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<article 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" xmlns:ali="http://www.niso.org/schemas/ali/1.0/" article-type="research-article" dtd-version="1.2" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">Russian Journal of Allergy</journal-id><journal-title-group><journal-title xml:lang="en">Russian Journal of Allergy</journal-title><trans-title-group xml:lang="ru"><trans-title>Российский Аллергологический Журнал</trans-title></trans-title-group></journal-title-group><issn publication-format="print">1810-8830</issn><issn publication-format="electronic">2686-682X</issn><publisher><publisher-name xml:lang="en">Publishing House ABV Press</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">609</article-id><article-id pub-id-type="doi">10.36691/RJA609</article-id><article-categories><subj-group subj-group-type="toc-heading" xml:lang="en"><subject>Articles</subject></subj-group><subj-group subj-group-type="toc-heading" xml:lang="ru"><subject>Статьи</subject></subj-group><subj-group subj-group-type="article-type"><subject>Research Article</subject></subj-group></article-categories><title-group><article-title xml:lang="en">CURRENT TRENDS IN THE PHARMACOTHERAPY OF ATOPIC ASTHMA</article-title><trans-title-group xml:lang="ru"><trans-title>СОВРЕМЕННЫЕ ТЕНДЕНЦИИ В ФАРМАКОТЕРАПИИ АТОПИЧЕСКОЙ АСТМЫ</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Astafieva</surname><given-names>N G</given-names></name><name xml:lang="ru"><surname>Астафьева</surname><given-names>Н Г</given-names></name></name-alternatives><email>astang@mail.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Gamova</surname><given-names>I V</given-names></name><name xml:lang="ru"><surname>Гамова</surname><given-names>И В</given-names></name></name-alternatives><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Udovitchenko</surname><given-names>E N</given-names></name><name xml:lang="ru"><surname>Удовиченко</surname><given-names>Е Н</given-names></name></name-alternatives><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Perfilova</surname><given-names>I A</given-names></name><name xml:lang="ru"><surname>Перфилова</surname><given-names>И А</given-names></name></name-alternatives><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Kobzev</surname><given-names>D Y</given-names></name><name xml:lang="ru"><surname>Кобзев</surname><given-names>Д Ю</given-names></name></name-alternatives><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Kenesarieva</surname><given-names>J M</given-names></name><name xml:lang="ru"><surname>Кенесариева</surname><given-names>Ж М</given-names></name></name-alternatives><xref ref-type="aff" rid="aff1"/></contrib></contrib-group><aff-alternatives id="aff1"><aff><institution xml:lang="en">Saratov Medical University named after V.I. Rasumovsky</institution></aff><aff><institution xml:lang="ru">ГБОУ ВПО Саратовский государственный медицинский университет им. В.И. Разумовского Минздрава РФ</institution></aff></aff-alternatives><pub-date date-type="pub" iso-8601-date="2013-02-15" publication-format="electronic"><day>15</day><month>02</month><year>2013</year></pub-date><volume>10</volume><issue>1</issue><issue-title xml:lang="en">NO1 (2013)</issue-title><issue-title xml:lang="ru">№1 (2013)</issue-title><fpage>33</fpage><lpage>41</lpage><history><date date-type="received" iso-8601-date="2020-03-10"><day>10</day><month>03</month><year>2020</year></date></history><permissions><copyright-statement xml:lang="en">Copyright ©; 2013, Pharmarus Print Media</copyright-statement><copyright-statement xml:lang="ru">Copyright ©; 2013, Фармарус Принт Медиа</copyright-statement><copyright-year>2013</copyright-year><copyright-holder xml:lang="en">Pharmarus Print Media</copyright-holder><copyright-holder xml:lang="ru">Фармарус Принт Медиа</copyright-holder><ali:free_to_read xmlns:ali="http://www.niso.org/schemas/ali/1.0/" start_date="2015-12-15"/></permissions><self-uri xlink:href="https://rusalljournal.ru/raj/article/view/609">https://rusalljournal.ru/raj/article/view/609</self-uri><abstract xml:lang="en"><p>Asthma is a common chronic respiratory disease, characterized by different mechanisms and the development of heterogeneous phenotypes. This review discusses the main pharmacotherapy innovations and their possible clinical application.</p></abstract><trans-abstract xml:lang="ru"><p>Бронхиальная астма является широко распространенным хроническим респираторным заболеванием, характеризуется разными механизмами развития и гетерогенностью фенотипов. В обзоре обсуждаются основные лечебные инновации и возможности их клинического применения.</p></trans-abstract><kwd-group xml:lang="en"><kwd>bronchial asthma</kwd><kwd>treatment and prevention</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>бронхиальная астма</kwd><kwd>атопическая астма</kwd><kwd>лечение и профилактика</kwd></kwd-group></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><mixed-citation>GINA — Global strategy for asthma management and prevention, update 2011. www.ginasthma.org.</mixed-citation></ref><ref id="B2"><label>2.</label><mixed-citation>Чучалин А.Г. Новые перспективы в терапии бронхиальной астмы. Пульмонология. 2011, № 4, с. 3-6.</mixed-citation></ref><ref id="B3"><label>3.</label><mixed-citation>Национальная программа «Бронхиальная астма у детей. Стратегия лечения и профилактика» (четвертое издание, исправленное и дополненное). М., Изд. дом «Атмосфера», 2011, 108 с.</mixed-citation></ref><ref id="B4"><label>4.</label><mixed-citation>Астафьева Н.Г. и соавт. Обновленные стратегии лечения и профилактики бронхиальной астмы на основе лучшего понимания проблем воспаления и контроля болезни. Врач. 2011, № 11, с. 8-12.</mixed-citation></ref><ref id="B5"><label>5.</label><mixed-citation>Shitrit D.Challenges and trends in pulmonary medicine. Harefuah. 2012, v. 151 (4), p. 196-197, 255.</mixed-citation></ref><ref id="B6"><label>6.</label><mixed-citation>Padden J., Skoner D., Hochhaus G. Pharmacokinetics and pharmacodynamics of inhaled glucocorticoids. Journal of Asthma. 2008, v. 45, p. 13-24.</mixed-citation></ref><ref id="B7"><label>7.</label><mixed-citation>Sahasranaman S., Issar M., Hochhaus G. Metabolism of mometasone furoate and biological activity of the metabolites. Drug Metab. Dispos. 2006, v. 34, p. 225-233.</mixed-citation></ref><ref id="B8"><label>8.</label><mixed-citation>Yang T.T. et al. Drug delivery performance of the mometasone furoate dry powder inhaler. J. Aerosol Med. 2001, v. 14, p. 487-494.</mixed-citation></ref><ref id="B9"><label>9.</label><mixed-citation>D’Urzo A. et al. Efficacy and safety of mometasone furoate administered once-daily in the evening in patients with persistent asthma dependent on inhaled corticosteroids. Curr. Med. Res. Opin. 2005, v 21, p. 1281-1289.</mixed-citation></ref><ref id="B10"><label>10.</label><mixed-citation>Corren J. et al. Comparison of once-daily mometasone furoate versus once-daily budesonide in patients with moderate persistent asthma. Int. J. Clin. Pract. 2003, v. 57, p. 567-572.</mixed-citation></ref><ref id="B11"><label>11.</label><mixed-citation>Bousquet J. et al. Comparison of the efficacy and safety of mometasone furoate dry powder inhaler to budesonide Turbuhaler. Eur. Respir. J. 2000, v. 16, p. 808-816.</mixed-citation></ref><ref id="B12"><label>12.</label><mixed-citation>Wardlaw et al. Efficacy and safety of mometasone furoate dry powder inhaler vs fluticasone propionate metered-dose inhaler in asthma subjects previously using fluticasone propionate. Ann. Allergy Asthma Immunol. 2004, v. 93, p. 49-55.</mixed-citation></ref><ref id="B13"><label>13.</label><mixed-citation>Fish J.E. et al. Inhaled mometasone furoate reduces oral prednisone requirements while improving respiratory function and health-related quality of life in patients with severe persistent asthma. J. Allergy Clin. Immunol. 2000, v. 106, p. 852-860.</mixed-citation></ref><ref id="B14"><label>14.</label><mixed-citation>Price D. et al. Improved adherence with oncedaily versus twicedaily dosing of mometasone furoate administered via a dry powder inhaler: a randomized openlabel study. BMC Pulm. Med. 2010, v. 10, p. 19.</mixed-citation></ref><ref id="B15"><label>15.</label><mixed-citation>Pincus D. et al. Further studies on the chronotherapy of asthma with inhaled steroids: the effect of dosage timing on drug efficacy. J. Allergy Clin. Immunol. 1997, v 100, p. 771-774.</mixed-citation></ref><ref id="B16"><label>16.</label><mixed-citation>Mead J., Takishima T., Leith D. Stress distribution in lungs: a model of pulmonary elasticity. J. Appl. Physiol. 1970, v. 28, p. 596-608.</mixed-citation></ref><ref id="B17"><label>17.</label><mixed-citation>Woolcock A.J. Effect of drugs on small airways. Am. J. Respir. Crit. Care Med. 1998, v. 157, p. 203-207.</mixed-citation></ref><ref id="B18"><label>18.</label><mixed-citation>Balzar S., Wenzel S.E., Chu H.W. Transbronchial biopsy as a tool to evaluate small airways in asthma. Eur. Respir. J. 2002, v. 20, p. 254-259.</mixed-citation></ref><ref id="B19"><label>19.</label><mixed-citation>Айсанов З.Р., Калманова Е.Н., Стулова О.Ю. Циклесонид (Альвеско®) в лечении больных бронхиальной астмой. РМЖ. 2012, № 6, c. 341-344.</mixed-citation></ref><ref id="B20"><label>20.</label><mixed-citation>Canadian Thoracic Society 2012 guideline update: Diagnosis and management of asthma in preschoolers, children and adults. Can. Respir. J. 2012, v. 19, p. 127-164.</mixed-citation></ref><ref id="B21"><label>21.</label><mixed-citation>Tovey D. Asthma challenges: The place of inhaled long-acting beta-agonists. Cochrane Database Syst. Rev. 2010, v. 14, p. 8.</mixed-citation></ref><ref id="B22"><label>22.</label><mixed-citation>Chapman K.R. et al. Single maintenance and reliever therapy (SMART) of asthma: a critical appraisal. Thorax. 2010, p. 65, p. 747-752.</mixed-citation></ref><ref id="B23"><label>23.</label><mixed-citation>Место препарата Онбрез Бризхалер (индакатерол) в терапии хронической обструктивной болезни легких: заключение экспертного совета под ред. А.Г. Чучалина. Пульмонология. 2011, № 6, с. 124-125.</mixed-citation></ref><ref id="B24"><label>24.</label><mixed-citation>Cazzola M., Page C.P., Calzetta L., Matera M.G. Pharmacology and Therapeutics of Bronchodilators. Pharmacol. Rev. 2012, v. 64б, p. 450-504.</mixed-citation></ref><ref id="B25"><label>25.</label><mixed-citation>Cowan K., Guilbert T.W. Pediatric asthma phenotypes. Curr. Opin. Pediatr. 2012, v. 24, p. 344-351.</mixed-citation></ref><ref id="B26"><label>26.</label><mixed-citation>Watts K., Chavasse R.J. Leukotriene receptor antagonists in addition to usual care for acute asthma in adults and children. Cochrane Database Syst. Rev. 2012, v. 16, p. 5.</mixed-citation></ref><ref id="B27"><label>27.</label><mixed-citation>Chauhan B.F., Ducharme F.M. Antileukotriene agents compared to inhaled corticosteroids in the management of recurrent and/or chronic asthma in adults and children. Cochrane Database Syst. Rev. 2012, v. 16, p. 5:CD002314.</mixed-citation></ref><ref id="B28"><label>28.</label><mixed-citation>Demissie S., Riekert K.A., Eakin M.N. et al. How Do Perceptions of Asthma Control and Severity Relate to Indicators of Asthma Status and Treatment Recommendations by Pediatricians? Pediatr. Allergy Immunol Pulmonol. 2012, v. 25, p. 17-23.</mixed-citation></ref><ref id="B29"><label>29.</label><mixed-citation>Robinson C.B., Leonard J., Panettieri R.A. Jr. Drug development for severe asthma: What are the metrics? Pharmacol Ther. 2012, v. 135, p. 176-181.</mixed-citation></ref><ref id="B30"><label>30.</label><mixed-citation>Pedersen S. From asthma severity to control: a shift in clinical practice. Prim. Care Respir. J. 2010, v. 19, p. 3-9.</mixed-citation></ref><ref id="B31"><label>31.</label><mixed-citation>O’Byrne P.M., Naji N., Gauvreau G.M. Severe asthma: future treatments. Clin. Exp. Allergy. 2012, v. 42, p. 706-711.</mixed-citation></ref><ref id="B32"><label>32.</label><mixed-citation>Kennedy J.L., Heymann P.W., Platts-Mills T.A. The role of allergy in severe asthma. Clin. Exp. Allergy. 2012, v. 42, p. 659-669.</mixed-citation></ref><ref id="B33"><label>33.</label><mixed-citation>Holt P.G., Sly P.D. Viral infections and atopy in asthma pathogenesis: new rationales for asthma prevention and treatment. Nat. Med. 2012, v 4, p. 726-735.</mixed-citation></ref><ref id="B34"><label>34.</label><mixed-citation>Степанян И.Э. Спирива® Респимат® — препарат нового поколения. РМЖ. 2012, № 6, c. 324.</mixed-citation></ref><ref id="B35"><label>35.</label><mixed-citation>Apter A.J. Advances in adult asthma diagnosis and treatment and health outcomes, education, delivery, and quality in 2011: what goes around comes around. J. Allergy Clin. Immunol. 2012, v. 129, p. 69-75.</mixed-citation></ref><ref id="B36"><label>36.</label><mixed-citation>Schatz M. Predictors of asthma control: what can we modify? Curr. Opin. Allergy Clin. Immunol. 2012, v. 12, p. 263-268.</mixed-citation></ref><ref id="B37"><label>37.</label><mixed-citation>Lougheed M.D., Lemiere C., Ducharme F.M. et al. Canadian Thoracic Society Asthma Clinical Assembly. Canadian Thoracic Society 2012 guideline update: diagnosis and management of asthma in preschoolers, children and adults. Can. Respir. J. 2012, v 19, p. 127-164.</mixed-citation></ref><ref id="B38"><label>38.</label><mixed-citation>Holgate S.T The airway epithelium is central to the pathogenesis of asthma. Allergol Int. 2008, v. 57, p. 1-10.</mixed-citation></ref><ref id="B39"><label>39.</label><mixed-citation>Woodruff P.G., Boushey H.A., Dolganov G.M. et al. Genome-wide profiling identifies epithelial cell genes associated with asthma and with treatment response to corticosteroids. Proc. Natl. Acad Sci U S A. 2007, v. 104, p. 15858-63.</mixed-citation></ref><ref id="B40"><label>40.</label><mixed-citation>Kraft M. Asthma Phenotypes and Interleukin-13 — Moving Closer to Personalized Medicine. New England Journal of Medicine. 2011, v. 365, p. 1141-1144.</mixed-citation></ref><ref id="B41"><label>41.</label><mixed-citation>Thomson Neil C., Patel Manish, Smith Andrew D. Lebrikizumab in the personalized management of asthma. Biologics. 2012, v. 6, p. 329-335.</mixed-citation></ref><ref id="B42"><label>42.</label><mixed-citation>Pavord I.D., Korn S., Howarth P. et al. Mepolizumab for severe eosinophilic asthma (DREAM): a multicentre, double-blind, placebo-controlled trial. Lancet. 2012, v. 18, p. 651-659.</mixed-citation></ref><ref id="B43"><label>43.</label><mixed-citation>Richeldi L., Ferrara G., Fabbri L.M. et al. Macrolides for chronic asthma. Cochrane Database Syst. Rev. 2005, v. 4, CD002997.</mixed-citation></ref><ref id="B44"><label>44.</label><mixed-citation>Cameron E.J., McSharry C., Chaudhuri R. et al. Long-term macrolide treatment of chronic inflammatory airway diseases: risks, benefits and future developments. Clin. Exp. Allergy. 2012, v. 42. p 1302-1312.</mixed-citation></ref><ref id="B45"><label>45.</label><mixed-citation>Mathew J., Aronow W.S., Chandy D. Therapeutic options for severe asthma. Arch. Med. Sci. 2012, v. 8, p. 589-597.</mixed-citation></ref><ref id="B46"><label>46.</label><mixed-citation>Чучалин А.Г. Новые перспективы в терапии бронхиальной астмы. Пульмонология. 2011, № 4, с. 5-12.</mixed-citation></ref><ref id="B47"><label>47.</label><mixed-citation>Allergen immunotherapy: A practice parameter second update. Editor: Linda Cox American Academy of Allergy, Asthma &amp; Immunology Allergy Clin. Immunol. 2007, v. 120, p. 25-85.</mixed-citation></ref><ref id="B48"><label>48.</label><mixed-citation>Sublingual Immunotherapy: World Allergy Organization Position Paper 2009 Allergy. 2009, v. 64, p. 1-59.</mixed-citation></ref><ref id="B49"><label>49.</label><mixed-citation>Гущин И.С., Курбачева О.М. Аллергия и аллерген-специфическая иммунотерапия. М., «Фармарус Принт Медиа». 2010, 228 с.</mixed-citation></ref><ref id="B50"><label>50.</label><mixed-citation>Астафьева Н.Г., Горячкина Л.А. Аллерген-специфическая иммунотерапия в клинической практике. М., 2007, 86 с.</mixed-citation></ref><ref id="B51"><label>51.</label><mixed-citation>Calderon M., Cardona V., Demoly P. One hundred years of allergen immunotherapy European Academy of Allergy and Clinical Immunology celebration: review of unanswered questions Allergy. 2012, v. 67, p. 462-476.</mixed-citation></ref><ref id="B52"><label>52.</label><mixed-citation>Neske F., Schorner C., Buchheit K.H., Costanzo A., Hanschmann K.M., Himly M. et al. BSP090 the follow-up to CREATE. Arb Paul Ehrlich Inst Bundesamt Sera Impfstoffe Frankf A M. 2009, v. 96, p. 12-19.</mixed-citation></ref><ref id="B53"><label>53.</label><mixed-citation>Астафьева Н.Г., Гамова И.В., Удовиченко Е.Н. и соавт. Место аллерген-специфической иммунотерапии в лечении атопии. Эффективная фармакотерапия. Аллергология и иммунология. 2012, № 1, с. 6-16.</mixed-citation></ref><ref id="B54"><label>54.</label><mixed-citation>Calderon M.A., Gerth van Wijk R., Eichler I. et al. Perspectives on allergen-specific immunotherapy in childhood: An EAACI position statement. Pediatr Allergy Immunol. 2012, v. 23, p. 300-306.</mixed-citation></ref><ref id="B55"><label>55.</label><mixed-citation>Calderon M., Cardona V., Demoly P. One hundred years of allergen immunotherapy European Academy of Allergy and Clinical Immunology celebration: review of unanswered questions Allergy. 2012, v. 67, p. 462-476.</mixed-citation></ref><ref id="B56"><label>56.</label><mixed-citation>Linhart B., Valenta R. Vaccines for allergy. Curr. Opin. Immunol. 2012, v. 24, p. 354-360.</mixed-citation></ref><ref id="B57"><label>57.</label><mixed-citation>Valenta R., Campana R., Marth K., van Hage M. Allergen-specific immunotherapy: from therapeutic vaccines to prophylactic approaches. J. Intern. Med. 2012, v. 272, p. 144-157.</mixed-citation></ref><ref id="B58"><label>58.</label><mixed-citation>Akdis C.A.Therapies for allergic inflammation: refining strategies to induce tolerance. Nat. Med. 2012, v. 4, p. 736-749.</mixed-citation></ref><ref id="B59"><label>59.</label><mixed-citation>Linhart B., Valenta R. Mechanisms underlying allergy vaccination with recombinant hypoallergenic allergen derivatives. Vaccine. 2012, v. 19, p. 4328-4335.</mixed-citation></ref><ref id="B60"><label>60.</label><mixed-citation>Barnes P.J. New drugs for asthma. Semin. Respir. Crit. Care Med. 2012, v. 33, p. 685-694.</mixed-citation></ref></ref-list></back></article>
