Table 9.

Noonan Syndrome: Mechanism of Disease Causation

Gene 1MechanismComment/Reference
BRAF Gain of
function
Sarkozy et al [2009]
KRAS
LZTR1 Gain of
function
For heterozygous pathogenic variants that lead to autosomal dominant LZTR1-related Noonan syndrome [Motta et al 2019]
Loss of
function
Recessive variants typically influence protein synthesis/stability or subcellular localization [Motta et al 2019].
MAP2K1 Gain of
function
Cirstea et al [2010], Runtuwene et al [2011]
MRAS Higgins et al [2017], Motta et al [2020]
NRAS
PTPN11
RAF1 Pandit et al [2007]
RASA2 Chen et al [2014b]
RIT1 Aoki et al [2013]
RRAS Chen et al [2014b], Flex et al [2014]
SOS1 Roberts et al [2007]
SOS2 Chen et al [2014b], Yamamoto et al [2015], Lissewski et al [2021]
1.

Genes from Table 1 in alphabetic order

From: Noonan Syndrome

Cover of GeneReviews®
GeneReviews® [Internet].
Adam MP, Feldman J, Mirzaa GM, et al., editors.
Seattle (WA): University of Washington, Seattle; 1993-2024.
Copyright © 1993-2024, University of Washington, Seattle. GeneReviews is a registered trademark of the University of Washington, Seattle. All rights reserved.

GeneReviews® chapters are owned by the University of Washington. Permission is hereby granted to reproduce, distribute, and translate copies of content materials for noncommercial research purposes only, provided that (i) credit for source (http://www.genereviews.org/) and copyright (© 1993-2024 University of Washington) are included with each copy; (ii) a link to the original material is provided whenever the material is published elsewhere on the Web; and (iii) reproducers, distributors, and/or translators comply with the GeneReviews® Copyright Notice and Usage Disclaimer. No further modifications are allowed. For clarity, excerpts of GeneReviews chapters for use in lab reports and clinic notes are a permitted use.

For more information, see the GeneReviews® Copyright Notice and Usage Disclaimer.

For questions regarding permissions or whether a specified use is allowed, contact: ude.wu@tssamda.

NCBI Bookshelf. A service of the National Library of Medicine, National Institutes of Health.