Enzyme Replacement Therapy with Idursulfase in Patients with Mucopolysaccharidosis Type II: Literature Review

Mucopolysaccharidosis type II (MPS II; Hunter syndrome) is X-linked hereditary disease from the group of lysosomal storage disease. Its prevalence is 3-7 cases per 1 million live-born boys. MPS II occurs due to the deficiency of iduronate-2-sulfatase enzyme because of pathological changes in the str...

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Main Authors: Nato D. Vashakmadze (Author), Natalya V. Zhurkova (Author), Olga B. Gordeeva (Author), Elena V. Komarova (Author), Tatyana E. Privalova (Author), Anastasya I. Rykunova (Author), Marina А. Babaykina (Author)
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Published: "Paediatrician" Publishers LLC, 2021-12-01T00:00:00Z.
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100 1 0 |a Nato D. Vashakmadze  |e author 
700 1 0 |a Natalya V. Zhurkova  |e author 
700 1 0 |a Olga B. Gordeeva  |e author 
700 1 0 |a Elena V. Komarova  |e author 
700 1 0 |a Tatyana E. Privalova  |e author 
700 1 0 |a Anastasya I. Rykunova  |e author 
700 1 0 |a Marina А. Babaykina  |e author 
245 0 0 |a Enzyme Replacement Therapy with Idursulfase in Patients with Mucopolysaccharidosis Type II: Literature Review 
260 |b "Paediatrician" Publishers LLC,   |c 2021-12-01T00:00:00Z. 
500 |a 1682-5527 
500 |a 1682-5535 
500 |a 10.15690/vsp.v20i6S.2371 
520 |a Mucopolysaccharidosis type II (MPS II; Hunter syndrome) is X-linked hereditary disease from the group of lysosomal storage disease. Its prevalence is 3-7 cases per 1 million live-born boys. MPS II occurs due to the deficiency of iduronate-2-sulfatase enzyme because of pathological changes in the structure of the IDS gene. Enzyme deficiency leads to the accumulation of glycosaminoglycans (GAGs), dermatan sulfate and heparan sulfate, in lysosomes. This leads to the damage of various organs and systems in the body with further development of clinical picture of the disease: coarse face, recurrent infections of upper respiratory tract, hearing loss up to deafness, cardiovascular and respiratory systems pathologies, hepatosplenomegaly, musculoskeletal system abnormalities, low growth, central nervous system damage. Enzyme replacement therapy with idursulfase, that was introduced in clinical practice 15 years ago, has significantly changed the quality of life of these patients. Idursulfase is purified form of natural lysosomal enzyme iduronate-2-sulfatase obtained via human cell line. Exogenous enzyme entry promotes GAGs catabolism in cells. This article provides outcomes analysis of foreign and Russian studies on the efficacy and safety of this medication, and its effect on MPS II patients survivability. 
546 |a EN 
546 |a RU 
690 |a mucopolysaccharidosis type ii 
690 |a hunter syndrome 
690 |a idursulfase 
690 |a enzyme replacement therapy 
690 |a survivability 
690 |a Pediatrics 
690 |a RJ1-570 
655 7 |a article  |2 local 
786 0 |n Вопросы современной педиатрии, Vol 20, Iss 6s, Pp 618-623 (2021) 
787 0 |n https://vsp.spr-journal.ru/jour/article/view/2791 
787 0 |n https://doaj.org/toc/1682-5527 
787 0 |n https://doaj.org/toc/1682-5535 
856 4 1 |u https://doaj.org/article/8bcea21d0889433c97c852e58a4410f7  |z Connect to this object online.