Annotation. Among the acute disorders of cerebral blood circulation, the most common is ischemic stroke, which leads to severe disability and mortality of working-age people. Cellular therapy using mesenchymal stromal cells (MSCs) aimed at endogenous neuroregeneration has become a promising direction in the therapy of ischemia-reperfusion injury of brain structures. The aim of the research is to study the effect of subtotal brain ischemia in rats followed by its reperfusion and correction on biochemical processes in the somatosensory cortex and hippocampus based on parameters of carbohydrate metabolism, oxidative and nitrosative stress. The experiment was carried out on 200 sexually mature Wistar rats with simulated ischemia-reperfusion of the internal carotid arteries, which were transplanted with MSCs derived from Wharton’s jelly of the human umbilical cord, MSCs derived from human and rat adipose tissues, rat embryonic fibroblasts, MSCs lysate and Citicoline. On the 7th and 14th days, parameters of carbohydrate metabolism, oxidative and nitrosative stress were determined in the somatosensory cortex and hippocampus of rats. Statistical analysis of the obtained data was performed using Statistica 6.0 (StatSoft® Snc, USA), parametric Student’s t-test and non-parametric Mann-Whitney U-test. It was established that ischemia-reperfusion injury was accompanied by an increase in glucose and lactate levels in the brain tissues of rats, inhibition of the process of aerobic glucose oxidation, an increase in anaerobic glycolysis, the development of lactic acidosis, a decrease in the level of NADPH oxidase activity, the development of nitrosative stress with more than two-fold activation of NO synthase and increased producing of nitrogen monoxide. More pronounced pathobiochemical changes were found in the hippocampus than in the somatosensory cortex of experimental animals. The best corrective effect on the level of biochemical parameters in the brain tissues had the reference drug Citicoline and human umbilical cord Wharton’s jelly-derived MSCs. Therapeutic intravenous transplantation of Wharton’s jelly-derived MSCs compared with other studied MSCs and MSCs lysate contributed to a better recovery of disturbed energy processes and eliminated metabolic acidosis and nitrosative stress in the hippocampus than in the somatosensory cortex of rats with brain ischemia-reperfusion. In the future, it is planned to create the most effective in neuroprotective properties an injectable medicine from class of MSCs for the treatment of patients with acute ischemic stroke.