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About 20 cases with <jats:styled-content style=\"fixed-case\">OES<\/jats:styled-content> and more than 50 patients with <jats:styled-content style=\"fixed-case\">ECCL<\/jats:styled-content> have been reported. Both diseases were proposed to represent mosaic disorders, but only very recently whole\u2010genome sequencing has led to the identification of somatic <jats:italic><jats:styled-content style=\"fixed-case\">KRAS<\/jats:styled-content><\/jats:italic> mutations, p.<jats:styled-content style=\"fixed-case\">Leu19Phe<\/jats:styled-content> and p.<jats:styled-content style=\"fixed-case\">Gly13Asp<\/jats:styled-content>, in affected tissue from two individuals with <jats:styled-content style=\"fixed-case\">OES<\/jats:styled-content>. Here we report the results of molecular genetic studies in three patients with <jats:styled-content style=\"fixed-case\">OES<\/jats:styled-content> and one with <jats:styled-content style=\"fixed-case\">ECCL<\/jats:styled-content>. In all four cases, Sanger sequencing of the <jats:italic><jats:styled-content style=\"fixed-case\">KRAS<\/jats:styled-content><\/jats:italic> gene in <jats:styled-content style=\"fixed-case\">DNA<\/jats:styled-content> from lesional tissue detected mutations affecting codon 146 (p.<jats:styled-content style=\"fixed-case\">Ala146Val<\/jats:styled-content>, p.<jats:styled-content style=\"fixed-case\">Ala146Thr<\/jats:styled-content>) at variable levels of mosaicism. Our findings thus corroborate the evidence of <jats:styled-content style=\"fixed-case\">OES<\/jats:styled-content> being a mosaic <jats:styled-content style=\"fixed-case\">RASopathy<\/jats:styled-content> and confirm the common etiology of <jats:styled-content style=\"fixed-case\">OES<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">ECCL<\/jats:styled-content>. <jats:italic><jats:styled-content style=\"fixed-case\">KRAS<\/jats:styled-content><\/jats:italic> codon 146 mutations, as well as the previously reported <jats:styled-content style=\"fixed-case\">OES<\/jats:styled-content>\u2010associated alterations, are known oncogenic <jats:italic><jats:styled-content style=\"fixed-case\">KRAS<\/jats:styled-content><\/jats:italic> mutations with distinct functional consequences. Considering the phenotype and genotype spectrum of mosaic <jats:styled-content style=\"fixed-case\">RASopathies<\/jats:styled-content>, these findings suggest that the wide phenotypic variability does not only depend on the tissue distribution but also on the specific genotype.<\/jats:p>","DOI":"10.1111\/cge.12775","type":"journal-article","created":{"date-parts":[[2016,3,12]],"date-time":"2016-03-12T20:14:06Z","timestamp":1457813646000},"page":"334-342","source":"Crossref","is-referenced-by-count":71,"title":["Specific mosaic <i><scp>KRAS<\/scp><\/i> mutations affecting codon 146 cause oculoectodermal syndrome and encephalocraniocutaneous lipomatosis"],"prefix":"10.1111","volume":"90","author":[{"given":"S.","family":"Boppudi","sequence":"first","affiliation":[{"name":"Institute of Human Genetics University Hospital Magdeburg, Otto\u2010von\u2010Guericke University  Magdeburg 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