Evidence map›Paper›PMID 36140671›Full record

ArticleGenes2022

Severe Lymphatic Disorder and Multifocal Atrial Tachycardia Treated with Trametinib in a Patient with Noonan Syndrome and SOS1 Mutation.

Michele Lioncino, Adelaide Fusco, Emanuele Monda, Diego Colonna, Michelina Sibilio, Martina Caiazza, Daniela Magri, Angela Carla Borrelli, Barbara D'Onofrio, Maria Luisa Mazzella and 6 more

Open access · goldAbstract readCase Reports
In one paragraph

Article in Genes, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 11% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

  1. Pooled it
  2. 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
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Central conducting lymphatic anomaly: from bench to bedside.The Journal of clinical investigation · 2024
    Review
  14. Article
  15. New prospectives on treatment opportunities in RASopathies.American journal of medical genetics. Part C, Seminars in medical genetics · 2022
    Review
  16. Review
  17. Review
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

16 authors at 4 institutions in 2 countries.

Michele LioncinoInherited and Rare Cardiovascular Diseases Unit, Department of Translational Medical Sciences, University of Campania "Luigi Vanvitelli", Monaldi Hospital, 81031 Naples, Italy.
Adelaide FuscoInherited and Rare Cardiovascular Diseases Unit, Department of Translational Medical Sciences, University of Campania "Luigi Vanvitelli", Monaldi Hospital, 81031 Naples, Italy.
Emanuele MondaInherited and Rare Cardiovascular Diseases Unit, Department of Translational Medical Sciences, University of Campania "Luigi Vanvitelli", Monaldi Hospital, 81031 Naples, Italy.ORCID 0000-0001-9304-988X
Diego ColonnaAdult Congenital Heart Disease Unit, Monaldi Hospital, 81031 Naples, Italy.ORCID 0000-0001-6717-1953
Michelina SibilioDepartment of Pediatrics, Santobono-Pausilipon Children's Hospital, 81031 Naples, Italy.
Martina CaiazzaInherited and Rare Cardiovascular Diseases Unit, Department of Translational Medical Sciences, University of Campania "Luigi Vanvitelli", Monaldi Hospital, 81031 Naples, Italy.ORCID 0000-0003-3805-4170
Daniela MagriDepartment of Neonatal Intensive Care, Monaldi Hospital, 81031 Naples, Italy.
Angela Carla BorrelliDepartment of Neonatal Intensive Care, Monaldi Hospital, 81031 Naples, Italy.
Barbara D'OnofrioInherited and Rare Cardiovascular Diseases Unit, Department of Translational Medical Sciences, University of Campania "Luigi Vanvitelli", Monaldi Hospital, 81031 Naples, Italy.
Maria Luisa MazzellaInherited and Rare Cardiovascular Diseases Unit, Department of Translational Medical Sciences, University of Campania "Luigi Vanvitelli", Monaldi Hospital, 81031 Naples, Italy.
Rossella ColantuonoDepartment of Neonatal Intensive Care, Monaldi Hospital, 81031 Naples, Italy.
Maria Rosaria ArienzoDepartment of Neonatal Intensive Care, Monaldi Hospital, 81031 Naples, Italy.
Berardo SarubbiAdult Congenital Heart Disease Unit, Monaldi Hospital, 81031 Naples, Italy.ORCID 0000-0001-9941-8500
Maria Giovanna RussoPaediatric Cardiology Unit, "L.Vanvitelli" University-Monaldi Hospital, 81031 Naples, Italy.
Giovanni ChelloDepartment of Neonatal Intensive Care, Monaldi Hospital, 81031 Naples, Italy.
Giuseppe LimongelliInherited and Rare Cardiovascular Diseases Unit, Department of Translational Medical Sciences, University of Campania "Luigi Vanvitelli", Monaldi Hospital, 81031 Naples, Italy.ORCID 0000-0002-8291-9517
Ospedale Monaldi · ITUniversity of Campania "Luigi Vanvitelli" · ITSantobono Children's Hospital · ITSt Bartholomew's Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Noonan syndrome (NS) is a multisystemic disorder caused by germline mutations in the Ras/MAPK cascade, causing a broad spectrum of phenotypical abnormalities, including abnormal facies, developmental delay, bleeding diathesis, congenital heart disease (mainly pulmonary stenosis and hypertrophic cardiomyopathy), lymphatic disorders, and uro-genital abnormalities. Multifocal atrial tachycardia has been associated with NS, where it may occur independently of hypertrophic cardiomyopathy. Trametinib, a highly selective MEK1/2 inhibitor currently approved for the treatment of cancer, has been shown to reverse left ventricular hypertrophy in two RIT1-mutated newborns with NS and severe hypertrophic cardiomyopathy. Severe lymphatic abnormalities may contribute to decreased pulmonary compliance in NS, and pulmonary lymphangiectasias should be included in the differential diagnosis of a newborn requiring prolonged oxygen administration. Herein we report the case of a pre-term newborn who was admitted to our unit for the occurrence of severe respiratory distress and subentrant MAT treated with trametinib.

Indexed as

Cardiomyopathy, HypertrophicNoonan SyndromeHumansInfant, NewbornMutationOxygenPyridonesPyrimidinonesras ProteinsTachycardiaOxygenPyridonesPyrimidinonesras Proteinstrametinibhypertrophic cardiomyopathylymphangectasiaMEK1Noonan syndromeRASopathiestrametinib

Identifiers

PMID36140671
PMCPMC9498305
OpenAlexW4293168873

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.