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The RASopathies as an example of RAS/MAPK pathway disturbances - clinical presentation and molecular pathogenesis of
Natalia Bezniakow1, Monika Gos, Ewa Obersztyn
1Department of Medical Genetics, Institute of Mother and Child, Kasprzaka 17a, 01-211 Warsaw, Poland, tel. (+48 22) 32-77-361, tel. (+48) 504-125-360,
Abstract:
The RASopathies are a class of developmental syndromes. Each of them exhibits distinctive phenotypic features, although there are numerous overlapping clinical manifestations that include: dysmorphic craniofacial features, congenital cardiac defects, skin abnormalities, varying degrees of intellectual disability and increased risk of malignancies. These disorders include: Noonan syndrome, Costello syndrome, LEOPARD syndrome, cardio-facio-cutaneous syndrome (CFC), capillary malformation-arteriovenous malformation syndrome (CM-AVM), Legius syndrome and neurofibromatosis type 1 (NF1). The RASopathies are associated with the presence of germline mutation in genes encoding specific proteins of the RAS/mitogen - activated protein kinase (MAPK) pathway that plays a crucial role in embryonic and postnatal development. In this review, we present the clinical and molecular features of selected syndromes from the RASopathies group.
Insights
RASopathies are developmental syndromes caused by RAS/MAPK pathway gene mutations. This review details the clinical and molecular aspects of selected RASopathies, including Noonan syndrome and neurofibromatosis type 1.
Area of Science:
- Genetics
- Developmental Biology
- Clinical Medicine
Background:
- RASopathies are a group of developmental disorders with overlapping clinical features.
- These syndromes share common genetic underpinnings related to the RAS/mitogen-activated protein kinase (MAPK) pathway.
- Key features include craniofacial abnormalities, cardiac defects, skin issues, intellectual disability, and cancer predisposition.
Purpose of the Study:
- To review the clinical and molecular characteristics of selected RASopathies.
- To provide an overview of syndromes like Noonan syndrome, Costello syndrome, and neurofibromatosis type 1.
- To highlight the role of the RAS/MAPK pathway in these developmental disorders.
Main Methods:
- Literature review of clinical and genetic studies on RASopathies.
- Synthesis of information on the phenotypic spectrum of included syndromes.
- Analysis of molecular mechanisms associated with RAS/MAPK pathway gene mutations.
Main Results:
- RASopathies present with diverse yet overlapping phenotypes, influenced by specific gene mutations.
- Germline mutations in RAS/MAPK pathway genes are the causative agents.
- Selected syndromes like Noonan syndrome, CFC syndrome, and NF1 share common pathway dysregulation.
Conclusions:
- Understanding the clinical and molecular features of RASopathies is crucial for diagnosis and management.
- The RAS/MAPK pathway is central to the pathogenesis of these developmental syndromes.
- Further research into specific RASopathies can improve patient outcomes.
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