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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">kurskvest</journal-id><journal-title-group><journal-title xml:lang="ru">Человек и его здоровье</journal-title><trans-title-group xml:lang="en"><trans-title>Humans and their health</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1998-5746</issn><issn pub-type="epub">1998-5754</issn><publisher><publisher-name>Kursk State Medical University</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.21626/vestnik/2018-2/10</article-id><article-id custom-type="elpub" pub-id-type="custom">kurskvest-368</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>МЕДИКО-БИОЛОГИЧЕСКИЕ НАУКИ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>MEDICOBIOLOGICAL SCIENCES</subject></subj-group></article-categories><title-group><article-title>Пирацетам и бетагистин: возможные механизмы эндотелиопротекции</article-title><trans-title-group xml:lang="en"><trans-title>Piracetam and betahistine: possible mechanisms of endothelioprotection</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>Солгалова</surname><given-names>А. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Solgalova</surname><given-names>A. S.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.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>Солдатов</surname><given-names>В. О.</given-names></name><name name-style="western" xml:lang="en"><surname>Soldatov</surname><given-names>V. O.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.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>Першина</surname><given-names>М. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Pershina</surname><given-names>M. A.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.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>Покровская</surname><given-names>Т. Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Pokrovskaya</surname><given-names>T. G.</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>Белгородский государственный национальный исследовательский университет</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Belgorod State National Research University</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2018</year></pub-date><pub-date pub-type="epub"><day>20</day><month>06</month><year>2018</year></pub-date><volume>0</volume><issue>2</issue><fpage>61</fpage><lpage>69</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Солгалова А.С., Солдатов В.О., Першина М.А., Покровская Т.Г., 2018</copyright-statement><copyright-year>2018</copyright-year><copyright-holder xml:lang="ru">Солгалова А.С., Солдатов В.О., Першина М.А., Покровская Т.Г.</copyright-holder><copyright-holder xml:lang="en">Solgalova A.S., Soldatov V.O., Pershina M.A., Pokrovskaya T.G.</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.kursk-vestnik.ru/jour/article/view/368">https://www.kursk-vestnik.ru/jour/article/view/368</self-uri><abstract><p>Бетагистин и пирацетам являются рутинными препаратами в неврологической практике, которые используются при коррекции дисциркуляторных нарушений мозгового кровообращения. Клиническая эффективность данных лекарственных средств может быть обусловлена не только нейро-, но и эндотелиотропным действием. В данном обзоре рассмотрены основные сведения о потенциальных механизмах реализации вазопротекции, включая метаболический, NO-эргический, противовоспалительный и другие компоненты действия. Бетагистин, как антагонист 3 типа и агонист 1 и 2 типа гистаминовых рецепторов, оказывает положительное влияние на церебральную и системную гемодинамику, а за счет анорексигенного действия и способности стимулировать липолиз улучшает липидный профиль. Пирацетам, наряду с ноотропным действием, способствует коррекции дисфункции митохондрий, увеличивает текучесть мембран и оказывает антиагрегантные свойства. Оба препарата подавляют синтез провоспалительных цитокинов и повышают экспрессию эндотелиальной NO-синтазы.</p></abstract><trans-abstract xml:lang="en"><p>Betahistine and Piracetam are routine drugs in neurological practice, which are used to correct cerebral circulation disorders. The clinical efficacy of these drugs can be caused not only by neuro-, but also by endotheliotropic action. In this review, the main information on the potential mechanisms for the implementation of vasoprotection, including metabolic, NO-ergic, anti-inflammatory and other components of the action are discussed. Betahistine as histamine receptors type 3 antagonist and histamine receptors type 1 and 2 agonist has a positive effect on cerebral and systemic hemodynamics, and due to anorexigenic action and the ability to stimulate lipolysis can ameliorate dyslipidemia. Piracetam, along with a nootropic effect, contributes to the correction of mitochondrial dysfunction, increases the fluidity of membranes and has antiplatelet properties. Both drugs suppress the synthesis of pro-inflammatory cytokines and increase the expression of endothelial NO synthase.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>бетагистин</kwd><kwd>пирацетам</kwd><kwd>эндотелиальная дисфункция</kwd><kwd>атеросклероз</kwd><kwd>ГАМК</kwd><kwd>Betahistine</kwd><kwd>Piracetam</kwd><kwd>endothelial dysfunction</kwd><kwd>atherosclerosis</kwd><kwd>GABA</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">Довгун С.С., Демидова М.А. Частота применения и структура назначения ноотропных препаратов при лечении острого нарушения мозгового кровообращения // Современные проблемы науки и образования. - 2012. - № 3. - С. 350. 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