Evidence map›Paper›PMID 24705357›Full record

ArticleHuman molecular genetics2014

Activating mutations in RRAS underlie a phenotype within the RASopathy spectrum and contribute to leukaemogenesis.

Elisabetta Flex, Mamta Jaiswal, Francesca Pantaleoni, Simone Martinelli, Marion Strullu, Eyad K Fansa, Aurélie Caye, Alessandro De Luca, Francesca Lepri, Radovan Dvorsky and 38 more

Open access · bronzeAbstract read
In one paragraph

Article in Human molecular genetics, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 71 papers.

0numbers the graph read from it
0cells of the map it votes in
71citing papers in PubMed
7.4field-weighted citation impact, top 2% 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

71 citing papers in PubMed, 142 citations in OpenAlex.

  1. 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
  2. Article
  3. Article
  4. RRAS and RRAS2 Mutations Are Recurrent Oncogenic Drivers in Lung Cancer and Are Sensitive to the Pan-RAS Inhibitor RMC-6236.Clinical cancer research : an official journal of the American Association for Cancer Research · 2026
    Article
  5. Article
  6. Article
  7. Conserved Gαq-PLCβ-PKC signaling mediates trametinib resistance in BRAFbioRxiv : the preprint server for biology · 2025
    Article
  8. Article
  9. The small GTPase MRAS is a broken switch.Nature communications · 2025
    Article
  10. Review
  11. Germline bi-allelicHaematologica · 2024
    Article
  12. Review
  13. Article
  14. Review
  15. The molecular genetics of RASopathies: An update on novel disease genes and new disorders.American journal of medical genetics. Part C, Seminars in medical genetics · 2022
    Review
  16. Article
  17. Review
  18. Review
  19. Article
  20. Review

11 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

48 authors at 20 institutions in 8 countries.

Elisabetta FlexDipartimento di Ematologia, Oncologia e Medicina Molecolare and.
Mamta JaiswalInstitut für Biochemie und Molekularbiologie II, Medizinische Fakultät der Heinrich-Heine Universitat, Düsseldorf 40225, Germany.
Francesca PantaleoniDipartimento di Ematologia, Oncologia e Medicina Molecolare and.
Simone MartinelliDipartimento di Ematologia, Oncologia e Medicina Molecolare and.
Marion StrulluGenetics Department, INSERM UMR_S940, Institut Universitaire D'Hématologie (IUH), Université Paris-Diderot Sorbonne-Paris-Cité, Paris 75010, France.
Eyad K FansaInstitut für Biochemie und Molekularbiologie II, Medizinische Fakultät der Heinrich-Heine Universitat, Düsseldorf 40225, Germany.
Aurélie CayeGenetics Department, INSERM UMR_S940, Institut Universitaire D'Hématologie (IUH), Université Paris-Diderot Sorbonne-Paris-Cité, Paris 75010, France.
Alessandro De LucaLaboratorio Mendel, Istituto di Ricovero e Cura a Carattere Scientifico-Casa Sollievo Della Sofferenza, Rome 00198, Italy.
Francesca LepriOspedale Pediatrico 'Bambino Gesù', Rome 00165, Italy.
Radovan DvorskyInstitut für Biochemie und Molekularbiologie II, Medizinische Fakultät der Heinrich-Heine Universitat, Düsseldorf 40225, Germany.
Luca PannoneDipartimento di Ematologia, Oncologia e Medicina Molecolare and.
Stefano PaolacciDipartimento di Ematologia, Oncologia e Medicina Molecolare and.
Si-Cai ZhangInstitut für Biochemie und Molekularbiologie II, Medizinische Fakultät der Heinrich-Heine Universitat, Düsseldorf 40225, Germany.
Valentina FodaleDipartimento di Ematologia, Oncologia e Medicina Molecolare and.
Gianfranco BocchinfusoDipartimento di Scienze e Tecnologie Chimiche, Università 'Tor Vergata', Rome 00133, Italy.
Cesare RossiUO Genetica Medica, Policlinico S.Orsola-Malpighi, Bologna 40138, Italy.
Emma M M Burkitt-WrightGenetic Medicine, Academic Health Science Centre, Central Manchester University Hospitals NHS Foundation Trust, Manchester M13 9WL, UK.
Andrea FarrottiDipartimento di Scienze e Tecnologie Chimiche, Università 'Tor Vergata', Rome 00133, Italy.
Emilia StellacciDipartimento di Ematologia, Oncologia e Medicina Molecolare and.
Serena CecchettiDipartimento di Biologia Cellulare e Neuroscienze, Istituto Superiore di Sanità, Rome 00161, Italy.
Rosangela FereseLaboratorio Mendel, Istituto di Ricovero e Cura a Carattere Scientifico-Casa Sollievo Della Sofferenza, Rome 00198, Italy.
Lisabianca BotteroDipartimento di Ematologia, Oncologia e Medicina Molecolare and.
Silvana CastroIstituto di Genetica e Biofisica 'A. Buzzati Traverso', Consiglio Nazionale Delle Ricerche, Naples 80131, Italy.
Odile FenneteauBiological Hematology Department and.
Benoît BrethonPediatric Hematology Department, Robert Debré Hospital, Paris 75019, France.
Massimo SanchezDipartimento di Biologia Cellulare e Neuroscienze, Istituto Superiore di Sanità, Rome 00161, Italy.
Amy E RobertsDepartment of Cardiology and Division of Genetics, and Department of Medicine, Boston Children's Hospital, Boston, MA 02115, USA.
Helger G YntemaDepartment of Human Genetics, Radboud University Medical Centre, and Nijmegen Centre for Molecular Life Sciences, Radboud University, Nijmegen 6500, The Netherlands.
Ineke Van Der BurgtDepartment of Human Genetics, Radboud University Medical Centre, and Nijmegen Centre for Molecular Life Sciences, Radboud University, Nijmegen 6500, The Netherlands.
Paola CianciGenetica Clinica Pediatrica, Clinica Pediatrica Università Milano Bicocca, Fondazione MBBM, A.O. S. Gerardo, Monza 20900, Italy.
Marie-Louise BondesonDepartment of Immunology, Genetics and Pathology, Uppsala University, Uppsala 75237, Sweden.
Maria Cristina DigilioOspedale Pediatrico 'Bambino Gesù', Rome 00165, Italy.
Giuseppe ZampinoIstituto di Clinica Pediatrica, Università Cattolica del Sacro Cuore, Rome 00168, Italy.
Bronwyn KerrGenetic Medicine, Academic Health Science Centre, Central Manchester University Hospitals NHS Foundation Trust, Manchester M13 9WL, UK.
Yoko AokiDepartment of Medical Genetics, Tohoku University School of Medicine, Sendai 980-8574, Japan.
Mignon L LohDepartment of Pediatrics, Benioff Children's Hospital, University of California School of Medicine, and the Helen Diller Family Comprehensive Cancer Center, San Francisco, CA, 94143, USA.
Antonio PalleschiDipartimento di Scienze e Tecnologie Chimiche, Università 'Tor Vergata', Rome 00133, Italy.
Elia Di SchiaviIstituto di Genetica e Biofisica 'A. Buzzati Traverso', Consiglio Nazionale Delle Ricerche, Naples 80131, Italy.
Alessandra CarèDipartimento di Ematologia, Oncologia e Medicina Molecolare and.
Angelo SelicorniGenetica Clinica Pediatrica, Clinica Pediatrica Università Milano Bicocca, Fondazione MBBM, A.O. S. Gerardo, Monza 20900, Italy.
Bruno DallapiccolaOspedale Pediatrico 'Bambino Gesù', Rome 00165, Italy.
Ion C CirsteaInstitut für Biochemie und Molekularbiologie II, Medizinische Fakultät der Heinrich-Heine Universitat, Düsseldorf 40225, Germany, Leibniz Institute for Age Research, Jena 07745, Germany.
Lorenzo StellaDipartimento di Scienze e Tecnologie Chimiche, Università 'Tor Vergata', Rome 00133, Italy.
Martin ZenkerInstitute of Human Genetics, University Hospital of Magdeburg, Otto-von-Guericke-University, Magdeburg 39120, Germany.
Bruce D GelbDepartment of Pediatrics and Department of Genetics and Department of Genomic Sciences, Mindich Child Health and Development Institute, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA.
Hélène CavéGenetics Department, INSERM UMR_S940, Institut Universitaire D'Hématologie (IUH), Université Paris-Diderot Sorbonne-Paris-Cité, Paris 75010, France.
Mohammad R AhmadianInstitut für Biochemie und Molekularbiologie II, Medizinische Fakultät der Heinrich-Heine Universitat, Düsseldorf 40225, Germany.
Marco TartagliaDipartimento di Ematologia, Oncologia e Medicina Molecolare and marco.tartaglia@iss.it.
Heinrich Heine University Düsseldorf · DEUniversity of Rome Tor Vergata · ITBambino Gesù Children's Hospital · ITCasa Sollievo della Sofferenza · ITInstitute of Genetics and Biophysics · ITIstituto Superiore di Sanità · ITRadboud University Nijmegen · NLUniversity of Milano-Bicocca · ITBoston Children's Hospital · USDélégation Paris 7 · FRHôpital Robert-Debré · FRIcahn School of Medicine at Mount Sinai · USInserm · FRLeibniz Association · DEManchester Academic Health Science Centre · GBOtto-von-Guericke University Magdeburg · DEPoliclinico S.Orsola-Malpighi · ITTohoku University · JPUCSF Benioff Children's Hospital · USUniversità Cattolica del Sacro Cuore · IT

Funding

Enhancing and expanding the CGC Strain CollectionP40OD010440 · OD · UNIVERSITY OF MINNESOTA · PI Ann E. Rougvie · 2012 to 2026
$7.5M
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
NHLBI NIH HHS HL071207NHLBI NIH HHS R01 HL071207NIH HHS P40 OD010440NIH HHS P40OD010440Telethon GGP13107
6 · The paper itself

Abstract

RASopathies, a family of disorders characterized by cardiac defects, defective growth, facial dysmorphism, variable cognitive deficits and predisposition to certain malignancies, are caused by constitutional dysregulation of RAS signalling predominantly through the RAF/MEK/ERK (MAPK) cascade. We report on two germline mutations (p.Gly39dup and p.Val55Met) in RRAS, a gene encoding a small monomeric GTPase controlling cell adhesion, spreading and migration, underlying a rare (2 subjects among 504 individuals analysed) and variable phenotype with features partially overlapping Noonan syndrome, the most common RASopathy. We also identified somatic RRAS mutations (p.Gly39dup and p.Gln87Leu) in 2 of 110 cases of non-syndromic juvenile myelomonocytic leukaemia, a childhood myeloproliferative/myelodysplastic disease caused by upregulated RAS signalling, defining an atypical form of this haematological disorder rapidly progressing to acute myeloid leukaemia. Two of the three identified mutations affected known oncogenic hotspots of RAS genes and conferred variably enhanced RRAS function and stimulus-dependent MAPK activation. Expression of an RRAS mutant homolog in Caenorhabditis elegans enhanced RAS signalling and engendered protruding vulva, a phenotype previously linked to the RASopathy-causing SHOC2(S2G) mutant. Overall, these findings provide evidence of a functional link between RRAS and MAPK signalling and reveal an unpredicted role of enhanced RRAS function in human disease.

Indexed as

PhenotypeAnimalsCaenorhabditis elegansCarcinogenesisCohort StudiesExtracellular Signal-Regulated MAP KinasesHumansLeukemia, Myeloid, AcuteLeukemia, Myelomonocytic, JuvenileMAP Kinase Kinase KinasesMutationNoonan SyndromeOncogene Protein v-aktras ProteinsSignal TransductionExtracellular Signal-Regulated MAP KinasesMAP Kinase Kinase KinasesOncogene Protein v-aktras ProteinsRRAS protein, human

Identifiers

PMID24705357
PMCPMC4103678
OpenAlexW2156955613

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