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戈谢病:临床、生物学及治疗方面

Gaucher Disease: Clinical, Biological and Therapeutic Aspects.

作者信息

Dandana Azza, Ben Khelifa Souhaira, Chahed Hinda, Miled Abdelhédi, Ferchichi Salima

机构信息

Laboratory of Biochemistry, Farhat Hached Hospital, Sousse, Tunisia.

出版信息

Pathobiology. 2016;83(1):13-23. doi: 10.1159/000440865. Epub 2015 Nov 21.

Abstract

We present a brief review of Gaucher disease (GD), the most common lysosomal storage disease. GD is a rare autosomal recessive disorder characterized by the defective function of the catabolic enzyme β-glucocerebrosidase (GBA), leading to an accumulation of its substrate, glucocerebroside. Clinical signs and symptoms include neurological dysfunctions, bone infarcts and malformations, hepatosplenomegaly and hypersplenism leading to anemia, neutropenia and thrombocytopenia. Enzyme replacement therapy with recombinant GBA is the mainstay of treatment for GD, which became the first successfully managed lipid storage disease. Future treatments may include oral enzyme replacement and/or gene therapy interventions.

摘要

我们简要综述了戈谢病(GD),这是最常见的溶酶体贮积病。GD是一种罕见的常染色体隐性疾病,其特征为分解代谢酶β-葡萄糖脑苷脂酶(GBA)功能缺陷,导致其底物葡萄糖脑苷脂蓄积。临床症状和体征包括神经功能障碍、骨梗死和畸形、肝脾肿大及脾功能亢进导致贫血、中性粒细胞减少和血小板减少。用重组GBA进行酶替代疗法是GD治疗的主要手段,GD也成为首个成功得到治疗的脂质贮积病。未来的治疗可能包括口服酶替代和/或基因治疗干预措施。

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