Fibrodysplasia ossificans progressiva emerges from obscurity

IF 12.8 1区 医学 Q1 BIOCHEMISTRY & MOLECULAR BIOLOGY Trends in molecular medicine Pub Date : 2024-09-18 DOI:10.1016/j.molmed.2024.08.010
Frederick S. Kaplan, Eileen M. Shore, Robert J. Pignolo
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引用次数: 0

Abstract

Fibrodysplasia ossificans progressiva (FOP), a disorder of congenital skeletal malformations and progressive extraskeletal ossification, is the most severe form of heterotopic ossification (HO) in humans. Gain-of-function pathogenic variants in activin A receptor type I (ACVR1), a bone morphogenetic protein (BMP) type 1 receptor, cause FOP by dramatically altering the normal physiologic functions of ACVR1, impacting BMP signaling and other interacting pathways. These alterations affect various systems, including inflammation, innate immunity, hypoxia sensing, wound healing, aging, temperature and mechanical thresholds, pain sensitivity, skeletal growth, diarthrodial joint patterning, joint function and fate, and HO. This article examines the emergent properties of FOP’s diverse phenotypes, proposes a schema for targeting these phenotypes, and highlights outstanding questions and knowledge gaps.

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渐进性骨纤维增生症从默默无闻中崭露头角
进行性骨化性纤维增生症(FOP)是一种先天性骨骼畸形和进行性骨外骨化疾病,是人类异位骨化(HO)的最严重形式。激活素 A 受体 I 型(ACVR1)是一种骨形态发生蛋白(BMP)1 型受体,其功能增益致病变异可显著改变 ACVR1 的正常生理功能,影响 BMP 信号转导和其他相互作用途径,从而导致 FOP。这些改变会影响各种系统,包括炎症、先天性免疫、缺氧感知、伤口愈合、衰老、温度和机械阈值、疼痛敏感性、骨骼生长、二关节模式化、关节功能和命运以及 HO。本文探讨了 FOP 不同表型的新特性,提出了针对这些表型的方案,并强调了悬而未决的问题和知识空白。
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来源期刊
Trends in molecular medicine
Trends in molecular medicine 医学-生化与分子生物学
CiteScore
24.60
自引率
0.00%
发文量
142
审稿时长
6-12 weeks
期刊介绍: Trends in Molecular Medicine (TMM) aims to offer concise and contextualized perspectives on the latest research advancing biomedical science toward better diagnosis, treatment, and prevention of human diseases. It focuses on research at the intersection of basic biology and clinical research, covering new concepts in human biology and pathology with clear implications for diagnostics and therapy. TMM reviews bridge the gap between bench and bedside, discussing research from preclinical studies to patient-enrolled trials. The major themes include disease mechanisms, tools and technologies, diagnostics, and therapeutics, with a preference for articles relevant to multiple themes. TMM serves as a platform for discussion, pushing traditional boundaries and fostering collaboration between scientists and clinicians. The journal seeks to publish provocative and authoritative articles that are also accessible to a broad audience, inspiring new directions in molecular medicine to enhance human health.
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