2009
DOI: 10.2147/tcrm.s5777
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New therapies in the management of Niemann-Pick type C disease: clinical utility of miglustat

Abstract: Niemann-Pick disease type C (NP-C) is an autosomal recessive disorder characterized by progressive neurological deterioration leading to premature death. The disease is caused by mutations in one of two genes, NPC1 or NPC2, leading to impaired intracellular lipid transport and build-up of lipids in various tissues, particularly the brain. Miglustat (Zavesca®), a reversible inhibitor of glycosphingolipid synthesis, has recently been authorized in the European Union, Brazil and South Korea for the treatment of p… Show more

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Cited by 66 publications
(43 citation statements)
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“…Clinically, N-butyldeoxynojirimycin (NB-DNJ, Zavesca, Actelion Pharmaceuticals Ltd., Allschwil, Switzerland; Fig. 1D) ameliorates the pathological manifestations in type 1 Gaucher patients (52,53) and restricts disease advancement in patients with Niemann-Pick type C1 disease (54,55). Alkylated imino sugars thus can modulate the levels of glucosylceramide and complex GSLs, are currently in clinical use, and may be developed for additional indications (17, 56 -61).…”
Section: Glucosylceramide (Glccer)mentioning
confidence: 99%
“…Clinically, N-butyldeoxynojirimycin (NB-DNJ, Zavesca, Actelion Pharmaceuticals Ltd., Allschwil, Switzerland; Fig. 1D) ameliorates the pathological manifestations in type 1 Gaucher patients (52,53) and restricts disease advancement in patients with Niemann-Pick type C1 disease (54,55). Alkylated imino sugars thus can modulate the levels of glucosylceramide and complex GSLs, are currently in clinical use, and may be developed for additional indications (17, 56 -61).…”
Section: Glucosylceramide (Glccer)mentioning
confidence: 99%
“…This drug is in Phase 3 trials for Sandhoff disease ( 158 ) and for NPC1; miglustat has been approved by EMEA ( 305 ). The therapeutic effects of NB-DNJ are less than achieved with intravenous ERT using mannoseterminated GCase ( 304 ).…”
Section: Treatments By Decreasing Gsl Synthesismentioning
confidence: 99%
“…The morphogenetic process of epiboly involves coordinated movements of each of the embryonic cell layers that are present during late blastula ( 1 ): the deep cell layer, which gives rise to the embryo proper ( 2 ); the enveloping layer (EVL), an extraembryonic superfi cial epithelial layer covering the deep cells; and ( 3 ) the yolk syncytial layer (YSL), an extra-embryonic cytoplasmic cell layer within the yolk cell ( 38,39 ). Epiboly commences when the yolk cell bulges toward the animal pole and the deep cell blastomeres radially intercalate.…”
Section: This Work Was Supported By a Ruth L Kirschtein Predoctoral mentioning
confidence: 99%
“…
This article is available online at http://www.jlr.org ( 1,2 ). NP-C symptoms typically appear in childhood, although infant onsets are possible.
…”
mentioning
confidence: 99%