Achondroplasia: aligning mouse model with human clinical studies shows crucial importance of immediate postnatal start of the therapy

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Authors

RICO LLANOS Gustavo SPOUTIL Frantisek BLAHOVÁ Eva KOUDELKA Adolf PROCHAZKOVA Michaela CZYREK Aleksandra Anna FAFÍLEK Bohumil PROCHAZKA Jan GONZÁLEZ LÓPEZ Marcos KŘIVÁNEK Jan SEDLACEK Radislav KRAKOW Deborah NONAKA Yosuke NAKAMURA Yoshikazu KREJČÍ Pavel

Year of publication 2024
Type Article in Periodical
Magazine / Source Journal of bone and mineral research
MU Faculty or unit

Faculty of Medicine

Citation
web https://academic.oup.com/jbmr/article/39/12/1783/7826674?login=true
Doi http://dx.doi.org/10.1093/jbmr/zjae173
Keywords achondroplasia; Fgfr3; fibroblast growth factor; treatment; postnatal; infigratinib
Attached files
Description The article provides clear evidence that achondroplasia should be treated immediately after birth, not only to increase height (appendicular growth), but more importantly to prevent defective cranial skeletogenesis and associated severe neurological complications. Although later treatment promotes growth of the long bones (achondroplasia patients grow taller), the defective head skeleton that forms before and/or early after birth cannot be restored if therapy is not started immediately after birth. We also describe the limitations of postnatal treatment and make a strong case for the development of prenatal therapy for achondroplasia, which appears necessary for a comprehensive treatment of this condition.
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