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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="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">vestnik-bio-msu</journal-id><journal-title-group><journal-title xml:lang="ru">Вестник Московского университета. Серия 16. Биология</journal-title><trans-title-group xml:lang="en"><trans-title>Vestnik Moskovskogo universiteta. Seriya 16. Biologiya</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">0137-0952</issn><publisher><publisher-name>Lomonosov Moscow State University,  School of Biology</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.55959/MSU0137-0952-16-79-2-2</article-id><article-id custom-type="elpub" pub-id-type="custom">vestnik-bio-msu-1367</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="ru"><subject>ОБЗОР</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>REVIEW</subject></subj-group></article-categories><title-group><article-title>Рассеянный склероз. Некоторые особенности патологии и возможные пути терапии. Часть 1</article-title><trans-title-group xml:lang="en"><trans-title>Multiple sclerosis. Some features of pathology and prospects for therapy. Part 1</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-7305-8102</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Фетисова</surname><given-names>Е. К.</given-names></name><name name-style="western" xml:lang="en"><surname>Fetisova</surname><given-names>E. K.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Фетисова Елена Константиновна – канд. биол. наук, ст. науч. сотр. отдела математических методов в биологии,</p><p>119991, г. Москва, Ленинские горы, д. 1, стр. 402</p></bio><bio xml:lang="en"><p>1–40 Leninskie Gory, Moscow, 1119991</p></bio><email xlink:type="simple">ekfetisova@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-5233-9338</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Воробьева</surname><given-names>Н. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Vorobjeva</surname><given-names>N. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Воробьева Нина Викторовна – канд. биол. наук, ст. науч. сотр. кафедры иммунологиибиологического факультета,</p><p>119234, г. Москва, Ленинские горы, д. 1, стр. 12</p></bio><bio xml:lang="en"><p>Biology Faculty, </p><p>1–12 Leninskie Gory, Moscow, 119234</p></bio><email xlink:type="simple">nvvorobjeva@mail.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-2332-5644</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Мунтян</surname><given-names>М. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Muntyan</surname><given-names>M. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Мунтян Мария Сергеевна – канд. биол. наук, вед. науч. сотр. отдела биоэнергетики,</p><p>119991, г. Москва, Ленинские горы, д. 1, стр. 40</p></bio><bio xml:lang="en"><p>1–40 Leninskie Gory, Moscow, 1119991</p></bio><email xlink:type="simple">muntyan@genebee.msu.ru</email><xref ref-type="aff" rid="aff-3"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Научно-исследовательский институт физико-химической биологии имени. А.Н. Белозерского, Московский государственный университет имени М.В. Ломоносова</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Belozersky Institute of Physico-Chemical Biology, Lomonosov Moscow State University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Московский государственный университет имени М.В. Ломоносова</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Lomonosov Moscow State University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>Научно-исследовательский институт физико-химической биологии имени. А.Н. Белозерского, Московский государственный университет имени М.В. Ломоносова</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Belozersky Institute of Physico-Chemical Biology, Lomonosov Moscow State University</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2024</year></pub-date><pub-date pub-type="epub"><day>19</day><month>08</month><year>2024</year></pub-date><volume>79</volume><issue>2</issue><fpage>87</fpage><lpage>101</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Фетисова Е.К., Воробьева Н.В., Мунтян М.С., 2024</copyright-statement><copyright-year>2024</copyright-year><copyright-holder xml:lang="ru">Фетисова Е.К., Воробьева Н.В., Мунтян М.С.</copyright-holder><copyright-holder xml:lang="en">Fetisova E.K., Vorobjeva N.V., Muntyan M.S.</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://vestnik-bio-msu.elpub.ru/jour/article/view/1367">https://vestnik-bio-msu.elpub.ru/jour/article/view/1367</self-uri><abstract><p>Рассеянный склероз (РС) входит в число наиболее распространенных заболеваний центральной нервной системы. Заболевание приводит к патологической демиелинизации аксонов в белом веществе мозга с последующей демиелинизацией серого вещества и сопровождается прогрессирующей нейродегенерацией у пациентов. Этиология заболевания до конца не ясна. Однако установлен ряд внешних и внутренних факторов, повышающих вероятность заболевания РС среди активной работоспособной части населения. Определены особенности возрастных пациентов, отягощающие течение РС. В этой части обзора рассмотрены выявленные в последние годы механизмы активации воспаления при РС с участием инфламмасомы NLRP3 и нейтрофилов, влияние воспаления на повреждение гематоэнцефалического барьера и прогрессию РС, а также участие митохондрий благодаря образованию активных форм кислорода в развитии патологии, вызванной РС.</p></abstract><trans-abstract xml:lang="en"><p>Multiple sclerosis (MS) is among the most common diseases of the central nervous system. The disease leads to pathological demyelination of axons in the white matter of the brain, followed by demyelination of gray matter, and is accompanied by progressive neurodegeneration in patients. The etiology of the disease is not fully understood. However, a number of external and internal factors that increase the likelihood of MS among the active capable part of the population have been established. The characteristics of age patients exacerbating the course of MS have been identified. The review discusses the mechanism of inflammation activation at MS involving NLRP3 inflammasome and neutrophils identified in recent years, the effect of inflammation on damage to the blood-brain barrier and MS progression, as well as reactive oxygen species-mediated participation of mitochondria in MS pathology development.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>рассеянный склероз</kwd><kwd>окислительный стресс</kwd><kwd>активные формы кислорода</kwd><kwd>митохондриально-направленные антиоксиданты</kwd><kwd>демиелинизация</kwd><kwd>олигодендроциты</kwd><kwd>микроглия</kwd><kwd>старение</kwd></kwd-group><kwd-group xml:lang="en"><kwd>multiple sclerosis</kwd><kwd>oxidative stress</kwd><kwd>reactive oxygen species</kwd><kwd>mitochondria-targeted antioxidants</kwd><kwd>demyelination</kwd><kwd>oligodendrocytes</kwd><kwd>microglia</kwd><kwd>aging</kwd></kwd-group><funding-group><funding-statement xml:lang="en">This research was performed under the state assignment of Moscow State University, project number АААА-А19-119031390114-5.</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">Walton C., King R., Rechtman L., Kaye W., Leray E., Marrie R. A., Robertson N, La Rocca N., Uitdehaag B., van der Mei I., Wallin M., Helme A., Angood Napier C., Rijke N., Baneke P. Rising prevalence of multiple sclerosis worldwide: insights from the atlas of MS. Mult. Scler. J. 2020;26(14):1816–1821.</mixed-citation><mixed-citation xml:lang="en">Walton C., King R., Rechtman L., Kaye W., Leray E., Marrie R. A., Robertson N, La Rocca N., Uitdehaag B., van der Mei I., Wallin M., Helme A., Angood Napier C., Rijke N., Baneke P. Rising prevalence of multiple sclerosis worldwide: insights from the atlas of MS. Mult. Scler. J. 2020;26(14):1816–1821.</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Dobson R., Giovannoni G. Multiple sclerosis – a review. Eur. J. Neurol. 2019;26(1):27–40.</mixed-citation><mixed-citation xml:lang="en">Dobson R., Giovannoni G. Multiple sclerosis – a review. Eur. J. Neurol. 2019;26(1):27–40.</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">Axthelm M.K., Bourdette D.N., Marracci G.H., Su W., Mullaney E.T., Manoharan M., Kohama S.G., Pollaro J., Witkowski E., Wang P., Rooney W.D., Sherman L.S., Wong S.W. Japanese macaque encephalomyelitis: a spontaneous multiple sclerosis-like disease in a nonhuman primate. Ann. Neurol. 2011;70(3):362–373.</mixed-citation><mixed-citation xml:lang="en">Axthelm M.K., Bourdette D.N., Marracci G.H., Su W., Mullaney E.T., Manoharan M., Kohama S.G., Pollaro J., Witkowski E., Wang P., Rooney W.D., Sherman L.S., Wong S.W. Japanese macaque encephalomyelitis: a spontaneous multiple sclerosis-like disease in a nonhuman primate. Ann. Neurol. 2011;70(3):362–373.</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">Hedström A.K., Hössjer O., Katsoulis M., Kockum I., Olsson T., Alfredsson L. Organic solvents and MS susceptibility. Interaction with MS risk HLA genes. Neurology. 2018;91(5):e455–e462.</mixed-citation><mixed-citation xml:lang="en">Hedström A.K., Hössjer O., Katsoulis M., Kockum I., Olsson T., Alfredsson L. Organic solvents and MS susceptibility. Interaction with MS risk HLA genes. Neurology. 2018;91(5):e455–e462.</mixed-citation></citation-alternatives></ref><ref id="cit5"><label>5</label><citation-alternatives><mixed-citation xml:lang="ru">Баринский И.Ф., Гребенникова Т.В., Альховский С.В., Кочергин-Никитский К.С., Сергеев О.В., Грибенча С.В., Раев С.А. Молекулярно-генетическая характеристика вируса, выделенного от больных острым энцефаломиелитом человека и множественным склерозом. Вопросы вирусологии. 2015;60(4):14–18.</mixed-citation><mixed-citation xml:lang="en">Баринский И.Ф., Гребенникова Т.В., Альховский С.В., Кочергин-Никитский К.С., Сергеев О.В., Грибенча С.В., Раев С.А. Молекулярно-генетическая характеристика вируса, выделенного от больных острым энцефаломиелитом человека и множественным склерозом. Вопросы вирусологии. 2015;60(4):14–18.</mixed-citation></citation-alternatives></ref><ref id="cit6"><label>6</label><citation-alternatives><mixed-citation xml:lang="ru">Buljevac D., Flach H.Z., Hop W.C., Hijdra D., Laman J.D., Savelkoul H.F., van Der Meche F.G., van Doorn P.A., Hintzen R.Q. Prospective study on the relationship between infections and multiple sclerosis exacerbations. Brain. 2002;125(Pt. 5):952–960.</mixed-citation><mixed-citation xml:lang="en">Buljevac D., Flach H.Z., Hop W.C., Hijdra D., Laman J.D., Savelkoul H.F., van Der Meche F.G., van Doorn P.A., Hintzen R.Q. Prospective study on the relationship between infections and multiple sclerosis exacerbations. Brain. 2002;125(Pt. 5):952–960.</mixed-citation></citation-alternatives></ref><ref id="cit7"><label>7</label><citation-alternatives><mixed-citation xml:lang="ru">Kriesel J.D., White A., Hayden F.G., Spruance S.L., Petajan J. Multiple sclerosis attacks are associated with picornavirus infections. Mult. Scler. 2004;10(2):145–148.</mixed-citation><mixed-citation xml:lang="en">Kriesel J.D., White A., Hayden F.G., Spruance S.L., Petajan J. Multiple sclerosis attacks are associated with picornavirus infections. Mult. Scler. 2004;10(2):145–148.</mixed-citation></citation-alternatives></ref><ref id="cit8"><label>8</label><citation-alternatives><mixed-citation xml:lang="ru">Cossu D., Yokoyama K., Hattori N. Bacteria-host interactions in multiple sclerosis. Front. Microbiol. 2018;9:2966.</mixed-citation><mixed-citation xml:lang="en">Cossu D., Yokoyama K., Hattori N. Bacteria-host interactions in multiple sclerosis. Front. Microbiol. 2018;9:2966.</mixed-citation></citation-alternatives></ref><ref id="cit9"><label>9</label><citation-alternatives><mixed-citation xml:lang="ru">Bjornevik K., Cortese M., Healy, B.C., Kuhle J., Mina M.J., Leng Y., Elledge S.J., Niebuhr D.W., Scher A.I., Munger K.L., Ascherio A. Longitudinal analysis reveals high prevalence of Epstein-Barr virus associated with multiple sclerosis. Science. 2022;375(6578):296–301.</mixed-citation><mixed-citation xml:lang="en">Bjornevik K., Cortese M., Healy, B.C., Kuhle J., Mina M.J., Leng Y., Elledge S.J., Niebuhr D.W., Scher A.I., Munger K.L., Ascherio A. Longitudinal analysis reveals high prevalence of Epstein-Barr virus associated with multiple sclerosis. Science. 2022;375(6578):296–301.</mixed-citation></citation-alternatives></ref><ref id="cit10"><label>10</label><citation-alternatives><mixed-citation xml:lang="ru">Handel A.E., Handunnetthi L., Ebers G.C. Ramagopalan S.V. Type 1 diabetes mellitus and multiple sclerosis: common etiological features. Nat. Rev. Endocrinol. 2009;5(12):655–664.</mixed-citation><mixed-citation xml:lang="en">Handel A.E., Handunnetthi L., Ebers G.C. Ramagopalan S.V. Type 1 diabetes mellitus and multiple sclerosis: common etiological features. Nat. Rev. Endocrinol. 2009;5(12):655–664.</mixed-citation></citation-alternatives></ref><ref id="cit11"><label>11</label><citation-alternatives><mixed-citation xml:lang="ru">Nielsen N.M., Westergaard T., Frisch M., Rostgaard K., Wohlfahrt J., Koch-Henriksen N., Melbye M., Hjalgrim H. Type 1 diabetes and multiple sclerosis: A Danish population-based cohort study. Arch. Neurol. 2006;63(7):1001–1004.</mixed-citation><mixed-citation xml:lang="en">Nielsen N.M., Westergaard T., Frisch M., Rostgaard K., Wohlfahrt J., Koch-Henriksen N., Melbye M., Hjalgrim H. Type 1 diabetes and multiple sclerosis: A Danish population-based cohort study. Arch. Neurol. 2006;63(7):1001–1004.</mixed-citation></citation-alternatives></ref><ref id="cit12"><label>12</label><citation-alternatives><mixed-citation xml:lang="ru">Bechtold S., Blaschek A., Raile K., Dost A., Freiberg C., Askenas M., Fröhlich-Reiterer E., Molz E., Holl R.W. Higher relative risk for multiple sclerosis in a pediatric and adolescent diabetic population: analysis from DPV database. Diabetes Care. 2014;37(1):96–101.</mixed-citation><mixed-citation xml:lang="en">Bechtold S., Blaschek A., Raile K., Dost A., Freiberg C., Askenas M., Fröhlich-Reiterer E., Molz E., Holl R.W. Higher relative risk for multiple sclerosis in a pediatric and adolescent diabetic population: analysis from DPV database. Diabetes Care. 2014;37(1):96–101.</mixed-citation></citation-alternatives></ref><ref id="cit13"><label>13</label><citation-alternatives><mixed-citation xml:lang="ru">Magyari M., Sorensen P.S. Comorbidity in multiple sclerosis. Front. Neurol. 2020;11:851.</mixed-citation><mixed-citation xml:lang="en">Magyari M., Sorensen P.S. Comorbidity in multiple sclerosis. Front. Neurol. 2020;11:851.</mixed-citation></citation-alternatives></ref><ref id="cit14"><label>14</label><citation-alternatives><mixed-citation xml:lang="ru">Лапштаева А.В., Абросимова Ю.Г., Еремкина Т.Я., Костина Ю.A. Микробные агенты как триггеры развития рассеянного склероза. Инфекция и иммунитет. 2021;11(6):1050–1056.</mixed-citation><mixed-citation xml:lang="en">Лапштаева А.В., Абросимова Ю.Г., Еремкина Т.Я., Костина Ю.A. Микробные агенты как триггеры развития рассеянного склероза. Инфекция и иммунитет. 2021;11(6):1050–1056.</mixed-citation></citation-alternatives></ref><ref id="cit15"><label>15</label><citation-alternatives><mixed-citation xml:lang="ru">Conway S.E., Healy B.C., Zurawski J., Severson C., Kaplan T., Stazzone L., Galetta K., Chitnis T., Houtchens M.K. COVID-19 severity is associated with worsened neurological outcomes in multiple sclerosis and related disorders. Mult. Scler. Relat. Dis. 2022;63:103946.</mixed-citation><mixed-citation xml:lang="en">Conway S.E., Healy B.C., Zurawski J., Severson C., Kaplan T., Stazzone L., Galetta K., Chitnis T., Houtchens M.K. COVID-19 severity is associated with worsened neurological outcomes in multiple sclerosis and related disorders. Mult. Scler. Relat. Dis. 2022;63:103946.</mixed-citation></citation-alternatives></ref><ref id="cit16"><label>16</label><citation-alternatives><mixed-citation xml:lang="ru">Najjar S., Najjar A., Chong D.J., Pramanik B.K., Kirsch C., Kuzniecky R.I., Pacia S.V., Azhar S. Central nervous system complications associated with SARS-CoV-2 infection: integrative concepts of pathophysiology and case reports. J. Neuroinflamm. 2020;17(1):231.</mixed-citation><mixed-citation xml:lang="en">Najjar S., Najjar A., Chong D.J., Pramanik B.K., Kirsch C., Kuzniecky R.I., Pacia S.V., Azhar S. Central nervous system complications associated with SARS-CoV-2 infection: integrative concepts of pathophysiology and case reports. J. Neuroinflamm. 2020;17(1):231.</mixed-citation></citation-alternatives></ref><ref id="cit17"><label>17</label><citation-alternatives><mixed-citation xml:lang="ru">Sormani M.P., Schiavetti I., Carmisciano L. et al. COVID-19 severity in multiple sclerosis: putting data into context. Neurol. Neuroimmunol. Neuroinflamm. 2021;9(1):e1105.</mixed-citation><mixed-citation xml:lang="en">Sormani M.P., Schiavetti I., Carmisciano L. et al. COVID-19 severity in multiple sclerosis: putting data into context. Neurol. Neuroimmunol. Neuroinflamm. 2021;9(1):e1105.</mixed-citation></citation-alternatives></ref><ref id="cit18"><label>18</label><citation-alternatives><mixed-citation xml:lang="ru">Michelena G., Casas M., Eizaguirre M.B., Pita M.C., Cohen L., Alonso R., Garcea O., Silva B.A. ¿ Can COVID-19 exacerbate multiple sclerosis symptoms? A case series analysis. Mult. Scler. Relat. Dis. 2022;57:103368.</mixed-citation><mixed-citation xml:lang="en">Michelena G., Casas M., Eizaguirre M.B., Pita M.C., Cohen L., Alonso R., Garcea O., Silva B.A. ¿ Can COVID-19 exacerbate multiple sclerosis symptoms? A case series analysis. Mult. Scler. Relat. Dis. 2022;57:103368.</mixed-citation></citation-alternatives></ref><ref id="cit19"><label>19</label><citation-alternatives><mixed-citation xml:lang="ru">Lima M., Aloizou A.M., Siokas V., Bakirtzis C., Liampas I., Tsouris Z., Bogdanos D.P., Baloyannis S.J. Dardiotis E. Coronaviruses and their relationship with multiple sclerosis: is the prevalence of multiple sclerosis going to increase after the Covid-19 pandemia? Rev. Neurosci. 2022;33(7):703–720.</mixed-citation><mixed-citation xml:lang="en">Lima M., Aloizou A.M., Siokas V., Bakirtzis C., Liampas I., Tsouris Z., Bogdanos D.P., Baloyannis S.J. Dardiotis E. Coronaviruses and their relationship with multiple sclerosis: is the prevalence of multiple sclerosis going to increase after the Covid-19 pandemia? Rev. Neurosci. 2022;33(7):703–720.</mixed-citation></citation-alternatives></ref><ref id="cit20"><label>20</label><citation-alternatives><mixed-citation xml:lang="ru">Ximeno-Rodríguez I., Blanco-delRío I., Astigarraga E., Barreda-Gómez G. Acquired immune deficiency syndrome correlation with SARS-CoV-2 N genotypes. Biomed. J. 2023;100650. https://doi.org/10.1016/j.bj.2023.100650.</mixed-citation><mixed-citation xml:lang="en">Ximeno-Rodríguez I., Blanco-delRío I., Astigarraga E., Barreda-Gómez G. Acquired immune deficiency syndrome correlation with SARS-CoV-2 N genotypes. Biomed. J. 2023;100650. https://doi.org/10.1016/j.bj.2023.100650.</mixed-citation></citation-alternatives></ref><ref id="cit21"><label>21</label><citation-alternatives><mixed-citation xml:lang="ru">Bauer L., Laksono B.M., de Vrij F.M.S., Kushner S.A., Harschnitz O., van Riel D. The neuroinvasiveness, neurotropism, and neurovirulence of SARS-CoV-2. Trends Neurosci. 2022;45(5):358–368.</mixed-citation><mixed-citation xml:lang="en">Bauer L., Laksono B.M., de Vrij F.M.S., Kushner S.A., Harschnitz O., van Riel D. The neuroinvasiveness, neurotropism, and neurovirulence of SARS-CoV-2. Trends Neurosci. 2022;45(5):358–368.</mixed-citation></citation-alternatives></ref><ref id="cit22"><label>22</label><citation-alternatives><mixed-citation xml:lang="ru">Stoiloudis P., Kesidou E., Bakirtzis C., Sintila S-A., Konstantinidou N., Boziki M., Grigoriadis N. The role of diet and interventions on multiple sclerosis: a review. Nutrients. 2022; 14(6):1150.</mixed-citation><mixed-citation xml:lang="en">Stoiloudis P., Kesidou E., Bakirtzis C., Sintila S-A., Konstantinidou N., Boziki M., Grigoriadis N. The role of diet and interventions on multiple sclerosis: a review. Nutrients. 2022; 14(6):1150.</mixed-citation></citation-alternatives></ref><ref id="cit23"><label>23</label><citation-alternatives><mixed-citation xml:lang="ru">Tarlinton R.E., Khaibullin T., Granatov E., Martynova E., Rizvanov A., Khaiboullina S. The interaction between viral and environmental risk factors in the pathogenesis of multiple sclerosis. Int. J. Mol. Sci. 2019;20(2):303.</mixed-citation><mixed-citation xml:lang="en">Tarlinton R.E., Khaibullin T., Granatov E., Martynova E., Rizvanov A., Khaiboullina S. The interaction between viral and environmental risk factors in the pathogenesis of multiple sclerosis. Int. J. Mol. Sci. 2019;20(2):303.</mixed-citation></citation-alternatives></ref><ref id="cit24"><label>24</label><citation-alternatives><mixed-citation xml:lang="ru">Fazia T., Baldrighi G.N., Nova A., Bernardinelli L. A systematic review of Mendelian randomization studies on multiple sclerosis. Eur. J. Neurosci., 2023;58(4):3172–3194.</mixed-citation><mixed-citation xml:lang="en">Fazia T., Baldrighi G.N., Nova A., Bernardinelli L. A systematic review of Mendelian randomization studies on multiple sclerosis. Eur. J. Neurosci., 2023;58(4):3172–3194.</mixed-citation></citation-alternatives></ref><ref id="cit25"><label>25</label><citation-alternatives><mixed-citation xml:lang="ru">Dhaiban S., Al-Ani M., Elemam N.M., AlAawad M.H., Al-Rawi Z., Maghazachi A.A. Role of peripheral immune cells in multiple sclerosis and experimental autoimmune encephalomyelitis. Science. 2021;3(1):12.</mixed-citation><mixed-citation xml:lang="en">Dhaiban S., Al-Ani M., Elemam N.M., AlAawad M.H., Al-Rawi Z., Maghazachi A.A. Role of peripheral immune cells in multiple sclerosis and experimental autoimmune encephalomyelitis. Science. 2021;3(1):12.</mixed-citation></citation-alternatives></ref><ref id="cit26"><label>26</label><citation-alternatives><mixed-citation xml:lang="ru">Theodosis-Nobelos P., Rekka E.A. Efforts towards repurposing of antioxidant drugs and active compounds for multiple sclerosis control. Neurochem. Res. 2023;48(3):725–744.</mixed-citation><mixed-citation xml:lang="en">Theodosis-Nobelos P., Rekka E.A. Efforts towards repurposing of antioxidant drugs and active compounds for multiple sclerosis control. Neurochem. Res. 2023;48(3):725–744.</mixed-citation></citation-alternatives></ref><ref id="cit27"><label>27</label><citation-alternatives><mixed-citation xml:lang="ru">Nozari E., Ghavamzadeh S., Razazian N. The effect of vitamin B12 and folic acid supplementation on serum homocysteine, anemia status and quality of life of patients with multiple sclerosis. Clin. Nutr. Res. 2019;8(1):36–45.</mixed-citation><mixed-citation xml:lang="en">Nozari E., Ghavamzadeh S., Razazian N. The effect of vitamin B12 and folic acid supplementation on serum homocysteine, anemia status and quality of life of patients with multiple sclerosis. Clin. Nutr. Res. 2019;8(1):36–45.</mixed-citation></citation-alternatives></ref><ref id="cit28"><label>28</label><citation-alternatives><mixed-citation xml:lang="ru">Magyari M., Koch-Henriksen N. Quantitative effect of sex on disease activity and disability accumulation in multiple sclerosis. J. Neurol. Neurosurg. Psychiatry. 2022;93(7):716–722.</mixed-citation><mixed-citation xml:lang="en">Magyari M., Koch-Henriksen N. Quantitative effect of sex on disease activity and disability accumulation in multiple sclerosis. J. Neurol. Neurosurg. Psychiatry. 2022;93(7):716–722.</mixed-citation></citation-alternatives></ref><ref id="cit29"><label>29</label><citation-alternatives><mixed-citation xml:lang="ru">Salpietro V., Polizzi A., Recca G., Ruggieri M. The role of puberty and adolescence in the pathobiology of pediatric multiple sclerosis. Mult. Scler. Demyelinating Disord. 2018;3:2.</mixed-citation><mixed-citation xml:lang="en">Salpietro V., Polizzi A., Recca G., Ruggieri M. The role of puberty and adolescence in the pathobiology of pediatric multiple sclerosis. Mult. Scler. Demyelinating Disord. 2018;3:2.</mixed-citation></citation-alternatives></ref><ref id="cit30"><label>30</label><citation-alternatives><mixed-citation xml:lang="ru">Ostolaza A., Corroza J., Ayuso T. Multiple sclerosis and aging): comorbidity and treatment challenges. Mult. Scler. Relat. Disord. 2021;50:102815.</mixed-citation><mixed-citation xml:lang="en">Ostolaza A., Corroza J., Ayuso T. Multiple sclerosis and aging): comorbidity and treatment challenges. Mult. Scler. Relat. Disord. 2021;50:102815.</mixed-citation></citation-alternatives></ref><ref id="cit31"><label>31</label><citation-alternatives><mixed-citation xml:lang="ru">Zhang Y., Atkinson J., Burd C.E., Graves J., Segal B.M. Biological aging in multiple sclerosis. Mult. Scler. 2023;29(14):1701–1708.</mixed-citation><mixed-citation xml:lang="en">Zhang Y., Atkinson J., Burd C.E., Graves J., Segal B.M. Biological aging in multiple sclerosis. Mult. Scler. 2023;29(14):1701–1708.</mixed-citation></citation-alternatives></ref><ref id="cit32"><label>32</label><citation-alternatives><mixed-citation xml:lang="ru">Lotti C.B.D.C., Oliveira A.S.B., Bichuetti D.B., Castro I.D., Oliveira E.M.L. Late onset multiple sclerosis: concerns in aging patients. Arq. Neuropsiquiatr. 2017;75(7):451–456.</mixed-citation><mixed-citation xml:lang="en">Lotti C.B.D.C., Oliveira A.S.B., Bichuetti D.B., Castro I.D., Oliveira E.M.L. Late onset multiple sclerosis: concerns in aging patients. Arq. Neuropsiquiatr. 2017;75(7):451–456.</mixed-citation></citation-alternatives></ref><ref id="cit33"><label>33</label><citation-alternatives><mixed-citation xml:lang="ru">Noseworthy J., Paty D., Wonnacott T., Feasby T., Ebers G. Multiple sclerosis after age 50. Neurology. 1983;33(12):1537–1537.</mixed-citation><mixed-citation xml:lang="en">Noseworthy J., Paty D., Wonnacott T., Feasby T., Ebers G. Multiple sclerosis after age 50. Neurology. 1983;33(12):1537–1537.</mixed-citation></citation-alternatives></ref><ref id="cit34"><label>34</label><citation-alternatives><mixed-citation xml:lang="ru">Zeydan B., Kantarci O.H. Impact of age on multiple sclerosis disease activity and progression. Curr. Neurol. Neurosci. Rep. 2020;20(7):24.</mixed-citation><mixed-citation xml:lang="en">Zeydan B., Kantarci O.H. Impact of age on multiple sclerosis disease activity and progression. Curr. Neurol. Neurosci. Rep. 2020;20(7):24.</mixed-citation></citation-alternatives></ref><ref id="cit35"><label>35</label><citation-alternatives><mixed-citation xml:lang="ru">Marrie R.A., Cohen J., Stuve O., Trojano M., Sørensen P.S., Reingold S., Cutter G., Reider N. A systematic review of the incidence and prevalence of comorbidity in multiple sclerosis: overview. Mult. Scler. 2015;21(3):263–281.</mixed-citation><mixed-citation xml:lang="en">Marrie R.A., Cohen J., Stuve O., Trojano M., Sørensen P.S., Reingold S., Cutter G., Reider N. A systematic review of the incidence and prevalence of comorbidity in multiple sclerosis: overview. Mult. Scler. 2015;21(3):263–281.</mixed-citation></citation-alternatives></ref><ref id="cit36"><label>36</label><citation-alternatives><mixed-citation xml:lang="ru">Branco M., Ruano L., Portaccio E., Goretti B., Niccolai C., Patti F., Chisari C., Gallo P., Grossi P., Ghezzi A., Roscio M., Mattioli F., Bellomi F., Simone M., Gemma R., Amato M.P. Aging with multiple sclerosis: prevalence and profile of cognitive impairment. Neurol. Sci. 2019;40(8):1651–1657.</mixed-citation><mixed-citation xml:lang="en">Branco M., Ruano L., Portaccio E., Goretti B., Niccolai C., Patti F., Chisari C., Gallo P., Grossi P., Ghezzi A., Roscio M., Mattioli F., Bellomi F., Simone M., Gemma R., Amato M.P. Aging with multiple sclerosis: prevalence and profile of cognitive impairment. Neurol. Sci. 2019;40(8):1651–1657.</mixed-citation></citation-alternatives></ref><ref id="cit37"><label>37</label><citation-alternatives><mixed-citation xml:lang="ru">Jakimovski D., Weinstock-Guttman B., Roy S., Jaworski III M., Hancock L., Nizinski A., Srinivasan P., Fuchs T.A., Szigeti K., Zivadinov R., Benedict R.H. Cognitive profiles of aging in multiple sclerosis. Front. Aging Neurosci. 2019;11:105.</mixed-citation><mixed-citation xml:lang="en">Jakimovski D., Weinstock-Guttman B., Roy S., Jaworski III M., Hancock L., Nizinski A., Srinivasan P., Fuchs T.A., Szigeti K., Zivadinov R., Benedict R.H. Cognitive profiles of aging in multiple sclerosis. Front. Aging Neurosci. 2019;11:105.</mixed-citation></citation-alternatives></ref><ref id="cit38"><label>38</label><citation-alternatives><mixed-citation xml:lang="ru">Boyko A., Melnikov M. Prevalence and incidence of multiple sclerosis in Russian Federation: 30 years of studies. Brain Sci. 2020;10(5):305.</mixed-citation><mixed-citation xml:lang="en">Boyko A., Melnikov M. Prevalence and incidence of multiple sclerosis in Russian Federation: 30 years of studies. Brain Sci. 2020;10(5):305.</mixed-citation></citation-alternatives></ref><ref id="cit39"><label>39</label><citation-alternatives><mixed-citation xml:lang="ru">Fetisova E., Chernyak B., Korshunova G., Muntyan M., Skulachev V. Mitochondria-targeted antioxidants as a prospective therapeutic strategy for multiple sclerosis. Curr. Med. Chem. 2017;24(19):2086–2114.</mixed-citation><mixed-citation xml:lang="en">Fetisova E., Chernyak B., Korshunova G., Muntyan M., Skulachev V. Mitochondria-targeted antioxidants as a prospective therapeutic strategy for multiple sclerosis. Curr. Med. Chem. 2017;24(19):2086–2114.</mixed-citation></citation-alternatives></ref><ref id="cit40"><label>40</label><citation-alternatives><mixed-citation xml:lang="ru">Морозов С.П., Владзимирский А.В., Черняева Г.Н., Бажин А.В., Пимкин А.А., Беляев М.Г., Кляшторный В.Г., Горшкова Т.Н., Курочкина Н.С., Якушева С.Ф. Валидация диагностической точности алгоритма «искусственного интеллекта» для выявления рассеянного склероза в условиях городской поликлиники. Лучевая диагностика и терапия. 2020;11(2):58–65.</mixed-citation><mixed-citation xml:lang="en">Морозов С.П., Владзимирский А.В., Черняева Г.Н., Бажин А.В., Пимкин А.А., Беляев М.Г., Кляшторный В.Г., Горшкова Т.Н., Курочкина Н.С., Якушева С.Ф. Валидация диагностической точности алгоритма «искусственного интеллекта» для выявления рассеянного склероза в условиях городской поликлиники. Лучевая диагностика и терапия. 2020;11(2):58–65.</mixed-citation></citation-alternatives></ref><ref id="cit41"><label>41</label><citation-alternatives><mixed-citation xml:lang="ru">Kiselev I., Bashinskaya V., Baulina N., Kozin M., Popova E., Boyko A., Favorova O., Kulakova O. Genetic differences between primary progressive and relapsingremitting multiple sclerosis: the impact of immune-related genes variability. Mult. Scler. Relat. Dis. 2019;29:130–136.</mixed-citation><mixed-citation xml:lang="en">Kiselev I., Bashinskaya V., Baulina N., Kozin M., Popova E., Boyko A., Favorova O., Kulakova O. Genetic differences between primary progressive and relapsingremitting multiple sclerosis: the impact of immune-related genes variability. Mult. Scler. Relat. Dis. 2019;29:130–136.</mixed-citation></citation-alternatives></ref><ref id="cit42"><label>42</label><citation-alternatives><mixed-citation xml:lang="ru">Kiselev I.S., Kulakova O.G., Baulina N.M., Bashinskaya V.V., Popova E.V., Boyko A.N., Favorova O.O. Variability of the MIR196A2 gene as a risk factor in primary-progressive multiple sclerosis development. Mol. Biol. 2019;53(2):249–255.</mixed-citation><mixed-citation xml:lang="en">Kiselev I.S., Kulakova O.G., Baulina N.M., Bashinskaya V.V., Popova E.V., Boyko A.N., Favorova O.O. Variability of the MIR196A2 gene as a risk factor in primary-progressive multiple sclerosis development. Mol. Biol. 2019;53(2):249–255.</mixed-citation></citation-alternatives></ref><ref id="cit43"><label>43</label><citation-alternatives><mixed-citation xml:lang="ru">International Multiple Sclerosis Genetics Consortium. A systems biology approach uncovers cell-specific gene regulatory effects of genetic associations in multiple sclerosis. Nat. Commun. 2019;10:2236.</mixed-citation><mixed-citation xml:lang="en">International Multiple Sclerosis Genetics Consortium. A systems biology approach uncovers cell-specific gene regulatory effects of genetic associations in multiple sclerosis. Nat. Commun. 2019;10:2236.</mixed-citation></citation-alternatives></ref><ref id="cit44"><label>44</label><citation-alternatives><mixed-citation xml:lang="ru">Patsopoulos N.A. Genetics of multiple sclerosis: an overview and new directions. Cold Spring Harb. Perspect. Med. 2018;8(7):a028951.</mixed-citation><mixed-citation xml:lang="en">Patsopoulos N.A. Genetics of multiple sclerosis: an overview and new directions. Cold Spring Harb. Perspect. Med. 2018;8(7):a028951.</mixed-citation></citation-alternatives></ref><ref id="cit45"><label>45</label><citation-alternatives><mixed-citation xml:lang="ru">Ransohoff R.M., Hafler D.A., Lucchinetti C.F. Multiple sclerosis – a quiet revolution. Nat. Rev. Neurol. 2015;11(3):134–142.</mixed-citation><mixed-citation xml:lang="en">Ransohoff R.M., Hafler D.A., Lucchinetti C.F. Multiple sclerosis – a quiet revolution. Nat. Rev. Neurol. 2015;11(3):134–142.</mixed-citation></citation-alternatives></ref><ref id="cit46"><label>46</label><citation-alternatives><mixed-citation xml:lang="ru">Pytel V., Matías-Guiu J.A., Torre-Fuentes L., Montero P., Gómez-Graña Á., García-Ramos R., Moreno-Ramos T., Oreja-Guevara C., Fernández-Arquero M., Gómez-Pinedo U., Matías-Guiu J. Familial multiple sclerosis and association with other autoimmune diseases. Brain Behav. 2017;8(1):e00899.</mixed-citation><mixed-citation xml:lang="en">Pytel V., Matías-Guiu J.A., Torre-Fuentes L., Montero P., Gómez-Graña Á., García-Ramos R., Moreno-Ramos T., Oreja-Guevara C., Fernández-Arquero M., Gómez-Pinedo U., Matías-Guiu J. Familial multiple sclerosis and association with other autoimmune diseases. Brain Behav. 2017;8(1):e00899.</mixed-citation></citation-alternatives></ref><ref id="cit47"><label>47</label><citation-alternatives><mixed-citation xml:lang="ru">Lublin F.D., Reingold S.C., Cohen J.A., Cutter G.R., Sørensen P.S., Thompson A.J., Wolinsky J.S., Balcer L.J., Banwell B., Barkhof F., Bebo B. Defining the clinical course of multiple sclerosis: the 2013 revisions. Neurology. 2014;83(3):278–286.</mixed-citation><mixed-citation xml:lang="en">Lublin F.D., Reingold S.C., Cohen J.A., Cutter G.R., Sørensen P.S., Thompson A.J., Wolinsky J.S., Balcer L.J., Banwell B., Barkhof F., Bebo B. Defining the clinical course of multiple sclerosis: the 2013 revisions. Neurology. 2014;83(3):278–286.</mixed-citation></citation-alternatives></ref><ref id="cit48"><label>48</label><citation-alternatives><mixed-citation xml:lang="ru">Govindhan E., Pavithra J., Yuvaraj K., Muralidharan P. A comprehensive review on multiple sclerosis: it’s etiology, symptoms, epidemiology and current therapeutic approaches. Int. J. Sci. Res. Arch. 2023;8(2):462–474.</mixed-citation><mixed-citation xml:lang="en">Govindhan E., Pavithra J., Yuvaraj K., Muralidharan P. A comprehensive review on multiple sclerosis: it’s etiology, symptoms, epidemiology and current therapeutic approaches. Int. J. Sci. Res. Arch. 2023;8(2):462–474.</mixed-citation></citation-alternatives></ref><ref id="cit49"><label>49</label><citation-alternatives><mixed-citation xml:lang="ru">Hendriks J.J., Teunissen C.E., de Vries H.E., Dijkstra C.D. Macrophages and neurodegeneration. Brain Res. Rev. 2005;48(2):185–195.</mixed-citation><mixed-citation xml:lang="en">Hendriks J.J., Teunissen C.E., de Vries H.E., Dijkstra C.D. Macrophages and neurodegeneration. Brain Res. Rev. 2005;48(2):185–195.</mixed-citation></citation-alternatives></ref><ref id="cit50"><label>50</label><citation-alternatives><mixed-citation xml:lang="ru">Zheng C., Chen J., Chu F., Zhu J., Jin T. Inflammatory role of TLR-MyD88 signaling in multiple sclerosis. Front. Mol. Neurosci. 2020;12:314.</mixed-citation><mixed-citation xml:lang="en">Zheng C., Chen J., Chu F., Zhu J., Jin T. Inflammatory role of TLR-MyD88 signaling in multiple sclerosis. Front. Mol. Neurosci. 2020;12:314.</mixed-citation></citation-alternatives></ref><ref id="cit51"><label>51</label><citation-alternatives><mixed-citation xml:lang="ru">Van Horssen J., Witte M.E., Schreibelt G., de Vries H.E. Radical changes in multiple sclerosis pathogenesis. BBA-Mol. Basis Dis. 2011;1812(2):141–150.</mixed-citation><mixed-citation xml:lang="en">Van Horssen J., Witte M.E., Schreibelt G., de Vries H.E. Radical changes in multiple sclerosis pathogenesis. BBA-Mol. Basis Dis. 2011;1812(2):141–150.</mixed-citation></citation-alternatives></ref><ref id="cit52"><label>52</label><citation-alternatives><mixed-citation xml:lang="ru">Friese M.A., Schattling B., Fugger L. Mechanisms of neurodegeneration and axonal dysfunction in multiple sclerosis. Nat. Rev. Neurol. 2014;10(4):225–238.</mixed-citation><mixed-citation xml:lang="en">Friese M.A., Schattling B., Fugger L. Mechanisms of neurodegeneration and axonal dysfunction in multiple sclerosis. Nat. Rev. Neurol. 2014;10(4):225–238.</mixed-citation></citation-alternatives></ref><ref id="cit53"><label>53</label><citation-alternatives><mixed-citation xml:lang="ru">Scalfari A., Neuhaus A., Daumer M., Muraro P.A., Ebers G.C. Onset of secondary progressive phase and longterm evolution of multiple sclerosis. J. Neurol. Neurosurg. Psychiatry. 2014;85(1):67–75.</mixed-citation><mixed-citation xml:lang="en">Scalfari A., Neuhaus A., Daumer M., Muraro P.A., Ebers G.C. Onset of secondary progressive phase and longterm evolution of multiple sclerosis. J. Neurol. Neurosurg. Psychiatry. 2014;85(1):67–75.</mixed-citation></citation-alternatives></ref><ref id="cit54"><label>54</label><citation-alternatives><mixed-citation xml:lang="ru">Goodin D.S. The epidemiology of multiple sclerosis: insights to a causal cascade. Handbook of clinical neurology. Eds. M.J. Aminoff, F. Boller, and D.F. Swaab. Elsevier; 2016;138:173–206.</mixed-citation><mixed-citation xml:lang="en">Goodin D.S. The epidemiology of multiple sclerosis: insights to a causal cascade. Handbook of clinical neurology. Eds. M.J. Aminoff, F. Boller, and D.F. Swaab. Elsevier; 2016;138:173–206.</mixed-citation></citation-alternatives></ref><ref id="cit55"><label>55</label><citation-alternatives><mixed-citation xml:lang="ru">Dong Y., Yong V.W. When encephalitogenic T cells collaborate with microglia in multiple sclerosis. Nat. Rev. Neurol. 2019;15(12):704–717.</mixed-citation><mixed-citation xml:lang="en">Dong Y., Yong V.W. When encephalitogenic T cells collaborate with microglia in multiple sclerosis. Nat. Rev. Neurol. 2019;15(12):704–717.</mixed-citation></citation-alternatives></ref><ref id="cit56"><label>56</label><citation-alternatives><mixed-citation xml:lang="ru">Guerrero B.L., Sicotte N.L. Microglia in multiple sclerosis: friend or foe? Front. Immunol. 2020;11:374.</mixed-citation><mixed-citation xml:lang="en">Guerrero B.L., Sicotte N.L. Microglia in multiple sclerosis: friend or foe? Front. Immunol. 2020;11:374.</mixed-citation></citation-alternatives></ref><ref id="cit57"><label>57</label><citation-alternatives><mixed-citation xml:lang="ru">Inoue M., Shinohara M.L. NLRP3 Inflammasome and MS/EAE. Autoimmune Dis. 2013;2013:859145.</mixed-citation><mixed-citation xml:lang="en">Inoue M., Shinohara M.L. NLRP3 Inflammasome and MS/EAE. Autoimmune Dis. 2013;2013:859145.</mixed-citation></citation-alternatives></ref><ref id="cit58"><label>58</label><citation-alternatives><mixed-citation xml:lang="ru">Shao S., Chen C., Shi G., Zhou Y., Wei Y., Fan N., Yang Y., Wu L., Zhang T. Therapeutic potential of the target on NLRP3 inflammasome in multiple sclerosis. Pharmacol. Therapeut. 2021;227:107880.</mixed-citation><mixed-citation xml:lang="en">Shao S., Chen C., Shi G., Zhou Y., Wei Y., Fan N., Yang Y., Wu L., Zhang T. Therapeutic potential of the target on NLRP3 inflammasome in multiple sclerosis. Pharmacol. Therapeut. 2021;227:107880.</mixed-citation></citation-alternatives></ref><ref id="cit59"><label>59</label><citation-alternatives><mixed-citation xml:lang="ru">Bulua A.C., Simon A., Maddipati R., Pelletier M., Park H., Kim K.Y., Sack M.N., Kastner D.L., Siegel R.M. Mitochondrial reactive oxygen species promote production of proinflammatory cytokines and are elevated in TNFR1- associated periodic syndrome (TRAPS). J. Exp. Med. 2011;208(3):519–533.</mixed-citation><mixed-citation xml:lang="en">Bulua A.C., Simon A., Maddipati R., Pelletier M., Park H., Kim K.Y., Sack M.N., Kastner D.L., Siegel R.M. Mitochondrial reactive oxygen species promote production of proinflammatory cytokines and are elevated in TNFR1- associated periodic syndrome (TRAPS). J. Exp. Med. 2011;208(3):519–533.</mixed-citation></citation-alternatives></ref><ref id="cit60"><label>60</label><citation-alternatives><mixed-citation xml:lang="ru">Gris D., Ye Z., Iocca H.A., Wen H., Craven R.R., Gris P., Huang M., Schneider M., Miller S.D., Ting J.P. NLRP3 plays a critical role in the development of experimental autoimmune encephalomyelitis by mediating Th1 and Th17 responses. J. Immunol. 2010;185(2):974–981.</mixed-citation><mixed-citation xml:lang="en">Gris D., Ye Z., Iocca H.A., Wen H., Craven R.R., Gris P., Huang M., Schneider M., Miller S.D., Ting J.P. NLRP3 plays a critical role in the development of experimental autoimmune encephalomyelitis by mediating Th1 and Th17 responses. J. Immunol. 2010;185(2):974–981.</mixed-citation></citation-alternatives></ref><ref id="cit61"><label>61</label><citation-alternatives><mixed-citation xml:lang="ru">Abais J.M., Xia M., Zhang Y., Boini K.M., Li P.L. Redox regulation of NLRP3 inflammasomes: ROS as trigger or effector? Antioxid. Redox Sign. 2015;22(13):1111–1129.</mixed-citation><mixed-citation xml:lang="en">Abais J.M., Xia M., Zhang Y., Boini K.M., Li P.L. Redox regulation of NLRP3 inflammasomes: ROS as trigger or effector? Antioxid. Redox Sign. 2015;22(13):1111–1129.</mixed-citation></citation-alternatives></ref><ref id="cit62"><label>62</label><citation-alternatives><mixed-citation xml:lang="ru">Chen Y., Ye X., Escames G., Lei W., Zhang X., Li M., Jing T., Yao Y., Qiu Z., Wang Z., Acuña-Castroviejo D., Yang Y. The NLRP3 inflammasome: contributions to inflammation-related diseases. Cell Mol. Biol. Lett. 2023;28(1):51.</mixed-citation><mixed-citation xml:lang="en">Chen Y., Ye X., Escames G., Lei W., Zhang X., Li M., Jing T., Yao Y., Qiu Z., Wang Z., Acuña-Castroviejo D., Yang Y. The NLRP3 inflammasome: contributions to inflammation-related diseases. Cell Mol. Biol. Lett. 2023;28(1):51.</mixed-citation></citation-alternatives></ref><ref id="cit63"><label>63</label><citation-alternatives><mixed-citation xml:lang="ru">Wolburg H., Neuhaus J., Kniesel U., Krauß B., Schmid E.M., Ocalan M., Farrell C., Risau W. Modulation of tight junction structure in blood-brain barrier endothelial cells. Effects of tissue culture, second messengers and cocultured astrocytes. J. Cell Sci. 1994;107(5):1347–1357.</mixed-citation><mixed-citation xml:lang="en">Wolburg H., Neuhaus J., Kniesel U., Krauß B., Schmid E.M., Ocalan M., Farrell C., Risau W. Modulation of tight junction structure in blood-brain barrier endothelial cells. Effects of tissue culture, second messengers and cocultured astrocytes. J. Cell Sci. 1994;107(5):1347–1357.</mixed-citation></citation-alternatives></ref><ref id="cit64"><label>64</label><citation-alternatives><mixed-citation xml:lang="ru">Owens T., Bechmann I., Engelhardt B. Perivascular spaces and the two steps to neuroinflammation. J. Neuropath. Exp. Neur. 2008;67(12):1113–1121.</mixed-citation><mixed-citation xml:lang="en">Owens T., Bechmann I., Engelhardt B. Perivascular spaces and the two steps to neuroinflammation. J. Neuropath. Exp. Neur. 2008;67(12):1113–1121.</mixed-citation></citation-alternatives></ref><ref id="cit65"><label>65</label><citation-alternatives><mixed-citation xml:lang="ru">Ortiz G.G., Pacheco-Moisés F.P., Macías-Islas M.Á., Flores-Alvarado L.J., Mireles-Ramírez M.A., González-Renovato E.D., Hernández-Navarro V.E., Sánchez-López A.L., Alatorre-Jiménez M.A. Role of the blood-brain barrier in multiple sclerosis. Arch. Med. Res. 2014;45(8):687–697.</mixed-citation><mixed-citation xml:lang="en">Ortiz G.G., Pacheco-Moisés F.P., Macías-Islas M.Á., Flores-Alvarado L.J., Mireles-Ramírez M.A., González-Renovato E.D., Hernández-Navarro V.E., Sánchez-López A.L., Alatorre-Jiménez M.A. Role of the blood-brain barrier in multiple sclerosis. Arch. Med. Res. 2014;45(8):687–697.</mixed-citation></citation-alternatives></ref><ref id="cit66"><label>66</label><citation-alternatives><mixed-citation xml:lang="ru">Zinovkin R.A., Romaschenko V.P., Galkin I.I., Zakharova V.V., Pletjushkina O.Y., Chernyak B.V., Popova E.N. Role of mitochondrial reactive oxygen species in age-related inflammatory activation of endothelium. Aging (Albany N.Y.). 2014;6(8):661.</mixed-citation><mixed-citation xml:lang="en">Zinovkin R.A., Romaschenko V.P., Galkin I.I., Zakharova V.V., Pletjushkina O.Y., Chernyak B.V., Popova E.N. Role of mitochondrial reactive oxygen species in age-related inflammatory activation of endothelium. Aging (Albany N.Y.). 2014;6(8):661.</mixed-citation></citation-alternatives></ref><ref id="cit67"><label>67</label><citation-alternatives><mixed-citation xml:lang="ru">Zakharova V.V., Pletjushkina O.Y., Galkin I.I., Zinovkin R.A., Chernyak B.V., Krysko D.V., Skulachev V.P., Popova E.N. Low concentration of uncouplers of oxidative phosphorylation decreases the TNF-induced endothelial permeability and lethality in mice. BBA-Mol. Basis Dis. 2017;1863(4):968–977.</mixed-citation><mixed-citation xml:lang="en">Zakharova V.V., Pletjushkina O.Y., Galkin I.I., Zinovkin R.A., Chernyak B.V., Krysko D.V., Skulachev V.P., Popova E.N. Low concentration of uncouplers of oxidative phosphorylation decreases the TNF-induced endothelial permeability and lethality in mice. BBA-Mol. Basis Dis. 2017;1863(4):968–977.</mixed-citation></citation-alternatives></ref><ref id="cit68"><label>68</label><citation-alternatives><mixed-citation xml:lang="ru">Sanabria-Castro A., Alape-Girón A., FloresDíaz M., Echeverri-McCandless A., Parajeles-Vindas A. Oxidative stress involvement in the molecular pathogenesis and progression of multiple sclerosis: a literature review. Rev. Neurosci. 2024;35(3):355–371.</mixed-citation><mixed-citation xml:lang="en">Sanabria-Castro A., Alape-Girón A., FloresDíaz M., Echeverri-McCandless A., Parajeles-Vindas A. Oxidative stress involvement in the molecular pathogenesis and progression of multiple sclerosis: a literature review. Rev. Neurosci. 2024;35(3):355–371.</mixed-citation></citation-alternatives></ref><ref id="cit69"><label>69</label><citation-alternatives><mixed-citation xml:lang="ru">Calkins M.J., Johnson D.A., Townsend J.A., Vargas M.R., Dowell J.A., Williamson T.P., Kraft A.D., Lee J.M., Li J., Johnson J.A. The Nrf2/ARE pathway as a potential therapeutic target in neurodegenerative disease. Antioxid. Redox Sign. 2009;11(3):497–508.</mixed-citation><mixed-citation xml:lang="en">Calkins M.J., Johnson D.A., Townsend J.A., Vargas M.R., Dowell J.A., Williamson T.P., Kraft A.D., Lee J.M., Li J., Johnson J.A. The Nrf2/ARE pathway as a potential therapeutic target in neurodegenerative disease. Antioxid. Redox Sign. 2009;11(3):497–508.</mixed-citation></citation-alternatives></ref><ref id="cit70"><label>70</label><citation-alternatives><mixed-citation xml:lang="ru">Kharel P., McDonough J., Basu S. Evidence of extensive RNA oxidation in normal appearing cortex of multiple sclerosis brain. Neurochem. Int. 2016;92:43–48.</mixed-citation><mixed-citation xml:lang="en">Kharel P., McDonough J., Basu S. Evidence of extensive RNA oxidation in normal appearing cortex of multiple sclerosis brain. Neurochem. Int. 2016;92:43–48.</mixed-citation></citation-alternatives></ref><ref id="cit71"><label>71</label><citation-alternatives><mixed-citation xml:lang="ru">Tully M., Shi R. New insights in the pathogenesis of multiple sclerosis – role of acrolein in neuronal and myelin damage. Int. J. Mol. Sci. 2013;14(10):20037–20047.</mixed-citation><mixed-citation xml:lang="en">Tully M., Shi R. New insights in the pathogenesis of multiple sclerosis – role of acrolein in neuronal and myelin damage. Int. J. Mol. Sci. 2013;14(10):20037–20047.</mixed-citation></citation-alternatives></ref><ref id="cit72"><label>72</label><citation-alternatives><mixed-citation xml:lang="ru">Zhang J., Sturla S., Lacroix C., Schwab C. Gut microbial glycerol metabolism as an endogenous acrolein source. mBio. 2018;9(1):e01947-17.</mixed-citation><mixed-citation xml:lang="en">Zhang J., Sturla S., Lacroix C., Schwab C. Gut microbial glycerol metabolism as an endogenous acrolein source. mBio. 2018;9(1):e01947-17.</mixed-citation></citation-alternatives></ref><ref id="cit73"><label>73</label><citation-alternatives><mixed-citation xml:lang="ru">Nonneman A., Robberecht W., Van Den Bosch L.V. The role of oligodendroglial dysfunction in amyotrophic lateral sclerosis. Neurodegen. Dis. Manag. 2014;4(3):223–239.</mixed-citation><mixed-citation xml:lang="en">Nonneman A., Robberecht W., Van Den Bosch L.V. The role of oligodendroglial dysfunction in amyotrophic lateral sclerosis. Neurodegen. Dis. Manag. 2014;4(3):223–239.</mixed-citation></citation-alternatives></ref><ref id="cit74"><label>74</label><citation-alternatives><mixed-citation xml:lang="ru">van Horssen J., Schreibelt G., Drexhage J., Hazes T., Dijkstra C.D., van der Valk P., de Vries H.E. Severe oxidative damage in multiple sclerosis lesions coincides with enhanced antioxidant enzyme expression. Free Radical. Biol. Med. 2008;45(12):1729–1737.</mixed-citation><mixed-citation xml:lang="en">van Horssen J., Schreibelt G., Drexhage J., Hazes T., Dijkstra C.D., van der Valk P., de Vries H.E. Severe oxidative damage in multiple sclerosis lesions coincides with enhanced antioxidant enzyme expression. Free Radical. Biol. Med. 2008;45(12):1729–1737.</mixed-citation></citation-alternatives></ref><ref id="cit75"><label>75</label><citation-alternatives><mixed-citation xml:lang="ru">Spaas J., van Veggel L., Schepers M., Tiane A., van Horssen J., Wilson D.M. 3rd, Moya P.R., Piccart E., Hellings N., Eijnde B.O., Derave W., Schreiber R., Vanmierlo T. Oxidative stress and impaired oligodendrocyte precursor cell differentiation in neurological disorders. Cell Mol. Life Sci. 2021;78(10):4615–4637.</mixed-citation><mixed-citation xml:lang="en">Spaas J., van Veggel L., Schepers M., Tiane A., van Horssen J., Wilson D.M. 3rd, Moya P.R., Piccart E., Hellings N., Eijnde B.O., Derave W., Schreiber R., Vanmierlo T. Oxidative stress and impaired oligodendrocyte precursor cell differentiation in neurological disorders. Cell Mol. Life Sci. 2021;78(10):4615–4637.</mixed-citation></citation-alternatives></ref><ref id="cit76"><label>76</label><citation-alternatives><mixed-citation xml:lang="ru">Witte M.E., Geurts J.J., de Vries H.E., van der Valk P., van Horssen J. Mitochondrial dysfunction: a potential link between neuroinflammation and neurodegeneration? Mitochondrion. 2010;10(5):411–418.</mixed-citation><mixed-citation xml:lang="en">Witte M.E., Geurts J.J., de Vries H.E., van der Valk P., van Horssen J. Mitochondrial dysfunction: a potential link between neuroinflammation and neurodegeneration? Mitochondrion. 2010;10(5):411–418.</mixed-citation></citation-alternatives></ref><ref id="cit77"><label>77</label><citation-alternatives><mixed-citation xml:lang="ru">Padureanu R., Albu C.V., Mititelu R.R., Bacanoiu M.V., Docea A.O., Calina D., Padureanu V., Olaru G., Sandu R.E., Malin R.D., Buga A.M. Oxidative stress and inflammation interdependence in multiple sclerosis. J. Clin. Med. 2019;8(11):1815.</mixed-citation><mixed-citation xml:lang="en">Padureanu R., Albu C.V., Mititelu R.R., Bacanoiu M.V., Docea A.O., Calina D., Padureanu V., Olaru G., Sandu R.E., Malin R.D., Buga A.M. Oxidative stress and inflammation interdependence in multiple sclerosis. J. Clin. Med. 2019;8(11):1815.</mixed-citation></citation-alternatives></ref><ref id="cit78"><label>78</label><citation-alternatives><mixed-citation xml:lang="ru">Michaličková D., Šíma M., Slanař O. New insights in the mechanisms of impaired redox signaling and its interplay with inflammation and immunity in multiple sclerosis. Physiol. Res. 2020;69(1):1–19.</mixed-citation><mixed-citation xml:lang="en">Michaličková D., Šíma M., Slanař O. New insights in the mechanisms of impaired redox signaling and its interplay with inflammation and immunity in multiple sclerosis. Physiol. Res. 2020;69(1):1–19.</mixed-citation></citation-alternatives></ref><ref id="cit79"><label>79</label><citation-alternatives><mixed-citation xml:lang="ru">Ragupathy H., Vukku M., Barodia S.K. Cell-typespecific mitochondrial quality control in the brain: a plausible mechanism of neurodegeneration. Int. J. Mol. Sci. 2023;24(19):14421.</mixed-citation><mixed-citation xml:lang="en">Ragupathy H., Vukku M., Barodia S.K. Cell-typespecific mitochondrial quality control in the brain: a plausible mechanism of neurodegeneration. Int. J. Mol. Sci. 2023;24(19):14421.</mixed-citation></citation-alternatives></ref><ref id="cit80"><label>80</label><citation-alternatives><mixed-citation xml:lang="ru">Petersen R.C., Thomas R.G., Grundman M., Bennett D., Doody R., Ferris S., Galasko D., Jin S., Kaye J., Levey A., Pfeiffer E., Sano M., van Dyck C.H., Thal L.J., Alzheimer’s Disease Cooperative Study Group. Vitamin E and donepezil for the treatment of mild cognitive impairment. N. Engl. J. Med. 2005;352(23):2379–2388.</mixed-citation><mixed-citation xml:lang="en">Petersen R.C., Thomas R.G., Grundman M., Bennett D., Doody R., Ferris S., Galasko D., Jin S., Kaye J., Levey A., Pfeiffer E., Sano M., van Dyck C.H., Thal L.J., Alzheimer’s Disease Cooperative Study Group. Vitamin E and donepezil for the treatment of mild cognitive impairment. N. Engl. J. Med. 2005;352(23):2379–2388.</mixed-citation></citation-alternatives></ref><ref id="cit81"><label>81</label><citation-alternatives><mixed-citation xml:lang="ru">Kamat C.D., Gadal S., Mhatre M., Williamson K.S., Pye Q.N., Hensley K. Antioxidants in central nervous system diseases: preclinical promise and translational challenges. J. Alzheimers Dis. 2008;15(3):473–493.</mixed-citation><mixed-citation xml:lang="en">Kamat C.D., Gadal S., Mhatre M., Williamson K.S., Pye Q.N., Hensley K. Antioxidants in central nervous system diseases: preclinical promise and translational challenges. J. Alzheimers Dis. 2008;15(3):473–493.</mixed-citation></citation-alternatives></ref><ref id="cit82"><label>82</label><citation-alternatives><mixed-citation xml:lang="ru">Bjelakovic G., Nikolova D., Gluud L.L., Simonetti R.G., Gluud C. Antioxidant supplements for prevention of mortality in healthy participants and patients with various diseases. Cochrane Database Syst. Rev. 2012;2012(3):CD007176.</mixed-citation><mixed-citation xml:lang="en">Bjelakovic G., Nikolova D., Gluud L.L., Simonetti R.G., Gluud C. Antioxidant supplements for prevention of mortality in healthy participants and patients with various diseases. Cochrane Database Syst. Rev. 2012;2012(3):CD007176.</mixed-citation></citation-alternatives></ref><ref id="cit83"><label>83</label><citation-alternatives><mixed-citation xml:lang="ru">Antonenko Y.N., Avetisyan A.V., Bakeeva L.E., et al. Mitochondria-targeted plastoquinone derivatives as tools to interrupt execution of the aging program. 1. Cationic plastoquinone derivatives: synthesis and in vitro studies. Biochemistry (Mosc.). 2008;73(12):1273–1287.</mixed-citation><mixed-citation xml:lang="en">Antonenko Y.N., Avetisyan A.V., Bakeeva L.E., et al. Mitochondria-targeted plastoquinone derivatives as tools to interrupt execution of the aging program. 1. Cationic plastoquinone derivatives: synthesis and in vitro studies. Biochemistry (Mosc.). 2008;73(12):1273–1287.</mixed-citation></citation-alternatives></ref><ref id="cit84"><label>84</label><citation-alternatives><mixed-citation xml:lang="ru">Fetisova E.K., Muntyan M.S., Lyamzaev K.G., Chernyak B.V. Therapeutic effect of the mitochondriatargeted antioxidant SkQ1 on the culture model of multiple sclerosis. Oxid. Med. Cell. Longev. 2019;2019:2082561.</mixed-citation><mixed-citation xml:lang="en">Fetisova E.K., Muntyan M.S., Lyamzaev K.G., Chernyak B.V. Therapeutic effect of the mitochondriatargeted antioxidant SkQ1 on the culture model of multiple sclerosis. Oxid. Med. Cell. Longev. 2019;2019:2082561.</mixed-citation></citation-alternatives></ref><ref id="cit85"><label>85</label><citation-alternatives><mixed-citation xml:lang="ru">Fock E.M., Parnova R.G. Protective effect of mitochondria-targeted antioxidants against inflammatory response to lipopolysaccharide challenge: a review. Pharmaceutics. 2021;13(2):144.</mixed-citation><mixed-citation xml:lang="en">Fock E.M., Parnova R.G. Protective effect of mitochondria-targeted antioxidants against inflammatory response to lipopolysaccharide challenge: a review. Pharmaceutics. 2021;13(2):144.</mixed-citation></citation-alternatives></ref><ref id="cit86"><label>86</label><citation-alternatives><mixed-citation xml:lang="ru">Vorobjeva N.V., Chernyak B.V. NETosis: molecular mechanisms, role in physiology and pathology. Biochemistry (Mosc.). 2020;85(10):1178–1190.</mixed-citation><mixed-citation xml:lang="en">Vorobjeva N.V., Chernyak B.V. NETosis: molecular mechanisms, role in physiology and pathology. Biochemistry (Mosc.). 2020;85(10):1178–1190.</mixed-citation></citation-alternatives></ref></ref-list><fn-group><fn fn-type="conflict"><p>The authors declare that there are no conflicts of interest present.</p></fn></fn-group></back></article>
