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Vol 51, No 6 (2025)

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Articles

Intersubject Synchronization Among the Audience During a Theatre Rehearsal. A Pilot EEG Hyperscanning Study

Zavodova E.M., Nagornova Z.V., Zyryanov N.A., Shemyakina N.V.

Abstract

We present the results of inter-brain synchronization analysis among the audience during a fairy-tale theater performance. The study examines synchronization between participants without external stimulus synchronization (i.e., without evoked potentials). The EEG (electroencephalography) data was synchronized via specialized technical signals that didn’t attract the attention of the participants and were used solely to ensure precise temporal alignment of EEG fragments across different stages of the performance. The obtained data were analyzed both individually and in pairs. Individual analysis assessed EEG spectral power during rest and before, during, and after the performance in Δ (1.5–4 Hz), θ (4–8 Hz), α1 (8–10 Hz), α2 (10–13 Hz), β1 (13–18 Hz), and β2 (18–30 Hz)-frequency bands. Pairwise analysis (21 pairs, where all participants were paired with each other) evaluated phase locking value (PLV) and circular correlation coefficient (CCorr). No differences in baseline spectral power (pre-vs. post-performance) were detected, suggesting an absence of viewers’ fatigue. However, a decrease of the EEG spectral power was observed in the α1- and α2-frequency bands, potentially connected with viewer engagement, selective attention, and emotional immersion in the narrative. Inter-brain synchronization metrics (both PLV and CCorr) revealed increased synchronization in θ-, α1- and α2-bands over centro-parieto-occipital regions, coupled with reduced frontal region synchronization (relative to artificially generated data) pronounced during the second stage of the performance. This likely corresponds to the narrative’s culmination.
Human Physiology. 2025;51(6):7-19
pages 7-19 views

The Postural Reactions of the Field-Dependent and Field-Independent Subjects to the Sounds of Footsteps Approaching From the Left or Right

Timofeeva O.P., Andreeva I.G.

Abstract

The postural indicators recorded in response to emotionally significant sounds depend on the direction from which they come: greater changes in posture were detected when stimulated by the sounds of footsteps approaching from behind than from in front. The aim of the study was to compare the postural responses to the sounds of human footsteps on the left and on the right in the subjects who were field-dependent (FD) and field-independent (FI). For two groups of subjects (16 FD and 16 FI), a stabilograms were recorded in a standard position with eyes closed. In a free field, footsteps approaching from the left and right were used for 20.5 seconds. Postural parameters were recorded before, during, and after stimulation with sounds pre-recorded in a reverberated room. The most informative postural indicators were the confidence ellipse area and the shift of the body’s center of pressure. When exposed to the sounds of approaching footsteps from different directions, there was a slight postural destabilization, which does not lead to a fall, but only increases the body sway. The differences between the indicators received to the signals given from the side of the supporting or leading legs were revealed along the frontal axis. The FI subjects showed the greatest postural reaction to sound stimulation from the right side, i.e. from the side of the leading leg, while the FD subjects – from the left, i.e. from the side of the supporting leg. Differences in the latency of responses were found in the FI and FD subjects. Postural sway changes indicated to a destabilization that occurred in the FI group of subjects at the beginning of stimulation and in the FD subjects in the last period of stimulation.
Human Physiology. 2025;51(6):20–32
pages 20–32 views

Stability of analytic-Holistic Cognitive Style under Simulated Normobaric Hypoxia

Venerin A.A., Nikonov D.V., Glazachev O.S.

Abstract

The experimental study is dedicated to testing the hypothesis of the stability of cognitive style indicators, namely “analytic” and “holistic”, under conditions of moderate exogenous normobaric hypoxia, which serves as a model of biological stress. The study involved 32 individuals (22 women and 10 men) aged 18 to 30 years without chronic diseases. Participants completed the Analytic-Holistic (AH) questionnaire under normoxic and hypoxic conditions. The hypoxic phase was considered correctly completed if the questionnaire was filled out while blood saturation was in the range of 80–90% (on average 83–84%) during the administration of a gas mixture with a reduced oxygen concentration (FiO2 = 0.11). Levels of trait (TA) and state anxiety (SA) were evaluated, along with cardiodynamic parameters before and after simulating a 10-minute period of breathing either normoxic or hypoxic gas mixtures (ReOxy device, AI Media S.A., Luxembourg). The interval between the normoxic and hypoxic phases averaged 30 days. Formation of the analyst and holist groups was performed retrospectively by dividing the sample according to the median distribution of the overall AH questionnaire scores obtained during the normoxic phase. Overall AH scores did not change when tested under hypoxic conditions relative to normoxic conditions. However, among the holists, there was a significant decrease in scores on the “focus of attention” subscale and a more pronounced increase in scores on the “causal attribution” subscale compared to analysts, reflecting some reduction in conscious attentional focus and an expansion of the subjective interpretation of individual events. A decrease in SA was noted in all groups of subjects in the post-hypoxic period without substantial dynamics in cardiommodynamic parameters. The analytic-holistic cognitive style is a fundamental characteristic of an individual and remains stable under conditions of moderate hypoxic stress. The changes observed in certain subscales among the holists are determined by the negative effect of hypoxia on the executive functions of the brain, and for clarification require further application of functional neuroimaging methods. The positive post-hypoxic dynamics of SA levels in both analysts and holists may be associated with the development of hormesis – a mechanism of adaptation caused by a post-stressor increase in parasympathetic nervous system tone, improved psychoemotional state, and mood.
Human Physiology. 2025;51(6):33–44
pages 33–44 views

Low Prevalence of Postactivation Effect (Kohnstamm Phenomenon) in People with Parkinson’s Disease May be Associated with Bradykinesia

Meigal A.Y., Gerasimova-Meigal L.I., Antonen E.G., Peskova A.E.

Abstract

The study was aimed at exploring the prevalence and characteristics of the postactivation effect (PAE) in the deltoid muscles (DM) among individuals with Parkinson’s disease (PD) and its possible correlation with PD symptoms using surface electromyography (sEMG), in the off- and on-medication phases. Ten of 29 of individuals with PD (34.5%) were PAE-positive, since PAE was triggered in them. The duration of PAE was different on the right and left sides in 5 of 10 paPAE-positive participants, and was 46 ± 30.1 s for the right and 47.2 ± 27.5 s for the left side, the latency of PAE was 0.5–2.4 s. The prevalence, duration and amplitude of EMG during PAE did not differ in the states “before” and “after” taking antiparkinsonian therapy. The severity of bradykinesia according to the UPDRS score was lower in the group of PAE-positive participants (1.35 ± 0.9) compared to the PAE-negative ones (2.11 ± 0.6; p < 0.01). The severity of bradykinesia was inversely correlated with the duration of PAE, and akinesia was inversely correlated with the amplitude of the PAE EMG. The results prompt that in individuals with PD PAE is likely inhibited by mechanisms associated with bradykinesia.

Human Physiology. 2025;51(6):45–57
pages 45–57 views

Assessment of the Maximum Ability to Maintain an Upright Position on an Unstable Support

Melnikov A.A., Peganov A.Y., Shiryaeva T.P., Son'kin V.D.

Abstract

Testing the maximum ability to maintain the balance of an upright body is in demand both in the physiology of posture regulation and, especially, in the diagnosis of athletic abilities. However, there is currently no technology for estimating maximum balance ability (MBA). The aim of the work was to develop and approbate a test for assessing MBA using eleven see-saws of decreasing radius of curvature movable in the sagittal plane in athletes of both sexes. Additional tasks were: 1) to compare the discriminating ability of the monopedal and bipedal test for MBA, 2) to evaluate the relationship of the MBA indicator with the area of fluctuations of the common center of pressure (ELS), determined on a stabiloplatform and simple see-saws, 3) to identify gender differences in MBA. To evaluate the MBA, a test has been developed with a stepwise increase in the difficulty of maintaining postural balance by the gradual reducing the curvature radius of see-saws. The MBA corresponded to the minimum radius of curvature of the see-saw, on which the subject could maintain balance for 15 seconds. In all the tasks of the test, the ellipse area of the center of pressure oscillations (ELS) was determined using a stabiloplatform (Stabilan 01-2). The application of the developed test on a sample of athletes (n = 78) showed that the discrimination index of the monopedal test was excellent (DI = 0.82) and significantly higher than the bipedal test (DI = 0.052). The MBA indicator in the bipedal test did not correlate with ELS in simple standing conditions, however, such weak and moderate correlations (r = -(0.27–0.48)) were established in the monopedal test. This indicates a weak predictive power of the stabilographic indicators defined in the usual stances. In both tests, the MBA indicator positively correlated with the maximum ellipse area of the center of pressure oscillations (ELSmax), showing the informative value of this indicator. The girls did not differ from the boys in MBA, but showed reduced ELS in stances on simple see-saws. To assess the maximum ability to balance, as well as the postural stability in submaximal conditions, a monopedal test with stepwise increasing complexity on movable see-saws can be used. Stablographic indicators obtained during usual quiet stances poorly predict MBA. The following indicators are the most informative about the MBA: the minimum radius of curvature of the see-saw and ELSmax, achieved in extremely difficult balance conditions. Gender differences do not affect MBA, but the postural stability on simple see-saws is higher for girls than for boys.
Human Physiology. 2025;51(6):58-71
pages 58-71 views

The Effect of Support Unloading on the Shape of the Spine

Voronov A.V., Kurbanova O.E., Rukavishnikov I.V., Kitov V.V., Shpakov A.V., Tomilovskaya E.S.

Abstract

The article presents the results of a study of posture after a 21-day dry immersion (DI), which is a ground-based model of the physiological effects of weightlessness. The study involved 8 men (M ± SD: 29.8 ± 3.8 years, 176.1 ± 3.8 cm, 75.6 ± 11.2 kg). The assessment of the shape of the spine in the sagittal plane was performed using the Video Analysis-3D Biosoft software and hardware package developed by specialists from Biosoft Scientific and Medical Company. The shape of the spine was recorded before the start of the experiment, on days 7–8 and on days 13–14 of immersion exposure. It was shown that under the influence of simulated microgravity, the angles of cervical lordosis and thoracic kyphosis increase by 3.8 and 4.7 degrees, respectively, on the 7th day of immersion. In the lumbar spine, the angle of lordosis varied in different directions: in 4 subjects, the angle of lumbar lordosis decreases by 2 degrees (becomes more pronounced), in 4 subjects, the angle increases by an average of 4 degrees. For one subject, the angle does not change. By the 14th day of immersion, the average angle of lumbar lordosis in the group increases by 3 degrees. A decrease in thoracic and lumbar scoliosis was observed in 3 subjects by the 7th day of immersion. This trend continued until the 14th day of DI.
Human Physiology. 2025;51(6):72–82
pages 72–82 views

Influence of Long-Term Space Flights on Biomechanical Characteristics of Human Walking and the Dynamics of Their Post-Flight Recovery

Shpakov A.V., Voronov A.V.

Abstract

The article presents the results of a long-term study, the purpose of which was a comparative assessment of the impact of long-term exposure to weightlessness on indicators characterizing the functional state of the human musculoskeletal system. The study involved 18 cosmonauts (M ± SD: 44.1 ± 5.3 years, 81.6 ± 7.5 kg, 179.8 ± 5.1 cm) who had completed long-term space flights on the ISS lasting 178 ± 16 days (M ± SD). The functional state of the musculoskeletal system before and after space flights was assessed based on biomechanical characteristics of walking at a pace of 90 steps/minute: kinematic, electromyographic, and spatiotemporal. The article presents the results of the analysis of biomechanical characteristics of walking before and after space flights of the combined group of cosmonauts (n = 18). For the first time, an assessment was made of the dynamics of restoration of biomechanical characteristics of walking in the post-flight period of three groups of cosmonauts, distributed depending on the volume and intensity of physical training on a treadmill during long-term space flights. The results of the study revealed significant changes in the state of the musculoskeletal system as a result of being in conditions of weightlessness. During walking at a pace of 90 steps/minute in the post-flight period, the kinematic (joint angles, body tilt angle), electromyographic (EMG cost of muscle work) and spatiotemporal (length and duration of a double step) walking parameters changed. The key factor that determines the indicated changes in locomotion in the post-flight period is the reduction and elimination of the required level of support loads during the space flights. Analysis of the dynamics of recovery of some biomechanical characteristics of locomotion (EMG-cost of calf muscle work, double step length) depending on the volume and intensity of physical training during the space flights showed that prevention of negative consequences of the influence of weightlessness depends on rational use of physical training. The optimal combination of volume and intensity of training loads, as well as adherence to the principles of intervals and cyclicity are key factors in the positive dynamics of the recovery of walking characteristics after the return of cosmonauts to Earth.
Human Physiology. 2025;51(6):83–102
pages 83–102 views

Mechanisms of Autonomic Balance in the Human Cardiovascular System Using a Short-Arm Centrifuge as a Countermeasure Against the Adverse Effects of Microgravity

Popova O.V., Fedchuk M.V., Yakhya Y.D., Rusanov V.B.

Abstract

The article presents the results of a study of the mechanisms of vegetative balance in the human cardiovascular system (CVS) using a Short-arm human centrifuge (SAHC) as a preventive measure against the adverse effects of microgravity. The effects of microgravity were modeled in a 21-day experiment with head-down bed rest (HDBR). The body tilt angle was −6°. Starting from the 8th day, volunteers were subjected to interval rotations on the SAHC (overloads of +1.27 Gz and +1.5 Gz). Analysis of heart rate variability (HRV) and dispersion mapping of the ECG (DM ECG) made it possible to evaluate the dynamics of autonomic regulation and related electrophysiological processes in the myocardium. The results obtained showed that the application of the SAHC contributed to the stabilization of the autonomic balance. The decrease in parasympathetic activity (pNNS0) by the 18th day of the experiment was accompanied by the preservation of the overall variability (SDNN) and the normalization of the sympatho-vagal ratio (LF/HF). The electrical instability score of the myocardium (EIS) and T-micro alternations remained within the limits registered before the effect of BR, and by the 18th day they even decreased, in contrast to HDBR without the use of the SAHC. This indicates a more optimal maintenance of the vegetative balance and a decrease in the risk of heart rhythm disturbances when using preventive rotation sessions on the SAHC. The dominance of low-frequency components of the spectrum in the heart rhythm (VLF) in most of the experiment indicated the activation of neurohumoral regulatory mechanisms. The data obtained confirm the effectiveness of the SAHC as a means of preventing hypogravitational disturbances. The results emphasize the importance of integrating the SAHC into the prevention system to ensure the safety of crews in long-term space missions.
Human Physiology. 2025;51(6):103-117
pages 103-117 views

Correlation of 24-Hour Monitoring of Arterial Pressure with the Intricious Response of Isolated Myocardial Trabeculas to β-Adrenergic Stimulation in Resistant Arterial Hypertension Combined with Obstructive Coronary Atherosclerosis

Afanasiev S.A., Kondratieva D.S., Muslimova E.F., Korepanov V.A., Andreev S.L., Lichikaki V.A., Manukyan M.A., Zyubanova I.V., Solonskaya E.I., Khunkhinova S.A., Mordovin V.F., Falkovskaya A.Y.

Abstract

A sample of 17 patients with resistant arterial hypertension combined with obstructive coronary atherosclerosis who had indications for coronary bypass surgery was examined. As part of a laboratory and instrumental examination, the patients underwent 24-hour blood pressure monitoring in a hospital setting. The reaction of isolated myocardial trabeculae isolated from intraoperative biopsies taken during coronary bypass surgery to the action of β-adrenergic receptor agonists (β-AR) was studied. The association of 24-hour blood pressure monitoring with the severity of the overall inotropic response of myocardial trabeculae to β-AR stimulation was assessed. It was shown that isolated myocardial trabeculae of patients with average daily systolic blood pressure < 130 mmHg had a statistically more pronounced (p = 0.03) overall inotropic response to β-AR stimulation than those of patients with average daily systolic blood pressure > 130 mmHg. The severity of the overall inotropic response of the trabeculae to β-AR stimulation has an inverse correlation with systolic and diastolic pressure. Significant correlations (p < 0.05) were found in the average daily, average nightly, and average daily formats of blood pressure assessment. It is suggested that the observed lack of difference between the daytime and nighttime periods is due to a more pronounced state of hyperexcitation of the autonomic nervous system in patients with resistant hypertension combined with obstructive coronary atherosclerosis.
Human Physiology. 2025;51(6):118-131
pages 118-131 views

Cardiorespiratory Coordination during Physical Exercise Depends on the Zone of its Intensity in Young Athletes

Gultyaeva V.V., Uryumtsev D.Y., Zinchenko M.I., Krivoschekov S.G.

Abstract

Assessment of cardiorespiratory coordination (CRC) during incremental cycling test have shown sensitivity to a human physical condition. However, the functional state of the body varies depending on the intensity of physical exercise and adaptability to stress, at the same time the CRC may also change. Among cyclical sports, swimming is distinguished by the increased respiratory muscles work in the water and a special breathing pattern synchronized with the limbs movements. This type of breathing can change the CRC. The purpose of this research was to study the dynamics of cardio–respiratory coordination over four states (rest, aerobic phase of the incremental cycling up to the ventilatory threshold (VT), isocapnic buffering zone from VT to the respiratory compensation point (RCP), and 25 Watts active recovery) in swimmers and skiers. The study involved 17 swimmers and 17 skiers aged 13–16, who have adult sports category and at least 3 years of sports experience. Participants performed incremental cycling up to a pulse corresponding to 85% Karvonen intensity. CRC was evaluated by the principal component (PC) analysis based on time series of heart rate, respiratory and gas exchange parameters averaged over 10 seconds for each participant. The percentage of the total variance of the initial cardio–respiratory parameters, explained by the coordination variable PC1, was considered to be the value of the CRC. The dynamics of cardio–respiratory coordination in swimmers and skiers depends on the intensity zone (F(3.90) = 51.8; p = 0.000) and does not depend on the sports type (F(1.30) = 1.71; p = 0.20), sex (F(1.30) = 0.01; p = 0.94), or the interaction of factors (for all interactions F(3.90) < 0.9 p > 0.44). The minimal coordination between HR, VE, FeO2, and FeCO2 was found at rest (55%), and the maximum was found at the aerobic (up to VT) stage of incremental cycling (80%, p < 0.001 compared with rest). Further, the CRC decreased at the stage from VT to RCP (74%) due to uncorrelated with other variables FeCO2 (p < 0.01), and at the stage of active recovery (72%) – due to FeO2 (p < 0.01). Thus, the CRC depends on the zone of the exercise intensity. Adaptation to swimming and sex do not affect the amount of CRC at different intensity zones of the exercise.
Human Physiology. 2025;51(6):132–144
pages 132–144 views

Function of the Cardiorespiratory System and the Level of Nitric Oxide in the Blood of Racing Skiers when Performing the Bike Ergometric Test “To Failure”

Varlamova N.G., Parshukova O.I., Loginova T.P., Garnov I.O., Boyko E.R.

Abstract

The purpose of this work was to determine the effect of the level of nitric oxide in the blood on the function of external respiration and blood pressure in professional cross-country skiers during the performance of the test “until exhaustion”. The observation group included professional cross-country skiers (n = 59) who were current members of the national team of the Komi Republic (62°N) with normotensive (n = 27, group N) and hypertensive (n = 32, group H) reactions to the bicycle ergometric test “until exhaustion”. At rest, while at their anaerobic threshold level, during peak load, and during the recovery period (5th min) were determined the level of stable nitric oxide metabolites and cardiorespiratory parameters. In group N cross-country skiers, during the “until exhaustion” test and at the 5th minute of the recovery period, NO3 is primarily involved in regulating the function of external respiration and arterial pressure. The development of hypertensive reactions to exercise in group H athletes and their lower physical performance are due to NO3 deficiency. It has been shown for the first time that under the influence of physical exercise, the respiratory system in group N is more strained, while in group H, the cardiovascular system is more strained.
Human Physiology. 2025;51(6):145–158
pages 145–158 views

Features of Lipid Metabolism and Psychophysiological Reactions in Healthy Male Subjects during 24-Hour Exposure to a Hyromagnetic Environment

Markina E.A., Zhuravleva O.A., Serova A.V., Kuzichkin D.S., Markin A.A., Zhuravleva T.V., Polyakov A.V., Labetskaya O.I., Loginov V.I., Tikhonova G.A.

Abstract

Lipid metabolism was studied in six subjects during a 24-hour stay in a hypomagnetic medium with a weakening of 350, 650 and 1000 times relative to the geomagnetic field. Psychological testing was conducted in parallel. It was established that in a normal geomagnetic environment (placebo series) and a hypomagnetic one, the content of lipid substrates of energy metabolism increases in the blood due to immobilization stress, which developed as a result of the subjects being in a sitting position during the experiment for three 8-hour sessions with minimal movements. When the geomagnetic field weakens by 350 and 650 times, the concentration of phospholipids increases due to changes in their intermolecular interactions in cell membranes. A thousand-fold weakening of the geomagnetic field leads to an increase in the blood of lipid substrates of energy metabolism and apolipoprotein B relative to the background and placebo series, being the body's reaction to being in a hypomagnetic environment, reflecting its stressfulness. The hypomagnetic environment negatively affects the physical condition of the body, reducing the level of its physiological and psychological well-being. The changes took place within the reference ranges, so the reaction to the experimental effect was adaptive.
Human Physiology. 2025;51(6):159-167
pages 159-167 views

System Mechanisms of Urine Formation and Transport. Message 2. Physiological Assessment of the Relationship Between Systemic Cardiohemodynamics and Regional Detrusor Blood Flow during the Storage and Voiding Functions of the Bladder in Young Adults with Different Urination Rhythms

Sapozhenkova E.V., Kolpakov V.V., Berdichevsky V.B.

Abstract

Urination is a complex physiological process of multilevel regulation, which determines both individual typological features in healthy young people and polypotent symptoms in its disorders, requiring a detailed analysis of the intersystem relationships in the implementation of the accumulative evacuation function of the bladder. Based on the results of current preventive examinations and recommendations of the American Society for Urinary Retention – ISC, three groups of young men were identified – with normal (n = 183), borderline (n = 52) and increased (n = 53) urination rhythm (Message 1). In the continuation of the conducted studies, the state of general and regional hemodynamics was additionally assessed at rest. To assess heart rate variability, a daily computer cardiointervalography (Inkart, Russia) was performed with a comparison of the indicators of the accumulative evacuation function of the MP in various phases – accumulation and retention of urine (NiUM), urge to urinate and during injection. It was found that with a rapid urination rhythm, higher cardiac output and blood pressure remain, but are accompanied by a decrease in blood flow in the detrusor and an increase in vascular resistance. HRV parameters in this group were shifted towards sympathicotonia (increased LF and VLF, decreased HF), whereas vagal influence prevailed in normal rhythm. In addition, individual typological features of the ratio of indicators of general hemodynamics and microcirculation in the detrusor were established. Such a complementary approach in studying the indicators of systemic and regional blood circulation, heart rate variability with an assessment of the cumulative evacuation function of the bladder will make it possible to establish additional mechanisms of intersystemic relationships, determine the normative boundaries of urination parameters necessary in the development of additional criteria for prenosological diagnosis and a deeper assessment of disorders of the lower urinary tract.
Human Physiology. 2025;51(6):168–180
pages 168–180 views

ОБЗОРЫ

Neurovascular Coupling: Physiological Foundations, Assessment Methods, and Post-Stroke Changes

Abramova V.D., Petrovskiy E.D., Korostyshevskaya A.M., Savelov A.A.

Abstract

The aim of this article is to summarize current knowledge on the physiological basis of neurovascular coupling, highlight key aspects of its disruption in stroke, and consider the potential of integrating functional magnetic resonance imaging and arterial spin labeling methods for assessing these processes. The article describes in detail the mechanism of neurovascular coupling under normal conditions, as well as the impact of stroke on neurovascular uncoupling in the lesion site and in intact brain regions. Special attention is given to the use of functional MRI and arterial spin labeling as tools for evaluating perfusion changes and neuronal activity. Recent studies are reviewed to illustrate their application in clinical and research contexts, with an assessment of the strengths and limitations of these techniques in characterizing neurovascular coupling. The prospects of integrating these approaches for comprehensive assessment and monitoring of neurovascular coupling, and for the development of therapeutic strategies aimed at restoring neurovascular interactions in stroke patients, are discussed. This article provides a scientific basis for further studies in functional, quantitative, and noninvasive neuroimaging with a focus on evaluating neurovascular impairments.
Human Physiology. 2025;51(6):181-194
pages 181-194 views

Neuro-Tumor Relationships and Their Clinical and Physiological Significance

Krupatkin I.A., Sidorov V.V.

Abstract

The key stages of carcinogenesis – initiation, promotion, and progression – are influenced by external and endogenous tumor growth factors. Even small tumors by 1–2 mm3 in diameter secret angiogenic factors because malignant tumor needs vascularization and trophic compounds. However, not only angiogenesis but also tumor innervation plays a role in tumor growth. The purpose of this review is to summarize the available data on neuro-tumor relationships and their physiological significance. A search was performed for sources in the databases PubMed, Web of Science, CyberLeninka, NIH and ClinicalTrials among the works from 2015 to 2025. There are many relevant studies indicating a close relationship between innervation and tumor growth. It is known that the degree of malignancy of a tumor increases with an increase in the number of nerve fibers innervating it. It can be unequivocally stated that the sympathetic innervation of the tumor enhances its growth and invasiveness. The role of parasympathetic and sensory innervation in oncogenesis is ambiguous, and various studies indicate both pro-oncogenic and anti-oncogenic effects depending on the type of tumor and other factors. Various studies have also revealed many neurogenic factors affecting neoplasms and altering their growth. The data presented in this paper highlights the mechanisms of neuro-tumor interaction and determines directions to nerve-oriented diagnostic and treatment methods.
Human Physiology. 2025;51(6):195-208
pages 195-208 views

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