Evidence map›Paper›PMID 23392294›Full record

ArticleThe Journal of investigative dermatology2013

Multiple congenital melanocytic nevi and neurocutaneous melanosis are caused by postzygotic mutations in codon 61 of NRAS.

Veronica A Kinsler, Anna C Thomas, Miho Ishida, Neil W Bulstrode, Sam Loughlin, Sandra Hing, Jane Chalker, Kathryn McKenzie, Sayeda Abu-Amero, Olga Slater and 7 more

Erratum issuedOpen access · hybridAbstract read
In one paragraph

Article in The Journal of investigative dermatology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 110 papers.

0numbers the graph read from it
0cells of the map it votes in
110citing papers in PubMed
23.0field-weighted citation impact, top 1% 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

110 citing papers in PubMed, 343 citations in OpenAlex.

  1. Article
  2. Article
  3. Enhancement of the leptomeninges in a young man.Brain pathology (Zurich, Switzerland) · 2026
    Article
  4. Article
  5. Review
  6. Article
  7. Review
  8. Review
  9. Article
  10. Segmental corymbiform congenital melanocytic naevi: Implications for melanocytic embryology.Journal of the European Academy of Dermatology and Venereology : JEADV · 2025
    Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. A diagnostic approach to neurocutaneous syndromes.Arquivos de neuro-psiquiatria · 2025
    Review
  16. [WHO classification of melanocytic tumours].Dermatologie (Heidelberg, Germany) · 2025
    Review
  17. Review
  18. Article
  19. Review
  20. Long-term follow-up of congenital melanocytic nevi in a pediatric population: a retrospective study.Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo · 2025
    Article

50 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors at 4 institutions in 1 country.

Veronica A KinslerPaediatric Dermatology Department, Great Ormond Street Hospital for Children, London, UK. v.kinsler@ucl.ac.uk
Anna C Thomas
Miho Ishida
Neil W Bulstrode
Sam Loughlin
Sandra Hing
Jane Chalker
Kathryn McKenzie
Sayeda Abu-Amero
Olga Slater
Estelle Chanudet
Rodger Palmer
Deborah Morrogh
Philip Stanier
Eugene Healy
Neil J Sebire
Gudrun E Moore
Great Ormond Street Hospital · GBUniversity College London · GBRoyal Hospital for Children · GBUniversity of Southampton · GB

Funding

Medical Research Council G1001689Wellcome Trust 088371
6 · The paper itself

Abstract

Congenital melanocytic nevi (CMN) can be associated with neurological abnormalities and an increased risk of melanoma. Mutations in NRAS, BRAF, and Tp53 have been described in individual CMN samples; however, their role in the pathogenesis of multiple CMN within the same subject and development of associated features has not been clear. We hypothesized that a single postzygotic mutation in NRAS could be responsible for multiple CMN in the same individual, as well as for melanocytic and nonmelanocytic central nervous system (CNS) lesions. From 15 patients, 55 samples with multiple CMN were sequenced after site-directed mutagenesis and enzymatic digestion of the wild-type allele. Oncogenic missense mutations in codon 61 of NRAS were found in affected neurological and cutaneous tissues of 12 out of 15 patients, but were absent from unaffected tissues and blood, consistent with NRAS mutation mosaicism. In 10 patients, the mutation was consistently c.181C>A, p.Q61K, and in 2 patients c.182A>G, p.Q61R. All 11 non-melanocytic and melanocytic CNS samples from 5 patients were mutation positive, despite NRAS rarely being reported as mutated in CNS tumors. Loss of heterozygosity was associated with the onset of melanoma in two cases, implying a multistep progression to malignancy. These results suggest that single postzygotic NRAS mutations are responsible for multiple CMN and associated neurological lesions in the majority of cases.

Indexed as

AdolescentCentral Nervous System NeoplasmsChildChild, PreschoolFemaleGenetic Predisposition to DiseaseGTP PhosphohydrolasesHamartomaHumansLoss of HeterozygosityMagnetic Resonance ImagingMaleMelanosisMembrane ProteinsMeningeal NeoplasmsMeningiomaGTP PhosphohydrolasesMembrane ProteinsNRAS protein, human

Identifiers

PMID23392294
PMCPMC3678977
OpenAlexW2095112712

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.