Mechanical loading of cranial joints minimizes the craniofacial phenotype in Crouzon syndrome

Mehran Moazen1, Mahbubeh Hejazi1, Dawn Savery2

  • 1UCL Mechanical Engineering, University College London, London, UK.

Scientific Reports
|June 11, 2022
PubMed

Insights

This study explored non-surgical mechanical loading to treat Crouzon syndrome in mice, delaying cranial suture fusion and improving skull shape. This offers a potential alternative to reduce surgeries for craniosynostosis patients.

Area of Science:

  • Craniofacial biology
  • Biomechanical engineering
  • Developmental biology

Background:

  • Syndromic craniosynostosis requires multiple surgeries, burdening patients and families.
  • Current treatments for Crouzon syndrome involve invasive surgical correction of premature cranial suture fusion.
  • Developing non-surgical alternatives is crucial to improve patient outcomes.

Purpose of the Study:

  • To investigate mechanical loading as a non-surgical method to prevent or delay craniofacial phenotypes in Crouzon syndrome.
  • To assess the efficacy of mechanical loading in altering skull morphology and suture development.
  • To provide a potential alternative to surgical interventions for craniosynostosis.

Main Methods:

  • Crouzon syndrome mice were treated with cyclical mechanical loading of cranial joints before craniosynostosis onset.
  • A custom-designed setup was used to apply mechanical loading to the frontal bone.
  • Skull morphology and suture patency were analyzed post-treatment.

Main Results:

  • Mechanical loading partially restored normal skull morphology, reducing brachycephaly.
  • Delayed closure of the coronal suture and intersphenoidal synchondrosis was observed.
  • The treatment demonstrated a significant impact on craniofacial development.

Conclusions:

  • Mechanical loading presents a novel, non-surgical treatment alternative for syndromic craniosynostosis.
  • This approach may reduce the need for repeated invasive surgeries.
  • Further research could lead to refining or replacing surgical treatments for craniosynostosis.

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