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,

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.

Related Concept Videos

The Ras Gene02:38

The Ras Gene

The Ras-gene-encoded proteins are regulators of signaling pathways controlling cell proliferation, differentiation, or cell survival. The Ras-gene family in humans constitutes three primary members—the HRas, NRas, and KRas. These genes code for four functionally distinct yet closely related proteins—the HRas, NRas, KRas4A, and KRas4B. The involvement of mutant Ras genes in human cancer was first discovered in 1982 and is among the most common causes of human tumorigenesis.
Ras is a...
5.7K
MAPK Signaling Cascades01:07

MAPK Signaling Cascades

Mitogen-activated protein kinase, or MAPK pathway, activates three sequential kinases to regulate cellular responses such as proliferation, differentiation, survival, and apoptosis. The canonical MAPK pathway starts with a mitogen or growth factor binding to an RTK. The activated RTKs stimulate Ras, which recruits Raf or MAP3 Kinase (MAPKKK), the first kinase of the MAPK signaling cascade. Raf further phosphorylates and activates MEK or MAP2 Kinases (MAPKK), which in turn phosphorylates MAP...
7.3K
The Ras Gene02:38

The Ras Gene

2.3K
Small GTPases - Ras and Rho01:24

Small GTPases - Ras and Rho

Ras and Rho are small monomeric GTPases that act downstream of receptor tyrosine kinase (RTK) and regulate various cellular processes. These GTPases switch between active and inactive states by binding to guanine nucleotides.
Three regulatory proteins control their activity:
4.4K
Interactions Between Signaling Pathways01:19

Interactions Between Signaling Pathways

Signaling cascades usually lack linearity. Multiple pathways interact and regulate one another, allowing cells to integrate and respond to diverse environmental stimuli.
Convergence and divergence, and cross-talk between signaling pathways
Two distinct signaling pathways can converge on a single functional unit, which may either be a single protein or a complex of proteins. The response is either functionally distinct or synergistic between the two pathways but different from the response...
4.6K
Abnormal Proliferation02:23

Abnormal Proliferation

Under normal conditions, most adult cells remain in a non-proliferative state unless stimulated by internal or external factors to replace lost cells. Abnormal cell proliferation is a condition in which the cell's growth exceeds and is uncoordinated with normal cells. In such situations, cell division persists in the same excessive manner even after cessation of the stimuli, leading to persistent tumors. The tumor arises from the damaged cells that replicate to pass the damage to the...
4.0K