Familial scaphocephaly syndrome caused by a novel mutation in the FGFR2 tyrosine kinase domain
Open accessAbstract
raniosynostosis, the premature fusion of one or more sutures of the skull, is a common craniofacial anomaly, with an estimated incidence of 1/2000 to 1/3000 births. 1 2 Characteristic deformities of skull shape occur as a result of different patterns of sutural fusion, while compensatory skull expansion occurs at unaffected sutures to accommodate the growing brain.Premature fusion of the sagittal suture, for example, results in anterior to posterior elongation of the skull known as scaphocephaly. 2 Sagittal synostosis is the most common type of craniosynostosis, occurring in 40-58% of cases reported in large neurosurgical surveys, and shows a male predominance.3-6 Most of the cases in these reports are ''non-syndromic'' instances of sagittal synostosis, while familial cases represent 2-9% of the total.Mental retardation is uncommon in isolated sagittal synostosis, but is more common in cases with associated malformations.4-6 Over 90 syndromic forms of craniosyno- stosis have been described.Apert, Crouzon, Pfeiffer, Muenke, and Saethre-Chotzen syndromes are the most common of these, being classified according to the clinical involvement of the cranium, face, hands and feet, and other organs.2 In these syndromes, brachycephaly or acrocephaly resulting from coronal synostosis is the predominant cranial deformity, and this is variably associated with mid-face hypoplasia, broad toes, syndactyly, and intellectual deficits.Sagittal synostosis is seen almost exclusively in combination with coronal synostosis, 2 while macrocephaly in the absence of craniosynostosis occurs infrequently.7 Familial scaphocephaly syndromes, which include Berant syndrome, ''Philadelphia'' type craniosynostosis, and Jones craniosynostosis, 2 are rare and their molecular aetiology remains unknown.Mutations in five genes have been shown to cause various craniosynostosis syndromes.These are the transcription factor genes TWIST (Saethre-Chotzen syndrome, MIM 101400) and MSX2 (Boston-type craniosynostosis, MIM 604757), and three fibroblast growth factor receptor genes, FGFR1, FGFR2, and FGFR3 (Pfeiffer syndrome, MIM 101600; Apert syndrome MIM 101200; Crouzon syndrome, MIM 123500; Jackson-Weiss syndrome, MIM 123500). 1 Mutations in TWIST, FGFR2, and FGFR3 also cause isolated nonsyndromic coronal synostosis 8 ; however, mutations resulting in isolated sagittal suture synostosis and scaphocephaly have yet to be identified.The FGFR mutations have been located predominantly in hotspots in these genes in the more than 800 patients where mutations have been characterised. 1 9 Only one FGFR1 mutation, P252R, has been identified and it results in a mild Pfeiffer syndrome variant.10 In contrast, FGFR2 mutations are a common cause of several craniosynostosis syndromes: Pfeiffer, Apert, Crouzon, Jackson-Weiss, and Beare-Stevenson (MIM 123790). 1 11 The FGFR2 muta- tions are non-randomly distributed throughout the gene, concentrated in exons 8 and 10.Two mutations, S252W and P253R, are relatively common and invariably cause Apert
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The majority of studies reported an odds ratio of male occurring CS ranging from 1.46 to 4.5, with a geometric mean of ~2.7.
“The majority of the studies studied the odds ratio of male occurring CS with an OR ranging from 1.46 to 4.5 (with geometric mean of ~ 2.7) [2, 3, 15, 26, 50, 53, 74, 80, 82, 86, 96–98, 102, 103, 117].”
From Genetics versus environment in the pathophysiology of sagittal synostosis (2026) · cites this paper as [86]
The introductory passage labelled Abstract (page unavailable) says sagittal synostosis shows a male predominance. It gives no male odds ratio, range of 1.46–4.5, or geometric mean of approximately 2.7, and its statement concerns sagittal synostosis rather than craniosynostosis generally. (LLM, conf=0.87)
Experimental — accuracy not yet measuredVariants in genes such as FGFR2, TCF12, ERF, KAT6B, ACTB, SH3PXD2B, SALL1, IFT140, SON, CASK, FOXP2, EXTL3, and SOX6 have often been identified in patients with additional dysmorphic, skeletal, neurodevelopmental, or systemic disorders.
“More broadly, variants in genes such as FGFR2, TCF12, ERF, KAT6B, ACTB, SH3PXD2B, SALL1, IFT140, SON, CASK, FOXP2, EXTL3, and SOX6 have often been identified in patients with additional dysmorphic, skeletal, neurodevelopmental, or systemic disorders [41, 47–49, 78, 84, 86, 90, 100, 101, 108–110].”
From Genetics versus environment in the pathophysiology of sagittal synostosis (2026) · cites this paper as [86]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
MOLSCRIPT: a program to produce both detailed and schematic plots of protein structures
Kraulis, P. J. (1991) · Journal of Applied Crystallography · doi:10.1107/s0021889891004399 · Cited by 14,011 · see citing works
Comparative Protein Modelling by Satisfaction of Spatial Restraints
Šali, A., & Blundell, T. L. (1993) · Journal of Molecular Biology · doi:10.1006/jmbi.1993.1626 · Cited by 12,977 · see citing works
The Metabolic and Molecular Bases of Inherited Disease
Scriver, R. C. (1995) · Medical Entomology and Zoology · Cited by 12,101 · see citing works
NAMD2: Greater Scalability for Parallel Molecular Dynamics
Kalé, L. V., Skeel, R. D., Bhandarkar, M. A., Brunner, R., Gürsoy, A., Krawetz, N., Phillips, J., Shinozaki, A., Varadarajan, K., & Schulten, K. J. (1999) · Journal of Computational Physics · doi:10.1006/jcph.1999.6201 · Cited by 2,428 · see citing works
Hubbard, S. R. (1997) · The EMBO Journal · doi:10.1093/emboj/16.18.5572 · Cited by 954 · see citing works
Ornitz, D. M., & Marie, P. J. (2002) · Genes & Development · doi:10.1101/gad.990702 · Cited by 902 · see citing works
HEAD CIRCUMFERENCE FROM BIRTH TO EIGHTEEN YEARS
Nellhaus, G. (1968) · PEDIATRICS · doi:10.1542/peds.41.1.106 · Cited by 745 · see citing works
Jabs, E. W., Müller, U., Li, X., Ma, L., Luo, W., Haworth, I. S., Klisak, I. J., Sparkes, R. S., Warman, M. L., Mulliken, J. B., et al. (1993) · Cell · doi:10.1016/0092-8674(93)90379-5 · Cited by 673 · see citing works
A common mutation in the fibroblast growth factor receptor 1 gene in Pfeiffer syndrome
Muenke, M., Schell, U., Hehr, A., Robin, N. H., Losken, H. W., Schinzel, A., Pulleyn, L. J., Rutland, P., Reardon, W., Malcolm, S., et al. (1994) · Nature Genetics · doi:10.1038/ng1194-269 · Cited by 614 · see citing works
Refinement of protein structures in explicit solvent
Linge, J. P., Williams, M. A., Spronk, C. A. E. M., Bonvin, A. M. J. J., & Nilges, M. (2003) · Proteins Structure Function and Bioinformatics · doi:10.1002/prot.10299 · Cited by 607 · see citing works
Craniosynostosis: Diagnosis, Evaluation, and Management
Krieger, M. D. (2001) · Neurosurgery · doi:10.1097/0006123-200104000-00068 · Cited by 558 · see citing works
CRANIOSYNOSTOSIS: A REVIEW OF 519 SURGICAL PATIENTS
Shillito, J., & Matson, D. D. (1968) · PEDIATRICS · doi:10.1542/peds.41.4.829 · Cited by 412 · see citing works
Muenke, M., Gripp, K. W., McDonald‐McGinn, D. M., Gaudenz, K., Whitáker, L. A., Bartlett, S. P., Markowitz, R. I., Robin, N. H., Nwokoro, N., Mulvihill, J. J., et al. (1997) · PubMed · Cited by 384 · see citing works
Structure of the FGF Receptor Tyrosine Kinase Domain Reveals a Novel Autoinhibitory Mechanism
Mohammadi, M., Schlessinger, J., & Hubbard, S. R. (1996) · Cell · doi:10.1016/s0092-8674(00)80131-2 · Cited by 371 · see citing works
Kan, S.-H., Elanko, N., Johnson, D., Cornejo-Roldan, L., Cook, J., Reich, E. W., Tomkins, S., Verloes, A., Twigg, S. R. F., Rannan-Eliya, S., et al. (2002) · The American Journal of Human Genetics · doi:10.1086/338758 · Cited by 265 · see citing works
Hunter, A. G. W., & Rudd, N. L. (1976) · Teratology · doi:10.1002/tera.1420140209 · Cited by 199 · see citing works
Normal values for selected physical parameters: an aid to syndrome delineation.
Feingold, M., & Bossert, W. H. (1974) · PubMed · Cited by 197 · see citing works
Anderson, F. M., & Geiger, L. E. (1965) · Journal of neurosurgery · doi:10.3171/jns.1965.22.3.0229 · Cited by 176 · see citing works
Bellus, G. A., Spector, E., Speiser, P., Weaver, C. A., Garber, A. T., Bryke, C. R., Israel, J., Rosengren, S. S., Webster, M. K., Donoghue, D. J., et al. (2000) · The American Journal of Human Genetics · doi:10.1086/316892 · Cited by 174 · see citing works
Craniosynostosis. Diagnosis, evaluation and management.
REARDON, W. (2000) · Journal of Medical Genetics · doi:10.1136/jmg.37.9.727 · Cited by 170 · see citing works
Haploinsufficiency of the human homeobox gene ALX4 causes skull ossification defects
Mavrogiannis, L. A., Antonopoulou, I., Baxová, A., Kutílek, S., Kim, C. A., Sugayama, S. M., Salamanca, A., Wall, S. A., Morriss-Kay, G. M., & Wilkie, A. O. M. (2001) · Nature Genetics · doi:10.1038/83703 · Cited by 147 · see citing works
Molecular Analysis of Patients with Synostotic Frontal Plagiocephaly (Unilateral Coronal Synostosis)
Mulliken, J. B., Gripp, K. W., Stolle, C. A., Steinberger, D., & Müller, U. (2004) · Plastic & Reconstructive Surgery · doi:10.1097/01.prs.0000122202.26792.bf · Cited by 54 · see citing works
Raffioni, S., Zhu, Y., Bradshaw, R. A., & Thompson, L. M. (1998) · Journal of Biological Chemistry · doi:10.1074/jbc.273.52.35250 · Cited by 48 · see citing works
(2017) · BENTHAM SCIENCE PUBLISHERS eBooks · doi:10.2174/9781681085166117010012 · Cited by 5 · see citing works
Further delineation of the acro-renal-ocular syndrome
(1996) · Pure Amsterdam UMC · doi:10.1002/(sici)1096-8628(19960329)62:3 · Cited by 1 · see citing works
Flagged first, then by citations
3 of the 29 references couldn’t be matched to a known paper.
Research works printed but not linked: 2
- Lajeunie E, Le Merrer M, Bonaiti-Pellie C, Marchac D, Renier D. Genetic study of scaphocephaly. Am J Med Genet 1996;62(3):282-5.
- Passos-Bueno MR, Wilcox WR, Jabs EW, Sertie AL, Alonso LG, Kitoh H. Clinical spectrum of fibroblast growth factor receptor mutations. Hum Mutat 1999;14:115-25.
Cited by
Sorted by citations
A molecular brake in the kinase hinge region regulates the activity of receptor tyrosine kinases.
Chen, H.-B., Ma, J.-H., Li, W., Eliseenkova, A. V., Xu, C.-F., Neubert, T., Miller, W., & Mohammadi, M. (2007) · Molecules and Cells · doi:10.1016/j.molcel.2007.06.028 · Cited by 290 · see citing works
Mathijssen, I. M. J. (2015) · Journal of Craniofacial Surgery · doi:10.1097/scs.0000000000002016 · Cited by 232 · see citing works
Genetics of Craniosynostosis: Genes, Syndromes, Mutations and Genotype-Phenotype Correlations
Passos‐Bueno, M. R., Sertie, A. L., Jehee, F. S., Fanganiello, R. D., & Yeh, E. (2008) · Frontiers of oral physiology/Frontiers of oral biology · doi:10.1159/000115035 · Cited by 163 · see citing works
Fibroblast Growth Factor Receptor 2 (FGFR2) Mutation Related Syndromic Craniosynostosis
Azoury, S. C., Reddy, S., Shukla, V., & Deng, C. (2017) · International Journal of Biological Sciences · doi:10.7150/ijbs.22373 · Cited by 129 · see citing works
A review of hedgehog signaling in cranial bone development
Pan, A., Chang, L., Nguyen, A. T., & James, A. W. (2013) · Frontiers in Physiology · doi:10.3389/fphys.2013.00061 · Cited by 117 · see citing works
Clinical dividends from the molecular genetic diagnosis of craniosynostosis
Wilkie, A. O. M., Bochukova, E. G., Hansen, R. M. S., Taylor, I. B., Rannan‐Eliya, S. V., Byren, J. C., Wall, S. A., Ramos, L. M., Venâncio, M., Hurst, J. A., et al. (2006) · American Journal of Medical Genetics Part A · doi:10.1002/ajmg.a.31366 · Cited by 105 · see citing works
Clinical dividends from the molecular genetic diagnosis of craniosynostosis†
Wilkie, A. O. M., Bochukova, E. G., Hansen, R. M. S., Taylor, I. B., Rannan‐Eliya, S. V., Byren, J. C., Wall, S. A., Ramos, L. M., Venâncio, M., Hurst, J. A., et al. (2007) · American Journal of Medical Genetics Part A · doi:10.1002/ajmg.a.31905 · Cited by 87 · see citing works
Craniosynostosis as a clinical and diagnostic problem: molecular pathology and genetic counseling
Kutkowska‐Kaźmierczak, A., Goś, M., & Obersztyn, E. (2018) · Journal of Applied Genetics · doi:10.1007/s13353-017-0423-4 · Cited by 66 · see citing works
Rezabakhsh, A., Cheraghi, O., Nourazarian, A., Hassanpour, M., Kazemi, M., Ghaderi, S., Faraji, E., Rahbarghazi, R., Avcı, Ç. B., Bağca, B. G., et al. (2016) · Journal of Cellular Biochemistry · doi:10.1002/jcb.25814 · Cited by 65 · see citing works
Genetic basis of single-suture synostoses: genes, chromosomes and clinical implications
Lattanzi, W., Bukvić, N., Barba, M., Tamburrini, G., Bernardini, C., Michetti, F., & Rocco, C. D. (2012) · Child s Nervous System · doi:10.1007/s00381-012-1781-1 · Cited by 61 · see citing works
FGFR-Related Craniosynostosis Syndromes
Robin, N. H., Falk, M. J., & Haldeman‐Englert, C. R. (2011) · Cited by 57 · see citing works
Roscioli, T., Elakis, G., Cox, T. C., Moon, D. J., Venselaar, H., Turner, A. M., Le, T., Hackett, E., Haan, E., Colley, A., et al. (2013) · American Journal of Medical Genetics Part C Seminars in Medical Genetics · doi:10.1002/ajmg.c.31378 · Cited by 53 · see citing works
Self-citationElucidation of a four-site allosteric network in fibroblast growth factor receptor tyrosine kinases
Chen, H.-B., Marsiglia, W., Cho, M.-K., Huang, Z.-F., Deng, J.-J., Blais, S., Gai, W.-M., Bhattacharya, S., Neubert, T., Traaseth, N., et al. (2017) · eLife · doi:10.7554/elife.21137 · Cited by 44 · see citing works
Signaling Pathways in Craniofacial Development
Neben, C. L., & Merrill, A. E. (2015) · Current topics in developmental biology/Current Topics in Developmental Biology · doi:10.1016/bs.ctdb.2015.09.005 · Cited by 36 · see citing works
Mutation Screening of Candidate Genes in Patients with Nonsyndromic Sagittal Craniosynostosis
Ye, X., Guilmatre, A., Reva, B., Peter, I., Heuzé, Y., Richtsmeier, J. T., Fox, D. J., Goedken, R. J., Jabs, E. W., & Romitti, P. A. (2016) · Plastic and Reconstructive Surgery · doi:10.1097/01.prs.0000479978.75545.ee · Cited by 33 · see citing works
Akhenaten and the Strange Physiques of Egypt's 18th Dynasty
Braverman, I. M., Redford, D. B., & Mackowiak, P. A. (2009) · Annals of Internal Medicine · doi:10.7326/0003-4819-150-8-200904210-00010 · Cited by 26 · see citing works
Clinical interest of molecular study in cases of isolated midline craniosynostosis
Di Rocco, F., Rossi, M., Verlut, I., Szathmari, A., Beuriat, P. A., Chatron, N., Chauvel-Picard, J., Mottolese, C., Monin, P., Vinchon, M., et al. (2023) · European Journal of Human Genetics · doi:10.1038/s41431-023-01295-y · Cited by 18 · see citing works
Bernardini, C., Barba, M., Tamburrini, G., Massimi, L., Rocco, C. D., Michetti, F., & Lattanzi, W. (2012) · Child s Nervous System · doi:10.1007/s00381-012-1780-2 · Cited by 14 · see citing works
Craniosynostosis: current conceptions and misconceptions
Fonteles, C. S. R., Finnell, R. H., George, T. M., & Harshbarger, R. J. (2016) · Global Medical Genetics · doi:10.3934/genet.2016.1.99 · Cited by 9 · see citing works
Expanding the Clinical Phenotype of FGFR1 Internal Tandem DuplicationPreprint
Kautto, E. A., Schieffer, K. M., McGrath, S. D., Miller, A. R., Gonzalez, M. E. H., Choi, S. S., Conces, M. R., Faith, E. F., Ho, M., Lee, K., et al. (2022) · Molecular Case Studies · doi:10.1101/mcs.a006174 · Cited by 9 · see citing works
Molecular Genetics of Craniosynostosis
Lattanzi, W. (2016) · Encyclopedia of Life Sciences · doi:10.1002/9780470015902.a0025186 · Cited by 8 · see citing works
Klinik und Genetik syndromaler und nichtsyndromaler Kraniosynostosen
Rachwalski, M., Wollnik, B., & Kress, W. (2013) · Medizinische Genetik · doi:10.1007/s11825-013-0412-x · Cited by 6 · see citing works
Drzymalski, D. M., & Proctor, M. R. (2011) · Elsevier eBooks · doi:10.1016/b978-1-4160-5316-3.00184-2 · Cited by 6 · see citing works
Molecular Genetic Testing of Patients with Craniosynostosis
Hehr, U. (2011) · Monographs in human genetics · doi:10.1159/000318428 · Cited by 4 · see citing works
Impact of SMAD6 Variants on Neurodevelopment in Craniosynostosis
Verlut, I., Guernouche, S., Rossi, M., Szathmári, A., Beuriat, P.-A., Chatron, N., Chauvel-Picard, J., Mottolèse, C., Monin, P., Vinchon, M., et al. (2025) · Journal of Craniofacial Surgery · doi:10.1097/scs.0000000000011461 · Cited by 3 · see citing works
Altered shapes, same people: Scaphocephaly in the early modern Bucharest
Soficaru, A., Ionica, C., Constaninescu, M., & Enyedi, M. (2018) · HOMO · doi:10.1016/j.jchb.2018.08.001 · Cited by 2 · see citing works
Genetics versus environment in the pathophysiology of sagittal synostosis
De Gregorio, V., Tosi, D. D., Vita, A., Salvati, M., Massimi, L., Tamburrini, G., Tiberio, F., & Lattanzi, W. (2026) · Child's Nervous System · doi:10.1007/s00381-026-07396-5 · Cited by 2 · see citing works
“The majority of the studies studied the odds ratio of male occurring CS with an OR ranging from 1.46 to 4.5 (with geometric mean of ~ 2.7) [2, 3, 15, 26, 50, 53, 74, 80, 82, 86, 96–98, 102, 103, 117].”
InfluentialGraham, J. M., & Sanchez-Lara, P. A. (2024) · Elsevier eBooks · doi:10.1016/b978-0-443-11414-4.00030-2 · Cited by 1 · see citing works
Molecular Genetics and Biology of Craniofacial Craniosynostoses
Cox, T. C., Horst, J. A., Hing, A. V., & Cunningham, M. L. (2014) · Elsevier eBooks · doi:10.1016/b978-0-12-397157-9.00043-6 · Cited by 1 · see citing works
Self-citationChanges in FGFR2 amino-acid residue Asn549 lead to Crouzon and Pfeiffer syndrome with hydrocephalus
Collet, C., 1 Department of Neurosurgery, H. N.-E. M., Arnaud, É., Rocco, F. D., & Apra, C. (2016) · Global Medical Genetics · doi:10.3934/genet.2016.3.205 · Cited by 1 · see citing works
A NELL-1 Binding Protein: Vimentin
Chae, H. S., & Kim, Y. (2011) · Journal of korean dental science · doi:10.5856/jkds.2011.4.1.006
Changes in FGFR2 amino-acid residue Asn549 lead to Crouzon and Pfeiffer syndrome with hydrocephalus
Apra, C., Collet, C., Arnaud, É., & Rocco, F. D. (2016) · Global Medical Genetics · doi:10.3934/genet.2016.4.205
Graham, J. M. (2007) · Elsevier eBooks · doi:10.1016/b978-072161489-2.10030-x
- Authors
- McGillivray, G., Savarirayan, R., Cox, T. C., Stojkoski, C., McNeil, R., Bankier, A., Bateman, J. F., Roscioli, T., Gardner, R. J. M., & Lamandé, S. R.
- Affiliations
- Royal Children's Hospital (AU)
- The University of Adelaide (AU)
- Murdoch Children's Research Institute (AU)
- Prince of Wales Hospital (AU)
- Corresponding author
- Lamandé, S R
- Venue
- Journal of Medical Genetics
- Publisher
- BMJ
- Published
- 2005-08
- Volume
- 42
- Issue
- 8
- Pages
- 656-662
- ISSN
- 0022-2593 (ISSN-L)
- 1468-6244
- PMC
- PMC1736114
- OpenAlex
- W2152471249
- Cited by
- 34
- References
- 29
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 1 · 2023: 1 · 2022: 1 · 2018: 2 · 2017: 2 · 2016: 6 · 2015: 2 · 2014: 1 · 2013: 3 · 2012: 2
- FWCI
- 0.90
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Medical Genetics (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Adelaide Research & Scholarship (AR&S) (University of Adelaide) (submittedVersion)
- Funders
- University of Adelaide
- Medical Research Council
- National Health and Medical Research Council
- National Medical Research Council
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Craniofacial Disorders and Treatments
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genomics and Rare Diseases
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › dental development and anomalies
- Keywords
- craniosynostosis, FGFR2, tyrosine kinase domain mutations
- MeSH terms
- Abnormalities, Multiple, Craniosynostoses, DNA Mutational Analysis, Female, Genetic Testing, Humans, Male, Intellectual Disability, Models, Molecular, Mutation, Pedigree, Skull, Syndrome, Protein Structure, Tertiary, Receptor, Fibroblast Growth Factor, Type 2
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review