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Updated: Jul 10, 2026

In Vitro Enzyme Measurement to Test Pharmacological Chaperone Responsiveness in Fabry and Pompe Disease
Published on: December 20, 2017
Enzyme reconstitution/replacement therapy for lysosomal storage diseases
T Andrew Burrow1, Robert J Hopkin, Nancy D Leslie
1Division of Human Genetics, Cincinnati Children's Hospital Medical Center and the Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio 45229-3039, USA.
Enzyme replacement therapy is a safe and effective treatment for lysosomal storage diseases, offering benefits when started early. Long-term outcomes require further study, but early identification of patients is crucial.
Area of Science:
- Genetics and Molecular Biology
- Pediatric Medicine
- Pharmacology
Background:
- Lysosomal storage diseases (LSDs) are monogenic disorders often affecting children.
- These conditions serve as models for targeted therapies.
- Enzyme replacement therapy (ERT) has emerged as a key treatment strategy.
Purpose of the Study:
- To review phenotypes and recent literature on ERT for LSDs.
- To summarize outcomes of ERT for Gaucher, Fabry, Pompe diseases, and mucopolysaccharidoses.
- To highlight the importance of early diagnosis and intervention.
Main Methods:
- Literature review of recent clinical trials and studies.
- Analysis of treatment outcomes and adverse events associated with ERT.
- Phenotypic characterization of LSDs amenable to ERT.
Main Results:
- ERT effectively treats numerous manifestations of LSDs.
- Early initiation of ERT can reverse some symptoms but may not halt progression.
- ERT is generally well-tolerated, with rare severe allergic reactions.
Conclusions:
- ERT is a safe and effective treatment for several LSDs.
- Long-term outcomes of ERT require further investigation.
- Prompt identification of eligible patients is vital to prevent irreversible complications.
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