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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">10.25557/2073-7998.2025.11.56-59</article-id><article-id custom-type="elpub" pub-id-type="custom">medgen-3300</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>Дистрофинопатии у женщин</article-title><trans-title-group xml:lang="en"><trans-title>Dystrophinopathies in women</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>Воронцова</surname><given-names>Е. О.</given-names></name><name name-style="western" xml:lang="en"><surname>Vorontsova</surname><given-names>E. O.</given-names></name></name-alternatives><bio xml:lang="ru"><p>115478, Москва, ул. Москворечье, д. 1</p></bio><bio xml:lang="en"><p>1, Moskvorechye st., Moscow 115478</p></bio><email xlink:type="simple">vorontsova.eo@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>Зинина</surname><given-names>Е. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Zinina</surname><given-names>E. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>115478, Москва, ул. Москворечье, д. 1</p></bio><bio xml:lang="en"><p>1, Moskvorechye st., Moscow 115478</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>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><bio xml:lang="ru"><p>115478, Москва, ул. Москворечье, д. 1</p></bio><bio xml:lang="en"><p>1, Moskvorechye st., Moscow 115478</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>Климчук</surname><given-names>О. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Klimchuk</surname><given-names>O. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>117437, Москва, ул. Миклухо-Маклая, д. 16</p></bio><bio xml:lang="en"><p>Ltd. 16, Miklukho Maklaya st., Moscow 117437</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>Дадали</surname><given-names>Е. Л.</given-names></name><name name-style="western" xml:lang="en"><surname>Dadali</surname><given-names>E. L.</given-names></name></name-alternatives><bio xml:lang="ru"><p>115478, Москва, ул. Москворечье, д. 1</p></bio><bio xml:lang="en"><p>1, Moskvorechye st., Moscow 115478</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>Шаркова</surname><given-names>И. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Sharkova</surname><given-names>I. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>115478, Москва, ул. Москворечье, д. 1</p></bio><bio xml:lang="en"><p>1, Moskvorechye st., Moscow 115478</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>Гусева</surname><given-names>Д. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Guseva</surname><given-names>D. M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>115478, Москва, ул. Москворечье, д. 1</p></bio><bio xml:lang="en"><p>1, Moskvorechye st., Moscow 115478</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>Курбатов</surname><given-names>С. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Kurbatov</surname><given-names>S. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>394036, Воронеж, ул. Студенческая, д.10</p></bio><bio xml:lang="en"><p>10, Studencheskaya st., Voronezh 394036</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>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><bio xml:lang="ru"><p>115478, Москва, ул. Москворечье, д. 1</p></bio><bio xml:lang="en"><p>1, Moskvorechye st., Moscow 115478</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>Щагина</surname><given-names>О. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Shchagina</surname><given-names>O. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>115478, Москва, ул. Москворечье, д. 1</p></bio><bio xml:lang="en"><p>1, Moskvorechye st., Moscow 115478</p></bio><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>ООО «Биотек кампус»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>«Biotek Kampus»</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>Воронежский государственный медицинский университет им. Н.Н. Бурденко</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Voronezh State Medical University named after N.N. Burdenko</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2025</year></pub-date><pub-date pub-type="epub"><day>24</day><month>12</month><year>2025</year></pub-date><volume>24</volume><issue>11</issue><fpage>56</fpage><lpage>59</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Воронцова Е.О., Зинина Е.В., Муртазина А.Ф., Климчук О.И., Дадали Е.Л., Шаркова И.В., Гусева Д.М., Курбатов С.А., Шилова Н.В., Щагина О.А., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Воронцова Е.О., Зинина Е.В., Муртазина А.Ф., Климчук О.И., Дадали Е.Л., Шаркова И.В., Гусева Д.М., Курбатов С.А., Шилова Н.В., Щагина О.А.</copyright-holder><copyright-holder xml:lang="en">Vorontsova E.O., Zinina E.V., Murtazina A.F., Klimchuk O.I., Dadali E.L., Sharkova I.V., Guseva D.M., Kurbatov S.A., Shilova N.V., Shchagina O.A.</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/3300">https://www.medgen-journal.ru/jour/article/view/3300</self-uri><abstract><p>Дистрофинопатии представляют собой спектр Х-сцепленных мышечных заболеваний, которые связаны с патогенными или вероятно-патогенными вариантами в гене дистрофина DMD. Женщины, как правило, являются бессимптомными носительницами и не имеют клинических симптомов. Однако накоплены данные о симптомах мышечной дистрофии Дюшенна, проявляющихся с различной тяжестью и у женщин с патогенными вариантами в гене DMD. В статье представлена выборка из 30 женщин с клиническими симптомами мышечной дистрофии, у каждой из которых есть гетерозиготный патогенный вариант в гене дистрофина. В 20 случаях было выполнено полногеномное секвенирование и исключены другие варианты, обуславливающие схожие фенотипические проявления мышечной дистрофии. В трех случаях были выявлены транслокации, затрагивающие ген DMD и подтвержденные впоследствии стандартным цитогенетическим исследованием, во всех остальных случаях не было выявлено вариантов, которые могли бы объяснить фенотип мышечной дистрофии, за исключением патогенных вариантов в гене DMD. Обсуждается значимость поиска мутаций в гене DMD у женщин с симптомами мышечной дистрофии.</p></abstract><trans-abstract xml:lang="en"><p>Dystrophinopathies are a spectrum of X-linked muscular disorders associated with pathogenic/likely pathogenic variants in the dystrophin (DMD). Most often, these diseases affect men, while women are typically asymptomatic carriers and do not exhibit clinical symptoms. However, to this day, there has been an increasing number of reported cases of dystrophinopathy manifesting in women. In our study, we present a cohort of 30 women exhibiting clinical symptoms of dystrophinopathy, all of whom carry a heterozygous pathogenic variant in the dystrophin gene. In 20 cases, whole-genome sequencing was performed, ruling out other genetic variants that could account for similar phenotypic manifestations of muscular dystrophy. In three cases, a translocation was suspected based on genomic analysis, and a standard cytogenetic was subsequently conducted. In all other cases, no variants were identified that could explain the phenotype of muscular dystrophy, except for pathogenic variants in the DMD. It discusses the importance of mutation screening in the DMD for women presenting with muscular dystrophy symptoms and investigating carrier status in relatives of patients with Duchenne/ Becker muscular dystrophy.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>дистрофинопатия</kwd><kwd>DMD</kwd><kwd>Х-инактивация</kwd><kwd>кардиомиопатия</kwd><kwd>поясно-конечностная мышечная дистрофия</kwd><kwd>ПКМД</kwd><kwd>КФК</kwd></kwd-group><kwd-group xml:lang="en"><kwd>dystrophinopathy</kwd><kwd>DMD</kwd><kwd>X-inactivation</kwd><kwd>cardiomyopathy</kwd><kwd>limb-girdle muscular dystrophy</kwd><kwd>LGMD</kwd><kwd>CK</kwd></kwd-group><funding-group><funding-statement xml:lang="ru">Работа выполнена при поддержке Министерства науки и высшего образования Российской Федерации (Федеральная научно-техническая программа развития генетических технологий на 2019–2030 годы, согл. № 075-15-2025-481)</funding-statement><funding-statement xml:lang="en">This work was supported by the Ministry of Science and Higher Education of the Russian Federation (Federal Scientific and Technical Program for the Development of Genetic Technologies for 2019–2030, agreement No. 075-15-2025-481)</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">Salari N., Fatahi B., Valipour E. et al. 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