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Open Access Article

International Journal of Clinical Research. 2023; 7: (6) ; 16-21 ; DOI: 10.12208/j.ijcr.20230247.

A case of congenital achondroplasia report and literature review
先天性软骨发育不全1例报告并文献复习

作者: 陈星宇, 王爱萍 *, 周焕珍, 杨宏梅, 郑洪存, 马建英

昆明市第一人民医院儿童生长发育管理中心 云南昆明

*通讯作者: 王爱萍,单位:昆明市第一人民医院儿童生长发育管理中心 云南昆明;

发布时间: 2023-06-27 总浏览量: 333

摘要

目的 报道1例FGFR3基因突变导致先天性软骨发育不全病例。方法 回顾性分析1例软骨发育不全婴儿的临床资料,并检索相关文献,总结其基因型及临床特点。结果 患儿女,5月龄,以头围大、四肢短小及生长迟缓为主要临床表现,基因分析显示该患儿FGFR3基因第10外显子c.1620C>G(p.N540K)的杂合突变,为错义突变。结论 软骨发育不全是导致非匀称性身材矮小的罕见疾病,通过对该病的临床及基因特点进行总结,以提高早期诊断率。

关键词: 婴儿;软骨发育不全;成纤维细胞生长因子受体3;突变

Abstract

Objective To report a case of congenital achondroplasia with mutation in FGFR3 gene.
Methods The clinical data of congenital achondroplasia in a girl were retrospectively analyzed, the related literatures were reviewed and its clinical features and genotypes were summarized.
Results A girl, 5 months old, had macrocephaly, short limbs and growth retardation. Gene analysis showed that there was a variation in the FGFR3 gene of the girl, c.1620C>G (p.N540K), which was missense variants.
Conclusion   Achondroplasia is a rare disease that leads to asymmetric short stature. In order to improve the early diagnosis rate, the clinical and genetic features of the disease were summarized.

Key words: Infat; Achondroplasia; Fibroblast growth factor receptor 3; Mutation

参考文献 References

[1] M PJ. Sur les malformations a chondroplasiques et ledieu Ptah[J]. Bull Anthropol Paris, 1878, 1: 296.

[2] 中国医师协会医学遗传医师分会,中华医学会儿科学分会内分泌遗传代谢学组,中华医学会儿科学分会罕见病学组,中国罕见病联盟软骨发育不全学组,上海市医学会分子诊断专科分会,北京罕见病诊疗与保障学会.软骨发育不全诊断及治疗专家共识[J].中华儿科杂志,2021, 59(7): 545-550.

[3] Shiang R,Thompson LM,Zhu YZ,et a1. Mutations in the transmembrane domain of FGFR3 cause the most common genetic form of dwarfism, a chondroplasia. Cell, 1994. 78(2):3 3 5-42. 

[4] Rousseau F,Bonaventure J,Legeai-Mallet L,et a1. Mutations in the gene encoding fibroblast growth factor receptor-3 in achondroplasia. Nature, 1994.371 (6494): 252-4. 

[5] Baujat G,Legeai-Mallet L,Finidori G,etal. A chondroplasia. Best Pract Res Clin Rheumatol, 2008.22(1):3-18.

[6] Xue Y, Sun A, Mekikian PB, et al. FGFR3 mutation frequency in 324 cases from the International Skeletal Dysplasia Registry. Mol Genet Genomic Med. 2014;2(6): 497 -503.

[7] BaujatG, Legeai MalletL, FinidoriG, etal. A chondroplasia [J]. Best PractResClin Rheumatol, 2008, 22(1): 3 18.

[8] Bellus GA,Hefferon TW,Ortiz de Luna RI,et a1. Achondroplasia is defined by recurrent G3 80R mutations of FGFR3. Am J Hum Genet, 1 995. 56(2):368-73.

[9] Patil SJ,Baneuee M,Phadke SR,et a1.Mutation analysis in Indian children with achondroplasia—utility of molecular diagnosis.Indian J Pediatr, 2009. 76(2):147-9.

[10] Karuppaiah K, Yu K, Lim J, et al. FGF signaling in the osteoprogenitor lineage non-autonomously regulates postnatalchondrocyte proliferation and skeletal growth[J]. Development, 2016, 143(10): 1811-1822.

[11] 施玉婷,巩纯秀.软骨发育不全的诊治研究进展[J].世界临床药物,2020,41(9):733-741.

[12]李琳迪.软骨发育异常及染色体22q11微缺失综合征的临床表现和基因分析[D]. 广西医科大学, 2015:1-86.

[13] Richard M. Pauli. Achondroplasia: a comprehensive clinical review[J]. Orphanet J Rare Dis, 2019, 14(1): 1-49

[14] 张明,赵文双,高智文. FGFR3突变与软骨发育不全的研究进展.中国优生与遗传杂志, 2010.18(5):1-2.

[15] Breinholt VM, Rasmussen CE, Mygind PH, et al. TransCon CNP, a sustained release C type natriuretic peptide prodrug, a potentially safe and efficacious new therapeutic modality for the treatment of comorbidities associated with fibroblast growth factor receptor 

[16] 3-related skeletal dysplasias[J]. J Pharmacol Exp Ther, 2019, 370(3): 459 471.

引用本文

陈星宇, 王爱萍, 周焕珍, 杨宏梅, 郑洪存, 马建英, 先天性软骨发育不全1例报告并文献复习[J]. 国际临床研究杂志, 2023; 7: (6) : 16-21.