Department of Pediatics, Division of Genomic Medicine, University of California Davis, Sacramento, California.
Genetics Department, Sultan Qaboos University and Hospital, Muscat, Oman.
Am J Med Genet A. 2019 Jun;179(6):1091-1097. doi: 10.1002/ajmg.a.61125. Epub 2019 Mar 25.
The neurofibromatoses, which include neurofibromatosis type I (NF1), neurofibromatosis type II (NF2), and schwannomatosis, are a group of syndromes characterized by tumor growth in the nervous system. The RASopathies are a group of syndromes caused by germline mutations in genes that encode components of the RAS/mitogen-activated protein kinase (MAPK) pathway. The RASopathies include NF1, Noonan syndrome, Noonan syndrome with multiple lentigines, Costello syndrome, cardio-facio-cutaneous syndrome, Legius syndrome, capillary malformation arterio-venous malformation syndrome, and SYNGAP1 autism. Due to their common underlying pathogenetic etiology, all these syndromes have significant phenotypic overlap of which one common feature include a predisposition to tumors, which may be benign or malignant. Together as a group, they represent one of the most common multiple congenital anomaly syndromes estimating to affect approximately one in 1000 individuals worldwide. The subcontinent of India represents one of the largest populations in the world, yet remains underserved from an aspect of clinical genetics services. In an effort to bridge this gap, the First International Conference on RASopathies and Neurofibromatoses in Asia: Identification and Advances of New Therapeutics was held in Kochi, Kerala, India. These proceedings chronicle this timely and topical international symposium directed at discussing the best practices and therapies for individuals with neurofibromatoses and RASopathies.
神经纤维瘤病包括神经纤维瘤病 1 型(NF1)、神经纤维瘤病 2 型(NF2)和神经鞘瘤病,是一组以神经系统肿瘤生长为特征的综合征。RAS 病是一组由编码 RAS/丝裂原活化蛋白激酶(MAPK)途径组成部分的种系基因突变引起的综合征。RAS 病包括 NF1、Noonan 综合征、多发性痣的 Noonan 综合征、Costello 综合征、心面四肢综合征、Legius 综合征、毛细血管畸形动静脉畸形综合征和 SYNGAP1 自闭症。由于它们具有共同的潜在发病病因,所有这些综合征都有明显的表型重叠,其中一个共同特征是易患肿瘤,这些肿瘤可能是良性的,也可能是恶性的。作为一个整体,它们代表了最常见的多种先天性异常综合征之一,估计全球每 1000 人中就有 1 人受到影响。印度次大陆是世界上人口最多的地区之一,但在临床遗传学服务方面仍未得到充分服务。为了弥合这一差距,在印度喀拉拉邦的科钦举行了第一届亚洲 RAS 病和神经纤维瘤病国际会议:新治疗方法的鉴定和进展。这些记录记载了这次及时和热门的国际研讨会,旨在讨论神经纤维瘤病和 RAS 病患者的最佳实践和治疗方法。