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Rasopathy v0.105 ERF Zornitza Stark Marked gene: ERF as ready
Rasopathy v0.105 ERF Zornitza Stark Gene: erf has been classified as Green List (High Evidence).
Rasopathy v0.105 ERF Zornitza Stark Phenotypes for gene: ERF were changed from Noonan syndrome-like with or without craniosynostosis to Noonan syndrome-like, MONDO:0018997, with or without craniosynostosis, ERF-related
Rasopathy v0.104 ERF Zornitza Stark reviewed gene: ERF: Rating: GREEN; Mode of pathogenicity: None; Publications: ; Phenotypes: Noonan syndrome-like, MONDO:0018997, with or without craniosynostosis, ERF-related; Mode of inheritance: MONOALLELIC, autosomal or pseudoautosomal, NOT imprinted
Rasopathy v0.104 ERF Chirag Patel Classified gene: ERF as Green List (high evidence)
Rasopathy v0.104 ERF Chirag Patel Gene: erf has been classified as Green List (High Evidence).
Rasopathy v0.103 ERF Chirag Patel gene: ERF was added
gene: ERF was added to Rasopathy. Sources: Literature
Mode of inheritance for gene: ERF was set to MONOALLELIC, autosomal or pseudoautosomal, NOT imprinted
Publications for gene: ERF were set to PMID: 38824261
Phenotypes for gene: ERF were set to Noonan syndrome-like with or without craniosynostosis
Review for gene: ERF was set to GREEN
gene: ERF was marked as current diagnostic
Added comment: ERF gene encodes a transcriptional regulator negatively controlling RAS-MAPK signalling. It has been associated with syndromic craniosynostosis involving various cranial sutures and Chitayat syndrome (respiratory distress, skeletal anomalies, and facial dysmorphism).

This paper describes 26 individuals from 15 unrelated families with Noonan-syndrome (NS) like phenotype and heterozygous nonsense and frameshift variants in ERF (most cases were familial). The clinical features included: variable global developmental and/or language delay, absolute/relative macrocephaly, short stature (<3rd centile), and dysmorphism (high forehead, hypertelorism, ptosis, wide nasal bridge, and low-set/posteriorly angulated ears). There were no individuals with typical NS cardiac involvement. Craniosynostosis was only seen in 3/26 unrelated individuals.

These findings provide evidence that heterozygous loss-of-function variants in ERF cause a "RASopathy" resembling NS with or without craniosynostosis.
Sources: Literature