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黏多糖贮积症Ⅰ型的诊治进展

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黏多糖贮积症Ⅰ型是一种由于溶酶体α-L-艾杜糖苷酶缺乏或活性降低,导致硫酸乙酰肝素和硫酸皮肤素在体内蓄积,而造成多器官进行性损害的致死性罕见常染色体隐性遗传病.黏多糖贮积症Ⅰ型的诊断需要结合临床表现、黏多糖测定、酶活性检测及基因检测进行.新生儿筛查对于黏多糖贮积症Ⅰ型的早期识别至关重要.目前的治疗方案主要是异基因造血干细胞移植、酶替代治疗及对症治疗,基因治疗仍处于研究阶段.
Diagnosis and treatment trends in mucopolysaccharidosis Ⅰ
Mucopolysaccharidosis type Ⅰ is a rare and life-threating autosomal recessive disease caused by the deficiency of α-L-iduronidase,resulting in the accumulation of heparan sulfate and dermatan sulfate in the body,leading to progressive multiple organs dysfunction.The diagnosis of MPS type Ⅰ is based on the quantification of α-l-iduronidase coupled with clinical manifestations,glycosaminoglycan analysis and gene sequencing.Newborn screening is now allowing the early identification of MPS Ⅰ patients.The current treatment options are mainly allogeneic hematopoietic stem cell transplantation,enzyme replacement therapy and symptomatic treatment.Gene therapy is under development.

mucopolysaccharidosis type Ⅰdiagnosistreatment

戴阳丽、傅君芬

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浙江大学医学院附属儿童医院内分泌科,浙江 杭州 310052

黏多糖贮积症Ⅰ型 诊断 治疗

2024

中国实用儿科杂志
中国医师协会,中国实用医学杂志社

中国实用儿科杂志

CSTPCD北大核心
影响因子:1.314
ISSN:1005-2224
年,卷(期):2024.39(11)