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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">fcmedicine</journal-id><journal-title-group><journal-title xml:lang="ru">Фундаментальная и клиническая медицина</journal-title><trans-title-group xml:lang="en"><trans-title>Fundamental and Clinical Medicine</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2500-0764</issn><issn pub-type="epub">2542-0941</issn><publisher><publisher-name>КемГМУ</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.23946/2500-0764-2022-7-1-102-112</article-id><article-id custom-type="elpub" pub-id-type="custom">fcmedicine-521</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>ЛЕКЦИИ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>LECTURES</subject></subj-group></article-categories><title-group><article-title>Цитогенетические методы в практике современных медико-биологических исследований. Часть II: структурные перестройки хромосом человека</article-title><trans-title-group xml:lang="en"><trans-title>Cytogenetic techniques in current biomedical research. Part II: chromosomal rearrangements</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-1169-715X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Волков</surname><given-names>А. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Volkov</surname><given-names>А. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Волков Алексей Николаевич, кандидат биологических наук, доцент кафедры биологии с основами генетики и паразитологии</p><p>650056, г. Кемерово, ул. Ворошилова, д. 22а</p></bio><bio xml:lang="en"><p>Alexey N. Volkov, PhD, Associate Professor, Department of Biology,Genetics and Parasitology</p><p>22a, Voroshilova Street, Kemerovo, 650056</p></bio><email xlink:type="simple">volkov_alex@rambler.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/0000-0003-2171-702X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Рытенкова</surname><given-names>О. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Rytenkova</surname><given-names>O. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Рытенкова Оксана Ивановна, врач-лабораторный генетикмедико-генетической лаборатории</p><p>650066, г. Кемерово, пр. Октябрьский, д. 22</p></bio><bio xml:lang="en"><p>Oksana I. Rytenkova, MD, Geneticist, Medical Genetics Laboratory</p><p>22, Oktyabrskiy Prospekt, Kemerovo, 650066</p></bio><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБОУ ВО «Кемеровский государственный медицинский университет» Министерства здравоохранения Российской Федерации</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Kemerovo State Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ГАУЗ «Кузбасская областная клиническая больница им. С.В. Беляева»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Belyaev Kuzbass Regional Clinical Hospital</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2022</year></pub-date><pub-date pub-type="epub"><day>31</day><month>03</month><year>2022</year></pub-date><volume>7</volume><issue>1</issue><fpage>102</fpage><lpage>112</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Волков А.Н., Рытенкова О.И., 2022</copyright-statement><copyright-year>2022</copyright-year><copyright-holder xml:lang="ru">Волков А.Н., Рытенкова О.И.</copyright-holder><copyright-holder xml:lang="en">Volkov А.N., Rytenkova O.I.</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://fcm.kemsmu.ru/jour/article/view/521">https://fcm.kemsmu.ru/jour/article/view/521</self-uri><abstract><p>В предлагаемой лекции анализируется механизм формирования хромосомных мутаций и их разнообразие. Рассматриваются возможные медицинские последствия наличия сбалансированных и несбалансированных хромосомных перестроек. Вниманию читателя предлагаются синдромы, связанные с повреждением хромосом. Описание иллюстрируется реальными изображениями кариотипов пациентов. Демонстрируются примеры записи кариотипов с хромосомными аномалиями в соответствии с международной номенклатурой. Лекция ориентирована, прежде всего, на студентов медико-биологических специальностей, молодых специалистов, планирующих использовать в своей практической деятельности цитогенетические методы исследований, и врачей, сталкивающихся с необходимостью анализировать и интерпретировать результаты цитогенетического анализа. Для усвоения обсуждаемого материала рекомендуется ознакомление с предыдущей лекцией цикла.</p></abstract><trans-abstract xml:lang="en"><p>Mutations represent a natural mechanism for adaptation of species to changing environmental conditions. Chromosomal rearrangements play a pivotal role in the evolution, as evidenced by the comparison of human and non-human primate karyotypes, and have diverse clinical consequences. In most cases chromosomal aberrations are compatible with life, yet their carriers might show a variety of mental and physiological abnormalities and malformations. Albeit chromosomal rearrangements often do not affect the health and reproductive ability, offspring of their carriers still have a high risk of inherited disorders. Most notably, chromosomal aberrations strongly correlate with cancer risk. When unbalanced, chromosomal abnormalities are associated with reduced life expectancy and reproductive potential. In this lecture, we analyse the mechanisms of chromosomal aberrations, review their diversity, and describe significant clinical consequences such as inherited syndromes which are illustrated with images of patients' karyotypes. The lecture is primarily aimed at biomedical students, researchers and physicians who often have an unmet need to analyse and interpret the results of cytogenetic analyses.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>цитогенетика</kwd><kwd>кариотип</kwd><kwd>хромосомы</kwd><kwd>хромосомные мутации</kwd></kwd-group><kwd-group xml:lang="en"><kwd>cytogenetics</kwd><kwd>karyotype</kwd><kwd>chromosomes</kwd><kwd>chromosomal aberrations</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">Jackson M, Marks L, May GHW, Wilson JB. The genetic basis of disease. Essays Biochem. 2018;62(5):643-723. https://doi.org/10.1042/EBC20170053</mixed-citation><mixed-citation xml:lang="en">Jackson M, Marks L, May GHW, Wilson JB. The genetic basis of disease. 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