PMID- 24668879 OWN - NLM STAT- MEDLINE DCOM- 20150113 LR - 20211021 IS - 1552-4833 (Electronic) IS - 1552-4825 (Print) IS - 1552-4825 (Linking) VI - 164A IP - 6 DP - 2014 Jun TI - Craniofacial and dental development in Costello syndrome. PG - 1425-30 LID - 10.1002/ajmg.a.36475 [doi] AB - Costello syndrome (CS) is a RASopathy characterized by a wide range of cardiac, musculoskeletal, dermatological, and developmental abnormalities. The RASopathies are defined as a group of syndromes caused by activated Ras/mitogen-activated protein kinase (MAPK) signaling. Specifically, CS is caused by activating mutations in HRAS. Although receptor tyrosine kinase (RTK) signaling, which is upstream of Ras/MAPK, is known to play a critical role in craniofacial and dental development, the craniofacial and dental features of CS have not been systematically defined in a large group of individuals. In order to address this gap in our understanding and fully characterize the CS phenotype, we evaluated the craniofacial and dental phenotype in a large cohort (n = 41) of CS individuals. We confirmed that the craniofacial features common in CS include macrocephaly, bitemporal narrowing, convex facial profile, full cheeks, and large mouth. Additionally, CS patients have a characteristic dental phenotype that includes malocclusion with anterior open bite and posterior crossbite, enamel hypo-mineralization, delayed tooth development and eruption, gingival hyperplasia, thickening of the alveolar ridge, and high palate. Comparison of the craniofacial and dental phenotype in CS with other RASopathies, such as cardio-facio-cutaneous syndrome (CFC), provides insight into the complexities of Ras/MAPK signaling in human craniofacial and dental development. CI - (c) 2014 Wiley Periodicals, Inc. FAU - Goodwin, Alice F AU - Goodwin AF AD - Program in Craniofacial and Mesenchymal Biology, and Division of Craniofacial Anomalies, Department of Orofacial Sciences, University of California San Francisco, San Francisco, California. FAU - Oberoi, Snehlata AU - Oberoi S FAU - Landan, Maya AU - Landan M FAU - Charles, Cyril AU - Charles C FAU - Massie, Jessica C AU - Massie JC FAU - Fairley, Cecilia AU - Fairley C FAU - Rauen, Katherine A AU - Rauen KA FAU - Klein, Ophir D AU - Klein OD LA - eng GR - F30-DE022205/DE/NIDCR NIH HHS/United States GR - R01-AR062165/AR/NIAMS NIH HHS/United States GR - R01 DE021420/DE/NIDCR NIH HHS/United States GR - R01-DE021420/DE/NIDCR NIH HHS/United States GR - F30 DE022205/DE/NIDCR NIH HHS/United States GR - R01 AR062165/AR/NIAMS NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural DEP - 20140325 PL - United States TA - Am J Med Genet A JT - American journal of medical genetics. Part A JID - 101235741 RN - EC 2.7.1.- (Phosphatidylinositol 3-Kinases) RN - EC 2.7.11.24 (Mitogen-Activated Protein Kinases) RN - EC 3.6.5.2 (HRAS protein, human) RN - EC 3.6.5.2 (Proto-Oncogene Proteins p21(ras)) RN - Cardiofaciocutaneous syndrome SB - IM MH - Abnormalities, Multiple/embryology/genetics MH - Adolescent MH - Adult MH - Child MH - Costello Syndrome/*genetics MH - Craniofacial Abnormalities/*embryology/*genetics MH - Dental Enamel Hypoplasia/embryology/genetics MH - Ectodermal Dysplasia/embryology/genetics MH - Facies MH - Failure to Thrive/embryology/genetics MH - Female MH - Gingival Hyperplasia/embryology/genetics MH - Heart Defects, Congenital/embryology/genetics MH - Humans MH - MAP Kinase Signaling System/*genetics MH - Male MH - Malocclusion/embryology/genetics MH - Mitogen-Activated Protein Kinases/genetics MH - Mutation MH - Phosphatidylinositol 3-Kinases/genetics MH - Proto-Oncogene Proteins p21(ras)/*genetics MH - Tooth/embryology MH - Tooth Abnormalities/embryology/genetics MH - Young Adult PMC - PMC4115793 MID - NIHMS604109 OTO - NOTNLM OT - CS OT - Costello syndrome OT - MAPK pathway OT - RASopathy OT - Ras OT - craniofacial development OT - enamel OT - gingival hyperplasia OT - malocclusion OT - occlusion OT - receptor tyrosine kinase OT - signal transduction OT - tooth development COIS- Conflict of interest: none. EDAT- 2014/03/29 06:00 MHDA- 2015/01/15 06:00 PMCR- 2015/06/01 CRDT- 2014/03/27 06:00 PHST- 2013/09/10 00:00 [received] PHST- 2013/12/31 00:00 [accepted] PHST- 2014/03/27 06:00 [entrez] PHST- 2014/03/29 06:00 [pubmed] PHST- 2015/01/15 06:00 [medline] PHST- 2015/06/01 00:00 [pmc-release] AID - 10.1002/ajmg.a.36475 [doi] PST - ppublish SO - Am J Med Genet A. 2014 Jun;164A(6):1425-30. doi: 10.1002/ajmg.a.36475. Epub 2014 Mar 25.