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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">ssmu</journal-id><journal-title-group><journal-title xml:lang="ru">Бюллетень сибирской медицины</journal-title><trans-title-group xml:lang="en"><trans-title>Bulletin of Siberian Medicine</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1682-0363</issn><issn pub-type="epub">1819-3684</issn><publisher><publisher-name>Siberian State Medical University, the Ministry of Healthcare of the Russian Federation</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.20538/1682-0363-2018-1-243-253</article-id><article-id custom-type="elpub" pub-id-type="custom">ssmu-1135</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>СЛУЧАЙ ИЗ КЛИНИЧЕСКОЙ ПРАКТИКИ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>CLINICAL CASES</subject></subj-group></article-categories><title-group><article-title>Повышенная экспрессия рРНК у пациента с интеллектуальной недостаточностью и семейным случаем хромосомы 13р+</article-title><trans-title-group xml:lang="en"><trans-title>Overexpression of rRNA genes in a patient with intellectual disability  and familial 13p+ chromosome</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>Колесникова</surname><given-names>И. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Kolesnikova</surname><given-names>I. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Колесникова Ирина Станиславовна, канд. биол. наук, ст. науч. сотрудник, сектор хромосомных патологий.</p><p> </p></bio><bio xml:lang="en"><p>Kolesnikova Irina S., PhD, Senior Researcher, Chromosome Pathology Group.</p><p>8/2, Lavrentieva Аv., Novosibirsk, 630090.</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>Тулупов</surname><given-names>А. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Tulupov</surname><given-names>A. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Тулупов Андрей Александрович, д-р мед. наук, профессор РАН, зав. лабораторией МРТ технологии.</p><p>630090, г. Новосибирск, ул. Институтская, 3а ; 630090, г. Новосибирск, ул. Пирогова, 2.</p></bio><bio xml:lang="en"><p>Tulupov Andrey A., DM, Рrofessor, Head of the MRI Technology Laboratory.</p><p>3а, Institutskaiy Str., Novosibirsk, 630090; 2, Pirogov Str., Novosibirsk, 630090.</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>Дольский</surname><given-names>А. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Dolskiy</surname><given-names>A. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Дольский Александр Алексеевич, мл. науч. сотрудник, сектор хромосомных патологий.</p><p>630090, г. Новосибирск, пр. Академика Лаврентьева, 8/2; 630090, г. Новосибирск, ул. Пирогова, 2.</p></bio><bio xml:lang="en"><p>Dolskiy Alexander A., Junior Researcher, Chromosome Pathology Group.</p><p>8/2, Lavrentieva Аv., Novosibirsk, 630090; 2, Pirogov Str., Novosibirsk, 630090.</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>Лемская</surname><given-names>Н. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Lemskaya</surname><given-names>M. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Лемская Наталья Анатольевна, канд. биол. наук, науч. сотрудник, сектор хромосомных патологий.</p><p> </p></bio><bio xml:lang="en"><p>Lemskaya Natalya A., PhD, Researcher, Chromosome Pathology Group.</p><p>8/2, Lavrentieva Аv., Novosibirsk, 630090.</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>Савелов</surname><given-names>А. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Savelov</surname><given-names>A. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Савелов Андрей Александрович, канд. физ.-мат. наук, ст. науч. сотрудник,  лаб. МРТ технологии.</p><p> </p></bio><bio xml:lang="en"><p>Savelov Andrey A., PhD, Senior Researcher, MRI Technology Laboratory.</p><p> </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>Петровский</surname><given-names>Е. Д.</given-names></name><name name-style="western" xml:lang="en"><surname>Petrovsky</surname><given-names>E. D.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Петровский Евгений Дмитриевич, лаборант, лаборатория магнитно-резонансной микротомографии.</p><p> </p></bio><bio xml:lang="en"><p>Petrovsky Evgeniy D., Technician,  Laboratory of Microtomography.</p><p>3а, Institutskaiy Str., Novosibirsk, 630090.</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>Антонов</surname><given-names>А. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Antonov</surname><given-names>A. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Антонов Александр Алексеевич, студент.</p><p> </p></bio><bio xml:lang="en"><p>Antonov Alexander A., Student.</p><p>2, Pirogov Str., Novosibirsk, 630090.</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>Максимова</surname><given-names>Ю. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Maksimova</surname><given-names>Yu. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Максимова Юлия Владимировна, д-р мед. наук, зав. кафедрой медицинской генетики и биологии.</p><p> </p></bio><bio xml:lang="en"><p>Maksimova Yulia V., DM, Head of the Department of Medical Genetics and Biology.</p><p>52, Krasny Str., Novosibirsk, 630091; 6, Zalesskiy Str., Novosibirsk, 630047.</p></bio><xref ref-type="aff" rid="aff-7"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Шорина</surname><given-names>А. Р.</given-names></name><name name-style="western" xml:lang="en"><surname>Shorina</surname><given-names>A. R.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Шорина Асия Ринатовна, врач-генетик.</p><p> </p></bio><bio xml:lang="en"><p>Shorina Asia R., Clinical Geneticist, Novosibirsk City Clinical Hospital No 1.</p><p>6, Zalesskiy Str., Novosibirsk, 630047.</p></bio><xref ref-type="aff" rid="aff-8"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Сергеева</surname><given-names>И. Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Sergeeva</surname><given-names>I. G.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Сергеева Ирина Геннадьевна, д-р мед. наук.</p><p> </p></bio><bio xml:lang="en"><p>Sergeeva Irina G., DM, Director of Center of Medical Postgraduate Education.</p><p>2, Pirogov Str., Novosibirsk, 630090.</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>Телепова</surname><given-names>А. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Telepova</surname><given-names>A. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Телепова Алена Сергеевна, ст. лаборант, сектор хромосомных патологий.</p><p> </p></bio><bio xml:lang="en"><p>Telepova Alena S., Technician, Chromosome Pathology Group.</p><p>8/2, Lavrentieva Аv., Novosibirsk, 630090; 2, Pirogov Str., Novosibirsk, 630090.</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>Графодатский</surname><given-names>А. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Graphodatsky</surname><given-names>A. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Графодатский Александр Сергеевич, д-р биол. наук, зав. отделом разнообразия и эволюции геномов.</p><p>630090, г. Новосибирск, пр. Академика Лаврентьева, 8/2.</p></bio><bio xml:lang="en"><p>Graphodatsky Alexander S., DBSc, Head of the Department of the Diversity and Evolution of Genomes.</p><p>8/2, Lavrentieva Аv., Novosibirsk, 630090</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>Юдкин</surname><given-names>Д. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Yudkin</surname><given-names>D. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Юдкин Дмитрий Владимирович, канд. биол. наук, зав. сектором хромосомных патологий.</p><p>630090, г. Новосибирск, пр. Академика Лаврентьева, 8/2; 630090, г. Новосибирск, ул. Пирогова, 2.</p></bio><bio xml:lang="en"><p>Yudkin Dmitry V., PhD, Нead of the Chromosome Pathology Group.</p><p>8/2, Lavrentieva Аv., Novosibirsk, 630090; 2, Pirogov Str., Novosibirsk, 630090.</p></bio><email xlink:type="simple">dim@mcb.nsc.ru</email><xref ref-type="aff" rid="aff-3"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Институт молекулярной и клеточной биологии (ИМКБ) Сибирского отделения (СО) Российской академии наук (РАН).</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Institute of Molecular and Cellular Biology (IMCB) SB RAS .</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Международный томографический центр (МТЦ) СО РАН ; Новосибирский национальный исследовательский государственный университет (ННИГУ).</institution><country>Россия</country></aff><aff xml:lang="en"><institution>International Tomography Center (ITC) SB RAS ; Novosibirsk State University .</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>Институт молекулярной и клеточной биологии (ИМКБ) Сибирского отделения (СО) Российской академии наук (РАН); Новосибирский национальный исследовательский государственный университет (ННИГУ).</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Institute of Molecular and Cellular Biology (IMCB) SB RAS ;  Novosibirsk State University.</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-4"><aff xml:lang="ru"><institution>Институт молекулярной и клеточной биологии (ИМКБ) Сибирского отделения (СО) Российской академии наук (РАН).</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Institute of Molecular and Cellular Biology (IMCB) SB RAS.</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-5"><aff xml:lang="ru"><institution>Международный томографический центр (МТЦ) СО РАН.</institution><country>Россия</country></aff><aff xml:lang="en"><institution>International Tomography Center (ITC) SB RAS.</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-6"><aff xml:lang="ru"><institution>Новосибирский национальный исследовательский государственный университет (ННИГУ).</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Novosibirsk State University.</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-7"><aff xml:lang="ru"><institution>Новосибирский государственный медицинский университет (НГМУ) ; Городская клиническая больница № 1.</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Novosibirsk State Medical University ;  Novosibirsk City Clinical Hospital No 1 .</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-8"><aff xml:lang="ru"><institution>Городская клиническая больница № 1.</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Novosibirsk City Clinical Hospital No 1 .</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2018</year></pub-date><pub-date pub-type="epub"><day>30</day><month>03</month><year>2018</year></pub-date><volume>17</volume><issue>1</issue><fpage>243</fpage><lpage>253</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Колесникова И.С., Тулупов А.А., Дольский А.А., Лемская Н.А., Савелов А.А., Петровский Е.Д., Антонов А.А., Максимова Ю.В., Шорина А.Р., Сергеева И.Г., Телепова А.С., Графодатский А.С., Юдкин Д.В., 2018</copyright-statement><copyright-year>2018</copyright-year><copyright-holder xml:lang="ru">Колесникова И.С., Тулупов А.А., Дольский А.А., Лемская Н.А., Савелов А.А., Петровский Е.Д., Антонов А.А., Максимова Ю.В., Шорина А.Р., Сергеева И.Г., Телепова А.С., Графодатский А.С., Юдкин Д.В.</copyright-holder><copyright-holder xml:lang="en">Kolesnikova I.S., Tulupov A.A., Dolskiy A.A., Lemskaya M.A., Savelov A.A., Petrovsky E.D., Antonov A.A., Maksimova Y.V., Shorina A.R., Sergeeva I.G., Telepova A.S., Graphodatsky A.S., Yudkin D.V.</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://bulletin.ssmu.ru/jour/article/view/1135">https://bulletin.ssmu.ru/jour/article/view/1135</self-uri><abstract><p>Данное молекулярно-цитогенетическое исследование пациента с интеллектуальной недостаточностью и признаками аутизма выявило наличие у него аномальной хромосомы 13 с увеличенным р-плечом, амплификацией рибосомной ДНК (рДНК) и очень активным ядрышкообразующим районом. Методом количественной полимеразной цепной реакции в реальном времени обнаружен повышенный в шесть раз уровень 18S, 28S и 5.8S рибосомной РНК (рРНК) в образцах крови пациента. Также с помощью функциональной магнитно-резонансной томографии показаны функциональные изменения в головном мозге, в частности в структуре крючковидных пучков. Отец пациента, носитель аналогичной хромосомы с амплифицированной рДНК, здоров и имеет нормальный уровень экспрессии рРНК.</p></abstract><trans-abstract xml:lang="en"><p>A study of a child with intellectual disability revealed an enlarged p-arm in chromosome 13 and amplified rDNA. qRT-PCR showed an approximately 6-fold increased level of rRNA in the patient’s blood samples. fMRI study revealed changes in uncinate fasciculus. His father is a carrier of the same chromosome, healthy and has a normal level of rRNA.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>интеллектуальная недостаточность</kwd><kwd>рибосомная ДНК (рДНК)</kwd><kwd>рибосомная РНК (рРНК)</kwd><kwd>ядрышкообразующий район (ЯОР)</kwd><kwd>функциональная МРТ</kwd><kwd>тракты головного мозга</kwd></kwd-group><kwd-group xml:lang="en"><kwd>intellectual disability</kwd><kwd>ribosomal DNA – rDNA</kwd><kwd>ribosomal RNA – rRNA</kwd><kwd>nucleolus organizer region – NOR</kwd><kwd>chromosome 13</kwd><kwd>fMRI</kwd><kwd>brain tracts</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">Vissers L.E., Gilissen C., Veltman J.A. Genetic studies in intellectual disability and related disorders. Nature Reviews Genetics. 2016; 17 (1): 9–18. DOI: 10.1038/nrg3999.</mixed-citation><mixed-citation xml:lang="en">Vissers L.E., Gilissen C., Veltman J.A. 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