The effect of enzyme therapy in a patient with Gaucher disease type III

1996 ◽  
Vol 19 (5) ◽  
pp. 703-704
Author(s):  
D. K. Bosman ◽  
C. E. M. Hollak ◽  
J. M. F. G. Aerts ◽  
H. D. Bakker

2014 ◽  
Vol 111 (2) ◽  
pp. S102-S103
Author(s):  
Ying Sun ◽  
Andrew T. Burrow ◽  
Wujuan Zhang ◽  
David P. Witte ◽  
Kenneth D.R. Setchell ◽  
...  


2011 ◽  
Vol 53 (6) ◽  
pp. 1018-1022 ◽  
Author(s):  
Majda Benedik-Dolničar ◽  
Lidija Kitanovski


1987 ◽  
Vol 3 (2) ◽  
pp. 87-91 ◽  
Author(s):  
Anders Erikson ◽  
Johan Karlberg ◽  
Anna-Lena Skogman ◽  
Sten Dreborg


Blood ◽  
1997 ◽  
Vol 90 (1) ◽  
pp. 43-48 ◽  
Author(s):  
Elvira Ponce ◽  
Jay Moskovitz ◽  
Gregory Grabowski

Abstract Gaucher disease type 1, a non-neuronopathic lysosomal storage disease, is caused by mutations at the acid β-glucosidase locus. Periodic infusions of macrophage-targeted acid β-glucosidase reverse hepatosplenomegaly, hematologic, and bony findings in many patients. Two patients receiving enzyme therapy developed neutralizing antibodies to acid β-glucosidase that were associated with a lack of improvement or progressive disease. After initial improvement, case 1 had no additional response to 2 years of high-dose (50 U/kg every 2 weeks) enzyme therapy. Similarly, case 2 initially showed a favorable response to enzyme therapy that plateaued after 1 year of treatment. Both patients developed minor allergic reactions and antibodies to acid β-glucosidase within the first 6 months of treatment. Enzyme therapy was discontinued in case 1, with resultant disease progression and need for splenectomy. An immunosuppression/tolerization protocol was initiated in case 2 because of disease progression and stable neutralizing antibody titers. The IgG neutralizing antibodies rapidly and completely inactivated the wild-type, but not the N370S, acid β-glucosidase in vitro. Antibodies to human serum albumin and chorionic gonadotropin also developed. The finding of neutralizing antibodies to acid β-glucosidase during enzyme therapy for Gaucher disease has significant implications for monitoring the therapeutic responses and for potential alternative future therapies for Gaucher disease.



2008 ◽  
Vol 31 (6) ◽  
pp. 745-752 ◽  
Author(s):  
J. Cox-Brinkman ◽  
M. J. van Breemen ◽  
B. T. van Maldegem ◽  
L. Bour ◽  
W. E. Donker ◽  
...  




Blood ◽  
1997 ◽  
Vol 90 (1) ◽  
pp. 43-48 ◽  
Author(s):  
Elvira Ponce ◽  
Jay Moskovitz ◽  
Gregory Grabowski

Gaucher disease type 1, a non-neuronopathic lysosomal storage disease, is caused by mutations at the acid β-glucosidase locus. Periodic infusions of macrophage-targeted acid β-glucosidase reverse hepatosplenomegaly, hematologic, and bony findings in many patients. Two patients receiving enzyme therapy developed neutralizing antibodies to acid β-glucosidase that were associated with a lack of improvement or progressive disease. After initial improvement, case 1 had no additional response to 2 years of high-dose (50 U/kg every 2 weeks) enzyme therapy. Similarly, case 2 initially showed a favorable response to enzyme therapy that plateaued after 1 year of treatment. Both patients developed minor allergic reactions and antibodies to acid β-glucosidase within the first 6 months of treatment. Enzyme therapy was discontinued in case 1, with resultant disease progression and need for splenectomy. An immunosuppression/tolerization protocol was initiated in case 2 because of disease progression and stable neutralizing antibody titers. The IgG neutralizing antibodies rapidly and completely inactivated the wild-type, but not the N370S, acid β-glucosidase in vitro. Antibodies to human serum albumin and chorionic gonadotropin also developed. The finding of neutralizing antibodies to acid β-glucosidase during enzyme therapy for Gaucher disease has significant implications for monitoring the therapeutic responses and for potential alternative future therapies for Gaucher disease.



2009 ◽  
Vol 13 ◽  
pp. S120
Author(s):  
D.I. Zafeiriou ◽  
E. Vargiami ◽  
A. Anastasiou ◽  
A. Ververi ◽  
E. Michelakaki ◽  
...  


Author(s):  
Divair Doneda ◽  
Filippo P. Vairo ◽  
André L. Lopes ◽  
Álvaro Reischak-Oliveira ◽  
Pedro Schestatsky ◽  
...  


2015 ◽  
Vol 114 (2) ◽  
pp. S128
Author(s):  
Aysel Yuce ◽  
Hayriye Hizarcioglu-Gulsen ◽  
Hulya Demir ◽  
Serap Dokmeci Emre ◽  
Figen Gurakan
Keyword(s):  
Type I ◽  


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