Evidence map›Paper›PMID 26714497›Full record

ArticleHuman genetics2016

Spectrum of mutations and genotype-phenotype analysis in Noonan syndrome patients with RIT1 mutations.

Masako Yaoita, Tetsuya Niihori, Seiji Mizuno, Nobuhiko Okamoto, Shion Hayashi, Atsushi Watanabe, Masato Yokozawa, Hiroshi Suzumura, Akihiko Nakahara, Yusuke Nakano and 16 more

Abstract read
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In one paragraph

Article in Human genetics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed, 2 pooled it
4.2field-weighted citation impact, top 5% 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

51 citing papers in PubMed, 2 syntheses or guidelines pooled it, 99 citations in OpenAlex.

  1. Pooled it
  2. Williams-Beuren syndrome in diverse populations.American journal of medical genetics. Part A · 2018
    Pooled it
  3. 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
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  9. Review
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  13. Genetic backgrounds and genotype-phenotype relationships in anthropometric parameters of 116 Japanese individuals with Noonan syndrome.Clinical pediatric endocrinology : case reports and clinical investigations : official journal of the Japanese Society for Pediatric Endocrinology · 2024
    Article
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  18. Nagoya journal of medical science · 2022
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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

26 authors at 19 institutions in 2 countries.

Masako YaoitaDepartment of Medical Genetics, Tohoku University School of Medicine, Sendai, Japan.
Tetsuya NiihoriDepartment of Medical Genetics, Tohoku University School of Medicine, Sendai, Japan.
Seiji MizunoDepartment of Pediatrics, Central Hospital, Aichi Human Service Center, Kasugai, Japan.
Nobuhiko OkamotoDepartment of Medical Genetics, Osaka Medical Center, Research Institute for Maternal and Child Health, Izumi, Japan.
Shion HayashiDepartment of Neonatology, The Jikei University Hospital, Tokyo, Japan.
Atsushi WatanabeDivision of Clinical Genetics, Nippon Medical School Hospital, Tokyo, Japan.
Masato YokozawaDepartment of Pediatric Cardiology, Hokkaido Medical Center for Child Health and Rehabilitation, Sapporo, Japan.
Hiroshi SuzumuraDepartment of Pediatrics, Dokkyo Medical University, Tochigi, Japan.
Akihiko NakaharaDepartment of Pediatrics, Faculty of Medicine, University of Miyazaki, Miyazaki, Japan.
Yusuke NakanoDepartment of Cardiology, Nagano Children's Hospital, Nagano, Japan.
Tatsunori HokosakiDepartment of Pediatrics, Yokohama City University Hospital, Yokohama, Japan.
Ayumi OhmoriDepartment of Pediatrics, Mie University, Tsu, Japan.
Hirofumi SawadaDepartment of Pediatrics, Mie University, Tsu, Japan.
Ohsuke MigitaDepartment of Pediatrics, St. Marianna University School of Medicine, Kawasaki, Japan.
Aya MimaDepartment of Pediatrics, Yodogawa Christian Hospital, Osaka, Japan.
Pablo LapunzinaInstitute of Medical and Molecular Genetics (INGEMM), La Paz University Hospital, Madrid, Spain.
Fernando Santos-SimarroInstitute of Medical and Molecular Genetics (INGEMM), La Paz University Hospital, Madrid, Spain.
Sixto García-MiñaúrInstitute of Medical and Molecular Genetics (INGEMM), La Paz University Hospital, Madrid, Spain.
Tsutomu OgataDepartment of Pediatrics, Hamamatsu University School of Medicine, Hamamatsu, Japan.
Hiroshi KawameDivision of Genomic Medicine Support and Genetic Counseling, Tohoku Medical Megabank Organization, Tohoku University, Sendai, Japan.
Kenji KurosawaDivision of Medical Genetics, Kanagawa Children's Medical Center, Yokohama, Japan.
Hirofumi OhashiDivision of Medical Genetics, Saitama Children's Medical Center, Saitama, Japan.
Shin-Ichi InoueDepartment of Medical Genetics, Tohoku University School of Medicine, Sendai, Japan.
Yoichi MatsubaraNational Research Institute for Child Health and Development, Tokyo, Japan.
Shigeo KureDepartment of Pediatrics, Tohoku University School of Medicine, Sendai, Japan.
Yoko AokiDepartment of Medical Genetics, Tohoku University School of Medicine, Sendai, Japan. aokiy@med.tohoku.ac.jp.
Tohoku University · JPHospital Universitario La Paz · ESMie University · JPAichi Human Service Center · JPDokkyo Medical University · JPHamamatsu University School of Medicine · JPKanagawa Children's Medical Center · JPNagano Children's Hospital · JPNational Center For Child Health and Development · JPNational Hospital Organization Hokkaido Medical Center · JPNippon Medical School Hospital · JPOsaka Medical Center for Cancer and Cardiovascular Diseases · JPSaitama Children's Medical Center · JPSt. Marianna University School of Medicine · JPThe Jikei University Hospital · JPTohoku Medical Megabank Organization · JPUniversity of Miyazaki · JPYodogawa Christian Hospital · JPYokohama City University Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

RASopathies are autosomal dominant disorders caused by mutations in more than 10 known genes that regulate the RAS/MAPK pathway. Noonan syndrome (NS) is a RASopathy characterized by a distinctive facial appearance, musculoskeletal abnormalities, and congenital heart defects. We have recently identified mutations in RIT1 in patients with NS. To delineate the clinical manifestations in RIT1 mutation-positive patients, we further performed a RIT1 analysis in RASopathy patients and identified 7 RIT1 mutations, including two novel mutations, p.A77S and p.A77T, in 14 of 186 patients. Perinatal abnormalities, including nuchal translucency, fetal hydrops, pleural effusion, or chylothorax and congenital heart defects, are observed in all RIT1 mutation-positive patients. Luciferase assays in NIH 3T3 cells demonstrated that the newly identified RIT1 mutants, including p.A77S and p.A77T, and the previously identified p.F82V, p.T83P, p.Y89H, and p.M90I, enhanced Elk1 transactivation. Genotype-phenotype correlation analyses of previously reported NS patients harboring RIT1, PTPN11, SOS1, RAF1, and KRAS revealed that hypertrophic cardiomyopathy (56 %) was more frequent in patients harboring a RIT1 mutation than in patients harboring PTPN11 (9 %) and SOS1 mutations (10 %). The rates of hypertrophic cardiomyopathy were similar between patients harboring RIT1 mutations and patients harboring RAF1 mutations (75 %). Short stature (52 %) was less prevalent in patients harboring RIT1 mutations than in patients harboring PTPN11 (71 %) and RAF1 (83 %) mutations. These results delineate the clinical manifestations of RIT1 mutation-positive NS patients: high frequencies of hypertrophic cardiomyopathy, atrial septal defects, and pulmonary stenosis; and lower frequencies of ptosis and short stature.

Indexed as

Child, PreschoolChylothoraxExonsFemaleGene Expression RegulationGenetic Association StudiesHeart Defects, CongenitalHumansHydrops FetalisInfantInfant, NewbornMaleMutationNoonan SyndromeNuchal Translucency MeasurementPleural EffusionKRAS protein, humanProtein Tyrosine Phosphatase, Non-Receptor Type 11Proto-Oncogene Proteins p21(ras)PTPN11 protein, humanras ProteinsRIT1 protein, humanSOS1 Protein

Identifiers

PMID26714497
OpenAlexW2200911078

What OpenQuestion holds

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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.