Evidence map›Paper›PMID 22821884›Full record

ArticleAmerican journal of medical genetics. Part A2012

A novel HRAS substitution (c.266C>G; p.S89C) resulting in decreased downstream signaling suggests a new dimension of RAS pathway dysregulation in human development.

Karen W Gripp, Eugenia Bifeld, Deborah L Stabley, Elizabeth Hopkins, Stefanie Meien, Kathy Vinette, Katia Sol-Church, Georg Rosenberger

Open access · greenAbstract read
In one paragraph

Article in American journal of medical genetics. Part A, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
0.7field-weighted citation impact, top 33% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 24 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Redefining the Etiologic Landscape of Cerebellar Malformations.American journal of human genetics · 2019
    Article
  8. Costello syndrome: Clinical phenotype, genotype, and management guidelines.American journal of medical genetics. Part A · 2019
    Article
  9. Article
  10. Article
  11. Respiratory system involvement in Costello syndrome.American journal of medical genetics. Part A · 2016
    Article
  12. Article
  13. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 2 countries.

Karen W GrippDivision of Medical Genetics, A. I. duPont Hospital for Children, Wilmington, Delaware, USA.
Eugenia Bifeld
Deborah L Stabley
Elizabeth Hopkins
Stefanie Meien
Kathy Vinette
Katia Sol-Church
Georg Rosenberger
Community Health Systems - Dupont Hospital · USUniversität Hamburg · DEUniversity Medical Center Hamburg-Eppendorf · DE

Funding

Predictive Modeling & Optimal Control Framework for Model-Based Epidemic Response in DelawareP20GM103446 · NIGMS · UNIVERSITY OF DELAWARE · PI Anjana Narayan Bhat · 2012 to 2026
$67.2M
Center for Pediatric ResearchP20GM103464 · NIGMS · NEMOURS CHILDREN'S HOSPITAL, DELAWARE · PI SHAFFER, THOMAS H · 2012 to 2014
$5.6M
NIGMS NIH HHS 8P20GM103464NIGMS NIH HHS P20 GM103446NIGMS NIH HHS P20 GM103464
6 · The paper itself

Abstract

Costello syndrome is caused by HRAS germline mutations affecting Gly(12) or Gly(13) in >90% of cases and these are associated with a relatively homogeneous phenotype. Rarer mutations in other HRAS codons were reported in patients with an attenuated or mild phenotype. Disease-associated HRAS missense mutations result in constitutive HRAS activation and increased RAF-MEK-ERK and PI3K-AKT signal flow. Here we report on a novel heterozygous HRAS germline alteration, c.266C>G (p.S89C), in a girl presenting with severe fetal hydrops and pleural effusion, followed by a more benign postnatal course. A sibling with the same mutation and fetal polyhydramnios showed a Dandy-Walker malformation; his postnatal course was complicated by severe feeding difficulties. Their apparently asymptomatic father is heterozygous for the c.266C>G change. By functional analyses we identified reduced levels of active HRAS(S89C) and diminished MEK, ERK and AKT phosphorylation in cells overexpressing HRAS(S89C) , which represent novel consequences of disease-associated HRAS mutations. Given our patients' difficult neonatal course and presence of this change in their asymptomatic father, we hypothesize that its harmful consequences may be time limited, with the late fetal stage being most sensitive. Alternatively, the phenotype may develop only in the presence of an additional as-yet-unknown genetic modifier. While the pathogenicity of the HRAS c.266C>G change remains unproven, our data may illustrate wide functional and phenotypic variability of germline HRAS mutations.

Indexed as

Signal TransductionAmino Acid SequenceAnimalsChlorocebus aethiopsCOS CellsEpidermal Growth FactorFemaleHeterozygoteHumansInfant, NewbornMAP Kinase Signaling SystemMolecular Sequence DataMutation, MissensePhenotypeProto-Oncogene Proteins p21(ras)Sequence Homology, Amino AcidEpidermal Growth FactorProto-Oncogene Proteins p21(ras)

Identifiers

PMID22821884
PMCPMC4166655
OpenAlexW1980514736

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.