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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">vsp</journal-id><journal-title-group><journal-title xml:lang="ru">Вопросы современной педиатрии</journal-title><trans-title-group xml:lang="en"><trans-title>Current Pediatrics</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1682-5527</issn><issn pub-type="epub">1682-5535</issn><publisher><publisher-name>Издательство «ПедиатрЪ»</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.15690/vsp.v19i2.2104</article-id><article-id custom-type="elpub" pub-id-type="custom">vsp-2377</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>ОБЗОР ЛИТЕРАТУРЫ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>REVIEW</subject></subj-group></article-categories><title-group><article-title>Биологическая терапия в эру COVID-19</article-title><trans-title-group xml:lang="en"><trans-title>Biological Therapy During COVID-19</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-2209-7531</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Намазова-Баранова</surname><given-names>Л. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Namazova-Baranova</surname><given-names>Leyla S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Москва.</p></bio><bio xml:lang="en"><p>Moscow.</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/0000-0003-2252-8570</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Мурашкин</surname><given-names>Н. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Murashkin</surname><given-names>Nikolay N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Мурашкин Николай Николаевич - доктор медицинских наук, заведующий отделением дерматологии с группой лазерной хирургии, заведующий лабораторией патологии кожи у детей отдела научных исследований в педиатрии НМИЦ здоровья детей, профессор кафедры дерматовенерологии и косметологии ЦГМА, профессор кафедры педиатрии и детской ревматологии Первого МГМУ им. И.М. Сеченова.</p><p>119296, Москва, Ломоносовский проспект, д. 2, стр. 1.</p><p>тел.: +7 (495) 967-14-20</p></bio><bio xml:lang="en"><p>Moscow.</p></bio><email xlink:type="simple">m_nn2001@mail.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-0081-0981</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Иванов</surname><given-names>Р. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Ivanov</surname><given-names>Roman A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Москва.</p></bio><bio xml:lang="en"/><xref ref-type="aff" rid="aff-3"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Центральная клиническая больница РАН; Российский национальный исследовательский медицинский университет им. Н.И. Пирогова</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Central Clinical Hospital of the Russian Academy of Sciences; Pirogov Russian National Research Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Центральная клиническая больница РАН; Национальный медицинский исследовательский центр здоровья детей; Первый Московский государственный медицинский университет им. И.М. Сеченова (Сеченовский Университет); Центральная государственная медицинская академия Управления делами Президента</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Central Clinical Hospital of the Russian Academy of Sciences; National Medical Research Center for Children's Health; Sechenov First Moscow State Medical University (Sechenov University); Central State Medical Academy of Presidential Administration</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>Центральная государственная медицинская академия Управления делами Президента</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Central State Medical Academy of Presidential Administration</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2020</year></pub-date><pub-date pub-type="epub"><day>21</day><month>06</month><year>2020</year></pub-date><volume>19</volume><issue>2</issue><fpage>116</fpage><lpage>122</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Намазова-Баранова Л.С., Мурашкин Н.Н., Иванов Р.А., 2020</copyright-statement><copyright-year>2020</copyright-year><copyright-holder xml:lang="ru">Намазова-Баранова Л.С., Мурашкин Н.Н., Иванов Р.А.</copyright-holder><copyright-holder xml:lang="en">Namazova-Baranova L.S., Murashkin N.N., Ivanov R.A.</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://vsp.spr-journal.ru/jour/article/view/2377">https://vsp.spr-journal.ru/jour/article/view/2377</self-uri><abstract><p>В связи с широким применением генно-инженерных биологических препаратов (ГИБП) в лечении иммуноопосредованных воспалительных заболеваний остро встает вопрос о дальнейшей терапевтической тактике ведения таких пациентов с учетом тяжелой эпидемиологической обстановки, вызванной пандемией нового коронавируса SARS-CoV-2. В обзоре собраны актуальные данные о патогенезе COVID-19 с развитием острого респираторного дистресс-синдрома, обусловленного синдромом высвобождения цитокинов («цитокиновый шторм»). Рассматриваются влияние ГИБП на патогенез COVID-19 и их роль в лечении тяжелых форм COVID-19. В обзоре отражены последние рекомендации международных ассоциаций/консенсусов и наблюдения врачей различных специальностей по вопросу прерывания/продолжения терапии ГИБП с оценкой последствий в случае прерывания биологической терапии. </p></abstract><trans-abstract xml:lang="en"><p>There is crucial question on further therapeutic tactics for the management of such patients (within the severe epidemiological situation caused by the pandemic of new coronavirus SARS-CoV-2) due to widespread application of genetically engineered biologic drugs (GEBD)in management of immune mediated inflammatory diseases. This review sums up current data on the pathogenesis of COVID-19 with the development of acute respiratory distress syndrome associated with cytokine release syndrome (cytokine storm). The effects of GEBD on COVID-19 pathogenesis and their role in management of COVID-19 severe forms of are considered. This review presents the latest guidelines of international associations/consensus and observations of doctors of various specialties on the issue of interruption/continuation of GEBD therapy and with further consequence evaluation in case of interruption of biological therapy.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>генно-инженерные биологические препараты</kwd><kwd>SARS-CoV-2</kwd><kwd>COVID-19</kwd><kwd>синдром высвобождения цитокинов</kwd><kwd>«цитокиновый шторм»</kwd><kwd>острый респираторный дистресс-синдром</kwd><kwd>TNFα</kwd><kwd>IL1</kwd><kwd>IL6</kwd><kwd>IL17</kwd><kwd>IL23</kwd><kwd>янус-киназы</kwd></kwd-group><kwd-group xml:lang="en"><kwd>genetically engineered biologic drugs</kwd><kwd>SARS-CoV-2</kwd><kwd>COVID-19</kwd><kwd>cytokine release syndrome</kwd><kwd>cytokine storm</kwd><kwd>acute respiratory distress syndrome</kwd><kwd>TNFα</kwd><kwd>IL1</kwd><kwd>IL6</kwd><kwd>IL17</kwd><kwd>IL23</kwd><kwd>janus kinase</kwd></kwd-group><funding-group><funding-statement xml:lang="ru">Не указан.</funding-statement><funding-statement xml:lang="en">Not specified.</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">Lebwohl M, Rivera-Oyola R, Murrell DF. 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