Evidence map›Paper›PMID 23726368›Full record

ArticleAmerican journal of human genetics2013

Age-dependent germline mosaicism of the most common noonan syndrome mutation shows the signature of germline selection.

Song-Ro Yoon, Soo-Kung Choi, Jordan Eboreime, Bruce D Gelb, Peter Calabrese, Norman Arnheim

Open access · bronzeAbstract read
In one paragraph

Article in American journal of human genetics, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed
2.8field-weighted citation impact, top 9% 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

39 citing papers in PubMed, 62 citations in OpenAlex.

  1. Article
  2. Stem cell competition.Current topics in developmental biology · 2026
    Review
  3. Article
  4. Review
  5. Genomic analysis of 11,555 probands identifies 60 dominant congenital heart disease genes.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
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  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
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  13. Review
  14. Article
  15. Article
  16. Article
  17. Low-level parental mosaicism affects the recurrence risk of holoprosencephaly.Genetics in medicine : official journal of the American College of Medical Genetics · 2019
    Article
  18. Achondroplasia: a comprehensive clinical review.Orphanet journal of rare diseases · 2019
    Review
  19. Review
  20. 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

6 authors at 2 institutions in 1 country.

Song-Ro YoonMolecular and Computational Biology Program, University of Southern California, Los Angeles, CA 90089-2910, USA.
Soo-Kung Choi
Jordan Eboreime
Bruce D Gelb
Peter Calabrese
Norman Arnheim
University of Southern California · USChild Health and Development Institute · US

Funding

GENETIC &MOLECULAR STUDIES OF HUMAN &MOUSE RDNAR01GM036745 · NIGMS · UNIVERSITY OF SOUTHERN CALIFORNIA · PI ARNHEIM, NORMAN, CALABRESE, PETER PAUL · 1985 to 2017
$8.5M
Molecular studies of Noonan syndrome and related disordersR01HL071207 · NHLBI · MOUNT SINAI SCHOOL OF MEDICINE OF NYU · PI GELB, BRUCE D · 2002 to 2016
$5.9M
Allylsilane Annulation Strategy for Diversity SynthesisF32CA094588 · NCI · HARVARD UNIVERSITY · PI FRANZ, ANNALIESE K · 2002 to 2004
$125k
NCI NIH HHS F32 CA094588NHLBI NIH HHS HL071207NHLBI NIH HHS R01 HL071207NIGMS NIH HHS R01 GM036745NIGMS NIH HHS R01GM36745
6 · The paper itself

Abstract

Noonan syndrome (NS) is among the most common Mendelian genetic diseases (∼1/2,000 live births). Most cases (50%-84%) are sporadic, and new mutations are virtually always paternally derived. More than 47 different sites of NS de novo missense mutations are known in the PTPN11 gene that codes for the protein tyrosine phosphatase SHP-2. Surprisingly, many of these mutations are recurrent with nucleotide substitution rates substantially greater than the genome average; the most common mutation, c.922A>G, is at least 2,400 times greater. We examined the spatial distribution of the c.922A>G mutation in testes from 15 unaffected men and found that the mutations were not uniformly distributed across each testis as would be expected for a mutation hot spot but were highly clustered and showed an age-dependent germline mosaicism. Computational modeling that used different stem cell division schemes confirmed that the data were inconsistent with hypermutation, but consistent with germline selection: mutated spermatogonial stem cells gained an advantage that allowed them to increase in frequency. SHP-2 interacts with the transcriptional activator STAT3. Given STAT3's function in mouse spermatogonial stem cells, we suggest that this interaction might explain the mutant's selective advantage by means of repression of stem cell differentiation signals. Repression of STAT3 activity by cyclin D1 might also play a previously unrecognized role in providing a germline-selective advantage to spermatogonia for the recurrent mutations in the receptor tyrosine kinases that cause Apert syndrome and MEN2B. Looking at recurrent mutations driven by germline selection in different gene families can help highlight common causal signaling pathways.

Indexed as

Germ-Line MutationAdultAgedAged, 80 and overAge FactorsAgingGene FrequencyGenetic Association StudiesHumansMaleMiddle AgedModels, GeneticMosaicismNoonan SyndromeProtein Tyrosine Phosphatase, Non-Receptor Type 11Selection, GeneticProtein Tyrosine Phosphatase, Non-Receptor Type 11PTPN11 protein, human

Identifiers

PMID23726368
PMCPMC3682763
OpenAlexW2036428151

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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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.