Longitudinal Imaging of the Skull Base Synchondroses Demonstrate Prevention of a Premature Ossification After Recifercept Treatment in Mouse Model of Achondroplasia

Bibliographic Details
Title: Longitudinal Imaging of the Skull Base Synchondroses Demonstrate Prevention of a Premature Ossification After Recifercept Treatment in Mouse Model of Achondroplasia
Authors: Guylene Rignol, Stephanie Garcia, Florence Authier, Kaamula Smith, Lionel Tosello, Raphael Marsault, Pierre Dellugat, Diogo Goncalves, Marlene Brouillard, Jeffrey Stavenhagen, Luca Santarelli, Christian Czech, Elvire Gouze
Source: JBMR Plus, Vol 6, Iss 2, Pp n/a-n/a (2022)
Publisher Information: Oxford University Press, 2022.
Publication Year: 2022
Collection: LCC:Orthopedic surgery
LCC:Diseases of the musculoskeletal system
Subject Terms: ACHONDROPLASIA, CHONDROCYTE, FIBROBLAST GROWTH FACTOR RECEPTOR 3, RECIFERCEPT, SYNCHONDROSES, Orthopedic surgery, RD701-811, Diseases of the musculoskeletal system, RC925-935
More Details: ABSTRACT Achondroplasia is the most common form of short‐limb dwarfism. In this disorder, endochondral ossification is impaired due to gain‐of‐function mutation in the Fibroblast Growth Factor Receptor 3 (FGFR3) gene. In addition to short limbs, cranial base bones are also affected leading to shortening of the skull base and to serious neurological complications associated with foramen magnum stenosis. These complications are thought to be due to the delay or premature arrest of skull base growth, caused by an accelerated ossification of the sphenooccipital (SOS) and the intraoccipital (IOS) synchondroses. Skull synchondroses consist of two opposite growth plates sharing a common reserve zone of chondrocytes. In this study, we first characterized the skull base synchondroses ossification in a mouse model of achondroplasia carrying the human G380R mutation (Fgfr3ach/+). We then addressed whether Recifercept, a soluble FGFR3, could prevent premature closure of these synchondroses. Postnatal radiological observations revealed the presence of bony bridge structures in one or more synchondroses in Fgfr3ach/+ mice as early as postnatal day 3 in the most severe cases. The presence of early ossification correlated with the severity of the disease as it was associated with an arrest of the cranial base bone growth. Histological analyses indicated changes in the synchondroses structure and matrix proteoglycan contents confirming a process of ossification. Treatment of Fgfr3ach/+ mice with Recifercept compared with vehicle prevented premature synchondrosis ossification and the transition to bone, resulting in improved skull shape and cranium ratio. Given the impact of Recifercept on synchondrosis inactivation, it is possible that it could prevent one of the most severe complication of achondroplasia if used early enough during bone development. These data support the clinical development of Recifercept for achondroplasia, and suggests that early treatment may be required to best address impaired endochondral bone growth. © 2021 The Authors. JBMR Plus published by Wiley Periodicals LLC on behalf of American Society for Bone and Mineral Research.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 2473-4039
Relation: https://doaj.org/toc/2473-4039
DOI: 10.1002/jbm4.10568
Access URL: https://doaj.org/article/0694d4e1fd514fcb869434c60bf8dea9
Accession Number: edsdoj.0694d4e1fd514fcb869434c60bf8dea9
Database: Directory of Open Access Journals
More Details
ISSN:24734039
DOI:10.1002/jbm4.10568
Published in:JBMR Plus
Language:English