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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">10.14412/2074-2711-2023-6-115-121</article-id><article-id custom-type="elpub" pub-id-type="custom">nnp-2147</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>Neurohumoral gate for the entry of coronavirus into the central nervous system through the cribriform plate of the skull</article-title><trans-title-group xml:lang="ru"><trans-title>Нейрогуморальные ворота для вхождения коронавируса в центральную нервную систему через «решето» черепа</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-9532-9957</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Николенко</surname><given-names>В. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Nikolenko</surname><given-names>V. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>119048, Москва, ул. Трубецкая, 8, стр. 2</p></bio><bio xml:lang="en"><p>8, Trubetskaya St., Build. 2, Moscow 119991</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-6432-5179</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Оганесян</surname><given-names>М. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Oganesyan</surname><given-names>M. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>119048, Москва, ул. Трубецкая, 8, стр. 2</p></bio><bio xml:lang="en"><p>8, Trubetskaya St., Build. 2, Moscow 119991</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-4033-1202</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ризаева</surname><given-names>Н. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Rizaeva</surname><given-names>N. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>119048, Москва, ул. Трубецкая, 8, стр. 2</p></bio><bio xml:lang="en"><p>8, Trubetskaya St., Build. 2, Moscow 119991</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-9338-8168</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Никитина</surname><given-names>А. Т.</given-names></name><name name-style="western" xml:lang="en"><surname>Nikitina</surname><given-names>A. T.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Арина Тимофеевна Никитина</p><p>119048, Москва, ул. Трубецкая, 8, стр. 2</p></bio><bio xml:lang="en"><p>Arina Timofeyevna Nikitina</p><p>8, Trubetskaya St., Build. 2, Moscow 119991</p></bio><email xlink:type="simple">arinia2000@yandex.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/0000-0002-7829-0031</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Павлив</surname><given-names>М. П.</given-names></name><name name-style="western" xml:lang="en"><surname>Pavliv</surname><given-names>M. P.</given-names></name></name-alternatives><bio xml:lang="ru"><p>119048, Москва, ул. Трубецкая, 8, стр. 2</p></bio><bio xml:lang="en"><p>8, Trubetskaya St., Build. 2, Moscow 119991</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-0729-6575</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Полякова</surname><given-names>А. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Polyakova</surname><given-names>А. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>119048, Москва, ул. Трубецкая, 8, стр. 2</p></bio><bio xml:lang="en"><p>8, Trubetskaya St., Build. 2, Moscow 119991</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-5224-5294</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Созонова</surname><given-names>Е. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Sozonova</surname><given-names>E. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>119048, Москва, ул. Трубецкая, 8, стр. 2</p></bio><bio xml:lang="en"><p>8, Trubetskaya St., Build. 2, Moscow 119991</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-4317-7001</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Хабибов</surname><given-names>М. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Khabibov</surname><given-names>M. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>119048, Москва, ул. Трубецкая, 8, стр. 2</p></bio><bio xml:lang="en"><p>8, Trubetskaya St., Build. 2, Moscow 119991</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» Минздрава России (Сеченовский Университет)</institution><country>Россия</country></aff><aff xml:lang="en"><institution>I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University)</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2023</year></pub-date><pub-date pub-type="epub"><day>17</day><month>12</month><year>2023</year></pub-date><volume>15</volume><issue>6</issue><fpage>115</fpage><lpage>121</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Nikolenko V.N., Oganesyan M.V., Rizaeva N.A., Nikitina A.T., Pavliv M.P., Polyakova А.V., Sozonova E.A., Khabibov M.N., 2023</copyright-statement><copyright-year>2023</copyright-year><copyright-holder xml:lang="ru">Николенко В.Н., Оганесян М.В., Ризаева Н.А., Никитина А.Т., Павлив М.П., Полякова А.В., Созонова Е.А., Хабибов М.Н.</copyright-holder><copyright-holder xml:lang="en">Nikolenko V.N., Oganesyan M.V., Rizaeva N.A., Nikitina A.T., Pavliv M.P., Polyakova А.V., Sozonova E.A., Khabibov M.N.</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/2147">https://nnp.ima-press.net/nnp/article/view/2147</self-uri><abstract><p>Recent research has shown that there are different drainage systems in the brain. During the drainage of cerebrospinal and interstitial fluids, intracerebral (intracranial) lymph is formed, which becomes part of the glymphatic system. Later, the glymphatic system was subdivided into periand paravascular spaces, but their existence has not yet been proven. The article contains data on the anatomy of the lamina cribrosa, its age-related changes, the characteristics of the lymphatic system and the theory of the existence of glymphatic vessels in this area. We also hypothesize that in addition to the classical view, which assumes that viruses enter the central nervous system (CNS) through the blood-brain barrier or with the help of immune cells, there are other routes of pathogen entry, for example through the glymphatic system. Possible routes of movement of cerebrospinal and interstitial fluids through the structures of the nervous system and other systems are considered. The lamina cribrosa is considered a possible portal of entry for viruses into the CNS, in particular for the SARS-CoV-2 virus. In our review, we analyzed the likely mechanisms of SARS-CoV-2 spread in the central nervous system and the possible consequences of previous viral disease.</p></abstract><trans-abstract xml:lang="ru"><p>Недавние исследования показали, что в головном мозге существуют различные дренажные системы. Дренаж цереброспинальной и интерстициальной жидкостей приводит к образованию внутримозговой (внутричерепной) лимфы, которая становится частью глимфатической системы. Позже глимфатическая система была разделена на перии параваскулярные пространства, хотя их наличие все еще не доказано. В статье представлены данные об анатомии решетчатой пластинки, ее возрастных изменениях, особенностях лимфатической системы и о теории существования глимфатических сосудов в данной области. Также мы выдвинули гипотезу, что помимо классической точки зрения, предполагающей проникновение вирусов в центральную нервную систему (ЦНС) через гематоэнцефалический барьер или с помощью иммунных клеток, существуют иные пути проникновения возбудителя, например посредствам глимфатической системы. Рассматриваются возможные пути движения цереброспинальной и интерстициальной жидкостей по структурам нервной и других систем. Решетчатая пластинка рассматривается в качестве возможных входных ворот в ЦНС для вирусов, в частности для вируса SARS-CoV-2. В нашем обзоре мы изучили вероятные механизмы распространения SARS-CoV-2 в ЦНС, а также возможные последствия перенесенного вирусного заболевания.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>решетчатая пластинка</kwd><kwd>глимфатическая система</kwd><kwd>COVID-19</kwd><kwd>обонятельный эпителий</kwd><kwd>гематоэнцефалический барьер</kwd></kwd-group><kwd-group xml:lang="en"><kwd>cribriform plate</kwd><kwd>glymphatic system</kwd><kwd>COVID-19</kwd><kwd>olfactory epithelium</kwd><kwd>blood-brain barrier</kwd></kwd-group><funding-group><funding-statement xml:lang="ru">Исследование не имело спонсорской поддержки</funding-statement><funding-statement xml:lang="en">The investigation has not been sponsored</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">Jackowski C, Bolliger S, Thali MJ. 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