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Updated: Oct 6, 2025

Engineering Oncogenic Heterozygous Gain-of-Function Mutations in Human Hematopoietic Stem and Progenitor Cells
Published on: March 10, 2023
How can same-gene mutations promote both cancer and developmental disorders?
Ruth Nussinov1,2, Chung-Jung Tsai1, Hyunbum Jang1
1Computational Structural Biology Section, Frederick National Laboratory for Cancer Research in the Laboratory of Cancer Immunometabolism, National Cancer Institute, Frederick, MD 21702, USA.
Abstract:
The question of how same-gene mutations can drive both cancer and neurodevelopmental disorders has been puzzling. It has also been puzzling why those with neurodevelopmental disorders have a high risk of cancer. Ras, MEK, PI3K, PTEN, and SHP2 are among the oncogenic proteins that can harbor mutations that encode diseases other than cancer. Understanding why some of their mutations can promote cancer, whereas others promote neurodevelopmental diseases, and why even the same mutations may promote both phenotypes, has important clinical ramifications. Here, we review the literature and address these tantalizing questions. We propose that cell type–specific expression of the mutant protein, and of other proteins in the respective pathway, timing of activation (during embryonic development or sporadic emergence), and the absolute number of molecules that the mutations activate, alone or in combination, are pivotal in determining the pathological phenotypes—cancer and (or) developmental disorders.
Insights
Same gene mutations can cause both cancer and neurodevelopmental disorders. Cell type, timing, and mutation dosage explain why these mutations lead to different diseases, impacting clinical outcomes.
Area of Science:
- Oncology
- Genetics
- Neurodevelopmental Biology
Background:
- Investigating the dual role of specific gene mutations in driving both oncogenesis and neurodevelopmental disorders.
- Understanding the increased cancer risk observed in individuals with neurodevelopmental conditions.
Purpose of the Study:
- To elucidate the mechanisms by which mutations in key proteins (e.g., Ras, MEK, PI3K, PTEN, SHP2) lead to distinct pathological phenotypes.
- To explore why identical mutations can result in cancer, neurodevelopmental disorders, or both.
Main Methods:
- Literature review of studies examining mutations in oncogenic pathways.
- Analysis of factors influencing disease phenotype determination.
Main Results:
- Mutations in proteins like Ras, MEK, PI3K, PTEN, and SHP2 can manifest as cancer or neurodevelopmental disorders.
- The same mutation can sometimes lead to both cancer and neurodevelopmental conditions.
Conclusions:
- Cell type-specific expression of mutant proteins and pathway components is crucial.
- The timing of mutation activation (embryonic vs. sporadic) influences disease outcome.
- The absolute molecular dosage activated by mutations is a key determinant of pathological phenotypes, including cancer and developmental disorders.
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