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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">medalphabet</journal-id><journal-title-group><journal-title xml:lang="ru">Медицинский алфавит</journal-title><trans-title-group xml:lang="en"><trans-title>Medical alphabet</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2078-5631</issn><issn pub-type="epub">2949-2807</issn><publisher><publisher-name>ООО «Альфмед»</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.33667/20785631202517913</article-id><article-id custom-type="elpub" pub-id-type="custom">medalphabet-4507</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>Нативный коллаген II типа при заболеваниях опорно-двигательного аппарата: практика и перспективы применения</article-title><trans-title-group xml:lang="en"><trans-title>Native type II collagen in musculoskeletal disorders: current practice and future directions</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-3220-0333</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Никитина</surname><given-names>Е. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Nikitina</surname><given-names>E.  A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Никитина Елена Александровна, к.м.н., доцент кафедры диетологии и клинической нутрициологии; научный сотрудник; эксперт Методического аккредитационно-симуляционного центра</p><p>Москва</p></bio><bio xml:lang="en"><p>Nikitina Elena A., PhD Med, associate professor at Dept of Dietetics and Clinical Nutrition; research fellow; Expert of the Methodological Accreditation and Simulation Center</p><p>Moscow</p></bio><email xlink:type="simple">nikitina-ea1@rudn.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-4689-3591</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Орлова</surname><given-names>С. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Orlova</surname><given-names>S. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Орлова Светлана Владимировна, д.м.н., проф., зав. кафедрой диетологии и клинической нутрициологии; главный научный сотрудник</p><p>Москва</p></bio><bio xml:lang="en"><p>Orlova Svetlana V., DM Sci (habil.), professor, head of Dept of Dietetics and Clinical Nutritiology; chief researcher</p><p>Moscow</p></bio><email xlink:type="simple">orlova-sv@rudn.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/0000-0003-0928-2131</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Батышева</surname><given-names>Т.  Т. </given-names></name><name name-style="western" xml:lang="en"><surname>Batysheva</surname><given-names>T.  T.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Батышева Татьяна Тимофеевна, д.м.н., проф., заслуженный врач РФ, директор; глав. внештатный детский специалист невролог ДЗМ, гл. внештатный детский специалист по медицинской реабилитации Минздрава России, зав. кафедрой неврологии, физической, реабилитационной медицины и психологии детского возраста</p><p>Москва</p></bio><bio xml:lang="en"><p>Batysheva Tatyana T., DM Sci (habil.), professor, director; head. freelance pediatric specialist neurologist of the Dept of Healthcare, chief freelance children’s specialist in medical rehabilitation of the Russian Ministry of Health, head of Dept of Neurology, Physical, Rehabilitation Medicine and Childhood Psychology; Honored Doctor of the Russian Federation</p><p>Moscow</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-0548-3414</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Балашова</surname><given-names>Н. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Balashova</surname><given-names>N. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Балашова Наталья Валерьевна, к.б.н., доцент кафедры диетологии и клинической нутрициологии; доцент кафедры клинической лабораторной диагностики факультета усовершенствования врачей</p><p>Москва</p><p>Author ID: 832745</p></bio><bio xml:lang="en"><p>Balashova Natalya V., PhD Bio, assistant professor at Dept of Clinical Laboratory Diagnostics of the Faculty of Advanced Training of Doctors; assistant professor at Dept of Dietetics and Clinical Nutritiology</p><p>Moscow</p><p>Author ID: 832745</p></bio><email xlink:type="simple">BalashovaN77@mail.ru</email><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-8448-8493</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Алексеева</surname><given-names>М. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Alekseeva</surname><given-names>M. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Алексеева Марина Валерьевна, к.м.н., зам. директора по организационно-методической работе</p><p>Москва</p></bio><bio xml:lang="en"><p>Alekseeva Marina.V., PhD Med, deputy director for Organizational and Methodological Work</p><p>Moscow</p></bio><xref ref-type="aff" rid="aff-4"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГАОУ ВО «Российский университет дружбы народов имени Патриса Лумумбы» (РУДН); ГБУЗ «Научно-практический центр детской психоневрологии Департамента здравоохранения г. Москвы»; ФГБУ «Национальный медицинский исследовательский центр терапии и профилактической медицины» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Peoples’ Friendship University of Russia named after Patrice Lumumba; Scientific and Practical Center for Pediatric Psychoneurology of the Moscow Department of Health; National Medical Research Center for Therapy and Preventive Medicine</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ФГАОУ ВО «Российский университет дружбы народов имени Патриса Лумумбы» (РУДН); ГБУЗ «Научно-практический центр детской психоневрологии Департамента здравоохранения г. Москвы»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Peoples’ Friendship University of Russia named after Patrice Lumumba; Scientific and Practical Center for Pediatric Psychoneurology of the Moscow Department of Health</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>ФГАОУ ВО «Российский университет дружбы народов имени Патриса Лумумбы» (РУДН); ГБУЗ МО «Московский областной научно-исследовательский клинический институт имени М.Ф. Владимирского»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Peoples’ Friendship University of Russia named after Patrice Lumumba; M. F. Vladimirskii Moscow Regional Scientific Research Institute (MONIKI)</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-4"><aff xml:lang="ru"><institution>ГБУЗ «Научно-практический центр детской психоневрологии Департамента здравоохранения г. Москвы»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Scientific and Practical Center for Pediatric Psychoneurology of the Moscow Department of Health</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2025</year></pub-date><pub-date pub-type="epub"><day>30</day><month>08</month><year>2025</year></pub-date><volume>0</volume><issue>17</issue><issue-title>«Современная поликлиника» (1)</issue-title><fpage>9</fpage><lpage>13</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Никитина Е.А., Орлова С.В., Батышева Т.Т., Балашова Н.В., Алексеева М.В., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Никитина Е.А., Орлова С.В., Батышева Т.Т., Балашова Н.В., Алексеева М.В.</copyright-holder><copyright-holder xml:lang="en">Nikitina E.A., Orlova S.V., Batysheva T.T., Balashova N.V., Alekseeva M.V.</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://www.med-alphabet.com/jour/article/view/4507">https://www.med-alphabet.com/jour/article/view/4507</self-uri><abstract><p>Коллаген – основной структурный белок соединительной ткани, составляющий более четверти всех белков организма. Из 29 известных типов коллагена особое значение имеет коллаген II типа, формирующий основу суставного хряща. В отличие от гидролизованных форм, нативный коллаген II типа (НК-II) сохраняет исходную химическую структуру, что позволяет ему выступать в качестве индуктора оральной толерантности. Клинические исследования демонстрируют эффективность НК-II в уменьшении воспаления, боли и улучшении функции суставов при остеоартрозе и ревматоидном артрите. Перспективным направлением является разработка препаратов на основе коллагена морских животных сулучшенным профилем безопасности. Необходимы масштабные исследования для оптимизации режимов испособов применения.</p></abstract><trans-abstract xml:lang="en"><p>Collagen is a primary structural protein of connective tissue, accounting for over a quarter of all body proteins. Among 29 known collagen types, type II collagen is particularly significant as it forms the foundation of articular cartilage. Unlike hydrolyzed forms, native type II collagen (UC–II) maintains its original chemical structure, enabling it to function as an oral tolerance inducer. Clinical studies demonstrate effectiveness of UC–II in reducing inflammation, alleviating pain, and improving joint function in osteoarthritis and rheumatoid arthritis. A promising development direction involves marinederived collagen preparations with enhanced safety profiles. Large-scale studies are needed to optimize dosage regimens and administration methods.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>коллаген</kwd><kwd>нативный коллаген II типа</kwd><kwd>гидролизаты коллагена</kwd><kwd>оральная толерантность</kwd><kwd>остеоартроз</kwd><kwd>ревматоидный артрит</kwd></kwd-group><kwd-group xml:lang="en"><kwd>collagen</kwd><kwd>native type II collagen</kwd><kwd>collagen hydrolysates</kwd><kwd>oral tolerance</kwd><kwd>osteoarthritis</kwd><kwd>rheumatoid arthritis</kwd></kwd-group><funding-group><funding-statement xml:lang="ru">Публикация выполнена при поддержке Программы стратегического академического лидерства РУДН.</funding-statement><funding-statement xml:lang="en">The publication was supported by the RUDN Strategic Academic Leadership Program.</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">Steinmetz JD, Culbreth GT, Haile LM, Rafferty Q, Lo J, Fukutaki KG. et al. 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