1994
DOI: 10.1007/bf00711365
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Modifying exogenous glucocerebrosidase for effective replacement therapy in Gaucher disease

Abstract: Important therapeutic principles were established in developing effective enzyme replacement therapy for patients with Gaucher disease. The background and sequence of the investigations that led to effective delivery of exogenous glucocerebrosidase to the lipid-storing macrophages in patients with Gaucher disease are described. The principle of targeting the intravenously injected enzyme to the mannose lectin on the surface of these cells by engineering the glycoform of the enzyme is a useful model of an essen… Show more

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Cited by 48 publications
(30 citation statements)
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“…Similar to the already mentioned relevance of endocytosis receptors for routing determinants such as GalNAc-4-SO 4 on the terminal part of N-glycan antennae of a limited set of glycoproteins [37], the occurrence of pattern-recognizing lectins in host defense attests how meaningful messages of the glycocode can be deciphered to the benefit of the organism. As likewise emphasized, therapeutic routing has also been beneficially exploited in enzyme replacement therapy involving the C-type tandem-repeat mannose receptor of macrophages [298,335,449,451]. These examples and further information given in table 2 make easily understandable why current research activities on lectins and glycoconjugates touch on various disciplines from the realms of basic and applied science ( fig.…”
Section: Review Articlementioning
confidence: 90%
See 2 more Smart Citations
“…Similar to the already mentioned relevance of endocytosis receptors for routing determinants such as GalNAc-4-SO 4 on the terminal part of N-glycan antennae of a limited set of glycoproteins [37], the occurrence of pattern-recognizing lectins in host defense attests how meaningful messages of the glycocode can be deciphered to the benefit of the organism. As likewise emphasized, therapeutic routing has also been beneficially exploited in enzyme replacement therapy involving the C-type tandem-repeat mannose receptor of macrophages [298,335,449,451]. These examples and further information given in table 2 make easily understandable why current research activities on lectins and glycoconjugates touch on various disciplines from the realms of basic and applied science ( fig.…”
Section: Review Articlementioning
confidence: 90%
“…Such a case has already been discussed for autosomal recessive Morbus Gaucher by the targeted enzyme (i.e. i-glucocerebrosidase) replacement [449,451,497].…”
Section: Review Articlementioning
confidence: 95%
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“…[1][2][3] Enzyme bioprocesses are important industrially in the food, beverage, and detergent fields. It is usually desirable to separate the enzyme and its product efficiently, to recover the product, plus, in some cases, to reuse the enzyme.…”
Section: Introductionmentioning
confidence: 99%
“…Similar material enabled pathologists to extract the stored lipid and ultimately determine its structure (Aghion 1934). Later it was the living tissue taken opportunistically during the course of clinical work that enabled Dr Brady and others to identify the metabolic defect (Brady et al 1965 Indeed, after many years, scientific access to patients became essential for clinical trials of enzyme therapy, bone marrow transplantation and, latterly, substrate reduction therapy (as described by Dr Brady, Dr Moyses and Dr Zimran (Ringdén et al 1988;Brady et al 1994;Brady 1997;Cox et al 2000)). …”
Section: The Study Of Rare Variantsmentioning
confidence: 99%