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神经退行性溶酶体贮积症的新兴治疗方法 - 从概念到现实。

Emerging therapies for neurodegenerative lysosomal storage disorders - from concept to reality.

机构信息

Lysosomal Diseases Research Unit, 4th Floor Rogerson Building, SA Pathology, Women's and Children's Hospital campus, 72 King William Road, North Adelaide, SA, 5006, Australia.

出版信息

J Inherit Metab Dis. 2011 Oct;34(5):1003-12. doi: 10.1007/s10545-011-9341-5. Epub 2011 May 17.

DOI:10.1007/s10545-011-9341-5
PMID:21584766
Abstract

Lysosomal storage disorders are inherited metabolic diseases in which a mutation in a gene encoding a lysosomal enzyme or lysosome-related protein results in the intra-cellular accumulation of substrate and reduced cell/tissue function. Few patients with neurodegenerative lysosomal storage disorders have access to safe and effective treatments although many therapeutic strategies have been or are presently being studied in vivo thanks to the availability of a large number of animal models. This review will describe the comparative advancement of a variety of therapeutic strategies through the 'research pipeline'. Our goal is to provide information for clinicians, researchers and patients/families alike on the leading therapeutic candidates at this point in time, and also to provide information on emerging approaches that may provide a safe and effective treatment in the future. The length of the pipeline represents the significant and sustained effort required to move a novel concept from the laboratory into the clinic.

摘要

溶酶体贮积症是一类遗传性代谢疾病,由于编码溶酶体酶或溶酶体相关蛋白的基因突变,导致细胞内底物蓄积和细胞/组织功能降低。尽管有大量的动物模型,许多治疗策略已经或正在体内进行研究,但只有少数神经退行性溶酶体贮积症患者能够获得安全有效的治疗。本文通过“研究管道”描述了各种治疗策略的比较进展。我们的目标是为临床医生、研究人员和患者/家属提供有关当前主要治疗候选药物的信息,并提供有关未来可能提供安全有效治疗方法的新兴方法的信息。管道的长度代表了将新的概念从实验室转移到临床所需的大量持续努力。

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Glycobiology: Enzyme deficiencies deciphered.糖生物学:已破解的酶缺陷
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Genistin-rich soy isoflavone extract in substrate reduction therapy for Sanfilippo syndrome: An open-label, pilot study in 10 pediatric patients.富含染料木苷的大豆异黄酮提取物用于Sanfilippo综合征的底物还原疗法:一项针对10名儿科患者的开放标签试点研究。
Curr Ther Res Clin Exp. 2008 Apr;69(2):166-79. doi: 10.1016/j.curtheres.2008.04.002.
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Enzyme replacement reduces neuropathology in MPS IIIA dogs.酶替代疗法可减少 MPSIIIA 犬的神经病理学损伤。
Neurobiol Dis. 2011 Aug;43(2):422-34. doi: 10.1016/j.nbd.2011.04.014. Epub 2011 Apr 29.
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Highly phosphomannosylated enzyme replacement therapy for GM2 gangliosidosis.
高度磷酸甘露糖基化酶替代疗法治疗 GM2 神经节苷脂贮积症。
Ann Neurol. 2011 Apr;69(4):691-701. doi: 10.1002/ana.22262. Epub 2010 Dec 8.
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Pyrimethamine increases β-hexosaminidase A activity in patients with Late Onset Tay Sachs.氨苯砜可提高晚发性泰萨二氏症患者β-己糖胺酶 A 的活性。
Mol Genet Metab. 2011 Mar;102(3):356-63. doi: 10.1016/j.ymgme.2010.11.163. Epub 2010 Dec 4.
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Genistein improves neuropathology and corrects behaviour in a mouse model of neurodegenerative metabolic disease.染料木黄酮改善神经病理学并纠正神经退行性代谢疾病小鼠模型的行为。
PLoS One. 2010 Dec 1;5(12):e14192. doi: 10.1371/journal.pone.0014192.
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Safe, efficient, and reproducible gene therapy of the brain in the dog models of Sanfilippo and Hurler syndromes.安全、高效、可重现的脑基因治疗在法布里病和黏多糖贮积症犬模型中的应用。
Mol Ther. 2011 Feb;19(2):251-9. doi: 10.1038/mt.2010.265. Epub 2010 Dec 7.
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Mol Genet Metab. 2011 Jan;102(1):6-12. doi: 10.1016/j.ymgme.2010.09.004. Epub 2010 Sep 17.
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