Журнал кардиореспираторных исследований 2026. №2/3
Maqola mavzusi
Komplement tizimi faolligining tizimli qizil yugurik shakllanishidagi o‘rni (56-59)
Mualliflar
B.U. Nizomov, K.A. Islamova
Muassasa
Samarqand davlat tibbiyot universiteti
Annotatsiya
Tizimli qizil yugurik (TQY) — genetik, immunologik va tashqi omillar ta’sirida rivojlanuvchi, ko‘p tizimli autoimmun kasallik bo‘lib, uning asosini autoantitanalar hosil bo‘lishi, immun komplekslarning to‘qimalarda to‘planishi va surunkali yallig‘lanish jarayonlari tashkil etadi. Ushbu jarayonlar kechishida komplement tizimi muhim patogenetik bo‘g‘in bo‘lib ishtirok etadi. Mazkur tadqiqotda komplement tizimining klassik, alternativ va lektinli faollashuv yo‘llarining o‘ziga xos xususiyatlari, shuningdek, C3 va C4 komponentlari darajasidagi o‘zgarishlarning klinik-laborator ahamiyati keng yoritilgan. Komplement tizimi faollashuvining ortishi sababli immun yallig‘lanish reaksiyalari kuchayib, natijada organ va to‘qimalar zararlanishining ortishiga olib kelishi ilmiy manbalar asosida tahlil qilingan. Shu bilan birga, TQY bilan kasallangan bemorlarda komponentlar darajasini baholashning diagnostik qiymati, kasallik faolligini aniqlash va prognozni belgilashdagi ahamiyati ham ko‘rib chiqilgan. Zamonaviy adabiyotlar tahlili komplement tizimi va TQY patogenezi o‘rtasidagi mustahkam o‘zaro bog‘liqlikni tasdiqlaydi hamda bu tizimni terapevtik nishon sifatida o‘rganish istiqbolli yo‘nalish ekanligini ko‘rsatadi.
Kalit so'zlar
tizimli qizil yugurik, komplement tizimi, autoantitana oqsillari, C3, C4, immunopatogenez.
Adabiyotlar
1. Marlow AA, Nickel WR. Familial occurrence of systemic lupus erythematosus. JAMA. 2016;173:1641-3. doi: 10.1001/jama.1960.03020330009002 2. Omarjee O, Picard C, Frachette C, et al. Monogenic lupus: Dissecting heterogeneity. Autoimmun Rev. 2019; 18(10):102361. doi: 10.1016/j.autrev.2019.102361 3. Tsokos GC. Systemic lupus erythematosus. New Engl J Med. 2018;365:2110-21. doi: 10.1056/NEJMra1100359 4. Gaipl US, Voll RE, Sheriff A, et al. Impaired clearance of dying cells in systemic lupus erythematosus. Autoimmun Rev. 2015; 4(4):189-94. doi: 10.1016/j.autrev.2014.10.007 5. Baumann I, Kolowos W, Voll RE, et al. Impaired uptake of apoptotic cells into tingible body macrophages in germinal centers of patients with systemic lupus erythematosus. Arthritis Rheum. 2019;46(1):191-201. doi: 10.1002/1529-0131(200201)46: 13.0.CO;2-K 6. Lee-Kirsch MA, Chowdhury D, Harvey S, et al A mutation in TREX1 that impairs susceptibility to granzyme A-mediated cell death underlies familial chilblain lupus. J Mol Med. 2017;85(5):531-7. doi: 10.1007/s00109-007-0199-9 7. Massaad MJ, Zhou J, Tsuchimoto D, et al. The base excision repair enzyme NEIL3 protects against autoimmunity. J Clin Investigat. 2016;126(11):4219-36. doi: 10.1172/JCI85647 8. Rodero MP, Tesser A, Bartok E, et al. Type I interferon-mediated autoinflammation due to DNase II deficiency. Nat Commun. 2017;8(1):2176. doi: 10.1038/s41467-017- 01932-3 9. Bryan AR, Wu EY. Complement deficiencies in systemic lupus erythematosus. Curr Allerg Asthma Rep. 2016;14(7):448-56. doi: 10.1007/s11882-014-0448-2 10. Yang Y, Chung EK, Wu YL, et al. Gene copy-number variation and associated polymorphisms of complement component C4 in human systemic lupus erythematosus (СКВ): low copy number is a risk factor for and high copy number is a protective factor against СКВ susceptibility in European Americans. Am J Hum Genet. 2017;80:1037-54. doi: 10.1086/518257 11. Walter JE, Lo MS, Kis-Toth K, et al. Impaired receptor editing and heterozygous RAG2 mutation in a patient with systemic lupus erythematosus and erosive arthritis. J Allergy Clin Immunol. 2016;135:272-3. doi: 10.1016/j.jaci.2014.07.063 12. Dickens C., Psycii M.R.C., Jackson J. Association of depression and rheumatoid arthritis. // Psychosomatics. - 2019. - Vol. 44. - N. 3. - P. 209-215. 13. Dowlati Y., Herrmann N., Swardfager W. et al. A meta-АНАlysis of cytokines in major depression. // Biol Psychiatry. - 2019. - Vol. 67. - N. 5. - P. 446-457. 14. Drewes A.M., Swendsen L., Jorgensen Taagholt S., et al. СКВep in rheumatoid arthritis: a comparison with healthy subjects and studies of СКВep/wake interactions. //British Journal of Rheumatology. - 2018. - Vol. 37. - P. 71-81. 15. Abad V.C., Sarinas P., Guilleminault С. СКВep and rheumatologic disorders. //СКВep Med. Rev. - 2017. - Vol. 12.- P.211-228 . 16. Agatisa P.K., Matthews K.A., Bromberger J.T. et al. Coronary and aortic calcification in women with a history of major depression. //Arch Intern Med. - 2016. -Vol. 165. - P. 1229-36. 17. Alarcon-Segovia D., Perez-Vazquez M.E., Villa A.R. et al. Preliminary classification criteria for the antiphospholipid syndrome within systemic lupus erythematosus. //Semin. Arthritis Rheum. - 2019. - Vol. 21. - P. 275-286. 18. Ash G., Dickens C.M., Creed F.H. et al. The effects of dothiepin on subjects with rheumatoid arthritis and depression. // Rheumatology. - 2019. - Vol.38. - P. 959967. 19. Bair M.J., Robinson R.L., Katon W., Kroenke K. Depression and pain comorbidity. A literature review. // Arch Intern Med. - 2020. - Vol. 163. - N. 10. - P. 24332445. 20. Bertsias G.K., Ioannidis J.P.A, Aringer M et al. EULAR recommendations for the mАНАgement of systemic lupus erythematosus with neuropsychiatric manifestations: report of a task force of the EULAR standing committee for clinical affairs. // Ann Rheum Dis. - 2019. - Vol. 69. - P. 2074-2082. 21. Bingham B., Ajit S.K., Blake D.R., Samad T.A. The molecular basis of pain and its clinical implications in rheumatology. Nature clinical practice. // Rheumatology. - 2019. - Vol. 5. - N. 1. - P. 28-37. 22. Bratus B., Weltischieff D., Lysloff A. Affekt als Befindlichkeit des Menschen. // ExistenzАНАlyse. - 2018. - Vol. 27. - N.2. - P. 124-127. 23. Bruce T.O. Comorbid depression in rheumatoid arthritis: pathophysiology and clinical implications. // Curr Psychiatry Rep. - 2018. - Vol. 10. - P. 258-264. 24. Cleanthous S., Tyagi M., Isenberg D.A., Newman S.P. What do we know about self-reported fatigue in systemic lupus erythematosus? // Lupus. - 2017. - Vol. 21.-P. 465-476. 25. Cohen P. Pine D.S. Must A. et al. Prospective association between somatic illness and mental illness from childhood to adulthood. // Am J Epidemiol. - 2018. -Vol. 147.-N.3.-P. 232-239.