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The molecular genetics of RASopathies: An update on novel disease genes and new disorders
Marco Tartaglia1, Yoko Aoki2, Bruce D Gelb3,4,5
1Genetics and Rare Diseases Research Division, Ospedale Pediatrico Bambino Gesù, IRCCS, Rome, Italy.
Abstract:
Enhanced signaling through RAS and the mitogen-associated protein kinase (MAPK) cascade underlies the RASopathies, a family of clinically related disorders affecting development and growth. In RASopathies, increased RAS-MAPK signaling can result from the upregulated activity of various RAS GTPases, enhanced function of proteins positively controlling RAS function or favoring the efficient transmission of RAS signaling to downstream transducers, functional upregulation of RAS effectors belonging to the MAPK cascade, or inefficient signaling switch-off operated by feedback mechanisms acting at different levels. The massive effort in RASopathy gene discovery performed in the last 20 years has identified more than 20 genes implicated in these disorders. It has also facilitated the characterization of several molecular activating mechanisms that had remained unappreciated due to their minor impact in oncogenesis. Here, we provide an overview on the discoveries collected during the last 5 years that have delivered unexpected insights (e.g., Noonan syndrome as a recessive disease) and allowed to profile new RASopathies, novel disease genes and new molecular circuits contributing to the control of RAS-MAPK signaling.
Insights
Recent discoveries reveal new insights into RASopathies, genetic disorders caused by enhanced RAS-MAPK signaling. Research has identified novel genes and molecular mechanisms, including unexpected findings like recessive Noonan syndrome.
Area of Science:
- Genetics and Molecular Biology
- Developmental Biology
- Signal Transduction
Background:
- RASopathies are a group of developmental disorders characterized by enhanced signaling through the RAS (Rat Sarcoma) and mitogen-associated protein kinase (MAPK) pathway.
- Increased RAS-MAPK signaling in RASopathies can stem from various molecular alterations, including upregulated RAS GTPases, enhanced positive regulators, or impaired negative feedback mechanisms.
- Over 20 genes have been linked to RASopathies in the past two decades, with ongoing research uncovering new disease mechanisms.
Purpose of the Study:
- To provide an overview of recent discoveries in RASopathies over the last five years.
- To highlight novel insights into the molecular basis of these disorders.
- To identify new RASopathies, associated genes, and regulatory circuits of RAS-MAPK signaling.
Main Methods:
- Review and synthesis of recent scientific literature on RASopathies.
- Analysis of gene discovery efforts and characterization of molecular mechanisms.
- Focus on findings from the past five years, including genetic and signaling pathway investigations.
Main Results:
- Recent research has yielded unexpected insights, such as the identification of Noonan syndrome as a recessive disorder.
- New RASopathies and disease-associated genes have been profiled.
- Novel molecular circuits involved in controlling RAS-MAPK signaling have been elucidated.
Conclusions:
- The last five years have significantly advanced our understanding of RASopathies, revealing new genetic and molecular complexities.
- Continued research is crucial for identifying novel therapeutic targets and improving diagnostic capabilities for RASopathies.
- The findings underscore the intricate regulation of the RAS-MAPK pathway in development and disease.
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