Typical achondroplasia secondary to a unique insertional variant of FGFR3 with in vitro demonstration of its effect on FGFR3 function.

Abstract

We describe an individual in whom clinical and radiographic features are typical for achondroplasia, but in whom the common variants of FGFR3 that result in achondroplasia are absent. Whole exome sequencing demonstrated a novel, de novo 6 base pair tandem duplication in FGFR3 that results in the insertion of Ser-Phe after position Leu324. in vitro studies showed that this variant results in aberrant dimerization, excessive spontaneous phosphorylation of FGFR3 dimers and excessive, ligand-independent tyrosine kinase activity. Together, these data suggest that this variant leads to constitutive disulfide bond-mediated dimerization, and that this, surprisingly, occurs to an extent similar to the neonatal lethal thanatophoric dysplasia type I Ser249Cys variant.

• Authors: April N Meyer, Peggy Modaff, Clark G Wang, Elizabeth Wohler, Nara L Sobreira, Daniel J Donoghue, Richard M Pauli
• Journal: American journal of medical genetics. Part A (Am J Med Genet A) Vol. 185 Issue 3 Pg. 798-805 (03 2021) ISSN: 1552-4833 [Electronic] United States
• PMID: 33368972 (Publication Type: Case Reports, Journal Article, Research Support, N.I.H., Extramural, Research Support, Non-U.S. Gov't)
• Copyright: © 2020 Wiley Periodicals LLC.

Chemical References

• FGFR3 protein, human
• Receptor, Fibroblast Growth Factor, Type 3

Topics

• Achondroplasia (genetics, metabolism, pathology)
• Adolescent
• Adult
• Female
• Humans
• Male
• Mutation
• Phosphorylation
• Prognosis
• Receptor, Fibroblast Growth Factor, Type 3 (genetics, metabolism)
• Signal Transduction