Pregun István, Tulassay Zsolt
Semmelweis Egyetem, Altalános Orvostudományi Kar, II. Belgyógyászati Klinika, Budapest.
Orv Hetil. 2004 Sep 12;145(37):1883-90.
Gaucher's disease is the most common lysosomal storage disorder. Gene defect leads to deficiency or decreased activity of glucocerebrosidase followed by the accumulation of glucosylceramide. Most frequently hepatosplenomegaly, anemia, skeletal and hematological abnormalities are present. Different types are known based on the clinical findings. Recently used enzyme replacement therapy seems to eliminate bone marrow transplantation and has favourable effects on symptoms and outcome. Development of gene therapy (reintroduction of missing DNA sequence) hints the possibility of real causal therapy of the disease.
戈谢病是最常见的溶酶体贮积症。基因缺陷导致葡糖脑苷脂酶缺乏或活性降低,进而导致葡糖神经酰胺蓄积。最常见的症状是肝脾肿大、贫血、骨骼和血液学异常。根据临床表现可分为不同类型。最近使用的酶替代疗法似乎可以取代骨髓移植,对症状和预后有良好效果。基因治疗(重新引入缺失的DNA序列)的发展为该病真正的病因治疗带来了希望。