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Related Experiment Videos

Hypophosphatasia.

Etienne Mornet1

  • 1Laboratoire SESEP, Centre Hospitalier de Versailles, Bâtiment EFS, 2 rue Jean-Louis Forain, 78150 Le Chesnay, France. etienne.mornet@cytogene.uvsq.fr

Orphanet Journal of Rare Diseases
|October 6, 2007
PubMed
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Hypophosphatasia is a rare genetic disorder affecting bone and teeth mineralization due to alkaline phosphatase deficiency. Diagnosis involves genetic testing, and while no cure exists, enzyme replacement therapy shows promise.

Area of Science:

  • Genetics
  • Metabolic Disorders
  • Biochemistry

Background:

  • Hypophosphatasia (HPP) is a rare inherited metabolic bone disease.
  • It results from deficient activity of tissue-nonspecific alkaline phosphatase (TNAP).
  • HPP presents with a wide spectrum of clinical severity, affecting bone and teeth mineralization.

Purpose of the Study:

  • To provide a comprehensive overview of hypophosphatasia.
  • To detail the genetic basis, clinical manifestations, diagnosis, and management strategies for HPP.
  • To highlight current and future therapeutic approaches.

Main Methods:

  • Literature review of hypophosphatasia.
  • Analysis of clinical presentations across different HPP forms.
  • Review of diagnostic criteria including genetic testing and biochemical markers.

Related Experiment Videos

  • Summary of current and emerging treatment options.
  • Main Results:

    • HPP is caused by mutations in the ALPL gene, leading to reduced serum alkaline phosphatase.
    • Six clinical forms are recognized, ranging from lethal perinatal to adult presentations with skeletal and dental issues.
    • Diagnosis relies on low serum alkaline phosphatase, elevated urinary phosphoethanolamine, and ALPL gene sequencing.
    • Genetic counseling is complex due to variable inheritance and penetrance.

    Conclusions:

    • Hypophosphatasia is a severe disorder with diverse clinical outcomes.
    • Accurate diagnosis is crucial for appropriate management.
    • While current treatments are symptomatic, enzyme replacement therapy offers a promising future direction.