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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="other" dtd-version="1.2" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">Bone and soft tissue sarcomas, tumors of the skin</journal-id><journal-title-group><journal-title xml:lang="en">Bone and soft tissue sarcomas, tumors of the skin</journal-title><trans-title-group xml:lang="ru"><trans-title>Саркомы костей, мягких тканей и опухоли кожи</trans-title></trans-title-group></journal-title-group><issn publication-format="print">2219-4614</issn><issn publication-format="electronic">2782-3687</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">762</article-id><article-id pub-id-type="doi">10.17650/2219-4614-2025-17-3-26-37</article-id><article-categories><subj-group subj-group-type="toc-heading" xml:lang="en"><subject>REVIEWS</subject></subj-group><subj-group subj-group-type="toc-heading" xml:lang="ru"><subject>ОБЗОРНЫЕ СТАТЬИ</subject></subj-group><subj-group subj-group-type="article-type"><subject></subject></subj-group></article-categories><title-group><article-title xml:lang="en">Synovial sarcoma: current view of pathogenesis and therapeutic approaches</article-title><trans-title-group xml:lang="ru"><trans-title>Синовиальная саркома: современный взгляд на основы патогенеза и терапевтические подходы</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-9921-5620</contrib-id><name-alternatives><name xml:lang="en"><surname>Senchenko</surname><given-names>M. A.</given-names></name><name xml:lang="ru"><surname>Сенченко</surname><given-names>М. А.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p> 24  Kashirskoe Shosse,  Moscow  115522</p></bio><bio xml:lang="ru"><p>115522  Москва,  Каширское шоссе,  24</p><p>117997  Москва,  ул. Саморы  Машела,  1</p></bio><xref ref-type="aff" rid="aff1"/><xref ref-type="aff" rid="aff2"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-5548-3295</contrib-id><name-alternatives><name xml:lang="en"><surname>Tararykova</surname><given-names>A. A.</given-names></name><name xml:lang="ru"><surname>Тарарыкова</surname><given-names>А. А.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>24  Kashirskoe Shosse,  Moscow  115522</p></bio><bio xml:lang="ru"><p>115522  Москва,  Каширское шоссе,  24</p></bio><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-3852-3969</contrib-id><name-alternatives><name xml:lang="en"><surname>Kozlov</surname><given-names>N. A.</given-names></name><name xml:lang="ru"><surname>Козлов</surname><given-names>Н. А.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>24  Kashirskoe Shosse,  Moscow  115522</p></bio><bio xml:lang="ru"><p>115522  Москва,  Каширское шоссе,  24</p></bio><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-5082-9883</contrib-id><name-alternatives><name xml:lang="en"><surname>Fetisov</surname><given-names>T.  I. </given-names></name><name xml:lang="ru"><surname>Фетисов</surname><given-names>Т. И.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>6  Miklukho-Maklaya  St.,  Moscow  117198</p></bio><bio xml:lang="ru"><p>117198 Москва, ул. Миклухо-Маклая, 6</p></bio><xref ref-type="aff" rid="aff3"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-8599-6833</contrib-id><name-alternatives><name xml:lang="en"><surname>Kirsanov</surname><given-names>K. I. </given-names></name><name xml:lang="ru"><surname>Кирсанов</surname><given-names>К. И.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>6  Miklukho-Maklaya  St.,  Moscow  117198</p></bio><bio xml:lang="ru"><p>117198 Москва, ул. Миклухо-Маклая, 6</p></bio><xref ref-type="aff" rid="aff3"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-0777-9152</contrib-id><name-alternatives><name xml:lang="en"><surname>Rogozhin</surname><given-names>D.  V. </given-names></name><name xml:lang="ru"><surname>Рогожин</surname><given-names>Д. В.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p><bold>Dmitry Viktorovich Rogozhin</bold></p><p>24  Kashirskoe Shosse,  Moscow  115522</p><p>1 Ostrovityanova St., 117513 Moscow</p></bio><bio xml:lang="ru"><p><bold>Дмитрий Викторович Рогожин</bold> </p><p>115522  Москва,  Каширское шоссе,  24</p><p>117513  Москва,  ул. Островитянова,  1</p></bio><email>pathol.777@mail.ru</email><xref ref-type="aff" rid="aff1"/><xref ref-type="aff" rid="aff4"/></contrib></contrib-group><aff-alternatives id="aff1"><aff><institution xml:lang="en">N.N.  Blokhin  National  Medical  Research  Center  of  Oncology,  Ministry  of  Health of  Russia</institution></aff><aff><institution xml:lang="ru">ФГБУ  «Национальный  медицинский  исследовательский центр  онкологии  им.  Н.  Н.  Блохина»  Минздрава  России</institution></aff></aff-alternatives><aff-alternatives id="aff2"><aff><institution xml:lang="en">Dmitry  Rogachev  National  Medical Research  Center  of  Pediatric  Hematology,  Oncology  and  Immunology,  Ministry  of  Health  of  Russia</institution></aff><aff><institution xml:lang="ru">ФГБУ  «Национальный  медицинский  исследовательский центр  детской  гематологии,  онкологии  и  иммунологии  &#13;
им.  Дмитрия  Рогачева»  Минздрава</institution></aff></aff-alternatives><aff-alternatives id="aff3"><aff><institution xml:lang="en">RUDN  Universtiy</institution></aff><aff><institution xml:lang="ru">ФГАОУ  ВО  «Российский  университет  дружбы  народов  им. Патриса  Лумумбы»</institution></aff></aff-alternatives><aff-alternatives id="aff4"><aff><institution xml:lang="en">Pirogov  Russian  National  Research  Medical  University,  Ministry  of Health  of  Russia</institution></aff><aff><institution xml:lang="ru">ФГАОУ  ВО  «Российский  национальный  исследовательский  медицинский  университет  им.  Н. И.  Пирогова»  Минздрава  России</institution></aff></aff-alternatives><pub-date date-type="pub" iso-8601-date="2025-10-14" publication-format="electronic"><day>14</day><month>10</month><year>2025</year></pub-date><volume>17</volume><issue>3</issue><issue-title xml:lang="en"/><issue-title xml:lang="ru"/><fpage>26</fpage><lpage>37</lpage><history><date date-type="received" iso-8601-date="2025-10-14"><day>14</day><month>10</month><year>2025</year></date><date date-type="accepted" iso-8601-date="2025-10-14"><day>14</day><month>10</month><year>2025</year></date></history><permissions><copyright-statement xml:lang="en">Copyright ©; 2025, Senchenko M.A., Tararykova A.A., Kozlov N.A., Fetisov T.I., Kirsanov K.I., Rogozhin D.V.</copyright-statement><copyright-statement xml:lang="ru">Copyright ©; 2025, Сенченко М.А., Тарарыкова А.А., Козлов Н.А., Фетисов Т.И., Кирсанов К.И., Рогожин Д.В.</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="en">Senchenko M.A., Tararykova A.A., Kozlov N.A., Fetisov T.I., Kirsanov K.I., Rogozhin D.V.</copyright-holder><copyright-holder xml:lang="ru">Сенченко М.А., Тарарыкова А.А., Козлов Н.А., Фетисов Т.И., Кирсанов К.И., Рогожин Д.В.</copyright-holder><ali:free_to_read xmlns:ali="http://www.niso.org/schemas/ali/1.0/"/><license><ali:license_ref xmlns:ali="http://www.niso.org/schemas/ali/1.0/">https://creativecommons.org/licenses/by/4.0</ali:license_ref></license></permissions><self-uri xlink:href="https://sarbon.abvpress.ru/jour/article/view/762">https://sarbon.abvpress.ru/jour/article/view/762</self-uri><abstract xml:lang="en"><p> Synovial sarcoma is characterized by a typical transcript SS18::SSX. However, despite a common pathogenesis  and similar therapeutic approaches, opposite responses to therapy are sometimes observed. Supposedly, this can be associated with additional and alternative pathways of genetic and epigenetic regulation. In this review, the problems of synovial sarcoma  diagnosis, pathogenesis and new therapy methods, including targeting epigenetics, are discussed.</p></abstract><trans-abstract xml:lang="ru"><p>Синовиальная саркома характеризуется типичным транскриптом SS18::SSX. Несмотря на общий патогенез и одинаковые терапевтические подходы, может отмечаться разнонаправленный характер ответа на проводимую терапию. Предположительно это может быть связано с дополнительными, альтернативными путями генетической и эпигенетической регуляции. В настоящем обзоре рассмотрены вопросы диагностики, патогенеза и новые методы терапии синовиальной саркомы, в том числе эпигенетически направленные.</p></trans-abstract><kwd-group xml:lang="en"><kwd>synovial sarcoma</kwd><kwd>soft tissue sarcoma</kwd><kwd>checkpoint inhibitor</kwd><kwd>adoptive cell therapy</kwd><kwd>tyrosine kinase inhibitor</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>синовиальная саркома</kwd><kwd>саркома мягких тканей</kwd><kwd>ингибитор контрольных точек</kwd><kwd>адоптивная терапия</kwd><kwd>ингибитор тирозинкиназ</kwd></kwd-group><funding-group/></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><citation-alternatives><mixed-citation xml:lang="en">1. Hoang N.T., Acevedo L.A., Mann M.J., Tolani B. A review of softtissue sarcomas: translation of biological advances into treatment measures. 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