2017
Intrathecal enzyme replacement therapy reverses cognitive decline in mucopolysaccharidosis type I.
NESTRASIL, Igor, Elsa SHAPIRO, Alena SVÁTKOVÁ, Patricia DICKSON, Agnes CHEN et. al.Základní údaje
Originální název
Intrathecal enzyme replacement therapy reverses cognitive decline in mucopolysaccharidosis type I.
Autoři
NESTRASIL, Igor (203 Česká republika), Elsa SHAPIRO (840 Spojené státy), Alena SVÁTKOVÁ (703 Slovensko, garant, domácí), Patricia DICKSON (840 Spojené státy), Agnes CHEN (840 Spojené státy), Amy WAKUMOTO (840 Spojené státy), Alia AHMED (840 Spojené státy), Edward STEHEL (840 Spojené státy), Sarah MCNEIL (840 Spojené státy), Curtis GRAVANCE (840 Spojené státy) a Elizabeth MAHER (840 Spojené státy)
Vydání
American Journal of Medical Genetics Part A, 2017, 1552-4825
Další údaje
Jazyk
angličtina
Typ výsledku
Článek v odborném periodiku
Obor
30101 Human genetics
Stát vydavatele
Spojené státy
Utajení
není předmětem státního či obchodního tajemství
Odkazy
Impakt faktor
Impact factor: 2.264
Kód RIV
RIV/00216224:14740/17:00098038
Organizační jednotka
Středoevropský technologický institut
UT WoS
000394903800034
Klíčová slova anglicky
mucopolysaccharidosis; intrathecal administration; enzyme replacement therapy; neuropsychology; magnetic resonance imaging; diffusion tensor imaging; brain; blood-brain barrier
Příznaky
Mezinárodní význam, Recenzováno
Změněno: 16. 3. 2018 15:24, Mgr. Pavla Foltynová, Ph.D.
Anotace
V originále
Mucopolysaccharidosis type I (MPS I) is an inherited lysosomal storage disease that seriously affects the brain. Severity of neurocognitive symptoms in attenuated MPS subtype (MPS IA) broadly varies partially, due to restricted permeability of blood-brain barrier (BBB) which limits treatment effects of intravenously applied -L-iduronidase (rhIDU) enzyme. Intrathecal (IT) rhIDU application as a possible solution to circumvent BBB improved brain outcomes in canine models; therefore, our study quantifies effects of IT rhIDU on brain structure and function in an MPS IA patient with previous progressive cognitive decline. Neuropsychological testing and MRIs were performed twice prior (baseline, at 1 year) and twice after initiating IT rhIDU (at 2nd and 3rd years). The difference between pre- and post-treatment means was evaluated as a percentage of the change. Neurocognitive performance improved particularly in memory tests and resulted in improved school performance after IT rhIDU treatment. White matter (WM) integrity improved together with an increase of WM and corpus callosum volumes. Hippocampal and gray matter volume decreased which may either parallel reduction of glycosaminoglycan storage or reflect typical longitudinal brain changes in early adulthood. In conclusion, our outcomes suggest neurological benefits of IT rhIDU compared to the intravenous administration on brain structure and function in a single MPS IA patient. (C) 2017 Wiley Periodicals, Inc.
Návaznosti
LQ1601, projekt VaV |
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