Revisão Acesso aberto Produção Nacional Revisado por pares

Noonan Syndrome and Related Disorders: A Review of Clinical Features and Mutations in Genes of the RAS/MAPK Pathway

2009; Karger Publishers; Volume: 71; Issue: 4 Linguagem: Inglês

10.1159/000201106

ISSN

1663-2826

Autores

Alexander A.L. Jorge, Alexsandra C. Malaquias, Ivo J.P. Arnhold, Berenice B. Mendonça,

Tópico(s)

Peptidase Inhibition and Analysis

Resumo

Noonan syndrome (NS) is one of the most common syndromes transmitted by a mendelian mode. In recent years, germline mutations that affect components of the RAS-MAPK (mitogen-activated protein kinase) pathway were shown to be involved in the pathogenesis of NS and four rare syndromes with clinical features overlapping with NS: Leopard syndrome, cardio-facio-cutaneous syndrome, Costello syndrome and neurofibromatosis type 1. Several hormones act through receptors that stimulate the RAS-MAPK pathway, and therefore, NS and related disorders represent a remarkable opportunity to study the implication of the RAS-MAPK pathway in different endocrine systems. Additionally, children with NS frequently are referred to the endocrinologist because of short stature, delayed puberty and/or undescended testes in males. In this paper, we review the diagnostic, clinical and molecular aspects of NS and NS-related disorders.

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