Savarirayan Ravi, Hoover-Fong Julie, Yap Patrick, Fredwall Svein O
Murdoch Children's Research Institute, Parkville, VIC, Australia; University of Melbourne, Melbourne, VIC, Australia.
Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Lancet Child Adolesc Health. 2024 Apr;8(4):301-310. doi: 10.1016/S2352-4642(23)00310-3.
Achondroplasia is the most common form of dwarfism in humans, caused by a common pathogenic variant in the gene encoding fibroblast growth factor receptor 3, FGFR3, which impairs the process of endochondral ossification of the growing skeleton. In this Review, we outline the clinical and genetic hallmarks of achondroplasia and related FGFR3 conditions, the natural history and impact of achondroplasia over a patient's lifespan, and diagnosis and management options. We then focus on the new and emerging drug therapies that target the underlying pathogenesis of this condition. These new options are changing the natural growth patterns of achondroplasia, with the prospect of better long-term health outcomes for patients.
软骨发育不全是人类最常见的侏儒症形式,由编码成纤维细胞生长因子受体3(FGFR3)的基因中的常见致病变异引起,该变异会损害正在生长的骨骼的软骨内骨化过程。在本综述中,我们概述了软骨发育不全及相关FGFR3疾病的临床和遗传特征、软骨发育不全在患者一生中的自然病程和影响,以及诊断和管理方案。然后,我们重点关注针对该疾病潜在发病机制的新型和新兴药物疗法。这些新选择正在改变软骨发育不全的自然生长模式,有望为患者带来更好的长期健康结果。