PMID- 31736117 OWN - NLM STAT- MEDLINE DCOM- 20210104 LR - 20210302 IS - 1468-3083 (Electronic) IS - 0926-9959 (Print) IS - 0926-9959 (Linking) VI - 34 IP - 3 DP - 2020 Mar TI - Comparison of hair manifestations in cardio-facio-cutaneous and Costello syndromes highlights the influence of the RAS pathway on hair growth. PG - 601-607 LID - 10.1111/jdv.16082 [doi] AB - BACKGROUND: Abnormal hair growth is a defining feature of RASopathies, syndromes caused by germline mutations in the RAS pathway. However, detailed hair manifestations and the mechanisms of altered hair growth in RASopathies are poorly delineated. OBJECTIVES: To identify distinguishing clinical features and investigate how the RAS pathway influences hair growth by performing a systematic and detailed side-by-side comparison of hair manifestations in cardio-facio-cutaneous syndrome (CFCS) and Costello syndrome (CS), two RASopathies caused by mutations in the downstream and upstream elements of the RAS pathway, respectively. METHODS: Sixteen individuals with CFCS and 23 individuals with CS were enrolled. Mutation data were recorded. Scalp hair, eyebrows and eyelashes of individuals with CFCS or CS were examined for texture, colour, density and morphology. Scalp hairs were examined by light microscopy. RESULTS: While both syndromes displayed abnormal hair, striking differences were observed, including darker and thicker scalp hair and sparse eyebrows and eyelashes in CFCS. By contrast, synophrys, trichomegaly and abnormalities of the scalp hair shafts were observed in CS. Possible correlation with straight hair and genotype was observed in CS. CONCLUSION: The results emphasize the role of the RAS pathway in hair growth, improve accuracy of clinical diagnosis of CFCS and CS and provide a foundation for identification of therapeutic targets. CI - (c) 2019 European Academy of Dermatology and Venereology. FAU - Urban, J AU - Urban J AUID- ORCID: 0000-0001-6197-8123 AD - Department of Dermatology, University of California, Davis, Sacramento, CA, USA. FAU - Qi, L AU - Qi L AUID- ORCID: 0000-0002-9108-5390 AD - Department of Public Health Sciences, University of California, Davis, Davis, CA, USA. FAU - Zhao, H AU - Zhao H AUID- ORCID: 0000-0003-0179-1484 AD - Department of Food Science, Zhejiang University, Hangzhou, China. FAU - Rybak, I AU - Rybak I AUID- ORCID: 0000-0001-9136-5184 AD - Department of Dermatology, University of California, Davis, Sacramento, CA, USA. FAU - Rauen, K A AU - Rauen KA AUID- ORCID: 0000-0003-1719-7228 AD - Department of Pediatrics, University of California, Davis, Sacramento, CA, USA. FAU - Kiuru, M AU - Kiuru M AUID- ORCID: 0000-0002-7010-5516 AD - Department of Dermatology, University of California, Davis, Sacramento, CA, USA. AD - Department of Pathology and Laboratory Medicine, University of California, Davis, Sacramento, CA, USA. LA - eng GR - #R01AR062165/NH/NIH HHS/United States GR - P30 CA093373/CA/NCI NIH HHS/United States GR - Dermatology Foundation/ GR - P30CA093373-04/University of California Davis Comprehensive Cancer Center Support Grant/ GR - K12 CA138464/CA/NCI NIH HHS/United States GR - #K12CA138464/NH/NIH HHS/United States GR - R01 AR062165/AR/NIAMS NIH HHS/United States PT - Comparative Study PT - Journal Article DEP - 20200102 PL - England TA - J Eur Acad Dermatol Venereol JT - Journal of the European Academy of Dermatology and Venereology : JEADV JID - 9216037 RN - EC 3.6.5.2 (ras Proteins) RN - Cardiofaciocutaneous syndrome SB - IM MH - Adolescent MH - Adult MH - Child MH - Costello Syndrome/*complications MH - Ectodermal Dysplasia/*complications MH - Facies MH - Failure to Thrive/*complications MH - Female MH - Hair/*growth & development MH - Hair Diseases/*etiology MH - Heart Defects, Congenital/*complications MH - Humans MH - Male MH - Signal Transduction MH - Young Adult MH - ras Proteins/*physiology PMC - PMC7050334 MID - NIHMS1060026 COIS- Conflict of interest: The authors state no conflicts of interest. EDAT- 2019/11/19 06:00 MHDA- 2021/01/05 06:00 PMCR- 2021/03/01 CRDT- 2019/11/19 06:00 PHST- 2019/06/05 00:00 [received] PHST- 2019/11/13 00:00 [accepted] PHST- 2019/11/19 06:00 [pubmed] PHST- 2021/01/05 06:00 [medline] PHST- 2019/11/19 06:00 [entrez] PHST- 2021/03/01 00:00 [pmc-release] AID - 10.1111/jdv.16082 [doi] PST - ppublish SO - J Eur Acad Dermatol Venereol. 2020 Mar;34(3):601-607. doi: 10.1111/jdv.16082. Epub 2020 Jan 2.