KEGG   DISEASE: Noonan syndrome
Entry
H01738                      Disease                                
Name
Noonan syndrome
  Supergrp
Noonan syndrome and related disorders [DS:H00523]
Description
Noonan syndrome (NS) is an autosomal dominant disorder characterised by short stature, craniofacial dysmorphism, congenital cardiac defects, cryptorchidism in men, coagulation defects, and neurocognitive delay. In addition, individuals with NS have an increased risk of developing cancer. NS is caused by germline mutations in genes that encode components or regulators of the Ras/MAPK pathway. Heterozygous, pathogenic variants in 9 known genes account for approximately 80% of cases. The most common gene associated with NS is PTPN11, which accounts for approximately 50% of all cases.
Category
Congenital malformation
Brite
Human diseases in ICD-11 classification [BR:br08403]
 20 Developmental anomalies
  Multiple developmental anomalies or syndromes
   LD2F  Syndromes with multiple structural anomalies, without predominant body system involvement
    H01738  Noonan syndrome
Pathway-based classification of diseases [BR:br08402]
 Signal transduction
  nt06526  MAPK signaling
   H01738  Noonan syndrome
Pathway
hsa04010  MAPK signaling pathway
hsa04014  Ras signaling pathway
Network
nt06526 MAPK signaling
Gene
(NS1) PTPN11 [HSA:5781] [KO:K07293]
(NS2/10) LZTR1 [HSA:8216] [KO:K23330]
(NS3) KRAS [HSA:3845] [KO:K07827]
(NS4) SOS1 [HSA:6654] [KO:K03099]
(NS5) RAF1 [HSA:5894] [KO:K04366]
(NS6) NRAS [HSA:4893] [KO:K07828]
(NS7) BRAF [HSA:673] [KO:K04365]
(NS8) RIT1 [HSA:6016] [KO:K07832]
(NS9) SOS2 [HSA:6655] [KO:K03099]
(NS11) MRAS [HSA:22808] [KO:K07831]
(NS12) RRAS2 [HSA:22800] [KO:K07830]
(NS13) MAPK1 [HSA:5594] [KO:K04371]
(NS14) SPRED2 [HSA:200734] [KO:K04703]
Other DBs
ICD-11: LD2F.15
MeSH: D009634
OMIM: 163950 605275 609942 610733 611553 613224 613706 615355 616559 616564 618499 618624 619087 619745
Reference
  Authors
Tartaglia M, Gelb BD, Zenker M
  Title
Noonan syndrome and clinically related disorders.
  Journal
Best Pract Res Clin Endocrinol Metab 25:161-79 (2011)
DOI:10.1016/j.beem.2010.09.002
Reference
PMID:11704759 (NS1)
  Authors
Tartaglia M, Mehler EL, Goldberg R, Zampino G, Brunner HG, Kremer H, van der Burgt I, Crosby AH, Ion A, Jeffery S, Kalidas K, Patton MA, Kucherlapati RS, Gelb BD
  Title
Mutations in PTPN11, encoding the protein tyrosine phosphatase SHP-2, cause Noonan syndrome.
  Journal
Nat Genet 29:465-8 (2001)
DOI:10.1038/ng772
Reference
PMID:29469822 (NS2)
  Authors
Johnston JJ, van der Smagt JJ, Rosenfeld JA, Pagnamenta AT, Alswaid A, Baker EH, Blair E, Borck G, Brinkmann J, Craigen W, Dung VC, Emrick L, Everman DB, van Gassen KL, Gulsuner S, Harr MH, Jain M, Kuechler A, Leppig KA, McDonald-McGinn DM, Can NTB, Peleg A, Roeder ER, Rogers RC, Sagi-Dain L, Sapp JC, Schaffer AA, Schanze D, Stewart H, Taylor JC, Verbeek NE, Walkiewicz MA, Zackai EH, Zweier C, Zenker M, Lee B, Biesecker LG
  Title
Autosomal recessive Noonan syndrome associated with biallelic LZTR1 variants.
  Journal
Genet Med 20:1175-1185 (2018)
DOI:10.1038/gim.2017.249
Reference
PMID:16474405 (NS3)
  Authors
Schubbert S, Zenker M, Rowe SL, Boll S, Klein C, Bollag G, van der Burgt I, Musante L, Kalscheuer V, Wehner LE, Nguyen H, West B, Zhang KY, Sistermans E, Rauch A, Niemeyer CM, Shannon K, Kratz CP
  Title
Germline KRAS mutations cause Noonan syndrome.
  Journal
Nat Genet 38:331-6 (2006)
DOI:10.1038/ng1748
Reference
PMID:17143285 (NS4)
  Authors
Roberts AE, Araki T, Swanson KD, Montgomery KT, Schiripo TA, Joshi VA, Li L, Yassin Y, Tamburino AM, Neel BG, Kucherlapati RS
  Title
Germline gain-of-function mutations in SOS1 cause Noonan syndrome.
  Journal
Nat Genet 39:70-4 (2007)
DOI:10.1038/ng1926
Reference
PMID:17603483 (NS5)
  Authors
Pandit B, Sarkozy A, Pennacchio LA, Carta C, Oishi K, Martinelli S, Pogna EA, Schackwitz W, Ustaszewska A, Landstrom A, Bos JM, Ommen SR, Esposito G, Lepri F, Faul C, Mundel P, Lopez Siguero JP, Tenconi R, Selicorni A, Rossi C, Mazzanti L, Torrente I, Marino B, Digilio MC, Zampino G, Ackerman MJ, Dallapiccola B, Tartaglia M, Gelb BD
  Title
Gain-of-function RAF1 mutations cause Noonan and LEOPARD syndromes with hypertrophic cardiomyopathy.
  Journal
Nat Genet 39:1007-12 (2007)
DOI:10.1038/ng2073
Reference
PMID:19966803 (NS6)
  Authors
Cirstea IC, Kutsche K, Dvorsky R, Gremer L, Carta C, Horn D, Roberts AE, Lepri F, Merbitz-Zahradnik T, Konig R, Kratz CP, Pantaleoni F, Dentici ML, Joshi VA, Kucherlapati RS, Mazzanti L, Mundlos S, Patton MA, Silengo MC, Rossi C, Zampino G, Digilio C, Stuppia L, Seemanova E, Pennacchio LA, Gelb BD, Dallapiccola B, Wittinghofer A, Ahmadian MR, Tartaglia M, Zenker M
  Title
A restricted spectrum of NRAS mutations causes Noonan syndrome.
  Journal
Nat Genet 42:27-9 (2010)
DOI:10.1038/ng.497
Reference
PMID:19206169 (NS7)
  Authors
Sarkozy A, Carta C, Moretti S, Zampino G, Digilio MC, Pantaleoni F, Scioletti AP, Esposito G, Cordeddu V, Lepri F, Petrangeli V, Dentici ML, Mancini GM, Selicorni A, Rossi C, Mazzanti L, Marino B, Ferrero GB, Silengo MC, Memo L, Stanzial F, Faravelli F, Stuppia L, Puxeddu E, Gelb BD, Dallapiccola B, Tartaglia M
  Title
Germline BRAF mutations in Noonan, LEOPARD, and cardiofaciocutaneous syndromes: molecular diversity and associated phenotypic spectrum.
  Journal
Hum Mutat 30:695-702 (2009)
DOI:10.1002/humu.20955
Reference
PMID:23791108 (NS8)
  Authors
Aoki Y, Niihori T, Banjo T, Okamoto N, Mizuno S, Kurosawa K, Ogata T, Takada F, Yano M, Ando T, Hoshika T, Barnett C, Ohashi H, Kawame H, Hasegawa T, Okutani T, Nagashima T, Hasegawa S, Funayama R, Nagashima T, Nakayama K, Inoue S, Watanabe Y, Ogura T, Matsubara Y
  Title
Gain-of-function mutations in RIT1 cause Noonan syndrome, a RAS/MAPK pathway syndrome.
  Journal
Am J Hum Genet 93:173-80 (2013)
DOI:10.1016/j.ajhg.2013.05.021
Reference
PMID:25795793 (NS9 NS10)
  Authors
Yamamoto GL, Aguena M, Gos M, Hung C, Pilch J, Fahiminiya S, Abramowicz A, Cristian I, Buscarilli M, Naslavsky MS, Malaquias AC, Zatz M, Bodamer O, Majewski J, Jorge AA, Pereira AC, Kim CA, Passos-Bueno MR, Bertola DR
  Title
Rare variants in SOS2 and LZTR1 are associated with Noonan syndrome.
  Journal
J Med Genet 52:413-21 (2015)
DOI:10.1136/jmedgenet-2015-103018
Reference
PMID:28289718 (NS11)
  Authors
Higgins EM, Bos JM, Mason-Suares H, Tester DJ, Ackerman JP, MacRae CA, Sol-Church K, Gripp KW, Urrutia R, Ackerman MJ
  Title
Elucidation of MRAS-mediated Noonan syndrome with cardiac hypertrophy.
  Journal
JCI Insight 2:e91225 (2017)
DOI:10.1172/jci.insight.91225
Reference
PMID:31130282 (NS12)
  Authors
Capri Y, Flex E, Krumbach OHF, Carpentieri G, Cecchetti S, Lissewski C, Rezaei Adariani S, Schanze D, Brinkmann J, Piard J, Pantaleoni F, Lepri FR, Goh ES, Chong K, Stieglitz E, Meyer J, Kuechler A, Bramswig NC, Sacharow S, Strullu M, Vial Y, Vignal C, Kensah G, Cuturilo G, Kazemein Jasemi NS, Dvorsky R, Monaghan KG, Vincent LM, Cave H, Verloes A, Ahmadian MR, Tartaglia M, Zenker M
  Title
Activating Mutations of RRAS2 Are a Rare Cause of Noonan Syndrome.
  Journal
Am J Hum Genet 104:1223-1232 (2019)
DOI:10.1016/j.ajhg.2019.04.013
Reference
PMID:32721402 (NS13)
  Authors
Motta M, Pannone L, Pantaleoni F, Bocchinfuso G, Radio FC, Cecchetti S, Ciolfi A, Di Rocco M, Elting MW, Brilstra EH, Boni S, Mazzanti L, Tamburrino F, Walsh L, Payne K, Fernandez-Jaen A, Ganapathi M, Chung WK, Grange DK, Dave-Wala A, Reshmi SC, Bartholomew DW, Mouhlas D, Carpentieri G, Bruselles A, Pizzi S, Bellacchio E, Piceci-Sparascio F, Lissewski C, Brinkmann J, Waclaw RR, Waisfisz Q, van Gassen K, Wentzensen IM, Morrow MM, Alvarez S, Martinez-Garcia M, De Luca A, Memo L, Zampino G, Rossi C, Seri M, Gelb BD, Zenker M, Dallapiccola B, Stella L, Prada CE, Martinelli S, Flex E, Tartaglia M
  Title
Enhanced MAPK1 Function Causes a Neurodevelopmental Disorder within the RASopathy Clinical Spectrum.
  Journal
Am J Hum Genet 107:499-513 (2020)
DOI:10.1016/j.ajhg.2020.06.018
Reference
PMID:34626534 (NS14)
  Authors
Motta M, Fasano G, Gredy S, Brinkmann J, Bonnard AA, Simsek-Kiper PO, Gulec EY, Essaddam L, Utine GE, Guarnetti Prandi I, Venditti M, Pantaleoni F, Radio FC, Ciolfi A, Petrini S, Consoli F, Vignal C, Hepbasli D, Ullrich M, de Boer E, Vissers LELM, Gritli S, Rossi C, De Luca A, Ben Becher S, Gelb BD, Dallapiccola B, Lauri A, Chillemi G, Schuh K, Cave H, Zenker M, Tartaglia M
  Title
SPRED2 loss-of-function causes a recessive Noonan syndrome-like phenotype.
  Journal
Am J Hum Genet 108:2112-2129 (2021)
DOI:10.1016/j.ajhg.2021.09.007
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