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脊髓性肌萎缩症 1 型基因替代治疗后亚急性肝衰竭。

Subacute Liver Failure Following Gene Replacement Therapy for Spinal Muscular Atrophy Type 1.

机构信息

Children's Hospital Colorado, University of Colorado School of Medicine, Denver; Children's Hospital Colorado, University of Colorado School of Medicine, Aurora, CO.

Children's Hospital Colorado, University of Colorado School of Medicine, Denver; Children's Hospital Colorado, University of Colorado School of Medicine, Aurora, CO.

出版信息

J Pediatr. 2020 Oct;225:252-258.e1. doi: 10.1016/j.jpeds.2020.05.044. Epub 2020 May 28.

DOI:10.1016/j.jpeds.2020.05.044
PMID:32473148
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10152980/
Abstract

Spinal muscular atrophy is a neurodegenerative disease resulting from irreversible loss of anterior horn cells owing to biallelic deletions/mutations in the survival motor neuron (SMN) 1 gene. Gene replacement therapy using an adeno-associated virus vector containing the SMN gene was approved by the US Food and Drug Administration in May 2019. We report 2 cases of transient, drug-induced liver failure after this therapy.

摘要

脊髓性肌萎缩症是一种神经退行性疾病,由生存运动神经元(SMN)1 基因的双等位基因突变/缺失导致前角细胞不可逆转的丧失。含有 SMN 基因的腺相关病毒载体的基因替代疗法于 2019 年 5 月获得美国食品和药物管理局的批准。我们报告了 2 例该疗法后短暂、药物性肝衰竭的病例。

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本文引用的文献

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Engineering adeno-associated virus vectors for gene therapy.工程腺相关病毒载体用于基因治疗。
Nat Rev Genet. 2020 Apr;21(4):255-272. doi: 10.1038/s41576-019-0205-4. Epub 2020 Feb 10.
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Low fat diets increase survival of a mouse model of spinal muscular atrophy.低脂饮食可提高脊髓性肌萎缩症小鼠模型的存活率。
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Abnormal fatty acid metabolism is a core component of spinal muscular atrophy.脂肪酸代谢异常是脊髓性肌肉萎缩症的核心组成部分。
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4
From Clinical Trials to Clinical Practice: Practical Considerations for Gene Replacement Therapy in SMA Type 1.从临床试验到临床实践:SMA 类型 1 基因替代治疗的实际考虑因素。
Pediatr Neurol. 2019 Nov;100:3-11. doi: 10.1016/j.pediatrneurol.2019.06.007. Epub 2019 Jun 13.
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Efficacy and safety of AAV2 gene therapy in children with aromatic L-amino acid decarboxylase deficiency: an open-label, phase 1/2 trial.腺相关病毒2型基因疗法治疗芳香族L-氨基酸脱羧酶缺乏症儿童的疗效与安全性:一项开放标签的1/2期试验。
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