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Provedor de dados:  Genet. Mol. Biol.
País:  Brazil
Título:  Mucopolysaccharidosis I, II, and VI: brief review and guidelines for treatment
Autores:  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
Data:  2010-01-01
Ano:  2010
Palavras-chave:  Mucopolisaccharidoses
Hurler syndrome
Hunter syndrome
Maroteaux-Lamy syndrome
Enzyme replacement therapy
Treatment guidelines
Resumo:  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.
Tipo:  Info:eu-repo/semantics/article
Idioma:  Inglês
Identificador:  http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1415-47572010000400001
Editor:  Sociedade Brasileira de Genética
Relação:  10.1590/S1415-47572010005000093
Formato:  text/html
Fonte:  Genetics and Molecular Biology v.33 n.4 2010
Direitos:  info:eu-repo/semantics/openAccess
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