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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">persmed</journal-id><journal-title-group><journal-title xml:lang="ru">Российский журнал персонализированной медицины</journal-title><trans-title-group xml:lang="en"><trans-title>Russian Journal for Personalized Medicine</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2782-3806</issn><issn pub-type="epub">2782-3814</issn><publisher><publisher-name>ФОНД АЛМАЗОВА</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.18705/2782-3806-2024-4-4-313-318</article-id><article-id custom-type="edn" pub-id-type="custom">GQMIXC</article-id><article-id custom-type="elpub" pub-id-type="custom">persmed-276</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>ПЕДИАТРИЯ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>PAEDIATRICS</subject></subj-group></article-categories><title-group><article-title>Клинический случай инфантильной формы ТК-2-ассоциированной миопатии, успехи терапии нуклеозидами</article-title><trans-title-group xml:lang="en"><trans-title>Clinical case of infantile form of TK-2 associated myopathy, success of nucleoside therapy</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>Мамаева</surname><given-names>Е. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Mamaeva</surname><given-names>E. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Екатерина Александровна Мамаева, врач-невролог</p><p>Санкт-Петербург</p></bio><bio xml:lang="en"><p>Ekaterina A. Mamaeva, MD, neurologist</p><p>Saint Petersburg</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>Артамонова</surname><given-names>И. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Artamonova</surname><given-names>I. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Ирина Никитична Артамонова, младший научный сотрудник</p><p>Институт перинатологии и педиатрии; НИЛ физиологии и патологии новорожденных </p><p>Санкт-Петербург</p></bio><bio xml:lang="en"><p>Irina N. Artamonova, MD, junior researcher</p><p>Institute of Perinatology and Pediatrics; Research Laboratory of Physiology and Pathology of Newborns</p><p>Saint Petersburg</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>Петрова</surname><given-names>Н. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Petrova</surname><given-names>N. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Наталья Александровна Петрова, к. м. н., доцент, заведующий НИЛ</p><p>Институт перинатологии и педиатрии; НИЛ физиологии и патологии новорожденных</p><p>197341; ул. Аккуратова, д. 2; Санкт-Петербург</p></bio><bio xml:lang="en"><p>Natalia A. Petrova, MD, PhD, Associate Professor, Head of the Laboratory</p><p>Institute of Perinatology and Pediatrics; Research Laboratory of Physiology andPathology of Newborns</p><p>197341; Akkuratova str., 2; Saint Petersburg</p></bio><email xlink:type="simple">natalja5@yandex.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>Колбина</surname><given-names>Н. Ю.</given-names></name><name name-style="western" xml:lang="en"><surname>Kolbina</surname><given-names>N. Yu.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Наталья Юрьевна Колбина, заведующий отделением</p><p>Детский лечебно-реабилитационный комплекс; отделение педиатрии и медицинской реабилитации </p><p>Санкт-Петербург</p></bio><bio xml:lang="en"><p>Natalia Yu. Kolbina, MD, Head of the Department</p><p>Children’s Treatment and Rehabilitation Complex; Department of Pediatrics and Medical Rehabilitation</p><p>Saint Petersburg</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>Первунина</surname><given-names>Т. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Pervunina</surname><given-names>T. M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Татьяна Михайловна Первунина, д. м. н., доцент, директор Института</p><p>Институт перинатологии и педиатрии</p><p>Санкт-Петербург</p></bio><bio xml:lang="en"><p>Tatyana M. Pervunina, MD, Doctor of Medical Sciences, Associate Professor, Director of the Institute</p><p>Institute of Perinatology and Pediatrics</p><p>Saint Petersburg</p></bio><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Федеральное государственное бюджетное учреждение «Национальный медицинский исследовательский центр имени В. А. Алмазова» Министерства здравоохранения Российской Федерации</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Almazov National Medical Research Centre</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2024</year></pub-date><pub-date pub-type="epub"><day>13</day><month>09</month><year>2024</year></pub-date><volume>4</volume><issue>4</issue><fpage>313</fpage><lpage>318</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Мамаева Е.А., Артамонова И.Н., Петрова Н.А., Колбина Н.Ю., Первунина Т.М., 2024</copyright-statement><copyright-year>2024</copyright-year><copyright-holder xml:lang="ru">Мамаева Е.А., Артамонова И.Н., Петрова Н.А., Колбина Н.Ю., Первунина Т.М.</copyright-holder><copyright-holder xml:lang="en">Mamaeva E.A., Artamonova I.N., Petrova N.A., Kolbina N.Y., Pervunina T.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://persmed.elpub.ru/jour/article/view/276">https://persmed.elpub.ru/jour/article/view/276</self-uri><abstract><p>   ТK2­-ассоциированная митохондриальная миопатия — клинически гетерогенное аутосомно­рецессивное заболевание, характеризующееся преимущественно миопатическим фенотипом с вариабельным возрастом дебюта. Выделяют 3 основные клинические формы в зависимости от возраста дебюта: инфантильная, детская (ювенильная) и с поздним началом (взрослая). В статье представлено описание клинического слу­чая пациента с инфантильной формой заболевания со значительным положительным эффектом на фоне патогенетической терапии нуклеозидами.</p></abstract><trans-abstract xml:lang="en"><p>   TK2­-associated mitochondrial myopathy is a clinically heterogeneous autosomal recessive disease characterized by a predominantly myopathic phenotype with variable age of onset. There are 3 main clinical forms depending on the age of onset: infantile, childhood (juvenile) and late onset (adult). The article presents a description of a clinical case of a patient with an infantile form of the disease with a significant positive effect of pathogenetic therapy with nucleosides.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>митохондриальная миопатия</kwd><kwd>синдром истощения митохондриальной ДНК</kwd><kwd>TK­2 дефицит</kwd><kwd>тимидин и дезоксицитидин</kwd></kwd-group><kwd-group xml:lang="en"><kwd>DNA depletion syndrome</kwd><kwd>mitochondrial myopathy</kwd><kwd>thymidine and deoxycytidineе</kwd><kwd>TK2 deficiency</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">Garone C, Taylor RW, Nascimento A, et al. Retrospective natural history of thymidine kinase 2 deficiency. J Med Genet. August 2018;55(8):515–21.</mixed-citation><mixed-citation xml:lang="en">Garone C, Taylor RW, Nascimento A, et al. Retrospective natural history of thymidine kinase 2 deficiency. 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