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Published on: May 7, 2020
[Therapeutic trials for the patients with muscle glycogen storage diseases]
1Department of Pediatrics (Pediatric Neurology), Hamamatsu City Medical Center for Developmental Medicine, Hamakita, Shizuoka. h-sugie@umin.ac.jp
Abstract:
Muscle glycogen storage diseases (GSDs) are disorders of inborn error of metabolism, in which gene therapy restoring the deficient enzymes may ultimately cure the diseases. However, considering the pathophysiological basis of GSDs other treatments such as substrate supplementation, activation of the residual enzyme and enzyme replacement, are also important. Therapeutic trials in progress include the combined use of vitamin B6 and cornstarch for GSD type V, enzyme replacement therapy using rh-alpha-glucosidase for GSD type II, and ketogenic diet for GSD type IX.
Insights
Muscle glycogen storage diseases (GSDs) are metabolic disorders. Current and emerging therapies include gene therapy, substrate supplementation, and enzyme replacement, with trials for GSD types V, II, and IX.
Area of Science:
- Biochemistry
- Genetics
- Metabolic Disorders
Context:
- Muscle glycogen storage diseases (GSDs) represent a group of inherited metabolic disorders.
- These conditions arise from genetic defects affecting glycogen metabolism in muscle tissue.
Purpose:
- To explore current and potential therapeutic strategies for GSDs.
- To highlight the importance of various treatment modalities beyond gene therapy.
Summary:
- Gene therapy offers a potential cure by restoring deficient enzymes in GSDs.
- Alternative treatments like substrate supplementation, residual enzyme activation, and enzyme replacement are crucial.
- Ongoing trials investigate vitamin B6 and cornstarch for GSD V, enzyme replacement for GSD II, and ketogenic diets for GSD IX.
Impact:
- Advances in GSD treatment offer hope for improved patient outcomes.
- Understanding diverse therapeutic approaches can guide clinical management and research.
- This research underscores the multifaceted nature of treating rare metabolic diseases.
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