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Int J Biol Sci 2017; 13(12):1479-1488. doi:10.7150/ijbs.22373

Review

Fibroblast Growth Factor Receptor 2 (FGFR2) Mutation Related Syndromic Craniosynostosis

Saïd C. Azoury1, Sashank Reddy2, Vivek Shukla3✉, Chu-Xia Deng4✉

1. Department of Surgery, The Johns Hopkins Hospital, Baltimore, MD, USA;
2. Department of Plastic and Reconstructive Surgery, The Johns Hopkins Hospital, Baltimore, MD, USA;
3. TGIB, NCI, National Institutes of Health, Bethesda, MD, USA;
4. Faculty of Health Sciences, University of Macau, Macau SAR, China.

Abstract

Craniosynostosis results from the premature fusion of cranial sutures, with an incidence of 1 in 2,100-2,500 live births. The majority of cases are non-syndromic and involve single suture fusion, whereas syndromic cases often involve complex multiple suture fusion. The fibroblast growth factor receptor 2 (FGFR2) gene is perhaps the most extensively studied gene that is mutated in various craniosynostotic syndromes including Crouzon, Apert, Pfeiffer, Antley-Bixler, Beare-Stevenson cutis gyrata, Jackson-Weiss, Bent Bone Dysplasia, and Seathre-Chotzen-like syndromes. The majority of these mutations are missense mutations that result in constitutive activation of the receptor and downstream molecular pathways. Treatment involves a multidisciplinary approach with ultimate surgical fixation of the cranial deformity to prevent further sequelae. Understanding the molecular mechanisms has allowed for the investigation of different therapeutic agents that can potentially be used to prevent the disorders. Further research efforts are need to better understand screening and effective methods of early intervention and prevention. Herein, the authors provide a comprehensive update on FGFR2-related syndromic craniosynostosis.

Keywords: Fibroblast Growth Factor Receptor, Mutations, Syndromic, Craniosynostosis.

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How to cite this article:
Azoury SC, Reddy S, Shukla V, Deng CX. Fibroblast Growth Factor Receptor 2 (FGFR2) Mutation Related Syndromic Craniosynostosis. Int J Biol Sci 2017; 13(12):1479-1488. doi:10.7150/ijbs.22373. Available from http://www.ijbs.com/v13p1479.htm