БИОХИМИЯ, 2026, том 91, вып. 5, с. 797–819

УДК 616.89;616-008;613.81

BDNF – посредник между метаболизмом организма и функцией здорового и больного мозга: алкогольная зависимость как пример

Обзор

© 2026 Д.И. Перегуд 1,2*peregud_d@yahoo.com, Н.В. Гуляева 2,3

1 ФГБУ «Национальный медицинский исследовательский центр психиатрии и наркологии имени В.П. Сербского» Минздрава России, 119034 Москва, Россия

2 ФГБУН Институт высшей нервной деятельности и нейрофизиологии РАН, 117485 Москва, Россия

3 ГБУЗ «Научно-практический психоневрологический центр имени З.П. Соловьева» Департамента здравоохранения города Москвы, 115419 Москва, Россия

Поступила в редакцию 14.03.2026
После доработки 23.04.2026
Принята к публикации 27.04.2026

DOI: 10.7868/S3034529426050060

КЛЮЧЕВЫЕ СЛОВА: нейротрофический фактор, BDNF, синаптическая пластичность, стресс, нейрогуморальная система, метаболизм, энергетический баланс, алкогольная зависимость, мозг, висцеральные системы, нейроэндокринные механизмы, болезни мозга, нейродегенеративные заболевания, психические заболевания, соматические заболевания, метаболические нарушения, коморбидность.

Аннотация

Нейротрофический фактор головного мозга (Brain-Derived Neurotrophic Factor, BDNF) в большинстве исследований рассматривается как молекула, необходимая для выживания, роста и поддержания нейронов, как в центральной, так и в периферической нервных системах, формирования когнитивных способностей и эмоций. Однако в последние годы показано, что, наряду с ролью универсального «удобрения» для мозга, BDNF играет роль «метаботрофина», связывающего сигнальную функцию нейронов и системный метаболизм. BDNF действует как важнейший фактор, интегрирующий ответ организма на такие факторы, как стресс, физическая активность, потребление пищи, с клеточными механизмами, необходимыми для пластичности и нормального функционирования головного мозга. В данном обзоре представлены обоснования концепции о значении BDNF как ключевого метаболического моста, который работает в обе стороны: метаболизм тела контролирует выработку BDNF в мозге, а BDNF в мозге управляет метаболизмом тела. Нарушение этой регуляторной функции BDNF ассоциировано с заболеваниями мозга, соматическими заболеваниями, а также соответствующими коморбидными состояниями. Механизмы, связанные с нарушениями в системе BDNF, более подробно рассмотрены на примере участия этого нейротрофина в развитии алкогольной зависимости, для которой характерно как нарушение нормальной сигнальной функции мозга, так и развитие соматических патологий, сопровождающихся метаболическими изменениями.

Сноски

* Адресат для корреспонденции.

Вклад авторов

Д.И. Перегуд – концепция, поиск и анализ данных литературы, написание первичного текста об участии BDNF в патогенезе алкогольной зависимости, окончательное редактирование статьи; Н.В. Гуляева – концепция, поиск и анализ данных литературы, написание первичного текста о координации ВDNF метаболизма и функции мозга, введение, заключение, окончательное редактирование статьи.

Финансирование

Работа выполнена в рамках государственного задания.

Конфликт интересов

Авторы заявляют об отсутствии конфликта интересов.

Соблюдение этических норм

Настоящая статья не содержит описания каких-либо исследований с участием людей или животных в качестве объектов.

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