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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">Neuromuscular Diseases</journal-id><journal-title-group><journal-title xml:lang="en">Neuromuscular Diseases</journal-title><trans-title-group xml:lang="ru"><trans-title>Нервно-мышечные болезни</trans-title></trans-title-group></journal-title-group><issn publication-format="print">2222-8721</issn><issn publication-format="electronic">2413-0443</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">449</article-id><article-id pub-id-type="doi">10.17650/2222-8721-2021-11-2-48-55</article-id><article-categories><subj-group subj-group-type="toc-heading" xml:lang="en"><subject>CLINICAL CASE</subject></subj-group><subj-group subj-group-type="toc-heading" xml:lang="ru"><subject>КЛИНИЧЕСКИЙ РАЗБОР</subject></subj-group><subj-group subj-group-type="article-type"><subject></subject></subj-group></article-categories><title-group><article-title xml:lang="en">Clinical and genetic characteristics of distal arthrogryposis caused by mutations in the PIEZO2 gene</article-title><trans-title-group xml:lang="ru"><trans-title>Клинико-генетические характеристики дистальных артрогрипозов, обусловленных мутациями в гене PIEZO2</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-2672-6294</contrib-id><name-alternatives><name xml:lang="en"><surname>Markova</surname><given-names>T. V.</given-names></name><name xml:lang="ru"><surname>Маркова</surname><given-names>Т. В.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>1 Moskvorechye St., Moscow 115522</p></bio><bio xml:lang="ru"><p> 115522 Москва, ул. Москворечье, 1 </p></bio><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-5602-2805</contrib-id><name-alternatives><name xml:lang="en"><surname>Dadali</surname><given-names>E. L.</given-names></name><name xml:lang="ru"><surname>Дадали</surname><given-names>Е. Л.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>  Elena Leonidovna Dadali  </p><p>1 Moskvorechye St., Moscow 115522 </p></bio><bio xml:lang="ru"><p> Елена Леонидовна Дадали genclinic@yandex.ru </p><p> 115522 Москва, ул. Москворечье, 1 </p></bio><email>genclinic@yandex.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-3292-2758</contrib-id><name-alternatives><name xml:lang="en"><surname>Nikitin</surname><given-names>S. S.</given-names></name><name xml:lang="ru"><surname>Никитин</surname><given-names>С. С.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p> 1 Moskvorechye St., Moscow 115522 </p></bio><bio xml:lang="ru"><p> 115522 Москва, ул. Москворечье, 1 </p></bio><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-7023-7378</contrib-id><name-alternatives><name xml:lang="en"><surname>Murtazina</surname><given-names>A.  F .</given-names></name><name xml:lang="ru"><surname>Муртазина</surname><given-names>А. Ф.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p> 1 Moskvorechye St., Moscow 115522 </p></bio><bio xml:lang="ru"><p> 115522 Москва, ул. Москворечье, 1 </p></bio><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-0351-1271</contrib-id><name-alternatives><name xml:lang="en"><surname> Mironovich</surname><given-names>O. L.</given-names></name><name xml:lang="ru"><surname>Миронович</surname><given-names>О. Л.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>1 Moskvorechye St., Moscow 115522</p></bio><bio xml:lang="ru"><p> 115522 Москва, ул. Москворечье, 1 </p></bio><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-5821-9783</contrib-id><name-alternatives><name xml:lang="en"><surname>Kanivets</surname><given-names>I.  V.  </given-names></name><name xml:lang="ru"><surname>Канивец</surname><given-names>И. В.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p> Build. 5, 8 Podolskoe Shosse, Moscow 115093 </p></bio><bio xml:lang="ru"><p> 115093 Москва, Подольское шоссе, 8 корп. 5 </p></bio><xref ref-type="aff" rid="aff2"/></contrib></contrib-group><aff-alternatives id="aff1"><aff><institution xml:lang="en">Research Centre for Medical Genetics</institution></aff><aff><institution xml:lang="ru">ФГБНУ «Медико-генетический научный центр им. акад. Н.П. Бочкова»</institution></aff></aff-alternatives><aff-alternatives id="aff2"><aff><institution xml:lang="en">Medical Genetic Center “Genomed”</institution></aff><aff><institution xml:lang="ru">Медико-генетический центр «Геномед»</institution></aff></aff-alternatives><pub-date date-type="pub" iso-8601-date="2021-09-13" publication-format="electronic"><day>13</day><month>09</month><year>2021</year></pub-date><volume>11</volume><issue>2</issue><issue-title xml:lang="en"/><issue-title xml:lang="ru"/><fpage>48</fpage><lpage>55</lpage><history><date date-type="received" iso-8601-date="2021-09-13"><day>13</day><month>09</month><year>2021</year></date><date date-type="accepted" iso-8601-date="2021-09-13"><day>13</day><month>09</month><year>2021</year></date></history><permissions><copyright-statement xml:lang="en">Copyright ©; 2021, Markova T.V., Dadali E.L., Nikitin S.S., Murtazina A. .,  Mironovich O.L., Kanivets I. .</copyright-statement><copyright-statement xml:lang="ru">Copyright ©; 2021, Маркова Т.В., Дадали Е.Л., Никитин С.С., Муртазина А.Ф., Миронович О.Л., Канивец И.В.</copyright-statement><copyright-year>2021</copyright-year><copyright-holder xml:lang="en">Markova T.V., Dadali E.L., Nikitin S.S., Murtazina A. .,  Mironovich O.L., Kanivets I. .</copyright-holder><copyright-holder xml:lang="ru">Маркова Т.В., Дадали Е.Л., Никитин С.С., Муртазина А.Ф., Миронович О.Л., Канивец И.В.</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://creativecommons.org/licenses/by/4.0</ali:license_ref></license></permissions><self-uri xlink:href="https://nmb.abvpress.ru/jour/article/view/449">https://nmb.abvpress.ru/jour/article/view/449</self-uri><abstract xml:lang="en"><p>Mutations in the PIEZO2 gene, which is involved in the formation of the mechanosensitive cation channel Piezo2, can cause distal arthrogryposis type 3 (Gordon’s syndrome), type 5, and Marden–Walker syndrome. Clinical and genetic characteristics of two patients with distal arthrogryposis with autosomal dominant inheritance and one with autosomal recessive inheritance are presented. Exome sequencing in one case revealed a de novo mutation in exon 52 of the PIEZO2gene c.8238G&gt;A (p.Trp2746*, NM_022068.3), in the second, a known deletion of three nucleotides in exon 52 of the PIEZO2 gene c.8181_8183delAGA (p Glu2727del, NM_022068.3) was found, in the third, two mutations in the compound heterozygous state – a deletion of four nucleotides leading to a shift in the reading frame in c.1863_1866delTCAG(p.Ser621fs, NM_022068) and a deletion with putative coordinates 10785050–10789339 bp, spanning 15–16 exons of the PIEZO2 gene (NM_022068; LOD 2.40). The third patient was found to have two newly detected mutations in the compound heterozygous state – a deletion of four nucleotides, leading to a shift in the reading frame in exon 14, p.1863_1866delTCAG (p.Ser621fs, NM_022068) and a deletion with assumed coordinates 10785050–10789339 b. o., (NM_022068; LOD 2.40), spanning 15–16 exons of the PIEZO2 gene. The previous assumption was confirmed that heterozygous mutations are more often localized in exon 52 of the PIEZO2 gene and disrupt the amino acid sequence of the C‑terminal region of the protein molecule, while in patients with an autosomal recessive mode of inheritance of the mutation, the N‑terminal region is more often found.</p></abstract><trans-abstract xml:lang="ru"><p>Мутации в гене PIEZO2, участвующем в формировании механочувствительного катионного канала, обусловливают возникновение дистальных артрогрипозов (ДА) 3‑го и 5‑го типов и синдрома Мардена–Уокера, наследующихся аутосомно‑доминантно, и аутосомно‑рецессивного ДА с нарушением тактильной и проприоцептивной чувствительности. Представлены клинико‑генетические характеристики 2 пациентов с аутосомно‑доминантным ДА и 1 пациента с аутосомно‑рецессивным ДА. В результате проведения секвенирования экзома у пациентов с аутосомно‑доминантным ДА обнаружены вновь выявленная нуклеотидная замена c. 8238G&gt;A (p.Trp2746*,NM_022068.3) и ранее описанная мутация с. 8181_8183delAGA (p.Glu2727del, NM_022068.3) в 52‑м экзоне гена PIEZO2. У 3‑го пациента обнаружены 2 вновь выявленные мутации в компаунд‑гетерозиготном состоянии: делеция 4 нуклеотидов, приводящая к сдвигу рамки считывания в 14‑м экзоне, с.1863_1866delTCAG (p.Ser621fs, NM_022068) и делеция с предполагаемыми координатами 10785050–10789339 п. о. (NM_022068; LOD 2.40), захватывающая 15–16‑й экзоны гена PIEZO2. Подтверждено предположение о том, что гетерозиготные мутации чаще локализуются в 52‑м экзоне гена PIEZO2 и нарушают аминокислотную последовательность С‑концевого участка белковой молекулы, в то время как у больных с аутосомно‑рецессивным типом наследования мутации чаще обнаруживаются области N‑концевого или центрального участка.</p></trans-abstract><kwd-group xml:lang="en"><kwd>distal arthrogryposis</kwd><kwd>mechanosensitive receptor</kwd><kwd>gene PIEZO2</kwd><kwd>mutations</kwd><kwd>mechanotransduction</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>дистальный артрогрипоз</kwd><kwd>механочувствительный рецептор</kwd><kwd>ген PIEZO2</kwd><kwd>мутации</kwd><kwd>механотранс‑ дукция</kwd></kwd-group><funding-group/></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><citation-alternatives><mixed-citation xml:lang="en">1. Bamshad M., Van Heest A.E., Pleasure D. Arthrogryposis: A review and update. J Bone Joint Surg Am 2009;91(Suppl 4): 40–6. PMID: 19571066. 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