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<article article-type="review-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">ssmu</journal-id><journal-title-group><journal-title xml:lang="ru">Бюллетень сибирской медицины</journal-title><trans-title-group xml:lang="en"><trans-title>Bulletin of Siberian Medicine</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1682-0363</issn><issn pub-type="epub">1819-3684</issn><publisher><publisher-name>Siberian State Medical University, the Ministry of Healthcare of the Russian Federation</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.20538/1682-0363-2025-3-127-137</article-id><article-id custom-type="elpub" pub-id-type="custom">ssmu-6171</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 ЛЕКЦИИ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>REVIEW AND LECTURES</subject></subj-group></article-categories><title-group><article-title>Нейромедиаторы, факторы нейроиммунного воспаления и эндокринной регуляции при алкогольной зависимости</article-title><trans-title-group xml:lang="en"><trans-title>Neurotransmitters, factors of neuroimmune inflammation and endocrine regulation in alcohol dependence</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-2068-0931</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ветлугина</surname><given-names>Т. П.</given-names></name><name name-style="western" xml:lang="en"><surname>Vetlugina</surname><given-names>T. P.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Ветлугина Тамара Парфеновна – д-р биол. наук, профессор, заслуженный деятель науки Российской Федерации, гл. науч. сотрудник, лаборатория клинической психонейроиммунологии и нейробиологии, НИИ психического здоровья, Томский НИМЦ.</p><p>634014, Томск, ул. Алеутская, 4</p></bio><bio xml:lang="en"><p>4 Aleutskaya St., 634014 Tomsk</p></bio><email xlink:type="simple">vetluga21@mail.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/0000-0002-9304-4496</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Епимахова</surname><given-names>Е. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Epimakhova</surname><given-names>E. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Епимахова Елена Викторовна – канд. биол. наук, науч. сотрудник, отделение аддиктивных состояний, НИИ психического здоровья, Томский НИМЦ.</p><p>634014, Томск, ул. Алеутская, 4</p></bio><bio xml:lang="en"><p>4 Aleutskaya St., 634014 Tomsk</p></bio><email xlink:type="simple">elenaepimakhova@mail.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/0000-0002-4811-984X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Прокопьева</surname><given-names>В. Д.</given-names></name><name name-style="western" xml:lang="en"><surname>Prokopieva</surname><given-names>V. D.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Прокопьева Валентина Даниловна – д-р биол. наук, вед. науч. сотрудник, лаборатория клинической психонейроиммунологии и нейробиологии, НИИ психического здоровья, Томский НИМЦ.</p><p>634014, Томск, ул. Алеутская, 4</p></bio><bio xml:lang="en"><p>4 Aleutskaya St., 634014 Tomsk</p></bio><email xlink:type="simple">valyaprok@mail.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/0000-0001-9248-4150</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Шумилова</surname><given-names>С. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Shumilova</surname><given-names>S. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Шумилова Софья Николаевна – мл. науч. сотрудник, лаборатория клинической психонейроиммунологии и нейробиологии, НИИ психического здоровья, Томский НИМЦ.</p><p>634014, Томск, ул. Алеутская, 4</p></bio><bio xml:lang="en"><p>4 Aleutskaya St., 634014 Tomsk</p></bio><email xlink:type="simple">sofashumilova97@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-3988-7660</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Воеводин</surname><given-names>И. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Voevodin</surname><given-names>I. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Воеводин Иван Валерьевич – д-р мед. наук, вед. науч. сотрудник. отделение эндогенных расстройств, НИИ психического здоровья, Томский НИМЦ.</p><p>634014, Томск, ул. Алеутская, 4</p></bio><bio xml:lang="en"><p>4 Aleutskaya St., 634014 Tomsk</p></bio><email xlink:type="simple">i_voevodin@list.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Научно-исследовательский институт (НИИ) психического здоровья, Томский национальный исследовательский медицинский центр (НИМЦ) Российской академии наук</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Mental Health Research Institute, Tomsk National Research Medical Center (NRMC), Russian Academy of Sciences</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2025</year></pub-date><pub-date pub-type="epub"><day>15</day><month>10</month><year>2025</year></pub-date><volume>24</volume><issue>3</issue><fpage>127</fpage><lpage>137</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Ветлугина Т.П., Епимахова Е.В., Прокопьева В.Д., Шумилова С.Н., Воеводин И.В., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Ветлугина Т.П., Епимахова Е.В., Прокопьева В.Д., Шумилова С.Н., Воеводин И.В.</copyright-holder><copyright-holder xml:lang="en">Vetlugina T.P., Epimakhova E.V., Prokopieva V.D., Shumilova S.N., Voevodin I.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://bulletin.ssmu.ru/jour/article/view/6171">https://bulletin.ssmu.ru/jour/article/view/6171</self-uri><abstract><p>Алкогольная зависимость остается глобальной медико-социальной проблемой, несмотря на достигнутые успехи в изучении патогенеза заболевания и многообразие существующих методов лечения. Это определяет актуальность дальнейших    исследований, направленных на раскрытие сложных нейробиологических эффектов этанола на организм человека. Фундаментальные знания механизмов формирования и течения алкогольной зависимости являются теоретической базой для разработки новых патогенетически обоснованных методов профилактики, диагностики и лечения расстройств, связанных с алкоголем, что будет способствовать повышению социального функционирования пациентов, снижению экономических потерь от социально-значимых заболеваний.</p><p>Цель: анализ современных исследований российских и зарубежных авторов, касающихся изучения роли нейромедиаторов, факторов нейроиммунного воспаления и эндокринной регуляции в патогенезе алкогольной зависимости.</p></abstract><trans-abstract xml:lang="en"><p>Alcohol dependence remains a global medical and social issue, despite the advancements in studying its pathogenesis and the diversity of available treatment methods. This determines the relevance of further research aimed at revealing the complex neurobiological effects of ethanol on the human body. A fundamental knowledge of the mechanisms of formation and course of alcohol dependence is the theoretical basis for the development of new pathogenetically substantiated methods of prevention, diagnosis, and treatment of alcohol-related disorders, which will contribute to enhancing the social functioning of patients and reducing the economic burden of socially significant diseases.</p><p>The aim of the review was to analyze recent studies conducted by Russian and foreign authors on the role of neurotransmitters, neuroimmune inflammation factors, and endocrine regulation in the pathogenesis of alcohol dependence.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>алкогольная зависимость</kwd><kwd>алкоголизм</kwd><kwd>нейромедиаторы</kwd><kwd>нейроиммунное воспаление</kwd><kwd>кортикотропин-рилизинг фактор</kwd><kwd>кортизол</kwd></kwd-group><kwd-group xml:lang="en"><kwd>alcohol dependence</kwd><kwd>alcoholism</kwd><kwd>neurotransmitters</kwd><kwd>neuroimmune inflammation</kwd><kwd>corticotropinreleasing factor</kwd><kwd>cortisol</kwd></kwd-group><funding-group><funding-statement xml:lang="ru">Статья подготовлена при финансовой поддержке гранта Российского научного фонда (проект № 25-25-00188, https://rscf.ru/en/project/25-25-00188/)</funding-statement><funding-statement xml:lang="en">The publication was prepared with the financial support of the grant of the Russian Science Foundation (Project No. 25-25-00188, https://rscf.ru/en/project/25-25-00188/)</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">Анохина И.П. 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