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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">10.25557/2073-7998.2024.06.3-10</article-id><article-id custom-type="elpub" pub-id-type="custom">medgen-2482</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>НАУЧНЫЙ ОБЗОР</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>REVIEW</subject></subj-group></article-categories><title-group><article-title>Однонуклеотидные замены в генах сигнального пути МАРК (NRAS, KRAS, BRAF) при плазмоклеточных новообразованиях</article-title><trans-title-group xml:lang="en"><trans-title>Single nucleotide polymorphisms in the mark signaling pathway genes (NRAS, KRAS, BRAF) in plasma cell neoplasms</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>Руденкова</surname><given-names>Т. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Rudenkova</surname><given-names>T. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>220083, г. Минск, пр. Дзержинского, д. 83</p></bio><bio xml:lang="en"><p>83, Dzerzhinsky Ave., Minsk, 220083</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Климкович</surname><given-names>Н. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Klimkovich</surname><given-names>N. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>220083, г. Минск, пр. Дзержинского, д. 83</p></bio><bio xml:lang="en"><p>83, Dzerzhinsky Ave., Minsk, 220083</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Костюк</surname><given-names>С. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Kostiuk</surname><given-names>S. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>220083, г. Минск, пр. Дзержинского, д. 83</p></bio><bio xml:lang="en"><p>83, Dzerzhinsky Ave., Minsk, 220083</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Козич</surname><given-names>Ж. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Kozich</surname><given-names>J. M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>246040, г. Гомель, ул. Ильича, д. 290</p></bio><bio xml:lang="en"><p>290, Ilyicha st., Gomel, 246040</p></bio><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Белорусский государственный медицинский университет</institution><country>Беларусь</country></aff><aff xml:lang="en"><institution>Belarusian State Medical University</institution><country>Belarus</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Республиканский научно-практический центр радиационной медицины и экологии человека</institution><country>Беларусь</country></aff><aff xml:lang="en"><institution>Republican Scientific and Practical Center for Radiation Medicine and Human Ecology</institution><country>Belarus</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2024</year></pub-date><pub-date pub-type="epub"><day>19</day><month>08</month><year>2024</year></pub-date><volume>23</volume><issue>6</issue><fpage>3</fpage><lpage>10</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Руденкова Т.В., Климкович Н.Н., Костюк С.А., Козич Ж.М., 2024</copyright-statement><copyright-year>2024</copyright-year><copyright-holder xml:lang="ru">Руденкова Т.В., Климкович Н.Н., Костюк С.А., Козич Ж.М.</copyright-holder><copyright-holder xml:lang="en">Rudenkova T.V., Klimkovich N.N., Kostiuk S.A., Kozich J.M.</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/2482">https://www.medgen-journal.ru/jour/article/view/2482</self-uri><abstract><p>Плазмоклеточные новообразования представляют собой мультифокальную неопластическую пролиферацию плазматических клеток, секретирующих моноклональный белок. При формировании множественной миеломы происходит многоступенчатый процесс трансформации клеток, включающий изменения генетического профиля из-за дополнительных событий, таких как соматические мутации, эпигенетические и хромосомные изменения, что приводит к прогрессированию заболевания от моноклональной гаммапатии неуточненного значения до симптоматической множественной миеломы и, в конечном итоге, у некоторых пациентов к агрессивному экстрамедуллярному заболеванию. Профиль генетических изменений, ассоциированных с прогрессированием плазмоклеточных новообразований, включает однонуклеотидные замены в генах сигнального пути MAPK. Белки семейств RAS и RAF являются компонентами сигнального пути RAS/RAF/MEK/ERK, который переносит внешние сигналы в ядро клетки. Однонуклеотидные замены в генах RAS и RAF приводят к необоснованной активации каскадных реакций сигнального пути MAPK, вызывая изменения клеточного цикла и опосредуя злокачественную трансформацию клеток.</p></abstract><trans-abstract xml:lang="en"><p>Plasma cell neoplasms are a multifocal neoplastic proliferation of plasma cells that secrete a monoclonal protein. During the formation of multiple myeloma, a multistep process of cell transformation occurs, including changes in the genetic profile due to additional events such as somatic mutations, epigenetic and chromosomal changes, which leads to the progression of the disease from monoclonal gammopathy of unspecified significance to symptomatic multiple myeloma and, ultimately, in some patients to aggressive extramedullary disease. The profile of genetic changes associated with the progression of plasma cell neoplasms includes single nucleotide polymorphisms in the genes of the MAPK signaling pathway. Proteins of the RAS and RAF families are components of the RAS/RAF/MEK/ERK signaling pathway, which transmits external signals into the cell nucleus. Single-nucleotide polymorphisms in the RAS and RAF genes lead to aberrant activation of the MAPK signaling pathway cascade reactions, causing changes in the cell cycle and mediating malignant transformation of cells.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>плазмоклеточные новообразования</kwd><kwd>множественная миелома</kwd><kwd>сигнальный путь МАРК</kwd><kwd>однонуклеотидные замены</kwd><kwd>NRAS</kwd><kwd>KRAS</kwd><kwd>BRAF</kwd></kwd-group><kwd-group xml:lang="en"><kwd>plasma cell neoplasms</kwd><kwd>multiple myeloma</kwd><kwd>MAPK signaling pathway</kwd><kwd>single nucleotide polymorphisms</kwd><kwd>NRAS</kwd><kwd>KRAS</kwd><kwd>BRAF</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">Chng W.J., Dispenzieri A., Chim C.S., et al. IMWG consensus on risk stratification in multiple myeloma. 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