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<article 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" xmlns:ali="http://www.niso.org/schemas/ali/1.0/" article-type="review-article" dtd-version="1.2" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">I.P. Pavlov Journal of Higher Nervous Activity</journal-id><journal-title-group><journal-title xml:lang="en">I.P. Pavlov Journal of Higher Nervous Activity</journal-title><trans-title-group xml:lang="ru"><trans-title>Журнал высшей нервной деятельности им. И.П. Павлова</trans-title></trans-title-group></journal-title-group><issn publication-format="print">0044-4677</issn><issn publication-format="electronic">3034-5316</issn><publisher><publisher-name xml:lang="en">The Russian Academy of Sciences</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">652070</article-id><article-id pub-id-type="doi">10.31857/S0044467724050026</article-id><article-categories><subj-group subj-group-type="toc-heading"><subject>ОБЗОРЫ И ТЕОРЕТИЧЕСКИЕ СТАТЬИ</subject></subj-group><subj-group subj-group-type="article-type"><subject>Review Article</subject></subj-group></article-categories><title-group><article-title xml:lang="en">The role of the basal forebrain in the pathogenesis of Alzheimer’s disease</article-title><trans-title-group xml:lang="ru"><trans-title>О механизмах патогенеза болезни Альцгеймера: особая роль переднебазального мозга</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Kitchigina</surname><given-names>V. F.</given-names></name><name xml:lang="ru"><surname>Кичигина</surname><given-names>В. Ф.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>vkitchigina@gmail.com</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Popova</surname><given-names>I. Yu.</given-names></name><name xml:lang="ru"><surname>Попова</surname><given-names>И. Ю.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>vkitchigina@gmail.com</email><xref ref-type="aff" rid="aff1"/><xref ref-type="aff" rid="aff2"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Shubina</surname><given-names>L. V.</given-names></name><name xml:lang="ru"><surname>Шубина</surname><given-names>Л. В.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>vkitchigina@gmail.com</email><xref ref-type="aff" rid="aff1"/></contrib></contrib-group><aff-alternatives id="aff1"><aff><institution xml:lang="en">Institute of Theoretical and Experimental Biophysics Russian Academy of Sciences</institution></aff><aff><institution xml:lang="ru">ФГБУН Институт теоретической и экспериментальной биофизики РАН</institution></aff></aff-alternatives><aff-alternatives id="aff2"><aff><institution xml:lang="en">Engelhardt Institute of Molecular Biology, Russian Academy of Sciences</institution></aff><aff><institution xml:lang="ru">Институт молекулярной биологии им. В.А. Энгельгардта РАН</institution></aff></aff-alternatives><pub-date date-type="pub" iso-8601-date="2024-11-26" publication-format="electronic"><day>26</day><month>11</month><year>2024</year></pub-date><volume>74</volume><issue>5</issue><fpage>538</fpage><lpage>564</lpage><history><date date-type="received" iso-8601-date="2025-02-02"><day>02</day><month>02</month><year>2025</year></date></history><permissions><copyright-statement xml:lang="en">Copyright ©; 2024, Russian Academy of Sciences</copyright-statement><copyright-statement xml:lang="ru">Copyright ©; 2024, Российская академия наук</copyright-statement><copyright-year>2024</copyright-year><copyright-holder xml:lang="en">Russian Academy of Sciences</copyright-holder><copyright-holder xml:lang="ru">Российская академия наук</copyright-holder></permissions><self-uri xlink:href="https://innoscience.ru/0044-4677/article/view/652070">https://innoscience.ru/0044-4677/article/view/652070</self-uri><abstract xml:lang="en"><p>Alzheimer’s disease (AD) is a progressive neurodegenerative disease characterized by impaired cognitive functions, from minor deviations to dementia, as well as altered behavior. Typical features of this disease include the presence of senile plaques, neurofibrillary tangles, synaptic damage, and neuronal loss. Many factors contribute to cognitive decline in patients with AD. According to the cholinergic hypothesis, which prevailed at the end of the last century and remains relevant today, a key event in the pathogenesis of AD is the loss of cholinergic neurons in the basal forebrain (BFB), found in this region in AD patients. However, the death of neurons deprives the brain of a range of other neurochemical agents. In addition, the occurrence of AD may also be caused also caused by other morphofunctional abnormalities in this area of the brain. In modern literature there is no summary information about the role of BFB in the pathogenesis of AD. The functions of the BFB and the mechanisms of regulation of the neural network of this part of the brain in normal conditions and in neuropathologies remain unclear. This review comprehensively examines the involvement of the BFB and its connections with other brain regions in the development of AD. The article includes data from clinical observations and experiments conducted both on healthy animals and on those with models of this disease. The analysis of the available literature data will improve the understanding of the functioning of the BFB normally and its disturbances during the development of AD, which can advance the development of therapeutic approaches for the treatment of this disease.</p></abstract><trans-abstract xml:lang="ru"><p>Болезнь Альцгеймера (БА) – прогрессирующее нейродегенеративное заболевание, характеризующееся измененным поведением и нарушением когнитивных функций, от незначительных их отклонений до деменции. Типичным для этой болезни является наличие в мозге сенильных бляшек, нейрофибриллярных клубков, повреждение синапсов и потеря нейронов. Многие факторы способствуют ослаблению когнитивных способностей у пациентов с БА. По холинергической гипотезе, преобладающей в конце прошлого века и сохраняющей свою актуальность в настоящее время, ключевым событием в патогенезе БА является потеря холинергических нейронов в переднебазальном мозге (ПБМ), обнаруженная в этой области у пациентов с БА. Однако гибель нейронов ПБМ лишает мозг целого набора других нейрохимических агентов. Кроме того, возникновение БА, очевидно, обусловлено также иными морфофункциональными отклонениями в этой области мозга. В современной литературе отсутствуют суммарные сведения о роли ПБМ в патогенезе БА. Функции ПБМ и механизмы регуляции нейронной сети этого отдела мозга в норме и при нейропатологиях остаются неясными. В настоящем обзоре всесторонне рассматривается участие ПБМ и его связей с другими областями мозга в развитии БА. В статью включены данные клинических наблюдений и экспериментов, проведенных как на здоровых животных, так и на животных с моделями этого заболевания. Проведенный анализ имеющихся литературных данных улучшит понимание функционирования ПБМ в норме и его нарушений при развитии БА, что может продвинуть разработку терапевтических подходов для лечения этой болезни.</p></trans-abstract><kwd-group xml:lang="en"><kwd>basal forebrain</kwd><kwd>acetylcholine</kwd><kwd>medial septal area</kwd><kwd>basal nucleus of Meynert</kwd><kwd>hippocampus</kwd><kwd>septo-hippocampal system, neocortex</kwd><kwd>gamma-aminobutyric acid</kwd><kwd>theta rhythm</kwd><kwd>theta-gamma cross-frequency interactions</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>переднебазальный мозг</kwd><kwd>ацетилхолин</kwd><kwd>медиальная септальная область</kwd><kwd>базальное ядро Мейнерта</kwd><kwd>гиппокамп</kwd><kwd>септо-гиппокампальная система</kwd><kwd>неокортекс</kwd><kwd>гамма-аминомасляная кислота</kwd><kwd>тета-ритм</kwd><kwd>тета-гамма кросс-частотные взаимодействия</kwd></kwd-group><funding-group><award-group><funding-source><institution-wrap><institution xml:lang="ru">Правительство РФ</institution></institution-wrap><institution-wrap><institution xml:lang="en">Government of the Russian Federation</institution></institution-wrap></funding-source><award-id>075-00224-24-03</award-id></award-group><award-group><funding-source><institution-wrap><institution xml:lang="ru">Российский научный фонд</institution></institution-wrap><institution-wrap><institution xml:lang="en">Russian Science Foundation</institution></institution-wrap></funding-source><award-id>19-74-30007</award-id></award-group></funding-group></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><mixed-citation>Бражник Е.С. 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