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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">sibmed</journal-id><journal-title-group><journal-title xml:lang="ru">Сибирский научный медицинский журнал</journal-title><trans-title-group xml:lang="en"><trans-title>Сибирский научный медицинский журнал</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2410-2512</issn><issn pub-type="epub">2410-2520</issn><publisher><publisher-name>ИЦиГ СО РАН</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.18699/SSMJ20260301</article-id><article-id custom-type="elpub" pub-id-type="custom">sibmed-2968</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</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>REVIEWS</subject></subj-group></article-categories><title-group><article-title>Эритроцитарный транспорт газов и биологически активных соединений: роль оксида азота в его регуляции</article-title><trans-title-group xml:lang="en"><trans-title>Erythrocyte transport of gases and biologically active compounds: the role of nitric oxide in its regulation</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-1179-8938</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Лысенков</surname><given-names>С. П.</given-names></name><name name-style="western" xml:lang="en"><surname>Lysenkov</surname><given-names>S. P.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Лысенков Сергей Петрович, д.м.н., проф.</p><p>385000, г. Майкоп, ул. Первомайская, 191</p><p> </p></bio><bio xml:lang="en"><p>Sergey P. Lysenkov, doctor of medical sciences, professor</p><p>385000, Maikop, Pervomaiskaya st., 191</p></bio><email xlink:type="simple">sergeyprofff@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/0000-0002-4379-0634</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Муженя</surname><given-names>Д. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Muzhenya</surname><given-names>D. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Муженя Дмитрий Витальевич, к.б.н.</p><p>385000, г. Майкоп, ул. Первомайская, 208</p></bio><bio xml:lang="en"><p>Dmitriy V. Muzhenya, candidate of biological sciences</p><p>385000, Maikop, Pervomaiskaya, st., 208</p></bio><email xlink:type="simple">dmuzhenya@mail.ru</email><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Майкопский государственный технологический университет</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Maikop State Technological University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Адыгейский государственный университет</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Adyghe State University</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2026</year></pub-date><pub-date pub-type="epub"><day>21</day><month>07</month><year>2026</year></pub-date><volume>46</volume><issue>3</issue><fpage>4</fpage><lpage>20</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Лысенков С.П., Муженя Д.В., 2026</copyright-statement><copyright-year>2026</copyright-year><copyright-holder xml:lang="ru">Лысенков С.П., Муженя Д.В.</copyright-holder><copyright-holder xml:lang="en">Lysenkov S.P., Muzhenya D.V.</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://sibmed.elpub.ru/jour/article/view/2968">https://sibmed.elpub.ru/jour/article/view/2968</self-uri><abstract><p>Анализ многочисленных публикаций позволил систематизировать имеющиеся данные о транспорте различных соединений в микроциркуляторном русле, включая механизмы их доставки и высвобождения. Ключевую роль в регуляции морфофункциональных изменений эритроцитов и их транспортных свойств играют газотрансмиттер монооксид азотa (NO) и его производные. Под действием NO происходит цикличная цепь реакций, включающая изменение межмолекулярных взаимодействий, нитрозирование и нитрозилирование рецепторов, изменение Z-потенциала мембраны, рост сдвигового напряжения. Эти процессы способствуют «сбросу» соединений, особенно адсорбированных на мембране. Рассмотрены различные варианты межмолекулярных взаимодействий между структурами эритроцитов и транспортируемыми соединениями, включая пептиды, полипептиды, гидрофобные и гидрофильные вещества. Особое внимание уделено роли NO в регуляции связывания и высвобождения кислорода гемоглобином, а также альтернативному пути газообмена через аквапорины. Приведены данные о синтезе, транспорте и накоплении NO в эритроцитах, а также о его влиянии на регуляцию кровотока в форме NO и S-NO под действием эндогенных NO-синтаз. Важную роль в этом процессе играет белок кавеолин-1. Отмечено значение пероксинитрита как потенциального физиологического регулятора активности белков и других соединений. Подчеркивается вклад микровезикул и экзосом в транспорт веществ, а также роль ацетилхолина в регуляции проницаемости для NO. В целом, изучение механизмов транспорта эритроцитами открывает перспективы для их использования в целенаправленной доставке биологически активных веществ и лекарственных средств, а также в диагностике различных заболеваний.</p></abstract><trans-abstract xml:lang="en"><p>The analysis of numerous publications made it possible to systematize the available data on the transport of various compounds in the microcirculatory system, including the mechanisms of their delivery and release. The gas transmitter nitrogen monoxide (NO) and its derivatives play a key role in the regulation of morphological and functional changes in red blood cells and their transport properties. Under the action of NO, a cyclic chain of reactions occurs, including changes in intermolecular interactions, nitrosation and nitrosylation of receptors, changes in the Z-potential of the membrane, and an increase in shear stress. These processes contribute to the «discharge» of compounds, especially those adsorbed on the membrane. Various variants of intermolecular interactions between erythrocyte structures and transported compounds, including peptides, polypeptides, hydrophobic and hydrophylic substances, are considered. Special attention is paid to the role of NO in the regulation of oxygen binding and release by hemoglobin, as well as an alternative gas exchange pathway through aquaporins. Data on the synthesis, transport, and accumulation of NO in erythrocytes, as well as its effect on the regulation of blood flow in the form of NO and S-NO under the action of endogenous NO synthases, are presented. The protein caveolin-1 plays an important role in this process. The importance of peroxynitrite as a potential physiological regulator of the activity of proteins and other compounds is noted. The contribution of microvesicles and exosomes to the transport of substances is emphasized, as well as the role of acetylcholine in the regulation of permeability to NO. Thus, the study of the mechanisms of transport by erythrocytes opens up prospects for their use in the targeted delivery of biologically active substances and medicines, as well as in the diagnosis of various diseases.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>эритроцит</kwd><kwd>транспорт соединений</kwd><kwd>монооксид азотa</kwd><kwd>пероксинитрит</kwd><kwd>микроциркуляция</kwd><kwd>обмен газов</kwd><kwd>микровезикулы</kwd></kwd-group><kwd-group xml:lang="en"><kwd>erythrocyte</kwd><kwd>transport of compounds</kwd><kwd>nitrogen monoxide</kwd><kwd>peroxynitrite</kwd><kwd>microcirculation</kwd><kwd>gas exchange</kwd><kwd>microvesicles</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">Svetina S. Red blood cell shape and deformability in the context of the functional evolution of its membrane structure. Cell Mol. Biol. 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