Impact of MEK Inhibition on Childhood RASopathy-Associated Hypertrophic Cardiomyopathy

Publikation: Beitrag in FachzeitschriftArtikelForschungPeer-Review

Autorschaft

  • Cordula M. Wolf
  • Martin Zenker
  • Olga Boleti
  • Gabrielle Norrish
  • Mark Russell
  • Joshua K. Meisner
  • David M. Peng
  • Terence Prendiville
  • Jake Kleinmahon
  • Paul F. Kantor
  • Danielle Gottlieb Sen
  • Derek G. Human
  • Peter Ewert
  • Marcus Krueger
  • Daniela Reber
  • Birgit Donner
  • Christopher Hart
  • Irena Odri Komazec
  • Stefan Rupp
  • Andreas Hahn
  • Anja Hanser
  • Michael Hofbeck
  • Jos M.T. Draaisma
  • Floris E.A. Udink ten Cate
  • Alessandro Mussa
  • Giovanni B. Ferrero
  • Laurence Vaujois
  • Marie Josée Raboisson
  • Marie Ange Delrue
  • Christopher Marquis
  • Yves Théoret
  • Soujanya Bogarapu
  • Adrian Dancea
  • Mette Moller Handrup
  • Mariska Kemna
  • Tiina Ojala
  • Niti Dham
  • Frank Dicke
  • Tim Friede
  • Juan Pablo Kaski
  • Bruce D. Gelb
  • Gregor Andelfinger

Externe Organisationen

  • Technische Universität München (TUM)
  • Deutsches Zentrum für Herz-Kreislauf-Forschung eV
  • ERN GUARD-Heart
  • Otto-von-Guericke-Universität Magdeburg
  • University College London (UCL)
  • Great Ormond Street Hospital for Children NHS Trust
  • University of Michigan
  • Our Lady's Hospital for Sick Children
  • Ochsner Hospital for Children
  • University of Southern California
  • Johns Hopkins University
  • University of British Columbia
  • München Klinik Bogenhausen
  • Universität Basel
  • Rheinische Friedrich-Wilhelms-Universität Bonn
  • Innsbruck Medical University
  • Universitätsklinikum Gießen und Marburg GmbH
  • Justus-Liebig-Universität Gießen
  • Eberhard Karls Universität Tübingen
  • Radboud Universität Nijmegen (RU)
  • Università di Torino
  • Universite Laval
  • Université de Montréal
  • University of Illinois Chicago (UIC)
  • McGill University Health Center
  • Aarhus University
  • Seattle Children's Hospital
  • Universität Helsinki
  • Children's National Medical Center
  • University of Calgary
  • Georg-August-Universität Göttingen
  • Deutsches Zentrum für Kinder- und Jugendgesundheit (DZKJ)
  • Icahn School of Medicine at Mount Sinai (ISMMS)
Forschungs-netzwerk anzeigen

Details

OriginalspracheEnglisch
Seiten (von - bis)152-166
Seitenumfang15
FachzeitschriftJACC: Basic to Translational Science
Jahrgang10
Ausgabenummer2
Frühes Online-Datum4 Dez. 2024
PublikationsstatusVeröffentlicht - Feb. 2025
Extern publiziertJa

Abstract

There is an unmet medical need to treat patients with severe hypertrophic cardiomyopathy leading to heart failure and death in children carrying pathogenic activating variants in the RAS/mitogen-activated protein kinase pathway. A retrospective analysis of 61 patients provides evidence for decreased mortality and morbidity with improved cardiac status in patients with RASopathy with severe hypertrophic cardiomyopathy receiving mitogen-activated protein kinase kinase inhibition (n = 30) vs those with standard-of-care treatment (n = 31). Side effects were not life threatening and were manageable. The data presented suggest that personalized therapies targeting underlying signaling pathway abnormalities might be effective in critically ill patients with RASopathy warranting clinical investigation.

ASJC Scopus Sachgebiete

Zitieren

Impact of MEK Inhibition on Childhood RASopathy-Associated Hypertrophic Cardiomyopathy. / Wolf, Cordula M.; Zenker, Martin; Boleti, Olga et al.
in: JACC: Basic to Translational Science, Jahrgang 10, Nr. 2, 02.2025, S. 152-166.

Publikation: Beitrag in FachzeitschriftArtikelForschungPeer-Review

Wolf, CM, Zenker, M, Boleti, O, Norrish, G, Russell, M, Meisner, JK, Peng, DM, Prendiville, T, Kleinmahon, J, Kantor, PF, Gottlieb Sen, D, Human, DG, Ewert, P, Krueger, M, Reber, D, Donner, B, Hart, C, Odri Komazec, I, Rupp, S, Hahn, A, Hanser, A, Hofbeck, M, Draaisma, JMT, Udink ten Cate, FEA, Mussa, A, Ferrero, GB, Vaujois, L, Raboisson, MJ, Delrue, MA, Marquis, C, Théoret, Y, Bogarapu, S, Dancea, A, Handrup, MM, Kemna, M, Ojala, T, Dham, N, Dicke, F, Friede, T, Kaski, JP, Gelb, BD & Andelfinger, G 2025, 'Impact of MEK Inhibition on Childhood RASopathy-Associated Hypertrophic Cardiomyopathy', JACC: Basic to Translational Science, Jg. 10, Nr. 2, S. 152-166. https://doi.org/10.1016/j.jacbts.2024.10.002
Wolf, C. M., Zenker, M., Boleti, O., Norrish, G., Russell, M., Meisner, J. K., Peng, D. M., Prendiville, T., Kleinmahon, J., Kantor, P. F., Gottlieb Sen, D., Human, D. G., Ewert, P., Krueger, M., Reber, D., Donner, B., Hart, C., Odri Komazec, I., Rupp, S., ... Andelfinger, G. (2025). Impact of MEK Inhibition on Childhood RASopathy-Associated Hypertrophic Cardiomyopathy. JACC: Basic to Translational Science, 10(2), 152-166. https://doi.org/10.1016/j.jacbts.2024.10.002
Wolf CM, Zenker M, Boleti O, Norrish G, Russell M, Meisner JK et al. Impact of MEK Inhibition on Childhood RASopathy-Associated Hypertrophic Cardiomyopathy. JACC: Basic to Translational Science. 2025 Feb;10(2):152-166. Epub 2024 Dez 4. doi: 10.1016/j.jacbts.2024.10.002
Wolf, Cordula M. ; Zenker, Martin ; Boleti, Olga et al. / Impact of MEK Inhibition on Childhood RASopathy-Associated Hypertrophic Cardiomyopathy. in: JACC: Basic to Translational Science. 2025 ; Jahrgang 10, Nr. 2. S. 152-166.
Download
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abstract = "There is an unmet medical need to treat patients with severe hypertrophic cardiomyopathy leading to heart failure and death in children carrying pathogenic activating variants in the RAS/mitogen-activated protein kinase pathway. A retrospective analysis of 61 patients provides evidence for decreased mortality and morbidity with improved cardiac status in patients with RASopathy with severe hypertrophic cardiomyopathy receiving mitogen-activated protein kinase kinase inhibition (n = 30) vs those with standard-of-care treatment (n = 31). Side effects were not life threatening and were manageable. The data presented suggest that personalized therapies targeting underlying signaling pathway abnormalities might be effective in critically ill patients with RASopathy warranting clinical investigation.",
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AU - Wolf, Cordula M.

AU - Zenker, Martin

AU - Boleti, Olga

AU - Norrish, Gabrielle

AU - Russell, Mark

AU - Meisner, Joshua K.

AU - Peng, David M.

AU - Prendiville, Terence

AU - Kleinmahon, Jake

AU - Kantor, Paul F.

AU - Gottlieb Sen, Danielle

AU - Human, Derek G.

AU - Ewert, Peter

AU - Krueger, Marcus

AU - Reber, Daniela

AU - Donner, Birgit

AU - Hart, Christopher

AU - Odri Komazec, Irena

AU - Rupp, Stefan

AU - Hahn, Andreas

AU - Hanser, Anja

AU - Hofbeck, Michael

AU - Draaisma, Jos M.T.

AU - Udink ten Cate, Floris E.A.

AU - Mussa, Alessandro

AU - Ferrero, Giovanni B.

AU - Vaujois, Laurence

AU - Raboisson, Marie Josée

AU - Delrue, Marie Ange

AU - Marquis, Christopher

AU - Théoret, Yves

AU - Bogarapu, Soujanya

AU - Dancea, Adrian

AU - Handrup, Mette Moller

AU - Kemna, Mariska

AU - Ojala, Tiina

AU - Dham, Niti

AU - Dicke, Frank

AU - Friede, Tim

AU - Kaski, Juan Pablo

AU - Gelb, Bruce D.

AU - Andelfinger, Gregor

N1 - Publisher Copyright: © 2025 The Authors

PY - 2025/2

Y1 - 2025/2

N2 - There is an unmet medical need to treat patients with severe hypertrophic cardiomyopathy leading to heart failure and death in children carrying pathogenic activating variants in the RAS/mitogen-activated protein kinase pathway. A retrospective analysis of 61 patients provides evidence for decreased mortality and morbidity with improved cardiac status in patients with RASopathy with severe hypertrophic cardiomyopathy receiving mitogen-activated protein kinase kinase inhibition (n = 30) vs those with standard-of-care treatment (n = 31). Side effects were not life threatening and were manageable. The data presented suggest that personalized therapies targeting underlying signaling pathway abnormalities might be effective in critically ill patients with RASopathy warranting clinical investigation.

AB - There is an unmet medical need to treat patients with severe hypertrophic cardiomyopathy leading to heart failure and death in children carrying pathogenic activating variants in the RAS/mitogen-activated protein kinase pathway. A retrospective analysis of 61 patients provides evidence for decreased mortality and morbidity with improved cardiac status in patients with RASopathy with severe hypertrophic cardiomyopathy receiving mitogen-activated protein kinase kinase inhibition (n = 30) vs those with standard-of-care treatment (n = 31). Side effects were not life threatening and were manageable. The data presented suggest that personalized therapies targeting underlying signaling pathway abnormalities might be effective in critically ill patients with RASopathy warranting clinical investigation.

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KW - MEK inhibition

KW - Noonan syndrome spectrum

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SP - 152

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