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戈谢病概述

An Overview of Gaucher Disease.

作者信息

Méndez-Cobián Daniela Anahí, Guzmán-Silahua Sandra, García-Hernández Diana, Conde-Sánchez Julian, Castañeda-Borrayo Yaocihuatl, Duey Kylee Louise, Zavala-Cerna Maria G, Rubio-Jurado Benjamín, Nava-Zavala Arnulfo Hernán

机构信息

Unidad de Investigación Epidemiológica y en Servicios de Salud, Centro Médico Nacional de Occidente Órgano de Operación Administrativa Desconcentrada Jalisco, Instituto Mexicano del Seguro Social, Guadalajara 44329, Jalisco, Mexico.

Programa de Médico Pasante en Servicio Social SSJ, Universidad de Guadalajara Centro Universitario del Sur., Ciudad Guzmán 49000, Jalisco, Mexico.

出版信息

Diagnostics (Basel). 2024 Dec 17;14(24):2840. doi: 10.3390/diagnostics14242840.

Abstract

BACKGROUND

Gaucher disease (GD) is a rare autosomal recessive disorder caused by mutations in the GBA1 gene that lead to a deficiency in the glucocerebrosidase gene. This deficiency results in the accumulation of glucocerebrosides in macrophages, primarily affecting the liver, spleen, and bone marrow. Focusing on the Mexican population, this study aims to review GD's epidemiology, clinical manifestations, and treatment options to enhance early diagnosis and optimize treatment outcomes.

METHODS

This study is a comprehensive literature review analyzing epidemiological data, clinical presentations, and current therapeutic approaches for Gaucher disease, including enzyme replacement therapy (ERT) and substrate reduction therapy (SRT).

CONCLUSIONS

Early diagnosis and individualized treatment, primarily through enzyme replacement therapy, significantly improve the prognosis of patients with Gaucher disease, particularly type 1. Continued research is required to enhance therapeutic approaches for the neuropathic types and better understand the disease's epidemiology in Mexico. These efforts will contribute to improved clinical outcomes and quality of life for patients.

摘要

背景

戈谢病(GD)是一种罕见的常染色体隐性疾病,由GBA1基因突变引起,导致葡糖脑苷脂酶基因缺乏。这种缺乏导致葡糖脑苷脂在巨噬细胞中积累,主要影响肝脏、脾脏和骨髓。本研究聚焦于墨西哥人群,旨在回顾戈谢病的流行病学、临床表现和治疗选择,以加强早期诊断并优化治疗效果。

方法

本研究是一项全面的文献综述,分析戈谢病的流行病学数据、临床表现和当前的治疗方法,包括酶替代疗法(ERT)和底物减少疗法(SRT)。

结论

早期诊断和个体化治疗,主要通过酶替代疗法,可显著改善戈谢病患者,尤其是1型患者的预后。需要持续开展研究,以加强针对神经病变型的治疗方法,并更好地了解墨西哥该疾病的流行病学。这些努力将有助于改善患者的临床结局和生活质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a37/11674947/f6c305793a72/diagnostics-14-02840-g001.jpg

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