在溶酶存储障碍的酶替代疗法期间的过敏反应. 一个系统的审查脱敏感化策略的策略
Federico Spataro1, Palma Carlucci1, Teresa Loverre1
1Department of Precision and Regenerative Medicine and Ionian Area, University of Bari Aldo Moro, Bari, Italy.
概括
脱敏程序可以安全地恢复酶替代疗法 (ERT) 在患有溶酶体储存疾病 (LSD) 的患者中,这些患者经历过过敏反应. 这些策略是有效的管理反应和继续关键的ERT治疗.
科学领域:
- 生物化学 生物化学
- 免疫学 免疫学 免疫学
- 遗传学 遗传学 是一个
背景情况:
- 溶酶体储存疾病 (LSD) 是一种罕见的遗传代谢障碍.
- 酶替代疗法 (ERT) 是LSDs的黄金标准治疗方法.
- 过敏反应可能导致停止ERT治疗.
研究的目的:
- 审查在患有LSD的患者中使用的脱敏程序,这些患者经历了对ERT的过敏反应.
- 分析皮肤检测结果,脱敏方案,前期治疗策略和突破性反应.
- 评估无敏化对恢复ERT的安全性和有效性.
主要方法:
- 进行了一项文献搜索,以确定在LSD患者中对脱敏程序的研究.
- 提取的数据包括皮肤测试结果,特定的脱敏方案,前期治疗方案,以及输液期间突破性反应的发生情况.
- 分析的重点是52名患者,这些患者经历了成功的无敏化.
主要成果:
- 52名患者成功接受了无敏化程序,允许恢复ERT.
- 29名患者的皮肤测试呈阳性,两名患者的皮肤测试有疑问,四名患者的皮肤测试没有进行.
- 在52个脱敏方案中,有29个在初始输注期间没有突破性反应.
结论:
- 脱敏程序是安全和有效的恢复ERT在LSD过敏患者.
- 建议使用标准化测试指导的个性化脱敏方案.
- 需要对体内和体外试验进行进一步的研究,以优化安全性和有效性.
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