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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">ateroskleroz</journal-id><journal-title-group><journal-title xml:lang="ru">Атеросклероз</journal-title><trans-title-group xml:lang="en"><trans-title>Ateroscleroz</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2078-256X</issn><issn pub-type="epub">2949-3633</issn><publisher><publisher-name>НИИТПМ-филиал ИЦиГ СО РАН</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.52727/2078-256X-2023-19-1-35-46</article-id><article-id custom-type="elpub" pub-id-type="custom">ateroskleroz-888</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>ОБЗОРЫ ЛИТЕРАТУРЫ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>LITERATURE REVIEWS</subject></subj-group></article-categories><title-group><article-title>Изменения клеток красной крови, связанные с развитием сердечно-сосудистых осложнений, у пациентов с коронавирусной инфекцией COVID-19</article-title><trans-title-group xml:lang="en"><trans-title>Changes in red blood cells associated with the development of cardiovascular complications in patients with COVID-19 coronavirus infection</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-0077-3823</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Кручинина</surname><given-names>М. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Kruchinina</surname><given-names>M. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Маргарита Витальевна Кручинина, д-р мед. наук, доцент, ведущий научный сотрудник, зав. лабораторией гастроэнтерологии; профессор кафедры пропедевтики внутренних болезней</p><p>SC: 5881-3315</p><p>AID: 155918</p><p>630089, г. Новосибирск, ул. Бориса Богаткова, 175/1</p><p>630091, г. Новосибирск, Красный просп., 52</p></bio><bio xml:lang="en"><p>Margarita V. Kruchinina, doctor of medical sciences, associate professor, leading scientific researcher, head of laboratory of gastroenterology; professor of the department of propaedeutics of internal diseases</p><p>175/1, Boris Bogatkov str., Novosibirsk, 630089</p><p>52, Krasny av., Novosibirsk, 630091</p></bio><email xlink:type="simple">kruchmargo@yandex.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-9254-4192</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Громов</surname><given-names>А. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Gromov</surname><given-names>A. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Андрей Александрович Громов, канд. мед. наук, старший научный сотрудник лаборатории клинических биохимических и гормональных исследований терапевтических заболеваний, руководитель Центра профилактики тромбозов</p><p>630089, г. Новосибирск, ул. Бориса Богаткова, 175/1</p></bio><bio xml:lang="en"><p>Andrey A. Gromov, candidate of medical sciences, senior researcher, laboratory of clinical biochemical and hormonal studies of therapeutic diseases, head of the center, clinical laboratory diagnostics doctor, Center for the prevention and treatment of thrombosis, Center for Medical Prevention</p><p>175/1, Boris Bogatkov str., Novosibirsk, 630089</p></bio><email xlink:type="simple">gromov.center@rambler.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/0000-0003-1348-0253</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Логвиненко</surname><given-names>И. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Logvinenko</surname><given-names>I. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Ирина Ивановна Логвиненко, д-р мед. наук, проф., зам. руководителя; ведущий научный сотрудник лаборатории профилактической медицины, профессор кафедры неотложной терапии с эндокринологией и профпатологией</p><p>630089, г. Новосибирск, ул. Бориса Богаткова, 175/1</p><p>630091, г. Новосибирск, Красный просп., 52</p></bio><bio xml:lang="en"><p>Irina I. Logvinenko, doctor of medical sciences, deputy head of the, leading researcher of the laboratory of preventive medicine; professor of the department of emergency therapy with endocrinology and occupational pathology</p><p>175/1, Boris Bogatkov str., Novosibirsk, 630089</p><p>52, Krasny av., Novosibirsk, 630091</p></bio><email xlink:type="simple">111157@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Кручинина</surname><given-names>Э. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Kruchinina</surname><given-names>E. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Элина Владимировна Кручинина, ординатор</p><p>630091, г. Новосибирск, Красный просп., 52</p></bio><bio xml:lang="en"><p>Elina V. Kruchinina, resident</p><p>52, Krasny av., Novosibirsk, 630091</p></bio><email xlink:type="simple">elinakruch@yandex.ru</email><xref ref-type="aff" rid="aff-3"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru">Научно-исследовательский институт терапии и профилактической медицины – филиал Федерального государственного бюджетного научного учреждения «Федеральный исследовательский центр Институт цитологии и генетики Сибирского отделения Российской академии наук»; Федеральное государственное бюджетное образовательное учреждение высшего образования «Новосибирский государственный медицинский университет» Министерства здравоохранения Российской Федерации<country>Россия</country></aff><aff xml:lang="en">Research Institute of Internal and Preventive Medicine – Branch of Federal Research Center Institute of Cytology and Genetics of Siberian Branch of the Russian Academy of Sciences; Novosibirsk State Medical University<country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru">Научно-исследовательский институт терапии и профилактической медицины – филиал Федерального государственного бюджетного научного учреждения «Федеральный исследовательский центр Институт цитологии и генетики Сибирского отделения Российской академии наук»<country>Россия</country></aff><aff xml:lang="en">Research Institute of Internal and Preventive Medicine – Branch of Federal Research Center Institute of Cytology and Genetics of Siberian Branch of the Russian Academy of Sciences<country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru">Федеральное государственное бюджетное образовательное учреждение высшего образования «Новосибирский государственный медицинский университет» Министерства здравоохранения Российской Федерации<country>Россия</country></aff><aff xml:lang="en">Novosibirsk State Medical University<country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2023</year></pub-date><pub-date pub-type="epub"><day>04</day><month>04</month><year>2023</year></pub-date><volume>19</volume><issue>1</issue><fpage>35</fpage><lpage>46</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Кручинина М.В., Громов А.А., Логвиненко И.И., Кручинина Э.В., 2023</copyright-statement><copyright-year>2023</copyright-year><copyright-holder xml:lang="ru">Кручинина М.В., Громов А.А., Логвиненко И.И., Кручинина Э.В.</copyright-holder><copyright-holder xml:lang="en">Kruchinina M.V., Gromov A.A., Logvinenko I.I., Kruchinina E.V.</copyright-holder><license 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://ateroskleroz.elpub.ru/jour/article/view/888">https://ateroskleroz.elpub.ru/jour/article/view/888</self-uri><abstract><p>Цель обзора – осветить наиболее значимые изменения параметров клеток красной крови, связанные с развитием тромбозов, у пациентов с коронавирусной инфекцией. Проведен поиск с использованием ключевых слов в базах данных Scopus, Web of Science, PubMed по литературным источникам последних трех лет об изменениях показателей эритроцитов, ассоциированных с тромбозом на фоне инфекции COVID-19. Представлена информация об основных сдвигах показателей красной крови при инфицировании SARS-CoV-2, связанных с развитием тромбозов: прикрепление вируса и амплификация вирусных белков в клетках-предшественниках эритропоэза; активация стрессового эритропоэза с увеличением доли ядерных эритроцитарных клеток до 45 %; активация процессов окисления белка полосы 3 с его избыточным расщеплением, окисление и расщепление альфа-цепи спектрина, анкирина; изменения липидной архитектуры мембраны и снижение антиоксидантной активности эритроцита, что опосредуют нарушения деформируемости клеток и нарушение выcвобождения АТФ; уменьшение способности эритроцитов секретировать оксид азота; снижение уровня сфинголипидов эритроцитарной мембраны; избыточная продукция микровезикул с тканевым фактором; нарастание ригидности эритроцитов с нарушением высвобождения внутриэритроцитарного оксида азота вследствие атаки вирусом SARS-CoV-2 1-бета-цепи гемоглобина с захватом порфирина с потенциальным ингибированием гема; увеличение экспрессии на поверхности эритроцитов активированных компонентов комплемента C3b и C4d, иммуноглобулина IgG, что ухудшает деформируемость клеток; прикрепление эритроцитов через Толл-подобный рецептор 9 к нейтрофильным внеклеточным ловушкам, что способствует тромбообразованию; повышенная презентация фосфатидилхолина на мембранах эритроцитов, облегчающая сборку теназного и протромбиназного комплексов и способствующая выработке тромбина, увеличение уровня внутриклеточного кальция со стимуляцией образования микровезикул с протромботическим потенциалом; активация окислительного стресса в эритроцитах в условиях гипоксии с генерацией активных форм кислорода, аутоокислением гемоглобина. Заключение. Полученные данные свидетельствуют об активной роли эритроцитов в развитии внутрисосудистых нарушений и нарушений микроциркуляции с риском развития сердечно-сосудистых осложнений у пациентов с COVID-19. Вероятно, участие эритроцитов обусловливает формирование системной гипоксии у данных больных. Детальное изучение выявленных сдвигов дает возможность определить новые мишени для терапии и улучшения прогноза пациентов с COVID-19.</p></abstract><trans-abstract xml:lang="en"><p>The purpose of the review is to highlight the most significant changes in the parameters of red blood cells associated with the development of thrombosis in patients with coronavirus infection. A search was carried out using keywords in the databases Scopus, Web of Science, PubMed according to literary sources of the last 3 years on changes in erythrocyte indices associated with thrombosis against the background of COVID-19 infection. Information is presented on the main shifts in red blood indicators during SARS-CoV-2 infection associated with the development of thrombosis: virus attachment and amplification of viral proteins in erythropoiesis progenitor cells; activation of stress erythropoiesis with an increase in nuclear erythrocyte cell content up to 45 %; activation of band 3 protein oxidation with its excessive cleavage, oxidation and cleavage of alpha-chains of spectrin, ankyrin; changes in the lipid architecture of the membrane and a decrease in the activity of erythrocyte antioxidant activity, which mediate violations of cell deformability and impaired release of ATP; a decrease in the ability of erythrocytes to secrete nitric oxide; a decrease in the level of sphingolipids of the erythrocyte membrane; excessive production of microvesicles with tissue factor; an increase in the rigidity of erythrocytes with impaired release of intra-erythrocyte nitric oxide due to an attack by the SARS-CoV-2 virus 1-hemoglobin beta chain and porphyrin capture with potential heme inhibition; an increase in activated complement components C3b and C4d, immunoglobulin IgG expression on erythrocyte surface, which worsens cell deformability; attachment of erythrocytes through Toll-like receptor 9 to neutrophil extracellular traps, which promotes thrombosis; increased presentation of phosphatidylcholine on erythrocyte membranes, which facilitates the assembly of the tenase complex and prothrombinase complex, contributing to the production of thrombin, an increase in intracellular calcium levels with stimulation of the formation of microvesicles with prothrombotic potential; activation of oxidative stress in erythrocytes under conditions of hypoxia with generation of reactive oxygen species, hemoglobin autooxidation. Conclusions. The data obtained indicate the active role of erythrocytes in the development of intravascular disorders and microcirculation disorders with the risk of cardiovascular complications in patients with COVID-19. Probably, the involvement of red blood cells causes the development of systemic hypoxia in those patients. A detailed study of the identified shifts makes it possible to identify new targets for therapy and improve the prognosis of patients with COVID-19.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>эритроциты</kwd><kwd>внутрисосудистые нарушения</kwd><kwd>тромбозы</kwd><kwd>COVID-19</kwd></kwd-group><kwd-group xml:lang="en"><kwd>erythrocytes</kwd><kwd>intravascular disorders</kwd><kwd>thrombosis</kwd><kwd>COVID-19</kwd></kwd-group><funding-group xml:lang="ru"><funding-statement>Работа выполнена в рамках темы государственного задания «Эпидемиологический мониторинг состояния здоровья населения и изучение молекулярно-генетических и молекулярно-биологических механизмов развития распространенных терапевтических заболеваний в Сибири для совершенствования подходов к их диагностике, профилактике и лечению», рег. № 122031700094-5.</funding-statement></funding-group><funding-group xml:lang="en"><funding-statement>The work was carried out within the framework of the topic of the state task “Epidemiological monitoring of the health status of the population and the study of molecular genetic and molecular biological mechanisms of the development of common therapeutic diseases in Siberia to improve approaches to their diagnosis, prevention and treatment”, Reg. 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