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Alternatives in several elements and regulators with this path happen recognized as the pathogenetic cause. In 2015, missense alternatives in A2ML1 had been reported in three unrelated families with clinical analysis of Noonan syndrome (NS) and a zebrafish design ended up being provided showing heart and craniofacial problems just like those caused by a NS-associated Shp2 variation. But, a causal role of A2ML1 variants in NS is not verified since. Herein, we report on 15 individuals who