“…The core of this cascade comprises the membrane-bound RAS-GTPase, the protein kinases RAF and MEK, and the transcription factor ERK (extracellular signal-related kinase), which control numerous cellular and physiological processes, including organism development, cell cycle control, cell proliferation and differentiation, cell survival, and death [1,2]. These disorders manifest as multisystem syndromes, including, but not limited to, neurofibromatosis type 1 (NF1), Noonan syndrome (NS), Legius syndrome (LS), Costello syndrome (CS), cardio-facio-cutaneous (CFC) syndrome and SYNGAP1 encephalopathy (SE) [3]. Most RASopathies are associated Biomedicines 2024, 12, 841 2 of 20 with an autosomal dominant mode of inheritance, one exception being Noonan syndrome, where recessive phenotypes caused by mutations in LZTR1 and SPRED2 have been described [4,5].…”