Abstract
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.
Lingua originale | English |
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pagine (da-a) | 1948-1952 |
Numero di pagine | 5 |
Rivista | AMERICAN JOURNAL OF MEDICAL GENETICS. PART A |
Volume | 191 |
DOI | |
Stato di pubblicazione | Pubblicato - 2023 |
Keywords
- enzyme replacement therapy
- velmanase alfa
- mannosyl-oligosaccharides
- hematopoietic stem cell transplantation