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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">rmt</journal-id><journal-title-group><journal-title xml:lang="ru">Общая реаниматология</journal-title><trans-title-group xml:lang="en"><trans-title>General Reanimatology</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1813-9779</issn><issn pub-type="epub">2411-7110</issn><publisher><publisher-name>FSBI "SRIGR" RAMS</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.15360/1813-9779-2019-6-94-114</article-id><article-id custom-type="elpub" pub-id-type="custom">rmt-1835</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>ОБЗОРЫ И КРАТКИЕ СООБЩЕНИЯ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>REVIEWS &amp; SHORT COMMUNICATIONS</subject></subj-group></article-categories><title-group><article-title>Механизмы нейропротекции при церебральной гипотермии (обзор)</article-title><trans-title-group xml:lang="en"><trans-title>Neuroprotection Mechanisms in Cerebral Hypothermia (Review)</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>Шевелев</surname><given-names>О. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Shevelev</surname><given-names>Oleg A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>141534, Московская область, Солнечногорский район, д. Лыткино, д. 777 ;</p><p>117198, г. Москва, ул. Миклухо-Маклая, д. 6</p></bio><bio xml:lang="en"><p>777 Lytkino 141534, Solnechnogorsk district, Moscow region;6 Miklukho-Maсlaya Str., 117198 Moscow</p></bio><email xlink:type="simple">shevelev_o@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Петрова</surname><given-names>М. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Petrova</surname><given-names>Marina V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>141534, Московская область, Солнечногорский район, д. Лыткино, д. 777 ;</p><p>117198, г. Москва, ул. Миклухо-Маклая, д. 6</p></bio><bio xml:lang="en"><p>777 Lytkino 141534, Solnechnogorsk district, Moscow region;6 Miklukho-Maсlaya Str., 117198 Moscow</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Саидов</surname><given-names>Ш. Х.</given-names></name><name name-style="western" xml:lang="en"><surname>Saidov</surname><given-names>Shavkat Kh.</given-names></name></name-alternatives><bio xml:lang="ru"><p>141534, Московская область, Солнечногорский район, д. Лыткино, д. 777</p></bio><bio xml:lang="en"><p>777 Lytkino 141534, Solnechnogorsk district, Moscow region</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ходорович</surname><given-names>Н. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Khodorovich</surname><given-names>Nadezhda A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>117198, г. Москва, ул. Миклухо-Маклая, д. 6</p></bio><bio xml:lang="en"><p>6 Miklukho-Maсlaya Str., 117198 Moscow</p></bio><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Прадхан</surname><given-names>П.</given-names></name><name name-style="western" xml:lang="en"><surname>Pradkhan</surname><given-names>Pranil</given-names></name></name-alternatives><bio xml:lang="ru"><p>117198, г. Москва, ул. Миклухо-Маклая, д. 6</p></bio><bio xml:lang="en"><p>6 Miklukho-Maсlaya Str., 117198 Moscow</p></bio><xref ref-type="aff" rid="aff-4"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Федеральный научно-клинический центр реаниматологии и реабилитологии;&#13;
Российский университет дружбы народов</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology;&#13;
Peoples’ Friendship University of Russia</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Федеральный научно-клинический центр реаниматологии и реабилитологии</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>Российский университет дружбы народов</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Peoples’ Friendship University of Russia</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-4"><aff xml:lang="ru"><institution>Российский университет дружбы народов</institution><country>Непал</country></aff><aff xml:lang="en"><institution>2 Peoples’ Friendship University of Russia</institution><country>Nepal</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2019</year></pub-date><pub-date pub-type="epub"><day>24</day><month>12</month><year>2019</year></pub-date><volume>15</volume><issue>6</issue><fpage>94</fpage><lpage>114</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Шевелев О.А., Петрова М.В., Саидов Ш.Х., Ходорович Н.А., Прадхан П., 2019</copyright-statement><copyright-year>2019</copyright-year><copyright-holder xml:lang="ru">Шевелев О.А., Петрова М.В., Саидов Ш.Х., Ходорович Н.А., Прадхан П.</copyright-holder><copyright-holder xml:lang="en">Shevelev O.A., Petrova M.V., Saidov S.K., Khodorovich N.A., Pradkhan P.</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.reanimatology.com/rmt/article/view/1835">https://www.reanimatology.com/rmt/article/view/1835</self-uri><abstract><p>Обзор посвящен рассмотрению нейропротекторных механизмов терапевтической гипотермии с позиций метаболической депрессии и реакций геномного перепрограммирования нейронов, развивающихся при понижении температуры головного мозга.</p><p>К объяснению эффектов влияния низких температур привлечена концепция гипотермического прекондиционирования, основанная на развитии типовых неспецифических реакций, обеспечивающих формирование цитопротекторного фенотипа нейронов при действии потенциально опасных раздражителей — ишемии, реперфузии и переохлаждения. Показана роль краниоцеребральной гипотермии, как методики селективного гипотермического воздействия на головной мозг с целью нейропротекции и коррекции нарушений температурного баланса головного мозга.</p><p>Подход к терапевтической гипотермии как к гипотермическому прекондиционированию позволяет существенно расширить области ее применения и использовать в различных методических вариантах.</p></abstract><trans-abstract xml:lang="en"><p>The review focuses on the neuroprotective mechanisms of therapeutic hypothermia from the standpoint of metabolic depression and genomic reprogramming of neurons that develop when brain temperature decreases.</p><p>The concept of hypothermic pre-conditioning based on the development of typical nonspecific reactions for the formation of the cytoprotective phenotype of neurons due to potentially dangerous stimuli, such as ischemia, reperfusion, and hypothermia, was used to explain the effects of low temperatures. The data confirming the role of therapeutic cerebral hypothermia as a technique of selective brain exposure to mild cold for the neuroprotection and correction of temperature balance disorders are shown.</p><p>The approach to therapeutic hypothermia as a hypothermic pre-conditioning allows to significantly expand the scope of its use in various procedural variants.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>терапевтическая гипотермия</kwd><kwd>прекондиционирование</kwd><kwd>тепловой баланс</kwd><kwd>головной мозг</kwd></kwd-group><kwd-group xml:lang="en"><kwd>therapeutic hypothermia</kwd><kwd>pre-conditioning</kwd><kwd>thermal balance</kwd><kwd>brain</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">Лабори А., Гюгенар П. Гибернотерапия в медицинской практике. М.: Медгиз; 1956: 281.</mixed-citation><mixed-citation xml:lang="en">Labori A., Gyugenar P. 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