Postnatal soluble FGFR3 therapy rescues achondroplasia symptoms and restores bone growth in mice

Sci Transl Med. 2013 Sep 18;5(203):203ra124. doi: 10.1126/scitranslmed.3006247.

Abstract

Achondroplasia is a rare genetic disease characterized by abnormal bone development, resulting in short stature. It is caused by a single point mutation in the gene coding for fibroblast growth factor receptor 3 (FGFR3), which leads to prolonged activation upon ligand binding. To prevent excessive intracellular signaling and rescue the symptoms of achondroplasia, we have developed a recombinant protein therapeutic approach using a soluble form of human FGFR3 (sFGFR3), which acts as a decoy receptor and prevents FGF from binding to mutant FGFR3. sFGFR3 was injected subcutaneously to newborn Fgfr3(ach/+) mice-the mouse model of achondroplasia-twice per week throughout the growth period during 3 weeks. Effective maturation of growth plate chondrocytes was restored in bones of treated mice, with a dose-dependent enhancement of skeletal growth in Fgfr3(ach/+) mice. This resulted in normal stature and a significant decrease in mortality and associated complications, without any evidence of toxicity. These results describe a new approach for restoring bone growth and suggest that sFGFR3 could be a potential therapy for children with achondroplasia and related disorders.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Achondroplasia / drug therapy*
  • Animals
  • Bone Development / drug effects*
  • Female
  • Humans
  • Male
  • Mice
  • Receptor, Fibroblast Growth Factor, Type 3 / therapeutic use*
  • Signal Transduction / drug effects

Substances

  • Receptor, Fibroblast Growth Factor, Type 3