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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="research-article" dtd-version="1.2" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">Priroda</journal-id><journal-title-group><journal-title xml:lang="en">Priroda</journal-title><trans-title-group xml:lang="ru"><trans-title>Природа</trans-title></trans-title-group></journal-title-group><issn publication-format="print">0032-874X</issn><publisher><publisher-name xml:lang="en">Akademizdatcenter Nauka</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">627778</article-id><article-id pub-id-type="doi">10.7868/S0032874X23020011</article-id><article-categories><subj-group subj-group-type="toc-heading" xml:lang="en"><subject>Articles</subject></subj-group><subj-group subj-group-type="toc-heading" xml:lang="ru"><subject>Статьи</subject></subj-group><subj-group subj-group-type="article-type"><subject>Research Article</subject></subj-group></article-categories><title-group><article-title xml:lang="en">Antidepressant Resistance: Why It Occurs and What to Do About It?</article-title><trans-title-group xml:lang="ru"><trans-title>Устойчивость к антидепрессантам: почему возникает и что с этим делать?</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Tsybko</surname><given-names>A. S</given-names></name><name xml:lang="ru"><surname>Цыбко</surname><given-names>А. С</given-names></name></name-alternatives><email>antoncybko@mail.ru</email><xref ref-type="aff" rid="aff1"/></contrib></contrib-group><aff-alternatives id="aff1"><aff><institution xml:lang="en">Institute of Cytology and Genetics, Siberian Branch of the Russian Academy of Sciences</institution></aff><aff><institution xml:lang="ru">Институт цитологии и генетики СО РАН</institution></aff></aff-alternatives><pub-date date-type="pub" iso-8601-date="2023-02-28" publication-format="electronic"><day>28</day><month>02</month><year>2023</year></pub-date><issue>2</issue><issue-title xml:lang="en">NO ()</issue-title><issue-title xml:lang="ru">№ (2)</issue-title><fpage>3</fpage><lpage>15</lpage><history><date date-type="received" iso-8601-date="2024-03-01"><day>01</day><month>03</month><year>2024</year></date></history><permissions><copyright-statement xml:lang="ru">Copyright ©; 1970, Издательство «Наука»</copyright-statement><copyright-year>1970</copyright-year><copyright-holder xml:lang="ru">Издательство «Наука»</copyright-holder></permissions><self-uri xlink:href="https://journals.eco-vector.com/0032-874X/article/view/627778">https://journals.eco-vector.com/0032-874X/article/view/627778</self-uri><abstract xml:lang="en"><p>Antidepressant resistance poses one of the biggest challenges to modern neuropharmacology. Here we will try to consider the problem in terms of the serotonin system. What are its features and how can they cause therapeutic resistance? In addition, special attention will be paid to serotonin receptors, whose amazing biology not only shed light on the mechanisms of depressive disorders, but also promise to provide the key to the effective therapy of the latters.</p></abstract><trans-abstract xml:lang="ru"><p>Устойчивость к антидепрессантам — один из самых больших вызовов для современной нейрофармакологии. В статье предлагается взглянуть на проблему с точки зрения серотониновой системы. Каковы ее особенности и как они могут обуславливать терапевтическую резистентность? Кроме того, отдельное внимание уделено рецепторам серотонина, удивительная биология которых не только проливает свет на механизмы депрессивных расстройств, но и обещает дать ключ к их эффективной терапии.</p></trans-abstract><kwd-group xml:lang="en"><kwd>major depression</kwd><kwd>antidepressants</kwd><kwd>resistance</kwd><kwd>serotonin system</kwd><kwd>serotonin receptors</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>клиническая депрессия</kwd><kwd>антидепрессанты</kwd><kwd>резистентность</kwd><kwd>серотониновая система</kwd><kwd>рецепторы серотонина</kwd></kwd-group></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><mixed-citation>Kendall K.M., Van Assche E., Andlauer T.F.M. et al. The genetic basis of major depression. Psychol. Med. 2021; 51: 2217–2230. DOI:10.1017/S0033291721000441.</mixed-citation></ref><ref id="B2"><label>2.</label><mixed-citation>Maffioletti E., Minelli A., Tardito, D. et al. 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