Evidence map›Paper›PMID 36304179›Full record

ArticleThe application of clinical genetics2022

RASopathy Cohort of Patients Enrolled in a Brazilian Reference Center for Rare Diseases: A Novel Familial LZTR1 Variant and Recurrent Mutations.

Natana Chaves Rabelo, Maria Eduarda Gomes, Isabelle de Oliveira Moraes, Juliana Cantagalli Pfisterer, Guilherme Loss de Morais, Deborah Antunes, Ernesto Raúl Caffarena, Juan Llerena, Sayonara Gonzalez

Open access · goldAbstract read
In one paragraph

Article in The application of clinical genetics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 33% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Noonan Syndrome, Cancer Risk, and Growth Hormone TreatmentJournal of clinical research in pediatric endocrinology · 2025
    Review
  4. Article
  5. International journal of molecular sciences · 2025
    Article
  6. Article
  7. Article
  8. Review
  9. 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

9 authors at 4 institutions in 1 country.

Natana Chaves RabeloCentro de Genética Médica IFF/Fiocruz, Rio de Janeiro, RJ, Brazil.ORCID 0000-0003-1818-8614
Maria Eduarda GomesCentro de Genética Médica IFF/Fiocruz, Rio de Janeiro, RJ, Brazil.ORCID 0000-0002-2695-4529
Isabelle de Oliveira MoraesCentro de Genética Médica IFF/Fiocruz, Rio de Janeiro, RJ, Brazil.ORCID 0000-0002-1054-6221
Juliana Cantagalli PfistererCentro de Genética Médica IFF/Fiocruz, Rio de Janeiro, RJ, Brazil.ORCID 0000-0001-6267-4084
Guilherme Loss de MoraisLaboratório Nacional de Computação Científica, Petrópolis, RJ, Brazil.ORCID 0000-0002-9091-9074
Deborah AntunesLaboratório de Genômica Funcional e Bioinformática, Instituto Oswaldo Cruz/Fiocruz, Rio de Janeiro, RJ, Brazil.ORCID 0000-0002-2927-0800
Ernesto Raúl CaffarenaGrupo de Biofísica Computacional e Modelagem Molecular, Programa de Computação Científica, Fundação Oswaldo Cruz/Fiocruz, Rio de Janeiro, RJ, Brazil.ORCID 0000-0002-8353-3034
Juan LlerenaCentro de Genética Médica IFF/Fiocruz, Rio de Janeiro, RJ, Brazil.ORCID 0000-0002-4308-3841
Sayonara GonzalezCentro de Genética Médica IFF/Fiocruz, Rio de Janeiro, RJ, Brazil.ORCID 0000-0002-9140-1963
Fundação Instituto de Pesca do Estado do Rio de Janeiro · BRFundação Oswaldo Cruz · BRLaboratório Nacional de Computação Científica · BRNational Institute on Population Medical Genetics · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Noonan syndrome and related disorders are genetic conditions affecting 1:1000-2000 individuals. Variants causing hyperactivation of the RAS/MAPK pathway lead to phenotypic overlap between syndromes, in addition to an increased risk of pediatric tumors. DNA sequencing methods have been optimized to provide a molecular diagnosis for clinical and genetic heterogeneity conditions. This work aimed to investigate the genetic basis in RASopathy patients through Next Generation Sequencing in a Reference Center for Rare Diseases (IFF/Fiocruz) and implement the precision medicine at a public health institute in Brazil. Patients and Methods: This study comprises 26 cases with clinical suspicion of RASopathies. Sanger sequencing was used to screen variants in exons usually affected in the Results: Molecular analysis revealed recurrent variants and a novel Conclusion: Bringing precision medicine through NGS towards congenital syndromes promotes a better understanding of complex clinical and/or undiagnosed cases. The National Policy for Rare Diseases in Brazil emphasizes the importance of incorporating and optimizing diagnostic methodologies in the Unified Brazilian Health System (SUS). Therefore, this work is an important step for the NGS inclusion in diagnostic genetic routine in the public health system.

Indexed as

cancer riskDNA sequencinggenetic heterogeneityRAS/MAPK pathwayRASopathy

Identifiers

PMID36304179
PMCPMC9595068
OpenAlexW4307220661

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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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.