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GTR Home > Tests > NGS RASopathy Panel

Overview

Test order codeHelp: NGSRP

Test name

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NGS RASopathy Panel

Purpose of the test

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This is a clinical test intended for Help: Diagnosis

Condition

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How to order

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Samples can be accepted 7 days a week (Monday - Sunday). All samples must be labeled with minimum of two patient identifying information (e.g. Patient Name and Date of Birth). Please submit all samples with a completed test requisition form.
Order URL Help: https://www.nationwidechildrens.org/specialties/laboratory-services

Specimen source

Cord blood
Fetal blood
Isolated DNA
Peripheral (whole) blood
Saliva

Methodology

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Molecular Genetics
CSequence analysis of the entire coding region
Next-Generation (NGS)/Massively parallel sequencing (MPS)

Summary of what is tested

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Clinical utility

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Establish or confirm diagnosis

Clinical validity

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Noonan syndrome is caused by pathogenic/likely pathogenic variants in PTPN11(50% of clinically diagnosed patients), SOS1 (10%), KRAS (<5%), RAF1 (3%-17%), NRAS (1% or less), SHOC2 (1% or less), and RIT1 (5-10%). Costello syndrome is caused by pathogenic/likely pathogenic variants in HRAS (80%-90%) and KRAS(10%-15%). CFC syndrome is caused by pathogenic/likely pathogenic variants in BRAF (75%-80%), MAP2K1 (MEK1) and MAP2K2 (MEK2) (10%-15%), and KRAS (<5%). LEOPARD syndrome is caused by pathogenic/likely pathogenic variants in PTPN11 (90%) and RAF1 (<10%). Pathogenic/likely pathogenic variants in the CBL gene can cause Noonan syndrome-like disorder with or without juvenile myelomonocytic leukemia. Pathogenic/likely pathogenic variants in the NF1 gene can cause Neurofibromatosis-Noonan syndrome, while those in the SPRED1 gene can cause Legius syndrome; both of these disorders have features overlapping with Neurofibromatosis type 1 and Noonan syndrome.

Citations

IMPORTANT NOTE: NIH does not independently verify information submitted to the GTR; it relies on submitters to provide information that is accurate and not misleading. NIH makes no endorsements of tests or laboratories listed in the GTR. GTR is not a substitute for medical advice. Patients and consumers with specific questions about a genetic test should contact a health care provider or a genetics professional.