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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">10.18705/2782-3806-2022-2-2-72-83</article-id><article-id custom-type="elpub" pub-id-type="custom">persmed-47</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>ОБЗОРЫ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>REVIEWERS</subject></subj-group></article-categories><title-group><article-title>Редкие и неизвестные заболевания – современный тренд медицины</article-title><trans-title-group xml:lang="en"><trans-title>Rare and unknown diseases are a modern trend in medicine</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>Васичкина</surname><given-names>Е. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Vasichkina</surname><given-names>E. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Елена Сергеевна Васичкина, руководитель, профессор</p><p>Федеральное государственное бюджетное учреждение «Национальный медицинский исследовательский центр имени В. А. Алмазова»</p><p>НЦМУ «Центр персонализированной медицины»</p><p>НИЦ неизвестных, редких и генетически обусловленных заболеваний</p><p>Институт медицинского образования</p><p>лечебный факультет</p><p>кафедра детских болезней</p><p>197341</p><p>ул. Аккуратова, д. 2</p><p>Санкт-Петербург</p></bio><bio xml:lang="en"><p>Elena S. Vasichkina, Head, Professor</p><p>Federal State Budgetary Institution "V. A. Almazov National Medical Research Center"</p><p>NCMU "Center for Personalized Medicine"</p><p>SIC of unknown, rare and genetically determined diseases</p><p>Institute of Medical Education</p><p>Faculty of Medicine</p><p>Department of Children's Diseases</p><p>197341</p><p>Akkuratova str., 2</p><p>Saint-Petersburg</p></bio><email xlink:type="simple">Vasichkina_ES@almazovcentre.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>Костарева</surname><given-names>А. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Kostareva</surname><given-names>A. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Анна Александровна Костарева, д. м. н., директор, доцент</p><p>Федеральное государственное бюджетное учреждение «Национальный медицинский исследовательский центр имени В. А. Алмазова»</p><p>Институт молекулярной биологии и генетики</p><p>Институт медицинского образования</p><p>кафедра внутренних болезней</p></bio><bio xml:lang="en"><p>Anna A. Kostareva, MD, Director, Associate Professor</p><p>Federal State Budgetary Institution "V. A. Almazov National Medical Research Center"</p><p>Institute of Molecular Biology and Genetics</p><p>Institute of Medical Education</p><p>Department of Internal Diseases</p></bio><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Минздрав России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Ministry of Health of Russia</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2022</year></pub-date><pub-date pub-type="epub"><day>02</day><month>06</month><year>2022</year></pub-date><volume>2</volume><issue>2</issue><fpage>72</fpage><lpage>83</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Васичкина Е.С., Костарева А.А., 2022</copyright-statement><copyright-year>2022</copyright-year><copyright-holder xml:lang="ru">Васичкина Е.С., Костарева А.А.</copyright-holder><copyright-holder xml:lang="en">Vasichkina E.S., Kostareva A.A.</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/47">https://persmed.elpub.ru/jour/article/view/47</self-uri><abstract><p>   Редкие и неизвестные заболевания многочисленны и гетерогенны по своей природе, характеризуются низкой распространенностью и относительно высокими показателями смертности и инвалидизации. В настоящее время научному сообществу известно 6000–8000 редких болезней, при этом ежегодно описывается еще 250–280 новых нозологий. Актуальными проблемами здравоохранения во всем мире являются как трудность диагностики, так и отсутствие эффективного лечения для многих таких патологий.</p></abstract><trans-abstract xml:lang="en"><p>   Rare and unknown diseases are numerous and heterogeneous, characterized by low prevalence and relatively high mortality and disability rates. There are currently 6000–8000 rare diseases known to the scientific community, with an additional 250–280 new diseases being described each year. Both the difficulty of diagnosis and the lack of effective treatment for many of these diseases are pressing health problems throughout the world. The growing global interest in the problem of rare and unknown diseases and the search for its solution has led to the initiation of projects on rare, unknown and little-studied diseases in many countries.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>геномное секвенирование</kwd><kwd>модельные животные</kwd><kwd>редкие и неизвестные заболевания</kwd><kwd>экзомное секвенирование</kwd></kwd-group><kwd-group xml:lang="en"><kwd>exome sequencing</kwd><kwd>genomic sequencing</kwd><kwd>model animals</kwd><kwd>rare and unknown diseases</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">Valdez R., Ouyang L., Bolen J. Public health and rare diseases: oxymoron no more. Prev Chronic Dis. 2016; 13: E05.</mixed-citation><mixed-citation xml:lang="en">Valdez R., Ouyang L., Bolen J. Public health and rare diseases: oxymoron no more. Prev Chronic Dis. 2016; 13: E05.</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">European Organisation for Rare Diseases (EU-RORDIS). Rare diseases: understanding this public health priority. Eurordis, November 2005; 1–14.</mixed-citation><mixed-citation xml:lang="en">European Organisation for Rare Diseases (EU-RORDIS). Rare diseases: understanding this public health priority. Eurordis, November 2005; 1–14.</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">Ferreira C. R. The burden of rare diseases. Am J Med Genet. 2019; 179A: 885–892.</mixed-citation><mixed-citation xml:lang="en">Ferreira C. R. The burden of rare diseases. Am J Med Genet. 2019; 179A: 885–892.</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">Vaisitti T., Peritore D., Magistroni P., et al. The frequency of rare and monogenic diseases in pediatric organ transplant recipients in Italy. Orphanet J Rare Dis. 2021; 16: 374.</mixed-citation><mixed-citation xml:lang="en">Vaisitti T., Peritore D., Magistroni P., et al. The frequency of rare and monogenic diseases in pediatric organ transplant recipients in Italy. Orphanet J Rare Dis. 2021; 16: 374.</mixed-citation></citation-alternatives></ref><ref id="cit5"><label>5</label><citation-alternatives><mixed-citation xml:lang="ru">Angural A., Spolia A., Mahajan A., et al. Review: Understanding Rare Genetic Diseases in Low Resource Regions Like Jammu and Kashmir — India. Front Genet. 2020; 11: 415.</mixed-citation><mixed-citation xml:lang="en">Angural A., Spolia A., Mahajan A., et al. Review: Understanding Rare Genetic Diseases in Low Resource Regions Like Jammu and Kashmir — India. Front Genet. 2020; 11: 415.</mixed-citation></citation-alternatives></ref><ref id="cit6"><label>6</label><citation-alternatives><mixed-citation xml:lang="ru">Costa T., Scriver C. R., Childs B., et al. The effect of Mendelian disease on human health: a measurement. Am. J. Med. Genet. 1985; 21: 231.</mixed-citation><mixed-citation xml:lang="en">Costa T., Scriver C. R., Childs B., et al. The effect of Mendelian disease on human health: a measurement. Am. J. Med. Genet. 1985; 21: 231.</mixed-citation></citation-alternatives></ref><ref id="cit7"><label>7</label><citation-alternatives><mixed-citation xml:lang="ru">Valle D. L., Antonarakis S., Ballabio A., et al. The Online Metabolic and Molecular Bases of Inherited Disease. McGraw Hill; 2019. Accessed February 18, 2022.</mixed-citation><mixed-citation xml:lang="en">Valle D. L., Antonarakis S., Ballabio A., et al. The Online Metabolic and Molecular Bases of Inherited Disease. McGraw Hill; 2019. Accessed February 18, 2022.</mixed-citation></citation-alternatives></ref><ref id="cit8"><label>8</label><citation-alternatives><mixed-citation xml:lang="ru">Black N., Martineau F., Manacorda T. Diagnostic Odyssey for Rare Diseases: Exploration of Potential Indicators. Policy Innovation Research Unit. 2015; 1–65.</mixed-citation><mixed-citation xml:lang="en">Black N., Martineau F., Manacorda T. Diagnostic Odyssey for Rare Diseases: Exploration of Potential Indicators. Policy Innovation Research Unit. 2015; 1–65.</mixed-citation></citation-alternatives></ref><ref id="cit9"><label>9</label><citation-alternatives><mixed-citation xml:lang="ru">Glob. Comm. End Diagn. Odyssey Child. Rare Dis. 2019. Global Commission year one report. Rep., Glob. Comm. End Diagn. Odyssey Child. Rare Dis. https://globalrarediseasecommission.com/Report</mixed-citation><mixed-citation xml:lang="en">Glob. Comm. End Diagn. Odyssey Child. Rare Dis. 2019. Global Commission year one report. Rep., Glob. Comm. End Diagn. Odyssey Child. Rare Dis. https://globalrarediseasecommission.com/Report</mixed-citation></citation-alternatives></ref><ref id="cit10"><label>10</label><citation-alternatives><mixed-citation xml:lang="ru">Bick D., Jones M., Taylor S. L., et al. Case for genome sequencing in infants and children with rare, undiagnosed or genetic diseases. J Med Genet. 2019 Dec; 56 (12): 783–791.</mixed-citation><mixed-citation xml:lang="en">Bick D., Jones M., Taylor S. L., et al. Case for genome sequencing in infants and children with rare, undiagnosed or genetic diseases. J Med Genet. 2019 Dec; 56 (12): 783–791.</mixed-citation></citation-alternatives></ref><ref id="cit11"><label>11</label><citation-alternatives><mixed-citation xml:lang="ru">Huyard C. How did uncommon disorders become ‘rare diseases’? History of a boundary object. Soc Health Illn. 2009; 31: 463–77.</mixed-citation><mixed-citation xml:lang="en">Huyard C. How did uncommon disorders become ‘rare diseases’? History of a boundary object. Soc Health Illn. 2009; 31: 463–77.</mixed-citation></citation-alternatives></ref><ref id="cit12"><label>12</label><citation-alternatives><mixed-citation xml:lang="ru">Van Weely S., Leufkens HGM. Priority Medicines for Europe and the World: a Public Health Approach to Innovation. WHO Background Paper 6.19. Rare Diseases. 2004. https://www.researchgate.net/publication/288946087_Priority_medicines_for_Europe_and_the_world_-_A_public_health_approach_to_innovation</mixed-citation><mixed-citation xml:lang="en">Van Weely S., Leufkens HGM. Priority Medicines for Europe and the World: a Public Health Approach to Innovation. WHO Background Paper 6.19. Rare Diseases. 2004. https://www.researchgate.net/publication/288946087_Priority_medicines_for_Europe_and_the_world_-_A_public_health_approach_to_innovation</mixed-citation></citation-alternatives></ref><ref id="cit13"><label>13</label><citation-alternatives><mixed-citation xml:lang="ru">Directive 2011/24/EU of the European Parliament and of the Council of 9 March 2011 on the application of patients’ rights in cross-border healthcare OJ L 88. 2011; 45–65.</mixed-citation><mixed-citation xml:lang="en">Directive 2011/24/EU of the European Parliament and of the Council of 9 March 2011 on the application of patients’ rights in cross-border healthcare OJ L 88. 2011; 45–65.</mixed-citation></citation-alternatives></ref><ref id="cit14"><label>14</label><citation-alternatives><mixed-citation xml:lang="ru">Undiagnosed rare diseases Content type: Review Orphanet Journal of Rare Diseases. 2021; 16: 446.</mixed-citation><mixed-citation xml:lang="en">Undiagnosed rare diseases Content type: Review Orphanet Journal of Rare Diseases. 2021; 16: 446.</mixed-citation></citation-alternatives></ref><ref id="cit15"><label>15</label><citation-alternatives><mixed-citation xml:lang="ru">Procedural document on Epidemiology of rare disease in Orphanet, Orphanet, February 2019, Version 01.</mixed-citation><mixed-citation xml:lang="en">Procedural document on Epidemiology of rare disease in Orphanet, Orphanet, February 2019, Version 01.</mixed-citation></citation-alternatives></ref><ref id="cit16"><label>16</label><citation-alternatives><mixed-citation xml:lang="ru">Rare Diseases Act of 2002. United States Congress. 2002. https://history.nih.gov/research/down-loads/pl107-280.pdf. Accessed Jan 2020.</mixed-citation><mixed-citation xml:lang="en">Rare Diseases Act of 2002. United States Congress. 2002. https://history.nih.gov/research/down-loads/pl107-280.pdf. Accessed Jan 2020.</mixed-citation></citation-alternatives></ref><ref id="cit17"><label>17</label><citation-alternatives><mixed-citation xml:lang="ru">Makoto S., Kiyohito N. Development of orphan drugs in Japan: effects of a support system for development of orphan drugs in Japan. Drug Inf J. 2000; 34: 829–37.</mixed-citation><mixed-citation xml:lang="en">Makoto S., Kiyohito N. Development of orphan drugs in Japan: effects of a support system for development of orphan drugs in Japan. Drug Inf J. 2000; 34: 829–37.</mixed-citation></citation-alternatives></ref><ref id="cit18"><label>18</label><citation-alternatives><mixed-citation xml:lang="ru">Wakap S., Lambert D. M., et al. Estimating cumulative point prevalence of rare diseases: analysis of the Orphanet database European Journal of Human Genetics. 2020; 28: 165–173.</mixed-citation><mixed-citation xml:lang="en">Wakap S., Lambert D. M., et al. Estimating cumulative point prevalence of rare diseases: analysis of the Orphanet database European Journal of Human Genetics. 2020; 28: 165–173.</mixed-citation></citation-alternatives></ref><ref id="cit19"><label>19</label><citation-alternatives><mixed-citation xml:lang="ru">Aymé and Rodwell. The European Union Committee of Experts on Rare Diseases: three productive years at the service of the rare disease communit. Orphanet Journal of Rare Diseases. 2014; 9: 30.</mixed-citation><mixed-citation xml:lang="en">Aymé and Rodwell. The European Union Committee of Experts on Rare Diseases: three productive years at the service of the rare disease communit. Orphanet Journal of Rare Diseases. 2014; 9: 30.</mixed-citation></citation-alternatives></ref><ref id="cit20"><label>20</label><citation-alternatives><mixed-citation xml:lang="ru">Kim S. Y., Lim B. C., Lee J. S., et al. The Korean undiagnosed diseases program: lessons from a one-year pilot project. Orphanet J Rare Dis. 2019; 14: 68.</mixed-citation><mixed-citation xml:lang="en">Kim S. Y., Lim B. C., Lee J. S., et al. The Korean undiagnosed diseases program: lessons from a one-year pilot project. Orphanet J Rare Dis. 2019; 14: 68.</mixed-citation></citation-alternatives></ref><ref id="cit21"><label>21</label><citation-alternatives><mixed-citation xml:lang="ru">Зинченко Р. А. Распространенность и вопросы диагностики редких (орфанных) заболеваний среди детского населения Российской Федерации / Р. А. Зинченко [и др.] Педиатрия им. Г. Н. Сперанского. – 2020. – 99 (4): 229–237.</mixed-citation><mixed-citation xml:lang="en">Зинченко Р. А. Распространенность и вопросы диагностики редких (орфанных) заболеваний среди детского населения Российской Федерации / Р. А. Зинченко [и др.] Педиатрия им. Г. Н. Сперанского. – 2020. – 99 (4): 229–237.</mixed-citation></citation-alternatives></ref><ref id="cit22"><label>22</label><citation-alternatives><mixed-citation xml:lang="ru">Yang L., Su C., Lee A. M., et al. Focusing on rare diseases in China: are we there yet? Orphanet J Rare Dis. 2015 Nov; 10: 142.</mixed-citation><mixed-citation xml:lang="en">Yang L., Su C., Lee A. M., et al. Focusing on rare diseases in China: are we there yet? Orphanet J Rare Dis. 2015 Nov; 10: 142.</mixed-citation></citation-alternatives></ref><ref id="cit23"><label>23</label><citation-alternatives><mixed-citation xml:lang="ru">Adachi T., Imanishi N., Ogawa Y., et al. Survey on patients with undiagnosed diseases in Japan: potential patient numbers benefiting from Japan’s initiative on rare and undiagnosed diseases (IRUD). Orphanet J Rare Dis. 2018; 13 (1): 208.</mixed-citation><mixed-citation xml:lang="en">Adachi T., Imanishi N., Ogawa Y., et al. Survey on patients with undiagnosed diseases in Japan: potential patient numbers benefiting from Japan’s initiative on rare and undiagnosed diseases (IRUD). Orphanet J Rare Dis. 2018; 13 (1): 208.</mixed-citation></citation-alternatives></ref><ref id="cit24"><label>24</label><citation-alternatives><mixed-citation xml:lang="ru">Takahashi I. Y., Mizusawa H. Initiative on Rare and Undiagnosed Disease in Japan. JMA J. 2021 Apr; 4 (2): 112–118.</mixed-citation><mixed-citation xml:lang="en">Takahashi I. Y., Mizusawa H. Initiative on Rare and Undiagnosed Disease in Japan. JMA J. 2021 Apr; 4 (2): 112–118.</mixed-citation></citation-alternatives></ref><ref id="cit25"><label>25</label><citation-alternatives><mixed-citation xml:lang="ru">Taruscio D., Baynam G., Cederroth H., et al. The Undiagnosed Diseases Network International: Five years and more! Mol Genet Metab. 2020; 129 (4): 243–254.</mixed-citation><mixed-citation xml:lang="en">Taruscio D., Baynam G., Cederroth H., et al. The Undiagnosed Diseases Network International: Five years and more! Mol Genet Metab. 2020; 129 (4): 243–254.</mixed-citation></citation-alternatives></ref><ref id="cit26"><label>26</label><citation-alternatives><mixed-citation xml:lang="ru">Macnamara E. F., D’Souza P. Undiagnosed Diseases Network, Tifft C. J. The undiagnosed diseases program: Approach to diagnosis. Transl Sci Rare Dis. 2019 Apr; 4 (3–4): 179–188.</mixed-citation><mixed-citation xml:lang="en">Macnamara E. F., D’Souza P. Undiagnosed Diseases Network, Tifft C. J. The undiagnosed diseases program: Approach to diagnosis. Transl Sci Rare Dis. 2019 Apr; 4 (3–4): 179–188.</mixed-citation></citation-alternatives></ref><ref id="cit27"><label>27</label><citation-alternatives><mixed-citation xml:lang="ru">Gainotti S., Mascalzoni D., Bros-Facer V., et al. Meeting Patients’ Right to the Correct Diagnosis: Ongoing International Initiatives on Undiagnosed Rare Diseases and Ethical and Social Issues. Int J Environ Res Public Health. 2018 Sep; 15 (10): 2072.</mixed-citation><mixed-citation xml:lang="en">Gainotti S., Mascalzoni D., Bros-Facer V., et al. Meeting Patients’ Right to the Correct Diagnosis: Ongoing International Initiatives on Undiagnosed Rare Diseases and Ethical and Social Issues. Int J Environ Res Public Health. 2018 Sep; 15 (10): 2072.</mixed-citation></citation-alternatives></ref><ref id="cit28"><label>28</label><citation-alternatives><mixed-citation xml:lang="ru">Schoch K., Esteves C., Bican A., et al. Clinical sites of the Undiagnosed Diseases Network: unique contributions to genomic medicine and science. Genet Med. 2021 Feb; 23 (2): 259–271.</mixed-citation><mixed-citation xml:lang="en">Schoch K., Esteves C., Bican A., et al. Clinical sites of the Undiagnosed Diseases Network: unique contributions to genomic medicine and science. Genet Med. 2021 Feb; 23 (2): 259–271.</mixed-citation></citation-alternatives></ref><ref id="cit29"><label>29</label><citation-alternatives><mixed-citation xml:lang="ru">López-Martín E., Martínez-Delgado B., Bermejo-Sánchez E., et al. SpainUDP: The Spanish Undiagnosed Rare Diseases Program. Int J Environ Res Public Health. 2018 Aug; 15 (8): 1746.</mixed-citation><mixed-citation xml:lang="en">López-Martín E., Martínez-Delgado B., Bermejo-Sánchez E., et al. SpainUDP: The Spanish Undiagnosed Rare Diseases Program. Int J Environ Res Public Health. 2018 Aug; 15 (8): 1746.</mixed-citation></citation-alternatives></ref><ref id="cit30"><label>30</label><citation-alternatives><mixed-citation xml:lang="ru">Austin C. P., Cutillo C. M., Lau L. L., et al. Future of rare diseases research 2017–2027: an IRDiRC perspective. Clinical and Transplantion Science. 2018; 11: 21–27.</mixed-citation><mixed-citation xml:lang="en">Austin C. P., Cutillo C. M., Lau L. L., et al. Future of rare diseases research 2017–2027: an IRDiRC perspective. Clinical and Transplantion Science. 2018; 11: 21–27.</mixed-citation></citation-alternatives></ref><ref id="cit31"><label>31</label><citation-alternatives><mixed-citation xml:lang="ru">Boycott K. M., Hartley T., Biesecker L. G., et al. A diagnosis for all rare genetic diseases: the horizon and the next frontiers. Cell. 2019; 177 (1): 32–37.</mixed-citation><mixed-citation xml:lang="en">Boycott K. M., Hartley T., Biesecker L. G., et al. A diagnosis for all rare genetic diseases: the horizon and the next frontiers. Cell. 2019; 177 (1): 32–37.</mixed-citation></citation-alternatives></ref><ref id="cit32"><label>32</label><citation-alternatives><mixed-citation xml:lang="ru">Taruscio D., et al. Undiagnosed Diseases Network International (UDNI): White paper for global actions to meet patient needs, Mol. Genet. Metab. 2015; 116 (4).</mixed-citation><mixed-citation xml:lang="en">Taruscio D., et al. Undiagnosed Diseases Network International (UDNI): White paper for global actions to meet patient needs, Mol. Genet. Metab. 2015; 116 (4).</mixed-citation></citation-alternatives></ref><ref id="cit33"><label>33</label><citation-alternatives><mixed-citation xml:lang="ru">Hartley T., Lemire G., Kernohan K. D., et al. New Diagnostic Approaches for Undiagnosed Rare Genetic Diseases. Annu Rev Genomics Hum Genet. 2020 Aug; 21: 351–372.</mixed-citation><mixed-citation xml:lang="en">Hartley T., Lemire G., Kernohan K. D., et al. New Diagnostic Approaches for Undiagnosed Rare Genetic Diseases. Annu Rev Genomics Hum Genet. 2020 Aug; 21: 351–372.</mixed-citation></citation-alternatives></ref><ref id="cit34"><label>34</label><citation-alternatives><mixed-citation xml:lang="ru">Burdick K. J., Cogan J. D., Rives L. C., et al. Undiagnosed Diseases Network. Limitations of exome sequencing in detecting rare and undiagnosed diseases. Am J Med Genet A. 2020 Jun; 182 (6): 1400–1406.</mixed-citation><mixed-citation xml:lang="en">Burdick K. J., Cogan J. D., Rives L. C., et al. Undiagnosed Diseases Network. Limitations of exome sequencing in detecting rare and undiagnosed diseases. Am J Med Genet A. 2020 Jun; 182 (6): 1400–1406.</mixed-citation></citation-alternatives></ref><ref id="cit35"><label>35</label><citation-alternatives><mixed-citation xml:lang="ru">Splinter K., Adams D. R., et al. Effect of Genetic Diagnosis on Patients with Previously Undiagnosed Disease. N Engl J Med. 2018; 379: 2131–2139.</mixed-citation><mixed-citation xml:lang="en">Splinter K., Adams D. R., et al. Effect of Genetic Diagnosis on Patients with Previously Undiagnosed Disease. N Engl J Med. 2018; 379: 2131–2139.</mixed-citation></citation-alternatives></ref><ref id="cit36"><label>36</label><citation-alternatives><mixed-citation xml:lang="ru">Harrison S. M., Riggs E. R., Maglott D.R, et al. Using ClinVar as a resource to support variant interpretation. Curr. Protoc. Hum. Genet. 2016; 89 (8): 1–23.</mixed-citation><mixed-citation xml:lang="en">Harrison S. M., Riggs E. R., Maglott D.R, et al. Using ClinVar as a resource to support variant interpretation. Curr. Protoc. Hum. Genet. 2016; 89 (8): 1–23.</mixed-citation></citation-alternatives></ref><ref id="cit37"><label>37</label><citation-alternatives><mixed-citation xml:lang="ru">Salmon L. B., Orenstein N., Markus-Bustani K, et al. Improved diagnostics by exome sequencing following raw data reevaluation by clinical geneticists involved in the medical care of the individuals tested. Genet. Med. 2018; 21: 1443–51.</mixed-citation><mixed-citation xml:lang="en">Salmon L. B., Orenstein N., Markus-Bustani K, et al. Improved diagnostics by exome sequencing following raw data reevaluation by clinical geneticists involved in the medical care of the individuals tested. Genet. Med. 2018; 21: 1443–51.</mixed-citation></citation-alternatives></ref><ref id="cit38"><label>38</label><citation-alternatives><mixed-citation xml:lang="ru">Murdock D. R., Rosenfeld J. A., Lee B. What Has the Undiagnosed Diseases Network Taught Us About the Clinical Applications of Genomic Testing? Annu Rev Med. 2022 Jan; 73: 575–585.</mixed-citation><mixed-citation xml:lang="en">Murdock D. R., Rosenfeld J. A., Lee B. What Has the Undiagnosed Diseases Network Taught Us About the Clinical Applications of Genomic Testing? Annu Rev Med. 2022 Jan; 73: 575–585.</mixed-citation></citation-alternatives></ref><ref id="cit39"><label>39</label><citation-alternatives><mixed-citation xml:lang="ru">Baldridge D., Wangler M. F., Bowman A. N., et al. Model organisms contribute to diagnosis and discovery in the undiagnosed diseases network: current state and a future vision. Orphanet J Rare Dis. 2021; 16: 206.</mixed-citation><mixed-citation xml:lang="en">Baldridge D., Wangler M. F., Bowman A. N., et al. Model organisms contribute to diagnosis and discovery in the undiagnosed diseases network: current state and a future vision. Orphanet J Rare Dis. 2021; 16: 206.</mixed-citation></citation-alternatives></ref><ref id="cit40"><label>40</label><citation-alternatives><mixed-citation xml:lang="ru">Karczewski K. J., Francioli L. C., Tiao G., et al. Variation across 141, 456 human exomes and genomes reveals the spectrum of loss-of-function intolerance across human protein-coding genes. BioRxiv. 2019.</mixed-citation><mixed-citation xml:lang="en">Karczewski K. J., Francioli L. C., Tiao G., et al. Variation across 141, 456 human exomes and genomes reveals the spectrum of loss-of-function intolerance across human protein-coding genes. BioRxiv. 2019.</mixed-citation></citation-alternatives></ref><ref id="cit41"><label>41</label><citation-alternatives><mixed-citation xml:lang="ru">Studwell C. M., Kelley E. G. Family genetic result communication in rare and undiagnosed disease communities: Understanding the practice. J Genet Couns. 2021; 30 (2): 439–447.</mixed-citation><mixed-citation xml:lang="en">Studwell C. M., Kelley E. G. Family genetic result communication in rare and undiagnosed disease communities: Understanding the practice. J Genet Couns. 2021; 30 (2): 439–447.</mixed-citation></citation-alternatives></ref><ref id="cit42"><label>42</label><citation-alternatives><mixed-citation xml:lang="ru">Marshall D. A., Benchimol E. I., MacKenzie A., et al. Direct health-care costs for children diagnosed with genetic diseases are significantly higher than for children with other chronic diseases. Genet. Med. 2018. 21: 1049–5713.</mixed-citation><mixed-citation xml:lang="en">Marshall D. A., Benchimol E. I., MacKenzie A., et al. Direct health-care costs for children diagnosed with genetic diseases are significantly higher than for children with other chronic diseases. Genet. Med. 2018. 21: 1049–5713.</mixed-citation></citation-alternatives></ref><ref id="cit43"><label>43</label><citation-alternatives><mixed-citation xml:lang="ru">Rare Diseases: Although Limited, Available Evidence Suggests Medical and Other Costs Can Be Substantial. GAO-22-104235. 2021.</mixed-citation><mixed-citation xml:lang="en">Rare Diseases: Although Limited, Available Evidence Suggests Medical and Other Costs Can Be Substantial. GAO-22-104235. 2021.</mixed-citation></citation-alternatives></ref><ref id="cit44"><label>44</label><citation-alternatives><mixed-citation xml:lang="ru">Wohler E., Martin R., Griffith S., et al. PhenoDB, GeneMatcher and VariantMatcher, tools for analysis and sharing of sequence data. Orphanet J Rare Dis. 2021; 16: 365.</mixed-citation><mixed-citation xml:lang="en">Wohler E., Martin R., Griffith S., et al. PhenoDB, GeneMatcher and VariantMatcher, tools for analysis and sharing of sequence data. Orphanet J Rare Dis. 2021; 16: 365.</mixed-citation></citation-alternatives></ref><ref id="cit45"><label>45</label><citation-alternatives><mixed-citation xml:lang="ru">Bamshad M. J., Nickerson D. A., Chong J. X. Mendelian gene discovery: fast and furious with no end in sight. Am. J. Hum. Genet. 2019; 105: 448–55.</mixed-citation><mixed-citation xml:lang="en">Bamshad M. J., Nickerson D. A., Chong J. X. Mendelian gene discovery: fast and furious with no end in sight. Am. J. Hum. Genet. 2019; 105: 448–55.</mixed-citation></citation-alternatives></ref><ref id="cit46"><label>46</label><citation-alternatives><mixed-citation xml:lang="ru">Groft S. C., Posada de la Paz M. Preparing for the Future of Rare Diseases. Adv Exp Med Biol. 2017; 1031: 641-648.</mixed-citation><mixed-citation xml:lang="en">Groft S. C., Posada de la Paz M. Preparing for the Future of Rare Diseases. Adv Exp Med Biol. 2017; 1031: 641-648.</mixed-citation></citation-alternatives></ref></ref-list><fn-group><fn fn-type="conflict"><p>The authors declare that there are no conflicts of interest present.</p></fn></fn-group></back></article>
