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Noonan syndrome

ORPHA:648Malformation syndromeAutosomal dominant, Autosomal recessiveAntenatal, Childhood, Infancy, Neonatal

Ассоциированные гены (15)

RRAS
RAS related
Candidate gene tested in
OMIM: 165090
MRAS
muscle RAS oncogene homolog
Disease-causing germline mutation(s) in
OMIM: 608435
SPRED2
sprouty related EVH1 domain containing 2
Disease-causing germline mutation(s) in
OMIM: 609292
RRAS2
RAS related 2
Disease-causing germline mutation(s) in
OMIM: 600098
PTPN11
protein tyrosine phosphatase non-receptor type 11
Disease-causing germline mutation(s) in
OMIM: 176876
CBL
Cbl proto-oncogene
Disease-causing germline mutation(s) in
OMIM: 165360
SOS1
SOS Ras/Rac guanine nucleotide exchange factor 1
Disease-causing germline mutation(s) (gain of function) in
OMIM: 182530
KRAS
KRAS proto-oncogene, GTPase
Disease-causing germline mutation(s) in
OMIM: 190070
RAF1
Raf-1 proto-oncogene, serine/threonine kinase
Disease-causing germline mutation(s) (gain of function) in
OMIM: 164760
NRAS
NRAS proto-oncogene, GTPase
Disease-causing germline mutation(s) in
OMIM: 164790
RIT1
Ras like without CAAX 1
Disease-causing germline mutation(s) (gain of function) in
OMIM: 609591
LZTR1
leucine zipper like post translational regulator 1
Disease-causing germline mutation(s) in
OMIM: 600574
RASA2
RAS p21 protein activator 2
Disease-causing germline mutation(s) (loss of function) in
OMIM: 601589
SOS2
SOS Ras/Rho guanine nucleotide exchange factor 2
Disease-causing germline mutation(s) in
OMIM: 601247
BRAF
B-Raf proto-oncogene, serine/threonine kinase
Disease-causing germline mutation(s) in
OMIM: 164757

Фенотипы (70)

Очень частый (80–99%)29
HP:0001382Joint hypermobility
HP:0000044Hypogonadotropic hypogonadism
HP:0000179Thick lower lip vermilion
HP:0000218High palate
HP:0000316Hypertelorism
HP:0000325Triangular face
HP:0000347Micrognathia
HP:0000348High forehead
HP:0000391Thickened helices
HP:0000465Webbed neck
HP:0000474Thickened nuchal skin fold
HP:0000476Cystic hygroma
HP:0000494Downslanted palpebral fissures
HP:0000508Ptosis
HP:0000520Proptosis
HP:0000767Pectus excavatum
HP:0000768Pectus carinatum
HP:0001260Dysarthria
HP:0001324Muscle weakness
HP:0002167Abnormality of speech or vocalization
HP:0003115Abnormal EKG
HP:0004322Short stature
HP:0004415Pulmonary artery stenosis
HP:0006610Wide intermamillary distance
HP:0010318Aplasia/Hypoplasia of the abdominal wall musculature
HP:0011800Midface retrusion
HP:0030680Abnormal cardiovascular system morphology
HP:0100625Enlarged thorax
HP:0000358Posteriorly rotated ears
Частый (30–79%)21
HP:0001641Abnormal pulmonary valve morphology
HP:0001743Abnormality of the spleen
HP:0001892Abnormal bleeding
HP:0001928Abnormality of coagulation
HP:0002162Low posterior hairline
HP:0002208Coarse hair
HP:0002240Hepatomegaly
HP:0002650Scoliosis
HP:0002750Delayed skeletal maturation
HP:0007477Abnormal dermatoglyphics
HP:0008872Feeding difficulties in infancy
HP:0011362Abnormal hair quantity
HP:0011675Arrhythmia
HP:0011869Abnormal platelet function
HP:0012758Neurodevelopmental delay
HP:0100763Abnormality of the lymphatic system
HP:0000028Cryptorchidism
HP:0000078Abnormality of the genital system
HP:0000486Strabismus
HP:0000635Blue irides
HP:0001252Hypotonia
Периодический (5–29%)19
HP:0000407Sensorineural hearing impairment
HP:0000639Nystagmus
HP:0000938Osteopenia
HP:0000978Bruising susceptibility
HP:0000995Melanocytic nevus
HP:0001004Lymphedema
HP:0001156Brachydactyly
HP:0001249Intellectual disability
HP:0001328Specific learning disability
HP:0001631Atrial septal defect
HP:0001639Hypertrophic cardiomyopathy
HP:0001680Coarctation of aorta
HP:0002974Radioulnar synostosis
HP:0004209Clinodactyly of the 5th finger
HP:0008897Postnatal growth retardation
HP:0010946Dilatation of the renal pelvis
HP:0011381Aplasia of the semicircular canal
HP:0012209Juvenile myelomonocytic leukemia
HP:0012569Delayed menarche
Очень редкий (1–4%)1
HP:0001643Patent ductus arteriosus

Эпидемиология (2)

Prevalence at birth
6-9 / 10 000
United States
Point prevalence
1-5 / 10 000
Worldwide

Лекарства и терапия

Источник: Open Targets Platform (в реальном времени)

Клинические исследования

Источник: ClinicalTrials.gov (в реальном времени)

Внешние ресурсы