| Human Molecular Genetics | Pages |
Selective disactivation of neurofibromin GAP activity in neurofibromatosis type 1 (NF1)
Introduction
Results And Discussion
Identification of R1276P as the disease-causing mutation in a family with typical NF1 features
Mutation R1276P affects GAP activity but not protein structure
Evaluation of GRD missense mutations based on the crystal structure
Complete loss of function by mutation R1276P
Further support for the upstream model
Materials And Methods
DNA analysis
mRNA analysis
Neurofibromin quantification
Recombinant proteins
Fluorescence measurements
Acknowledgements
References
Selective disactivation of neurofibromin GAP activity in neurofibromatosis type 1 (NF1)
INTRODUCTION
Neurofibromatosis type 1 (NF1) is one of the most common autosomal dominant disorders in man, with an incidence of ~1/3500. It is a multisystemic disease, with the nervous system and the skin being the tissues primarily affected. Neurofibromas constitute an important diagnostic criterion of this complex genetic disorder. However, café-au-lait spots (CLS), axillary freckling, optic glioma, Lisch nodules of the iris and specific bone lesions are also common clinical features. Furthermore, ~5% of NF1 patients develop malignant tumours (1). NF1, or von Recklinghausen disease, is caused by inherited or de novo mutations of the NF1 gene, which has been identified by positional cloning on chromosome 17q11.2 (2). Most mutations identified in the large 60 exon NF1 gene are truncating mutations with dramatically reduced levels or total absense of the mutant transcript and/or protein. However, missense mutations of unsettled pathological significance have also been reported (3,4). Alternative splicing gives rise to several different transcripts of the NF1 gene (5). The major species is an 11-13 kb ubiquitously expressed transcript that encodes a protein called neurofibromin (2). The only region of the neurofibromin molecule to which a biological function has been clearly ascribed is a central domain (residues D1248-F1477) which possesses a high degree of similarity to Ras-specific GTPase-activating proteins (GAPs) (6), and is therefore called the GAP-related domain (GRD). The GRD stimulates the slow intrinsic GTPase activity of Ras up to 105-fold (2). The existence of additional functional domains is a matter of ongoing speculation (1,7-9). It has been thought that the loss of the different functions of the neurofibromin molecule might explain the many and varied clinical symptoms.
Recent progress in analysing the crystal structure of the GAP domain of p120GAP in the absence (10) and in the presence (11) of Ras as well as new biochemical data about the catalytic process of the GTPase reaction (12,13) offer new insights into the role of individual amino acids in the GRD and the consequences of their substitution. With this in mind, we screened a panel of NF1 patients for mutations in the GRD and identified an arginine to proline mutation of the most essential catalytic element for RasGAP activity, the GRD arginine finger, in a family with a classical NF1 phenotype, one of whose members had a malignant schwannoma. The biochemical and structural characterization of this functionally most interesting mutation against the background of the clinically well studied family with several affecteds allows us to infer that failure of neurofibromin GAP activity is the critical element of NF1 pathogenesis. Therefore, elevated Ras·GTP levels in neural crest-derived cells of NF1 patients might be a reasonable target for therapeutic approaches.
RESULTS AND DISCUSSION
Identification of R1276P as the disease-causing mutation in a family with typical NF1 features
A total of 170 unrelated patients diagnosed according to the NF1 diagnostic criteria (19) were screened for sequence alterations in various exons of the NF1 gene by temperature gradient gel electrophoresis (TGGE) of PCR-amplified genomic DNA fragments (14,15) using intron-based primers (20). DNA samples with abnormal TGGE band patterns were subjected to sequence analysis. Using this approach, we identified a female patient (B362) with a sequence abnormality in exon 22 which she shared with all affected family members but not with her healthy relatives (Fig.
| Figure 1. Identification of NF1 mutation R1276P and study of mutant allele expression. (a) Pedigree analysis of sequence variations in exons 22 and 5 by TGGE. The altered nucleotide (nt) positions are given below each TGGE panel. Underlined nucleotides constitute a haplotype. The grey arrowheads indicate the mutant nucleotide. The black arrowhead represents the index patient (B362). (b) Sequence analysis of genomic DNA of patient B362. The arrowheads indicate the mutant nucleotide and amino acid. (c) RT-PCR analysis for the determination of allele-specific NF1 gene expression levels. PCR products including exon 5 were derived from cDNA of the two older sons of patient B362 (lanes 2 and 3). RsaI-digested PCR products were separated on an agarose gel and stained by ethidium bromide. The densitometrically determined allele ratios A/G were 1.2 and 1.38, i.e. within normal range (22). A 100 bp ladder was used as a size marker (lane 1). (d) Determination of neurofibromin content by Western blot analysis. Normal neurofibromin levels were found in the lymphocytes of the two older sons of patient B362 (lanes 1 and 2). Lanes 3 and 4 represent the reduced neurofibromin levels of two NF1 patients with truncating mutations [patients 0550 (15) and 0545 (14), respectively]. Lymphocytes of healthy donors were used as controls (lanes 5 and 6). |
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The female patient B362 was born as the first child of unaffected, non-consanguineous parents. Two younger sisters do not show any NF1-related symptoms (Fig.
Mutation R1276P affects GAP activity but not protein structure
Missense mutations are rare in the NF1 gene and only a few within the catalytic domain of neurofibromin have been tested functionally so far (4,26). R1276P is a novel mutation which we are able to evaluate based on our recent data about the structure-function relationship relevant for GAP-mediated GTPase reaction of Ras. Solving by X-ray crystallography the structure of the Ras·GDP·AlF3·RasGAP complex, which is believed to mimic the transition state of the GTPase reaction, conclusively revealed that R789 from p120GAP (corresponding to R1276 in neurofibromin) participates in the catalytic process by stabilizing the transition state via its positively charged side chain (11). Final proof that indeed R789, and not the other invariant R903 (R1391 in neurofibromin), is the long sought `arginine finger' came from biochemical analyses of wild-type and mutant NF1-333 and GAP-334, the relevant catalytic domains of neurofibromin and p120GAP (13). It could be shown that R1276 of neurofibromin is crucial for catalysis and cannot be substituted by other amino acids such as A, K, Q or N. As studied here, substitution by P slightly reduces the binding affinity for Ras (6.6-fold), but compromises GAP-stimulated GTP hydrolysis 8000-fold (Fig.
| Figure 2. Biochemical characterization of mutation R1276P. (a) Rate constants for the reaction of Ras·mGTP with wild-type and mutant (R1276P) NF1-333. The intrinsic GTPase activity of Ras is 0.00047/s at 37°C. KD values have been calculated from the association rate constants of Ras·mant-GTP and the dissociation rate constants of Ras·mant-GppNHp (KD = koff/kon), assuming that the dissociation rate constants are similar for Ras·mant-GTP and Ras·mant-GppNHp. (b) Analysis of aluminium fluoride binding to Ras·mant-GDP in the presence of NF1-333 proteins. Fluorescence emission spectra of Ras·mant-GDP with wild-type NF1-333 and mutant NF1-333 (R1276P) in the presence or absence of aluminium fluoride are shown. Red, 0.1 µM Ras·mant-GDP; green, after addition of 1 µM wild-type NF1-333 or 5 µM R1276P-NF1-333, respectively; blue, after addition of 30 µM AlCl3 and 2 mM NaF or 150 µM AlCl3 and 10 mM NaF for wild-type NF1-333 or R1276P-NF1-333, respectively. (c) CD spectra of the wild-type NF1-333 (blue) and R1276P-NF1-333 (red). The spectra were measured in 10 mM potassium phosphate buffer, pH 7.0, at 25°C at a protein concentration of 200 µM for wild-type NF1-333 and 220 µM for R1276P-NF1-333. (d) Fluorescence emission spectra of wild-type NF1-333 (blue) and R1276P-NF1-333 (red). The spectra were recorded at a protein concentration of 1 µM. |
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Evaluation of GRD missense mutations based on the crystal structure
We have modelled the effect of the R1276P and of other missense mutations (Fig.
| Figure 3. Ras-RasGAP structural elements. (a) RasGAP sequence alignment of human neurofibromin (GenBank accession no. 89914), yeast IRA2 (M33779) and human p120GAP (M23379). Boxes indicate the similarity blocks. Below the alignment, the secondary structure elements of GAP-334 have been assigned in red and green. Conserved residues are highlighted in blue. Selected residues that have been found mutated in neurofibromin from patients with NF1 are marked by arrows. (b) Ras-RasGAP complex. Catalytic domains of GAP-334 and Ras are shown in red and yellow, respectively. The finger loop of GAP-334 is shown in green. For GDP and AlF3, ball-and-stick models are used. Marked amino acid positions have been subject to missense mutations of neurofibromin in NF1 patients or represent oncogenic mutation sites of Ras as found in tumours. The wild-type p120GAP sequence is shown, with the exception of R789 (grey) for which proline (yellow) has been substituted. |
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K1423E and R1391S affect two invariant amino acid positions of particular structural importance. R1391 is part of the most highly conserved fingerprint FLR...PA...P-motif diagnostic for RasGAPs. In the structure of GAP-334, the corresponding R903 stabilizes the orientation of the arginine finger without directly contacting the active site of Ras (10,11). Introduction of serine into position 903 (1391 in neurofibromin) would abrogate a number of interactions important for stabilization of the loop carrying the arginine finger, and thereby accounts for the significantly reduced GAP activity (4). K935 (K1423 in neurofibromin) forms an intramolecular salt bridge with E950 (E1437 in neurofibromin) of the GAP KE-motif in the variable loop, the lysine residue of which is an important element of the Ras-RasGAP interaction. Replacement of K935 by glutamate would disrupt the salt bridge and would introduce additional negative charges which may lead to unfavourable interactions.
The effect of the NF1 patient mutations K1419R, K1419Q, L1425P and S1468G are more difficult to predict. Mutation of I931 (K1419 in neurofibromin) to arginine or glutamine might lead to a polar interaction of this residue with E37 of Ras (as judged from the complex structure), a proline replacing V937 (L1425) might destabilize helix [alpha]7c in which it occurs (Fig.
Complete loss of function by mutation R1276P
Among all patients with missense mutations in the GRD reported to date, B362 is the first who presented with a malignant schwannoma. A reason for this might be that the inactivation of the GAP activity by the R1276P mutation is de facto complete. Previously, effects on function were only tested for K1423E and R1391S. Conflicting evidence has been reported for the effect of the K1423E mutation. Whereas Li et al. (26) found the binding to be unaffected and the kcat to be decreased 200-fold, Poullet et al. (29) found the affinity to be decreased >100-fold. For the R1391S mutation, a 300-fold decrease of GAP activity was reported (4). In comparison with the 8000-fold reduction which we found for R1276P, both cases still show a remarkable residual activity that may be sufficient under in vivo conditions to suppress tumour formation if the wild-type allele becomes inactivated somatically. Indeed, for all patients with any of the missense mutations listed above, the occurrence of a malignant tumour as part of the NF1 phenotype was definitely excluded if clinical data were reported for these cases (n [ge] 14). Possibly due to their young age, a malignancy has also not been detected in any of the three affected sons of patient B362 up to the present moment. The same reason may account for the lack of neurofibromas in her children who were all prepubertal when examined. We are aware, however, of the high degree of variable expression even within families. Hence, the actual risk of the boys developing such a severe NF1 phenotype with malignancies as did their mother is not expected to be higher than for any other NF1 patient with a truncating NF1 gene mutation. A classical complex NF1 phenotype is present in this family. All or most affected family members showed CLS, freckling and scoliosis, while a learning disability and minor mental retardation, typical features of NF1 children, were observed in all affected children of this family.
Further support for the upstream model
Two pathogenic models involving neurofibromin and Ras have been proposed to lead to the various clinical symptoms of NF1 (1,2,30). In the upstream negative Ras regulatory model of neurofibromin function, decreased neurofibromin and hence decreased RasGAP activity are predicted to lead to higher levels of activated Ras·GTP and therefore to increased cell proliferation and tumour formation. In the downstream model, neurofibromin acts as an effector of Ras·GTP in signaling pathways controlling cell proliferation or differentiation. It is tempting to explain the complex and variable picture of NF1 pathology and the pleiotropic effects of neurofibromin action by different functions attributable to the same or different domains of the large molecule. However, our finding of selective neurofibromin GAP inactivation in NF1 patients is in line with accumulating evidence about neurofibromin acting first of all as a control element for Ras·GTP levels in certain cell types such as neural crest-derived cells. Obviously, these data define the direction of the future treatment of NF1. The GAP activity has to be restored in all cells where neurofibromin is the only or the major active GAP. We have shown that Ras is an inefficient enzyme that needs to be complemented by Ras-specific GAPs to form the actual catalytic centre for efficient GTP hydrolysis on Ras (11-13). It is conceivable that ingeniously designed small molecules are able to mimic the GAP action and, if properly applied, may serve as anti-tumour and anti-NF1 drugs.
Support for the upstream model came from studies of neurofibrosarcoma cell lines derived from patients with NF1. These cells showed elevated levels of Ras·GTP and decreased biochemical GAP activity (31,32). Recent progress in elucidating the role of neurofibromin in juvenile chronic myelogeneous leukaemia (33,34) also provides convincing evidence for a selective decrease in NF1-like RasGAP activity and elevated Ras·GTP levels in primary leukaemic cells from children with NF1. Furthermore, application of a new tissue-based assay revealed a substantial increase of Ras·GTP in neurogenic sarcomas (15 times) and benign neurofibromas (four times) from NF1 patients compared with schwannomas from non-NF1 patients (35). Other findings have been interpreted in favour of the downstream model or a Ras-independent mechanism of neurofibromin function that may apply only for specific cell types (7,8). However, alternative interpretations of these data commensurate with the upstream model are conceivable. For instance, increased Ras·GTP levels were not observed in serum-stimulated neurofibromin-deficient neuroblastomas and melanomas (7), but Ras·GTP levels were only measured 10 h after serum stimulation. By this time, any difference between wild-type and neurofibromin-deficient cells may have disappeared, as suggested by experiments with growth factor-stimulated myeloid cell lines (33). Alternatively, Ras deregulation may be provoked only by stimulation with specific cytokines as also shown for myeloid cell lines (34). Interestingly, different ligands can activate the Ras pathway in the same cell while transmitting quite different signals. This has been observed in the neural crest-derived PC12 pheochromocytoma cell line (36). In PC12 cells, both epidermal growth factor (EGF) and nerve growth factor (NGF) activate the Ras pathway, yet EGF is a mitogen while NGF induces differentiation. Biochemical characterization revealed that EGF stimulation results in transient activation of the Ras pathway whereas NGF causes sustained activation. Hence, in most tissues, neurofibromin defects might cause only moderate and transient Ras·GTP level increases in response to activation of a particular as yet unidentified receptor of neural crest cells. This selective hypersensitivity to a specific growth factor may stimulate lineage-specific growth. Such a scenario is consistent with recent data demonstrating neurotrophin-independent growth and enhanced sensitivity to NGF of fetal neurons from Nf1-/- mice (37). It also offers some plausible explanations for putative functions that the non-GRD regions of the large neurofibromin molecule might fulfil in direct conjunction with the down-regulation of Ras·GTP by its central GAP activity.
In summary, the NF1 mutation R1276P is unique for its selective and complete inactivation of the neurofibromin GAP activity without impairing any other possible function of neurofibromin. Despite this, most of the typical NF1 features were expressed in an age-dependent manner in the present family. This suggests that all of the pathologically relevant cellular processes depend exclusively on the GAP activity of the neurofibromin molecule. There is no evidence for a significant difference in phenotype caused by a 50% reduction in the level of neurofibromin, as is found in most of the other NF1 cases, or by the missense mutation R1276P described here. The latter, however, generates a faulty protein which is disabled only for one specific function: its GAP activity. Thus, a failure in reduction of Ras·GTP levels is to be considered the main pathological problem in NF1 as proposed by the upstream model of neurofibromin function. This finding has major implications for future therapeutic approaches in NF1.
MATERIALS AND METHODS
DNA analysis
Genomic DNA was prepared from peripheral blood according to standard procedures. Individual exons were amplified with primers annealing to the flanking intronic sequences, and PCR products were subjected to TGGE as described elsewhere (14,15). Silver staining was used for visualization of bands. Prior to sequencing, PCR products were isolated from agarose gels (NEEO Roth) and extracted following the manufacturer's instructions (QIAquick Gel extraction Kit; Qiagen). The purified PCR fragments were sequenced by the dideoxy chain termination method (Thermo Sequenase cycle sequencing kit; Amersham) using 5[prime]-terminal 33P-labelled sequencing primers.
mRNA analysis
Total cellular RNA was obtained from cultured peripheral lymphocytes using the RNeasy total RNA purification kit (Qiagen). cDNA synthesis subsequently was performed using the SuperScript pre-amplification system (Gibco BRL). RT-PCR reactions to amplify five overlapping segments covering the entire coding region and in vitro transcription/translation reactions for the protein truncation test (PTT) were carried out as described previously (16). Allele-specific expression level studies were performed by RT-PCR reactions using the following primer pair to amplify exon 5: 5[prime]-TAGTCGCATTTCTACCAGGTTA-3[prime] (sense primer) and 5[prime]-GAGAATGGCTTACTTGGATTAAA-3[prime] (antisense primer). Thirty PCR cycles of 1 min at 92°C, 1 min at 54°C and 1 min at 72°C were employed. After RsaI restriction, the fragments were analysed by agarose gel electrophoresis and ethidium bromide staining. Subsequently, the band intensities were measured densitometrically using a Phosphoimager (Molecular Dynamics).
Neurofibromin quantification
Immunoprecipitations from equal amounts of total protein (300-700 µg) obtained from cultured peripheral lymphocytes were carried out as described (17). The resulting protein bands were evaluated quantitatively by using a video-densiometric system. The suitability of the method for quantitative measurements was proven by preparing standard curves with various amounts of protein. A linear response was obtained between 50 and 800 µg of protein (correlation coefficient [ge] 0.98). A 20-30% difference between neurofibromin contents of different lysates can be ascertained by this method.
Recombinant proteins
The NF1-333 mutation was made in cDNA of the catalytic domain of neurofibromin (NF1-333) as described (13). Wild-type and the R1276P mutant of NF1-333 were isolated from Escherichia coli CK600 using the pLMM expression system in E.coli. Recombinant H-Ras was prepared from E.coli using a ptac expression system. Ras·mant-GDP, Ras·mant-GTP and Ras·mant-GppNHp were prepared as described (18).
Fluorescence measurements
Stopped-flow experiments using mant-GTP and mant-GppNHp bound to Ras were performed to measure individual rate constants for the interaction of NF1-333 with Ras on an Applied Photophysics SX16MV apparatus as described (18). All the reactions were followed in 30 mM Tris-HCl, pH 7.5, 5 mM MgCl2, 5 mM dithioerythritol (DTE) at 25°C using an excitation wavelength of 360 nm and a cut-off-filter (408 nm) in front of the emission monochromator. Exponential and hyperbolic fits to the data were done using the program Grafit (Erithakus software), and more complex kinetic situations were analysed with the program Scientist as described (18). Fluorescence emission spectra (from 390 to 550 nm) of 0.1 µM mant-GDP-bound Ras were recorded in 30 mM Tris-HCl, pH 7.5, 5 mM MgCl2, 5 mM DTE at 25°C on an LS50B Perkin-Elmer spectrofluorometer with an excitation wavelength of 366 nm as described (12). Fluorescence emission spectra (from 300 to 450 nm) of 1 µM wild-type NF1-333 and 1 µM R1276P-NF1-333 were recorded in 30 mM Tris-HCl, pH 7.5, 5 mM MgCl2, 5 mM DTE at 25°C on an LS50B Perkin-Elmer spectrofluorometer with an excitation wavelength of 270 nm. CD spectra were measured in 10 mM potassium phosphate buffer, pH 7.0, at 25°C at a protein concetration of 200 µM wild-type NF1-333 and 220 µM NF1-333 (R1276P). The spectra were measured 10 times and averaged in 0.1 mm cells on a Jsco Spectropolarimeter J710.
ACKNOWLEDGEMENTS
We thank the NF1 patients and their family for participating in the study; N. Kücükceylan, I. Beilfuß, C. Mischung, B. Heyne, R. Müller and P. Stege for technical assistance; and S. Tinschert for helpful discussions. This work was supported by grants from the Deutsche Krebshilfe 70-1919-Kr2.
REFERENCES
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Mol. Cell. Biol.,
February 15, 2008;
28(4):
1240 - 1251.
[Abstract]
[Full Text]
[PDF]
![]()
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![]()

![]()
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M. E. Lush, Y. Li, C.-H. Kwon, J. Chen, and L. F. Parada
Neurofibromin Is Required for Barrel Formation in the Mouse Somatosensory Cortex
J. Neurosci.,
February 13, 2008;
28(7):
1580 - 1587.
[Abstract]
[Full Text]
[PDF]
![]()
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![]()

![]()
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I. S. Ho, F. Hannan, H.-F. Guo, I. Hakker, and Y. Zhong
Distinct Functional Domains of Neurofibromatosis Type 1 Regulate Immediate versus Long-Term Memory Formation
J. Neurosci.,
June 20, 2007;
27(25):
6852 - 6857.
[Abstract]
[Full Text]
[PDF]
![]()
![]()
![]()

![]()
![]()
![]()
J. A. Walker, A. V. Tchoudakova, P. T. McKenney, S. Brill, D. Wu, G. S. Cowley, I. K. Hariharan, and A. Bernards
Reduced growth of Drosophila neurofibromatosis 1 mutants reflects a non-cell-autonomous requirement for GTPase-Activating Protein activity in larval neurons
Genes & Dev.,
December 1, 2006;
20(23):
3311 - 3323.
[Abstract]
[Full Text]
[PDF]
![]()
![]()
![]()

![]()
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![]()
F.-C. Yang, S. Chen, T. Clegg, X. Li, T. Morgan, S. A. Estwick, J. Yuan, W. Khalaf, S. Burgin, J. Travers, et al.
Nf1+/- mast cells induce neurofibroma like phenotypes through secreted TGF-{beta} signaling
Hum. Mol. Genet.,
August 15, 2006;
15(16):
2421 - 2437.
[Abstract]
[Full Text]
[PDF]
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![]()

![]()
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F. Hannan, I. Ho, J. J. Tong, Y. Zhu, P. Nurnberg, and Y. Zhong
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Hum. Mol. Genet.,
April 1, 2006;
15(7):
1087 - 1098.
[Abstract]
[Full Text]
[PDF]
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![]()

![]()
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![]()
R. R. Mattingly, J. M. Kraniak, J. T. Dilworth, P. Mathieu, B. Bealmear, J. E. Nowak, J. A. Benjamins, M. A. Tainsky, and J. J. Reiners Jr.
The Mitogen-Activated Protein Kinase/Extracellular Signal-Regulated Kinase Kinase Inhibitor PD184352 (CI-1040) Selectively Induces Apoptosis in Malignant Schwannoma Cell Lines
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316(1):
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[Abstract]
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[PDF]
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![]()
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![]()
K. Hiatt, D. A. Ingram, H. Huddleston, D. F. Spandau, R. Kapur, and D. W. Clapp
Loss of the Nf1 Tumor Suppressor Gene Decreases Fas Antigen Expression in Myeloid Cells
Am. J. Pathol.,
April 1, 2004;
164(4):
1471 - 1479.
[Abstract]
[Full Text]
[PDF]
![]()
![]()
![]()

![]()
![]()
![]()
L Messiaen, V Riccardi, J Peltonen, O Maertens, T Callens, S L Karvonen, E-L Leisti, J Koivunen, I Vandenbroucke, K Stephens, et al.
Independent NF1 mutations in two large families with spinal neurofibromatosis
J. Med. Genet.,
February 1, 2003;
40(2):
122 - 126.
[Full Text]
[PDF]
![]()
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![]()

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![]()
R. Kemkemer, S. Schrank, W. Vogel, H. Gruler, and D. Kaufmann
Increased noise as an effect of haploinsufficiency of the tumor-suppressor gene neurofibromatosis type 1 in vitro
PNAS,
October 15, 2002;
99(21):
13783 - 13788.
[Abstract]
[Full Text]
[PDF]
![]()
![]()
![]()

![]()
![]()
![]()
R. M. Costa and A. J. Silva
Review Article : Molecular and Cellular Mechanisms Underlying the Cognitive Deficits Associated With Neurofibromatosis 1
J Child Neurol,
August 1, 2002;
17(8):
622 - 626.
[Abstract]
[PDF]
![]()
![]()
![]()

![]()
![]()
![]()
P Nokelainen and J Flint
Genetic effects on human cognition: lessons from the study of mental retardation syndromes
J. Neurol. Neurosurg. Psychiatry,
March 1, 2002;
72(3):
287 - 296.
[Abstract]
[Full Text]
[PDF]
![]()
![]()
![]()

![]()
![]()
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K. K. Hiatt, D. A. Ingram, Y. Zhang, G. Bollag, and D. W. Clapp
Neurofibromin GTPase-activating Protein-related Domains Restore Normal Growth in Nf1-/- Cells
J. Biol. Chem.,
March 2, 2001;
276(10):
7240 - 7245.
[Abstract]
[Full Text]
[PDF]
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