Lifetime impact of achondroplasia: Current evidence and perspectives on the natural history
Achondroplasia, the most common form of disproportionate short stature, is caused by a variant in the fibroblast growth factor receptor 3 (FGFR3) gene. Advances in drug treatment for achondroplasia have underscored the need to better understand the natural history of this condition. This article pro...
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Published in | Bone (New York, N.Y.) Vol. 146; p. 115872 |
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Main Authors | , , , , , , , , , , , , , , , , |
Format | Journal Article |
Language | English |
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United States
Elsevier Inc
01.05.2021
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Abstract | Achondroplasia, the most common form of disproportionate short stature, is caused by a variant in the fibroblast growth factor receptor 3 (FGFR3) gene. Advances in drug treatment for achondroplasia have underscored the need to better understand the natural history of this condition. This article provides a critical review and discussion of the natural history of achondroplasia based on current literature evidence and the perspectives of clinicians with extensive knowledge and practical experience in managing individuals with this diagnosis. This review draws evidence from recent and ongoing longitudinal natural history studies, supplemented with relevant cross-sectional studies where longitudinal research is lacking, to summarize the current knowledge on the nature, incidence, chronology, and interrelationships of achondroplasia-related comorbidities across the lifespan. When possible, data related to adults are presented separately from data specific to children and adolescents. Gaps in knowledge regarding clinical care are identified and areas for future research are recommended and discussed. |
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AbstractList | Achondroplasia, the most common form of disproportionate short stature, is caused by a variant in the fibroblast growth factor receptor 3 (FGFR3) gene. Advances in drug treatment for achondroplasia have underscored the need to better understand the natural history of this condition. This article provides a critical review and discussion of the natural history of achondroplasia based on current literature evidence and the perspectives of clinicians with extensive knowledge and practical experience in managing individuals with this diagnosis. This review draws evidence from recent and ongoing longitudinal natural history studies, supplemented with relevant cross-sectional studies where longitudinal research is lacking, to summarize the current knowledge on the nature, incidence, chronology, and interrelationships of achondroplasia-related comorbidities across the lifespan. When possible, data related to adults are presented separately from data specific to children and adolescents. Gaps in knowledge regarding clinical care are identified and areas for future research are recommended and discussed. |
ArticleNumber | 115872 |
Author | Cheung, Moira S. Tofts, Louise Savarirayan, Ravi Okenfuss, Ericka Ozono, Keiichi Hoover-Fong, Julie Mohnike, Klaus Irving, Melita Offiah, Amaka C. Hecht, Jacqueline T. Raggio, Cathleen Kelly, Dominique Pan, Wayne Ireland, Penny Fano, Virginia Hagenas, Lars Shediac, Renée |
Author_xml | – sequence: 1 givenname: Julie orcidid: 0000-0002-1242-5626 surname: Hoover-Fong fullname: Hoover-Fong, Julie email: jhoover2@jhmi.edu organization: McKusick-Nathans Department of Genetic Medicine, Johns Hopkins University, Baltimore, MD, USA – sequence: 2 givenname: Moira S. surname: Cheung fullname: Cheung, Moira S. organization: Guy's and St. Thomas' NHS Foundation Trust, Evelina Children's Hospital, London, UK – sequence: 3 givenname: Virginia orcidid: 0000-0003-3311-2220 surname: Fano fullname: Fano, Virginia organization: Department of Growth and Development, Hospital Garrahan, Buenos Aires, Argentina – sequence: 4 givenname: Lars surname: Hagenas fullname: Hagenas, Lars organization: Karolinska Institute, Division of Pediatric Endocrinology, Department of Women's and Children's Health, Stockholm, Sweden – sequence: 5 givenname: Jacqueline T. surname: Hecht fullname: Hecht, Jacqueline T. organization: University of Texas, Houston, McGovern Medical School, Department of Pediatrics, Houston, TX, USA – sequence: 6 givenname: Penny surname: Ireland fullname: Ireland, Penny organization: Queensland Paediatric Rehabilitation Service, Queensland Children's Hospital, Brisbane, Queensland, Australia – sequence: 7 givenname: Melita surname: Irving fullname: Irving, Melita organization: Guy's and St. Thomas' NHS Foundation Trust, Evelina Children's Hospital, London, UK – sequence: 8 givenname: Klaus orcidid: 0000-0001-5113-8657 surname: Mohnike fullname: Mohnike, Klaus organization: Otto-von-Guericke-University Magdeburg, Department of Pediatrics, Magdeburg, Germany – sequence: 9 givenname: Amaka C. surname: Offiah fullname: Offiah, Amaka C. organization: Department of Oncology & Metabolism, University of Sheffield, Sheffield, UK – sequence: 10 givenname: Ericka orcidid: 0000-0002-9757-8508 surname: Okenfuss fullname: Okenfuss, Ericka organization: Kaiser Permanente - Sacramento Medical Center, Department of Genetics, Sacramento, CA, USA – sequence: 11 givenname: Keiichi orcidid: 0000-0002-6517-8825 surname: Ozono fullname: Ozono, Keiichi organization: Osaka University Graduate School of Medicine, Department of Pediatrics, Osaka, Japan – sequence: 12 givenname: Cathleen surname: Raggio fullname: Raggio, Cathleen organization: Hospital for Special Surgery, Pediatric Orthopedic Surgery Service, New York, NY, USA – sequence: 13 givenname: Louise orcidid: 0000-0002-3961-0493 surname: Tofts fullname: Tofts, Louise organization: Kids Rehab, The Children's Hospital at Westmead, Westmead, NSW, Australia – sequence: 14 givenname: Dominique surname: Kelly fullname: Kelly, Dominique organization: BioMarin Pharmaceutical Inc., Global Medical Affairs, Novato, CA, USA – sequence: 15 givenname: Renée orcidid: 0000-0001-6468-7866 surname: Shediac fullname: Shediac, Renée organization: BioMarin Pharmaceutical Inc., Global Medical Affairs, Novato, CA, USA – sequence: 16 givenname: Wayne orcidid: 0000-0002-9530-4984 surname: Pan fullname: Pan, Wayne organization: BioMarin Pharmaceutical Inc., Global Medical Affairs, Novato, CA, USA – sequence: 17 givenname: Ravi orcidid: 0000-0002-5105-8427 surname: Savarirayan fullname: Savarirayan, Ravi organization: Murdoch Children's Research Institute, Royal Children's Hospital, University of Melbourne, Parkville, Victoria, Australia |
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Keywords | Achondroplasia Genu varum Fibroblast growth factor receptor 3 (FGFR3) Skeletal dysplasia Foramen magnum stenosis Natural history Cervicomedullary decompression |
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SubjectTerms | Achondroplasia Cervicomedullary decompression Fibroblast growth factor receptor 3 (FGFR3) Foramen magnum stenosis Genu varum Medicin och hälsovetenskap Natural history Skeletal dysplasia |
Title | Lifetime impact of achondroplasia: Current evidence and perspectives on the natural history |
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