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GENATLAS PHENOTYPE
last update : 26-04-2023
Symbol NNL4
Location 2p14
Name Noonan-like 4
Other name(s) Noonan syndrome 14
Corresponding gene SPRED2
Other symbol(s) NS14
Main clinical features
  • Facial features mimicking Noonan, bitemporal narrowing, hypertelorism, down-slanting palpebral fissures, ptosis, low-set/posteriorly rotated ears with evident antitragus, wide nasal bridge, and low posterior hairline with a webbed/short neck
  • also typical chest anomalies (superior pectus carinatum and inferior pectus excavatum), congenital heart defect, growth retardation, hypotonia was a common feature during childhood
  • Genetic determination autosomal recessive
    Function/system disorder cardiovascular
    osteo-articular
    Type disease
    Remark(s) . bi-allelic SPRED2 variants result in inactive proteins unable to efficiently downmodulate signal flow through the RAS-MAPK cascade (PMID:34626534))