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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">Russian Journal of Physiology</journal-id><journal-title-group><journal-title xml:lang="en">Russian Journal of Physiology</journal-title><trans-title-group xml:lang="ru"><trans-title>Российский физиологический журнал им. И.М. Сеченова</trans-title></trans-title-group></journal-title-group><issn publication-format="print">0869-8139</issn><issn publication-format="electronic">2658-655X</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">651680</article-id><article-id pub-id-type="doi">10.31857/S0869813924010021</article-id><article-id pub-id-type="edn">WUKFOS</article-id><article-categories><subj-group subj-group-type="toc-heading" xml:lang="en"><subject>REVIEW</subject></subj-group><subj-group subj-group-type="toc-heading" xml:lang="ru"><subject>ОБЗОРНЫЕ 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 metalloproteinases in the development of ischemia-induced pathologies of the blood-brain barrier</article-title><trans-title-group xml:lang="ru"><trans-title>Роль металлопротеиназ в развитии индуцированных ишемией патологий гематоэнцефалического барьера</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Koliaskin</surname><given-names>L. Yu.</given-names></name><name xml:lang="ru"><surname>Коляскин</surname><given-names>Л. Ю.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>alshibeko@gmail.com</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Shibeko</surname><given-names>A. M.</given-names></name><name xml:lang="ru"><surname>Шибеко</surname><given-names>А. М.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>alshibeko@gmail.com</email><xref ref-type="aff" rid="aff2"/><xref ref-type="aff" rid="aff3"/></contrib></contrib-group><aff-alternatives id="aff1"><aff><institution xml:lang="en">Lomonosov Moscow State University</institution></aff><aff><institution xml:lang="ru">Московский государственный университет имени М.В. Ломоносова</institution></aff></aff-alternatives><aff-alternatives id="aff2"><aff><institution xml:lang="en">Center for theoretical problems of physico-chemical pharmacology of the Russian Academy of Sciences</institution></aff><aff><institution xml:lang="ru">Центр теоретических проблем физико-химической фармакологии РАН</institution></aff></aff-alternatives><aff-alternatives id="aff3"><aff><institution xml:lang="en">Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology</institution></aff><aff><institution xml:lang="ru">Национальный медицинский исследовательский центр детской гематологии, онкологии и иммунологии имени Дмитрия Рогачева Министерства здравоохранения Российской Федерации</institution></aff></aff-alternatives><pub-date date-type="pub" iso-8601-date="2024-01-15" publication-format="electronic"><day>15</day><month>01</month><year>2024</year></pub-date><volume>110</volume><issue>1</issue><issue-title xml:lang="ru"/><fpage>25</fpage><lpage>46</lpage><history><date date-type="received" iso-8601-date="2025-02-01"><day>01</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://journals.eco-vector.com/0869-8139/article/view/651680">https://journals.eco-vector.com/0869-8139/article/view/651680</self-uri><abstract xml:lang="en"><p>The blood-brain barrier maintains brain homeostasis by regulating the transport of nutrients and macromolecules from the bloodstream. Its integrity is disrupted by a number of pathological processes, such as ischemic stroke, neurodegenerative diseases or inflammation. This leads to loss of control of transport processes from the bloodstream to the brain, which causes hemorrhage, oedema and tissue death. The blood-brain barrier permeability is largely regulated by matrix metalloproteinases, a family of enzymes responsible for the blood vessels remodeling, angiogenesis and a number of other physiological and pathological processes. This review presents data on the structure of the blood-brain barrier, its pathological changes, caused by metalloproteinases, the mechanisms that regulate metalloproteinases activity, and the difficulties associated with studying these processes.</p></abstract><trans-abstract xml:lang="ru"><p>Гематоэнцефалический барьер поддерживает гомеостаз головного мозга, обеспечивая регулируемый транспорт питательных веществ и макромолекул из кровотока. Его целостность нарушается при ряде патологических процессов, таких как ишемический инсульт, нейродегенеративные заболевания или воспаление. Это приводит к потере контроля над транспортными процессами из кровотока в головной мозг, что вызывает кровоизлияния, отеки и гибель тканей. Изменение проницаемости гематоэнцефалического барьера в значительной степени осуществляется и регулируется семейством ферментов, отвечающим за перестраивание существующих сосудов, ангиогенез и ряд других физиологических и патологических процессов, – матриксными металлопротеиназами. В данном обзоре представлены данные о структуре гематоэнцефалического барьера, о патологических изменениях, происходящих в нем под действием металлопротеиназ, о механизмах, регулирующих их активность, и о трудностях, сопряженных с исследованиями данных процессов.</p></trans-abstract><kwd-group xml:lang="en"><kwd>blood–brain barrier</kwd><kwd>matrix metalloproteinase</kwd><kwd>ischemic stroke</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>гематоэнцефалический барьер</kwd><kwd>матриксная металлопротеиназа</kwd><kwd>ишемический инсульт</kwd></kwd-group><funding-group><award-group><funding-source><institution-wrap><institution xml:lang="ru">Правительство РФ (гранта)</institution></institution-wrap><institution-wrap><institution xml:lang="en">Government of the Russian Federation (grant)</institution></institution-wrap></funding-source><award-id>075-15-2021-95</award-id></award-group></funding-group></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><mixed-citation>Feigin VL, Brainin M, Norrving B, Martins S, Sacco RL, Hacke W, Fisher M, Pandian J, Lindsay P (2022) World Stroke Organization (WSO): Global Stroke Fact Sheet 2022. 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