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Acromicric Dysplasia Caused by a Novel Heterozygous Mutation of FBN1 and Effects of Growth Hormone Treatment

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초록

Dear Editor, Acromicric dysplasia (AD, MIM 102370) is a rare skeletal dysplasia characterized by severe short stature, short hands and feet, normal intelligence, and mild facial dysmorphism [1]. The radiological manifestations of AD include delayed bone age, cone-shaped epiphyses, internal notch of the femoral head, short metacarpals, and short phalanges [2]. Recently, missense mutations clustered in exons 41 and 42 in the transforming growth factor-β binding-protein-like domain 5 (TB5) of FBN1 were identified as causative mutations for AD [2, 3]. Here, we present the clinical and radiographic findings and effects of recombinant human growth hormone (rhGH) treatment for 3.5 yr in a child with AD, which was confirmed by identification of a novel mutation in FBN1.

Abstract

Dear Editor, Acromicric dysplasia (AD, MIM 102370) is a rare skeletal dysplasia characterized by severe short stature, short hands and feet, normal intelligence, and mild facial dysmorphism [1]. The radiological manifestations of AD include delayed bone age, cone-shaped epiphyses, internal notch of the femoral head, short metacarpals, and short phalanges [2]. Recently, missense mutations clustered in exons 41 and 42 in the transforming growth factor-β binding-protein-like domain 5 (TB5) of FBN1 were identified as causative mutations for AD [2, 3]. Here, we present the clinical and radiographic findings and effects of recombinant human growth hormone (rhGH) treatment for 3.5 yr in a child with AD, which was confirmed by identification of a novel mutation in FBN1.

참고문헌 (10)

  1. Faivre L, "Acromicric dysplasia: long term outcome and evidence of autosomal dominant inheritance", J Med Genet, 38, pp.745~749 (2001)
  2. Le Goff C, "Mutations in the TGFβ binding-protein-like domain 5 of FBN1 are responsible for acromicric and geleophysic dysplasias", Am J Hum Genet, 89, pp.7~14 (2011)
  3. Cain SA, "Fibrillin-1 mutations causing Weill-Marchesani syndrome and acromicric and geleophysic dysplasias disrupt heparan sulfate interactions", PLoS One, 7, pp.e48634~ (2012)
  4. Wang Y, "Three novel mutations of the FBN1 gene in Chinese children with acromelic dysplasia", J Hum Genet, 59, pp.563~567 (2014)
  5. Superti-Furga A, "Nosology and classification of genetic skeletal disorders: 2006 revision", Am J Med Genet A, 143A, pp.1~18 (2007)
  6. Le Goff C, "ADAMTSL2 mutations in geleophysic dysplasia demonstrate a role for ADAMTS-like proteins in TGF-beta bioavailability regulation", Nat Genet, 40, pp.1119~1123 (2008)
  7. Faivre L, "In frame fibrillin-1 gene deletion in autosomal dominant Weill-Marchesani syndrome", J Med Genet, 40, pp.34~36 (2003)
  8. Le Goff C, "Genetic and molecular aspects of acromelic dysplasia", Pediatr Endocrinol Rev, 6, pp.418~423 (2009)
  9. Faivre L, "Clinical homogeneity and genetic heterogeneity in Weill-Marchesani syndrome", Am J Med Genet A, 123A, pp.204~207 (2003)
  10. Hagenäs L, "Skeletal dysplasia, growth hormone treatment and body proportion: comparison with other syndromic and non-syndromic short children", Horm Res, 60(S3), pp.65~70 (2003)

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