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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">neurojour</journal-id><journal-title-group><journal-title xml:lang="ru">Неврологический журнал имени Л.О. Бадаляна</journal-title><trans-title-group xml:lang="en"><trans-title>L.O. Badalyan Neurological Journal</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2686-8997</issn><issn pub-type="epub">2712-794X</issn><publisher><publisher-name>ФГАУ «НМИЦ здоровья детей» Минздрава России</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.46563/2686-8997-2025-6-4-234-246</article-id><article-id custom-type="edn" pub-id-type="custom">graekm</article-id><article-id custom-type="elpub" pub-id-type="custom">neurojour-207</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>REVIEW</subject></subj-group></article-categories><title-group><article-title>Обзор международных подходов к проведению скрининга на мышечную дистрофию Дюшенна, в том числе в рамках программ неонатального скрининга</article-title><trans-title-group xml:lang="en"><trans-title>Review of international approaches to screening for Duchenne muscular dystrophy including neonatal screening programs</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-9918-9565</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Воронин</surname><given-names>Сергей Владимирович</given-names></name><name name-style="western" xml:lang="en"><surname>Voronin</surname><given-names>Sergey V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Канд. мед. наук, гл. врач, доцент кафедры биохимической генетики и наследственных болезней обмена веществ ФГБНУ «МГНЦ», Москва, Россия</p><p>e-mail: voroninsvvlad@mail.ru</p></bio><bio xml:lang="en"><p>PhD (Medicine), chief physician, Associate Professor, Department of biochemical genetics and hereditary metabolic diseases, Research Centre for Medical Genetics, Moscow, 115522, Russian Federation</p><p>e-mail: voroninsvvlad@mail.ru</p></bio><email xlink:type="simple">voroninsvvlad@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/0000-0001-7261-3461</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Мухортова</surname><given-names>Полина Алексеевна</given-names></name><name name-style="western" xml:lang="en"><surname>Mukhortova</surname><given-names>Polina A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Гл. спец. отдела методологического обеспечения проведения комплексной оценки технологий в здравоохранении ФГБУ «ЦЭККМП» Минздрава России, 109028, Москва, Россия</p><p>e-mail: muhortova@rosmedex.ru</p></bio><bio xml:lang="en"><p>Chief specialist, Department of methodological support of health technology assessment, Center for Healthcare Quality Assessment and Control, Moscow, 109028, Russian Federation</p><p>e-mail: muhortova@rosmedex.ru</p></bio><email xlink:type="simple">muhortova@rosmedex.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/0009-0001-7817-5180</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Слабикова</surname><given-names>Александра Алексеевна</given-names></name><name name-style="western" xml:lang="en"><surname>Slabikova</surname><given-names>Alexandra A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Ведущий специалист отдела методологического обеспечения проведения комплексной оценки технологий в здравоохранении ФГБУ «ЦЭККМП» Минздрава России, 109028, Москва, Россия</p><p>e-mail: slabikova@rosmedex.ru</p></bio><bio xml:lang="en"><p>Leading specialist, Department of methodological support of health technology assessment, Center for Healthcare Quality Assessment and Control, Moscow, 109028, Russian Federation</p><p>e-mail: slabikova@rosmedex.ru</p></bio><email xlink:type="simple">slabikova@rosmedex.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/0000-0003-1581-0703</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Омельяновский</surname><given-names>Виталий Владимирович</given-names></name><name name-style="western" xml:lang="en"><surname>Omelyanovskiy</surname><given-names>Vitaliy V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Доктор мед. наук, профессор, генеральный директор ФГБУ «ЦЭККМП» Минздрава России, 109028, Москва, Россия</p><p>e-mail: vvo@rosmedex.ru</p></bio><bio xml:lang="en"><p>DSc (Medicine), professor, general director, Center for Healthcare Quality Assessment and Control, Moscow, 109028, Russian Federation; Russian Medical Academy of Continuous Professional Education, Moscow, 125993, Russian Federation</p><p>e-mail: vvo@rosmedex.ru</p></bio><email xlink:type="simple">vvo@rosmedex.ru</email><xref ref-type="aff" rid="aff-3"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБНУ «Медико-генетический научный центр имени академика Н.П. Бочкова» Министерства науки и высшего образования Российской Федерации</institution></aff><aff xml:lang="en"><institution>Research Centre for Medical Genetics</institution></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ФГБУ «Центр экспертизы и контроля качества медицинской помощи» Министерства здравоохранения Российской Федерации</institution></aff><aff xml:lang="en"><institution>Center for Healthcare Quality Assessment and Control</institution></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>ФГБУ «Центр экспертизы и контроля качества медицинской помощи» Министерства здравоохранения Российской Федерации; ФГБОУ ДПО «Российская медицинская академия непрерывного профессионального образования» Министерства здравоохранения Российской Федерации</institution></aff><aff xml:lang="en"><institution>Center for Healthcare Quality Assessment and Control; Russian Medical Academy of Continuous Professional Education</institution></aff></aff-alternatives><pub-date pub-type="collection"><year>2025</year></pub-date><pub-date pub-type="epub"><day>29</day><month>01</month><year>2026</year></pub-date><volume>6</volume><issue>4</issue><fpage>234</fpage><lpage>246</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Воронин С.В., Мухортова П.А., Слабикова А.А., Омельяновский В.В., 2026</copyright-statement><copyright-year>2026</copyright-year><copyright-holder xml:lang="ru">Воронин С.В., Мухортова П.А., Слабикова А.А., Омельяновский В.В.</copyright-holder><copyright-holder xml:lang="en">Voronin S.V., Mukhortova P.A., Slabikova A.A., Omelyanovskiy V.V.</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.neuro-journal.ru/jour/article/view/207">https://www.neuro-journal.ru/jour/article/view/207</self-uri><abstract><p>Мышечная дистрофия Дюшенна (МДД) — одно из наиболее тяжёлых и распространённых наследственных нервно-мышечных заболеваний, характеризующееся прогрессирующей дегенерацией мышечной ткани, утратой двигательных функций и ранней смертностью пациентов. Несмотря на наличие определённых терапевтических опций, исход заболевания во многом зависит от сроков постановки диагноза и начала наблюдения. Одним из наиболее перспективных направлений раннего выявления заболевания является неонатальный скрининг, основанный на определении активности креатинфосфокиназы (КФК) в образцах сухих пятен крови с последующим генетическим подтверждением диагноза. В мировой практике проведено множество пилотных проектов скрининга новорождённых на МДД с применением различных аналитических подходов, включая флуоресцентный и иммунофлуоресцентный анализ КФК для выявления пациентов группы повышенного риска, а также применение молекулярно-генетических методов для подтверждения диагноза. В данной работе представлен обзор истории развития и текущего состояния программ скрининга на МДД в разных странах мира, а также ключевые этические и психологические аспекты досимптоматической диагностики МДД.</p><sec><title>Участие авторов</title><p>Участие авторов:Воронин С.В. — разработка концепции и структуры обзора, научное редактирование текста;Мухортова А.А. — сбор и анализ данных, интерпретация результатов, написание разделов обзора;Слабикова А.А. — разработка концепции и структуры обзора, анализ литературы по теме, написание разделов обзора;Омельяновский В.В. — научное редактирование текста.Все соавторы — утверждение окончательного варианта статьи, ответственность за целостность всех частей статьи.</p></sec><sec><title>Финансирование</title><p>Финансирование. Исследование не имело спонсорской поддержки.</p></sec><sec><title>Конфликт интересов</title><p>Конфликт интересов. Авторы заявляют об отсутствии конфликта интересов.</p></sec><sec><title>Поступила 03</title><p>Поступила 03.11.2025Принята к печати 01.12.2025Опубликована 31.01.2026</p></sec></abstract><trans-abstract xml:lang="en"><p>Duchenne muscular dystrophy (DMD) is one of the most severe and common hereditary neuromuscular disorders characterized by progressive degeneration of muscle tissue, loss of motor function, and early mortality. Despite the availability of certain therapeutic options, disease outcomes largely depend on the timing of diagnosis and the initiation of clinical following-up. One of the most promising approaches to early detection is neonatal screening based on the measurement of creatine phosphokinase (CK) activity in dried blood spot samples, followed by genetic confirmation of the diagnosis. Numerous pilot newborn screening projects for DMD have been conducted worldwide using various analytical approaches, including fluorescent and immunofluorescent CK assays, as well as molecular genetic methods for diagnostic confirmation. This paper provides an overview of the history and current status of DMD screening programs in different countries, as well as key ethical and psychological aspects of presymptomatic diagnosis.</p><sec><title>Contribution</title><p>Contribution:Voronin S.V. — concept and design, editing;Mukhortova P.A. — writing the text, editing;Slabikova A.A. — concept and design, writing the text, editing;Omelyanovskiy V.V. — editing.All co-authors — approval of the final version of the manuscript, responsibility for the integrity of all parts of the manuscript.</p></sec><sec><title>Funding</title><p>Funding. The study had no sponsorship.</p></sec><sec><title>Conflict of interest</title><p>Conflict of interest. The authors declare no conflict of interest.</p></sec><sec><title>Received</title><p>Received: November 03, 2025Accepted: December 01, 2025Published: January 31, 2026</p></sec></trans-abstract><kwd-group xml:lang="ru"><kwd>мышечная дистрофия Дюшенна</kwd><kwd>неонатальный скрининг</kwd><kwd>креатинфосфокиназа</kwd><kwd>иммунофлуоресцентный анализ</kwd><kwd>генетическая диагностика</kwd></kwd-group><kwd-group xml:lang="en"><kwd>Duchenne muscular dystrophy</kwd><kwd>neonatal screening</kwd><kwd>creatine phosphokinase</kwd><kwd>immunofluorescent analysis</kwd><kwd>genetic diagnosis</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">Клинические рекомендации № 773 «Прогрессирующая мышечная дистрофия Дюшенна. 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