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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">medgen</journal-id><journal-title-group><journal-title xml:lang="ru">Медицинская генетика</journal-title><trans-title-group xml:lang="en"><trans-title>Medical Genetics</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2073-7998</issn><publisher><publisher-name>Publishing House «Genius Media» LLC</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.25557/2073-7998.2022.11.44-47</article-id><article-id custom-type="elpub" pub-id-type="custom">medgen-2198</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>КРАТКОЕ СООБЩЕНИЕ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>BRIEF REPORT</subject></subj-group></article-categories><title-group><article-title>Комплексные геномные перестройки в этиологии «хромосомного фенотипа»</article-title><trans-title-group xml:lang="en"><trans-title>Complex genomic rearrangements in etiology of the «chromosomal phenotype»</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>Миньженкова</surname><given-names>М. Е.</given-names></name><name name-style="western" xml:lang="en"><surname>Minzhenkova</surname><given-names>M. E.</given-names></name></name-alternatives><email xlink:type="simple">maramin@mail.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>Маркова</surname><given-names>Ж. Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Markova</surname><given-names>Z. G.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.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>Юрченко</surname><given-names>Д. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Yurchenko</surname><given-names>D. A.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.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>Тарлычева</surname><given-names>А. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Tarlycheva</surname><given-names>A. A.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.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>Маркова</surname><given-names>Т. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Markova</surname><given-names>T. V.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.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>Семенова</surname><given-names>Н. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Semenova</surname><given-names>N. A.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.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>Муртазина</surname><given-names>А. Ф.</given-names></name><name name-style="western" xml:lang="en"><surname>Murtazina</surname><given-names>A. F.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.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>Кадышев</surname><given-names>В. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Kadyshev</surname><given-names>V. V.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.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>Гридина</surname><given-names>М. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Gridina</surname><given-names>M. M.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Весна</surname><given-names>Э. .</given-names></name><name name-style="western" xml:lang="en"><surname>Viesná</surname><given-names>E. .</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Фишман</surname><given-names>В. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Fishman</surname><given-names>V. S.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Шилова</surname><given-names>Н. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Shilova</surname><given-names>N. 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>ФГБНУ «Медико-генетический научный центр имени академика Н.П. Бочкова»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Research Centre for Medical Genetics</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ФГБНУ «Федеральный исследовательский центр Институт цитологии и генетики Сибирского отделения Российской академии наук»; ФГАОУ ВО «Новосибирский национальный исследовательский государственный университет»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Federal Research Center Institute of Cytology and Genetics, Siberian Branch of Russian Academy of Sciences; Novosibirsk State University</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2022</year></pub-date><pub-date pub-type="epub"><day>13</day><month>01</month><year>2023</year></pub-date><volume>21</volume><issue>11</issue><fpage>44</fpage><lpage>47</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Миньженкова М.Е., Маркова Ж.Г., Юрченко Д.А., Тарлычева А.А., Маркова Т.В., Семенова Н.А., Муртазина А.Ф., Кадышев В.В., Гридина М.М., Весна Э..., Фишман В.С., Шилова Н.В., 2023</copyright-statement><copyright-year>2023</copyright-year><copyright-holder xml:lang="ru">Миньженкова М.Е., Маркова Ж.Г., Юрченко Д.А., Тарлычева А.А., Маркова Т.В., Семенова Н.А., Муртазина А.Ф., Кадышев В.В., Гридина М.М., Весна Э..., Фишман В.С., Шилова Н.В.</copyright-holder><copyright-holder xml:lang="en">Minzhenkova M.E., Markova Z.G., Yurchenko D.A., Tarlycheva A.A., Markova T.V., Semenova N.A., Murtazina A.F., Kadyshev V.V., Gridina M.M., Viesná E..., Fishman V.S., Shilova N.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.medgen-journal.ru/jour/article/view/2198">https://www.medgen-journal.ru/jour/article/view/2198</self-uri><abstract><p>Представлены результаты молекулярно-генетического исследования четырех пациентов с комплексными геномными перестройками и «хромосомным фенотипом», который может включать нарушение интеллектуального развития и множественные врожденные пороки и аномалии развития. C целью выявления геномного дисбаланса и оценки влияния геномных перестроек на проявление фенотипических аномалий проведены FISH-исследование, ХМА и Hi-C у пациентов с «по-видимому» сбалансированными хромосомными перестройками. Идентификация геномного дисбаланса, его структуры и механизмов формирования в этих случаях позволяет охарактеризовать комплексные геномные перестройки в целом и оценить индивидуальные генетические риски в семье.</p></abstract><trans-abstract xml:lang="en"><p>We present the results of a molecular-genetic study of 4 patients with complex genomic rearrangements and «chromosomal phenotype», which may include phenotype anomalies, intellectual disabilities, and multiple congenital abnormalities. FISH analysis, CMA and Hi-C were carried out in patients with “apparently” balanced chromosomal rearrangements associated with an abnormal phenotype to identify and estimate the genomic imbalance. The identification of the structure, mechanisms of formation and genomic imbalance in these cases allows us to characterize complex genomic rearrangements and assess individual genetic risks in the family.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>комплексные геномные перестройки</kwd><kwd>ХМА</kwd><kwd>CNV</kwd><kwd>FISH</kwd><kwd>ТАД</kwd><kwd>Hi-C</kwd></kwd-group><kwd-group xml:lang="en"><kwd>complex genomic rearrangements</kwd><kwd>CMA</kwd><kwd>FISH</kwd><kwd>CNV</kwd><kwd>TAD</kwd><kwd>Hi-C</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">Schluth-Bolard C., Delobel B., Sanlaville D., et al. Cryptic genomic imbalances in de novo and inherited apparently balanced chromosomal rearrangements: array CGH study of 47 unrelated cases. 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