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Related Concept Videos

Lysosomal Hydrolases01:22

Lysosomal Hydrolases

Lysosomes are the site for the degradation of macromolecules and biological polymers released during membrane trafficking events such as secretory, endocytic, autophagic, and phagocytic pathways. The membrane-enclosed area of the lysosome, called the lumen, contains hydrolytic enzymes active in an acidic environment. These acid hydrolases are functional at a pH between 4.5 and 5 and are involved in cellular processes such as cell signaling, energy metabolism, restoration of the plasma membrane,...
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Pharmacogenomics: Identification of New Drug Targets

Advances in genomics have profoundly influenced drug discovery by increasing both the speed and accuracy of pharmaceutical development. Pharmacogenomics, which examines how genetic variation influences drug response, facilitates the identification of novel therapeutic targets and enables patient stratification for personalized treatment. These strategies contribute to improved drug efficacy, minimized adverse effects, and more efficient clinical trial design.Mapping genetic differences...
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Pharmacogenetics of Phase II Enzymes: N-acetyltransferase, Thiopurine S-methyltransferase, UDP-glucuronosyltransferase01:27

Pharmacogenetics of Phase II Enzymes: N-acetyltransferase, Thiopurine S-methyltransferase, UDP-glucuronosyltransferase

Phase II biotransformation reactions are essential for detoxifying and eliminating xenobiotics, including many pharmaceutical compounds. These reactions typically involve conjugation, the covalent attachment of polar endogenous groups such as glucuronic acid, sulfate, methyl, or acetyl moieties to functional groups introduced during Phase I metabolism. The resulting conjugates are more water-soluble, enabling efficient renal or biliary excretion.The major classes of Phase II enzymes include...
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Related Experiment Video

Updated: Jul 7, 2026

In Vitro Enzyme Measurement to Test Pharmacological Chaperone Responsiveness in Fabry and Pompe Disease
10:16

In Vitro Enzyme Measurement to Test Pharmacological Chaperone Responsiveness in Fabry and Pompe Disease

Published on: December 20, 2017

[Therapeutic objectives in Gaucher disease].

P Mistry1, D P Germain

  • 1Yale University School of Medicine, Internal Medicine, 333, Cedar Street, CT 06520, New Haven, USA.

La Revue De Medecine Interne
|January 30, 2008
PubMed
Summary

Enzyme replacement therapy (ERT) is effective for Gaucher disease (GD), improving symptoms and quality of life when started early. Lifelong treatment with imiglucerase, the standard of care, requires careful monitoring.

Area of Science:

  • Biochemistry
  • Genetics
  • Rare Diseases

Background:

  • Gaucher disease (GD) is a lysosomal storage disorder caused by acid beta-glucosidase deficiency.
  • Therapeutic goals aim to reverse phenotype, improve quality of life, and prevent complications.
  • Optimal timing for enzyme replacement therapy (ERT) is crucial, typically during the asymptomatic phase.

Purpose of the Study:

  • To outline evidence-based therapeutic goals for Gaucher disease.
  • To emphasize the importance of early ERT administration for maximal clinical benefit.
  • To review the efficacy and safety of imiglucerase as the standard of care for type 1 GD.

Main Methods:

  • Development of evidence-based therapeutic goals by European and North American experts.
  • Review of clinical data on imiglucerase efficacy in treating type 1 Gaucher disease.

Related Experiment Videos

Last Updated: Jul 7, 2026

In Vitro Enzyme Measurement to Test Pharmacological Chaperone Responsiveness in Fabry and Pompe Disease
10:16

In Vitro Enzyme Measurement to Test Pharmacological Chaperone Responsiveness in Fabry and Pompe Disease

Published on: December 20, 2017

  • Assessment of the safety and tolerability profile of ERT.
  • Main Results:

    • Imiglucerase demonstrates high efficiency in improving bleeding tendencies, anemia, and hepatosplenomegaly.
    • ERT effectively addresses some skeletal damages and eliminates bone crises in Gaucher disease patients.
    • ERT exhibits a remarkable safety profile, with over 99% tolerability at 3 years.

    Conclusions:

    • Enzyme replacement therapy with imiglucerase is the standard of care for type 1 Gaucher disease.
    • Lifelong ERT is necessary and should not be interrupted without careful disease monitoring.
    • Early intervention with ERT maximizes clinical benefits and improves patient outcomes.