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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="en"><front><journal-meta><journal-id journal-id-type="publisher-id">nnp</journal-id><journal-title-group><journal-title xml:lang="en">Neurology, Neuropsychiatry, Psychosomatics</journal-title><trans-title-group xml:lang="ru"><trans-title>Неврология, нейропсихиатрия, психосоматика</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2074-2711</issn><issn pub-type="epub">2310-1342</issn><publisher><publisher-name>"IMA-Press", LLC</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.14412/2074-2711-2019-3-129-136</article-id><article-id custom-type="elpub" pub-id-type="custom">nnp-1187</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="en"><subject>REVIEWS</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ОБЗОРЫ</subject></subj-group></article-categories><title-group><article-title>Advances in neurometabolic therapy</article-title><trans-title-group xml:lang="ru"><trans-title>Достижения нейрометаболической терапии</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>Захаров</surname><given-names>В. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Zakharov</surname><given-names>V. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Кафедра нервных болезней и нейрохирургии,</p><p>119021, Москва, ул. Россолимо, 11, стр. 1</p></bio><bio xml:lang="en"><p>Department of Nervous System Diseases and Neurosurgery,</p><p>11, Rossolimo St., Build 1, Moscow 119021</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>Вахнина</surname><given-names>Н. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Vakhnina</surname><given-names>N. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Кафедра нервных болезней и нейрохирургии,</p><p>119021, Москва, ул. Россолимо, 11, стр. 1</p></bio><bio xml:lang="en"><p>Department of Nervous System Diseases and Neurosurgery,</p><p>11, Rossolimo St., Build 1, Moscow 119021</p></bio><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова (Сеченовский университет)» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>I.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of Russia</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2019</year></pub-date><pub-date pub-type="epub"><day>01</day><month>11</month><year>2019</year></pub-date><volume>11</volume><issue>3</issue><fpage>129</fpage><lpage>136</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Zakharov V.V., Vakhnina N.V., 2019</copyright-statement><copyright-year>2019</copyright-year><copyright-holder xml:lang="ru">Захаров В.В., Вахнина Н.В.</copyright-holder><copyright-holder xml:lang="en">Zakharov V.V., Vakhnina N.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://nnp.ima-press.net/nnp/article/view/1187">https://nnp.ima-press.net/nnp/article/view/1187</self-uri><abstract><p>Actovegin is a calf blood extract that contains more than 200 biologically active compounds. Experiments have shown that Actovegin reduces the neurotoxic effect of amyloid, neutralizes reactive oxygen species, and normalizes the endothelial function of small vessels. The drug has not been shown to stimulate tumor growth in the neuroblastoma model. Clinical experience with Actovegin suggests that the drug has an undoubted efficacy in treating moderate vascular cognitive impairment and chronic distal symmetric diabetic polyneuropathy and that it is used as additional therapy for primary degenerative and vascular dementia. The clinical efficacy of Actovegin in chronic obliterating diseases of the lowerlimb arteries is being actively studied now.</p></abstract><trans-abstract xml:lang="ru"><p>Актовегин – производное крови телят, которое содержит более 200 биологически активных соединений. В экспериментальных условиях показано, что Актовегин уменьшает нейротоксический эффект амилоида, нейтрализует активные формы кислорода, нормализует эндотелиальную функцию сосудов небольшого калибра. На модели нейробластомы показано, что препарат не стимулирует опухолевый рост. Клинический опыт использования Актовегина свидетельствует о его несомненной эффективности при умеренных когнитивных нарушениях сосудистого генеза и при хронической симметричной дистальной диабетической полиневропатии, а также в качестве дополнительной терапии деменции первично-дегенеративной и сосудистой природы. В настоящее время активно изучается клиническая эффективность Актовегина при хронических облитерирующих заболеваниях артерий нижних конечностей.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>Актовегин</kwd><kwd>сосудистые когнитивные нарушения</kwd><kwd>полиневропатия</kwd></kwd-group><kwd-group xml:lang="en"><kwd>Actovegin</kwd><kwd>vascular cognitive impairment</kwd><kwd>polyneuropathy</kwd></kwd-group><funding-group><funding-statement xml:lang="ru">Публикация статьи поддержана ООО «Такеда Фармасьютикалс».</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">Buchmayer F, Pleiner J, Elminger MW, et al. Actovegin®: a biological drug for more than 5 decades. Wien Med Wochenschr. 2011;161 (3-4):80-8. doi: 10.1007/s10354-011-0865-y</mixed-citation><mixed-citation xml:lang="en">Buchmayer F, Pleiner J, Elminger MW, et al. 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