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‹ Fri · 24 Apr 2026
Promising but preliminary

Muscle ultrasonography in Costello syndrome: unveiling new clinical insights of a complex muscular phenotype

Ultrasound reveals muscle changes in rare genetic syndrome while cell studies point to druggable metabolic pathways for future treatment.

This study characterized the muscle phenotype of Costello syndrome (rare HRAS-mutant RASopathy) in 20 patients using ultrasound, finding universal fibroadipose infiltration; in vitro HRAS-mutant myoblast studies revealed impaired myogenic differentiation and abnormal lipid accumulation as potential therapeutic targets. The findings support muscle ultrasound as a monitoring tool in CS and related RASopathies and identify metabolic pathways for future therapeutic intervention.

What the study was

Study design
Monocentric observational study + in vitro preclinical component
Population
Costello syndrome (RASopathy, HRAS mutation); n=20 participants (13F, 7M; median age 19 years)
Sample size
20
Category
Diagnostics
Maturity
Exploratory
Journal
Orphanet Journal of Rare Diseases

Why it surfaced

Characterizes novel muscle phenotype in ultra-rare Costello syndrome (n=20); preclinical mechanistic data supports therapeutic development; Orphanet JORD publication.

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