Enzyme Replacement Therapy and Hematopoietic Stem Cell Transplantation Results in Patients with Hurler Syndrome: Clinical Cases

Mucopolysaccharidosis type I (MPS I) is the hereditary disease characterized with alpha-L-iduronidase activity decrease and further accumulation of heparan and dermatan sulfate in lysosomes. MPS I is rare autosomal recessive disorder with incidence of 0.5–4 cases on 100.000 live-birth infants. Meant...

Full description

Bibliographic Details
Main Authors: Nato D. Vashakmadze, Leyla S. Namazova-Baranova, Natalia V. Zhurkova, Ekaterina Yu. Zakharova, Svetlana V. Mikhaylova, Grigory V. Revunenkov
Format: Article
Language:English
Published: "Paediatrician" Publishers LLC 2019-09-01
Series:Вопросы современной педиатрии
Subjects:
Online Access:https://vsp.spr-journal.ru/jour/article/view/2139
_version_ 1826561794102001664
author Nato D. Vashakmadze
Leyla S. Namazova-Baranova
Natalia V. Zhurkova
Ekaterina Yu. Zakharova
Svetlana V. Mikhaylova
Grigory V. Revunenkov
author_facet Nato D. Vashakmadze
Leyla S. Namazova-Baranova
Natalia V. Zhurkova
Ekaterina Yu. Zakharova
Svetlana V. Mikhaylova
Grigory V. Revunenkov
author_sort Nato D. Vashakmadze
collection DOAJ
description Mucopolysaccharidosis type I (MPS I) is the hereditary disease characterized with alpha-L-iduronidase activity decrease and further accumulation of heparan and dermatan sulfate in lysosomes. MPS I is rare autosomal recessive disorder with incidence of 0.5–4 cases on 100.000 live-birth infants. Meantime there two approaches in MPS I treatment: hematopoietic stem cell transplantation (HSCT) and enzyme replacement therapy (ERT). HSCT can be the best option for treatment of patients with severe MPS I (Hurler syndrome). Successful engraftment moderates such clinical signs as obstructive airway diseases, hepatosplenomegaly, cardiovascular system dysfunctions. HSCT prevents cognitive functions decline and other pathologic features of central nervous system. Presented clinical cases show various clinical courses according to age of diagnosis, ERT onset and HSCT implementation.
first_indexed 2024-03-12T04:47:53Z
format Article
id doaj.art-5131c9e48c024b158a4c89f6e4f8d4d7
institution Directory Open Access Journal
issn 1682-5527
1682-5535
language English
last_indexed 2025-03-14T09:37:50Z
publishDate 2019-09-01
publisher "Paediatrician" Publishers LLC
record_format Article
series Вопросы современной педиатрии
spelling doaj.art-5131c9e48c024b158a4c89f6e4f8d4d72025-03-02T11:34:22Zeng"Paediatrician" Publishers LLCВопросы современной педиатрии1682-55271682-55352019-09-0118319620210.15690/vsp.v18i3.20371818Enzyme Replacement Therapy and Hematopoietic Stem Cell Transplantation Results in Patients with Hurler Syndrome: Clinical CasesNato D. Vashakmadze0Leyla S. Namazova-Baranova1Natalia V. Zhurkova2Ekaterina Yu. Zakharova3Svetlana V. Mikhaylova4Grigory V. Revunenkov5Pirogov Russian National Research Medical University; Central Clinical Hospital, RASPirogov Russian National Research Medical University; Central Clinical Hospital, RASNational Medical Research Center of Children’s HealthResearch Centre for Medical Genetics, MoscowRussian Children’s Clinical Hospital of Pirogov Russian National Research Medical UniversityNational Medical Research Center of Children’s HealthMucopolysaccharidosis type I (MPS I) is the hereditary disease characterized with alpha-L-iduronidase activity decrease and further accumulation of heparan and dermatan sulfate in lysosomes. MPS I is rare autosomal recessive disorder with incidence of 0.5–4 cases on 100.000 live-birth infants. Meantime there two approaches in MPS I treatment: hematopoietic stem cell transplantation (HSCT) and enzyme replacement therapy (ERT). HSCT can be the best option for treatment of patients with severe MPS I (Hurler syndrome). Successful engraftment moderates such clinical signs as obstructive airway diseases, hepatosplenomegaly, cardiovascular system dysfunctions. HSCT prevents cognitive functions decline and other pathologic features of central nervous system. Presented clinical cases show various clinical courses according to age of diagnosis, ERT onset and HSCT implementation.https://vsp.spr-journal.ru/jour/article/view/2139childrenmucopolysaccharidosis type ihurler syndrometransplantationhematopoietic stem cellenzyme replacement therapysurvivabilit
spellingShingle Nato D. Vashakmadze
Leyla S. Namazova-Baranova
Natalia V. Zhurkova
Ekaterina Yu. Zakharova
Svetlana V. Mikhaylova
Grigory V. Revunenkov
Enzyme Replacement Therapy and Hematopoietic Stem Cell Transplantation Results in Patients with Hurler Syndrome: Clinical Cases
Вопросы современной педиатрии
children
mucopolysaccharidosis type i
hurler syndrome
transplantation
hematopoietic stem cell
enzyme replacement therapy
survivabilit
title Enzyme Replacement Therapy and Hematopoietic Stem Cell Transplantation Results in Patients with Hurler Syndrome: Clinical Cases
title_full Enzyme Replacement Therapy and Hematopoietic Stem Cell Transplantation Results in Patients with Hurler Syndrome: Clinical Cases
title_fullStr Enzyme Replacement Therapy and Hematopoietic Stem Cell Transplantation Results in Patients with Hurler Syndrome: Clinical Cases
title_full_unstemmed Enzyme Replacement Therapy and Hematopoietic Stem Cell Transplantation Results in Patients with Hurler Syndrome: Clinical Cases
title_short Enzyme Replacement Therapy and Hematopoietic Stem Cell Transplantation Results in Patients with Hurler Syndrome: Clinical Cases
title_sort enzyme replacement therapy and hematopoietic stem cell transplantation results in patients with hurler syndrome clinical cases
topic children
mucopolysaccharidosis type i
hurler syndrome
transplantation
hematopoietic stem cell
enzyme replacement therapy
survivabilit
url https://vsp.spr-journal.ru/jour/article/view/2139
work_keys_str_mv AT natodvashakmadze enzymereplacementtherapyandhematopoieticstemcelltransplantationresultsinpatientswithhurlersyndromeclinicalcases
AT leylasnamazovabaranova enzymereplacementtherapyandhematopoieticstemcelltransplantationresultsinpatientswithhurlersyndromeclinicalcases
AT nataliavzhurkova enzymereplacementtherapyandhematopoieticstemcelltransplantationresultsinpatientswithhurlersyndromeclinicalcases
AT ekaterinayuzakharova enzymereplacementtherapyandhematopoieticstemcelltransplantationresultsinpatientswithhurlersyndromeclinicalcases
AT svetlanavmikhaylova enzymereplacementtherapyandhematopoieticstemcelltransplantationresultsinpatientswithhurlersyndromeclinicalcases
AT grigoryvrevunenkov enzymereplacementtherapyandhematopoieticstemcelltransplantationresultsinpatientswithhurlersyndromeclinicalcases