Home Clinical and radiologic evaluation of a Turkish family with hypochondroplasia and a rare FGFR3 variant
Article
Licensed
Unlicensed Requires Authentication

Clinical and radiologic evaluation of a Turkish family with hypochondroplasia and a rare FGFR3 variant

  • Sadiye Ekinci EMAIL logo , Yasemin Ülger , Mustafa Oğuz Acar , Ayşegül Ceran , Zehra Aycan , Ömer Suat Fitoz and Hatice Ilgın Ruhi
Published/Copyright: April 20, 2022

Abstract

Objectives

Hypochondroplasia (HCH) is characterized by disproportionate short stature and regarded as a milder form of achondroplasia (ACH), which is another skeletal dysplasia, both caused by variants in fibroblast growth factor receptor 3 (FGFR3) gene. HCH diagnosis is based on the clinical features and skeletal survey findings. The most common FGFR3 variant in HCH affects the codon 540, leading to substitution of asparagine with lysine in about 70% of patients.

Case presentation

Herein, we described the clinical and radiographical manifestations of HCH in affected members of a Turkish family with very rare Asn540Thr (c.1619A>C) variant within hot spot of the gene for this condition.

Conclusions

This is a very rarely reported variant in the literature and this report is the first case with this variant in Turkish population. The report also presents the phenotypic variability within a family with the same variant, which is inherent to HCH.


Corresponding author: Sadiye Ekinci, MD, Medical Genetics Department, Ankara University School of Medicine, Morfology Building, Ahmet Adnan Saygun Street, No:35, 06230 Altındağ, Ankara, Turkey, E-mail:

Acknowledgments

We thank the family members who participated in this case study.

  1. Research funding: None declared.

  2. Author contribution: All authors have accepted responsibility for the entire content of this manuscript and approved its submission.

  3. Competing interests: Authors state no conflict of interest.

  4. Informed consent: Informed consent was obtained from all individuals included in this study.

  5. Ethical approval: Ethics Committee approval is not required for this case report.

References

1. Wen, X, Li, X, Tang, Y, Tang, J, Zhou, S, Xie, Y, et al.. Chondrocyte FGFR3 regulates bone mass by inhibiting osteogenesis. J Biol Chem 2016;291:24912–21. https://doi.org/10.1074/jbc.m116.730093.Search in Google Scholar

2. Chang, IJ, Sun, A, Bouchard, ML, Kamps, SE, Hale, S, Done, S, et al.. Novel phenotype of achondroplasia due to biallelic FGFR3 pathogenic variants. Am J Med Genet 2018;176:1675–9. https://doi.org/10.1002/ajmg.a.38839.Search in Google Scholar

3. Deng, C, Wynshaw-Boris, A, Zhou, F, Kuo, A, Leder, P. Fibroblast growth factor receptor 3 is a negative regulator of bone growth. Cell 1996;84:911–21. https://doi.org/10.1016/s0092-8674(00)81069-7.Search in Google Scholar

4. Xue, Y, Sun, A, Mekikian, PB, Martin, J, Rimoin, DL, Lachman, RS, et al.. FGFR3 mutation frequency in 324 cases from the international skeletal dysplasia registry. Mol Genet Genomic Med 2014;2:497–503. https://doi.org/10.1002/mgg3.96.Search in Google Scholar PubMed PubMed Central

5. Ornitz, DM, Itoh, N. The fibroblast growth factor signaling pathway. Wiley Interdiscip Rev Dev Biol 2015;4:215–66. https://doi.org/10.1002/wdev.176.Search in Google Scholar PubMed PubMed Central

6. Camera, G, Baldi, M, Strisciuglio, G, Concolino, D, Mastroiacovo, P, Baffico, M. Occurrence of thanatophoric dysplasia type I (R248C) and hypochondroplasia (N540K) mutations in two patients with achondroplasia phenotype. Am J Med Genet 2001;104:277–81. https://doi.org/10.1002/ajmg.10092.Search in Google Scholar PubMed

7. Grigelioniené, G, Eklöf, O, Laurencikas, E, Ollars, B, Hertel, NT, Dumanski, JP, et al.. L. Asn540Lys mutation in fibroblast growth factor receptor 3 and phenotype in hypochondroplasia. Acta Paediatr 2000;89:1072–6.10.1111/j.1651-2227.2000.tb03353.xSearch in Google Scholar

8. Bocharov, EV, Lesovoy, DM, Goncharuk, SA, Goncharuk, MV, Hristova, K, Arseniev, AS. Structure of FGFR3 transmembrane domain dimer: implications for signaling and human pathologies. Structure 2013;21:2087–93. https://doi.org/10.1016/j.str.2013.08.026.Search in Google Scholar PubMed PubMed Central

9. Korkmaz, HA, Hazan, F, Dizdarer, C, Tükün, A. Hypochondroplasia in a child with 1620C>G (Asn540Lys) mutation in FGFR3. J Clin Res Pediatr Endocrinol 2012;4:220–2. https://doi.org/10.4274/jcrpe.787.Search in Google Scholar PubMed PubMed Central

10. Bengur, FB, Ekmekci, CG, Karaarslan, E, Gunoz, H, Alanay, Y. p.Ser348Cys mutation in FGFR3 gene leads to “Mild ACH/Severe HCH” phenotype. Eur J Med Genet 2020;63:103659. https://doi.org/10.1016/j.ejmg.2019.04.016.Search in Google Scholar PubMed

11. Deutz-Terlouw, PP, Losekoot, M, Aalfs, CM, Hennekam, RC, Bakker, E. Asn540Thr substitution in the fibroblast growth factor receptor 3 tyrosine kinase domain causing hypochondroplasia. Hum Mutat 1998:S62–5. https://doi.org/10.1002/humu.1380110122.Search in Google Scholar PubMed


Supplementary Material

The online version of this article offers supplementary material (https://doi.org/10.1515/jpem-2021-0773).


Received: 2021-12-27
Revised: 2022-03-07
Accepted: 2022-03-28
Published Online: 2022-04-20
Published in Print: 2022-08-26

© 2022 Walter de Gruyter GmbH, Berlin/Boston

Articles in the same Issue

  1. Frontmatter
  2. Review Article
  3. Effects of vitamin D supplementation on glycemic control of children and adolescents with type 1 diabetes mellitus: a systematic review
  4. Original Articles
  5. A preliminary study on the relationship between environmental endocrine disruptors and precocious puberty in girls
  6. Tissue concentration of aldosterone in fetal adrenals of intrauterine death cases
  7. Complications of orthopedic treatment in patients diagnosed with X-linked hypophosphatemic rickets
  8. Comparison of insulin sensitivity indices for detection of double diabetes in Indian adolescents with type 1 diabetes
  9. Evaluation of the growth and nutritional status of preschool children: a pilot study in the cold area of China
  10. Arterial hypertension is associated with an increased risk of metabolic complications in pediatric patient with obesity
  11. From pregnancy to breastfeeding: adequate maternal body mass index is essential to prevent a high body mass index in your children
  12. Screening of non-syndromic early-onset child and adolescent obese patients in terms of LEP, LEPR, MC4R and POMC gene variants by next-generation sequencing
  13. The association between vitamin B12, folate, homocysteine levels, and carotid intima-media thickness in children with obesity: a cross-sectional study
  14. Comprehensive assessment of cardiovascular disease risk in children with short stature due to isolated growth hormone deficiency: a case-control study
  15. Visceral adiposity is related to insulin sensitivity and inflammation in adolescents with obesity and mild sleep disordered breathing
  16. Recurrent hypoglycemic seizure as a presenting symptom of post-TBI hypopituitarism in children: a case report, review and proposed protocol
  17. Evaluation of the etiological and clinical characteristics of pediatric central diabetes insipidus
  18. Case Reports
  19. Clinical and radiologic evaluation of a Turkish family with hypochondroplasia and a rare FGFR3 variant
  20. Rituximab therapy in ROHHAD(NET) syndrome
  21. Ectopic parathyroid hormone as a rare aetiology of hypercalcemia with rhabdomyosarcoma: a new treatment strategy with zoledronic acid and Denosumab
  22. A 2-bp deletion mutation in SMPD1 gene leading to lysosomal acid sphingomyelinase deficiency in a Chinese consanguineous pedigree
Downloaded on 9.9.2025 from https://www.degruyterbrill.com/document/doi/10.1515/jpem-2021-0773/html
Scroll to top button