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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">10.25557/2073-7998.2024.06.20-28</article-id><article-id custom-type="elpub" pub-id-type="custom">medgen-2486</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 ИССЛЕДОВАНИЯ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>ORIGINAL RESEARCH</subject></subj-group></article-categories><title-group><article-title>Редкие генетические варианты SYNPO2L при раннем инфаркте миокарда</article-title><trans-title-group xml:lang="en"><trans-title>SYNPO2L  gene rare variants in the development of early myocardial infarction</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>Мирошникова</surname><given-names>В. 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Сургут, пр-т Ленина, д. 1</p></bio><bio xml:lang="en"><p>6/8, Lev Tolstoy st., Saint-Petersburg, 197022</p><p>1, Lenin Avenue, Surgut, 628412</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Данилов</surname><given-names>Л. Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Danilov</surname><given-names>L. G.</given-names></name></name-alternatives><bio xml:lang="ru"><p>628412, г. Сургут, пр-т Ленина, д. 1</p><p>199034, г. Санкт-Петербург, Университетская набережная, д. 7/9</p></bio><bio xml:lang="en"><p>1, Lenin Avenue, Surgut, 628412</p><p>7/9, Universitetskaya naberezhnaya, Saint-Petersburg, 199034</p></bio><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Донников</surname><given-names>М. Ю.</given-names></name><name name-style="western" xml:lang="en"><surname>Donnikov</surname><given-names>M. Yu.</given-names></name></name-alternatives><bio xml:lang="ru"><p>628412, г. Сургут, пр-т Ленина, д. 1</p></bio><bio xml:lang="en"><p>1, Lenin Avenue, Surgut, 628412</p></bio><xref ref-type="aff" rid="aff-4"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Воробьев</surname><given-names>А. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Vorobev</surname><given-names>A. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>628412, г. Сургут, пр-т Ленина, д. 1</p></bio><bio xml:lang="en"><p>1, Lenin Avenue, Surgut, 628412</p></bio><xref ref-type="aff" rid="aff-4"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Морозкина</surname><given-names>А. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Morozkina</surname><given-names>A. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>628412, г. Сургут, пр-т Ленина, д. 1</p></bio><bio xml:lang="en"><p>1, Lenin Avenue, Surgut, 628412</p></bio><xref ref-type="aff" rid="aff-4"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Изюмченко</surname><given-names>А. Д.</given-names></name><name name-style="western" xml:lang="en"><surname>Izumchenko</surname><given-names>A. D.</given-names></name></name-alternatives><bio xml:lang="ru"><p>197022, г. Санкт-Петербург, ул. Льва Толстого, д. 6/8</p></bio><bio xml:lang="en"><p>6/8, Lev Tolstoy st., Saint-Petersburg, 197022</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>Кусакин</surname><given-names>А. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Kusakin</surname><given-names>A. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>628412, г. Сургут, пр-т Ленина, д. 1</p><p>197022, г. Санкт-Петербург, ул. Профессора Попова, д. 9</p></bio><bio xml:lang="en"><p>1, Lenin Avenue, Surgut, 628412</p><p>9, Prof. Popova st., Saint Petersburg, 197022</p></bio><xref ref-type="aff" rid="aff-5"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Эйсмонт</surname><given-names>Ю. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Eismont</surname><given-names>Yu. А.</given-names></name></name-alternatives><bio xml:lang="ru"><p>197022, г. Санкт-Петербург, ул. Профессора Попова, д. 9</p><p>199106, г. Санкт-Петербург, пр-т Большой В.о., д. 90, к. 2</p></bio><bio xml:lang="en"><p>9, Prof. Popova st., Saint Petersburg, 197022</p><p>90-2 Bolshoy prospekt, Saint-Petersburg, 199106, St. Petersburg</p></bio><xref ref-type="aff" rid="aff-6"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Коваленко</surname><given-names>Л. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Kovalenko</surname><given-names>L. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>628412, г. Сургут, пр-т Ленина, д. 1</p></bio><bio xml:lang="en"><p>1, Lenin Avenue, Surgut, 628412</p></bio><xref ref-type="aff" rid="aff-4"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Урванцева</surname><given-names>И. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Urvantseva</surname><given-names>I. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>628412, г. Сургут, пр-т Ленина, д. 1</p><p>628400, г. Сургут, пр-т Ленина, д. 69/1</p></bio><bio xml:lang="en"><p>1, Lenin Avenue, Surgut, 628412</p><p>69/1, Lenin Avenue, Surgut, 628400</p></bio><xref ref-type="aff" rid="aff-7"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Глотов</surname><given-names>О. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Glotov</surname><given-names>O. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>197022, г. Санкт-Петербург, ул. Профессора Попова, д. 9</p><p>199034, г. Санкт-Петербург, Менделеевская линия, д. 3</p></bio><bio xml:lang="en"><p>9, Prof. Popova st., Saint Petersburg, 197022</p><p>3, Mendeleevskaya line, Saint Petersburg, 199034</p></bio><xref ref-type="aff" rid="aff-8"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Пчелина</surname><given-names>С. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Pchelina</surname><given-names>S. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>197022, г. Санкт-Петербург, ул. Льва Толстого, д. 6/8</p></bio><bio xml:lang="en"><p>6/8, Lev Tolstoy st., Saint-Petersburg, 197022</p></bio><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Первый Санкт-Петербургский Государственный Медицинский Университет им. акад. И.П. Павлова</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Pavlov First Saint-Petersburg State Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Первый Санкт-Петербургский Государственный Медицинский Университет им. акад. И.П. Павлова; БУ ВО ХМАО-Югры Сургутский государственный университет</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Pavlov First Saint-Petersburg State Medical University; Surgut State University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>БУ ВО ХМАО-Югры Сургутский государственный университет; Санкт-Петербургский Государственный Университет</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Surgut State University; Saint-Petersburg State University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-4"><aff xml:lang="ru"><institution>БУ ВО ХМАО-Югры Сургутский государственный университет</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Surgut State University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-5"><aff xml:lang="ru"><institution>БУ ВО ХМАО-Югры Сургутский государственный университет; Детский научно-клинический центр инфекционных болезней Федерального медико-биологического агентства</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Surgut State University; Children’s Scientific and Clinical Center for Infectious Diseases of the Federal Medical and Biological Agency</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-6"><aff xml:lang="ru"><institution>Детский научно-клинический центр инфекционных болезней Федерального медико-биологического агентства; ООО Сербалаб</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Children’s Scientific and Clinical Center for Infectious Diseases of the Federal Medical and Biological Agency; «Cerbalab» Ltd</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-7"><aff xml:lang="ru"><institution>БУ ВО ХМАО-Югры Сургутский государственный университет; БУ ХМАО-Югры Окружной кардиологический диспансер «Центр диагностики и сердечно-сосудистой хирургии»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Surgut State University; The Khanty-Mansi Autonomous Okrug – Yugra Diagnostics and Cardiovascular Surgery Center (cardiology clinic)</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-8"><aff xml:lang="ru"><institution>Детский научно-клинический центр инфекционных болезней Федерального медико-биологического агентства; Научно-исследовательский институт акушерства, гинекологии и репродуктологии имени Д.О. Отта</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Children’s Scientific and Clinical Center for Infectious Diseases of the Federal Medical and Biological Agency; Research Institute of Obstetrics and Gynecology named after D.O. Ott</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2024</year></pub-date><pub-date pub-type="epub"><day>21</day><month>08</month><year>2024</year></pub-date><volume>23</volume><issue>6</issue><fpage>20</fpage><lpage>28</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Мирошникова В.В., Драчева К.В., Данилов Л.Г., Донников М.Ю., Воробьев А.С., Морозкина А.В., Изюмченко А.Д., Кусакин А.В., Эйсмонт Ю.А., Коваленко Л.В., Урванцева И.А., Глотов О.С., Пчелина С.Н., 2024</copyright-statement><copyright-year>2024</copyright-year><copyright-holder xml:lang="ru">Мирошникова В.В., Драчева К.В., Данилов Л.Г., Донников М.Ю., Воробьев А.С., Морозкина А.В., Изюмченко А.Д., Кусакин А.В., Эйсмонт Ю.А., Коваленко Л.В., Урванцева И.А., Глотов О.С., Пчелина С.Н.</copyright-holder><copyright-holder xml:lang="en">Miroshnikova V.V., Dracheva K.V., Danilov L.G., Donnikov M.Y., Vorobev A.S., Morozkina A.V., Izumchenko A.D., Kusakin A.V., Eismont Y.А., Kovalenko L.V., Urvantseva I.A., Glotov O.S., Pchelina S.N.</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/2486">https://www.medgen-journal.ru/jour/article/view/2486</self-uri><abstract><p>Инфаркт миокарда (ИМ) является одной из самых распространенных причин смерти и инвалидизации взрослого населения. В настоящее время наблюдается рост заболеваемости ИМ в молодом возрасте. Независимым фактором риска ИМ в молодом возрасте является наследственная предрасположенность. В данной работе был проведен поиск редких генетических вариантов, связанных с развитием сердечно-сосудистых заболеваний, путём полноэкзомного секвенирования у 8 пациентов, перенесших ИМ до 45 лет, у которых на предыдущем этапе были исключены основные генетические факторы риска ИМ − моногенные дислипидемии и тромбофилия. У двух пациентов были выявлены патогенные варианты гена SYNPO2L: p.(Arg630Leu) (rs143723429) и не описанный ранее вариант p.(Arg910Gln). Полученные данные дают основание предполагать вовлеченность гена SYNPO2L, кодирующего белок сократительной мышечной функции, в патогенез раннего ИМ.</p></abstract><trans-abstract xml:lang="en"><p>Myocardial infarction (MI), being the main complication of coronary heart disease (CHD), is one of the most common causes of death and disability in the adult population. Currently, there is an increase in the incidence of MI at a young age. An independent risk factor for MI at a young age is hereditary predisposition. In this work, we searched for rare genetic variants associated with the development of cardiovascular diseases using whole-exome sequencing in patients who had suffered an MI before the age of 45 years, and for whom the main genetic risk factors for MI − monogenic dyslipidemias and thrombophilia – were excluded. In two patients, rare variants of the SYNPO2L gene were identified − p.(Arg630Leu) (rs143723429) and a previously undescribed variant p.(Arg910Gln), leading to amino acid substitutions that can lead to dysfunction of the corresponding protein. The data obtained suggest the involvement of the SYNPO2L gene, encoding a protein of contractile muscle function, in the pathogenesis of early MI.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>инфаркт миокарда</kwd><kwd>полноэкзомное секвенирование</kwd><kwd>SYNPO2L</kwd></kwd-group><kwd-group xml:lang="en"><kwd>Myocardial infarction</kwd><kwd>whole exome sequencing</kwd><kwd>SYNPO2L</kwd></kwd-group><funding-group><funding-statement xml:lang="en">The study was carried out with financial support from the Ugra Scientific and Technological Development Foundation under scientific project No. 2023-126-05.</funding-statement></funding-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Шальнова С.А., Драпкина О.М., Куценко В.А. и др. Инфаркт миокарда в популяции некоторых регионов России и его прогностическое значение. 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