Журналов:     Статей:        

Вопросы вирусологии. 2021; 66: 198-210

Экспрессия эндотелиальных факторов в клетках эндотелия человека при инфекции, вызванной вирусом гриппа А(H1N1)pdm09 (Orthomyxoviridae; Alphainfluenzavirus)

Марченко В. А., Барашкова С. В., Зелинская И. А., Торопова Я. Г., Рэмзи Э. С., Жилинская И. Н.

https://doi.org/10.36233/0507-4088-48

Аннотация

Введение. Вирус гриппа (ВГ) А (Orthomyxoviridae; Alphainfluenzavirus) способен вызывать дисфункцию эндотелия (ДЭ), апоптоз эндотелиоцитов, а также влиять на экспрессию эндотелиальных факторов, поддерживающих сосудистый гемостаз. В то же время воздействие этого патогена на характер экспрессии ключевых факторов эндотелия до настоящего времени неизвестно.

Цель исследования – выявить изменения экспрессии эндотелиальной синтазы оксида азота (NO) (eNOS) и ингибитора активатора плазминогена 1 (PAI-1, или serpin E1) в инфицированных ВГ А эндотелиоцитах. Задачи работы: изучение экспрессии указанных факторов в клетках эндотелия, инфицированных вирусом А(H1N1)pdm09; установление наличия гомологичных фрагментов в белках исследуемого патогена и эндотелиальных факторах.

Материал и методы. В экспериментах использовали клеточную линию эндотелия человека EA.hy926, которую инфицировали ВГ А/Санкт-Петербург/48/16 (H1N1)pdm09. Детекцию уровня экспрессии эндотелиальных факторов в динамике (6, 12, 18, 24, 48 и 72 ч) выполняли иммуноцитохимическим методом (ИЦХ) с помощью антител (АТ) к eNOS и PAI-1. Для количественной оценки полученного сигнала использовали программу Nis-Elements F3.2 («Nikon», Япония). Поиск гомологичных последовательностей в структуре вирусных белков и молекул eNOS и PAI-1 осуществляли путём компьютерного сравнения в них фрагментов длиной 12 а.о.

Результаты и обсуждение. Экспрессия eNOS в инфицированных клетках уменьшалась от 7,9% через 6 ч до 3,3% спустя 72 ч (контроль принят за 100%). Уровень экспрессии PAI-1 на протяжении исследования значительно варьировал: через 6 ч его показатель снижался до 49,6%, через 18 ч – возрастал до 116,3% с последующим резким падением до 18,9% спустя 24 ч. Через 48 ч и 72 ч выраженность экспрессии составляла 23,5 и 35% соответственно. В ряде белков исследуемого вируса обнаружены последовательности, гомологичные фрагментам eNOS и PAI-1.

Заключение. В ходе эксперимента с инфицированием клеток эндотелия ВГ А установлено, что вирус вызывает выраженное снижение экспрессии eNOS и модулирует экспрессию PAI-1. Описанное явление может быть использовано при дальнейшей разработке направлений патогенетической терапии сосудистых осложнений инфекции, вызываемой данным возбудителем.

Список литературы

1. Fukunaga S., Ishida C., Nakaoka A., Ito T. A case of acute kidney injury and disseminated intravascular coagulation associated with influenza B viral infection. CEN Case Rep. 2014; 4(1): 95–100. https://doi.org/10.1007/s13730-014-0147-9

2. Watanabe T., Yoshikawa H., Abe Y., Yamazaki S., Uehara Y., Abe T. Renal involvement in children with influenza A virus infection. Pediatr. Nephrol. 2003; 18(6): 541–4. https://doi.org/10.1007/s00467- 003-1143-z 3. Smeeth L., Cook C., Thomas S., Hall A.J., Hubbard R., Vallance P. Risk of deep vein thrombosis and pulmonary embolism after acute infection in a community setting. Lancet. 2006; 367(9516): 1075–9. https://doi.org/10.1016/s0140-6736(06)68474-2

3. Corrales-Medina V.F., Madjid M., Musher D.M. Role of acute infection in triggering acute coronary syndromes. Lancet Infect. Dis. 2010; 10(2): 83–92. https://doi.org/10.1016/s1473-3099(09)70331-7

4. Drexler H. Nitric oxide and coronary endothelial dysfunction in humans. Cardiovasc. Res. 1999; 43(3): 572–9. https://doi.org/10.1016/ s0008-6363(99)00152-2

5. Ludwig A., Lucero-Obusan C., Schirmer P., Winston C., Holodniy M. Acute cardiac injury events ≤30 days after laboratory-confirmed influenza virus infection among U.S. veterans, 2010–2012. BMC Cardiovasc. Disord. 2015; 15: 109. https://doi.org/10.1186/s12872- 015-0095-0

6. Kwong J.C., Schwartz K.L., Campitelli M.A., Chung H., Crowcroft N.S., Karnauchow T., et al. Acute myocardial infarction after laboratory-confirmed influenza infection. N. Engl. J. Med. 2018; 378(4): 345–53. https://doi.org/10.1056/nejmoa1702090

7. Barnes M., Heywood A.E., Mahimbo A., Rahman B., Newall A.T., Macintyre C.R. Acute myocardial infarction and influenza: a meta-analysis of case–control studies. Heart. 2015; 101(21): 1738–47. https://doi.org/10.1136/heartjnl-2015-307691

8. Warren-Gash C., Smeeth L., Hayward A.C. Influenza as a trigger for acute myocardial infarction or death from cardiovascular disease: a systematic review. Lancet Infect. Dis. 2009; 9(10): 601–10. https://doi.org/10.1016/s1473-3099(09)70233-6

9. Fagnoul D., Pasquier P., Bodson L., Ortiz J.A., Vincent J.L., De Backer D. Myocardial dysfunction during H1N1 influenza infection. J. Crit. Care. 2013; 28(4): 321–7. https://doi.org/10.1016/j. jcrc.2013.01.010

10. Tseng G.S., Hsieh C.Y., Hsu C.T., Lin J.C., Chan J.S. Myopericarditis and exertional rhabdomyolysis following an influenza A (H3N2) infection. BMC Infect. Dis. 2013; 13: 283. https://doi. org/10.1186/1471-2334-13-283

11. Lobo M.L., Taguchi ., Gaspar H.A., Ferranti J.F., de Carvalho W.B., Delgado A.F. Fulminant myocarditis associated with the H1N1 influenza virus: case report and literature review. Rev. Bras. Ter. Intensiva. 2014; 26(3): 321–6. https://doi.org/10.5935/0103-507x.20140046

12. Lubrano V., Balzan S. Roles of LOX-1 in microvascular dysfunction. Microvasc. Res. 2016; 105: 132–140. https://doi.org/10.1016/j. mvr.2016.02.006

13. Kwok C.S., Aslam S., Kontopantelis E., Myint P.K., Zaman M.J., Buchan I., et al. Influenza, influenza-like symptoms and their association with cardiovascular risks: a systematic review and meta-analysis of observational studies. Int. J. Clin. Pract. 2015; 69(9): 928–37. https://doi.org/10.1111/ijcp.12646

14. Gliozzi M., Scicchitano M., Bosco F., Musolino V., Carresi C., Scarano F., et al. Modulation of nitric oxide synthases by oxidized LDLs: role in vascular inflammation and atherosclerosis development. Int. J. Mol. Sci. 2019; 20(13): 3294. https://doi.org/10.3390/ ijms20133294

15. Sessa W.C. eNOS at a glance. J. Cell. Sci. 2004; 117(Pt. 12): 2427– 9. https://doi.org/10.1242/jcs.01165

16. Naseem K.M. The role of nitric oxide in cardiovascular diseases. Mol. Aspects. Med. 2005; 26(1-2): 33–65. https://doi.org/10.1016/j. mam.2004.09.003

17. Kubes P., Suzuki M., Granger D.N. Nitric oxide: an endogenous modulator of leukocyte adhesion. Proc. Natl. Acad. Sci. USA. 1991; 88(11): 4651–5. https://doi.org/10.1073/pnas.88.11.4651

18. Ghosh A.K., Vaughan D.E. PAI-1 in tissue fibrosis. J. Cell. Physiol. 2012; 227(2): 493–507. https://doi.org/10.1002/jcp.22783

19. Марченко В.А., Барашкова С.В., Зелинская И.А., Торопова Я.Г., Сорокин Е.В., Жилинская И.Н. Моделирование гриппозной инфекции у половозрелых крыс стока Wistar. Вопросы вирусологии. 2020; 65(3): 159–66. https://doi.org/10.36233/0507-4088- 2020-65-3-159-166

20. Burry R.W. Immunocytochemistry: a Practical Guide for Biomedical Research. New York: Springer; 2010.

21. Taylor C.R., Levenson R.M. Quantification of immunohistochemistry-issues concerning methods, utility and semiquantitative assessment II. Histopathology. 2006; 49(4): 411–24. https://doi. org/10.1111/j.1365-2559.2006.02513.x

22. Heiss C., Rodriguez-Mateos A., Kelm M. Central role of eNOS in the maintenance of endothelial homeostasis. Antioxid. Redox Signal. 2015; 22(14): 1230–42. https://doi.org/10.1089/ars.2014.6158

23. Lobo S.M., Watanabe A.S.A., Salomão M.L.M., Queiroz F., Gandolfi J.V., de Oliveira N.E., et al. Excess mortality is associated with influenza A (H1N1) in patients with severe acute respiratory illness. J. Clin. Virol. 2019; 116: 62–8. https://doi.org/10.1016/j.jcv.2019.05.003

24. Petrache I., Birukov K., Zaiman A.L., Crow M.T., Deng H., Wadgaonkar R., et al. Caspase dependent cleavage of myosin light chain kinase (MLCK) is involved om TNF-alpha-mediated bovine pulmonary endothelial cell apoptosis. FASEB J. 2003; 17(3): 407–16. https://doi.org/10.1096/fj.02-0672com

25. Petrache I., Crow M.T., Neuss M., Garcia J.G. Central involvement of Rho family GTPases in TNF-alpha mediated bovine pulmonary endothelial cell apoptosis. Biochem. Biophys. Res. Commun. 2003; 306(1): 244–9. https://doi.org/10.1016/s0006-291x(03)00945-8

26. Digard P., Elton D., Bishop K., Medcalf E., Weeds A., Pope B. Modulation of nuclear localization of the influenza virus nucleoprotein through interaction with actin filaments. J. Virol. 1999; 73(3): 2222–31. https://doi.org/10.1128/jvi.73.3.2222-2231.1999

27. Wang S., Le T.Q., Kurihara N., Chida J., Cisse Y., Yano M., et al. Influenza virus-cytokine-protease cycle in the pathogenesis of vascular hyperpermeability in severe influenza. J. Infect. Dis. 2010; 202(7): 991–1001. https://doi.org/10.1086/656044

28. Азарёнок А.А., Ляпина Л.А., Оберган Т.Ю., Харченко Е.П., Козлова Н.М., Жилинская И.Н. Изменение активности тканевого активатора плазминогена клеток эндотелия под воздействием вируса гриппа А и его поверхностных белков. Тромбоз, гемостаз, реология. 2014; (1): 3–8.

29. Förstermann U., Sessa W.C. Nitric oxide synthases: regulation and function. Eur. Heart. J. 2012; 33(7): 829–37. https://doi. org/10.1093/eurheartj/ehr304

30. Lubrano V., Balzan S. LOX-1 and ROS, inseparable factors in the process of endothelial damage. Free Radic. Res. 2014; 48(8): 841– 8. https://doi.org/10.3109/10715762.2014.929122

31. Pirillo A., Norata G.D., Catapano A.L. LOX-1, OxLDL, and atherosclerosis. Mediators Inflamm. 2013; 2013: 152786. https://doi. org/10.1155/2013/152786

32. Pritchard K.A. Jr., Ackerman A.W., Gross E.R., Stepp D.W., Shi Y., Fontana J.T., et al. Heat shock protein 90 mediates the balance of nitric oxide and superoxide anion from endothelial nitric-oxide synthase. J. Biol. Chem. 2001; 276(21): 17621–4. https://doi. org/10.1074/jbc.c100084200

33. Moncada S., Palmer R.M., Higgs E.A. Nitric oxide: physiology, pathophysiology, pharmacology. Pharm. Rev. 1991; 43(2): 109–42.

34. Ahmad R., Rasheed Z., Ahsan H. Biochemical and cellular toxicology of peroxynitrite: implications in cell death and autoimmune phenomenon. Immunopharmacol. Immunotoxicol. 2009; 31(3): 388–96. https://doi.org/10.1080/08923970802709197

35. Natarajan M., Konopinski R., Krishnan M., Roman L., Bera A., Hongying Z., et al. Inhibitor-κB kinase attenuates Hsp90-dependent endothelial nitric oxide synthase function in vascular endothelial cells. Am. J. Physiol. Cell Physiol. 2015; 308(8): 673–83. https:// doi.org/10.1152/ajpcell.00367.2014

36. Yasar Yildiz S., Kuru P., Toksoy Oner E., Agirbasli M. Functional stability of plasminogen activator inhibitor-1. Scientific World Journal. 2014; 2014: 858293. https://doi.org/10.1155/2014/858293

37. Gando S., Levi M., Toh C. Disseminated intravascular coagulation. Nat. Rev. Dis. Primers. 2016; 2: 16037. https://doi.org/10.1038/ nrdp.2016.37

38. Hallberg P., Smedje H., Eriksson N., Kohnke H., Daniilidou M., Öhman I., et al. Pandemrix-induced narcolepsy is associated with genes related to immunity and neuronal survival. EBioMedicine. 2019; 40: 595–604. https://doi.org/10.1016/j.ebiom.2019.01.041

Problems of Virology. 2021; 66: 198-210

Modulation of endothelial factors activity in human endothelial cells in influenza A(H1N1)pdm09 virus infection

Marchenko V. A., Barashkova S. V., Zelinskaya I. A., Toropova Ya. G., Ramsay E. S., Zhilinskaya I. N.

https://doi.org/10.36233/0507-4088-48

Abstract

Introduction. Influenza A virus infection can lead to endothelial dysfunction (ED), including apoptosis of endothelial cells and modulation of endothelial factor activities. Affected biochemical factors may include those playing important roles in vascular homeostasis. However, the effect of this pathogen on the expression pattern of key endothelial factors is still unknown.

The aim of this work was to study the expression of endothelial nitric oxide synthase (eNOS) and plasminogen activator inhibitor-1 (PAI-1, serpin E1) in the EA.hy926 endothelial cells. Research objectives: to assess expression of eNOS and PAI-1 in endothelial cells infected with influenza virus A(H1N1)pdm09, and to identify homologous fragments in structure of viral proteins and endothelial factors.

Material and methods. Cells were infected with influenza virus A/St. Petersburg/48/16 (H1N1)pdm09 and analyzed in dynamics in 6, 12, 18, 24, 48, and 72 hrs post infection (hpi). Detection of endothelial factors expression levels was performed by immunocytochemical method (ICC) using antibodies for eNOS and PAI-1 while quantitative assessment of expression levels was carried out by program Nis-Elements F3.2 («Nikon», Japan). The search for homologous sequences between viral proteins and eNOS and PAI-1 was performed by computer comparison. Sequences were analyzed as fragments 12 amino acid residues (aar) in length.

Results and discussion. eNOS expression in infected cells had decreased to 7.9% by 6 hpi (control was taken as 100%) to 3.3% at 72 hpi. PAI-1 expression varied significantly over the course of the experiment: by 6 hpi it had decreased to 49.6%, and to 43.2% by 12 hpi. Later PAI-1 levels were: 116.3% (18 hpi); 18.9% (24 hpi); 23.5% (48 hpi), and 35% (72 hpi).

Conclusion. These results indicate that influenza A infection of endothelial cells causes a significant decrease in eNOS expression, while modulating PAI-1 one. The described phenomenon can be used in the further development of directions of pathogenetic therapy of vascular complications of infection caused by this pathogen.

References

1. Fukunaga S., Ishida C., Nakaoka A., Ito T. A case of acute kidney injury and disseminated intravascular coagulation associated with influenza B viral infection. CEN Case Rep. 2014; 4(1): 95–100. https://doi.org/10.1007/s13730-014-0147-9

2. Watanabe T., Yoshikawa H., Abe Y., Yamazaki S., Uehara Y., Abe T. Renal involvement in children with influenza A virus infection. Pediatr. Nephrol. 2003; 18(6): 541–4. https://doi.org/10.1007/s00467- 003-1143-z 3. Smeeth L., Cook C., Thomas S., Hall A.J., Hubbard R., Vallance P. Risk of deep vein thrombosis and pulmonary embolism after acute infection in a community setting. Lancet. 2006; 367(9516): 1075–9. https://doi.org/10.1016/s0140-6736(06)68474-2

3. Corrales-Medina V.F., Madjid M., Musher D.M. Role of acute infection in triggering acute coronary syndromes. Lancet Infect. Dis. 2010; 10(2): 83–92. https://doi.org/10.1016/s1473-3099(09)70331-7

4. Drexler H. Nitric oxide and coronary endothelial dysfunction in humans. Cardiovasc. Res. 1999; 43(3): 572–9. https://doi.org/10.1016/ s0008-6363(99)00152-2

5. Ludwig A., Lucero-Obusan C., Schirmer P., Winston C., Holodniy M. Acute cardiac injury events ≤30 days after laboratory-confirmed influenza virus infection among U.S. veterans, 2010–2012. BMC Cardiovasc. Disord. 2015; 15: 109. https://doi.org/10.1186/s12872- 015-0095-0

6. Kwong J.C., Schwartz K.L., Campitelli M.A., Chung H., Crowcroft N.S., Karnauchow T., et al. Acute myocardial infarction after laboratory-confirmed influenza infection. N. Engl. J. Med. 2018; 378(4): 345–53. https://doi.org/10.1056/nejmoa1702090

7. Barnes M., Heywood A.E., Mahimbo A., Rahman B., Newall A.T., Macintyre C.R. Acute myocardial infarction and influenza: a meta-analysis of case–control studies. Heart. 2015; 101(21): 1738–47. https://doi.org/10.1136/heartjnl-2015-307691

8. Warren-Gash C., Smeeth L., Hayward A.C. Influenza as a trigger for acute myocardial infarction or death from cardiovascular disease: a systematic review. Lancet Infect. Dis. 2009; 9(10): 601–10. https://doi.org/10.1016/s1473-3099(09)70233-6

9. Fagnoul D., Pasquier P., Bodson L., Ortiz J.A., Vincent J.L., De Backer D. Myocardial dysfunction during H1N1 influenza infection. J. Crit. Care. 2013; 28(4): 321–7. https://doi.org/10.1016/j. jcrc.2013.01.010

10. Tseng G.S., Hsieh C.Y., Hsu C.T., Lin J.C., Chan J.S. Myopericarditis and exertional rhabdomyolysis following an influenza A (H3N2) infection. BMC Infect. Dis. 2013; 13: 283. https://doi. org/10.1186/1471-2334-13-283

11. Lobo M.L., Taguchi ., Gaspar H.A., Ferranti J.F., de Carvalho W.B., Delgado A.F. Fulminant myocarditis associated with the H1N1 influenza virus: case report and literature review. Rev. Bras. Ter. Intensiva. 2014; 26(3): 321–6. https://doi.org/10.5935/0103-507x.20140046

12. Lubrano V., Balzan S. Roles of LOX-1 in microvascular dysfunction. Microvasc. Res. 2016; 105: 132–140. https://doi.org/10.1016/j. mvr.2016.02.006

13. Kwok C.S., Aslam S., Kontopantelis E., Myint P.K., Zaman M.J., Buchan I., et al. Influenza, influenza-like symptoms and their association with cardiovascular risks: a systematic review and meta-analysis of observational studies. Int. J. Clin. Pract. 2015; 69(9): 928–37. https://doi.org/10.1111/ijcp.12646

14. Gliozzi M., Scicchitano M., Bosco F., Musolino V., Carresi C., Scarano F., et al. Modulation of nitric oxide synthases by oxidized LDLs: role in vascular inflammation and atherosclerosis development. Int. J. Mol. Sci. 2019; 20(13): 3294. https://doi.org/10.3390/ ijms20133294

15. Sessa W.C. eNOS at a glance. J. Cell. Sci. 2004; 117(Pt. 12): 2427– 9. https://doi.org/10.1242/jcs.01165

16. Naseem K.M. The role of nitric oxide in cardiovascular diseases. Mol. Aspects. Med. 2005; 26(1-2): 33–65. https://doi.org/10.1016/j. mam.2004.09.003

17. Kubes P., Suzuki M., Granger D.N. Nitric oxide: an endogenous modulator of leukocyte adhesion. Proc. Natl. Acad. Sci. USA. 1991; 88(11): 4651–5. https://doi.org/10.1073/pnas.88.11.4651

18. Ghosh A.K., Vaughan D.E. PAI-1 in tissue fibrosis. J. Cell. Physiol. 2012; 227(2): 493–507. https://doi.org/10.1002/jcp.22783

19. Marchenko V.A., Barashkova S.V., Zelinskaya I.A., Toropova Ya.G., Sorokin E.V., Zhilinskaya I.N. Modelirovanie grippoznoi infektsii u polovozrelykh krys stoka Wistar. Voprosy virusologii. 2020; 65(3): 159–66. https://doi.org/10.36233/0507-4088- 2020-65-3-159-166

20. Burry R.W. Immunocytochemistry: a Practical Guide for Biomedical Research. New York: Springer; 2010.

21. Taylor C.R., Levenson R.M. Quantification of immunohistochemistry-issues concerning methods, utility and semiquantitative assessment II. Histopathology. 2006; 49(4): 411–24. https://doi. org/10.1111/j.1365-2559.2006.02513.x

22. Heiss C., Rodriguez-Mateos A., Kelm M. Central role of eNOS in the maintenance of endothelial homeostasis. Antioxid. Redox Signal. 2015; 22(14): 1230–42. https://doi.org/10.1089/ars.2014.6158

23. Lobo S.M., Watanabe A.S.A., Salomão M.L.M., Queiroz F., Gandolfi J.V., de Oliveira N.E., et al. Excess mortality is associated with influenza A (H1N1) in patients with severe acute respiratory illness. J. Clin. Virol. 2019; 116: 62–8. https://doi.org/10.1016/j.jcv.2019.05.003

24. Petrache I., Birukov K., Zaiman A.L., Crow M.T., Deng H., Wadgaonkar R., et al. Caspase dependent cleavage of myosin light chain kinase (MLCK) is involved om TNF-alpha-mediated bovine pulmonary endothelial cell apoptosis. FASEB J. 2003; 17(3): 407–16. https://doi.org/10.1096/fj.02-0672com

25. Petrache I., Crow M.T., Neuss M., Garcia J.G. Central involvement of Rho family GTPases in TNF-alpha mediated bovine pulmonary endothelial cell apoptosis. Biochem. Biophys. Res. Commun. 2003; 306(1): 244–9. https://doi.org/10.1016/s0006-291x(03)00945-8

26. Digard P., Elton D., Bishop K., Medcalf E., Weeds A., Pope B. Modulation of nuclear localization of the influenza virus nucleoprotein through interaction with actin filaments. J. Virol. 1999; 73(3): 2222–31. https://doi.org/10.1128/jvi.73.3.2222-2231.1999

27. Wang S., Le T.Q., Kurihara N., Chida J., Cisse Y., Yano M., et al. Influenza virus-cytokine-protease cycle in the pathogenesis of vascular hyperpermeability in severe influenza. J. Infect. Dis. 2010; 202(7): 991–1001. https://doi.org/10.1086/656044

28. Azarenok A.A., Lyapina L.A., Obergan T.Yu., Kharchenko E.P., Kozlova N.M., Zhilinskaya I.N. Izmenenie aktivnosti tkanevogo aktivatora plazminogena kletok endoteliya pod vozdeistviem virusa grippa A i ego poverkhnostnykh belkov. Tromboz, gemostaz, reologiya. 2014; (1): 3–8.

29. Förstermann U., Sessa W.C. Nitric oxide synthases: regulation and function. Eur. Heart. J. 2012; 33(7): 829–37. https://doi. org/10.1093/eurheartj/ehr304

30. Lubrano V., Balzan S. LOX-1 and ROS, inseparable factors in the process of endothelial damage. Free Radic. Res. 2014; 48(8): 841– 8. https://doi.org/10.3109/10715762.2014.929122

31. Pirillo A., Norata G.D., Catapano A.L. LOX-1, OxLDL, and atherosclerosis. Mediators Inflamm. 2013; 2013: 152786. https://doi. org/10.1155/2013/152786

32. Pritchard K.A. Jr., Ackerman A.W., Gross E.R., Stepp D.W., Shi Y., Fontana J.T., et al. Heat shock protein 90 mediates the balance of nitric oxide and superoxide anion from endothelial nitric-oxide synthase. J. Biol. Chem. 2001; 276(21): 17621–4. https://doi. org/10.1074/jbc.c100084200

33. Moncada S., Palmer R.M., Higgs E.A. Nitric oxide: physiology, pathophysiology, pharmacology. Pharm. Rev. 1991; 43(2): 109–42.

34. Ahmad R., Rasheed Z., Ahsan H. Biochemical and cellular toxicology of peroxynitrite: implications in cell death and autoimmune phenomenon. Immunopharmacol. Immunotoxicol. 2009; 31(3): 388–96. https://doi.org/10.1080/08923970802709197

35. Natarajan M., Konopinski R., Krishnan M., Roman L., Bera A., Hongying Z., et al. Inhibitor-κB kinase attenuates Hsp90-dependent endothelial nitric oxide synthase function in vascular endothelial cells. Am. J. Physiol. Cell Physiol. 2015; 308(8): 673–83. https:// doi.org/10.1152/ajpcell.00367.2014

36. Yasar Yildiz S., Kuru P., Toksoy Oner E., Agirbasli M. Functional stability of plasminogen activator inhibitor-1. Scientific World Journal. 2014; 2014: 858293. https://doi.org/10.1155/2014/858293

37. Gando S., Levi M., Toh C. Disseminated intravascular coagulation. Nat. Rev. Dis. Primers. 2016; 2: 16037. https://doi.org/10.1038/ nrdp.2016.37

38. Hallberg P., Smedje H., Eriksson N., Kohnke H., Daniilidou M., Öhman I., et al. Pandemrix-induced narcolepsy is associated with genes related to immunity and neuronal survival. EBioMedicine. 2019; 40: 595–604. https://doi.org/10.1016/j.ebiom.2019.01.041