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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">ometendo</journal-id><journal-title-group><journal-title xml:lang="ru">Ожирение и метаболизм</journal-title><trans-title-group xml:lang="en"><trans-title>Obesity and metabolism</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2071-8713</issn><issn pub-type="epub">2306-5524</issn><publisher><publisher-name>Endocrinology Research Centre</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.14341/omet13169</article-id><article-id custom-type="elpub" pub-id-type="custom">ometendo-13169</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>КЛИНИЧЕСКИЙ СЛУЧАЙ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>CASE REPORT</subject></subj-group></article-categories><title-group><article-title>Идентификация новых патогенных вариантов в гене GNAS у детей с морбидным ожирением и псевдогипопаратиреозом</article-title><trans-title-group xml:lang="en"><trans-title>Identification of novel pathogenic variants in the GNAS gene in children with morbid obesity and pseudohypoparathyroidism</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0000-2932-0399</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Копытина</surname><given-names>Д. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Kopytina</surname><given-names>D. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Копытина Дарья Александровна</p><p>117036, Москва, ул. Дм. Ульянова, д. 11</p></bio><bio xml:lang="en"><p>Daria A. Kopytina, MD</p><p>11 Dm. Ulyanova street, 117036 Moscow</p></bio><email xlink:type="simple">Kopytina.Daria@endocrincentr.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-9299-1053</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Васюкова</surname><given-names>О. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Vasyukova</surname><given-names>O. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Васюкова Ольга Владимировна, к.м.н. </p><p>117036, Москва, ул. Дм. Ульянова, д. 11</p></bio><bio xml:lang="en"><p>Olga V. Vasyukova, MD</p><p>11 Dm. Ulyanova street, 117036 Moscow</p></bio><email xlink:type="simple">Vasukova.Olga@endocrincentr.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-9789-9555</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Салахов</surname><given-names>Р. Р.</given-names></name><name name-style="western" xml:lang="en"><surname>Salakhov</surname><given-names>R. R.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Салахов Рамиль Ринатович, к.м.н.</p><p>117036, Москва, ул. Дм. Ульянова, д. 11</p></bio><bio xml:lang="en"><p>Ramil R. Salakhov, MD</p><p>11 Dm. Ulyanova street, 117036 Moscow</p></bio><email xlink:type="simple">salakhov.ramil@endocrincentr.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-9834-727X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Окороков</surname><given-names>П. Л.</given-names></name><name name-style="western" xml:lang="en"><surname>Okorokov</surname><given-names>P. L.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Окороков Павел Леонидович, к.м.н.</p><p>117036, Москва, ул. Дм. Ульянова, д. 11</p></bio><bio xml:lang="en"><p>Pavel L. Okorokov, MD</p><p>11 Dm. Ulyanova street, 117036 Moscow</p></bio><email xlink:type="simple">pokorokov@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0009-4999-7327</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Копытина</surname><given-names>Е. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Kopytina</surname><given-names>E. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Копытина Елена Владимировна, к.м.н.</p></bio><bio xml:lang="en"><p>Elena V. Kopytina, MD</p></bio><email xlink:type="simple">helen_bob@mail.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-6429-7198</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Нагаева</surname><given-names>Е. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Nagaeva</surname><given-names>E. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Нагаева Елена Витальевна, д.м.н.</p><p>117036, Москва, ул. Дм. Ульянова, д. 11</p></bio><bio xml:lang="en"><p>Elena V. Nagaeva, MD, PhD</p><p>11 Dm. Ulyanova street, 117036 Moscow</p></bio><email xlink:type="simple">nagaeva.elena@endocrincentr.ru</email><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-8643-850X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Хусаинова</surname><given-names>Р. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Khusainova</surname><given-names>R. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p> Хусаинова Рита Игоревна, д.б.н.</p><p>117036, Москва, ул. Дм. Ульянова, д. 11</p></bio><bio xml:lang="en"><p>Rita I. Khusainova, PhD in biology</p><p>11 Dm. Ulyanova street, 117036 Moscow</p></bio><email xlink:type="simple">khusainova.rita@endocrincentr.ru</email><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-7045-8215</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Минниахметов</surname><given-names>И. Р.</given-names></name><name name-style="western" xml:lang="en"><surname>Minniakhmetov</surname><given-names>I. R.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Минниахметов Илдар Рамилевич, к.б.н.</p><p>117036, Москва, ул. Дм. Ульянова, д. 11</p></bio><bio xml:lang="en"><p>Ildar R. Minniakhmetov, PhD in biology</p><p>11 Dm. Ulyanova street, 117036 Moscow</p></bio><email xlink:type="simple">minniakhmetov@gmail.com</email><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Попов</surname><given-names>С. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Popov</surname><given-names>S. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Попов Сергей Владимирович</p><p>117036, Москва, ул. Дм. Ульянова, д. 11</p></bio><bio xml:lang="en"><p>Sergey V. Popov</p><p>11 Dm. Ulyanova street, 117036 Moscow</p></bio><email xlink:type="simple">popov.sergey@endocrincentr.ru</email><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-9621-5732</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Безлепкина</surname><given-names>О. Б.</given-names></name><name name-style="western" xml:lang="en"><surname>Bezlepkina</surname><given-names>O. B.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Безлепкина Ольга Борисовна, д.м.н., профессор</p><p>117036, Москва, ул. Дм. Ульянова, д. 11</p></bio><bio xml:lang="en"><p>Olga B. Bezlepkina, MD, PhD, Professor</p><p>11 Dm. Ulyanova street, 117036 Moscow</p></bio><email xlink:type="simple">olgabezlepkina@mail.ru</email><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-9717-9742</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Мокрышева</surname><given-names>Н. Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Mokrysheva</surname><given-names>N. G.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Мокрышева Наталья Георгиевна, д.м.н., профессор, член-корреспондент РАН</p><p>117036, Москва, ул. Дм. Ульянова, д. 11</p><p>ResearcherID: AAY-3761-2020</p><p> </p><p>Scopus Author ID: 35269746000</p></bio><bio xml:lang="en"><p>Natalia G. Mokrysheva, MD, PhD, Professor</p><p>11 Dm. Ulyanova street, 117036 Moscow</p><p>ResearcherID: AAY-3761-2020</p><p> </p><p>Scopus Author ID: 35269746000</p></bio><email xlink:type="simple">mokrisheva.natalia@endocrincentr.ru</email><xref ref-type="aff" rid="aff-3"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ГНЦ ФГБУ Национальный медицинский  исследовательский центр эндокринологии</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Endocrinology Research Centre</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ГУЗ “Липецкая городская детская больница”</institution><country>Россия</country></aff><aff xml:lang="en"><institution>2Lipetsk City Children’s Hospital</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>ГНЦ ФГБУ Национальный медицинский исследовательский центр эндокринологии</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Endocrinology 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>02</day><month>10</month><year>2024</year></pub-date><volume>21</volume><issue>4</issue><fpage>412</fpage><lpage>424</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Копытина Д.А., Васюкова О.В., Салахов Р.Р., Окороков П.Л., Копытина Е.В., Нагаева Е.В., Хусаинова Р.И., Минниахметов И.Р., Попов С.В., Безлепкина О.Б., Мокрышева Н.Г., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Копытина Д.А., Васюкова О.В., Салахов Р.Р., Окороков П.Л., Копытина Е.В., Нагаева Е.В., Хусаинова Р.И., Минниахметов И.Р., Попов С.В., Безлепкина О.Б., Мокрышева Н.Г.</copyright-holder><copyright-holder xml:lang="en">Kopytina D.A., Vasyukova O.V., Salakhov R.R., Okorokov P.L., Kopytina E.V., Nagaeva E.V., Khusainova R.I., Minniakhmetov I.R., Popov S.V., Bezlepkina O.B., Mokrysheva N.G.</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://www.omet-endojournals.ru/jour/article/view/13169">https://www.omet-endojournals.ru/jour/article/view/13169</self-uri><abstract><p>Псевдогипопаратиреоз (ПГП) — клинически гетерогенная группа редких наследственных заболеваний костной системы, характеризующихся резистентностью органов-мишеней к действию паратгормона (ПТГ) в результате эпигенетического нарушения.В данной статье приводится описание пациентов с фенотипом псевдогипопаратиреоза 1а типа, у которых идентифицированы два ранее неописанных варианта в гене GNAS: NM_000516.7(GNAS):c.586-18_591del, захватывающий участок 7 интрона, акцепторный сайт сплайсинга 8 экзона и участок 8 экзона, приводящий к делеции 24 нуклеотидов, и NM_000516.7(GNAS):c.201del p.Phe68LeufsTer32, приводящий к сдвигу рамки считывания и появлению преждевременного терминирующего кодона у двух неродственных детей с прогрессирующей избыточной массой тела с рождения. Согласно критериям оценки патогенности, оба варианта отнесены к вероятно патогенным</p></abstract><trans-abstract xml:lang="en"><p>Pseudohypoparathyroidism (PHP) is a clinically heterogeneous group of rare inherited bone diseases characterized by resistance of target organs to the action of parathormone (PTH) as result of an epi/genetic disorder.This article describes patients with the phenotype of pseudohypoparathyroidism type 1a in whom two previously undescribed variants in the GNAS gene were identified: NM_000516.7(GNAS):c.586-18_591del, which captures intron 7, exon 8 acceptor splice site and exon 8 splice site resulting in a 24 nucleotide deletion, and NM_000516.7(GNAS):c.201del p.Phe68LeufsTer32 resulting in a reading frame shift and a premature termination codon in two unrelated children with progressive weight gain from birth. According to the pathogenicity evaluation criteria, both variants are categorized as likely pathogenic variants</p></trans-abstract><kwd-group xml:lang="ru"><kwd>морбидное ожирение</kwd><kwd>псевдогипопаратиреоз</kwd><kwd>гиперкальцитонинемия</kwd><kwd>GNAS</kwd></kwd-group><kwd-group xml:lang="en"><kwd>morbid obesity</kwd><kwd>pseudohypoparathyroidism</kwd><kwd>hypercalcitoninemia</kwd><kwd>GNAS</kwd></kwd-group><funding-group><funding-statement xml:lang="ru">Исследование выполнено при финансовой поддержке Министерства науки и высшего образования Российской Федерации (номер гранта: 075-15-2022-310).</funding-statement></funding-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Vajravelu ME, Tas E, Arslanian S. Pediatric Obesity: Complications and Current Day Management. 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