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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">phgenomics</journal-id><journal-title-group><journal-title xml:lang="ru">Фармакогенетика и фармакогеномика</journal-title><trans-title-group xml:lang="en"><trans-title>Pharmacogenetics and Pharmacogenomics</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2588-0527</issn><issn pub-type="epub">2686-8849</issn><publisher><publisher-name>LLC "Izdatelstvo OKI"</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.37489/2588-0527-2023-1-7-19</article-id><article-id custom-type="elpub" pub-id-type="custom">phgenomics-271</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>ПЕРСПЕКТИВЫ ФАРМАКОГЕНЕТИКИ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>PERSPECTIVE OF PHARMACOGENETICS</subject></subj-group></article-categories><title-group><article-title>Генетическое тестирование в кардиологии с помощью NGS панели: от оценки риска заболевания до фармакогенетики</article-title><trans-title-group xml:lang="en"><trans-title>The NGS panel for genetic testing in cardiology: from the evaluation of disease risk to pharmacogenetics</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-3160-2314</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Мирошникова</surname><given-names>В. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Miroshnikova</surname><given-names>V. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>молекулярно-генетических и нанобиологических технологий ФГБОУ ВО ПСПбГМУ им. И.П. Павлова Минздрава России, с. н. с. лаборатории молекулярной генетики человека НИЦ «Курчатовский институт»</p></bio><bio xml:lang="en"><p>PhD, Cand. Sci. (Biology), Head of the Laboratory of Medical Genetics of the Department of Molecular Genetic and Nanobiological Technologies, SeniorResearcher at the Laboratory of Human Molecular Genetics NRC “Кurchatov Institute”</p></bio><email xlink:type="simple">mutantropol@mail.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/0000-0001-7431-6014</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Пчелина</surname><given-names>С. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Pchelina</surname><given-names>S. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>д. б. н., руководитель отдела молекулярно-генетических и нанобиологических технологий ФГБОУ ВО ПСПбГМУ им. И.П. Павлова Минздрава России,  зав. лабораторией молекулярной генетики человека НИЦ «Курчатовский институт»</p></bio><bio xml:lang="en"><p>Dr. Sci. (Biology), Head of the Department of Molecular Genetic and Nanobiological Technologies, Head of the Laboratory of Human Molecular Genetics NRC “Кurchatov Institute”</p></bio><email xlink:type="simple">sopchelina@hotmail.com</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-0120-4163</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Донников</surname><given-names>М. Ю.</given-names></name><name name-style="western" xml:lang="en"><surname>Donnikov</surname><given-names>M. Yu.</given-names></name></name-alternatives><bio xml:lang="ru"><p>к. м. н., врач-лабораторный генетик, в. н. с. научного-образовательного центра, медицинского института</p></bio><bio xml:lang="en"><p>PhD, Cand. Sci. (Med), doctor-laboratory geneticist, leadingresearcher of the scientific SurGU</p></bio><email xlink:type="simple">donnikov@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>Воробьев</surname><given-names>А. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Vorobyev</surname><given-names>A. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Все авторы заявляют об отсутствии потенциального конфликта интересов, требующего раскрытия в данной статье</p></bio><bio xml:lang="en"><p>PhD, Cand. Sci. (Med), Associate Professor of the Department of Cardiology</p></bio><email xlink:type="simple">a.s.vorobyov@gmail.com</email><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-6488-8369</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Цай</surname><given-names>В. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Tsay</surname><given-names>V. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>м. н. с. НИО экспериментальной медицинской вирусологии, молекулярной генетики и биобанкинга</p></bio><bio xml:lang="en"><p>Junior Researcher at the Research organization of Experimental Medical Virology, Molecular Genetics and biobanking</p></bio><email xlink:type="simple">viktoriya14054@gmail.com</email><xref ref-type="aff" rid="aff-4"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-0918-7129</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Коваленко</surname><given-names>Л. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Kovalenko</surname><given-names>L. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>д. м. н., директор медицинского института, зав. кафедрой патофизиологии и общей патологии</p></bio><bio xml:lang="en"><p>Dr. Sci. (Med.), Director of the Medical Institute, Head of the Department of Pathophysiology and General Pathology</p></bio><email xlink:type="simple">kovalenko_lv@surgu.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/0000-0002-0091-2224</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Глотов</surname><given-names>О. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Glotov</surname><given-names>O. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>к. б. н., руководитель НИО экспериментальной медицинской вирусологии, молекулярной генетики и биобанкинга, с. н. с.</p></bio><bio xml:lang="en"><p>PhD, Cand. Sci. (Biology), Research Institute of Experimental Medical Virology, Molecular Genetics and Biobanking</p></bio><email xlink:type="simple">olglotov@mail.ru</email><xref ref-type="aff" rid="aff-4"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБОУ ВО «Первый Санкт-Петербургский государственный медицинский университет имени академика И.П. Павлова» Министерства здравоохранения Российской Федерации; ФГБУ «Петербургский институт ядерной физики им. Б.П. Константинова НИЦ «Курчатовский институт»; БУ ВО ХМАО-Югры «Сургутский государственный университет»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>FSBEI HE “Academician I.P. Pavlov First St. Petersburg State Medical University” of the Ministry of Healthcare of Russian Federation; FSBI Petersburg Nuclear Physics Institute named by В.Р. Konstantinov of National Research Centre «Kurchatov Institute»; Surgut State University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ФГБОУ ВО «Первый Санкт-Петербургский государственный медицинский университет имени академика И.П. Павлова» Министерства здравоохранения Российской Федерации; ФГБУ «Петербургский институт ядерной физики им. Б.П. Константинова НИЦ «Курчатовский институт»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>FSBEI HE “Academician I.P. Pavlov First St. Petersburg State Medical University” of the Ministry of Healthcare of Russian Federation; FSBI Petersburg Nuclear Physics Institute named by В.Р. Konstantinov of National Research Centre «Kurchatov Institute»</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>БУ ВО ХМАО-Югры «Сургутский государственный университет»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Surgut State University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-4"><aff xml:lang="ru"><institution>ФГБУ «Детский научно-клинический центр инфекционных болезней Федерального медикобиологического агентства»; ФГБНУ «Научно-исследовательский институт акушерства, гинекологии и репродуктологии имени Д.О. Отта»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Federal State-Financed Institution Pediatric Research and Clinical Center for Infectious Diseases under the Federal Medical Biological Agency;FSBSI “The Research Institute of Obstetrics, Gynecology and Reproductology named after D.O. Ott”</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2023</year></pub-date><pub-date pub-type="epub"><day>19</day><month>07</month><year>2023</year></pub-date><volume>0</volume><issue>1</issue><fpage>7</fpage><lpage>19</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Мирошникова В.В., Пчелина С.Н., Донников М.Ю., Воробьев А.С., Цай В.В., Коваленко Л.В., Глотов О.С., 2023</copyright-statement><copyright-year>2023</copyright-year><copyright-holder xml:lang="ru">Мирошникова В.В., Пчелина С.Н., Донников М.Ю., Воробьев А.С., Цай В.В., Коваленко Л.В., Глотов О.С.</copyright-holder><copyright-holder xml:lang="en">Miroshnikova V.V., Pchelina S.N., Donnikov M.Y., Vorobyev A.S., Tsay V.V., Kovalenko L.V., Glotov O.S.</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.pharmacogenetics-pharmacogenomics.ru/jour/article/view/271">https://www.pharmacogenetics-pharmacogenomics.ru/jour/article/view/271</self-uri><abstract><p>Сердечно-сосудистые заболевания (ССЗ) занимают лидирующую позицию по смертности населения во многих странах мира. Генетическое тестирование является неотъемлемой частью профилактики ССЗ. Наиболее распространёнными наследственными заболеваниями в практике врача-кардиолога являются кардиомиопатии и каналопатии (аритмогенные синдромы), а также семейная гиперхолестеринемия, обусловливающая высокий риск развития атеросклероза и ишемической болезнью сердца (ИБС). Суммарная частота носительства патогенных вариантов составляет 1:100. Своевременная генетическая диагностика необходима при состояниях, которые могут привести к внезапной сердечной смерти (например, синдром удлинённого интервала QT, синдром Бругада, аритмогенные кардиомиопатии). Фармакогенетическое тестирование также имеет важное значение в кардиологии, поскольку позволяет учитывать роль генетических факторов в формировании ответа на терапию. Учёт индивидуальных особенностей пациента позволяет увеличить эффективность и максимально снизить вероятность осложнений. Дизайн современных таргетных кардиопанелей в обязательном порядке должен учитывать моногенные и олигогенные формы дислипидемий и сердечно-сосудистых патологий, полиморфные маркеры, ассоциированные с нарушением липидного спектра плазмы крови и ранним развитием ССЗ в конкретной популяции, а также минимальный набор фармакогенетических маркеров согласно современным рекомендациям клинических фармакологов. В настоящем обзоре мы приводим обоснование оптимального дизайна такой панели для применения в медицинской практике и научных исследованиях.</p></abstract><trans-abstract xml:lang="en"><p>Cardiovascular diseases (CVD) are a leading cause of mortality in many countries worldwide. Genetic testing is an integral part of CVD prevention. The most common hereditary diseases in the practice of a cardiologist are cardiomyopathy and channelopathy (arrhythmogenic syndromes), as well as familial hypercholesterolemia, which causes a high risk of atherosclerosis and coronary heart disease (CHD). The total carrier frequency of pathogenic variants is 1:100. Timely genetic diagnosis is necessary for conditions that can lead to sudden cardiac death (for example, long QT syndrome, Brugada syndrome, arrhythmogenic cardiomyopathies). Pharmacogenetic testing is also important in cardiology, since it allows taking into account the role of genetic factors in the formation of a response to therapy. Incorporating individual patient characteristics can increase efficiency and minimize the likelihood of complications. The design of modern targeted cardiopanels must necessarily take into account monogenic and oligogenic forms of dyslipidemia and cardiovascular pathologies, polymorphic markers associated with a violation of the lipid spectrum of blood plasma and the early development of CVD in a particular population, as well as a minimum set of pharmacogenetic markers according to modern recommendations for clinical pharmacologists. In this review we provide a justification for the optimal design of such a panel for use in medical practice and scientific research.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>сердечно-сосудистые заболевания</kwd><kwd>фармакогенетика</kwd><kwd>кардиомиопатия</kwd><kwd>каналопатия</kwd><kwd>семейная гиперхолестеринемия</kwd><kwd>NGS секвенирование</kwd><kwd>таргетная панель генов</kwd></kwd-group><kwd-group xml:lang="en"><kwd>cardiovascular diseases</kwd><kwd>pharmacogenetics</kwd><kwd>cardiomyopathy</kwd><kwd>channelopathy</kwd><kwd>familial hypercholesterolemia</kwd><kwd>NGS sequencing</kwd><kwd>targeted gene panel</kwd></kwd-group><funding-group><funding-statement xml:lang="ru">Исследование выполнено при финансовой поддержке Фонда научно-технологи- ческого развития Югры в рамках научного проекта № 2022-05-04.</funding-statement><funding-statement xml:lang="en">The research was carried out with the financial support of the Foundation for Scientific and Technological Development of Ugra within the framework of scientific project No. 2022-05-04</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">Krasi G, Precone V, Paolacci S, et al. 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