Loss of NF1 is an oncogenic driver. In efforts to define pathways responsible for the development of neurofibromas and other cancers, transcriptomic and proteomic changes are evaluated in a non-malignant NF1 null cell line. NF1 null HEK293 cells were created using CRISPR/Cas9 technology and they are compared to parental cells that express neurofibromin. A total of 1222 genes and 132 proteins are found to be differentially expressed. The analysis is integrated to identify eight transcripts/proteins that are differentially regulated in both analyses. Metacore Pathway analysis identifies Neurogenesis NGF/TrkA MAPK-mediated signaling alterations. Next, the data set is compared with other published studies that involve analysis of cells or tumors deficient for NF1 and it is found that 141 genes recur in the sample and others; only thirteen of these genes recur in two or more studies. Genes/proteins of interest are validated via q-RT-PCR or Western blot. It is shown that KRT8 and 14-3-3σ protein levels respond to exogenously introduced mNf1 cDNA. Hence, transcripts/proteins that respond to neurofibromin levels are identified and they can potentially be used as biomarkers.deletions, duplications, splicing variants, and rearrangements. Neurofibromin is best characterized by its ability to interact with and inactivate Ras through its GAP related domain (GRD). Hyperactivation of the Ras signaling pathway results in cellular over-proliferation and tumor formation. As such, NF1 is one of several disorders termed "Rasopathies," which also include Noonan syndrome, Costello syndrome, Legius syndrome, and others.Neurofibromin functions as a tumor suppressor. Inactivation of NF1 is sufficient for neurofibroma initiation. [1] Germline NF1 mutations have been associated with an earlier age of onset for breast cancer. Somatic mutations are present in tumors associated with NF1 and in a range of sporadic tumors in different cell types such as glioblastoma (up to 23%), lung adenocarcinoma (up to 11.8%), and breast cancer (reviewed in ref. 2). About 10-14% of children with juvenile myelomonocytic leukemia (JMML) have a clinical diagnosis of NF1 and NF1 mutations occur in approximately 30% of JMML cases. [3] This implies an important role for neurofibromin function in cancer development and progression.Since 2005, there have been at least fifteen studies utilizing sequencing, transcriptomics, and proteomics to discover factors important to NF1 pathology; these are summarized in Table S1, Supporting Information. [1,[4][5][6][7][8][9][10][11][12][13] One study looked only at whole exome sequencing, [10] two studies evaluated sequencing and transcriptomics, [1,8] nine were transcriptomic studies, [4,5,[11][12][13] two were proteomics studies with mouse tissues, [6,7] and one was a transcriptomic and proteomic study done after Nf1 siRNA treatment in rat cells. [9] These studies highlighted different drivers of NF1 pathology and took advantage of both mouse and human sources as well as a variety of cell types, including neurons, induced-n...