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Paediatric or syndromic cardiomyopathy v1.63 MRAS Ivone Leong Tag for-review was removed from gene: MRAS.
Paediatric or syndromic cardiomyopathy v1.63 MRAS Ivone Leong commented on gene: MRAS: The rating of this gene has been updated following NHS Genomic Medicine Service approval.
Paediatric or syndromic cardiomyopathy v1.62 MRAS Ivone Leong Source Expert Review Green was added to MRAS.
Rating Changed from Amber List (moderate evidence) to Green List (high evidence)
Paediatric or syndromic cardiomyopathy v1.19 MRAS Arina Puzriakova Phenotypes for gene: MRAS were changed from Noonan syndrome, 618499 to Noonan syndrome 11, OMIM:618499; Noonan syndrome 11, MONDO:0032786
Paediatric or syndromic cardiomyopathy v1.7 MRAS Ivone Leong Classified gene: MRAS as Amber List (moderate evidence)
Paediatric or syndromic cardiomyopathy v1.7 MRAS Ivone Leong Added comment: Comment on list classification: New gene added by Zornitza Stark (Australian Genomics). This gene is also Green on the RASopathies panel (v 1.61).

Review copied from RASopathies panel:
"Associated with Noonan syndrome in OMIM and G2P (confirmed). PMID: 28289718 (2017) - In two unrelated patients with Noonan syndrome and cardiac hypertrophy, trio WES/targeted sequencing revealed de novo missense variants (c.68G>T, p.G23V and c.203C>T, p.T68I) in the MRAS gene. Functional studies of the p.Gly23Val variant showed the change yields a constitutively active form of MRAS.

PMID: 31173466 (2019) - One patient with a severe a Noonan syndrome phenotype, associated with a de novo MRAS variant (c.212A>G, p.Q71R). Functional studies were not performed.

PMID: 31108500 (2020) - Two unrelated patients with Noonan syndrome, including hypertrophic cardiomyopathy and dysmorphic features. Targeted sequencing revealed de novo activating MRAS variants (c.203C>T, p.T68I and c.67G>C, p.G23R). Functional studies demonstrated that the variants yields a constitutively active form of MRAS.
Arina Puzriakova (Genomics England Curator), 4 Aug 2020"

Therefore, this gene will be promoted to Green status at the next major review.
Paediatric or syndromic cardiomyopathy v1.7 MRAS Ivone Leong Gene: mras has been classified as Amber List (Moderate Evidence).
Paediatric or syndromic cardiomyopathy v1.6 MRAS Ivone Leong Tag for-review tag was added to gene: MRAS.
Paediatric or syndromic cardiomyopathy v1.6 MRAS Ivone Leong Phenotypes for gene: MRAS were changed from Noonan syndrome, MIM#618499 to Noonan syndrome, 618499
Paediatric or syndromic cardiomyopathy v1.5 MRAS Zornitza Stark gene: MRAS was added
gene: MRAS was added to Cardiomyopathies - including childhood onset. Sources: Expert list
Mode of inheritance for gene: MRAS was set to MONOALLELIC, autosomal or pseudoautosomal, NOT imprinted
Publications for gene: MRAS were set to 28289718; 31173466; 31108500; 31173466
Phenotypes for gene: MRAS were set to Noonan syndrome, MIM#618499
Mode of pathogenicity for gene: MRAS was set to Other
Review for gene: MRAS was set to GREEN
gene: MRAS was marked as current diagnostic
Added comment: At least 6 unrelated individuals reported with NS, cardiomyopathy specifically reported.
Sources: Expert list