Multidisciplinary Approach to Neurofibromatosis Type 1

Gianluca Tadini, M.D., PhD., is a pediatric dermatologist, coordinator of the Center of Inherited Cutaneous Diseases (University of Milan) at the Pediatric Dermatology Unit, Fondazione IRCCS Ca’ Granda- Ospedale Maggiore Policlinico, Milan. His main interests are genodermatoses, neuroectodermal disorders, as well as infectious and tropical diseases.After graduating cum laude from the Medical School of Surgery (University of Milan) he earned a post graduate title in Dermatology and Venereology and one in Tropical and Subtropical Diseases, both at the University of Milan. He was a resident at the Dept of Dermatology, and the Dept Dermatology and Sexually Transmitted Diseases as well as a laboratory training resident at the University of Milan, Institute of Dermatological Sciences. He is also contract professor and students’ tutor at the Department of Dermatology, School of Medicine and Surgery and postgraduate School of Dermatology and Venereology, University of Milan. Since 1991 is the coordinator of the Center of Inherited Cutaneous Diseases at the Pediatric Dermatology Unit, Ospedale Maggiore Policlinico. Doctor Tadini has authored over 200 scientific papers, lectures and lessons as a visiting professor, and was a member of the International Committee for the Classification of Ectodermal Dysplasias and Ichtyoses. He has been a consultant at the Department of Pediatrics 1, University of Milan since 2011.Professor Eric Legius, M.D., PhD., is the head of the Human Genetics Department of the University of Leuven as well as the clinical director of the Human Genetics department of the University Hospital of Leuven. He has been chair of the Department of Human Genetics, and part time professor at the Faculty of Medicine, KULeuven. His research is targeted towards neurofibromatosis type 1 and related conditions. The research group contributed successfully towards our understanding of the molecular etiology of a number of tumors in NF1, such as benign neurofibromas, gastrointestinal stromal tumors (GIST), and glomus tumors. The group was also involved in the molecular and cognitive characterization of NF1 microdeletion region. Other projects include NF1-related oncogenesis (molecular study of malignant peripheral nerve sheath tumors) and a clinical trial to improve cognitive aspects in children with NF1 using Simvastatin treatment (NFSIMCODA-trial together with Erasmus University Rotterdam). In 2007 his research team identified a new condition resembling neurofibromatosis type 1, now known as Legius syndrome (autosomal dominant condition caused by a heterozygous mutation in SPRED1). The group uses animal models (mouse and Drosophila) to gain insights into the importance of SPRED and the RAS-MAPK pathway for cognition. He was awarded the Sidmar prize in 2010, an annual prize for medical research on a chronic disorder, Royal Academy of Medicine, Belgium, and the First Theodore Schwann Award, in 2012, at the15th European Neurofibromatosis Meeting.

• 1. Epidemiology of Neurofibromatosis Type 1.- 2. Genetics and Pathway in Neurofibromatosis Type 1.- 3. Molecular Diagnosis for NF1.- 4. Diagnosis in NF1, Old and New.- 5. Clinical Features of NF1 in the Skin.- 6. Ocular Manifestations in Neurofibromatosis Type 1.- 7. Skeletal Manifestations in NF1.- 8. NF1 in Other Organs.- 9. Genomics of Peripheral Nerve Sheath Tumors Associated to Neurofibromatosis Type 1.- 10. Mechanotransduction and Nf1 Loss--Partner in Crime: New Hints for Neurofibroma Genesis.- 11. Diagnosis and Management of Benign Nerve Sheath Tumors in NF1:  Evolution from Plexiform to Atypical Neurofibroma and Novel Treatment Approaches.- 12. Diagnosis and Management of Malignant Tumors in NF1: Evolution from Atypical Neurofibromas to Malignant Peripheral Nerve Sheath Tumors and Treatment Options.- 13. Neurological Complications in NF.- 14. Learning Disabilities and Behavior in Neurofibromatosis Type 1 Patients.- 15. Mosaic NF1.- 16. Legius Syndrome, Other Café -au-lait Diseases and Differential Diagnosis of NF1.- 17. Cancer Risk and Spectrum in Individuals with RASopathies.-  18. Therapeutical Approaches for NF1.- 19. Medical Follow up in Neurofibromatosis Type 1.- 20. Brief Notes on Pregnancy, Prenatal Diagnosis and Preimplantation Procedures in NF1.- 21. Proposal of New Diagnostic Criteria.