PMID- 18042262 OWN - NLM STAT- MEDLINE DCOM- 20080229 LR - 20161124 IS - 1399-0004 (Electronic) IS - 0009-9163 (Linking) VI - 73 IP - 1 DP - 2008 Jan TI - Mutation and phenotypic spectrum in patients with cardio-facio-cutaneous and Costello syndrome. PG - 62-70 AB - Cardio-facio-cutaneous (CFC) and Costello syndrome (CS) are congenital disorders with a significant clinical overlap. The recent discovery of heterozygous mutations in genes encoding components of the RAS-RAF-MAPK pathway in both CFC and CS suggested a similar underlying pathogenesis of these two disorders. While CFC is heterogeneous with mutations in BRAF, MAP2K1, MAP2K2 and KRAS, HRAS alterations are almost exclusively associated with CS. We carried out a comprehensive mutation analysis in 51 CFC-affected patients and 31 individuals with CS. Twelve different BRAF alterations were found in twenty-four patients with CFC (47.0%), two MAP2K1 mutations in five (9.8%) and two MAP2K2 sequence variations in three CFC-affected individuals (5.9%), whereas three patients had a KRAS alteration (5.9%). We identified four different missense mutations of HRAS in twenty-eight cases with CS (90.3%), while KRAS mutations were detected in two infants with a phenotype meeting criteria for CS (6.5%). In 14 informative families, we traced the parental origin of HRAS alterations and demonstrated inheritance of the mutated allele exclusively from the father, further confirming a paternal bias in the parental origin of HRAS mutations in CS. Careful clinical evaluation of patients with BRAF and MAP2K1/2 alterations revealed the presence of slight phenotypic differences regarding craniofacial features in MAP2K1- and MAP2K2-mutation positive individuals, suggesting possible genotype-phenotype correlations. FAU - Schulz, A L AU - Schulz AL AD - Institut fur Humangenetik, Universitatsklinikum Hamburg-Eppendorf, Hamburg, Germany. FAU - Albrecht, B AU - Albrecht B FAU - Arici, C AU - Arici C FAU - van der Burgt, I AU - van der Burgt I FAU - Buske, A AU - Buske A FAU - Gillessen-Kaesbach, G AU - Gillessen-Kaesbach G FAU - Heller, R AU - Heller R FAU - Horn, D AU - Horn D FAU - Hubner, C A AU - Hubner CA FAU - Korenke, G C AU - Korenke GC FAU - Konig, R AU - Konig R FAU - Kress, W AU - Kress W FAU - Kruger, G AU - Kruger G FAU - Meinecke, P AU - Meinecke P FAU - Mucke, J AU - Mucke J FAU - Plecko, B AU - Plecko B FAU - Rossier, E AU - Rossier E FAU - Schinzel, A AU - Schinzel A FAU - Schulze, A AU - Schulze A FAU - Seemanova, E AU - Seemanova E FAU - Seidel, H AU - Seidel H FAU - Spranger, S AU - Spranger S FAU - Tuysuz, B AU - Tuysuz B FAU - Uhrig, S AU - Uhrig S FAU - Wieczorek, D AU - Wieczorek D FAU - Kutsche, K AU - Kutsche K FAU - Zenker, M AU - Zenker M LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20071127 PL - Denmark TA - Clin Genet JT - Clinical genetics JID - 0253664 RN - 0 (KRAS protein, human) RN - 0 (Proto-Oncogene Proteins) RN - EC 2.7.1.- (MAP2K2 protein, human) RN - EC 2.7.11.1 (BRAF protein, human) RN - EC 2.7.11.1 (Proto-Oncogene Proteins B-raf) RN - EC 2.7.12.2 (MAP Kinase Kinase 1) RN - EC 2.7.12.2 (MAP Kinase Kinase 2) RN - EC 2.7.12.2 (MAP2K1 protein, human) RN - EC 3.6.5.2 (Proto-Oncogene Proteins p21(ras)) RN - EC 3.6.5.2 (ras Proteins) SB - IM MH - Abnormalities, Multiple/*genetics MH - Adult MH - Child MH - DNA Mutational Analysis MH - Developmental Disabilities MH - *Facies MH - Heart Defects, Congenital/*genetics MH - Humans MH - Intellectual Disability MH - MAP Kinase Kinase 1/genetics MH - MAP Kinase Kinase 2/genetics MH - *Mutation MH - Phenotype MH - Proto-Oncogene Proteins/genetics MH - Proto-Oncogene Proteins B-raf/genetics MH - Proto-Oncogene Proteins p21(ras) MH - Skin Abnormalities/*genetics MH - Syndrome MH - ras Proteins/genetics EDAT- 2007/11/29 09:00 MHDA- 2008/03/01 09:00 CRDT- 2007/11/29 09:00 PHST- 2007/11/29 09:00 [pubmed] PHST- 2008/03/01 09:00 [medline] PHST- 2007/11/29 09:00 [entrez] AID - CGE931 [pii] AID - 10.1111/j.1399-0004.2007.00931.x [doi] PST - ppublish SO - Clin Genet. 2008 Jan;73(1):62-70. doi: 10.1111/j.1399-0004.2007.00931.x. Epub 2007 Nov 27.