論文

査読有り
2017年12月1日

Circulatory CNP Rescues Craniofacial Hypoplasia in Achondroplasia

Journal of Dental Research
  • S. Yamanaka
  • Kazumasa Nakao
  • N. Koyama
  • Y. Isobe
  • Y. Ueda
  • Y. Kanai
  • E. Kondo
  • T. Fujii
  • M. Miura
  • A. Yasoda
  • Kazuwa Nakao
  • K. Bessho
  • 全て表示

96
13
開始ページ
1526
終了ページ
1534
記述言語
掲載種別
研究論文(学術雑誌)
DOI
10.1177/0022034517716437

© 2017, © International & American Associations for Dental Research 2017. Achondroplasia is the most common genetic form of human dwarfism, characterized by midfacial hypoplasia resulting in occlusal abnormality and foramen magnum stenosis, leading to serious neurologic complications and hydrocephalus. Currently, surgery is the only way to manage jaw deformity, neurologic complications, and hydrocephalus in patients with achondroplasia. We previously showed that C-type natriuretic peptide (CNP) is a potent stimulator of endochondral bone growth of long bones and vertebrae and is also a potent stimulator in the craniofacial region, which is crucial for midfacial skeletogenesis. In this study, we analyzed craniofacial morphology in a mouse model of achondroplasia, in which fibroblast growth factor receptor 3 (FGFR3) is specifically activated in cartilage (Fgfr3ach mice), and investigated the mechanisms of jaw deformities caused by this mutation. Furthermore, we analyzed the effect of CNP on the maxillofacial area in these animals. Fgfr3ach mice exhibited midfacial hypoplasia, especially in the sagittal direction, caused by impaired endochondral ossification in craniofacial cartilage and by premature closure of the spheno-occipital synchondrosis, an important growth center in craniomaxillofacial skeletogenesis. We crossed Fgfr3ach mice with transgenic mice in which CNP is expressed in the liver under the control of the human serum amyloid-P component promoter, resulting in elevated levels of circulatory CNP (Fgfr3ach/SAP-Nppc-Tg mice). In the progeny, midfacial hypoplasia in the sagittal direction observed in Fgfr3ach mice was improved significantly by restoring the thickness of synchondrosis and promoting proliferation of chondrocytes in the craniofacial cartilage. In addition, the foramen magnum stenosis observed in Fgfr3ach mice was significantly ameliorated in Fgfr3ach/SAP-Nppc-Tg mice due to enhanced endochondral bone growth of the anterior intraoccipital synchondrosis. These results clearly demonstrate the therapeutic potential of CNP for treatment of midfacial hypoplasia and foramen magnum stenosis in achondroplasia.

リンク情報
DOI
https://doi.org/10.1177/0022034517716437
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/28644737
Scopus
https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85034757016&origin=inward
Scopus Citedby
https://www.scopus.com/inward/citedby.uri?partnerID=HzOxMe3b&scp=85034757016&origin=inward
ID情報
  • DOI : 10.1177/0022034517716437
  • ISSN : 0022-0345
  • eISSN : 1544-0591
  • PubMed ID : 28644737
  • SCOPUS ID : 85034757016

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