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Metachromatic leukodystrophy: To screen or not to screen?

An I Jonckheere1, Sandra D K Kingma2, François Eyskens2

  • 1Department of Child Neurology, Antwerp University Hospital, University of Antwerp, Edegem, Belgium; Centre for Metabolic Diseases, University Hospital Antwerp, University of Antwerp, Edegem, Belgium.

European Journal of Paediatric Neurology : EJPN : Official Journal of the European Paediatric Neurology Society
|June 24, 2023
PubMed
Summary
This summary is machine-generated.

Metachromatic leukodystrophy (MLD) treatment is evolving. Hematopoietic stem cell transplantation outcomes vary, prompting development of new therapies and newborn screening for MLD.

Keywords:
Metachromatic leukodystrophyNewborn screeningTreatment

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Area of Science:

  • Neuroscience
  • Genetics
  • Biochemistry

Background:

  • Metachromatic leukodystrophy (MLD) is a neurodegenerative lysosomal storage disorder.
  • It results from pathogenic variants in the arylsulfatase A gene.
  • MLD presents with variable onset, including infantile, juvenile, and adult forms.

Purpose of the Study:

  • To review the outcomes of allogeneic hematopoietic stem cell transplantation (allo-HSCT) for MLD.
  • To discuss emerging curative treatment options for MLD.
  • To explore the potential of newborn screening for MLD.

Main Methods:

  • This is a narrative review.
  • Literature search on MLD treatments, including allo-HSCT and novel therapies.
  • Analysis of treatment outcomes based on MLD disease forms and onset age.

Main Results:

  • Allo-HSCT outcomes for MLD are variable with high morbidity.
  • Newer treatment strategies are being developed, some with curative potential.
  • Newborn screening for MLD is increasingly considered valuable.

Conclusions:

  • The therapeutic landscape for MLD is shifting towards innovative treatments.
  • Newborn screening for MLD is gaining importance due to evolving treatment options.
  • Early detection through newborn screening may improve MLD management.