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<article 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" xmlns:ali="http://www.niso.org/schemas/ali/1.0/" article-type="other" dtd-version="1.2" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">Russian Journal of Child Neurology</journal-id><journal-title-group><journal-title xml:lang="en">Russian Journal of Child Neurology</journal-title><trans-title-group xml:lang="ru"><trans-title>Русский журнал детской неврологии</trans-title></trans-title-group></journal-title-group><issn publication-format="print">2073-8803</issn><issn publication-format="electronic">2412-9178</issn><publisher><publisher-name xml:lang="en">Publishing House ABV Press</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">444</article-id><article-id pub-id-type="doi">10.17650/2073-8803-2023-18-2-3-3-31-37</article-id><article-categories><subj-group subj-group-type="toc-heading" xml:lang="en"><subject>ORIGINAL REPORTS</subject></subj-group><subj-group subj-group-type="toc-heading" xml:lang="ru"><subject>ОРИГИНАЛЬНЫЕ СТАТЬИ</subject></subj-group><subj-group subj-group-type="article-type"><subject></subject></subj-group></article-categories><title-group><article-title xml:lang="en">Experience of observing patients with Duchenne myopathy</article-title><trans-title-group xml:lang="ru"><trans-title>Опыт наблюдения пациентов с миопатией Дюшенна</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-1752-2521</contrib-id><name-alternatives><name xml:lang="en"><surname>Minaycheva</surname><given-names>L. I.</given-names></name><name xml:lang="ru"><surname>Минайчева</surname><given-names>Л. И.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>Larisa Ivanovna Minaycheva</p><p>10 Naberezhnaya reki Ushayki, Tomsk 634050</p></bio><bio xml:lang="ru"><p>Лариса Ивановна Минайчева</p><p>634050 Томск, Набережная реки Ушайки, 10</p></bio><email>larisa.minaycheva@medgenetics.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Petlina</surname><given-names>E. Yu.</given-names></name><name xml:lang="ru"><surname>Петлина</surname><given-names>Е. Ю.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>10 Naberezhnaya reki Ushayki, Tomsk 634050</p></bio><bio xml:lang="ru"><p>634050 Томск, Набережная реки Ушайки, 10</p></bio><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Ravzhaeva</surname><given-names>E. G.</given-names></name><name xml:lang="ru"><surname>Равжаева</surname><given-names>Е. Г.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>10 Naberezhnaya reki Ushayki, Tomsk 634050</p></bio><bio xml:lang="ru"><p>634050 Томск, Набережная реки Ушайки, 10</p></bio><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Seitova</surname><given-names>G. N.</given-names></name><name xml:lang="ru"><surname>Сеитова</surname><given-names>Г. Н.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>10 Naberezhnaya reki Ushayki, Tomsk 634050</p></bio><bio xml:lang="ru"><p>634050 Томск, Набережная реки Ушайки, 10</p></bio><xref ref-type="aff" rid="aff1"/></contrib></contrib-group><aff-alternatives id="aff1"><aff><institution xml:lang="en">Research Institute of Medical Genetics, Tomsk National Research Medical Center</institution></aff><aff><institution xml:lang="ru">Научно-исследовательский институт медицинской генетики ФГБНУ «Томский национальный исследовательский медицинский центр»</institution></aff></aff-alternatives><pub-date date-type="pub" iso-8601-date="2023-04-15" publication-format="electronic"><day>15</day><month>04</month><year>2023</year></pub-date><volume>18</volume><issue>2-3</issue><issue-title xml:lang="en"/><issue-title xml:lang="ru"/><fpage>31</fpage><lpage>37</lpage><history><date date-type="received" iso-8601-date="2023-12-04"><day>04</day><month>12</month><year>2023</year></date><date date-type="accepted" iso-8601-date="2023-12-04"><day>04</day><month>12</month><year>2023</year></date></history><permissions><copyright-statement xml:lang="en">Copyright ©; 2023, ABV-Press</copyright-statement><copyright-statement xml:lang="ru">Copyright ©; 2023, АБВ-пресс</copyright-statement><copyright-year>2023</copyright-year><copyright-holder xml:lang="en">ABV-Press</copyright-holder><copyright-holder xml:lang="ru">АБВ-пресс</copyright-holder><ali:free_to_read xmlns:ali="http://www.niso.org/schemas/ali/1.0/"/><license><ali:license_ref xmlns:ali="http://www.niso.org/schemas/ali/1.0/">https://rjdn.abvpress.ru/jour/about/editorialPolicies</ali:license_ref></license></permissions><self-uri xlink:href="https://rjdn.abvpress.ru/jour/article/view/444">https://rjdn.abvpress.ru/jour/article/view/444</self-uri><abstract xml:lang="en"><p>Duchenne muscular dystrophy is a genetically determined fatal disease with a steadily progressive course. It is characterized by the absence or sharp decrease (less than 3 % of the norm) of the dystrophin protein. In recent years, several drugs for pathogenetic treatment of Duchenne myodystrophy have appeared in Russia. Unfortunately, this therapy is not universal and can only be prescribed to patients with certain types and regions of mutations. Establishing an accurate diagnosis for patients will allow timely determination of observation tactics, effective implementation of preventive and rehabilitative measures, and obtaining pathogenetic treatment. Gene therapy is a perspective option. This article describes clinical cases of Duchenne myopathy in patients with different variants of mutations in the dystrophin gene against the background of pathogenetic therapy.</p></abstract><trans-abstract xml:lang="ru"><p>Прогрессирующая мышечная дистрофия Дюшенна – генетически обусловленное фатальное заболевание с неуклонно прогрессирующим течением. Характеризуется отсутствием белка дистрофина или резким снижением (&lt;3 % от нормы) его уровня. В России в последние годы появилось несколько препаратов для патогенетического лечения миодистрофии Дюшенна. К сожалению, данная терапия не является универсальной и может быть назначена пациентам с определенными видами и участками мутаций. Установление точного диагноза в каждом конкретном случае позволит своевременно определить наиболее оптимальную тактику ведения больного, включая эффективные профилактические и реабилитационные мероприятия, получить патогенетическое лечение, а в перспективе – генную терапию. В настоящей статье описаны клинические случаи миопатии Дюшенна у пациентов с различными вариантами мутаций в гене дистрофина на фоне проведения патогенетической терапии.</p></trans-abstract><kwd-group xml:lang="en"><kwd>Duchenne myopathy</kwd><kwd>DMD gene</kwd><kwd>dystrophin</kwd><kwd>pathogenetic therapy</kwd><kwd>exon skipping</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>миопатия Дюшенна</kwd><kwd>ген DMD</kwd><kwd>дистрофин</kwd><kwd>патогенетическая терапия</kwd><kwd>пропуск экзонов</kwd></kwd-group><funding-group><funding-statement xml:lang="en">The work was carried out within the framework of the state assignment of the Ministry of Education and Science of Russia (Research Institute of Medical Genetics, Tomsk National Research Medical Center)</funding-statement><funding-statement xml:lang="ru">Работа выполнена в рамках государственного задания Минобрнауки России (Научно-исследовательский институт медицинской генетики ФГБНУ «Томский национальный исследовательский медицинский центр»)</funding-statement></funding-group></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><citation-alternatives><mixed-citation xml:lang="en">1. 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