This report describes cardiofaciocutaneous syndrome 4 (CFC4); CFC4 exhibits autosomal dominant inheritance. The human gene implicated in this disease is MAP2K2 (Mitogen-Activated Protein Kinase Kinase 2, also known as MEK2), a dual-specificity protein kinase that is a component of the MAP kinase signal transduction pathway. There is a single fly ortholog, Dsor1, for which multiple genetic reagents, including classical amorphic and hypomorphic alleles, RNAi-targeting constructs, and alleles caused by insertional mutagenesis, have been generated. Dmel\Dsor1 is also orthologous to the human gene MAP2K1; MAP2K1 is also implicated in cardiofaciocutaneous syndrome (in this case, CFS3).
The human MAP2K2 gene has not been introduced into flies.
Several disease-implicated variants associated with cardiofaciocutaneous syndrome have been investigated in Drosophila using the fly gene Dsor1; see the 'Disease-implicated Variants' table below. Dsor1 is the sole high-scoring fly ortholog of both MAP2K1 and MAP2K2 and both of these human genes are implicated in cardiofaciocutaneous syndrome. In some cases a characterized Dsor1 mutation is analogous to disease-implicated variants in both genes. For example, Y149C in the fly Dsor1 gene corresponds to Y130C in the human MAP2K1 gene, which is implicated in CFC3, and Y134C in the human MAP2K2 gene, which is implicated in CFC4.
Additional information can be found in the Human Disease Model report 'RASopathies, MAP2K1,2-related' (FBhh0001509).
[updated Apr. 2023 by FlyBase; FBrf0222196]
Cardiofaciocutaneous syndrome is a disorder that affects many parts of the body, particularly the heart (cardio-), facial features (facio-), and the skin and hair (cutaneous). People with this condition also have delayed development and intellectual disability, usually ranging from moderate to severe. Infants with cardiofaciocutaneous syndrome typically have weak muscle tone (hypotonia), feeding difficulties, and a failure to grow and gain weight at the normal rate (failure to thrive). The symptoms of cardiofaciocutaneous syndrome overlap significantly with those of two other genetic conditions, Costello syndrome and Noonan syndrome. [MedlinePlus, Cardiofaciocutaneous syndrome; 2023.04.07]
Cardiofaciocutaneous (CFC) syndrome is a multiple congenital anomaly disorder characterized by a distinctive facial appearance, heart defects, and mental retardation (summary by Niihori et al., 2006; pubmed:16474404). [from MIM:115150; 2023.04.07]
[CARDIOFACIOCUTANEOUS SYNDROME 4; CFC4](https://omim.org/entry/615280)
[MITOGEN-ACTIVATED PROTEIN KINASE KINASE 2; MAP2K2](https://omim.org/entry/601263)
Cardiofaciocutaneous syndrome-4 (CFC4) is caused by heterozygous mutation in the MAPK2K2 gene. [from MIM:615280; 2023.04.07]
MAP2K2 encodes is a dual-specificity protein kinase that belongs to the MAP kinase kinase family. This kinase is known to play a critical role in mitogen growth factor signal transduction. [Gene Cards, MAP2K2; 2023.04.08]
Many to one: 2 human genes to 1 Drosophila gene.
High-scoring ortholog of human MAP2K1 and MAP2K2 (1 Drosophila to 2 human).