Table 8.

HRAS Pathogenic Variants Referenced in This GeneReview

Reference SequencesDNA Nucleotide ChangePredicted Protein ChangeComment [Reference]
NM_005343​.2
NP_005334​.1
c.34G>Ap.Gly12SerPathogenic variants at the p.Gly12 amino acid site are most commonly involved in CS [Gripp et al 2006a, Gripp et al 2019]. The risk for malignant tumors is higher in persons w/Gly12Ala than p.Gly12Ser. More severe neonatal phenotypes may be assoc w/p.Gly12Ala & p.Gly12Cys (see Genotype-Phenotype Correlations).
c.34G>Tp.Gly12Cys
c.35G>Cp.Gly12Ala
c.35_36delGCinsTTp.Gly12Val
c.35_36delGCinsAAp.Gly12Glu
c.37G>Tp.Gly13CysPathogenic variants at the p.Gly13 site are the second most commonly involved group of variants in CS [Gripp et al 2011a, Gripp et al 2019]. Persons w/p.Gly13Asp had milder phenotypes & none had malignancy [Bertola et al 2017] (see Genotype-Phenotype Correlations.)
c.38G>Ap.Gly13Asp
c.173C>Tp.Thr58IleMay be assoc w/milder or attenuated phenotypes [Gripp et al 2008, Gripp et al 2017] (See Genotype-Phenotype Correlations.)
c.179G>Tp.Gly60Val
c.437C>Tp.Ala146Val
c.108_110dupAGAp.Glu37dupTwo unrelated persons w/p.Glu37dup shared similar features incl very sparse hair & less coarse facial features than typical CS [Gremer et al 2010].

CS = Costello syndrome

Variants listed in the table have been provided by the authors. GeneReviews staff have not independently verified the classification of variants.

GeneReviews follows the standard naming conventions of the Human Genome Variation Society (varnomen​.hgvs.org). See Quick Reference for an explanation of nomenclature.

From: HRAS-Related Costello Syndrome

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