Mucopolysaccharidosis I, II, and VI: brief review and guidelines for treatment

Mucopolysaccharidoses (MPS) are rare genetic diseases caused by the deficiency of one of the lysosomal enzymes involved in the glycosaminoglycan (GAG) breakdown pathway. This metabolic block leads to the accumulation of GAG in various organs and tissues of the affected patients, resulting in a multi...

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Main Authors: Giugliani, Roberto, Federhen, Andressa, Muñoz Rojas, Maria Verônica, Vieira, Taiane, Artigalás, Osvaldo, Lapagesse Pinto, Louise, Azevedo, Ana Cecília, Acosta, Angelina, Bonfim, Carmen, Lourenço, Charles Marques, Chong Ae, Kim, Horovitz, Dafne, Bonfim, Denize, Norato, Denise, Marinho, Diane, Palhares, Durval, Santos, Emerson Santana, Ribeiro, Erlane, Valadares, Eugênia, Guarany, Fábio, Lucca, Gisele Rosone de, Pimentel, Helena, Souza, Isabel Neves de, Correa Neto, Jordão, Fraga, José Carlos, Goes, José Eduardo, Cabral, José Maria, Simionato, José, Llerena Jr., Juan, Jardim, Laura, Giuliani, Liane, Silva, Luiz Carlos Santana da, Santos, Mara L., Moreira, Maria Angela, Kerstenetzky, Marcelo, Ribeiro, Márcia, Ruas, Nicole, Barrios, Patricia, Aranda, Paulo, Honjo, Rachel, Boy, Raquel, Costa, Ronaldo, Souza, Carolina, Alcantara, Flavio F., Avilla, Silvio Gilberto A., Fagondes, Simone, Martins, Ana Maria
Format: Artigo
Language: English
Published: Sociedade Brasileira de Genética 2017
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Online Access: http://repositorio.unb.br/handle/10482/27851
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spelling ir-10482-278512019-03-28T14:02:22Z Mucopolysaccharidosis I, II, and VI: brief review and guidelines for treatment Giugliani, Roberto Federhen, Andressa Muñoz Rojas, Maria Verônica Vieira, Taiane Artigalás, Osvaldo Lapagesse Pinto, Louise Azevedo, Ana Cecília Acosta, Angelina Bonfim, Carmen Lourenço, Charles Marques Chong Ae, Kim Horovitz, Dafne Bonfim, Denize Norato, Denise Marinho, Diane Palhares, Durval Santos, Emerson Santana Ribeiro, Erlane Valadares, Eugênia Guarany, Fábio Lucca, Gisele Rosone de Pimentel, Helena Souza, Isabel Neves de Correa Neto, Jordão Fraga, José Carlos Goes, José Eduardo Cabral, José Maria Simionato, José Llerena Jr., Juan Jardim, Laura Giuliani, Liane Silva, Luiz Carlos Santana da Santos, Mara L. Moreira, Maria Angela Kerstenetzky, Marcelo Ribeiro, Márcia Ruas, Nicole Barrios, Patricia Aranda, Paulo Honjo, Rachel Boy, Raquel Costa, Ronaldo Souza, Carolina Alcantara, Flavio F. Avilla, Silvio Gilberto A. Fagondes, Simone Martins, Ana Maria Mucopolissacaridoses Hurler syndrome Hunter syndrome Maroteaux-Lamy syndrome enzyme replacement therapy treatment guidelines Mucopolysaccharidoses (MPS) are rare genetic diseases caused by the deficiency of one of the lysosomal enzymes involved in the glycosaminoglycan (GAG) breakdown pathway. This metabolic block leads to the accumulation of GAG in various organs and tissues of the affected patients, resulting in a multisystemic clinical picture, sometimes including cognitive impairment. Until the beginning of the XXI century, treatment was mainly supportive. Bone marrow transplantation improved the natural course of the disease in some types of MPS, but the morbidity and mortality restricted its use to selected cases. The identification of the genes involved, the new molecular biology tools and the availability of animal models made it possible to develop specific enzyme replacement therapies (ERT) for these diseases. At present, a great number of Brazilian medical centers from all regions of the country have experience with ERT for MPS I, II, and VI, acquired not only through patient treatment but also in clinical trials. Taking the three types of MPS together, over 200 patients have been treated with ERT in our country. This document summarizes the experience of the professionals involved, along with the data available in the international literature, bringing together and harmonizing the information available on the management of these severe and progressive diseases, thus disclosing new prospects for Brazilian patients affected by these conditions. 2017-12-07T04:54:34Z 2017-12-07T04:54:34Z 2010 Artigo Genet. Mol. Biol.,v.33,n.4,p.589-604,2010 1415-4757 http://repositorio.unb.br/handle/10482/27851 10.1590/S1415-47572010005000093 en Acesso Aberto application/pdf Sociedade Brasileira de Genética http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1415-47572010000400001&lng=en&nrm=iso http://www.scielo.br/scielo.php?script=sci_abstract&pid=S1415-47572010000400001&lng=en&nrm=iso http://www.scielo.br/scielo.php?script=sci_pdf&pid=S1415-47572010000400001&lng=en&nrm=iso
institution REPOSITORIO UNB
collection REPOSITORIO UNB
language English
topic Mucopolissacaridoses
Hurler syndrome
Hunter syndrome
Maroteaux-Lamy syndrome
enzyme replacement therapy
treatment guidelines
spellingShingle Mucopolissacaridoses
Hurler syndrome
Hunter syndrome
Maroteaux-Lamy syndrome
enzyme replacement therapy
treatment guidelines
Giugliani, Roberto
Federhen, Andressa
Muñoz Rojas, Maria Verônica
Vieira, Taiane
Artigalás, Osvaldo
Lapagesse Pinto, Louise
Azevedo, Ana Cecília
Acosta, Angelina
Bonfim, Carmen
Lourenço, Charles Marques
Chong Ae, Kim
Horovitz, Dafne
Bonfim, Denize
Norato, Denise
Marinho, Diane
Palhares, Durval
Santos, Emerson Santana
Ribeiro, Erlane
Valadares, Eugênia
Guarany, Fábio
Lucca, Gisele Rosone de
Pimentel, Helena
Souza, Isabel Neves de
Correa Neto, Jordão
Fraga, José Carlos
Goes, José Eduardo
Cabral, José Maria
Simionato, José
Llerena Jr., Juan
Jardim, Laura
Giuliani, Liane
Silva, Luiz Carlos Santana da
Santos, Mara L.
Moreira, Maria Angela
Kerstenetzky, Marcelo
Ribeiro, Márcia
Ruas, Nicole
Barrios, Patricia
Aranda, Paulo
Honjo, Rachel
Boy, Raquel
Costa, Ronaldo
Souza, Carolina
Alcantara, Flavio F.
Avilla, Silvio Gilberto A.
Fagondes, Simone
Martins, Ana Maria
Mucopolysaccharidosis I, II, and VI: brief review and guidelines for treatment
description Mucopolysaccharidoses (MPS) are rare genetic diseases caused by the deficiency of one of the lysosomal enzymes involved in the glycosaminoglycan (GAG) breakdown pathway. This metabolic block leads to the accumulation of GAG in various organs and tissues of the affected patients, resulting in a multisystemic clinical picture, sometimes including cognitive impairment. Until the beginning of the XXI century, treatment was mainly supportive. Bone marrow transplantation improved the natural course of the disease in some types of MPS, but the morbidity and mortality restricted its use to selected cases. The identification of the genes involved, the new molecular biology tools and the availability of animal models made it possible to develop specific enzyme replacement therapies (ERT) for these diseases. At present, a great number of Brazilian medical centers from all regions of the country have experience with ERT for MPS I, II, and VI, acquired not only through patient treatment but also in clinical trials. Taking the three types of MPS together, over 200 patients have been treated with ERT in our country. This document summarizes the experience of the professionals involved, along with the data available in the international literature, bringing together and harmonizing the information available on the management of these severe and progressive diseases, thus disclosing new prospects for Brazilian patients affected by these conditions.
format Artigo
author Giugliani, Roberto
Federhen, Andressa
Muñoz Rojas, Maria Verônica
Vieira, Taiane
Artigalás, Osvaldo
Lapagesse Pinto, Louise
Azevedo, Ana Cecília
Acosta, Angelina
Bonfim, Carmen
Lourenço, Charles Marques
Chong Ae, Kim
Horovitz, Dafne
Bonfim, Denize
Norato, Denise
Marinho, Diane
Palhares, Durval
Santos, Emerson Santana
Ribeiro, Erlane
Valadares, Eugênia
Guarany, Fábio
Lucca, Gisele Rosone de
Pimentel, Helena
Souza, Isabel Neves de
Correa Neto, Jordão
Fraga, José Carlos
Goes, José Eduardo
Cabral, José Maria
Simionato, José
Llerena Jr., Juan
Jardim, Laura
Giuliani, Liane
Silva, Luiz Carlos Santana da
Santos, Mara L.
Moreira, Maria Angela
Kerstenetzky, Marcelo
Ribeiro, Márcia
Ruas, Nicole
Barrios, Patricia
Aranda, Paulo
Honjo, Rachel
Boy, Raquel
Costa, Ronaldo
Souza, Carolina
Alcantara, Flavio F.
Avilla, Silvio Gilberto A.
Fagondes, Simone
Martins, Ana Maria
author_sort Giugliani, Roberto
title Mucopolysaccharidosis I, II, and VI: brief review and guidelines for treatment
title_short Mucopolysaccharidosis I, II, and VI: brief review and guidelines for treatment
title_full Mucopolysaccharidosis I, II, and VI: brief review and guidelines for treatment
title_fullStr Mucopolysaccharidosis I, II, and VI: brief review and guidelines for treatment
title_full_unstemmed Mucopolysaccharidosis I, II, and VI: brief review and guidelines for treatment
title_sort mucopolysaccharidosis i, ii, and vi: brief review and guidelines for treatment
publisher Sociedade Brasileira de Genética
publishDate 2017
url http://repositorio.unb.br/handle/10482/27851
_version_ 1641988184742035456
score 13.657419