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<article 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" xmlns:ali="http://www.niso.org/schemas/ali/1.0/" article-type="research-article" dtd-version="1.2" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">Acta Naturae</journal-id><journal-title-group><journal-title xml:lang="en">Acta Naturae</journal-title><trans-title-group xml:lang="ru"><trans-title>Acta Naturae</trans-title></trans-title-group></journal-title-group><issn publication-format="print">2075-8251</issn><publisher><publisher-name xml:lang="en">Acta Naturae Ltd</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">27610</article-id><article-id pub-id-type="doi">10.32607/actanaturae.27610</article-id><article-categories><subj-group subj-group-type="toc-heading" xml:lang="en"><subject>Research Articles</subject></subj-group><subj-group subj-group-type="toc-heading" xml:lang="ru"><subject>Экспериментальные статьи</subject></subj-group><subj-group subj-group-type="article-type"><subject>Research Article</subject></subj-group></article-categories><title-group><article-title xml:lang="en">Identifying microRNA expression alterations in erythrocytes, lymphocytes, and monocytes during severe COVID-19</article-title><trans-title-group xml:lang="ru"><trans-title>Изменения экспрессии микроРНК в эритроцитах, лимфоцитах и моноцитах при тяжелом течении COVID-19</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Artamonov</surname><given-names>A. A.</given-names></name><name xml:lang="ru"><surname>Артамонов</surname><given-names>А. А.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>kondratovk.kirill@yandex.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Nikitin</surname><given-names>Yu. V.</given-names></name><name xml:lang="ru"><surname>Никитин</surname><given-names>Ю. В.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>kondratovk.kirill@yandex.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Velmiskina</surname><given-names>A. A.</given-names></name><name xml:lang="ru"><surname>Вельмискина</surname><given-names>А. А.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>kondratovk.kirill@yandex.ru</email><xref ref-type="aff" rid="aff2"/><xref ref-type="aff" rid="aff3"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Mosenko</surname><given-names>S. V.</given-names></name><name xml:lang="ru"><surname>Мосенко</surname><given-names>С. В.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>kondratovk.kirill@yandex.ru</email><xref ref-type="aff" rid="aff2"/><xref ref-type="aff" rid="aff3"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Shimansky</surname><given-names>V. S.</given-names></name><name xml:lang="ru"><surname>Шиманский</surname><given-names>В. С.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>kondratovk.kirill@yandex.ru</email><xref ref-type="aff" rid="aff2"/><xref ref-type="aff" rid="aff3"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Asinovskaya</surname><given-names>A. Yu.</given-names></name><name xml:lang="ru"><surname>Асиновская</surname><given-names>А. Ю.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>kondratovk.kirill@yandex.ru</email><xref ref-type="aff" rid="aff2"/><xref ref-type="aff" rid="aff3"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Apalko</surname><given-names>S. V.</given-names></name><name xml:lang="ru"><surname>Апалько</surname><given-names>С. В.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>kondratovk.kirill@yandex.ru</email><xref ref-type="aff" rid="aff2"/><xref ref-type="aff" rid="aff3"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Sushentseva</surname><given-names>N. N.</given-names></name><name xml:lang="ru"><surname>Сушенцева</surname><given-names>Н. Н.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>kondratovk.kirill@yandex.ru</email><xref ref-type="aff" rid="aff2"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Ivanov</surname><given-names>A. M.</given-names></name><name xml:lang="ru"><surname>Иванов</surname><given-names>А. М.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>kondratovk.kirill@yandex.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Scherbak</surname><given-names>S. G.</given-names></name><name xml:lang="ru"><surname>Щербак</surname><given-names>С. Г.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>kondratovk.kirill@yandex.ru</email><xref ref-type="aff" rid="aff2"/><xref ref-type="aff" rid="aff3"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Kondratov</surname><given-names>K. A.</given-names></name><name xml:lang="ru"><surname>Кондратов</surname><given-names>К. А.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>kondratovk.kirill@yandex.ru</email><xref ref-type="aff" rid="aff1"/><xref ref-type="aff" rid="aff2"/><xref ref-type="aff" rid="aff3"/></contrib></contrib-group><aff-alternatives id="aff1"><aff><institution xml:lang="en">S. M. Kirov Military Medical Academy</institution></aff><aff><institution xml:lang="ru">Военно-медицинская академия им. С. М. Кирова</institution></aff></aff-alternatives><aff-alternatives id="aff2"><aff><institution xml:lang="en">City Hospital No. 40, St. Petersburg</institution></aff><aff><institution xml:lang="ru">Городская больница № 40, Санкт-Петербург</institution></aff></aff-alternatives><aff-alternatives id="aff3"><aff><institution xml:lang="en">St. Petersburg State University</institution></aff><aff><institution xml:lang="ru">Санкт-Петербургский государственный университет</institution></aff></aff-alternatives><pub-date date-type="pub" iso-8601-date="2026-04-22" publication-format="electronic"><day>22</day><month>04</month><year>2026</year></pub-date><volume>18</volume><issue>1</issue><issue-title xml:lang="en"/><issue-title xml:lang="ru"/><fpage>24</fpage><lpage>35</lpage><history><date date-type="received" iso-8601-date="2025-01-03"><day>03</day><month>01</month><year>2025</year></date><date date-type="accepted" iso-8601-date="2026-02-02"><day>02</day><month>02</month><year>2026</year></date></history><permissions><copyright-statement xml:lang="en">Copyright ©; 2026, Artamonov A.A., Nikitin Y.V., Velmiskina A.A., Mosenko S.V., Shimansky V.S., Asinovskaya A.Y., Apalko S.V., Sushentseva N.N., Ivanov A.M., Scherbak S.G., Kondratov K.A.</copyright-statement><copyright-statement xml:lang="ru">Copyright ©; 2026, Артамонов А.А., Никитин Ю.В., Вельмискина А.А., Мосенко С.В., Шиманский В.С., Асиновская А.Ю., Апалько С.В., Сушенцева Н.Н., Иванов А.М., Щербак С.Г., Кондратов К.А.</copyright-statement><copyright-year>2026</copyright-year><copyright-holder xml:lang="en">Artamonov A.A., Nikitin Y.V., Velmiskina A.A., Mosenko S.V., Shimansky V.S., Asinovskaya A.Y., Apalko S.V., Sushentseva N.N., Ivanov A.M., Scherbak S.G., Kondratov K.A.</copyright-holder><copyright-holder xml:lang="ru">Артамонов А.А., Никитин Ю.В., Вельмискина А.А., Мосенко С.В., Шиманский В.С., Асиновская А.Ю., Апалько С.В., Сушенцева Н.Н., Иванов А.М., Щербак С.Г., Кондратов К.А.</copyright-holder><ali:free_to_read xmlns:ali="http://www.niso.org/schemas/ali/1.0/"/><license><ali:license_ref xmlns:ali="http://www.niso.org/schemas/ali/1.0/">https://creativecommons.org/licenses/by/4.0</ali:license_ref></license></permissions><self-uri xlink:href="https://actanaturae.ru/2075-8251/article/view/27610">https://actanaturae.ru/2075-8251/article/view/27610</self-uri><abstract xml:lang="en"><p>A significant portion of the fatal outcomes during COVID-19 have been traced mainly to cytokine storm, the uncontrolled hyperactivation of the immune system. During a SARS-CoV-2 infection, the blood plasma levels of microRNAs (miRNAs), a class of short regulatory RNAs, get significantly changed. However, it still remains unknown how the levels and characteristics of these molecules are altered in various blood cells during severe COVID-19. The aim of this research was to compare the microRNA levels in erythrocytes, monocytes, and lymphocytes in normal blood cells and those in patients with severe COVID-19-induced by cytokine storm. Erythrocytes and monocytes (five healthy donors and five patients with severe COVID-19) and lymphocytes (four healthy donors and four patients with severe COVID-19) were obtained by fluorescence-activated cell sorting. RNA was isolated from the obtained cells, and next-generation short RNA sequencing was performed. Both the known miRNAs and the novel miRNAs whose expression had changed in severe COVID-19 were analyzed and identified. In the erythrocytes, seven miRNAs had changed expressions (five downregulated; two upregulated); all 13 miRNAs were upregulated in lymphocytes; in monocytes, 11 miRNAs were downregulated and three miRNAs were upregulated. An analysis of the novel miRNAs showed that three, previously unknown miRNAs, were downregulated in lymphocytes and one was upregulated. In monocytes and erythrocytes, no novel, differentially expressed miRNAs were detected. Additionally, we analyzed the signaling pathways altered by miRNAs by performing a miRNA enrichment analysis (MIEAA) using the Gene Ontology miRNA target database (miRTarBase). We observed that in lymphocytes, four pathways were significantly (Q-value &lt; 0.05) enriched and 339 were depleted; in monocytes, 118 pathways were enriched and six were depleted. No significantly altered signaling pathways were detected in erythrocytes.</p></abstract><trans-abstract xml:lang="ru"><p>Существенная часть летальных исходов при тяжелом течении COVID-19 обусловлена неконтролируемой гиперактивацией иммунной системы – цитокиновым штормом. При инфекции SARS-CoV-2 в плазме крови изменяются также уровни одного из классов микроРНК – коротких регуляторных РНК. Однако недостаточно хорошо изучено изменение уровней этих молекул в различных клетках крови при тяжелом течении COVID-19. В представленной работе сравнивали уровни микроРНК в эритроцитах, моноцитах и лимфоцитах в норме и у пациентов с тяжелым COVID-19. Эритроциты и моноциты (пять здоровых доноров и пять пациентов с тяжелым COVID-19), а также лимфоциты (четыре здоровых донора и четыре пациента с тяжелым COVID-19) были получены методом FACS (сортировка клеток с активированной флуоресценцией). Из полученных клеток выделяли РНК и проводили высокопроизводительное секвенирование малых РНК. Были проанализированы и идентифицированы как известные, так и новые микроРНК, экспрессия которых достоверно изменялась при тяжелом COVID-19. В эритроцитах обнаружено изменение экспрессии семи микроРНК (снижение пяти и повышение – двух); в лимфоцитах найдено 13 микроРНК, уровни экспрессии которых достоверно изменялись, причем у всех они были повышены, в моноцитах экспрессия 11 микроРНК была подавлена, а трех активирована. Анализ новых (ранее неизвестных) микроРНК показал снижение экспрессии трех ранее неизвестных микроРНК в лимфоцитах и повышение одной. В моноцитах и эритроцитах новые дифференциально экспрессируемые микроРНК не обнаружены. Дополнительно анализировали сигнальные пути, микроРНК с измененной экспрессией, используя с этой целью анализ обогащения микроРНК (miEAA) и базы данных мишеней микроРНК Gene Ontology (miRTarBase). В лимфоцитах выявили четыре достоверно обогащенных пути (Q-value &lt; 0.05) и 339 обедненных, тогда как в моноцитах 118 путей были обогащены, а шесть обеднены. В эритроцитах достоверно измененных сигнальных путей не обнаружено.</p></trans-abstract><kwd-group xml:lang="en"><kwd>miRNA</kwd><kwd>severe COVID-19</kwd><kwd>erythrocytes</kwd><kwd>monocytes</kwd><kwd>lymphocytes</kwd><kwd>sRNA</kwd><kwd>NGS</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>микроРНК</kwd><kwd>тяжелое течение COVID-19</kwd><kwd>эритроциты</kwd><kwd>моноциты</kwd><kwd>лимфоциты</kwd><kwd>малые РНК</kwd><kwd>NGS</kwd></kwd-group><funding-group><award-group><funding-source><institution-wrap><institution xml:lang="en">St. Petersburg State University</institution></institution-wrap><institution-wrap><institution xml:lang="ru">Санкт-Петербургский государственный университет</institution></institution-wrap></funding-source><award-id>95412780</award-id></award-group><funding-statement xml:lang="en">This work was supported by St. Petersburg State University (project ID: 95412780).</funding-statement><funding-statement xml:lang="ru">Работа выполнена при поддержке гранта СПбГУ ID: 95412780.</funding-statement></funding-group></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><mixed-citation>Artamonov AA, Kondratov KA, Bystritsky EA, et al. 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