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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">462</article-id><article-id pub-id-type="doi">10.17650/2222-8721-2021-11-3-51-63</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">New mutation in the TRIP4 gene associated with congenital muscular dystrophy Davignon–Chauveau type (clinical case)</article-title><trans-title-group xml:lang="ru"><trans-title>Новая мутация в гене TRIP4, ассоциированная с фенотипом врожденной мышечной дистрофии типа Давиньон–Шове (клинический случай)</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-9101-5213</contrib-id><name-alternatives><name xml:lang="en"><surname>Kozhanova</surname><given-names>T. V.</given-names></name><name xml:lang="ru"><surname>Кожанова</surname><given-names>Т. В.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p><bold>Tatyana V. Kozhanova </bold></p><p><italic>38 Aviatorov St., Moscow 119620, </italic></p><p><italic>1 Ostrovityanova St., Moscow 117997</italic></p></bio><bio xml:lang="ru"><p><bold>Татьяна Викторовна Кожанова </bold></p><p><italic>119620 Москва, ул. Авиаторов, 38,</italic></p><p><italic>117997 Москва, ул. Островитянова, 1</italic></p></bio><email>vkozhanov@bk.ru</email><xref ref-type="aff" rid="aff1"/><xref ref-type="aff" rid="aff2"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-2400-0748</contrib-id><name-alternatives><name xml:lang="en"><surname>Zhilina</surname><given-names>S. S.</given-names></name><name xml:lang="ru"><surname>Жилина</surname><given-names>С. С.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p><italic>38 Aviatorov St., Moscow 119620, </italic></p><p><italic>1 Ostrovityanova St., Moscow 117997</italic></p></bio><bio xml:lang="ru"><p><italic>119620 Москва, ул. Авиаторов, 38,</italic></p><p><italic>117997 Москва, ул. Островитянова, 1</italic></p><p> </p></bio><xref ref-type="aff" rid="aff1"/><xref ref-type="aff" rid="aff2"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-5970-565X</contrib-id><name-alternatives><name xml:lang="en"><surname>Mescheryakova</surname><given-names>T. I.</given-names></name><name xml:lang="ru"><surname>Мещерякова</surname><given-names>Т. И.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p><italic>38 Aviatorov St., Moscow 119620</italic></p></bio><bio xml:lang="ru"><p><italic>119620 Москва, ул. Авиаторов, 38</italic></p></bio><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Shorina</surname><given-names>M. Yu.</given-names></name><name xml:lang="ru"><surname>Шорина</surname><given-names>М. Ю.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p><italic>38 Aviatorov St., Moscow 119620</italic></p></bio><bio xml:lang="ru"><p><italic>119620 Москва, ул. Авиаторов, 38</italic></p></bio><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Demenshin</surname><given-names>I. F.</given-names></name><name xml:lang="ru"><surname>Деменьшин</surname><given-names>И. Ф.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p><italic>38 Aviatorov St., Moscow 119620</italic></p></bio><bio xml:lang="ru"><p><italic>119620 Москва, ул. Авиаторов, 38</italic></p></bio><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Prokopiev</surname><given-names>G. G.</given-names></name><name xml:lang="ru"><surname>Прокопьев</surname><given-names>Г. Г.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p><italic>38 Aviatorov St., Moscow 119620</italic></p></bio><bio xml:lang="ru"><p><italic>119620 Москва, ул. Авиаторов, 38</italic></p></bio><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-0499-5167</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><italic>Build. 5, 8 Podolskoe Shosse, 115093 Moscow</italic></p></bio><bio xml:lang="ru"><p><italic>115093 Москва, Подольское шоссе, 8, корп. 5</italic></p></bio><xref ref-type="aff" rid="aff3"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-0552-6939</contrib-id><name-alternatives><name xml:lang="en"><surname>Suchorukov</surname><given-names>V. S.</given-names></name><name xml:lang="ru"><surname>Сухоруков</surname><given-names>В. С.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p><italic>80 Volokolamskoe Shosse, 125367 Moscow</italic></p></bio><bio xml:lang="ru"><p><italic>125367 Москва, Волоколамское шоссе, 80 </italic></p></bio><xref ref-type="aff" rid="aff4"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Anufriev</surname><given-names>P. L.</given-names></name><name xml:lang="ru"><surname>Ануфриев</surname><given-names>П. Л.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p><italic>80 Volokolamskoe Shosse, 125367 Moscow</italic></p></bio><bio xml:lang="ru"><p><italic>125367 Москва, Волоколамское шоссе, 80 </italic></p></bio><xref ref-type="aff" rid="aff4"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-8999-9986</contrib-id><name-alternatives><name xml:lang="en"><surname>Baranich</surname><given-names>T. I.</given-names></name><name xml:lang="ru"><surname>Баранич</surname><given-names>Т. И.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p><italic>1 Ostrovityanova St., Moscow 117997, </italic></p><p><italic>80 Volokolamskoe Shosse, 125367 Moscow</italic></p></bio><bio xml:lang="ru"><p><italic>117997 Москва, ул. Островитянова, 1,</italic></p><p><italic>125367 Москва, Волоколамское шоссе, 80 </italic></p></bio><xref ref-type="aff" rid="aff5"/><xref ref-type="aff" rid="aff4"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Kozina</surname><given-names>A. A.</given-names></name><name xml:lang="ru"><surname>Козина</surname><given-names>А. А.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p><italic>1 Ostrovityanova St., Moscow 117997</italic></p></bio><bio xml:lang="ru"><p><italic>117997 Москва, ул. Островитянова, 1</italic></p></bio><xref ref-type="aff" rid="aff5"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-8899-4107</contrib-id><name-alternatives><name xml:lang="en"><surname>Prityko</surname><given-names>A. G.</given-names></name><name xml:lang="ru"><surname>Притыко</surname><given-names>А. Г.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p><italic>38 Aviatorov St., Moscow 119620, </italic></p><p><italic>1 Ostrovityanova St., Moscow 117997</italic></p></bio><bio xml:lang="ru"><p><italic>119620 Москва, ул. Авиаторов, 38,</italic></p><p><italic>117997 Москва, ул. Островитянова, 1</italic></p></bio><xref ref-type="aff" rid="aff6"/><xref ref-type="aff" rid="aff5"/></contrib></contrib-group><aff-alternatives id="aff1"><aff><institution xml:lang="en">Pirogov Russian National Research Medical University</institution></aff><aff><institution xml:lang="ru">ГБУЗ «Научно-практический центр специализированной медицинской помощи детям им. В.Ф. Войно-Ясенецкого Департамента здравоохранения г. Москвы»</institution></aff></aff-alternatives><aff-alternatives id="aff2"><aff><institution xml:lang="en">Research Center of Neurology</institution></aff><aff><institution xml:lang="ru">ФГАОУ ВО «Российский национальный исследовательский медицинский университет им. Н.И. Пирогова» Минздрава России</institution></aff></aff-alternatives><aff-alternatives id="aff3"><aff><institution xml:lang="en">Genomed</institution></aff><aff><institution xml:lang="ru">ООО «Геномед»</institution></aff></aff-alternatives><aff-alternatives id="aff4"><aff><institution xml:lang="en">Research Center of Neurology</institution></aff><aff><institution xml:lang="ru">ФГБНУ «Научный центр неврологии»</institution></aff></aff-alternatives><aff-alternatives id="aff5"><aff><institution xml:lang="en">Pirogov Russian National Research Medical University</institution></aff><aff><institution xml:lang="ru">ФГАОУ ВО «Российский национальный исследовательский медицинский университет им. Н.И. Пирогова» Минздрава России</institution></aff></aff-alternatives><aff-alternatives id="aff6"><aff><institution xml:lang="en">St. Luka’s Clinical Research Center for Children</institution></aff><aff><institution xml:lang="ru">ГБУЗ «Научно-практический центр специализированной медицинской помощи детям им. В.Ф. Войно-Ясенецкого Департамента здравоохранения г. Москвы»</institution></aff></aff-alternatives><pub-date date-type="pub" iso-8601-date="2021-12-14" publication-format="electronic"><day>14</day><month>12</month><year>2021</year></pub-date><volume>11</volume><issue>3</issue><issue-title xml:lang="en"/><issue-title xml:lang="ru"/><fpage>51</fpage><lpage>63</lpage><history><date date-type="received" iso-8601-date="2021-12-13"><day>13</day><month>12</month><year>2021</year></date><date date-type="accepted" iso-8601-date="2021-12-13"><day>13</day><month>12</month><year>2021</year></date></history><permissions><copyright-statement xml:lang="en">Copyright ©; 2021, Kozhanova T.V., Zhilina S.S., Mescheryakova T.I., Shorina M.Y., Demenshin I.F., Prokopiev G.G., Kanivets I.V., Suchorukov V.S., Anufriev P.L., Baranich T.I., Kozina A.A., Prityko A.G.</copyright-statement><copyright-statement xml:lang="ru">Copyright ©; 2021, Кожанова Т.В., Жилина С.С., Мещерякова Т.И., Шорина М.Ю., Деменьшин И.Ф., Прокопьев Г.Г., Канивец И.В., Сухоруков В.С., Ануфриев П.Л., Баранич Т.И., Козина А.А., Притыко А.Г.</copyright-statement><copyright-year>2021</copyright-year><copyright-holder xml:lang="en">Kozhanova T.V., Zhilina S.S., Mescheryakova T.I., Shorina M.Y., Demenshin I.F., Prokopiev G.G., Kanivets I.V., Suchorukov V.S., Anufriev P.L., Baranich T.I., Kozina A.A., Prityko A.G.</copyright-holder><copyright-holder xml:lang="ru">Кожанова Т.В., Жилина С.С., Мещерякова Т.И., Шорина М.Ю., Деменьшин И.Ф., Прокопьев Г.Г., Канивец И.В., Сухоруков В.С., Ануфриев П.Л., Баранич Т.И., Козина А.А., Притыко А.Г.</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/462">https://nmb.abvpress.ru/jour/article/view/462</self-uri><abstract xml:lang="en"><p>Congenital muscular dystrophies are heterogeneous groups of neuromuscular diseases leading to hypotonia, progressive muscle weakness and dystrophic or structural signs in muscle biopsy. At the present time, 34 genes associated with congenital muscular dystrophy have been described. The clinical case of a rare form of congenital muscular dystrophia associated with a homozygous mutation in the TRIP4 gene in a patient with respiratory failure requiring respiratory support, neurological symptoms, muscular hypotonia, and multiple congenital malformations of skeletal system is presented for the first time in Russia. The undescribed pathogenic homozygous variant of the nucleotide sequence in the TRIP4 gene (chr15:64686179, c.136C&gt;T, p.Arg46Ter, 2 exon, NM_016213.4) was detected by whole exome sequencing. The mutation in the TRIP4 gene was validated by Sanger sequencing in a child and its origin was investigated. The mother and father of the girl are carriers of the heterozygous variant in the TRIP4 gene. Identification of the genetic cause of a rare form of neuromuscular disease is important for determining the tactics of patient management and medical and genetic counseling of the family, as well as clarifying the pathogenesis of a rare pathology.</p><p> </p></abstract><trans-abstract xml:lang="ru"><p>Врожденные мышечные дистрофии и врожденные миопатии представляют собой гетерогенную группу нервно-мышечных заболеваний, приводящих к гипотонии, прогрессирующей мышечной слабости и дистрофическим или структурным признакам при мышечной биопсии. В настоящее время описано 34 гена, связанных с врожденной мышечной дистрофией. Впервые в России представляется клинический случай редкой формы врожденной мышечной дистрофии, обусловленной гомозиготной мутацией в гене TRIP4, у пациента с дыхательной недостаточностью, требующей респираторной поддержки, неврологической симптоматикой, мышечной гипотонией, множественными врожденными пороками развития опорно-двигательной системы. В результате проведенного полноэкзомного секвенирования выявлен ранее не описанный патогенный вариант нуклеотидной последовательности в гене TRIP4 в гомозиготном состоянии, приводящий к остановке синтеза полнофункционального белка (chr15:64686179, c.136C&gt;T, p.Arg46Ter, 2 й экзон, NM_016213.4). Мутация в гене TRIP4 была валидирована методом секвенирования по Сэнгеру у ребенка, и исследовано ее происхождение. Мать и отец девочки являются носителями гетерозиготного варианта в гене TRIP4. Выявление генетической причины редкой формы нервно-мышечного заболевания важно для определения тактики ведения пациента и медико-генетического консультирования семьи, а также уточнения патогенеза редкой патологии.</p></trans-abstract><kwd-group xml:lang="en"><kwd>congenital muscular dystrophy</kwd><kwd>TRIP4 gene</kwd><kwd>muscle hypotonia</kwd><kwd>respiratory failure</kwd><kwd>contractures</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>врожденная мышечная дистрофия</kwd><kwd>ген TRIP4</kwd><kwd>мышечная гипотония</kwd><kwd>дыхательная недостаточность</kwd><kwd>контрактуры</kwd></kwd-group><funding-group/></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><mixed-citation>Davignon L., Chauveau C., Julien C. et al. The transcription coactivator ASC-1 is a regulator of skeletal myogenesis, and its deficiency causes a novel form of congenital muscle disease. Hum Molec Genet 2016;25:1559–73. 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