2006
DOI: 10.1038/ng1749
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Germline KRAS and BRAF mutations in cardio-facio-cutaneous syndrome

Abstract: Cardio-facio-cutaneous (CFC) syndrome is characterized by a distinctive facial appearance, heart defects and mental retardation. It phenotypically overlaps with Noonan and Costello syndrome, which are caused by mutations in PTPN11 and HRAS, respectively. In 43 individuals with CFC, we identified two heterozygous KRAS mutations in three individuals and eight BRAF mutations in 16 individuals, suggesting that dysregulation of the RAS-RAF-ERK pathway is a common molecular basis for the three related disorders.

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Cited by 543 publications
(527 citation statements)
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“…CFC syndrome has been reported with supraventricular tachycardia [Rodriguez-Viciana et al, 2006], unspecified arrhythmia, or atrial tachycardia [Niihori et al, 2006;Narumi et al, 2007]. Because of the similarities, we hypothesize that the non-reentrant tachycardias will be identified in the other RASopathies.…”
Section: Comparison To Other Rasopathiesmentioning
confidence: 88%
“…CFC syndrome has been reported with supraventricular tachycardia [Rodriguez-Viciana et al, 2006], unspecified arrhythmia, or atrial tachycardia [Niihori et al, 2006;Narumi et al, 2007]. Because of the similarities, we hypothesize that the non-reentrant tachycardias will be identified in the other RASopathies.…”
Section: Comparison To Other Rasopathiesmentioning
confidence: 88%
“…Recently, mutations in genes linked to MKK signaling have been associated with a group of human syndromes that includes cardiofacio-cutaneous (CFC) syndrome (mutations in KRas, MEK1, MEK2 and BRAF) (Niihori et al, 2006;Rodriguez-Viciana et al, 2006), Noonan syndrome (NS) and LEOPARD syndrome (LS), which are caused by gain-of-function mutations and inactivating mutations in the protein tyrosine phosphatase PTP11 (SHP2), leading to constitutive (Araki et al, 2004;Fragale et al, 2004) or impaired MAPK activation (Kontaridis et al, 2005), respectively, as well as Costello syndrome (CS), an autosomal dominant disease that has been linked to activating mutations in HRAS (Aoki et al, 2005;Estep et al, 2006). Each causes a similar array of phenotypic consequences including facial dysmorphia, abnormal growth and, notably in this context, cardiovascular defects.…”
Section: Mkk Signaling In Developmental Syndromesmentioning
confidence: 99%
“…PTPN11 mutations are also observed in about 90% of cases of a Noonan-like syndrome called LEOPARD syndrome (Digilio et al, 2002). Phenotypically overlapping Costelo syndrome and cardio-facio-cutaneous syndrome are caused by gain-of-function HRAS mutation and KRAS/BRAF/MEK1/MEK2 mutation, respectively (Aoki et al, 2005;Niihori et al, 2006;RodriguezViciana et al, 2006). Some Noonan syndrome cases are also attributed to gain-of-function mutations in SOS1 that encodes the RAS guanine nucleotide exchange factor or KRAS (Schubbert et al, 2006;Roberts et al, 2007;Tartaglia et al, 2007).…”
Section: Introductionmentioning
confidence: 99%