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Coll G, El Ouadih Y, Abed Rabbo F, Jecko V, Sakka L, Di Rocco F. Hydrocephalus and Chiari malformation pathophysiology in FGFR2-related faciocraniosynostosis: A review. Neurochirurgie 2019; 65:264-268. [PMID: 31525395 DOI: 10.1016/j.neuchi.2019.09.001] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2019] [Revised: 08/25/2019] [Accepted: 09/03/2019] [Indexed: 11/20/2022]
Abstract
BACKGROUND Patients with syndromic faciocraniosynostosis due to the mutation of the fibroblast growth factor receptor (FGFR) 2 gene present premature fusion of the coronal sutures and of the cranial base synchondrosis. Cerebrospinal fluid (CSF) circulation disorders and cerebellar tonsil prolapse are frequent findings in faciocraniosynostosis. OBJECTIVE We reviewed the medical literature on the pathophysiological mechanisms of CSF disorders such as hydrocephalus and of cerebellar tonsil prolapse in FGFR2-related faciocraniosynostosis. DISCUSSION Different pathophysiological theories have been proposed, but none elucidated all the symptoms present in Apert, Crouzon and Pfeiffer syndromes. The first theory that addressed CSF circulation disruption was the constrictive theory (cephalocranial disproportion): cerebellum and brain stem are constricted by the small volume of the posterior fossa. The second theory proposed venous hyperpressure due to jugular foramens stenosis. The most recent theory proposed a pressure differential between CSF in the posterior fossa and in the vertebral canal, due to foramen magnum stenosis.
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Affiliation(s)
- G Coll
- Service de Neurochirurgie, CHU Clermont-Ferrand, 63000 Clermont-Ferrand, France; Université Clermont Auvergne, CNRS, SIGMA, Institut Pascal, Clermont-Ferrand, France.
| | - Y El Ouadih
- Service de Neurochirurgie, CHU Clermont-Ferrand, 63000 Clermont-Ferrand, France
| | - F Abed Rabbo
- Service de Neurochirurgie, CHU Clermont-Ferrand, 63000 Clermont-Ferrand, France
| | - V Jecko
- Service de Neurochirurgie, CHU Bordeaux, Bordeaux, France
| | - L Sakka
- Service de Neurochirurgie, CHU Clermont-Ferrand, 63000 Clermont-Ferrand, France; Laboratoire d'Anatomie et d'Organogenèse, Laboratoire de Biophysique Sensorielle, NeuroDol, Faculté de Médecine, Université Clermont Auvergne, 63000 Clermont-Ferrand, France
| | - F Di Rocco
- Service de Neurochirurgie Pédiatrique, Hôpital Femme Mère Enfant, Lyon, France; Université Claude Bernard, INSERM 1033, Lyon, France
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Hines EA, Jones MKN, Harvey JF, Perlyn C, Ornitz DM, Sun X, Verheyden JM. Crouzon syndrome mouse model exhibits cartilage hyperproliferation and defective segmentation in the developing trachea. SCIENCE CHINA-LIFE SCIENCES 2019; 62:1375-1380. [PMID: 31463736 DOI: 10.1007/s11427-019-9568-x] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/20/2019] [Accepted: 05/16/2019] [Indexed: 12/30/2022]
Abstract
Crouzon syndrome is the result of a gain-of-function point mutation in FGFR2. Mimicking the human mutation, a mouse model of Crouzon syndrome (Fgfr2342Y) recapitulates patient deformities, including failed tracheal cartilage segmentation, resulting in a cartilaginous sleeve in the homozygous mutants. We found that the Fgfr2C342Y/C342Y mutants exhibited an increase in chondrocytes prior to segmentation. This increase is due at least in part to over proliferation. Genetic ablation of chondrocytes in the mutant led to restoration of segmentation in the lateral but not central portion of the trachea. These results suggest that in the Fgfr2C342Y/C342Y mutants, increased cartilage cell proliferation precedes and contributes to the disruption of cartilage segmentation in the developing trachea.
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Affiliation(s)
- Elizabeth A Hines
- Laboratory of Genetics, University of Wisconsin, Madison, WI, 53706, USA
| | - Mary-Kayt N Jones
- Laboratory of Genetics, University of Wisconsin, Madison, WI, 53706, USA
| | - Julie F Harvey
- Laboratory of Genetics, University of Wisconsin, Madison, WI, 53706, USA
| | - Chad Perlyn
- Department of Surgery, Florida International University College of Medicine, Miami, FL, 33199, USA
| | - David M Ornitz
- Department of Developmental Biology, Washington University School of Medicine, St. Louis, MO, 63110, USA
| | - Xin Sun
- Laboratory of Genetics, University of Wisconsin, Madison, WI, 53706, USA. .,Department of Pediatrics, University of California-San Diego, La Jolla, CA, 92093, USA.
| | - Jamie M Verheyden
- Laboratory of Genetics, University of Wisconsin, Madison, WI, 53706, USA. .,Department of Pediatrics, University of California-San Diego, La Jolla, CA, 92093, USA.
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Li J, Li S. The Phenotypes of Spheno-Occipital Synchondrosis in Patients With Crouzon Syndrome. J Craniofac Surg 2016; 27:1244-6. [DOI: 10.1097/scs.0000000000002732] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
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Stichelbout M, Dieux-Coeslier A, Clouqueur E, Collet C, Petit F. A new case of bent bone dysplasia--FGFR2 type and review of the literature. Am J Med Genet A 2015; 170:785-9. [PMID: 26573129 DOI: 10.1002/ajmg.a.37473] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2015] [Accepted: 10/30/2015] [Indexed: 11/09/2022]
Affiliation(s)
- Morgane Stichelbout
- Service d' Anatomie-Pathologie, Centre de Biologie Pathologie, CHU Lille, France
| | | | - Elodie Clouqueur
- Service de Gynécologie-Obstétrique, Hôpital Jeanne de Flandre, CHU Lille, France
| | - Corinne Collet
- Service de Biochimie et Biologie Moléculaire, Hôpital Lariboisière, CHU Paris, France
| | - Florence Petit
- Service de Génétique Clinique, Hôpital Jeanne de Flandre, CHU Lille, France
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