The Role of Hematopoietic Cell Transplant in the Glycoprotein Diseases

The glycoprotein disorders are a group of lysosomal storage diseases (α-mannosidosis, aspartylglucosaminuria, β-mannosidosis, fucosidosis, galactosialidosis, sialidosis, mucolipidosis II, mucolipidosis III, and Schindler Disease) characterized by specific lysosomal enzyme defects and resultant build...

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Main Authors: Brianna M. Naumchik, Ashish Gupta, Heather Flanagan-Steet, Richard A. Steet, Sara S. Cathey, Paul J. Orchard, Troy C. Lund
Format: Article
Language:English
Published: MDPI AG 2020-06-01
Series:Cells
Subjects:
Online Access:https://www.mdpi.com/2073-4409/9/6/1411
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author Brianna M. Naumchik
Ashish Gupta
Heather Flanagan-Steet
Richard A. Steet
Sara S. Cathey
Paul J. Orchard
Troy C. Lund
author_facet Brianna M. Naumchik
Ashish Gupta
Heather Flanagan-Steet
Richard A. Steet
Sara S. Cathey
Paul J. Orchard
Troy C. Lund
author_sort Brianna M. Naumchik
collection DOAJ
description The glycoprotein disorders are a group of lysosomal storage diseases (α-mannosidosis, aspartylglucosaminuria, β-mannosidosis, fucosidosis, galactosialidosis, sialidosis, mucolipidosis II, mucolipidosis III, and Schindler Disease) characterized by specific lysosomal enzyme defects and resultant buildup of undegraded glycoprotein substrates. This buildup causes a multitude of abnormalities in patients including skeletal dysplasia, inflammation, ocular abnormalities, liver and spleen enlargement, myoclonus, ataxia, psychomotor delay, and mild to severe neurodegeneration. Pharmacological treatment options exist through enzyme replacement therapy (ERT) for a few, but therapies for this group of disorders is largely lacking. Hematopoietic cell transplant (HCT) has been explored as a potential therapeutic option for many of these disorders, as HCT introduces functional enzyme-producing cells into the bone marrow and blood along with the engraftment of healthy donor cells in the central nervous system (presumably as brain macrophages or a type of microglial cell). The outcome of HCT varies widely by disease type. We report our institutional experience with HCT as well as a review of the literature to better understand HCT and outcomes for the glycoprotein disorders.
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spelling doaj.art-7d1ba3c4a8904b5ea45a6872865444372023-11-20T02:59:53ZengMDPI AGCells2073-44092020-06-0196141110.3390/cells9061411The Role of Hematopoietic Cell Transplant in the Glycoprotein DiseasesBrianna M. Naumchik0Ashish Gupta1Heather Flanagan-Steet2Richard A. Steet3Sara S. Cathey4Paul J. Orchard5Troy C. Lund6Division of Pediatric Blood and Marrow Transplant, University of Minnesota, Minneapolis, MN 55455, USADivision of Pediatric Blood and Marrow Transplant, University of Minnesota, Minneapolis, MN 55455, USAGreenwood Genetic Center, Greenwood, SC 29646, USAGreenwood Genetic Center, Greenwood, SC 29646, USAGreenwood Genetic Center, Greenwood, SC 29646, USADivision of Pediatric Blood and Marrow Transplant, University of Minnesota, Minneapolis, MN 55455, USADivision of Pediatric Blood and Marrow Transplant, University of Minnesota, Minneapolis, MN 55455, USAThe glycoprotein disorders are a group of lysosomal storage diseases (α-mannosidosis, aspartylglucosaminuria, β-mannosidosis, fucosidosis, galactosialidosis, sialidosis, mucolipidosis II, mucolipidosis III, and Schindler Disease) characterized by specific lysosomal enzyme defects and resultant buildup of undegraded glycoprotein substrates. This buildup causes a multitude of abnormalities in patients including skeletal dysplasia, inflammation, ocular abnormalities, liver and spleen enlargement, myoclonus, ataxia, psychomotor delay, and mild to severe neurodegeneration. Pharmacological treatment options exist through enzyme replacement therapy (ERT) for a few, but therapies for this group of disorders is largely lacking. Hematopoietic cell transplant (HCT) has been explored as a potential therapeutic option for many of these disorders, as HCT introduces functional enzyme-producing cells into the bone marrow and blood along with the engraftment of healthy donor cells in the central nervous system (presumably as brain macrophages or a type of microglial cell). The outcome of HCT varies widely by disease type. We report our institutional experience with HCT as well as a review of the literature to better understand HCT and outcomes for the glycoprotein disorders.https://www.mdpi.com/2073-4409/9/6/1411glycoprotein disorderslysosomal storage diseasehematopoietic cell transplantenzyme replacement therapyα-mannosidosisaspartylglucosaminuria
spellingShingle Brianna M. Naumchik
Ashish Gupta
Heather Flanagan-Steet
Richard A. Steet
Sara S. Cathey
Paul J. Orchard
Troy C. Lund
The Role of Hematopoietic Cell Transplant in the Glycoprotein Diseases
Cells
glycoprotein disorders
lysosomal storage disease
hematopoietic cell transplant
enzyme replacement therapy
α-mannosidosis
aspartylglucosaminuria
title The Role of Hematopoietic Cell Transplant in the Glycoprotein Diseases
title_full The Role of Hematopoietic Cell Transplant in the Glycoprotein Diseases
title_fullStr The Role of Hematopoietic Cell Transplant in the Glycoprotein Diseases
title_full_unstemmed The Role of Hematopoietic Cell Transplant in the Glycoprotein Diseases
title_short The Role of Hematopoietic Cell Transplant in the Glycoprotein Diseases
title_sort role of hematopoietic cell transplant in the glycoprotein diseases
topic glycoprotein disorders
lysosomal storage disease
hematopoietic cell transplant
enzyme replacement therapy
α-mannosidosis
aspartylglucosaminuria
url https://www.mdpi.com/2073-4409/9/6/1411
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