Evidence map›Paper›PMID 23791108›Full record

ArticleAmerican journal of human genetics2013

Gain-of-function mutations in RIT1 cause Noonan syndrome, a RAS/MAPK pathway syndrome.

Yoko Aoki, Tetsuya Niihori, Toshihiro Banjo, Nobuhiko Okamoto, Seiji Mizuno, Kenji Kurosawa, Tsutomu Ogata, Fumio Takada, Michihiro Yano, Toru Ando and 15 more

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 163 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
163citing papers in PubMed, 2 pooled it
14.2field-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

163 citing papers in PubMed, 2 syntheses or guidelines pooled it, 329 citations in OpenAlex.

  1. Pooled it
  2. ClinGen's RASopathy Expert Panel consensus methods for variant interpretation.Genetics in medicine : official journal of the American College of Medical Genetics · 2018
    Guideline
  3. Article
  4. Clinical consensus guidelines for the management of Noonan syndrome in Japan.Clinical pediatric endocrinology : case reports and clinical investigations : official journal of the Japanese Society for Pediatric Endocrinology · 2026
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Noonan Syndrome, Cancer Risk, and Growth Hormone TreatmentJournal of clinical research in pediatric endocrinology · 2025
    Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article

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

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

25 authors at 17 institutions in 2 countries.

Yoko AokiDepartment of Medical Genetics, Tohoku University School of Medicine, Sendai 980-8574, Japan. aokiy@med.tohoku.ac.jp
Tetsuya Niihori
Toshihiro Banjo
Nobuhiko Okamoto
Seiji Mizuno
Kenji Kurosawa
Tsutomu Ogata
Fumio Takada
Michihiro Yano
Toru Ando
Tadataka Hoshika
Christopher Barnett
Hirofumi Ohashi
Hiroshi Kawame
Tomonobu Hasegawa
Takahiro Okutani
Tatsuo Nagashima
Satoshi Hasegawa
Ryo Funayama
Takeshi Nagashima
Keiko Nakayama
Shin-Ichi Inoue
Yusuke Watanabe
Toshihiko Ogura
Yoichi Matsubara
Tohoku University · JPAichi Human Service Center · JPAkita University · JPHamamatsu University School of Medicine · JPJikei University School of Medicine · JPKanagawa Children's Medical Center · JPKeio University · JPKitasato University · JPMunicipal Tsuruga Hospital · JPNational Center For Child Health and Development · JPNiigata University · JPOchanomizu University · JPOsaka Medical Center for Cancer and Cardiovascular Diseases · JPSaitama Children's Medical Center · JPTottori Prefectural Central Hospital · JPUniversity of Adelaide · AUWakayama Medical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

RAS GTPases mediate a wide variety of cellular functions, including cell proliferation, survival, and differentiation. Recent studies have revealed that germline mutations and mosaicism for classical RAS mutations, including those in HRAS, KRAS, and NRAS, cause a wide spectrum of genetic disorders. These include Noonan syndrome and related disorders (RAS/mitogen-activated protein kinase [RAS/MAPK] pathway syndromes, or RASopathies), nevus sebaceous, and Schimmelpenning syndrome. In the present study, we identified a total of nine missense, nonsynonymous mutations in RIT1, encoding a member of the RAS subfamily, in 17 of 180 individuals (9%) with Noonan syndrome or a related condition but with no detectable mutations in known Noonan-related genes. Clinical manifestations in the RIT1-mutation-positive individuals are consistent with those of Noonan syndrome, which is characterized by distinctive facial features, short stature, and congenital heart defects. Seventy percent of mutation-positive individuals presented with hypertrophic cardiomyopathy; this frequency is high relative to the overall 20% incidence in individuals with Noonan syndrome. Luciferase assays in NIH 3T3 cells showed that five RIT1 alterations identified in children with Noonan syndrome enhanced ELK1 transactivation. The introduction of mRNAs of mutant RIT1 into 1-cell-stage zebrafish embryos was found to result in a significant increase of embryos with craniofacial abnormalities, incomplete looping, a hypoplastic chamber in the heart, and an elongated yolk sac. These results demonstrate that gain-of-function mutations in RIT1 cause Noonan syndrome and show a similar biological effect to mutations in other RASopathy-related genes.

Indexed as

MAP Kinase Signaling SystemMutation, MissenseAnimalsCardiomyopathy, HypertrophicChild, PreschoolEmbryo, Nonmammalianets-Domain Protein Elk-1FemaleGenetic Carrier ScreeningGerm-Line MutationHumansIncidenceInfantMaleMiceMuscle SpindlesELK1 protein, humanets-Domain Protein Elk-1ras ProteinsRIT1 protein, humanRNA, Messenger

Identifiers

PMID23791108
PMCPMC3710767
OpenAlexW1982387674

What OpenQuestion holds

Textmetadata
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.