Defining the variant-phenotype correlation in patients affected by Noonan syndrome with the RAF1:c.770C>T p.(Ser257Leu) variant.


Journal

European journal of human genetics : EJHG
ISSN: 1476-5438
Titre abrégé: Eur J Hum Genet
Pays: England
ID NLM: 9302235

Informations de publication

Date de publication:
01 Jun 2024
Historique:
received: 16 02 2024
accepted: 20 05 2024
revised: 14 05 2024
medline: 2 6 2024
pubmed: 2 6 2024
entrez: 1 6 2024
Statut: aheadofprint

Résumé

Hypertrophic cardiomyopathy (HCM) is the major contributor to morbidity and mortality in Noonan syndrome (NS). Gain-of-function variants in RAF1 are associated with high prevalence of HCM. Among these, NM_002880.4:c.770C > T, NP_002871.1:p.(Ser257Leu) accounts for approximately half of cases and has been reported as associated with a particularly severe outcome. Nevertheless, comprehensive studies on cases harboring this variant are missing. To precisely define the phenotype associated to the RAF1:c.770C > T, variant, an observational retrospective analysis on patients carrying the c.770C > T variant was conducted merging 17 unpublished patients and literature-derived ones. Data regarding prenatal findings, clinical features and cardiac phenotypes were collected to provide an exhaustive description of the associated phenotype. Clinical information was collected in 107 patients. Among them, 92% had HCM, mostly diagnosed within the first year of life. Thirty percent of patients were preterm and 47% of the newborns was admitted in a neonatal intensive care unit, mainly due to respiratory complications of HCM and/or pulmonary arterial hypertension. Mortality rate was 13%, mainly secondary to HCM-related complications (62%) at the average age of 7.5 months. Short stature had a prevalence of 91%, while seizures and ID of 6% and 12%, respectively. Two cases out of 75 (3%) developed neoplasms. In conclusion, patients with the RAF1:c.770C > T pathogenic variant show a particularly severe phenotype characterized by rapidly progressive neonatal HCM and high mortality rate suggesting the necessity of careful monitoring and early intervention to prevent or slow down the progression of HCM.

Identifiants

pubmed: 38824260
doi: 10.1038/s41431-024-01643-6
pii: 10.1038/s41431-024-01643-6
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© 2024. The Author(s), under exclusive licence to European Society of Human Genetics.

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Auteurs

Andrea Gazzin (A)

Department of Molecular Biotechnology and Health Sciences, Molecular Biotechnology Center, University of Turin, Turin, Italy.
Department of Public Health and Pediatrics, University of Turin, Turin, Italy.
Clinical Pediatric Genetics Unit, Regina Margherita Children's Hospital, Turin, Italy.

Federico Fornari (F)

Postgraduate School of Pediatrics, University of Turin, Turin, Italy.

Marcello Niceta (M)

Molecular Genetics and Functional Genomics, Bambino Gesù Children's Hospital IRCCS, 00146, Rome, Italy.

Chiara Leoni (C)

Center for Rare Diseases and Birth Defects, Department of Woman and Child Health and Public Health, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Rome, Italy.

Maria Lisa Dentici (ML)

Medical Genetics, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.

Diana Carli (D)

Department of Medical Sciences, University of Turin, Turin, Italy.

Anna Maria Villar (AM)

Cardiology Department, Regina Margherita Children's Hospital, Turin, Italy.

Giulio Calcagni (G)

Pediatric Cardiology and Cardiac Surgery, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.

Elena Banaudi (E)

Cardiology Department, Regina Margherita Children's Hospital, Turin, Italy.

Stefania Massuras (S)

Department of Public Health and Pediatrics, University of Turin, Turin, Italy.

Simona Cardaropoli (S)

Department of Public Health and Pediatrics, University of Turin, Turin, Italy.

Elena Airulo (E)

Department of Public Health and Pediatrics, University of Turin, Turin, Italy.

Paola Daniele (P)

Medical Genetics Unit, Fondazione IRCCS-Casa Sollievo della Sofferenza, San Giovanni Rotondo, Italy.

Emanuele Monda (E)

Inherited and Rare Cardiovascular Diseases, Department of Translational Medical Sciences, University of Campania "Luigi Vanvitelli", Monaldi Hospital, Naples, Italy.

Giuseppe Limongelli (G)

Inherited and Rare Cardiovascular Diseases, Department of Translational Medical Sciences, University of Campania "Luigi Vanvitelli", Monaldi Hospital, Naples, Italy.

Chiara Riggi (C)

Cardiology Department, Regina Margherita Children's Hospital, Turin, Italy.

Giuseppe Zampino (G)

Center for Rare Diseases and Birth Defects, Department of Woman and Child Health and Public Health, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Rome, Italy.

Maria Cristina Digilio (MC)

Medical Genetics, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.

Alessandro De Luca (A)

Medical Genetics Unit, Fondazione IRCCS-Casa Sollievo della Sofferenza, San Giovanni Rotondo, Italy.

Marco Tartaglia (M)

Molecular Genetics and Functional Genomics, Bambino Gesù Children's Hospital IRCCS, 00146, Rome, Italy.

Giovanni Battista Ferrero (GB)

Department of Clinical and Biological Sciences, University of Turin, Orbassano, Italy. giovannibattista.ferrero@unito.it.

Alessandro Mussa (A)

Department of Public Health and Pediatrics, University of Turin, Turin, Italy. alessandro.mussa@unito.it.
Clinical Pediatric Genetics Unit, Regina Margherita Children's Hospital, Turin, Italy. alessandro.mussa@unito.it.

Classifications MeSH