Noonan Syndrome, RASopathies
Conditions
Brief summary
RASopathies, including Noonan syndrome, involve dysmorphisms, metabolic alterations, and an unfavorable lipid profile. This study investigates lipid and glucose metabolism to improve patient care.
Detailed description
RASopathies are a group of congenital malformative syndromes, including Noonan syndrome and related disorders, characterized by dysmorphisms, cardiac defects, skeletal anomalies, cognitive involvement, and a variable predisposition to pediatric cancers. They share dysregulation of the RAS-MAPK pathway and exhibit altered energy metabolism, with reduced adiposity and feeding difficulties. Preliminary studies suggest an unfavorable lipid profile, with low total cholesterol and HDL, varying by sex, age, and genotype. This multicenter study aims to further investigate lipid and glucose metabolism in patients with RASopathies to better define the natural history of the disease and support clinical management.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Clinically diagnosed RASopathy confirmed by molecular testing; * Patients referred to participating centers between 01/01/2001 and 31/12/2022; * Age at enrollment between 2 and 35 years, inclusive; * Obtaining informed consent.
Exclusion criteria
* None.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| To assess whether the lipid profile of patients with RASopathy varies according to sex (male/female), age (pre/post-pubertal), and genotype | V0 - baseline; V1 - 1 year; V2 - 2 years; V3 - 5 years; V4 - 10 years. | total, HDL, LDL cholesterol and triglycerides (mg/dL) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| To assess whether glucose metabolism in patients with RASopathy varies according to sex (male/female), age (pre/post-pubertal), and genotype | V0 - baseline; V1 - 1 year; V2 - 2 years; V3 - 5 years; V4 - 10 years. | Insulin and blood glucose (mg/dL) |
| To determine whether altered lipoprotein levels, compared to the general population as reported in the literature, are associated with altered apo-B and apo-A1 levels in the different forms of RASopathy | V0 - baseline; V1 - 1 year; V2 - 2 years; V3 - 5 years; V4 - 10 years. | ApoA1-B (mg/dl) |
Countries
Italy