2014
DOI: 10.1002/humu.22597
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A Novel Homozygous Mutation in FGFR3 Causes Tall Stature, Severe Lateral Tibial Deviation, Scoliosis, Hearing Impairment, Camptodactyly, and Arachnodactyly

Abstract: Most reported mutations in the FGFR3 gene are dominant activating mutations that cause a variety of short-limbed bone dysplasias including achondroplasia and syndromic craniosynostosis. We report the phenotype and underlying molecular abnormality in two brothers, born to first cousin parents. The clinical picture is characterized by tall stature and severe skeletal abnormalities leading to inability to walk, with camptodactyly, arachnodactyly, and scoliosis. Whole exome sequencing revealed a homozygous novel m… Show more

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Cited by 70 publications
(55 citation statements)
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“…This mutation inactivates the kinase domain and likely confers dominant-negative activity to the receptor. A homozygous mutation in the FGFR3 tyrosine kinase domain (T546K) has also been identified in two siblings with CATSHL from consanguineous parents (Makrythanasis et al 2014). Interestingly, a similar recessive mutation in FGFR3(V700E) in sheep results in spider lamb syndrome, characterized by long limbs, kyphoscoliosis, malformed ribs and sternebrae, Roman noses, lack of body fat, and muscular atrophy (Beever et al 2006).…”
Section: Chondrodysplasia Syndromesmentioning
confidence: 99%
“…This mutation inactivates the kinase domain and likely confers dominant-negative activity to the receptor. A homozygous mutation in the FGFR3 tyrosine kinase domain (T546K) has also been identified in two siblings with CATSHL from consanguineous parents (Makrythanasis et al 2014). Interestingly, a similar recessive mutation in FGFR3(V700E) in sheep results in spider lamb syndrome, characterized by long limbs, kyphoscoliosis, malformed ribs and sternebrae, Roman noses, lack of body fat, and muscular atrophy (Beever et al 2006).…”
Section: Chondrodysplasia Syndromesmentioning
confidence: 99%
“…A recent report has identified an activating FGFR3 mutation in a family with autosomal dominant proportionate short stature 60 . Conversely, heterozygous 61 and homozygous 62 inactivating mutations in FGFR3 have been reported in individuals with tall stature. At the growth plate, FGF signaling through FGFR3 leads to activation of several pathways including the MAPK and JAK/STAT pathways and negatively regulates growth by decreasing proliferation in the proliferative zone, decreasing matrix production, accelerating the onset of hypertrophic differentiation, and decreasing the size of the hypertrophic chondrocytes 53,63–65 .…”
Section: Introductionmentioning
confidence: 99%
“…Loss of function of FGFR3, either globally or specifically in chondrocytes, leads to skeletal overgrowth in mice, sheep and humans (Beever et al, 2006;Colvin et al, 1996;Deng et al, 1996;Makrythanasis et al, 2014;Ornitz and Marie, 2015;Toydemir et al, 2006;Zhou et al, 2015). The inhibitory activity of FGFR3 on growth plate chondrocytes explains the pathogenic consequences of gain-of-function mutations in FGFR3 in suppressing pre-pubertal skeletal growth in achondroplasia and related chondrodysplastic disorders (Laederich and Horton, 2012;Naski et al, 1998Naski et al, , 1996.…”
Section: Introductionmentioning
confidence: 99%