<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.3 20210610//EN" "JATS-journalpublishing1-3.dtd">
<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">nefr</journal-id><journal-title-group><journal-title xml:lang="ru">Нефрология</journal-title><trans-title-group xml:lang="en"><trans-title>Nephrology (Saint-Petersburg)</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1561-6274</issn><issn pub-type="epub">2541-9439</issn><publisher><publisher-name>Pavlov First Saint-Petersburg State Medical University</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.36485/1561-6274-2021-25-4-90-94</article-id><article-id custom-type="elpub" pub-id-type="custom">nefr-2014</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>НАБЛЮДЕНИЯ ИЗ ПРАКТИКИ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>PRACTICAL NOTES</subject></subj-group></article-categories><title-group><article-title>Эффективность таргетной терапии поражения почек при туберозном склерозе у  ребенка (клинический случай)</article-title><trans-title-group xml:lang="en"><trans-title>Effectiveness of targeted therapy for kidney damage with tuberous sclerosis in a child (clinical  case)</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-0942-0103</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Морозов</surname><given-names>С. Л.</given-names></name><name name-style="western" xml:lang="en"><surname>Morozov</surname><given-names>S. L.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Доц. Морозов Сергей Леонидович, канд. мед. наук, кафедра госпитальной педиатрии № 2 педиатрического факультета; старший научный сотрудник отдела наследственных и приобретенных болезней почек</p><p>117997, Россия, Москва, ул. Островитянова, д. 1. </p><p>Тел.: +8(903)1387732</p></bio><bio xml:lang="en"><p>Sergey Leonidovich Morozov, MD, PhD, Department of Hospital Pediatrics, No. 2, Faculty of Pediatrics, Associate Professor; Department of Hereditary and Acquired Kidney Diseases , Senior Researcher</p><p>117997, Russia, Moscow, st. Ostrovityanova, 1.</p><p>Phone: +8(903)138-77-32</p></bio><email xlink:type="simple">mser@list.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/0000-0001-7663-6070</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Пирузиева</surname><given-names>О. Р.</given-names></name><name name-style="western" xml:lang="en"><surname>Piruzieva</surname><given-names>O. R.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Пирузиева Оксана Рашидовна, отделение нефрологии, врач-нефролог</p><p>117997, Россия, Москва, ул. Островитянова, д. 1.</p><p>Тел.: +8(903)1387732</p></bio><bio xml:lang="en"><p>Oksana Rashidovna Piruzieva, MD, Department of Nephrology, nephrologist </p><p>117997, Russia, Moscow, st. Ostrovityanova, 1</p><p>Phone: +8(903)1387732</p></bio><email xlink:type="simple">mser@list.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/0000-0002-3050-7748</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Длин</surname><given-names>В. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Dlin</surname><given-names>V. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Проф. Длин Владимир Викторович, д-р мед. наук, директор, руководитель отдела наследственных и приобретенных болезней почек</p><p>125412, Россия, Москва, ул. Талдомская, д. 2. </p><p>Тел.: 8(916)634-34-53</p></bio><bio xml:lang="en"><p>Prof. Vladimir V. Dlin, MD, PhD, DMedSci, Head of the Department of Hereditary and Acquired Kidney Diseases, Director</p><p>125412, Russia, Moscow, st. Taldomskaya, 2</p><p>Phone: 8(916)634-34-53</p></bio><email xlink:type="simple">vvdlin@mail.ru</email><xref ref-type="aff" rid="aff-3"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Российский национальный исследовательский медицинский университет им. Н.И. Пирогова; Научно-исследовательский клинический институт педиатрии им. акад. Ю.Е. Вельтищева</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Pirogov Russian National Research Medical University; Veltischev Research and Clinical Institute for Pediatrics</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Научно-исследовательский клинический институт педиатрии им. акад. Ю.Е. Вельтищева; Российский национальный исследовательский медицинский университет им. Н.И. Пирогова</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Veltischev Research and Clinical Institute for Pediatrics; Pirogov Russian National Research Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>Научно-исследовательский клинический институт педиатрии им. акад. Ю.Е. Вельтищева; Российский национальный исследовательский медицинский университет им. Н.И. Пирогова</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Veltischev Research and Clinical Institute for Pediatrics</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2021</year></pub-date><pub-date pub-type="epub"><day>16</day><month>07</month><year>2021</year></pub-date><volume>25</volume><issue>4</issue><fpage>90</fpage><lpage>94</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Морозов С.Л., Пирузиева О.Р., Длин В.В., 2021</copyright-statement><copyright-year>2021</copyright-year><copyright-holder xml:lang="ru">Морозов С.Л., Пирузиева О.Р., Длин В.В.</copyright-holder><copyright-holder xml:lang="en">Morozov S.L., Piruzieva O.R., Dlin 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://journal.nephrolog.ru/jour/article/view/2014">https://journal.nephrolog.ru/jour/article/view/2014</self-uri><abstract><p>Туберозный склероз – это полисистемное, генетически детерминированное, аутосомно-доминантное орфанное заболевание, которым страдает примерно 1 из 10 000 человек во всем мире. Поражение почек при туберозном склерозе является основной причиной смертности, которая обусловлена серьезными осложнениями, самым частым из которых является кровотечение из ангиомиолипом. Особенностью ангиомиолипом почек является то, что они начинают прогрессировать и увеличиваться в объеме с раннего возраста, приводя к прогрессированию хронической болезни почек, при этом риску кровотечения подвергаются ангиомиолипомы более 30 мм в диаметре. В настоящее время фармакотерапия туберозного склероза ингибиторами ингибиторов mTOR является наиболее эффективной во всем мире. В настоящей статье приводится клинический случай таргетной терапии туберозного склероза, наглядно продемонстрирована эффективность, также на конкретном примере приведены особенности течения туберозного склероза.</p></abstract><trans-abstract xml:lang="en"><p>Tuberous sclerosis is a polysystemic, genetically determined, autosomal dominant orphan disease that affects approximately 1 in 10,000 people worldwide. Kidney damage in tuberous sclerosis is the leading cause of death due to serious complications, the most common of which is angiomyolipoma bleeding. A feature of renal angiomyolipomas is that they begin to progress and increase in volume from an early age, leading to the progression of chronic kidney disease, while angiomyolipomas more than 30 mm in diameter are at risk of bleeding. Currently, pharmacotherapy of tuberous sclerosis with mTOR inhibitors is the most effective worldwide. In this article, a clinical case of targeted therapy of tuberous sclerosis is presented, the effectiveness is demonstrated, and the features of the course of tuberous sclerosis are also given on a specific example.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>дети</kwd><kwd>туберозный склероз</kwd><kwd>хроническая болезнь почек</kwd><kwd>ангиомиолипомы</kwd><kwd>комплекс mTOR</kwd><kwd>эвералимус</kwd><kwd>тергетная терапия</kwd></kwd-group><kwd-group xml:lang="en"><kwd>сhildren</kwd><kwd>tuberous sclerosis</kwd><kwd>chronic kidney disease</kwd><kwd>angiomyolipomas</kwd><kwd>mTOR complex</kwd><kwd>everolimus</kwd><kwd>target therapy</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">Curatolo P, Bombardieri R, Jozwiak S. Tuberous sclerosis. Lancet 2008;372(9639):657–668. doi: 10.1016/S0140-6736(08)61279-9</mixed-citation><mixed-citation xml:lang="en">Curatolo P, Bombardieri R, Jozwiak S. Tuberous sclerosis. Lancet 2008;372(9639):657–668. doi: 10.1016/S0140-6736(08)61279-9</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Bissler JJ, Kingswood JC. Optimal treatment of tuberous sclerosis complex associated renal angiomyolipomata: a systematic review. Ther Adv Urol 2016;8(4):279–290. doi: 10.1177/1756287216641353</mixed-citation><mixed-citation xml:lang="en">Bissler JJ, Kingswood JC. Optimal treatment of tuberous sclerosis complex associated renal angiomyolipomata: a systematic review. Ther Adv Urol 2016;8(4):279–290. doi: 10.1177/1756287216641353</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">Nair N, Chakraborty R, Mahajan Z et al. Renal Manifestations of Tuberous Sclerosis Complex. J Kidney Cancer VHL 2020;7(3):5–19. doi: 10.15586/jkcvhl.2020.131</mixed-citation><mixed-citation xml:lang="en">Nair N, Chakraborty R, Mahajan Z et al. Renal Manifestations of Tuberous Sclerosis Complex. J Kidney Cancer VHL 2020;7(3):5–19. doi: 10.15586/jkcvhl.2020.131</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">Bissler JJ, Kingswood JC. Renal angiomyolipomata. Kidney Int 2004;66(3):924–934. doi: 10.1111/j.1523-1755.2004.00838.x</mixed-citation><mixed-citation xml:lang="en">Bissler JJ, Kingswood JC. Renal angiomyolipomata. Kidney Int 2004;66(3):924–934. doi: 10.1111/j.1523-1755.2004.00838.x</mixed-citation></citation-alternatives></ref><ref id="cit5"><label>5</label><citation-alternatives><mixed-citation xml:lang="ru">Franz DN, Belousova E, Sparagana S et al. Efficacy and safety of everolimus for subependymal giant cell astrocytomas associated with tuberous sclerosis complex (EXIST-1): a multicentre, randomised, placebo-controlled phase 3 trial. Lancet 2013;381(9861):125–132. doi: 10.1016/S0140-6736(12)61134-9</mixed-citation><mixed-citation xml:lang="en">Franz DN, Belousova E, Sparagana S et al. Efficacy and safety of everolimus for subependymal giant cell astrocytomas associated with tuberous sclerosis complex (EXIST-1): a multicentre, randomised, placebo-controlled phase 3 trial. Lancet 2013;381(9861):125–132. doi: 10.1016/S0140-6736(12)61134-9</mixed-citation></citation-alternatives></ref><ref id="cit6"><label>6</label><citation-alternatives><mixed-citation xml:lang="ru">Dabora SL, Franz DN, Ashwal S et al. Multicenter phase 2 trial of sirolimus for tuberous sclerosis: kidney angiomyolipomas and other tumors regress and VEGF- D levels decrease. PLoS One 2011;6(9):e23379. doi: 10.1371/journal.pone.0023379</mixed-citation><mixed-citation xml:lang="en">Dabora SL, Franz DN, Ashwal S et al. Multicenter phase 2 trial of sirolimus for tuberous sclerosis: kidney angiomyolipomas and other tumors regress and VEGF- D levels decrease. PLoS One 2011;6(9):e23379. doi: 10.1371/journal.pone.0023379</mixed-citation></citation-alternatives></ref><ref id="cit7"><label>7</label><citation-alternatives><mixed-citation xml:lang="ru">Kessler OJ, Gillon G, Neuman M et al. Management of renal angiomyolipoma: analysis of 15 cases. Eur Urol 1998;33(6):572– 575. doi: 10.1159/000019658</mixed-citation><mixed-citation xml:lang="en">Kessler OJ, Gillon G, Neuman M et al. Management of renal angiomyolipoma: analysis of 15 cases. Eur Urol 1998;33(6):572– 575. doi: 10.1159/000019658</mixed-citation></citation-alternatives></ref><ref id="cit8"><label>8</label><citation-alternatives><mixed-citation xml:lang="ru">Carey NH. The location of the ribosomal small subunit in the structure of hypothermic ribosome tetramers. Biochem J 1971;124(4):827–829. doi: 10.1042/bj1240827</mixed-citation><mixed-citation xml:lang="en">Carey NH. The location of the ribosomal small subunit in the structure of hypothermic ribosome tetramers. Biochem J 1971;124(4):827–829. doi: 10.1042/bj1240827</mixed-citation></citation-alternatives></ref><ref id="cit9"><label>9</label><citation-alternatives><mixed-citation xml:lang="ru">Nelson CP, Sanda MG. Contemporary diagnosis and management of renal angiomyolipoma. J Urol 2002;168(4 Pt 1):1315–1325. doi: 10.1097/01.ju.0000028200.86216.b2</mixed-citation><mixed-citation xml:lang="en">Nelson CP, Sanda MG. Contemporary diagnosis and management of renal angiomyolipoma. J Urol 2002;168(4 Pt 1):1315–1325. doi: 10.1097/01.ju.0000028200.86216.b2</mixed-citation></citation-alternatives></ref><ref id="cit10"><label>10</label><citation-alternatives><mixed-citation xml:lang="ru">Sooriakumaran P, Gibbs P, Coughlin G et al. Angiomyolipomata: challenges, solutions, and future prospects based on over 100 cases treated. BJU Int 2010;105(1):101–106. doi: 10.1111/j.1464-410X.2009.08649.x</mixed-citation><mixed-citation xml:lang="en">Sooriakumaran P, Gibbs P, Coughlin G et al. Angiomyolipomata: challenges, solutions, and future prospects based on over 100 cases treated. BJU Int 2010;105(1):101–106. doi: 10.1111/j.1464-410X.2009.08649.x</mixed-citation></citation-alternatives></ref><ref id="cit11"><label>11</label><citation-alternatives><mixed-citation xml:lang="ru">Krueger DA, Northrup H, International Tuberous Sclerosis Complex Consensus Group. Tuberous sclerosis complex surveillance and management: recommendations of the 2012 International Tuberous Sclerosis Complex Consensus Conference. Pediatr Neurol 2013;49(4):255–265. doi: 10.1016/j.pediatrneurol.2013.08.002</mixed-citation><mixed-citation xml:lang="en">Krueger DA, Northrup H, International Tuberous Sclerosis Complex Consensus Group. Tuberous sclerosis complex surveillance and management: recommendations of the 2012 International Tuberous Sclerosis Complex Consensus Conference. Pediatr Neurol 2013;49(4):255–265. doi: 10.1016/j.pediatrneurol.2013.08.002</mixed-citation></citation-alternatives></ref><ref id="cit12"><label>12</label><citation-alternatives><mixed-citation xml:lang="ru">Bissler JJ, McCormack FX, Young LR et al. Sirolimus for angiomyolipoma in tuberous sclerosis complex or lymphangioleiomyomatosis. N Engl J Med 2008;358(2):140–151. doi: 10.1056/NEJMoa063564</mixed-citation><mixed-citation xml:lang="en">Bissler JJ, McCormack FX, Young LR et al. Sirolimus for angiomyolipoma in tuberous sclerosis complex or lymphangioleiomyomatosis. N Engl J Med 2008;358(2):140–151. doi: 10.1056/NEJMoa063564</mixed-citation></citation-alternatives></ref><ref id="cit13"><label>13</label><citation-alternatives><mixed-citation xml:lang="ru">Bissler JJ, Kingswood JC, Radzikowska E et al. Everolimus for angiomyolipoma associated with tuberous sclerosis complex or sporadic lymphangioleiomyomatosis (EXIST-2): a multicentre, randomised, double-blind, placebo-controlled trial. Lancet 2013;381(9869):817–824. doi: 10.1016/S0140-6736(12)61767-X</mixed-citation><mixed-citation xml:lang="en">Bissler JJ, Kingswood JC, Radzikowska E et al. Everolimus for angiomyolipoma associated with tuberous sclerosis complex or sporadic lymphangioleiomyomatosis (EXIST-2): a multicentre, randomised, double-blind, placebo-controlled trial. Lancet 2013;381(9869):817–824. doi: 10.1016/S0140-6736(12)61767-X</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>
