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Growth failure in early childhood v2.33 MRAS Achchuthan Shanmugasundram Tag Q3_22_rating was removed from gene: MRAS.
Tag Q3_22_expert_review was removed from gene: MRAS.
Growth failure in early childhood v2.33 MRAS Catherine Snow commented on gene: MRAS
Growth failure in early childhood v1.110 MRAS Eleanor Williams commented on gene: MRAS
Growth failure in early childhood v1.110 MRAS Eleanor Williams Tag Q4_21_expert_review was removed from gene: MRAS.
Tag Q3_22_rating tag was added to gene: MRAS.
Tag Q3_22_expert_review tag was added to gene: MRAS.
Growth failure in early childhood v1.90 MRAS Ivone Leong Tag Q4_21_expert_review tag was added to gene: MRAS.
Growth failure in early childhood v1.79 MRAS Ivone Leong Publications for gene: MRAS were set to 28289718; 31173466; 31108500
Growth failure in early childhood v1.78 MRAS Ivone Leong Classified gene: MRAS as Amber List (moderate evidence)
Growth failure in early childhood v1.78 MRAS Ivone Leong Added comment: Comment on list classification: New gene added by Zornitza Stark (Australian Genomics). This gene is associated with a phenotype in OMIM and Gene2Phenotype (confirmed).

PMID: 28289718. 2 patients with a clinical diagnosis of Noonan syndrome were reported. Case 1: 15 yo girl with biventricular HCM that presented in infancy. She had short stature, facial dysmorphisms, global DD and cognitive disability. Parents are unaffected.
Case 2: 6 yo girl with cardiac hypertrophy, pulmonary valve stenosis, atrial septal defect, facial dysmorphisms, ptosis and DD. Both patients had de novo missense variants.

PMID: 31173466. 3 yo Japanese boy. Diagnosed with HCM during neonatal period, bilateral sensoineural hearing impairment, difficulty feeding at 4 months (poor weight gain), short stature, relative macrocephaly, height at 1 year 3 months was -3.0 SD, facial dysmorphisms. Patient had de novo missense variant.

PMID: 31108500. Case 1: North African Jewish descent. Birth length -1.1 SD, birth weight -1.1 SD. 14 months LV HCM. 15 months growth delay (height and weight -2.0 SD). Moderate hearing loss, mild global DD, GH deficiency. 2 years 3 months, height and weight was -2.0 SD and OCF +1.0 SD, facial dysmorphisms (suggestive of NS). Case 2: Germany. HCM, facial dysmorphisms and short neck.

PMID: 34080768. HCM at birth and facial dysmorphisms.

While there are >3 unrelated cases the patients in the article did not meet the criteria set out for this panel. This gene has been given an Amber rating for now.
Growth failure in early childhood v1.78 MRAS Ivone Leong Gene: mras has been classified as Amber List (Moderate Evidence).
Growth failure in early childhood v1.77 MRAS Ivone Leong Phenotypes for gene: MRAS were changed from Noonan syndrome 11, MIM#618499 to Noonan syndrome 11, OMIM:618499
Growth failure in early childhood v1.76 MRAS Ivone Leong Publications for gene: MRAS were set to 28289718; 31173466; 31108500; 31173466
Growth failure in early childhood v1.71 MRAS Zornitza Stark gene: MRAS was added
gene: MRAS was added to Growth failure in early childhood. Sources: Expert Review
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 11, MIM#618499
Review for gene: MRAS was set to GREEN
Added comment: Other Rasopathy genes included in this panel. At least 6 unrelated individuals reported.
Sources: Expert Review