<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.3 20210610//EN" "JATS-journalpublishing1-3.dtd">
<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">zdor</journal-id><journal-title-group><journal-title xml:lang="ru">Проблемы здоровья и экологии</journal-title><trans-title-group xml:lang="en"><trans-title>Health and Ecology Issues</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2220-0967</issn><issn pub-type="epub">2708-6011</issn><publisher><publisher-name>Gomel State Medical University</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.51523/2708-6011.2011-8-1-6</article-id><article-id custom-type="elpub" pub-id-type="custom">zdor-1059</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>КЛИНИЧЕСКАЯ МЕДИЦИНА</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>CLINICAL MEDICINE</subject></subj-group></article-categories><title-group><article-title>СОВРЕМЕННЫЕ ПРИНЦИПЫ КЛАССИФИКАЦИИ, ОЦЕНКИ ПРОГНОЗА И ТЕРАПИИ ПЕРВИЧНЫХ МИЕЛОДИСПЛАСТИЧЕСКИХ СИНДРОМОВ</article-title><trans-title-group xml:lang="en"><trans-title>MODERN PRINCIPLES OF CLASSIFICATION, PROGNOSIS AND TREATMENT OF PRIMARY MYELODYSPLASTIC SYNDROMES</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>Климкович</surname><given-names>Н. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Klimkovich</surname><given-names>N. 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-alternatives id="aff-1"><aff xml:lang="ru"><institution>Белорусская медицинская академия последипломного образования</institution></aff><aff xml:lang="en"><institution>Belarusian Medical Academy of Post-Graduate Education</institution></aff></aff-alternatives><pub-date pub-type="collection"><year>2011</year></pub-date><pub-date pub-type="epub"><day>28</day><month>03</month><year>2011</year></pub-date><volume>0</volume><issue>1</issue><fpage>34</fpage><lpage>41</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Климкович Н.Н., 2011</copyright-statement><copyright-year>2011</copyright-year><copyright-holder xml:lang="ru">Климкович Н.Н.</copyright-holder><copyright-holder xml:lang="en">Klimkovich N.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.gsmu.by/jour/article/view/1059">https://journal.gsmu.by/jour/article/view/1059</self-uri><abstract><p>Статья посвящена миелодиспластическим синдромам (МДС) - группе клональных заболеваний костного мозга, в основе которых лежит патология гемопоэтических стволовых клеток, приводящая к нарушению пролиферации и дифференцировки гемопоэтических предшественников с изменением их морфологических и функциональных свойств. Описано развитие систематизации МДС по вариантам, в частности, новая классификация ВОЗ (2008). Проведена оценка использующихся прогностических параметров и систем. Представлены современные взгляды на лечение МДС с учетом индивидуализации терапии на основании факторов прогноза. Дана характеристика новых лекарственных средств и анализ результатов применения стандартных терапевтических схем в различных режимах и комбинациях.</p></abstract><trans-abstract xml:lang="en"><p>Article is devoted myelodysplastic syndromes (MDS). It is group malignant diseases of a bone marrow in which basis the pathology hаemopoetic stem cells, leading to infringement proliferations and differentiations of hаemopoetic cells - predecessors with their change morphological and functional properties. Development of ordering MDS by variants, in particular, new classification the WHO (2008) is described. The estimation prognostic parametrs and systems is spent. Modern sights at treatment MDS with the account are presented an individualization of therapy on the basis of prognostic factors. The characteristic of new medical products and the analysis of results of application of standard therapeutic schemes in various modes and combinations is given.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>миелодиспластические синдромы</kwd><kwd>классификация</kwd><kwd>прогноз</kwd><kwd>терапия</kwd><kwd>myelodysplastic syndromes</kwd><kwd>classification</kwd><kwd>prognosis</kwd><kwd>treatment</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">Bennet, J. M. Proposals for the classification of the myelodysplastic syndromes / J. M.Bennet, D. Catovsky, M. T. Daniel // British journal of hematology. - 1982. - Vol. 51. - P. 189-199.</mixed-citation><mixed-citation xml:lang="en">Bennet, J. M. Proposals for the classification of the myelodysplastic syndromes / J. M.Bennet, D. Catovsky, M. T. Daniel // British journal of hematology. - 1982. - Vol. 51. - P. 189-199.</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">TET2 mutation is an independent favorable prognostic factor in myelodysplastic syndromes / O. Kosmider [et al.] // Blood. - 2009. - Vol. 114, № 15. - P. 3285-3291.</mixed-citation><mixed-citation xml:lang="en">TET2 mutation is an independent favorable prognostic factor in myelodysplastic syndromes / O. Kosmider [et al.] // Blood. - 2009. - Vol. 114, № 15. - P. 3285-3291.</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">Guidelines for the diagnosis and treatment of Myelodysplastic Syndromes and Chronic Myelomonocytic Leukemia. Nordic MDS Group / L. Kjeldsen [et al.] // Blood. - 2010. - № 5. - 43 p.</mixed-citation><mixed-citation xml:lang="en">Guidelines for the diagnosis and treatment of Myelodysplastic Syndromes and Chronic Myelomonocytic Leukemia. Nordic MDS Group / L. Kjeldsen [et al.] // Blood. - 2010. - № 5. - 43 p.</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">Myelodysplastic Syndromes / A. F. List [et al.] // Hematology. - 2004. - P. 297-317.</mixed-citation><mixed-citation xml:lang="en">Myelodysplastic Syndromes / A. F. List [et al.] // Hematology. - 2004. - P. 297-317.</mixed-citation></citation-alternatives></ref><ref id="cit5"><label>5</label><citation-alternatives><mixed-citation xml:lang="ru">Myelodysplastic syndromes/neoplasms, overview / R. D. Brunning [et al.] // In: WHO Classification of Tumours of Haematopoietic and Lymphoid Tissues / Ed by S. H. Swerdlow [et al.] // Lyon: IARC. - 2008. - Vol. 2. - P. 88-93.</mixed-citation><mixed-citation xml:lang="en">Myelodysplastic syndromes/neoplasms, overview / R. D. Brunning [et al.] // In: WHO Classification of Tumours of Haematopoietic and Lymphoid Tissues / Ed by S. H. Swerdlow [et al.] // Lyon: IARC. - 2008. - Vol. 2. - P. 88-93.</mixed-citation></citation-alternatives></ref><ref id="cit6"><label>6</label><citation-alternatives><mixed-citation xml:lang="ru">Clinical characterization of acute myeloid leukemia with myelodysplasia-related changes as defined by the 2008 WHO classification system / O. K. Weinberg [et al.] // Blood. - 2009. - Vol. 113. - P. 1906-1908.</mixed-citation><mixed-citation xml:lang="en">Clinical characterization of acute myeloid leukemia with myelodysplasia-related changes as defined by the 2008 WHO classification system / O. K. Weinberg [et al.] // Blood. - 2009. - Vol. 113. - P. 1906-1908.</mixed-citation></citation-alternatives></ref><ref id="cit7"><label>7</label><citation-alternatives><mixed-citation xml:lang="ru">Greenberg, P. International Scoring System for evaluating prognosis in myelodysplastic syndromes/ P. Greenberg [et al.] // Blood. - 1997. - Vol. 89. -P. 2079-2088.</mixed-citation><mixed-citation xml:lang="en">Greenberg, P. International Scoring System for evaluating prognosis in myelodysplastic syndromes/ P. Greenberg [et al.] // Blood. - 1997. - Vol. 89. -P. 2079-2088.</mixed-citation></citation-alternatives></ref><ref id="cit8"><label>8</label><citation-alternatives><mixed-citation xml:lang="ru">World Health Organization classification in combination with cytogenetic markers improves the prognostic stratification of patients with de novo primary myelodysplastic syndromes / P. Bernasconi [et al.] // British Journal of Haematology. - 2007. - Vol. 137. - P.193-205.</mixed-citation><mixed-citation xml:lang="en">World Health Organization classification in combination with cytogenetic markers improves the prognostic stratification of patients with de novo primary myelodysplastic syndromes / P. Bernasconi [et al.] // British Journal of Haematology. - 2007. - Vol. 137. - P.193-205.</mixed-citation></citation-alternatives></ref><ref id="cit9"><label>9</label><citation-alternatives><mixed-citation xml:lang="ru">Сравнительный анализ кариотипа пожилых больных миелодиспластическим синдромом и острым миелоидным лейкозом / С. В. Грицаев [и др.] // Клиническая онкогематология. - 2010. - Т. 3, № 2. - C. 114-118.</mixed-citation><mixed-citation xml:lang="en">Сравнительный анализ кариотипа пожилых больных миелодиспластическим синдромом и острым миелоидным лейкозом / С. В. Грицаев [и др.] // Клиническая онкогематология. - 2010. - Т. 3, № 2. - C. 114-118.</mixed-citation></citation-alternatives></ref><ref id="cit10"><label>10</label><citation-alternatives><mixed-citation xml:lang="ru">Comorbidity as prognostic variable in MDS: comparative evaluation of the HCT-CI and CCI in a core dataset of 419 patients of the Austrian MDS Study Group / W. R. Sperr [et al.] // Annals of Oncology. - 2010. - Vol. 21 (1). - P. 114-119.</mixed-citation><mixed-citation xml:lang="en">Comorbidity as prognostic variable in MDS: comparative evaluation of the HCT-CI and CCI in a core dataset of 419 patients of the Austrian MDS Study Group / W. R. Sperr [et al.] // Annals of Oncology. - 2010. - Vol. 21 (1). - P. 114-119.</mixed-citation></citation-alternatives></ref><ref id="cit11"><label>11</label><citation-alternatives><mixed-citation xml:lang="ru">Greenberg, P. L. Current therapeutic approaches for patients with myelodysplastic syndromes / P. L. Greenberg // British Journal of Haematology. - 2010. - Vol. 150, № 2. - P. 131-143.</mixed-citation><mixed-citation xml:lang="en">Greenberg, P. L. Current therapeutic approaches for patients with myelodysplastic syndromes / P. L. Greenberg // British Journal of Haematology. - 2010. - Vol. 150, № 2. - P. 131-143.</mixed-citation></citation-alternatives></ref><ref id="cit12"><label>12</label><citation-alternatives><mixed-citation xml:lang="ru">Steensma, D. P. The myelodysplastic syndrome(s): a perspective and review highlighting current controversies / D. P. Steensma, A. Tefferi // Leukemia Research. - 2003. - Vol. 27, № 2. - P. 95-120.</mixed-citation><mixed-citation xml:lang="en">Steensma, D. P. The myelodysplastic syndrome(s): a perspective and review highlighting current controversies / D. P. Steensma, A. Tefferi // Leukemia Research. - 2003. - Vol. 27, № 2. - P. 95-120.</mixed-citation></citation-alternatives></ref><ref id="cit13"><label>13</label><citation-alternatives><mixed-citation xml:lang="ru">Савченко, В. Г. Программное лечение лейкозов / В. Г. Савченко, Е. Н. Паровичникова, В. Г. Исаев. - М., 2002. - C. 166-179.</mixed-citation><mixed-citation xml:lang="en">Савченко, В. Г. Программное лечение лейкозов / В. Г. Савченко, Е. Н. Паровичникова, В. Г. Исаев. - М., 2002. - C. 166-179.</mixed-citation></citation-alternatives></ref><ref id="cit14"><label>14</label><citation-alternatives><mixed-citation xml:lang="ru">Циклоспорин А в терапии больных рефрактерными анемиями и острыми малопроцентными лейкозами / А. В. Кохно [и др.] // Проблемы гематологии и переливания крови. - 2002. - № 1. - C. 44-45.</mixed-citation><mixed-citation xml:lang="en">Циклоспорин А в терапии больных рефрактерными анемиями и острыми малопроцентными лейкозами / А. В. Кохно [и др.] // Проблемы гематологии и переливания крови. - 2002. - № 1. - C. 44-45.</mixed-citation></citation-alternatives></ref><ref id="cit15"><label>15</label><citation-alternatives><mixed-citation xml:lang="ru">Aberrant immunophenotype of blasts in myelodysplastic syndromes is a clinically relevant biomarker in predicting response to growth factor treatment / T. M. Westers [et al.] // Blood. - 2010. - Vol. 115(9). - P. 1779-1784.</mixed-citation><mixed-citation xml:lang="en">Aberrant immunophenotype of blasts in myelodysplastic syndromes is a clinically relevant biomarker in predicting response to growth factor treatment / T. M. Westers [et al.] // Blood. - 2010. - Vol. 115(9). - P. 1779-1784.</mixed-citation></citation-alternatives></ref><ref id="cit16"><label>16</label><citation-alternatives><mixed-citation xml:lang="ru">Treatment of myelodysplastic syndromes patients with erythropoietin with or without granulocyte colony-stimulating factor: results of a prospective randomized phase III trial by the eastern cooperative oncology group (E1996) / P. L. Greenberg [et al.] // Blood. - 2009. - Vol. 114. - P. 2393-2400.</mixed-citation><mixed-citation xml:lang="en">Treatment of myelodysplastic syndromes patients with erythropoietin with or without granulocyte colony-stimulating factor: results of a prospective randomized phase III trial by the eastern cooperative oncology group (E1996) / P. L. Greenberg [et al.] // Blood. - 2009. - Vol. 114. - P. 2393-2400.</mixed-citation></citation-alternatives></ref><ref id="cit17"><label>17</label><citation-alternatives><mixed-citation xml:lang="ru">An assessment of erythroid response to epoetin alpha as a single agent versus in combination with granulocyte- or granulocyte-macrophage-colony-stimulating factor in myelodysplastic syndromes using a meta-analysis approach / S. Mundle [et al.] // Cancer. - 2009. - Vol. 115(4). - P. 706-715.</mixed-citation><mixed-citation xml:lang="en">An assessment of erythroid response to epoetin alpha as a single agent versus in combination with granulocyte- or granulocyte-macrophage-colony-stimulating factor in myelodysplastic syndromes using a meta-analysis approach / S. Mundle [et al.] // Cancer. - 2009. - Vol. 115(4). - P. 706-715.</mixed-citation></citation-alternatives></ref><ref id="cit18"><label>18</label><citation-alternatives><mixed-citation xml:lang="ru">Novel vitamin D3 analog, 21-(3-methyl-3-hydroxy-butyl)-19-nor D3, that modulates cell growth, differentiation, apoptosis, cell cycle, and induction of PTEN in leukemic cells / J. Hisatake [et al.] // Blood. - 2001. - Vol. 97. - P. 2427-2433.</mixed-citation><mixed-citation xml:lang="en">Novel vitamin D3 analog, 21-(3-methyl-3-hydroxy-butyl)-19-nor D3, that modulates cell growth, differentiation, apoptosis, cell cycle, and induction of PTEN in leukemic cells / J. Hisatake [et al.] // Blood. - 2001. - Vol. 97. - P. 2427-2433.</mixed-citation></citation-alternatives></ref><ref id="cit19"><label>19</label><citation-alternatives><mixed-citation xml:lang="ru">Loaiza-Bonilla, A. Novel approaches for myelodysplastic syndromes: beyond hypomethylating agents / A. Loaiza-Bonilla, S. D. Gore, H. E. Carraway // Current Opinion on Hematology. - 2010. - Vol. 17(2). - P. 104-109.</mixed-citation><mixed-citation xml:lang="en">Loaiza-Bonilla, A. Novel approaches for myelodysplastic syndromes: beyond hypomethylating agents / A. Loaiza-Bonilla, S. D. Gore, H. E. Carraway // Current Opinion on Hematology. - 2010. - Vol. 17(2). - P. 104-109.</mixed-citation></citation-alternatives></ref><ref id="cit20"><label>20</label><citation-alternatives><mixed-citation xml:lang="ru">DNA methylation predicts survival and response to therapy in patients with myelodysplastic syndromes / L. Shen [et al.] // Journal of Clinical Oncology. - 2010. - Vol. 28(4). - P. 605-613.</mixed-citation><mixed-citation xml:lang="en">DNA methylation predicts survival and response to therapy in patients with myelodysplastic syndromes / L. Shen [et al.] // Journal of Clinical Oncology. - 2010. - Vol. 28(4). - P. 605-613.</mixed-citation></citation-alternatives></ref><ref id="cit21"><label>21</label><citation-alternatives><mixed-citation xml:lang="ru">Клиническая эффективность дакогена при миелодиспластическом синдроме / А. К. Голенков [и др.] // Клиническая онкогематология. - 2008. - № 4. - C. 36-40.</mixed-citation><mixed-citation xml:lang="en">Клиническая эффективность дакогена при миелодиспластическом синдроме / А. К. Голенков [и др.] // Клиническая онкогематология. - 2008. - № 4. - C. 36-40.</mixed-citation></citation-alternatives></ref><ref id="cit22"><label>22</label><citation-alternatives><mixed-citation xml:lang="ru">Steensma, D. P. Practical recommendations for hypomethylating agent therapy of patients with myelodysplastic syndromes / D. P. Steensma, R. M. Stone // Hematology/Oncology Clinics of North America. - 2010. - Vol. 24(2). - P. 389-406.</mixed-citation><mixed-citation xml:lang="en">Steensma, D. P. Practical recommendations for hypomethylating agent therapy of patients with myelodysplastic syndromes / D. P. Steensma, R. M. Stone // Hematology/Oncology Clinics of North America. - 2010. - Vol. 24(2). - P. 389-406.</mixed-citation></citation-alternatives></ref><ref id="cit23"><label>23</label><citation-alternatives><mixed-citation xml:lang="ru">Hematologic response to three alternative dosing schedules of Azacitidine in patients with myelodysplastic syndromes / R. M. Lyons [et al.] // Journal of Clinical Oncology. - 2009. - Vol. 27 (11). - P. 1850-1856.</mixed-citation><mixed-citation xml:lang="en">Hematologic response to three alternative dosing schedules of Azacitidine in patients with myelodysplastic syndromes / R. M. Lyons [et al.] // Journal of Clinical Oncology. - 2009. - Vol. 27 (11). - P. 1850-1856.</mixed-citation></citation-alternatives></ref><ref id="cit24"><label>24</label><citation-alternatives><mixed-citation xml:lang="ru">Practical recommendations on the use of lenalidomide in the management of myelodysplastic syndromes / A. Giagounidis [et al.] // Annals of Hematology. - 2008. - Vol. 87. - P. 345-352.</mixed-citation><mixed-citation xml:lang="en">Practical recommendations on the use of lenalidomide in the management of myelodysplastic syndromes / A. Giagounidis [et al.] // Annals of Hematology. - 2008. - Vol. 87. - P. 345-352.</mixed-citation></citation-alternatives></ref><ref id="cit25"><label>25</label><citation-alternatives><mixed-citation xml:lang="ru">Treatment of myelodysplastic syndrome with 2 schedules and doses of oral topotecan: a Randomized Phase 2 Trial by the Cancer and Leukemia Group B (CALGB 19803) / D. L. Grinblatt [et al.] // Cancer. - 2009. - Vol. 115(1). - P. 84-93.</mixed-citation><mixed-citation xml:lang="en">Treatment of myelodysplastic syndrome with 2 schedules and doses of oral topotecan: a Randomized Phase 2 Trial by the Cancer and Leukemia Group B (CALGB 19803) / D. L. Grinblatt [et al.] // Cancer. - 2009. - Vol. 115(1). - P. 84-93.</mixed-citation></citation-alternatives></ref><ref id="cit26"><label>26</label><citation-alternatives><mixed-citation xml:lang="ru">Circulating CD33 and its clinical value in acute leukemia / A. Abdoola [et al.] // Experimental hematology. - 2010. - Vol. 38, № 6. - P. 462-471.</mixed-citation><mixed-citation xml:lang="en">Circulating CD33 and its clinical value in acute leukemia / A. Abdoola [et al.] // Experimental hematology. - 2010. - Vol. 38, № 6. - P. 462-471.</mixed-citation></citation-alternatives></ref><ref id="cit27"><label>27</label><citation-alternatives><mixed-citation xml:lang="ru">Pagel, J. Radioimmunotherapeutic approaches for leukemia: the past, present and future / J. Pagel // Cytotherapy. - 2008. - Vol. 10 (1). - P. 13-20.</mixed-citation><mixed-citation xml:lang="en">Pagel, J. Radioimmunotherapeutic approaches for leukemia: the past, present and future / J. Pagel // Cytotherapy. - 2008. - Vol. 10 (1). - P. 13-20.</mixed-citation></citation-alternatives></ref><ref id="cit28"><label>28</label><citation-alternatives><mixed-citation xml:lang="ru">Re anti-CD66 radioimmunotherapy combined with reduced-intensity conditioning and in-vivo T cell depletion in elderly patients undergoing allogeneic haematopoietic cell transplantation / A. Lauter [et al.] // British Journal of Haematology. - 2010. - Vol. 148 (6). - P. 910-917.</mixed-citation><mixed-citation xml:lang="en">Re anti-CD66 radioimmunotherapy combined with reduced-intensity conditioning and in-vivo T cell depletion in elderly patients undergoing allogeneic haematopoietic cell transplantation / A. Lauter [et al.] // British Journal of Haematology. - 2010. - Vol. 148 (6). - P. 910-917.</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>
