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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="en"><front><journal-meta><journal-id journal-id-type="publisher-id">epilepsia</journal-id><journal-title-group><journal-title xml:lang="en">Epilepsy and paroxysmal conditions</journal-title><trans-title-group xml:lang="ru"><trans-title>Эпилепсия и пароксизмальные состояния</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2077-8333</issn><issn pub-type="epub">2311-4088</issn><publisher><publisher-name>IRBIS LLC</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.17749/2077-8333/epi.par.con.2025.231</article-id><article-id custom-type="elpub" pub-id-type="custom">epilepsia-1239</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="en"><subject>SCIENTIFIC SURVEYS</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>НАУЧНЫЕ ОБЗОРЫ</subject></subj-group></article-categories><title-group><article-title>Bioelectronic medicine: a new frontier for autonomic nervous system disorders</article-title><trans-title-group xml:lang="ru"><trans-title>Биоэлектронная медицина: новый рубеж в лечении заболеваний вегетативной нервной системы</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-7655-1667</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Дхалл</surname><given-names>М.</given-names></name><name name-style="western" xml:lang="en"><surname>Dhall</surname><given-names>M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Маниш Дхалл, магистр фармацевтики, доктор философии</p><p>Дарьяо Нагар, Рохтак, Харьяна 124001</p></bio><bio xml:lang="en"><p>Manish Dhall, M. Pharm., PhD</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0007-4117-2940</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Тушир</surname><given-names>Р.</given-names></name><name name-style="western" xml:lang="en"><surname>Tushir</surname><given-names>R.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Рену Тушир, магистр фармацевтики</p><p>Сохна, Гуруграм, Харьяна 122103</p></bio><bio xml:lang="en"><p>Renu Tushir, M. Pharm.</p></bio><email xlink:type="simple">renutushir8@gmail.com</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-9539-3139</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Шарма</surname><given-names>П.</given-names></name><name name-style="western" xml:lang="en"><surname>Sharma</surname><given-names>P.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Прерна Шарма, доцент</p><p>XV69+CQH, Амри-роуд, сектор 8, Курукшетра, Харьяна 136118</p></bio><bio xml:lang="en"><p>Prerna Sharma, Assoc. Prof.</p></bio><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-2549-3481</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Рани</surname><given-names>Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Rani</surname><given-names>N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Нидхи Рани, магистр фармацевтики, доктор философии, доцент</p><p>Пенджаб 140401</p></bio><bio xml:lang="en"><p>Nidhi Rani, M. Pharm., PhD, Assoc. Prof</p></bio><xref ref-type="aff" rid="aff-4"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-2979-1590</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Сингх</surname><given-names>Т. Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Singh</surname><given-names>T.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Тхакур Гуржит Сингх, проф.</p><p>WoS ResearcherID: AGV-7671-2022</p><p>Scopus Author ID: 27667828700 </p><p>Пенджаб 140401</p></bio><bio xml:lang="en"><p>Thakur Gurjeet Singh, Prof.</p></bio><xref ref-type="aff" rid="aff-4"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Университет медицинских наук Пандита Бхагвата Даяла Шармы</institution><country>Индия</country></aff><aff xml:lang="en"><institution>College of Pharmacy, PGIMS (SDPGIPS) Pandit Bhagwat Dayal Sharma University of Health Sciences ROHTAK-124001</institution><country>India</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Университет Г.Д. Гоенка</institution><country>Индия</country></aff><aff xml:lang="en"><institution>GD Goneka University</institution><country>India</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>Университет Шри Кришны АЮШ</institution><country>Индия</country></aff><aff xml:lang="en"><institution>Shri Kirishna AYUSH University</institution><country>India</country></aff></aff-alternatives><aff-alternatives id="aff-4"><aff xml:lang="ru"><institution>Университет Читкара</institution><country>Индия</country></aff><aff xml:lang="en"><institution>Chitkara College of Pharmacy, Сhitkara University</institution><country>India</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2025</year></pub-date><pub-date pub-type="epub"><day>14</day><month>10</month><year>2025</year></pub-date><volume>17</volume><issue>3</issue><fpage>297</fpage><lpage>307</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Dhall M., Tushir R., Sharma P., Rani N., Singh T.Г., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Дхалл М., Тушир Р., Шарма П., Рани Н., Сингх Т.Г.</copyright-holder><copyright-holder xml:lang="en">Dhall M., Tushir R., Sharma P., Rani N., Singh T.</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://www.epilepsia.su/jour/article/view/1239">https://www.epilepsia.su/jour/article/view/1239</self-uri><abstract><p>Bioelectronic medicine is a field of study that is constantly evolving as a result of recent advancements and improvements in bioelectronic technology, which have led to novel approaches and perspectives in disease diagnosis and therapy, particularly in the inflammatory reflex immuno-regulatory functioning and, vagus nerve stimulation (VNS). The vagus nerve, an elongated nerve in the autonomic nervous system, controls a number of physiological processes in humans, including blood pressure, breathing rate, vasomotor activity, and certain reflex movements. Recent bioelectronic research has led to clinical tests using VNS for inflammatory diseases and other conditions. By sending steady, gentle electric impulses through the vagus nerve to the brain, bioelectronic devices can activate the vagus nerve. The integration of artificial intelligence (AI) with bioelectronic medicine is transforming drug development processes. AI technology can accelerate or even eliminate many time-consuming tasks, allowing healthcare professionals to use their time more efficiently and ultimately improving healthcare outcomes. This review discusses the vagus nerve’s roles in inflammation, stimulation, and regulation in animal models, as well as its therapeutic potential in treating human inflammation. Additionally, it examines how AI-powered bioelectronic drugs are being explored for conditions such as paralysis and immune disorders, and addresses the challenges of delivering large molecules using these drugs. The article emphasizes current trends, advancements, and the promising future applications of combining AI with bioelectronic medicine.</p></abstract><trans-abstract xml:lang="ru"><p>Биоэлектронная медицина – это область исследований, которая постоянно развивается благодаря последним достижениям и совершенствованию биоэлектронных технологий, которые привели к появлению новых подходов и перспектив в диагностике и терапии заболеваний, в частности в области воспалительных рефлекторных иммунорегуляторных  функций и стимуляции блуждающего нерва (англ. vagus nerve stimulation, VNS). Блуждающий нерв, протяженный нерв вегетативной нервной системы, контролирует ряд физиологических  процессов в организме человека, включая артериальное давление, частоту дыхания, вазомоторную активность и некоторые рефлекторные движения. Недавние исследования в сфере биоэлектроники позволили проводить клинические тесты с использованием технологии VNS при воспалительных заболеваниях и других состояниях. Посылая непрерывные слабые электрические импульсы через блуждающий нерв в мозг, биоэлектронные устройства могут активировать блуждающий нерв. Интеграция искусственного интеллекта (ИИ) с биоэлектронной медициной преобразует процессы разработки лекарственных препаратов. Технологии ИИ могут ускорить или даже исключить выполнение различных трудоемких задач, позволяя медицинским работникам более эффективно использовать свое время и, в конечном итоге, улучшать результаты лечения. В настоящем обзоре рассмотрена роль блуждающего нерва в воспалении, стимуляции и регуляции в животных моделях, его терапевтический потенциал в лечении воспаления у человека. Кроме того, освещены вопросы проведения исследований по оценке биоэлектронных препаратов на основе ИИ для терапии таких состояний, как паралич и иммунные расстройства, а также доставки крупных молекул с помощью указанных препаратов. Проанализированы текущие тенденции, достижения и перспективные подходы к применению ИИ в биоэлектронной медицине.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>иммунорегуляторные механизмы</kwd><kwd>рефлекторная активность</kwd><kwd>биоэлектронные препараты</kwd><kwd>ревматоидный артрит</kwd><kwd>искусственный интеллект</kwd><kwd>стимуляция блуждающего нерва</kwd></kwd-group><kwd-group xml:lang="en"><kwd>immuno-regulatory mechanisms</kwd><kwd>reflex activities</kwd><kwd>bioelectronic medicines</kwd><kwd>rheumatoid arthritis</kwd><kwd>artificial intelligence</kwd><kwd>vagus nerve stimulation</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Löffler S., Melican K., Nilsson K.P.R., Richter-Dahlfors A. Organic bioelectronics in medicine. 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