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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">microcirculation</journal-id><journal-title-group><journal-title xml:lang="ru">Регионарное кровообращение и микроциркуляция</journal-title><trans-title-group xml:lang="en"><trans-title>Regional blood circulation and microcirculation</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1682-6655</issn><issn pub-type="epub">2712-9756</issn><publisher><publisher-name>Academician I.P. Pavlov First St. Petersburg State Medical University</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.24884/1682-6655-2017-16-4-73-79</article-id><article-id custom-type="elpub" pub-id-type="custom">microcirculation-141</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>ОРИГИНАЛЬНЫЕ СТАТЬИ (КЛИНИЧЕСКИЕ ИССЛЕДОВАНИЯ)</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>ORIGINAL ARTICLES (CLINICAL INVESTIGATIONS)</subject></subj-group></article-categories><title-group><article-title>Глюкокортикоиды стимулируют сократительную активность лимфатических сосудов и узлов</article-title><trans-title-group xml:lang="en"><trans-title>Glucocorticoids stimulate the contractile activity of lymphatic vessels and lymph nodes</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Лобов</surname><given-names>Г. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Lobov</surname><given-names>G. I.</given-names></name></name-alternatives><email xlink:type="simple">gilobov@yandex.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>Унт</surname><given-names>Д. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Unt</surname><given-names>D. V.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Федеральное государственное бюджетное учреждение науки «Институт физиологии им. И. П. Павлова» РАН</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Pavlov Institute of Physiology of Russian Academy of Sciences</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2017</year></pub-date><pub-date pub-type="epub"><day>30</day><month>12</month><year>2017</year></pub-date><volume>16</volume><issue>4</issue><fpage>73</fpage><lpage>79</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Лобов Г.И., Унт Д.В., 2017</copyright-statement><copyright-year>2017</copyright-year><copyright-holder xml:lang="ru">Лобов Г.И., Унт Д.В.</copyright-holder><copyright-holder xml:lang="en">Lobov G.I., Unt 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://www.microcirc.ru/jour/article/view/141">https://www.microcirc.ru/jour/article/view/141</self-uri><abstract><p>Введение. Лимфатическая сеть участвует в запуске и развитии иммунного ответа. С иммунологической точки зрения, лимфоток, обеспечиваемый за счет активных сокращений лимфатических сосудов (ЛС), является процессом доставки антигенов и антигенпрезентирующих клеток в лимфатические узлы (ЛУ). Данное исследование было проведено с целью изучения негеномных эффектов и механизмов действия глюкокортикоидов (ГК), являющихся естественными иммуномодуляторами, на транспортную функцию ЛС и ЛУ. Материал и методы. Для исследования использовали брыжеечные афферентные ЛС диаметром 1,2-1,5 мм и ЛУ быков. Исследовали параметры сократительной активности изолированных ЛС и капсулы ЛУ при действии ГК in vitro. Использовали агонисты и антагонисты сигнальных путей для определения механизмов действия ГК на гладкомышечные клетки (ГМК). Результаты исследования. ГК в терапевтических концентрациях приводили к повышению тонуса ЛС и ЛУ, увеличению частоты и снижению амплитуды фазных сокращений. Показано, что ГК оказывают активирующее действие на α-адренорецепторы ГМК за счет повышения их афинности. ГК активируют в гладкомышечных клетках сигнальный путь RhoA/ROCK и ингибируют синтез эндотелиальных вазодилататоров - NO и простациклина (PGI2). Выявленные изменения сократительной функции ЛС и ЛУ при действии ГК лежат в основе модуляции ГК транспорта лимфы и скорости доставки в ЛУ антигенов и антигенпрезентирующих клеток, т. е. регуляции иммунных реакций. Выводы. Изучены негеномные эффекты и механизмы действия ГК на сократительную функцию ЛС и ЛУ ГК оказывают непосредственное активирующее действие на ГМК ЛС и ЛУ посредством стимуляции α-адренорецепторов, а также ингибируют продукцию эндотелиоцитами NO и PGI2.</p></abstract><trans-abstract xml:lang="en"><p>Objective. The lymphatic network participates in the launch and development of an immune response. From an immunological point of view, the lymph flow, provided by active contractions of the lymphatic vessels, is the process of delivering antigens and antigen-presenting cells to the lymph nodes. The purpose of this study is to study the non-genomic effects and mechanisms of action of glucocorticoids, which are natural immunomodulators, on the transport function of lymphatic vessels and lymph nodes. Materials and methods. Bovine mesenteric afferent lymphatic vessels 1.2-1.5 mm in diameter and lymph nodes were used for the study. The contractile activity of isolated lymphatic vessels and capsules of lymph nodes under the action of glucocorticoids in vitro were studied. Agonists and antagonists of signaling pathways were used to determine the mechanisms of action of glucocorticoids on smooth muscle cells. Results and their discussion. Glucocorticoids in therapeutic concentrations increase the tone of lymphatic vessels and lymph nodes, increase in frequency and a decrease the amplitude of phase contractions. It is shown that glucocorticoids stimulate α-adrenoreceptors of smooth muscle cells due to the increase in their affinity. Glucocorticoids activate in the smooth muscle cells the RhoA / ROCK signaling pathway and inhibit the synthesis of endothelial vasodilators - NO and prostacyclin. The revealed changes in the contractile function of lymphatic vessels and lymph nodes under the action of glucocorticoids underlie the modulation of glucocorticoid transport of lymph and the speed of delivery to the lymph nodes of antigens and antigen-presenting cells, i.e. regulation of immune responses. Conclusions. Non-genomic effects and mechanisms of action of glucocorticoids on the contractile function of lymphatic vessels and nodes have been studied. Glucocorticoids activate smooth muscle cells of lymphatic vessels and nodes by stimulating α-adrenoreceptors, and also inhibit the production of NO and prostacyclin.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>лимфатические сосуды</kwd><kwd>лимфатические узлы</kwd><kwd>гладкомышечные клетки</kwd><kwd>эндотелий</kwd><kwd>глюкокортикоиды</kwd><kwd>NO</kwd><kwd>простациклин</kwd><kwd>lymphatic vessels</kwd><kwd>lymph nodes</kwd><kwd>smooth muscle cells</kwd><kwd>endothelium</kwd><kwd>glucocorticoids</kwd><kwd>NO</kwd><kwd>prostacyclin</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">Борисов А. В. Функциональная анатомия лимфангиона // Морфология. - 2005. - Т. 128. - № 6. - С. 18-27.</mixed-citation><mixed-citation xml:lang="en">Борисов А. В. Функциональная анатомия лимфангиона // Морфология. - 2005. - Т. 128. - № 6. - С. 18-27.</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Лобов Г. И., Орлов Р. С. Клеточные механизмы регуляции транспорта лимфы // Российский физиологический журнал. им. И. М. Сеченова. - 1995. - Т. 81. - № 6. - С. 19-27.</mixed-citation><mixed-citation xml:lang="en">Лобов Г. И., Орлов Р. С. Клеточные механизмы регуляции транспорта лимфы // Российский физиологический журнал. им. И. М. Сеченова. - 1995. - Т. 81. - № 6. - С. 19-27.</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">Лобов Г. И., Орлов Р. С. Саморегуляция насосной функции лимфангиона // Российский физиологический журнал. им. И. М. Сеченова. - 1988. - Т. 74. - № 7. - С. 977-986.</mixed-citation><mixed-citation xml:lang="en">Лобов Г. И., Орлов Р. С. Саморегуляция насосной функции лимфангиона // Российский физиологический журнал. им. И. М. Сеченова. - 1988. - Т. 74. - № 7. - С. 977-986.</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">Лобов Г. И., Панькова М. Н. NO-зависимая модуляция сократительной функции гладких мышц капсулы лимфатических узлов // Российский физиологический журнал им. И. М. Сеченова. - 2010. - Т 96. - № 5. - С. 489-497.</mixed-citation><mixed-citation xml:lang="en">Лобов Г. И., Панькова М. Н. NO-зависимая модуляция сократительной функции гладких мышц капсулы лимфатических узлов // Российский физиологический журнал им. И. М. Сеченова. - 2010. - Т 96. - № 5. - С. 489-497.</mixed-citation></citation-alternatives></ref><ref id="cit5"><label>5</label><citation-alternatives><mixed-citation xml:lang="ru">Лобов Г. И., Панькова М. Н. Транспорт лимфы по лимфатическим узлам: механизмы регуляции // Российский физиологический журнал. им. И. М. Сеченова. - 2012. - Т 98. - № 11. - С. 1350-1361.</mixed-citation><mixed-citation xml:lang="en">Лобов Г. И., Панькова М. Н. Транспорт лимфы по лимфатическим узлам: механизмы регуляции // Российский физиологический журнал. им. И. М. Сеченова. - 2012. - Т 98. - № 11. - С. 1350-1361.</mixed-citation></citation-alternatives></ref><ref id="cit6"><label>6</label><citation-alternatives><mixed-citation xml:lang="ru">Acton S. E., Reis E., Sousa C. Dendritic cells in remodeling of lymph nodes during immune responses. Immunol Rev. 2016; 271(1): 221-229. doi: 10.1111/imr.12414.</mixed-citation><mixed-citation xml:lang="en">Acton S. E., Reis E., Sousa C. Dendritic cells in remodeling of lymph nodes during immune responses. Immunol Rev. 2016; 271(1): 221-229. doi: 10.1111/imr.12414.</mixed-citation></citation-alternatives></ref><ref id="cit7"><label>7</label><citation-alternatives><mixed-citation xml:lang="ru">Aird W. C. The role of the endothelium in severe sepsis and multiple organ dysfunction syndrome. Blood. 2003; 101(10): 3765-3777.</mixed-citation><mixed-citation xml:lang="en">Aird W. C. The role of the endothelium in severe sepsis and multiple organ dysfunction syndrome. Blood. 2003; 101(10): 3765-3777.</mixed-citation></citation-alternatives></ref><ref id="cit8"><label>8</label><citation-alternatives><mixed-citation xml:lang="ru">Allen J. M., McCarron J. G., McHale N. G., Thornbury K. D. Release of [3H]-noradrenaline from the sympathetic nerves to bovine mesenteric lymphatic vessels and its modification by alpha-agonists and antagonists. Br J Pharmacol. 1988; 94(3): 823-833.</mixed-citation><mixed-citation xml:lang="en">Allen J. M., McCarron J. G., McHale N. G., Thornbury K. D. Release of [3H]-noradrenaline from the sympathetic nerves to bovine mesenteric lymphatic vessels and its modification by alpha-agonists and antagonists. Br J Pharmacol. 1988; 94(3): 823-833.</mixed-citation></citation-alternatives></ref><ref id="cit9"><label>9</label><citation-alternatives><mixed-citation xml:lang="ru">Boumpas D. T., Chrousos G. P., Wilder R. L. et al. Glucocorticoid therapy for immune-mediated diseases: basic and clinical correlates. Ann Intern Med. 1993; 119(12): 1198-1208.</mixed-citation><mixed-citation xml:lang="en">Boumpas D. T., Chrousos G. P., Wilder R. L. et al. Glucocorticoid therapy for immune-mediated diseases: basic and clinical correlates. Ann Intern Med. 1993; 119(12): 1198-1208.</mixed-citation></citation-alternatives></ref><ref id="cit10"><label>10</label><citation-alternatives><mixed-citation xml:lang="ru">Coutinho A. E, Chapman K. E. The anti-inflammatory and immunosuppressive effects of glucocorticoids, recent developments and mechanistic insights. Mol Cell Endocrinol. 2011; 335(1): 2-13. doi: 10.1016/j.mce.2010.04.005.</mixed-citation><mixed-citation xml:lang="en">Coutinho A. E, Chapman K. E. The anti-inflammatory and immunosuppressive effects of glucocorticoids, recent developments and mechanistic insights. Mol Cell Endocrinol. 2011; 335(1): 2-13. doi: 10.1016/j.mce.2010.04.005.</mixed-citation></citation-alternatives></ref><ref id="cit11"><label>11</label><citation-alternatives><mixed-citation xml:lang="ru">Cruz-Topete D., Cidlowski J. A. One Hormone Two Actions: Anti- and Pro-inflammatory Effects of Glucocorticoids. Neuroimmunomodulation. 2015; 22(1-2): 20-32. doi: 10.1159/000362724.</mixed-citation><mixed-citation xml:lang="en">Cruz-Topete D., Cidlowski J. A. One Hormone Two Actions: Anti- and Pro-inflammatory Effects of Glucocorticoids. Neuroimmunomodulation. 2015; 22(1-2): 20-32. doi: 10.1159/000362724.</mixed-citation></citation-alternatives></ref><ref id="cit12"><label>12</label><citation-alternatives><mixed-citation xml:lang="ru">Cyster J. G., Schwab S. R. Sphingosine-1-phosphate and lymphocyte egress from lymphoid organs. Annu Rev Immunol. 2012; 30: 69-94. doi: 10.1146/annurev-immunol-020711-075011.</mixed-citation><mixed-citation xml:lang="en">Cyster J. G., Schwab S. R. Sphingosine-1-phosphate and lymphocyte egress from lymphoid organs. Annu Rev Immunol. 2012; 30: 69-94. doi: 10.1146/annurev-immunol-020711-075011.</mixed-citation></citation-alternatives></ref><ref id="cit13"><label>13</label><citation-alternatives><mixed-citation xml:lang="ru">De Bosscher K., Beck I. M., Haegeman G. Classic glucocorticoids versus non-steroidal glucocorticoid receptor modulators: survival of the fittest regulator ofthe immune system? Brain Behav Immun. 2010; 24(7): 1035-42. doi: 10.1016/j.bbi.2010.06.010.</mixed-citation><mixed-citation xml:lang="en">De Bosscher K., Beck I. M., Haegeman G. Classic glucocorticoids versus non-steroidal glucocorticoid receptor modulators: survival of the fittest regulator ofthe immune system? Brain Behav Immun. 2010; 24(7): 1035-42. doi: 10.1016/j.bbi.2010.06.010.</mixed-citation></citation-alternatives></ref><ref id="cit14"><label>14</label><citation-alternatives><mixed-citation xml:lang="ru">Duckles S. P, Miller V. M. Hormonal modulation of endothelial NO production. Pflugers Arch. 2010; 459(6): 841-851. doi: 10.1007/s00424-010-0797-1.</mixed-citation><mixed-citation xml:lang="en">Duckles S. P, Miller V. M. Hormonal modulation of endothelial NO production. Pflugers Arch. 2010; 459(6): 841-851. doi: 10.1007/s00424-010-0797-1.</mixed-citation></citation-alternatives></ref><ref id="cit15"><label>15</label><citation-alternatives><mixed-citation xml:lang="ru">Flister M. J., Wilber A., Hall K. L. et al. Inflammation induces lymphangiogenesis through up-regulation of VEGFR-3 mediated by NF-kB and Prox1. Blood. 2010; 115(2): 418-429. doi: 10.1182/blood-2008-12-196840.</mixed-citation><mixed-citation xml:lang="en">Flister M. J., Wilber A., Hall K. L. et al. Inflammation induces lymphangiogenesis through up-regulation of VEGFR-3 mediated by NF-kB and Prox1. Blood. 2010; 115(2): 418-429. doi: 10.1182/blood-2008-12-196840.</mixed-citation></citation-alternatives></ref><ref id="cit16"><label>16</label><citation-alternatives><mixed-citation xml:lang="ru">Grigorova I. L., Panteleev M., Cyster J. G. Lymph node cortical sinus organization and relationship to lymphocyte egress dynamics and antigen exposure. Proc Natl Acad Sci US A. 2010; 107(47): 20447-20452. doi: 10.1073/pnas.1009968107.</mixed-citation><mixed-citation xml:lang="en">Grigorova I. L., Panteleev M., Cyster J. G. Lymph node cortical sinus organization and relationship to lymphocyte egress dynamics and antigen exposure. Proc Natl Acad Sci US A. 2010; 107(47): 20447-20452. doi: 10.1073/pnas.1009968107.</mixed-citation></citation-alternatives></ref><ref id="cit17"><label>17</label><citation-alternatives><mixed-citation xml:lang="ru">Haigh R. M., Jones C. T. Effect of glucocorticoids on alpha 1-adrenergic receptor binding in rat vascular smooth muscle. J Mol Endocrinol. 1990(1): 41-48.</mixed-citation><mixed-citation xml:lang="en">Haigh R. M., Jones C. T. Effect of glucocorticoids on alpha 1-adrenergic receptor binding in rat vascular smooth muscle. J Mol Endocrinol. 1990(1): 41-48.</mixed-citation></citation-alternatives></ref><ref id="cit18"><label>18</label><citation-alternatives><mixed-citation xml:lang="ru">Holdsworth S. R, Gan P. Y. Cytokines: Names and Numbers You Should Care About. Clin J Am Soc Nephrol. 2015; 10(12): 2243-2254. doi: 10.2215/CJN.07590714.</mixed-citation><mixed-citation xml:lang="en">Holdsworth S. R, Gan P. Y. Cytokines: Names and Numbers You Should Care About. Clin J Am Soc Nephrol. 2015; 10(12): 2243-2254. doi: 10.2215/CJN.07590714.</mixed-citation></citation-alternatives></ref><ref id="cit19"><label>19</label><citation-alternatives><mixed-citation xml:lang="ru">Holstein S. A., Richardson P. G., Laubach J. P., McCarthy P. L. Management of relapsed multiple myeloma after autologous stem cell transplant. Biol Blood Marrow Transplant. 2015; 21(5): 793-798. doi: 10.1016/j.bbmt.2014.12.026.</mixed-citation><mixed-citation xml:lang="en">Holstein S. A., Richardson P. G., Laubach J. P., McCarthy P. L. Management of relapsed multiple myeloma after autologous stem cell transplant. Biol Blood Marrow Transplant. 2015; 21(5): 793-798. doi: 10.1016/j.bbmt.2014.12.026.</mixed-citation></citation-alternatives></ref><ref id="cit20"><label>20</label><citation-alternatives><mixed-citation xml:lang="ru">Lee S. R., Kim H. K., Youm J. B. et al. Non-genomic effect of glucocorticoids on cardiovascular system. Pflugers Arch. 2012; 464(6): 549-559. doi: 10.1007/s00424-012-1155-2.</mixed-citation><mixed-citation xml:lang="en">Lee S. R., Kim H. K., Youm J. B. et al. Non-genomic effect of glucocorticoids on cardiovascular system. Pflugers Arch. 2012; 464(6): 549-559. doi: 10.1007/s00424-012-1155-2.</mixed-citation></citation-alternatives></ref><ref id="cit21"><label>21</label><citation-alternatives><mixed-citation xml:lang="ru">Li T., Fang Y., Yang G. et al. The mechanism by which RhoA regulates vascular reactivity after hemorrhagic shock in rats. Am J Physiol Heart Circ Physiol. 2010; 299(2): H292-H299. doi: 10.1152/ajpheart.01031.2009.</mixed-citation><mixed-citation xml:lang="en">Li T., Fang Y., Yang G. et al. The mechanism by which RhoA regulates vascular reactivity after hemorrhagic shock in rats. Am J Physiol Heart Circ Physiol. 2010; 299(2): H292-H299. doi: 10.1152/ajpheart.01031.2009.</mixed-citation></citation-alternatives></ref><ref id="cit22"><label>22</label><citation-alternatives><mixed-citation xml:lang="ru">Puzserova A., Bernatova I. Blood pressure regulation in stress: focus on nitric oxide-dependent mechanisms. Physiol Res. 2016; 65(Suppl. 3): S309-S342.</mixed-citation><mixed-citation xml:lang="en">Puzserova A., Bernatova I. Blood pressure regulation in stress: focus on nitric oxide-dependent mechanisms. Physiol Res. 2016; 65(Suppl. 3): S309-S342.</mixed-citation></citation-alternatives></ref><ref id="cit23"><label>23</label><citation-alternatives><mixed-citation xml:lang="ru">Randolph G. J., Angeli V., Swartz M. A. Dendritic-cell trafficking to lymph nodes through lymphatic vessels. Nat Rev Immunol. 2005; 5(8): 617-628.</mixed-citation><mixed-citation xml:lang="en">Randolph G. J., Angeli V., Swartz M. A. Dendritic-cell trafficking to lymph nodes through lymphatic vessels. Nat Rev Immunol. 2005; 5(8): 617-628.</mixed-citation></citation-alternatives></ref><ref id="cit24"><label>24</label><citation-alternatives><mixed-citation xml:lang="ru">Roozendaal R., Mempel T. R., Pitcher L. A. et al. Conduits mediate transport of low-molecular-weight antigen to lymph node follicles. Immunity. 2009; 30(2): 264-276. doi: 10.1016/j.immuni.2008.12.014.</mixed-citation><mixed-citation xml:lang="en">Roozendaal R., Mempel T. R., Pitcher L. A. et al. Conduits mediate transport of low-molecular-weight antigen to lymph node follicles. Immunity. 2009; 30(2): 264-276. doi: 10.1016/j.immuni.2008.12.014.</mixed-citation></citation-alternatives></ref><ref id="cit25"><label>25</label><citation-alternatives><mixed-citation xml:lang="ru">Spies C. M., Strehl C., van der Goes M. C. et al. Glucocorticoids. Best Pract Res Clin Rheumatol. 2011(6): 891-900. doi: 10.1016/j.berh.2011.11.002.</mixed-citation><mixed-citation xml:lang="en">Spies C. M., Strehl C., van der Goes M. C. et al. Glucocorticoids. Best Pract Res Clin Rheumatol. 2011(6): 891-900. doi: 10.1016/j.berh.2011.11.002.</mixed-citation></citation-alternatives></ref><ref id="cit26"><label>26</label><citation-alternatives><mixed-citation xml:lang="ru">Wallerath T., Godecke A., Molojavyi A. et al. Dexamethasone lacks effect on blood pressure in mice with a disrupted endothelial NO synthase gene. Nitric Oxide. 2004 10(1): 36-41.</mixed-citation><mixed-citation xml:lang="en">Wallerath T., Godecke A., Molojavyi A. et al. Dexamethasone lacks effect on blood pressure in mice with a disrupted endothelial NO synthase gene. Nitric Oxide. 2004 10(1): 36-41.</mixed-citation></citation-alternatives></ref><ref id="cit27"><label>27</label><citation-alternatives><mixed-citation xml:lang="ru">Webster B., Ekland E. H., Agle L. M. et al. Regulation of lymph node vascular growth by dendritic cells. J Exp Med. 2006; 203(8): 1903-1913.</mixed-citation><mixed-citation xml:lang="en">Webster B., Ekland E. H., Agle L. M. et al. Regulation of lymph node vascular growth by dendritic cells. J Exp Med. 2006; 203(8): 1903-1913.</mixed-citation></citation-alternatives></ref><ref id="cit28"><label>28</label><citation-alternatives><mixed-citation xml:lang="ru">Zawieja D. C. Contractile physiology of lymphatics. Lymphat. Res. Biol. 2009; 7(2): 87-96. doi: 10.1089/lrb.2009.0007.</mixed-citation><mixed-citation xml:lang="en">Zawieja D. C. Contractile physiology of lymphatics. Lymphat. Res. Biol. 2009; 7(2): 87-96. doi: 10.1089/lrb.2009.0007.</mixed-citation></citation-alternatives></ref><ref id="cit29"><label>29</label><citation-alternatives><mixed-citation xml:lang="ru">Zen M., Canova M., Campana C. et al. The kaleidoscope of glucorticoid effects on immune system. Autoimmun Rev. 2011; 10(6): 305-310. doi: 10.1016/j.autrev.2010.11.009.</mixed-citation><mixed-citation xml:lang="en">Zen M., Canova M., Campana C. et al. The kaleidoscope of glucorticoid effects on immune system. Autoimmun Rev. 2011; 10(6): 305-310. doi: 10.1016/j.autrev.2010.11.009.</mixed-citation></citation-alternatives></ref><ref id="cit30"><label>30</label><citation-alternatives><mixed-citation xml:lang="ru">Zhang T., Shi W. L., Tasker J. G. et al. Dexamethasone induces rapid promotion of norepinephrine-mediated vascular smooth muscle cell contraction. Mol Med Rep. 2013;.7(2): 549-554. doi: 10.3892/mmr.2012.1196.</mixed-citation><mixed-citation xml:lang="en">Zhang T., Shi W. L., Tasker J. G. et al. Dexamethasone induces rapid promotion of norepinephrine-mediated vascular smooth muscle cell contraction. Mol Med Rep. 2013;.7(2): 549-554. doi: 10.3892/mmr.2012.1196.</mixed-citation></citation-alternatives></ref></ref-list><fn-group><fn fn-type="conflict"><p>The authors declare that there are no conflicts of interest present.</p></fn></fn-group></back></article>
