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RAS-MAPK pathway disorders: important causes of congenital heart disease, feeding difficulties, developmental delay
Emma M M Burkitt Wright1, Bronwyn Kerr
1University of Manchester, Manchester Academic Health Science Centre, St Mary's Hospital, UK. bronwyn.kerr@cmft.nhs.uk
Insights
Neuro-cardio-facio-cutaneous conditions (NCFCs) share common pediatric symptoms and stem from RAS-MAPK pathway gene mutations. This review aids in differentiating these disorders based on clinical features and genetic diagnosis for better patient outcomes.
Area of Science:
- Genetics
- Pediatrics
- Molecular Biology
Background:
- Neuro-cardio-facio-cutaneous conditions (NCFCs) present with overlapping symptoms in pediatric patients.
- These rare disorders arise from germline mutations affecting the RAS-MAPK signaling pathway.
Purpose of the Study:
- To review and summarize the spectrum of NCFCs.
- To delineate commonalities and distinguishing features among NCFCs.
- To emphasize the importance of accurate diagnosis and genetic confirmation.
Main Methods:
- Literature review of NCFCs.
- Comparative analysis of clinical presentations and genetic underpinnings.
- Discussion of diagnostic criteria and management considerations.
Main Results:
- NCFCs exhibit diverse clinical manifestations but share a common genetic pathway.
- Specific phenotypic features can aid in differentiating between various NCFCs.
- Genetic diagnosis is crucial for prognosis and management.
Conclusions:
- Accurate clinical and molecular diagnosis of NCFCs is essential for appropriate patient care.
- Understanding the genetic basis of NCFCs improves diagnostic precision.
- Vigilance for specific complications associated with each NCFC is critical.
Abstract:
The disorders described as the neuro-cardio-facio-cutaneous conditions (NCFCs) may all present with symptoms that are common in paediatric practice. They result from germline mutations in genes encoding kinases and other proteins interacting in the RAS-MAPK pathway. This review summarises these disorders, discussing their presenting features and clinical course, identifying overarching similarities and, conversely, features that can help to discriminate one condition from another. The genetic basis and importance of precise clinical diagnosis and molecular diagnostic confirmation when possible is discussed, given each condition's different prognosis, and the need to remain vigilant for specific complications.
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