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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="en"><front><journal-meta><journal-id journal-id-type="publisher-id">nnp</journal-id><journal-title-group><journal-title xml:lang="en">Neurology, Neuropsychiatry, Psychosomatics</journal-title><trans-title-group xml:lang="ru"><trans-title>Неврология, нейропсихиатрия, психосоматика</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2074-2711</issn><issn pub-type="epub">2310-1342</issn><publisher><publisher-name>"IMA-Press", LLC</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.14412/2074-2711-2016-4-77-80</article-id><article-id custom-type="elpub" pub-id-type="custom">nnp-677</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="en"><subject>REVIEWS</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ОБЗОРЫ</subject></subj-group></article-categories><title-group><article-title>GLATIRAMER ACETATE IS A FIRST-LINE DUAL-ACTION DRUG FOR THE TREATMENT OF RELAPSING-REMITTING MULTIPLE SCLEROSIS</article-title><trans-title-group xml:lang="ru"><trans-title>ГЛАТИРАМЕРА АЦЕТАТ – ПРЕПАРАТ ПЕРВОГО РЯДА С ДВОЙНЫМ ДЕЙСТВИЕМ ДЛЯ ЛЕЧЕНИЯ РЕМИТТИРУЮЩЕГО РАССЕЯННОГО СКЛЕРОЗА</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>Шмидт</surname><given-names>Т. Е.</given-names></name><name name-style="western" xml:lang="en"><surname>Shmidt</surname><given-names>T. E.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Татьяна Евгеньевна Шмидт - кафедра нервных болезней и нейрохирургии.</p><p>119021, Москва, ул. Россолимо, 11, schmidtknb@gmail.com</p></bio><bio xml:lang="en"><p>Tatiana Evgenyevna Shmidt - Department of Nervous System Diseases and Neurosurgery.</p><p>11, Rossolimo St., Moscow 119021, schmidtknb@gmail.com</p></bio><email xlink:type="simple">schmidtknb@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Первый Московский государственный медицинский университет имени И.М. Сеченова</institution><country>Россия</country></aff><aff xml:lang="en"><institution>I.M. Sechenov First Moscow State Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2016</year></pub-date><pub-date pub-type="epub"><day>16</day><month>12</month><year>2016</year></pub-date><volume>8</volume><issue>4</issue><fpage>77</fpage><lpage>80</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Shmidt T.E., 2016</copyright-statement><copyright-year>2016</copyright-year><copyright-holder xml:lang="ru">Шмидт Т.Е.</copyright-holder><copyright-holder xml:lang="en">Shmidt T.E.</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://nnp.ima-press.net/nnp/article/view/677">https://nnp.ima-press.net/nnp/article/view/677</self-uri><abstract><p>Multiple sclerosis (MS) is the most common and potentially disabling disease of the central nervous system in young people. Not only inflammatory, but also neurodegenerative processes are involved in the pathogenesis of MS. The use of MS-modifying drugs (MSMDs)  has led to a substantial reduction in the frequency of MS exacerbations and to the slower development of irreversible neurological deficit. Glatiramer acetate is one of the MSMDs of first choice and has a dual (anti-inflammatory and neuroprotective) action. The drug has proven to be effective and safe if administered long-term. Therapy with glatiramer acetate has been established to promote the production of anti-inflammatory cytokines and neurotrophic factors, which prevent the development of a degenerative process and stimulate remyelination, and to slow the progression of cerebral atrophy. Experimental findings suggest that the drug improves the processes of neurogenesis.</p><p>The efficiency of treatment is known to be associated with patient medication adherence. This largely depends on the frequency and route of drug administration and on the development of adverse events (AEs). To improve treatment adherence to glatiramer acetate, its new 40-mg formulation has been designed, which allows it to be administered only thrice weekly. The use of the formulation has demonstrated its efficacy and safety and resulted in a considerable reduction in the incidence rate of AEs.</p></abstract><trans-abstract xml:lang="ru"><p>Рассеянный склероз (РС) – самое частое и потенциально инвалидизирующее заболевание ЦНС у лиц молодого возраста. В патогенезе РС принимают участие не только воспалительные, но и нейродегенеративные процессы. Использование препаратов, изменяющих течение РС (ПИТРС),  привело к значимому снижению частоты обострений РС и замедлению развития необратимого неврологического дефицита. Глатирамера ацетат является одним из ПИТРС первого ряда и обладает двойным действием – противовоспалительным и нейропротективным. Доказана его эффективность и безопасность при длительном применении. Установлено, что терапия глатирамера ацетатом способствует продукции противовоспалительных цитокинов, нейротрофических факторов, препятствующих развитию дегенеративного процесса и стимулирующих ремиелинизацию, замедляет нарастание атрофии мозга. Экспериментальные данные свидетельствуют о том, что препарат улучшает процессы нейрогенеза.</p><p>Известно, что эффективность лечения связана с приверженностью пациентов терапии. Это в значительной степени зависит от частоты и способа введения препарата, а также от развития нежелательных явлений (НЯ). С целью повышения приверженности терапии глатирамера ацетатом создана его новая форма 40 мг, что позволяет вводить препарат только 3 раза в неделю. Применение ее показало эффективность и безопасность и привело к значимому снижению частоты НЯ.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>рассеянный склероз</kwd><kwd>препараты</kwd><kwd>изменяющие течение рассеянного склероза</kwd><kwd>глатирамера ацетат</kwd><kwd>противовоспалительное действие</kwd><kwd>нейродегенерация</kwd><kwd>нейропротекция</kwd><kwd>нейротрофические факторы</kwd><kwd>нейрогенез</kwd><kwd>атрофия мозга</kwd><kwd>приверженность терапии</kwd><kwd>безопасность</kwd><kwd>эффективность</kwd></kwd-group><kwd-group xml:lang="en"><kwd>multiple sclerosis</kwd><kwd>multiple sclerosis-modifying drugs</kwd><kwd>glatiramer acetate</kwd><kwd>anti-inflammatory effect</kwd><kwd>neurodegeneration</kwd><kwd>neuroprotection</kwd><kwd>neurotrophic factors</kwd><kwd>therapy adherence</kwd><kwd>safety</kwd><kwd>efficacy</kwd></kwd-group><funding-group><funding-statement xml:lang="ru">Тева, ООО</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">Шмидт ТЕ, Яхно НН. Рассеянный склероз. Москва: МЕДпресс-информ; 2010. 267 с. [Shmidt TE, Yakhno NN. Rasseyannyi skleroz [Multiple sclerosis]. Moscow: MEDpressinform; 2010. 267 p.]</mixed-citation><mixed-citation xml:lang="en">Шмидт ТЕ, Яхно НН. Рассеянный склероз. Москва: МЕДпресс-информ; 2010. 267 с. [Shmidt TE, Yakhno NN. Rasseyannyi skleroz [Multiple sclerosis]. Moscow: MEDpressinform; 2010. 267 p.]</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Aharoni R, Vainstein A, Stock A, et al. Distinct pathological patterns in relapsingremitting and chronic models of EAE and neuroprotective effect of glatiramer acetate. J Autoimmun. 2011 Nov;37(3):228-41. doi: 10.1016/j.jaut.2011.06.003. Epub 2011 Jul 14.</mixed-citation><mixed-citation xml:lang="en">Aharoni R, Vainstein A, Stock A, et al. Distinct pathological patterns in relapsingremitting and chronic models of EAE and neuroprotective effect of glatiramer acetate. J Autoimmun. 2011 Nov;37(3):228-41. doi: 10.1016/j.jaut.2011.06.003. Epub 2011 Jul 14.</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">Coustans M, Leray E, Le Page E, et al. Both relapsing-remitting and primary progressive MS are a two-stage disease, suggesting two consecutive mechanisms underlying progression of disability in MS. MS J. 2004;10 Suppl. 2:70.</mixed-citation><mixed-citation xml:lang="en">Coustans M, Leray E, Le Page E, et al. Both relapsing-remitting and primary progressive MS are a two-stage disease, suggesting two consecutive mechanisms underlying progression of disability in MS. MS J. 2004;10 Suppl. 2:70.</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">Lassman H. Recent neuropathological findings in MS. J Neurol. 2004;251 Suppl. 4:2-5.</mixed-citation><mixed-citation xml:lang="en">Lassman H. Recent neuropathological findings in MS. J Neurol. 2004;251 Suppl. 4:2-5.</mixed-citation></citation-alternatives></ref><ref id="cit5"><label>5</label><citation-alternatives><mixed-citation xml:lang="ru">Гусев ЕИ, Завалишин ИА, Бойко АН, редакторы. Рассеянный склероз. Москва: Реал Тайм; 2011. 315 с. [Gusev EI, Zavalishin IA, Boiko AN, editors. Rasseyannyi skleroz [Multiple sclerosis]. Moscow: Real Taim; 2011. 315 p.]</mixed-citation><mixed-citation xml:lang="en">Гусев ЕИ, Завалишин ИА, Бойко АН, редакторы. Рассеянный склероз. Москва: Реал Тайм; 2011. 315 с. [Gusev EI, Zavalishin IA, Boiko AN, editors. Rasseyannyi skleroz [Multiple sclerosis]. Moscow: Real Taim; 2011. 315 p.]</mixed-citation></citation-alternatives></ref><ref id="cit6"><label>6</label><citation-alternatives><mixed-citation xml:lang="ru">Colman D, Lubetzki C, Reingold S. Multiple paths towards repair in multiple sclerosis. Trends Neurosci. 2003 Feb;26(2):59-61.</mixed-citation><mixed-citation xml:lang="en">Colman D, Lubetzki C, Reingold S. Multiple paths towards repair in multiple sclerosis. Trends Neurosci. 2003 Feb;26(2):59-61.</mixed-citation></citation-alternatives></ref><ref id="cit7"><label>7</label><citation-alternatives><mixed-citation xml:lang="ru">Arnon R, Aharoni R. Neuroprotection and neurodegeneration in MS and its animal model EAE effected by glatiramer acetate. J Neural Transm (Vienna). 2009 Nov;116(11):1443-9. doi: 10.1007/s00702-009-0272-3. Epub 2009 Aug 11.</mixed-citation><mixed-citation xml:lang="en">Arnon R, Aharoni R. Neuroprotection and neurodegeneration in MS and its animal model EAE effected by glatiramer acetate. J Neural Transm (Vienna). 2009 Nov;116(11):1443-9. doi: 10.1007/s00702-009-0272-3. Epub 2009 Aug 11.</mixed-citation></citation-alternatives></ref><ref id="cit8"><label>8</label><citation-alternatives><mixed-citation xml:lang="ru">Chen M, Valenzuela R, Dhib-Jalbut S. Glatiramer acetate-reactive T cells produce brain-derived neurotrophic factor. J Neurol Sci. 2003 Nov 15;215(1-2):37-44.</mixed-citation><mixed-citation xml:lang="en">Chen M, Valenzuela R, Dhib-Jalbut S. Glatiramer acetate-reactive T cells produce brain-derived neurotrophic factor. J Neurol Sci. 2003 Nov 15;215(1-2):37-44.</mixed-citation></citation-alternatives></ref><ref id="cit9"><label>9</label><citation-alternatives><mixed-citation xml:lang="ru">Besser M, Wank R. Cutting edge clonally restricted production of the neurotrophins brain-derived neurotrophic factor and neurotrophin-3 mRNA by human immune cells and Th1/Th2-polarized expression of their receptors. J Immunol. 1999 Jun 1;162(11): 6303-6.</mixed-citation><mixed-citation xml:lang="en">Besser M, Wank R. Cutting edge clonally restricted production of the neurotrophins brain-derived neurotrophic factor and neurotrophin-3 mRNA by human immune cells and Th1/Th2-polarized expression of their receptors. J Immunol. 1999 Jun 1;162(11): 6303-6.</mixed-citation></citation-alternatives></ref><ref id="cit10"><label>10</label><citation-alternatives><mixed-citation xml:lang="ru">Khan O, Shen Y, Caon C, et al. Axonal metabolic recovery and potential neuroprotective effect of glatiramer acetate in relapsingremitting multiple sclerosis. Mult Scler. 2005 Dec;11(6):646-51.</mixed-citation><mixed-citation xml:lang="en">Khan O, Shen Y, Caon C, et al. Axonal metabolic recovery and potential neuroprotective effect of glatiramer acetate in relapsingremitting multiple sclerosis. Mult Scler. 2005 Dec;11(6):646-51.</mixed-citation></citation-alternatives></ref><ref id="cit11"><label>11</label><citation-alternatives><mixed-citation xml:lang="ru">Rieckman P, Maurer M. Axonal damage in MS: possible mechanisms. Curr Opin Neurol. 2002 Jun;15(3):361-70.</mixed-citation><mixed-citation xml:lang="en">Rieckman P, Maurer M. Axonal damage in MS: possible mechanisms. Curr Opin Neurol. 2002 Jun;15(3):361-70.</mixed-citation></citation-alternatives></ref><ref id="cit12"><label>12</label><citation-alternatives><mixed-citation xml:lang="ru">Khan O, Bao F, Shah M, et al Effect of disease-modifying therapies on brain volume in relapsing-remitting multiple sclerosis: results of a five-year brain MRI study. J Neurol Sci. 2012 Jan 15;312(1-2):7-12. doi: 10.1016/j.jns.2011.08.034. Epub 2011 Sep 13.</mixed-citation><mixed-citation xml:lang="en">Khan O, Bao F, Shah M, et al Effect of disease-modifying therapies on brain volume in relapsing-remitting multiple sclerosis: results of a five-year brain MRI study. J Neurol Sci. 2012 Jan 15;312(1-2):7-12. doi: 10.1016/j.jns.2011.08.034. Epub 2011 Sep 13.</mixed-citation></citation-alternatives></ref><ref id="cit13"><label>13</label><citation-alternatives><mixed-citation xml:lang="ru">Ford C, Johnson K, Brooks B, et al. Sustained efficacy and tolerability of glatiramer acetate in relapsing-remitting multiple sclerosis patients over 10 years. Proceeding of 19th Annual Meeting of the ECTRIMS; 2003. 485 p.</mixed-citation><mixed-citation xml:lang="en">Ford C, Johnson K, Brooks B, et al. Sustained efficacy and tolerability of glatiramer acetate in relapsing-remitting multiple sclerosis patients over 10 years. Proceeding of 19th Annual Meeting of the ECTRIMS; 2003. 485 p.</mixed-citation></citation-alternatives></ref><ref id="cit14"><label>14</label><citation-alternatives><mixed-citation xml:lang="ru">Елагина ИА, Шмидт ТЕ. Утомляемость при рассеянном склерозе. Неврологический журнал. 2008;(1):37-45. [Elagina IA, Shmidt TE. Fatigue in multiple sclerosis. Nevrologicheskii zhurnal. 2008;(1):37-45. (In Russ.)].</mixed-citation><mixed-citation xml:lang="en">Елагина ИА, Шмидт ТЕ. Утомляемость при рассеянном склерозе. Неврологический журнал. 2008;(1):37-45. [Elagina IA, Shmidt TE. Fatigue in multiple sclerosis. Nevrologicheskii zhurnal. 2008;(1):37-45. (In Russ.)].</mixed-citation></citation-alternatives></ref><ref id="cit15"><label>15</label><citation-alternatives><mixed-citation xml:lang="ru">Шмидт ТЕ. Когнитивные нарушения и попытки их коррекции при рассеянном склерозе. Журнал неврологии и психиатрии им. С.С. Корсакова. 2005;(3):34-41. [Shmidt TE. Cognitive disorders and attempts of correction in multiple sclerosis. Zhurnal nevrologii i psikhiatrii im. S.S. Korsakova. 2005;(3):34-41. (In Russ.)].</mixed-citation><mixed-citation xml:lang="en">Шмидт ТЕ. Когнитивные нарушения и попытки их коррекции при рассеянном склерозе. Журнал неврологии и психиатрии им. С.С. Корсакова. 2005;(3):34-41. [Shmidt TE. Cognitive disorders and attempts of correction in multiple sclerosis. Zhurnal nevrologii i psikhiatrii im. S.S. Korsakova. 2005;(3):34-41. (In Russ.)].</mixed-citation></citation-alternatives></ref><ref id="cit16"><label>16</label><citation-alternatives><mixed-citation xml:lang="ru">Khan O, Reickmann P, Boyko A, et al Three time weekly glatiramer acetate in relapsing-remitting multiple sclerosis. Ann Neurol. 2013 Jun;73(6):705-13. doi: 10.1002/ana.23938. Epub 2013 Jun 28.</mixed-citation><mixed-citation xml:lang="en">Khan O, Reickmann P, Boyko A, et al Three time weekly glatiramer acetate in relapsing-remitting multiple sclerosis. Ann Neurol. 2013 Jun;73(6):705-13. doi: 10.1002/ana.23938. Epub 2013 Jun 28.</mixed-citation></citation-alternatives></ref><ref id="cit17"><label>17</label><citation-alternatives><mixed-citation xml:lang="ru">Wolinsky J, Borresen T, Dietrich D, et al. GLACIER: an open-label, randomized, multicenter study to assess the safety and tolerability of glatiramer acetate 40 mg three-time weekly versus 20 mg daily in patients with relapsingremitting multiple sclerosis. Mult Scler Relat Disord. 2015 Jul;4(4):370-6. doi: 10.1016/j.msard.2015.06.005. Epub 2015 Jun 14.</mixed-citation><mixed-citation xml:lang="en">Wolinsky J, Borresen T, Dietrich D, et al. GLACIER: an open-label, randomized, multicenter study to assess the safety and tolerability of glatiramer acetate 40 mg three-time weekly versus 20 mg daily in patients with relapsingremitting multiple sclerosis. Mult Scler Relat Disord. 2015 Jul;4(4):370-6. doi: 10.1016/j.msard.2015.06.005. Epub 2015 Jun 14.</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>
