Table 1 A summary of 20 patients identified with pathogenic or likely pathogenic mutations from our cohort using the multigene panel sequencing approach. *Clinical significance was labelled according to the ClinVar database from NCBI (https://www.ncbi.nlm.nih.gov/clinvar/). #Variant class was determined according to the HGMD (Human Gene Mutation Database http://www.hgmd.cf.ac.uk/docs/new_help.html). ^Variant classification was determined according to the NSEuroNet (European Network on Noonan Syndrome and Related Disorders; https://nseuronet.com/php/about.php).

From: Integrating Functional Analysis in the Next-Generation Sequencing Diagnostic Pipeline of RASopathies

Patient number

Gene

Mutation

ClinVar*

HGMD#

NSEuroNet^

Publication with functional analysis

5132

SOS1

c.512 T > C:p.(V171A)

likely pathogenic

—

—

 

15547

SOS1

c.1297 G > A:p.(E433K)

pathogenic

disease-causing mutation

Mutation (count = 19)

 

14626

SOS1

c.1644T > G:p.(S548R)

pathogenic

disease-causing mutation

Mutation (count = 1)

Smith et al. (2013)

5608

SOS1

c.1644T > A:p.(S548R)

pathogenic

—

—

 

6381

SOS1

c.1644T > A:p.(S548R)

pathogenic

—

—

 

9233

SOS1

c.1654A > G:p.(R552G)

pathogenic

disease-causing mutation

Mutation (count = 52)

 

4748

RAF1

c.770 C > T:p.(S257L)

likely pathogenic

disease-causing mutation

Mutation (count = 73)

 

3347

RAF1

c.770 C > T:p.(S257L)

likely pathogenic

disease-causing mutation

Mutation (count = 73)

 

15289

KRAS

c.13 A > G:p.(K5E)

likely pathogenic

disease-causing mutation

Mutation (count = 3)

 

4862

KRAS

c.178 G > A:p.(G60S)

pathogenic

disease-causing mutation

Mutation (count = 1)

 

15247

KRAS

c.458 A > T:p.(D153V)

pathogenic

disease-causing mutation

Mutation (count = 13)

 

6575

MAP2K1

c.199 G > A:p.(D67N)

likely pathogenic

—

Mutation (count = 6)

 

14993

MAP2K1

c.371 C > T:p.(P124L)

pathogenic

disease-causing mutation

Mutation (count = 1)

Emery et al. (2009)

4012

MAP2K1

c.389 A > G:p.(Y130C)

pathogenic

disease-causing mutation

Mutation (count = 35)

Cheng et al. (2012)

14321

RIT1

c.170 C > G:p.(A57G)

pathogenic

disease-causing mutation

Mutation (count = 23)

Chen et al. (2014)

13590

RIT1

c.229 G > A:p.(A77T)

likely pathogenic

disease-causing mutation

Mutation (count = 6)

 

5153

BRAF

c.1785T > G:p.(F595L)

likely pathogenic

disease-causing mutation

Mutation (count = 5)

Cheng et al. (2012)

13393

BRAF

c.1914T > G:p.(D638E)

pathogenic

disease-causing mutation

Mutation (count = 5)

Cheng et al. (2012)

4749

SHOC2

c.4 A > G:p.(S2G)

likely pathogenic

disease-causing mutation

Mutation (count = 169)

 

5698

SHOC2

c.4 A > G:p.(S2G)

likely pathogenic

disease-causing mutation

Mutation (count = 169)

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