First experience of combined enzyme replacement therapy and hematopoietic stem cell transplantation in alpha-mannosidosis

被引:2
|
作者
Santoro, Lucia [1 ]
Monachesi, Chiara [1 ,7 ]
Zampini, Lucia [1 ]
Padella, Lucia [1 ]
Galeazzi, Tiziana [1 ]
Santori, Elena [1 ]
Cordiali, Rosanna [1 ]
Dardis, Andrea [2 ]
Catassi, Carlo [1 ,3 ,4 ]
Boccieri, Emilia [5 ]
Galaverna, Federica [5 ]
Locatelli, Franco [5 ,6 ]
机构
[1] Azienda Ospedaliero Univ Marche, Presidio Salesi, Dept Clin Sci, Div Pediat, Ancona, Italy
[2] Acad Hosp Santa Maria Misericordia, Reg Coordinator Ctr Rare Dis, Udine, Italy
[3] Mass Gen Hosp Children, Div Pediat Gastroenterol & Nutr, Boston, MA USA
[4] Mass Gen Hosp Children, Ctr Celiac Res, Boston, MA USA
[5] IRCCS Osped Pediatr Bambino Gesu, Dept Pediat Hematol & Oncol & Cell & Gene Therapy, Rome, Italy
[6] Univ Cattolica Sacro Cuore, Dept Life Sci & Publ Hlth, Rome, Italy
[7] Polytech Univ Marche, Azienda Ospedaliero Univer Marche, Dept Clin Sci, Pediat Div, Ancona, Italy
关键词
enzyme replacement therapy; hematopoietic stem cell transplantation; mannosyl-oligosaccharides; velmanase alfa;
D O I
10.1002/ajmg.a.63210
中图分类号
Q3 [遗传学];
学科分类号
071007 ; 090102 ;
摘要
We describe the first case of bridge therapy in alpha-mannosidosis (AM) in an infant diagnosed at only 5 months of life who underwent enzyme replacement therapy (ERT) in the pre- and peri-transplant phases. Eight ERT infusions were administered before hematopoietic stem cell transplantation (HSCT) and continued for additional 90 days until complete engraftment. The clinical and laboratory data after 3 years post-HSCT show that the early combined intervention may reduce the disease progression and the urine and plasma content of mannosyl-oligosaccharides (OS) monitored by liquid chromatography tandem mass spectrometry (LC-MS/MS). This report highlights that early diagnosis and prompt initiation of such treatments in AM are the best chance to minimize the progression of symptoms.
引用
收藏
页码:1948 / 1952
页数:5
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