发病机制
内皮功能障碍
内皮
免疫学
病毒
病毒学
甲型流感病毒
医学
生物
内科学
作者
V. А. Marchenko,I. N. Zhilinskaya
出处
期刊:Voprosy virusologii
[Central Research Institute for Epidemiology]
日期:2024-12-15
卷期号:69 (6): 465-478
标识
DOI:10.36233/0507-4088-264
摘要
Annual epidemics of influenza result in 3–5 million cases of severe illness and more than 600 000 deaths. Severe forms of influenza are usually characterized by vascular endothelial cells damage. Thus, influenza A viruses, including subtypes A(H1N1)pdm09, A(H3N2), as well as highly pathogenic avian influenza viruses, can infect the vascular endothelium, leading to activation and subsequent dysfunction of these cells. In turn, endothelial dysfunction resulting in systemic morphofunctional changes of endothelial cells, which leads to impaired vascular tone, thrombosis and other complications, and is also a risk factor and profoundly implicated in the pathogenesis of many cardiovascular diseases. Thus, endothelial dysfunction is an important aspect of the pathogenesis of severe influenza, which must be considered in the pathogenetic therapy of this infectious disease. The aim of the review is to analyze the causes and specify mechanisms of development of endothelial activation and dysfunction caused by influenza A virus.
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