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通过肾移植对戈谢病进行酶替代治疗的尝试。

Attempt at enzyme replacement in Gaucher disease by renal transplantation.

作者信息

Groth C G, Collste H, Dreborg S, Håkansson G, Lundgren G, Svennerholm L

出版信息

Acta Paediatr Scand. 1979 Jul;68(4):475-9.

PMID:380259
Abstract

In Gaucher disease there is a deficiency of the lysosomal enzyme, cerebroside-beta-glucosidase, as a result of which cerebroside (glucosylcereamide) accumulates in various organs. In northern Sweden 22 patients with a juvenile form of this disease have been identified. In one such patient, a girl of 10 years, we have attempted enzyme replacement by renal transplantation. After this operation the hepatic glucocerebroside content fell significantly. In another child afflicted with Gaucher disease in whom splenectomy was performed for severe splenomegaly and hypersplenism there was a progressive increase in the level of this lipid. These findings suggest that enzyme replacement was achieved by transplantation of a normal organ.

摘要

在戈谢病中,由于溶酶体酶β-葡萄糖脑苷脂酶缺乏,导致脑苷脂(葡萄糖基神经酰胺)在各个器官中蓄积。在瑞典北部,已确诊22例青少年型戈谢病患者。在其中一名患者,一名10岁女孩身上,我们尝试通过肾移植进行酶替代治疗。手术后,肝脏中葡萄糖脑苷脂含量显著下降。在另一名患有戈谢病的儿童中,因严重脾肿大和脾功能亢进进行了脾切除术,该脂质水平却逐渐升高。这些发现表明,通过移植正常器官实现了酶替代。

相似文献

1
Attempt at enzyme replacement in Gaucher disease by renal transplantation.通过肾移植对戈谢病进行酶替代治疗的尝试。
Acta Paediatr Scand. 1979 Jul;68(4):475-9.
2
Attempt at enzyme replacement by organ transplantation: renal transplantation in Gaucher disease.通过器官移植进行酶替代的尝试:戈谢病的肾移植
Transplant Proc. 1979 Jun;11(2):1218-9.
3
Attempt at enzyme replacement in Gaucher disease by renal transplantation.通过肾移植尝试对戈谢病进行酶替代治疗。
Birth Defects Orig Artic Ser. 1980;16(1):475-90.
4
Gaucher disease--Norrbottnian type (III). Neuropaediatric and neurobiological aspects of clinical patterns and treatment.
Acta Paediatr Scand Suppl. 1986;326:1-42.
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Delayed growth and puberty in patients with Gaucher disease type 1: natural history and effect of splenectomy and/or enzyme replacement therapy.1型戈谢病患者的生长和青春期延迟:自然病史以及脾切除术和/或酶替代疗法的影响
Isr Med Assoc J. 2000 Feb;2(2):158-63.
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Bone marrow transplantation in Gaucher's disease: effect of mixed chimeric state.戈谢病中的骨髓移植:混合嵌合状态的影响。
Bone Marrow Transplant. 1994 Aug;14(2):327-30.
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Operative technique and results of subtotal splenectomy for Gaucher disease.戈谢病脾次全切除术的手术技术与结果
Surg Gynecol Obstet. 1987 Apr;164(4):359-62.
8
Matched unrelated bone marrow transplantation without splenectomy for a child with Gaucher disease caused by homozygosity of the L444P mutation, who also suffered from schizencephaly.
J Pediatr Hematol Oncol. 2007 Jan;29(1):57-9. doi: 10.1097/MPH.0b013e3180308793.
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Renal transplantation in Type II Gaucher disease.II型戈谢病中的肾移植
Birth Defects Orig Artic Ser. 1973 Mar;9(2):109-19.
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[Enzyme replacement therapy in Gaucher disease: monitoring visceral and bone changes with MRI].[戈谢病的酶替代疗法:利用磁共振成像监测内脏和骨骼变化]
Orv Hetil. 2003 Apr 20;144(16):749-55.

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