1986
DOI: 10.1016/s0140-6736(86)90299-0
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Enzyme Replacement in Nervous Tissue After Allogeneic Bone-Marrow Transplantation for Fucosidosis in Dogs

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Cited by 47 publications
(19 citation statements)
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“…However, results from this and other studies suggest that early treatment for lysosomal storage diseases leads to more complete reduction of storage material in the CNS. In a canine model of fucosidosis (␣-L-fucosidase deficiency), lysosomal storage material in the CNS is reduced to a greater extent when BMT is initiated early in life (2-4 mo of age) rather than later in life (6-30 mo) (31,32). An increase in the life span, enzyme-containing donor cells in the CNS and remyelination of peripheral nerves was observed in a murine model of Krabbe's disease (galactosylceramidase deficiency) after BMT performed on 9-12-d-old animals (33,34).…”
Section: Discussionmentioning
confidence: 99%
“…However, results from this and other studies suggest that early treatment for lysosomal storage diseases leads to more complete reduction of storage material in the CNS. In a canine model of fucosidosis (␣-L-fucosidase deficiency), lysosomal storage material in the CNS is reduced to a greater extent when BMT is initiated early in life (2-4 mo of age) rather than later in life (6-30 mo) (31,32). An increase in the life span, enzyme-containing donor cells in the CNS and remyelination of peripheral nerves was observed in a murine model of Krabbe's disease (galactosylceramidase deficiency) after BMT performed on 9-12-d-old animals (33,34).…”
Section: Discussionmentioning
confidence: 99%
“…6 BMT in patients or in experimental animals can lead to correction of the enzyme defect, a decrease in abnormal lysosomes in soft tisssues, and in some cases stabilisation of the neurological status. [6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25] However, while there is general agreement on the effectiveness of BMT for the treatment of liver, spleen or soft tissue disease, there is no consensus on whether it has a beneficial effect on the disease induced progressive deterioration of brain function. The outcome of the neurological manifestations appears to depend on the initial mental status, the age of the patient, the engraftment of the grafted bone marrow and the development of graft-versus-host diseases (GVHD).…”
Section: Introductionmentioning
confidence: 99%
“…BMT treatment is more effective to perform before development of disease for which quick decision is required. 77,78) However, the identification of suitable donors is time consuming, 77) which is contradictory to above suggestion. Likewise, problems arise during the clinical application of gene therapy, such as difficulties in controlling the expression and localization of the enzyme, 77) and BMT is a potentially dangerous procedure.…”
Section: Treatment Of Lysosomal Storage Diseasesmentioning
confidence: 95%
“…Likewise, problems arise during the clinical application of gene therapy, such as difficulties in controlling the expression and localization of the enzyme, 77) and BMT is a potentially dangerous procedure. 79) Differences in the degree of improvement among LSD patients following treatment 70,78,[80][81][82][83] suggest the need for careful consultation prior to treatment. Enzyme replacement therapy (ERT) is the most advanced therapeutic for treating LSDs and has been applied to Gaucher disease, 61) Fabry disease, 62,63) Pompe disease, 84,85) and mucopolysaccharidosis I, 64) II 86) and VI.…”
Section: Treatment Of Lysosomal Storage Diseasesmentioning
confidence: 99%