成纤维细胞生长因子受体3(FGFR3)通过丝裂原活化蛋白激酶(MAPK)信号通路促进骺软骨联合闭合及骨化中心融合。
FGFR3 promotes synchondrosis closure and fusion of ossification centers through the MAPK pathway.
作者信息
Matsushita Takehiko, Wilcox William R, Chan Yuk Yu, Kawanami Aya, Bükülmez Hülya, Balmes Gener, Krejci Pavel, Mekikian Pertchoui B, Otani Kazuyuki, Yamaura Isakichi, Warman Matthew L, Givol David, Murakami Shunichi
机构信息
Department of Orthopaedics, Case Western Reserve University, 10900 Euclid Avenue, Cleveland, OH 44106, USA.
出版信息
Hum Mol Genet. 2009 Jan 15;18(2):227-40. doi: 10.1093/hmg/ddn339. Epub 2008 Oct 15.
Activating mutations in FGFR3 cause achondroplasia and thanatophoric dysplasia, the most common human skeletal dysplasias. In these disorders, spinal canal and foramen magnum stenosis can cause serious neurologic complications. Here, we provide evidence that FGFR3 and MAPK signaling in chondrocytes promote synchondrosis closure and fusion of ossification centers. We observed premature synchondrosis closure in the spine and cranial base in human cases of homozygous achondroplasia and thanatophoric dysplasia as well as in mouse models of achondroplasia. In both species, premature synchondrosis closure was associated with increased bone formation. Chondrocyte-specific activation of Fgfr3 in mice induced premature synchondrosis closure and enhanced osteoblast differentiation around synchondroses. FGF signaling in chondrocytes increases Bmp ligand mRNA expression and decreases Bmp antagonist mRNA expression in a MAPK-dependent manner, suggesting a role for Bmp signaling in the increased bone formation. The enhanced bone formation would accelerate the fusion of ossification centers and limit the endochondral bone growth. Spinal canal and foramen magnum stenosis in heterozygous achondroplasia patients, therefore, may occur through premature synchondrosis closure. If this is the case, then any growth-promoting treatment for these complications of achondroplasia must precede the timing of the synchondrosis closure.
FGFR3激活突变可导致软骨发育不全和致死性骨发育不良,这是人类最常见的骨骼发育异常。在这些疾病中,椎管和枕骨大孔狭窄可导致严重的神经并发症。在此,我们提供证据表明软骨细胞中的FGFR3和MAPK信号通路促进软骨联合闭合和骨化中心融合。我们在纯合子软骨发育不全和致死性骨发育不良的人类病例以及软骨发育不全的小鼠模型中观察到脊柱和颅底的软骨联合过早闭合。在这两个物种中,软骨联合过早闭合均与骨形成增加有关。小鼠软骨细胞特异性激活Fgfr3可诱导软骨联合过早闭合,并增强软骨联合周围的成骨细胞分化。软骨细胞中的FGF信号以MAPK依赖的方式增加Bmp配体mRNA表达并降低Bmp拮抗剂mRNA表达,提示Bmp信号在增加的骨形成中起作用。增强的骨形成会加速骨化中心融合并限制软骨内骨生长。因此,杂合子软骨发育不全患者的椎管和枕骨大孔狭窄可能是通过软骨联合过早闭合发生的。如果是这样,那么针对软骨发育不全这些并发症的任何促进生长的治疗都必须在软骨联合闭合之前进行。