J. et al. Infection outcomes in patients with common variable immunodeficiency disorders: relationship to immunoglobulin therapy over 22 years. J Allergy Clin Immunol 2010;125(6):1354–60.e4. doi: 10.1016/j.jaci.2010.02.040.</mixed-citation><mixed-citation xml:lang="en">Lucas M., Lee M., Lortan J. et al. Infection outcomes in patients with common variable immunodeficiency disorders: relationship to immunoglobulin therapy over 22 years. J Allergy Clin Immunol 2010;125(6):1354–60.e4. doi: 10.1016/j.jaci.2010.02.040.</mixed-citation></citation-alternatives></ref><ref id="cit18"><label>18</label><citation-alternatives><mixed-citation xml:lang="ru">Orange J.S., Grossman W.J., Navickis R.J., Wilkes M.M. Impact of trough IgG on pneumonia incidence in primary immunodeficiency: a meta-analysis of clinical studies. Clin Immunol 2010;137(1):21–30. doi: 10.1016/j.clim.2010.06.012.</mixed-citation><mixed-citation xml:lang="en">Orange J.S., Grossman W.J., Navickis R.J., Wilkes M.M. Impact of trough IgG on pneumonia incidence in primary immunodeficiency: a meta-analysis of clinical studies. Clin Immunol 2010;137(1):21–30. doi: 10.1016/j.clim.2010.06.012.</mixed-citation></citation-alternatives></ref><ref id="cit19"><label>19</label><citation-alternatives><mixed-citation xml:lang="ru">Смирнова И.Н., Родина Ю.А., Дерипапа Е.В. и др. Фармакоэкономический анализ заместительной терапии внутривенными иммуноглобулинами у пациентов с первичными дефектами гуморального звена иммунитета. Вопросы гематологии/ онкологии и иммунопатологии в педиатрии 2016;15(1):66–71. [Smirnova I.N., Rodina Yu.A., Deripapa E.V. et al. Pharmacoeconomic analysis of intravenous immunoglobulin replacement therapy in patients with primary humoral immunodeficiencies. Voprosy gematologii/onkologii i immunopatologii v pediatrii = Pediatric Hematology/ Oncology and Immunopathology 2016;15(1):66–71. (In Russ.)].</mixed-citation><mixed-citation xml:lang="en">Смирнова И.Н., Родина Ю.А., Дерипапа Е.В. и др. Фармакоэкономический анализ заместительной терапии внутривенными иммуноглобулинами у пациентов с первичными дефектами гуморального звена иммунитета. Вопросы гематологии/ онкологии и иммунопатологии в педиатрии 2016;15(1):66–71. [Smirnova I.N., Rodina Yu.A., Deripapa E.V. et al. Pharmacoeconomic analysis of intravenous immunoglobulin replacement therapy in patients with primary humoral immunodeficiencies. Voprosy gematologii/onkologii i immunopatologii v pediatrii = Pediatric Hematology/ Oncology and Immunopathology 2016;15(1):66–71. (In Russ.)].</mixed-citation></citation-alternatives></ref><ref id="cit20"><label>20</label><citation-alternatives><mixed-citation xml:lang="ru">Resnick E.S., Moshier E.L., Godbold J.H., Cunningham-Rundles C. Morbidity and mortality in common variable immune deficiency over 4 decades. Blood 2012;119(7):1650–7. doi: 10.1182/blood-2011-09-377945.</mixed-citation><mixed-citation xml:lang="en">Resnick E.S., Moshier E.L., Godbold J.H., Cunningham-Rundles C. Morbidity and mortality in common variable immune deficiency over 4 decades. Blood 2012;119(7):1650–7. doi: 10.1182/blood-2011-09-377945.</mixed-citation></citation-alternatives></ref><ref id="cit21"><label>21</label><citation-alternatives><mixed-citation xml:lang="ru">Lopez-Herrera G., Tampella G., Pan-Hammarström Q. et al. Deleterious mutations in LRBA are associated with a syndrome of immune deficiency and autoimmunity. Am J Hum Genet 2012;90(6):986–1001. doi: 10.1016/j.ajhg.2012.04.015.</mixed-citation><mixed-citation xml:lang="en">Lopez-Herrera G., Tampella G., Pan-Hammarström Q. et al. Deleterious mutations in LRBA are associated with a syndrome of immune deficiency and autoimmunity. Am J Hum Genet 2012;90(6):986–1001. doi: 10.1016/j.ajhg.2012.04.015.</mixed-citation></citation-alternatives></ref><ref id="cit22"><label>22</label><citation-alternatives><mixed-citation xml:lang="ru">Lucas C.L., Kuehn H.S., Zhao F. et al. Dominant-activating germline mutations in the gene encoding the PI(3)K catalytic subunit p110δ result in T cell senescence and human immunodeficiency. Nat Immunol 2014;15(1):88–97. doi: 10.1038/ni.2771.</mixed-citation><mixed-citation xml:lang="en">Lucas C.L., Kuehn H.S., Zhao F. et al. Dominant-activating germline mutations in the gene encoding the PI(3)K catalytic subunit p110δ result in T cell senescence and human immunodeficiency. Nat Immunol 2014;15(1):88–97. doi: 10.1038/ni.2771.</mixed-citation></citation-alternatives></ref><ref id="cit23"><label>23</label><citation-alternatives><mixed-citation xml:lang="ru">Schubert D., Bode C., Kenefeck R. et al. Autosomal dominant immune dysregulation syndrome in humans with CTLA4 mutations. Nat Med 2014;20(12):1410–6. doi: 10.1038/ nm.3746.</mixed-citation><mixed-citation xml:lang="en">Schubert D., Bode C., Kenefeck R. et al. Autosomal dominant immune dysregulation syndrome in humans with CTLA4 mutations. Nat Med 2014;20(12):1410–6. doi: 10.1038/ nm.3746.</mixed-citation></citation-alternatives></ref><ref id="cit24"><label>24</label><citation-alternatives><mixed-citation xml:lang="ru">Lo B., Zhang K., Lu W. et al. Autoimmune disease. Patients with LRBA deficiency show CTLA4 loss and immune dysregulation responsive to abatacept therapy. Science 2015;349(6246):436–40. doi: 10.1126/science. aaa1663.</mixed-citation><mixed-citation xml:lang="en">Lo B., Zhang K., Lu W. et al. Autoimmune disease. Patients with LRBA deficiency show CTLA4 loss and immune dysregulation responsive to abatacept therapy. Science 2015;349(6246):436–40. doi: 10.1126/science. aaa1663.</mixed-citation></citation-alternatives></ref><ref id="cit25"><label>25</label><citation-alternatives><mixed-citation xml:lang="ru">Vignesh P., Rawat A., Singh S. An Update on the Use of Immunomodulators in Primary Immunodeficiencies. Clin Rev Allergy Immunol 2017;52(2):287–303. doi: 10.1007/s12016- 016-8591-2. 26. http://pids.clin-reg.ru/</mixed-citation><mixed-citation xml:lang="en">Vignesh P., Rawat A., Singh S. An Update on the Use of Immunomodulators in Primary Immunodeficiencies. Clin Rev Allergy Immunol 2017;52(2):287–303. doi: 10.1007/s12016- 016-8591-2. 26. http://pids.clin-reg.ru/</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>
