1. The novel duplication HRAS c.186_206dup p.(Glu62_Arg68dup): clinical and functional aspects
- Author
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Karen W. Gripp, Gary A. Bellus, Georg Rosenberger, Deborah L. Stabley, Verena Kolbe, Laura A. Baker, Katherine M. Robbins, and Theresa Nauth
- Subjects
Male ,Class I Phosphatidylinositol 3-Kinases ,MAP Kinase Signaling System ,Protein subunit ,RASopathy ,Article ,Proto-Oncogene Proteins p21(ras) ,03 medical and health sciences ,Costello syndrome ,Gene Duplication ,Genetics ,medicine ,Humans ,Missense mutation ,HRAS ,Genetics (clinical) ,PI3K/AKT/mTOR pathway ,0303 health sciences ,Neurofibromin 1 ,biology ,Chemistry ,Costello Syndrome ,030305 genetics & heredity ,medicine.disease ,Molecular biology ,HEK293 Cells ,Phenotype ,Child, Preschool ,biology.protein ,Phosphorylation ,Protein Binding - Abstract
Specific activating missense HRAS variants cause Costello syndrome (CS), a RASopathy with recognizable facial features. The majority of these dominant disease causing variants affect the glycine residues in position 12 or 13. A clinically suspected CS diagnosis can be confirmed through identification of a dominant pathogenic HRAS variant. A novel HRAS variant predicting p.(Glu62_Arg68dup) was identified in an individual with hypertrophic cardiomyopathy, Chiari 1 malformation and ectodermal findings consistent with a RASopathy. Functional studies showed that the p.Glu62_Arg68dup alteration affects HRAS interaction with effector protein PIK3CA (catalytic subunit of phosphoinositide 3-kinase) and the regulator neurofibromin 1 (NF1) GTPase-activating protein (GAP). HRAS(Glu62_Arg68dup) binding with effectors rapidly accelerated fibrosarcoma (RAF1), RAL guanine nucleotide dissociation stimulator (RALGDS) and phospholipase C1 (PLCE1) was enhanced. Accordingly, p.Glu62_Arg68dup increased steady-state phosphorylation of MEK1/2 and ERK1/2 downstream of RAF1, whereas AKT phosphorylation downstream of PI3K was not significantly affected. Growth factor stimulation revealed that expression of HRAS(Glu62_Arg68dup) abolished the HRAS’ capacity to modulate downstream signaling. Our data underscore that different qualities of dysregulated HRAS-dependent signaling dynamics determine the clinical severity in CS.
- Published
- 2020
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