治疗晚发氏病的新进展:叙述性综述
Misha Khan1, Zainab Awan2, Eesha Asghar Ali2
1Department of Medicine and Surgery, Liaquat National Hospital and Medical College, National Stadium Road, Karachi, 74800, Pakistan. mishashabbir39@gmail.com.
European journal of pediatrics
|December 24, 2025
概括
对于晚发佩病 (LOPD) 的酶替代疗法 (ERT) 选择包括阿尔古古西酶α,阿瓦古西酶α和西帕古西酶α + miglustat. 阿瓦葡萄糖酶阿尔法在LOPD管理中显示出卓越的疗效,副作用较少.
科学领域:
- 神经学 神经学
- 罕见疾病 罕见疾病
- 遗传学 是一个遗传学.
背景情况:
- 晚期佩病 (LOPD) 是一种进展性神经肌肉疾病.
- 目前对LOPD的管理策略正在发展.
- 了解现有治疗方法的比较疗效和安全性至关重要.
研究的目的:
- 审查和比较LOPD治疗选择的疗效,安全性和限制.
- 强调基于三S共识的酶替代疗法 (ERT) 的治疗选择和切换策略.
- 评估新兴疗法,如药理伴随疗法 (PCT),基质减小疗法 (SRT) 和基因疗法.
主要方法:
- 在PubMed,ScienceDirect和Embase上进行全面的文献搜索,截至2025年2月.
- 包括与LOPD治疗相关的英语研究.
- 已批准的ERT配方和新兴治疗方式的比较分析.
主要成果:
- 糖酶α改善了6分钟步行测试 (6MWT) 和强迫生命能力 (FVC%),但具有较高的免疫原和输液相关反应率.
- 阿尔法葡萄糖酶在6MWT和FVC%中表现出优异的疗效,与阿尔法葡萄糖酶相比,副作用较少.
- 阿尔法糖酶+米格鲁斯塔特显示出有利的运动和呼吸系统结果,但副作用的发生率更高.
- PCT,SRT和基因疗法显示有轻微改善,但由于数据有限,需要进一步研究.
结论:
- 对于LOPD,有三种ERT选择 (alglucosidase alfa,avaglucosidase alfa,cipaglucosidase alfa + miglustat) 可供选择,并且应考虑其他治疗方案.
- 阿瓦葡萄糖酶α是最有效的ERT选择,副作用较少.
- 建议在不理想的反应或不耐受性时切换ERT,以个人化护理的Triple-S共识为指导.
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