Evidence map›Paper›PMID 28594414›Full record

ArticleEuropean journal of human genetics : EJHG2017

Genotype and phenotype spectrum of NRAS germline variants.

Franziska Altmüller, Christina Lissewski, Debora Bertola, Elisabetta Flex, Zornitza Stark, Stephanie Spranger, Gareth Baynam, Michelle Buscarilli, Sarah Dyack, Jane Gillis and 16 more

Open access · bronzeAbstract read
In one paragraph

Article in European journal of human genetics : EJHG, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
2.0field-weighted citation impact, top 13% 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

26 citing papers in PubMed, 55 citations in OpenAlex.

  1. IsolatedHaematologica · 2026
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  14. International journal of molecular sciences · 2021
    Article
  15. Anticancer drug resistance: An update and perspective.Drug resistance updates : reviews and commentaries in antimicrobial and anticancer chemotherapy · 2021
    Review
  16. Review
  17. Article
  18. Article
  19. Ras Variant Biology and Contributions to Human Disease.Methods in molecular biology (Clifton, N.J.) · 2021
    Review
  20. Embryonic Expression of NrasFrontiers in cell and developmental biology · 2021
    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

26 authors at 19 institutions in 8 countries.

Franziska AltmüllerInstitute of Human Genetics, University Hospital Magdeburg, Magdeburg, Germany.
Christina LissewskiInstitute of Human Genetics, University Hospital Magdeburg, Magdeburg, Germany.
Debora BertolaUnidade de Genética do Instituto da Criança-Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil.
Elisabetta FlexDepartment of Hematology, Oncology and Molecular Medicine, Istituto Superiore di Sanità, Rome, Italy.
Zornitza StarkVictorian Clinical Genetics Services, Murdoch Children's Research Institute, Melbourne, Australia.
Stephanie SprangerPraxis für Humangenetik, Bremen, Germany.
Gareth BaynamGenetic Services of Western Australia, WA Department of Health, Perth, Western Australia, Australia.
Michelle BuscarilliUnidade de Genética do Instituto da Criança-Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil.
Sarah DyackDepartment of Paediatrics and Medicine, Dalhousie University, Halifax, Nova Scotia, Canada.
Jane GillisDepartment of Pediatrics, University of British Columbia, Division of Biochemical Diseases, BC Children's Hospital, Vancouver, British Columbia, Canada.
Helger G YntemaDepartment of Human Genetics, Radboud University Medical Center, Nijmegen, The Netherlands.
Francesca PantaleoniGenetics and Rare Diseases Research Division, Ospedale Pediatrico Bambino Gesù, Rome, Italy.
Rosa LE van LoonDepartment of Clinical Genetics, Erasmus Medical Center, Rotterdam, The Netherlands.
Sara MacKayMaritime Medical Genetics Service, IWK Health Centre, Halifax, Nova Scotia, Canada.
Kym MinaDepartment of Diagnostic Genomics, PathWest Laboratory Medicine WA, Perth, Western Australia, Australia.
Ina SchanzeInstitute of Human Genetics, University Hospital Magdeburg, Magdeburg, Germany.
Tiong Yang TanVictorian Clinical Genetics Services, Murdoch Children's Research Institute, Melbourne, Victoria, Australia.
Maie WalshVictorian Clinical Genetics Services, Murdoch Children's Research Institute, Melbourne, Victoria, Australia.
Susan M WhiteVictorian Clinical Genetics Services, Murdoch Children's Research Institute, Melbourne, Victoria, Australia.
Marena R NiewischDepartment of Pediatrics and Adolescent Medicine, Division of Pediatric Hematology and Oncology, Medical Center - University of Freiburg, Faculty of Medicine, Freiburg, Germany.
Sixto García-MiñaúrInstituto de Genética Médica y Molecular, Hospital Universitario La Paz, Madrid, Spain.
Diego PlazaUnidad de Hemato-Oncología Pediátrica, Hospital Universitario La Paz, Madrid, Spain.
Mohammad Reza AhmadianInstitute of Biochemistry and Molecular Biology II, Medical Faculty of the Heinrich Heine University, Düsseldorf, Germany.
Hélène CavéINSERM UMR_S1131, Institut Universitaire d'Hématologie, Université Paris Diderot, Paris-Sorbonne-Cité, Paris, France.
Marco TartagliaGenetics and Rare Diseases Research Division, Ospedale Pediatrico Bambino Gesù, Rome, Italy.
Martin ZenkerInstitute of Human Genetics, University Hospital Magdeburg, Magdeburg, Germany.
University Hospital Magdeburg · DEBambino Gesù Children's Hospital · ITHospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo · BRHospital Universitario La Paz · ESThe University of Melbourne · AUDalhousie University · CAErasmus MC · NLGovernment of Western Australia Department of Health · AUHeinrich Heine University Düsseldorf · DEInserm · FRIstituto Superiore di Sanità · ITIzaak Walton Killam Health Centre · CAMurdoch Children's Research Institute · AUPathwest Laboratory Medicine · AUPraxis für Humangenetik Tübingen · DERadboud University Medical Center · NLUniversity Medical Center Freiburg · DEUniversity of British Columbia · CAVictorian Clinical Genetics Services · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

RASopathies comprise a group of disorders clinically characterized by short stature, heart defects, facial dysmorphism, and varying degrees of intellectual disability and cancer predisposition. They are caused by germline variants in genes encoding key components or modulators of the highly conserved RAS-MAPK signalling pathway that lead to dysregulation of cell signal transmission. Germline changes in the genes encoding members of the RAS subfamily of GTPases are rare and associated with variable phenotypes of the RASopathy spectrum, ranging from Costello syndrome (HRAS variants) to Noonan and Cardiofaciocutaneous syndromes (KRAS variants). A small number of RASopathy cases with disease-causing germline NRAS alterations have been reported. Affected individuals exhibited features fitting Noonan syndrome, and the observed germline variants differed from the typical oncogenic NRAS changes occurring as somatic events in tumours. Here we describe 19 new cases with RASopathy due to disease-causing variants in NRAS. Importantly, four of them harbored missense changes affecting Gly12, which was previously described to occur exclusively in cancer. The phenotype in our cohort was variable but well within the RASopathy spectrum. Further, one of the patients (c.35G>A; p.(Gly12Asp)) had a myeloproliferative disorder, and one subject (c.34G>C; p.(Gly12Arg)) exhibited an uncharacterized brain tumour. With this report, we expand the genotype and phenotype spectrum of RASopathy-associated germline NRAS variants and provide evidence that NRAS variants do not spare the cancer-associated mutation hotspots.

Indexed as

Germ-Line MutationAdolescentAdultChildChild, PreschoolCostello SyndromeEctodermal DysplasiaFaciesFailure to ThriveFemaleGenotypeGTP PhosphohydrolasesHeart Defects, CongenitalHumansInfantInfant, NewbornGTP PhosphohydrolasesMembrane ProteinsNRAS protein, human

Identifiers

PMID28594414
PMCPMC5520077
OpenAlexW2610390638

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.