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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">pediatricjournal</journal-id><journal-title-group><journal-title xml:lang="ru">Архив педиатрии и детской хирургии</journal-title><trans-title-group xml:lang="en"><trans-title>Archives of Pediatrics and Pediatric Surgery</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2949-4664</issn><issn pub-type="epub">3033-6783</issn><publisher><publisher-name>НИКИ детства Минздрава Московской области</publisher-name></publisher></journal-meta><article-meta><article-id custom-type="elpub" pub-id-type="custom">pediatricjournal-201</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>REVIEWS</subject></subj-group></article-categories><title-group><article-title>ИННОВАЦИОННЫЕ ЛЕКАРСТВЕННЫЕ ПРЕПАРАТЫ В ТЕРАПИИ СИНДРОМА РЕТТА: НАСТОЯЩЕЕ И БУДУЩЕЕ.</article-title><trans-title-group xml:lang="en"><trans-title></trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-1346-1351</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Пак</surname><given-names>Лолита Алиевна</given-names></name></name-alternatives><bio xml:lang="ru"><p>заместитель директора по  клинико-организационной работе, профессор кафедры клинической генетики и орфанных заболеваний</p></bio><email xlink:type="simple">lolitap@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff xml:lang="ru" id="aff-1"><institution>ГБУЗ МО "НИКИ детства Минздрава МО"</institution><country>Russian Federation</country></aff><pub-date pub-type="collection"><year>2025</year></pub-date><pub-date pub-type="epub"><day>05</day><month>06</month><year>2026</year></pub-date><volume>3</volume><issue>4</issue><elocation-id>201</elocation-id><permissions><copyright-statement>Copyright &amp;#x00A9; Пак Л.А., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Пак Л.А.</copyright-holder><copyright-holder xml:lang="en">Пак Л.А.</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.nikid.ru/jour/article/view/201">https://journal.nikid.ru/jour/article/view/201</self-uri><abstract><p>Синдром Ретта (RTT, СР, MIM #312750) – тяжелое прогрессирующее наследственное заболевание, приводящее к нарушению развития нервной системы, возникающее преимущественно у девочек и являющееся одной из наиболее частых генетических причин умственной отсталости тяжелой степени у лиц женского пола. На протяжении десятилетий стратегия ведения пациентов с СР была ограничена паллиативной поддержкой в рамках мультидисциплинарного подхода и сосредоточена на коррекции наиболее тяжелых, угрожающих качеству жизни клинических проявлений. Данные терапевтические стратегии не влияли на патогенетические механизмы заболевания, не замедляли прогрессирование неврологических симптомов и, как следствие, не могли модифицировать течение СР, что создавало устойчивую неудовлетворённую потребность в патогенетической терапии (disease-modifying therapy). В статье представлен систематизированный обзор с анализом современных тенденций зарубежной практики разработки и регистрации лекарственных средств для лечения СР, а также, информация о существующих и находящихся на стадии клинических исследований патогенетических препаратах, формирующих новую парадигму ведения пациентов с синдромом Ретта.</p></abstract><kwd-group xml:lang="ru"><kwd>синдром Ретта</kwd><kwd>ген MECP2</kwd><kwd>трофинетид</kwd><kwd>этиопатогенетическое лечение</kwd><kwd>клинические исследования.</kwd></kwd-group><funding-group><funding-statement xml:lang="ru">без поддержки</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">Gold, W.A., Percy, A.K., Neul, J.L. et al. Rett syndrome. 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