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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">lvrach</journal-id><journal-title-group><journal-title xml:lang="ru">Лечащий Врач</journal-title><trans-title-group xml:lang="en"><trans-title>Lechaschi Vrach</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1560-5175</issn><issn pub-type="epub">2687-1181</issn><publisher><publisher-name>ООО «Издательство "Открытые системы"»</publisher-name></publisher></journal-meta><article-meta><article-id custom-type="elpub" pub-id-type="custom">lvrach-650</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>Статьи</subject></subj-group></article-categories><title-group><article-title>Хондропения в авангарде эпидемии остеоартрита: от старения суставов к клиническому манифесту болезни</article-title><trans-title-group xml:lang="en"><trans-title>Chondropenia followed by epidemic of osteoarthritis: from joint aging to the clinical manifestations</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>Наумов</surname><given-names>А. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Naumov</surname><given-names>A. V.</given-names></name></name-alternatives><email xlink:type="simple">nanton78@gmail.com</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>Ховасова</surname><given-names>Н. О.</given-names></name><name name-style="western" xml:lang="en"><surname>Hovasova</surname><given-names>N. O.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.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>Ткачева</surname><given-names>О. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Tkacheva</surname><given-names>O. N.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff xml:lang="ru" id="aff-1"><institution>ФГБОУ ВО РНИМУ им. Н. И. Пирогова МЗ РФ</institution><country>Russian Federation</country></aff><pub-date pub-type="collection"><year>2018</year></pub-date><pub-date pub-type="epub"><day>23</day><month>06</month><year>2021</year></pub-date><volume>0</volume><issue>12</issue><fpage>69</fpage><lpage>69</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Наумов А.В., Ховасова Н.О., Ткачева О.Н., 2021</copyright-statement><copyright-year>2021</copyright-year><copyright-holder xml:lang="ru">Наумов А.В., Ховасова Н.О., Ткачева О.Н.</copyright-holder><copyright-holder xml:lang="en">Naumov A.V., Hovasova N.O., Tkacheva O.N.</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.lvrach.ru/jour/article/view/650">https://journal.lvrach.ru/jour/article/view/650</self-uri><abstract><p>Остеоартрит (ОА) — наиболее распространенное и социально значимое заболевание костно-мышечной системы. В основе ОА лежит системное воспаление, выработка провоспалительных цитокинов, что в свою очередь обусловливает поддержание болевого синдрома и деградации хряща. Сегодня активно развивается теория хондропении вследствие возрастного снижения гликозаминогликанов. Современная комплексная терапия ОА должна включать гликозаминогликаны.</p></abstract><trans-abstract xml:lang="en"><p>Osteoarthritis (OA) is the most wide-spread and socially significant disease of musculoskeletal system. Systemic inflammation and formation of proinflammatory cytokines underlie OA, which, in its turn, conditions keeping pain syndrome and cartilage degradation. Currently, theory of chondropenia, due to age-related reduction of glycosaminoglycans, is actively developed. Modern complex OA therapy should include glycosaminoglycans. </p></trans-abstract><kwd-group xml:lang="ru"><kwd>Актуальная тема</kwd><kwd>Остеоартрит</kwd><kwd>Хроническая боль</kwd><kwd>Провоспалительные цитокины</kwd><kwd>Хондропения</kwd><kwd>Гликозаминогликаны</kwd></kwd-group><kwd-group xml:lang="en"><kwd>osteoarthritis</kwd><kwd>chronic pain</kwd><kwd>proinflammatory cytokines</kwd><kwd>chondropenia</kwd><kwd>glycosaminoglycans</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">White A. G., Birnbaum H. G., Janagap C. et al. Direct and indirect costs of pain therapy for osteoarthritis in an insured population in the United States // J Occup Environ Med. 2008. Vol. 50. P. 998–1005.</mixed-citation><mixed-citation xml:lang="en">White A. G., Birnbaum H. G., Janagap C. et al. 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