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Alawneh RJ, Johnson AL, Hoover-Fong JE, Jackson EM, Steinberg JP, MacCarrick G. Postnatal Progressive Craniosynostosis in Syndromic Conditions: Two Patients With Saethre-Chotzen Due to TWIST1 Gene Deletions and Review of the Literature. Cleft Palate Craniofac J 2022:10556656221090844. [PMID: 35354337 DOI: 10.1177/10556656221090844] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Saethre-Chotzen syndrome (SCS) is a known craniosynostosis syndrome with a variable presentation of craniofacial and somatic involvement. Congenital coronal craniosynostosis is most commonly observed in SCS; however, progressive postnatal craniosynostosis of other sutures has been reported. The authors present 2 infants with progressive postnatal craniosynostosis and SCS caused by chromosome 7p deletions including the TWIST1 gene. The evolution of their clinical features and a literature review of patients with syndromic, postnatal progressive craniosynostosis illustrate the importance of longitudinal observation and management of these patients.
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Affiliation(s)
- Rama J Alawneh
- Faculty of Medicine, King Abdullah University Hospital, 37251Jordan University of Science and Technology, Irbid, Jordan
| | - Andrea L Johnson
- Department of Cellular Biology and Molecular Genetics, 1068University of Maryland College Park, College Park, MD, USA
| | - Julie Elizabeth Hoover-Fong
- Greenberg Center for Skeletal Dysplasias, Department of Genetic Medicine, Johns Hopkins University, Baltimore, MD, USA
| | - Eric M Jackson
- Department of Neurosurgery, 1500Johns Hopkins University School of Medicine, Baltimore, MD, USA
| | - Jordan P Steinberg
- Division of Plastic Surgery, Nicklaus Children's Hospital, Miami, FL, USA
| | - Gretchen MacCarrick
- Department of Genetic Medicine, Johns Hopkins University, Baltimore, MD, USA
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Wang W, Zhou C, Feng Z, Li H, Zhang Y, Bao B, Cai B, Chen M, Huang H. PLGA-based control release of Noggin blocks the premature fusion of cranial sutures caused by retinoic acid. Appl Microbiol Biotechnol 2018; 103:291-301. [PMID: 30392121 PMCID: PMC6311184 DOI: 10.1007/s00253-018-9457-8] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2018] [Revised: 09/29/2018] [Accepted: 10/09/2018] [Indexed: 12/15/2022]
Abstract
Craniosynostosis (CS), the premature and pathological fusion of cranial sutures, is a relatively common developmental disorder. Elucidation of the pathways involved and thus therapeutically targeting it would be promising for the prevention of CS. In the present study, we examined the role of BMP pathway in the all-trans retinoic acid (atRA)-induced CS model and tried to target the pathway in vivo via PLGA-based control release. As expected, the posterior frontal suture was found to fuse prematurely in the atRA subcutaneous injection mouse model. Further mechanism study revealed that atRA could repress the proliferation while promote the osteogenic differentiation of suture-derived mesenchymal cells (SMCs). Moreover, BMP signal pathway was found to be activated by atRA, as seen from increased expression of BMPR-2 and pSMAD1/5/9. Recombinant mouse Noggin blocked the atRA-induced enhancement of osteogenesis of SMCs in vitro. In vivo, PLGA microsphere encapsulated with Noggin significantly prevented the atRA-induced suture fusion. Collectively, these data support the hypothesis that BMP signaling is involved in retinoic acid-induced premature fusion of cranial sutures, while PLGA microsphere-based control release of Noggin emerges as a promising strategy for prevention of atRA-induced suture fusion.
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Affiliation(s)
- Weicai Wang
- Guanghua School of Stomatology, Hospital of Stomatology, Guangdong Provincial Key Laboratory of Stomatology, Sun Yat-sen University, 56 Lingyuanxi Road, Guangzhou, China
| | - Chen Zhou
- Guanghua School of Stomatology, Hospital of Stomatology, Guangdong Provincial Key Laboratory of Stomatology, Sun Yat-sen University, 56 Lingyuanxi Road, Guangzhou, China
| | - Zhicai Feng
- Guanghua School of Stomatology, Hospital of Stomatology, Guangdong Provincial Key Laboratory of Stomatology, Sun Yat-sen University, 56 Lingyuanxi Road, Guangzhou, China
| | - Hongyu Li
- Guanghua School of Stomatology, Hospital of Stomatology, Guangdong Provincial Key Laboratory of Stomatology, Sun Yat-sen University, 56 Lingyuanxi Road, Guangzhou, China
| | - Yadong Zhang
- Guanghua School of Stomatology, Hospital of Stomatology, Guangdong Provincial Key Laboratory of Stomatology, Sun Yat-sen University, 56 Lingyuanxi Road, Guangzhou, China
| | - Baicheng Bao
- Guanghua School of Stomatology, Hospital of Stomatology, Guangdong Provincial Key Laboratory of Stomatology, Sun Yat-sen University, 56 Lingyuanxi Road, Guangzhou, China
| | - Bin Cai
- Guanghua School of Stomatology, Hospital of Stomatology, Guangdong Provincial Key Laboratory of Stomatology, Sun Yat-sen University, 56 Lingyuanxi Road, Guangzhou, China
| | - Mu Chen
- Department of Stomatology, Shenzhen Nanshan People's Hospital and The 6th Affiliated Hospital of Shenzhen University Health Science Center, 89 Taoyuan Road, Shenzhen, China.
| | - Hongzhang Huang
- Guanghua School of Stomatology, Hospital of Stomatology, Guangdong Provincial Key Laboratory of Stomatology, Sun Yat-sen University, 56 Lingyuanxi Road, Guangzhou, China.
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Hyzy SL, Kajan I, Wilson DS, Lawrence KA, Mason D, Williams JK, Olivares-Navarrete R, Cohen DJ, Schwartz Z, Boyan BD. Inhibition of angiogenesis impairs bone healing in anin vivomurine rapid resynostosis model. J Biomed Mater Res A 2017; 105:2742-2749. [PMID: 28589712 DOI: 10.1002/jbm.a.36137] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2017] [Revised: 05/12/2017] [Accepted: 06/05/2017] [Indexed: 01/01/2023]
Affiliation(s)
- Sharon L. Hyzy
- Department of Biomedical Engineering; Virginia Commonwealth University; 601 West Main Street Richmond Virginia 23284
| | - Illya Kajan
- Department of Biomedical Engineering; Virginia Commonwealth University; 601 West Main Street Richmond Virginia 23284
| | - D. Scott Wilson
- Department of Biomedical Engineering; Georgia Institute of Technology; 313 Ferst Drive NW Atlanta Georgia USA
| | - Kelsey A. Lawrence
- Department of Biomedical Engineering; Georgia Institute of Technology; 313 Ferst Drive NW Atlanta Georgia USA
| | - Devon Mason
- Department of Biomedical Engineering; Virginia Commonwealth University; 601 West Main Street Richmond Virginia 23284
| | | | - Rene Olivares-Navarrete
- Department of Biomedical Engineering; Virginia Commonwealth University; 601 West Main Street Richmond Virginia 23284
| | - David J. Cohen
- Department of Biomedical Engineering; Virginia Commonwealth University; 601 West Main Street Richmond Virginia 23284
| | - Zvi Schwartz
- Department of Biomedical Engineering; Virginia Commonwealth University; 601 West Main Street Richmond Virginia 23284
- Department of Periodontics; University of Texas Health Science Center at San Antonio; 7703 Floyd Curl Drive San Antonio Texas
| | - Barbara D. Boyan
- Department of Biomedical Engineering; Virginia Commonwealth University; 601 West Main Street Richmond Virginia 23284
- Department of Biomedical Engineering; Georgia Institute of Technology; 313 Ferst Drive NW Atlanta Georgia USA
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Hermann CD, Hyzy SL, Olivares-Navarrete R, Walker M, Williams JK, Boyan BD, Schwartz Z. Craniosynostosis and Resynostosis: Models, Imaging, and Dental Implications. J Dent Res 2016; 95:846-52. [PMID: 27076448 DOI: 10.1177/0022034516643315] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Craniosynostosis occurs in approximately 1 in 2,000 children and results from the premature fusion of ≥1 cranial sutures. If left untreated, craniosynostosis can cause numerous complications as related to an increase in intracranial pressure or as a direct result from cranial deformities, or both. More than 100 known mutations may cause syndromic craniosynostosis, but the majority of cases are nonsyndromic, occurring as isolated defects. Most cases of craniosynostosis require complex cranial vault reconstruction that is associated with a high risk of morbidity. While the first operation typically has few complications, bone rapidly regrows in up to 40% of children who undergo it. This resynostosis typically requires additional surgical intervention, which can be associated with a high incidence of life-threatening complications. This article reviews work related to the dental and maxillofacial implications of craniosynostosis and discusses clinically relevant animal models related to craniosynostosis and resynostosis. In addition, information is provided on the imaging modalities used to study cranial defects in animals and humans.
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Affiliation(s)
- C D Hermann
- School of Medicine, Emory University, Atlanta, GA, USA
| | - S L Hyzy
- Department of Biomedical Engineering, School of Engineering, Virginia Commonwealth University, Richmond, VA, USA
| | - R Olivares-Navarrete
- Department of Biomedical Engineering, School of Engineering, Virginia Commonwealth University, Richmond, VA, USA
| | - M Walker
- Wallace H. Coulter Department of Biomedical Engineering, Georgia Tech and Emory University, Georgia Institute of Technology, Atlanta, GA, USA
| | - J K Williams
- Children's Healthcare of Atlanta, Atlanta, GA, USA
| | - B D Boyan
- Department of Biomedical Engineering, School of Engineering, Virginia Commonwealth University, Richmond, VA, USA Wallace H. Coulter Department of Biomedical Engineering, Georgia Tech and Emory University, Georgia Institute of Technology, Atlanta, GA, USA
| | - Z Schwartz
- Department of Biomedical Engineering, School of Engineering, Virginia Commonwealth University, Richmond, VA, USA Department of Periodontics, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA
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Hermann CD, Wilson DS, Lawrence KA, Ning X, Olivares-Navarrete R, Williams JK, Guldberg RE, Murthy N, Schwartz Z, Boyan BD. Rapidly polymerizing injectable click hydrogel therapy to delay bone growth in a murine re-synostosis model. Biomaterials 2014; 35:9698-708. [PMID: 25176067 DOI: 10.1016/j.biomaterials.2014.07.065] [Citation(s) in RCA: 39] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2014] [Accepted: 07/29/2014] [Indexed: 11/30/2022]
Abstract
Craniosynostosis is the premature fusion of cranial sutures, which can result in progressive cranial deformations, increased intracranial pressure, and restricted brain growth. Most cases of craniosynostosis require surgical reconstruction of the cranial vault with the goal of increasing the intracranial volume and correcting the craniofacial deformities. However, patients often experience rapid post-operative bone regrowth, known as re-synostosis, which necessitates additional surgical intervention. Bone morphogenetic protein (BMP) inhibitors have tremendous potential to treat re-synostosis, but the realization of a clinically viable inhibitor-based therapeutic requires the development of a delivery vehicle that can localize the release to the site of administration. Here, we present an in situ rapidly crosslinking injectable hydrogel that has the properties necessary to encapsulate co-administered proteins and demonstrate that the delivery of rmGremlin1 via our hydrogel system delays bone regrowth in a weanling mouse model of re-synostosis. Our hydrogel is composed of two mutually reactive poly(ethylene glycol) macromolecules, which when mixed crosslink via a bio-orthogonal Cu free click reaction. Hydrogels containing Gremlin caused a dose dependent inhibition of bone regrowth. In addition to craniofacial applications, our injectable click hydrogel has the potential to provide customizable protein, small molecule, and cell delivery to any site accessible via needle or catheter.
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Affiliation(s)
- Christopher D Hermann
- Wallace H. Coulter Department of Biomedical Engineering, Georgia Institute of Technology Atlanta, GA, USA; Emory University School of Medicine, Atlanta, GA, USA
| | - David S Wilson
- Wallace H. Coulter Department of Biomedical Engineering, Georgia Institute of Technology Atlanta, GA, USA
| | - Kelsey A Lawrence
- Wallace H. Coulter Department of Biomedical Engineering, Georgia Institute of Technology Atlanta, GA, USA
| | - Xinghai Ning
- Wallace H. Coulter Department of Biomedical Engineering, Georgia Institute of Technology Atlanta, GA, USA
| | - Rene Olivares-Navarrete
- Department of Biomedical Engineering, School of Engineering, Virginia Commonwealth University, Richmond, VA, USA
| | | | - Robert E Guldberg
- Woodruff School of Mechanical Engineering, Georgia Institute of Technology Atlanta, GA, USA
| | - Niren Murthy
- Department of Bioengineering, University of California at Berkeley, Berkeley, CA, USA.
| | - Zvi Schwartz
- Department of Bioengineering, University of California at Berkeley, Berkeley, CA, USA
| | - Barbara D Boyan
- Wallace H. Coulter Department of Biomedical Engineering, Georgia Institute of Technology Atlanta, GA, USA; Department of Biomedical Engineering, School of Engineering, Virginia Commonwealth University, Richmond, VA, USA.
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Hermann CD, Lee CSD, Gadepalli S, Lawrence KA, Richards MA, Olivares-Navarrete R, Williams JK, Schwartz Z, Boyan BD. Interrelationship of cranial suture fusion, basicranial development, and resynostosis following suturectomy in twist1(+/-) mice, a murine model of Saethre-Chotzen syndrome. Calcif Tissue Int 2012; 91:255-66. [PMID: 22903506 DOI: 10.1007/s00223-012-9632-3] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/10/2012] [Accepted: 06/07/2012] [Indexed: 01/12/2023]
Abstract
The interrelationships among suture fusion, basicranial development, and subsequent resynostosis in syndromic craniosynostosis have yet to be examined. The objectives of this study were to determine the potential relationship between suture fusion and cranial base development in a model of syndromic craniosynostosis and to assess the effects of the syndrome on resynostosis following suturectomy. To do this, posterior frontal and coronal suture fusion, postnatal development of sphenooccipital synchondrosis, and resynostosis in Twist1(+/+) (WT) and Twist1(+/-) litter-matched mice (a model for Saethre-Chotzen syndrome) were quantified by evaluating μCT images with advanced image-processing algorithms. The coronal suture in Twist(+/-) mice developed, fused, and mineralized at a faster rate than that in normal littermates at postnatal days 6-30. Moreover, premature fusion of the coronal suture in Twist1(+/-) mice preceded alterations in cranial base development. Analysis of synchondrosis showed faster mineralization in Twist(+/-) mice at postnatal days 25-30. In a rapid resynostosis model, there was an inability to fuse both the midline posterior frontal suture and craniotomy defects in 21-day-old Twist(+/-) mice, despite having accelerated mineralization in the posterior frontal suture and defects. This study showed that dissimilarities between Twist1(+/+) and Twist1(+/-) mice are not limited to a fused coronal suture but include differences in fusion of other sutures, the regenerative capacity of the cranial vault, and the development of the cranial base.
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Affiliation(s)
- Christopher D Hermann
- Wallace H. Coulter Department of Biomedical Engineering, Petit Institute for Bioengineering and Bioscience, Georgia Institute of Technology, Atlanta, GA 30332-0363, USA
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