Clinical and molecular characterization of 40 patients with Noonan syndrome

被引:47
作者
Ferrero, Giovanni Battista [1 ]
Baldassarre, Giuseppina [1 ]
Delmonaco, Angelo Giovanni [1 ]
Biamino, Elisa [1 ]
Banaudi, Elena [2 ]
Carta, Claudio [3 ]
Rossi, Cesare [4 ]
Silengo, Margherita Cirillo [1 ]
机构
[1] Univ Turin, Dept Pediat, I-10126 Turin, Italy
[2] Regina Margherita Childrens Hosp, Dept Cardiol, Turin, Italy
[3] Ist Super Sanita, Dept Cell Biol & Neurosci, I-00161 Rome, Italy
[4] Policlin S Orsola, Med Genet Lab, Dept Pediat, Bologna, Italy
关键词
Noonan syndrome; PTPN11; SOS1;
D O I
10.1016/j.ejmg.2008.06.011
中图分类号
Q3 [遗传学];
学科分类号
071007 ; 090102 ;
摘要
Noonan syndrome (NS, OMIM 163950) is an autosomal dominant disorder, with a prevalence at birth of 1:1000-1:2500 live births, characterized by short stature, facial and skeletal dysmorphisms, cardiovascular defects and haematological anomalies. Missense mutations of PTPN11 gene account for approximately 50% of NS cases, while molecular lesions of other genes of the RAS/MAPK pathway-KRAS, SOS1 and RAF1 - play a minor role in the molecular pathogenesis of the disease. Forty patients were enrolled in the study with a PTPN11 mutation detection rate of 31.5%, including a novel missense mutation, Phe285I1e, in a familial case with high intrafamilial phenotypic variability. All patients negative for PTPN11 mutations were further screened for mutations of the KRAS, SOS1, and RAF1 genes, revealing a Thr266Lys substitution in SOS1 in a single patient, a newborn with a subtle phenotype, characterized by facial dysmorphisms and a mild pulmonic stenosis. (C) 2008 Published by Elsevier Masson SAS.
引用
收藏
页码:566 / 572
页数:7
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