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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">helmholtzeyeinstitute</journal-id><journal-title-group><journal-title xml:lang="ru">Российский офтальмологический журнал</journal-title><trans-title-group xml:lang="en"><trans-title>Russian Ophthalmological Journal</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2072-0076</issn><issn pub-type="epub">2587-5760</issn><publisher><publisher-name>Real time Publishers</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.21516/2072-0076-2019-12-3-77-84</article-id><article-id custom-type="elpub" pub-id-type="custom">helmholtzeyeinstitute-304</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>В ПОМОЩЬ ПРАКТИЧЕСКОМУ ВРАЧУ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>FOR OPHTHALMOLOGY PRACTITIONERS</subject></subj-group></article-categories><title-group><article-title>Особенности патогенеза и клинического течения врожденной стационарной ночной слепоты при мутации c.283delC в гене NYX</article-title><trans-title-group xml:lang="en"><trans-title>Pathogenesis and clinical features of congenital stationary night blindness in case of c.283delC NYX gene mutation</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>Иванова</surname><given-names>М. Е.</given-names></name><name name-style="western" xml:lang="en"><surname>Ivanova</surname><given-names>M. E.</given-names></name></name-alternatives><bio xml:lang="ru"><p>канд. мед. наук, руководитель</p><p>125167, Москва, Ленинградский проспект, д. 47/3-3</p></bio><bio xml:lang="en"><p>Cand. Med. Sci, head</p><p>47/3-3, Leningradsky Prospekt, Moscow, 125167</p></bio><email xlink:type="simple">info@oftalmic.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>Горгишели</surname><given-names>К. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Gorgisheli</surname><given-names>K. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>врач-генетик</p><p>115093, Москва, Подольское шоссе, д. 8, к. 5</p></bio><bio xml:lang="en"><p> MD, geneticist</p><p>8, Bldg. 5, Podolskoye Hgwy, Moscow, 115093</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>Зольникова</surname><given-names>И. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Zolnikova</surname><given-names>I. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>д-р мед. наук, старший научный сотрудник отдела клинической физиологии зрения им. С.В. Кравкова</p><p>105062, Москва, ул. Садовая-Черногрязская, д. 14/19</p></bio><bio xml:lang="en"><p>Dr. Med.Sci, senior researcher, S.V. Kravkov department of clinical physiology of vision</p><p>14/19, Sadovaya-Chernogryazskaya St., Moscow, 105062</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>Атаршиков</surname><given-names>Д. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Atarshchikov</surname><given-names>D. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>канд. мед. наук, врач-офтальмолог</p><p>121359, Москва, ул. Маршала Тимошенко, д. 15</p></bio><bio xml:lang="en"><p>Cand. Med. Sci., ophtalmologist</p><p>15, Marshala Timoshenko St. Moscow, 121359</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>Бар</surname><given-names>Д.</given-names></name><name name-style="western" xml:lang="en"><surname>Barh</surname><given-names>D.</given-names></name></name-alternatives><bio xml:lang="ru"><p>д-р биол. наук, руководитель</p><p>560032, Нонакури, Пурба Мединипур</p></bio><bio xml:lang="en"><p> PhD (Biology), head</p><p>560032, Nonakuri, Purba Medinipur, West Bengal</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>Салмаси</surname><given-names>Ж. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Salmasi</surname><given-names>Zh. M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>д-р мед. наук, профессор</p><p>117513, Москва, ул. Островитянова, д. 1</p></bio><bio xml:lang="en"><p>Dr. Med. Sci, Professor, chair of clinical pathophysiology</p><p>1, Ostrovityanova St. , Moscow, 117513</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>Балашова</surname><given-names>Л. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Balashova</surname><given-names>L. M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>д-р мед. наук, профессор, руководитель</p><p>119034, Москва, ул. Пречистенка, д. 29/14</p></bio><bio xml:lang="en"><p> Dr. Med.Sci, Professor, head</p><p>29/14, Prechistenka St., Moscow, 119034</p></bio><xref ref-type="aff" rid="aff-7"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>НКЦ «Офтальмик»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Oftalmic Research and Clinical Center</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ООО «Геномед», Генетическая лаборатория</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Genomed Genetic Laboratory</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>ФГБУ «НМИЦ глазных болезней им. Гельмгольца» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Helmholtz National Medical Research Center of Eye Diseases</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-4"><aff xml:lang="ru"><institution>ФГБУ «Центральная клиническая больница с поликлиникой при Управлении делами Президента РФ»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Central Clinical Hospital with Polyclinic, Office of the President</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-5"><aff xml:lang="ru"><institution>Центр геномики и прикладной генной технологии (1ЮАБ),</institution><country>Индия</country></aff><aff xml:lang="en"><institution>Center for Genomics and Applied Gene Technology, Institute of Integrative Omics and Applied Biotechnology (IIOAB)</institution><country>India</country></aff></aff-alternatives><aff-alternatives id="aff-6"><aff xml:lang="ru"><institution>ФГБУ ВО «Российский национальный исследовательский медицинский университет им. Н.И. Пирогова» Минздрава России, кафедра патофизиологии</institution><country>Россия</country></aff><aff xml:lang="en"><institution>N.I. Pirogov Russian National Research Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-7"><aff xml:lang="ru"><institution>НП «Международный научно-практический центр пролиферации тканей России»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Non-profit partnership International Scientific and Practical Center for the Proliferation of Tissues</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2019</year></pub-date><pub-date pub-type="epub"><day>31</day><month>08</month><year>2019</year></pub-date><volume>12</volume><issue>3</issue><fpage>77</fpage><lpage>84</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Иванова М.Е., Горгишели К.В., Зольникова И.В., Атаршиков Д.С., Бар Д., Салмаси Ж.М., Балашова Л.М., 2019</copyright-statement><copyright-year>2019</copyright-year><copyright-holder xml:lang="ru">Иванова М.Е., Горгишели К.В., Зольникова И.В., Атаршиков Д.С., Бар Д., Салмаси Ж.М., Балашова Л.М.</copyright-holder><copyright-holder xml:lang="en">Ivanova M.E., Gorgisheli K.V., Zolnikova I.V., Atarshchikov D.S., Barh D., Salmasi Z.M., Balashova L.M.</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://roj.igb.ru/jour/article/view/304">https://roj.igb.ru/jour/article/view/304</self-uri><abstract><p>Полная форма Х-сцепленной врожденной стационарной ночной слепоты (ВСНС, CSNB) является редким генетическим заболеванием, вызванным мутацией в гене NYX. ВСНС ассоциирована с мутациями в 17 генах, форма CSNB1A обусловлена мутациями в гене NYX, которые были описаны ранее, но о российском эффекте основателя пока не сообщалось. В данной статье приводится анализ патогенетических механизмов в семье с диагностированной CSNB1A и генетически подтвержденной новой мутацией в гене NYX у четырех членов российской семьи. Два брата (в семье четверо детей) с ВСНС, выявленной в раннем детстве, и высокой близорукостью прошли стандартное офтальмологическое обследование, а также ОКТ, электроретинографию, цветотест по таблицам Рабкина и тесту Фарнсуорта и были направлены на молекулярно-генетическое подтверждение диагноза методом полноэкзомного секвенирования с последующим подтверждением по Сэнгеру обнаруженной мутации у пробанда и родственников пробанда. У членов семьи с клиническими признаками CSNB1A генетически подтверждена мутация сдвига рамки считывания в гене NYX (c  .283delC, p.His95fs, NM_022567.2), которая наследуется в X-сцепленной форме. Это первое описание случая с новой и вероятной мутацией основателя из России, связанной с CSNB1A. Поскольку мРНК гена NYX состоит только из 2696 пар оснований, для лечения этих пациентов можно предусмотреть генную заместительную терапию или редактирование гена на основе CRISPR-технологии или аналогичной ей для коррекции сдвига рамки в позиции His95fs.</p></abstract><trans-abstract xml:lang="en"><p>The complete form of X-linked congenital stationary night blindness (CSNB) is a rare genetic disease caused by a mutation in the NYX gene. CSNB is associated with the mutations taking place in 17 genes, whilst its CSNB1A form is caused by the mutations in the NYX gene, which were characterized earlier, although nothing had been reported so far about the Russian founder principle. The paper analyzes the pathogenetic mechanisms in a family with diagnosed CSNB1A and a new genetically confirmed mutation in the NYX gene in four members of one Russian family. Two brothers of the four siblings (two boys, two girls) with congenital stationary night blindness, diagnosed in early childhood, and high myopia underwent a standard ophthalmic examination, supplemented with OCT, electroretinography and color blind test with tables by Rabkin and Farnsworth test, whereupon they were sent to molecular genetics confirmation of the diagnosis by whole exome sequencing with subsequent Sanger sequencing confirmation of the detected mutation in the proband and proband’s relatives. In members of the family with clinical features of CSNB1A the reading frame shift mutation was genetically confirmed in the NYX gene (c.283delC, p.His95fs, NM_022567.2). This mutation is inherited in X-linked form. This is the first report of a case with a novel and probable founder mutation from Russia associated with CSNB1A. Since the mRNA of a NYX gene consists of only 2696 base pairs, a gene replacement therapy, or CRISPR-based gene editing, or a similar approach may be envisaged for the correction of frameshift in His95fs position.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>CSNB1A</kwd><kwd>NYX</kwd><kwd>врожденная стационарная ночная слепота</kwd><kwd>генная терапия</kwd><kwd>богатый лейцином домен</kwd></kwd-group><kwd-group xml:lang="en"><kwd>CSNB1A</kwd><kwd>NYX</kwd><kwd>congenital stationary night blindness</kwd><kwd>gene therapy</kwd><kwd>leucine-rich domain</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Zeitz C., Robson A.G., Audo I. Congenital stationary night blindness: an analysis and update of genotype-phenotype correlations and pathogenic mechanisms. Prog. Retin. 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