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Oral D-galactose supplementation in PGM1-CDG
SY. Wong, T. Gadomski, M. van Scherpenzeel, T. Honzik, H. Hansikova, KSB. Holmefjord, M. Mork, F. Bowling, J. Sykut-Cegielska, D. Koch, J. Hertecant, G. Preston, J. Jaeken, N. Peeters, S. Perez, DD. Nguyen, K. Crivelly, T. Emmerzaal, KM. Gibson,...
Jazyk angličtina Země Spojené státy americké
Typ dokumentu klinické zkoušky, časopisecké články
Grantová podpora
NV16-31932A
MZ0
CEP - Centrální evidence projektů
Digitální knihovna NLK
Plný text - Článek
NLK
ProQuest Central
od 2011-01-01 do 2021-12-31
Health & Medicine (ProQuest)
od 2011-01-01 do 2021-12-31
ROAD: Directory of Open Access Scholarly Resources
od 1998
PubMed
28617415
DOI
10.1038/gim.2017.41
Knihovny.cz E-zdroje
- MeSH
- aplikace orální MeSH
- dítě MeSH
- fosfoglukomutasa metabolismus MeSH
- galaktosa aplikace a dávkování škodlivé účinky terapeutické užití MeSH
- glykogenóza farmakoterapie MeSH
- glykoproteiny metabolismus MeSH
- hemokoagulace MeSH
- kojenec MeSH
- kreatinkinasa krev MeSH
- krevní glukóza metabolismus MeSH
- kůže cytologie metabolismus MeSH
- lidé MeSH
- mladiství MeSH
- mladý dospělý MeSH
- pilotní projekty MeSH
- předškolní dítě MeSH
- prospektivní studie MeSH
- transferin metabolismus MeSH
- vztah mezi dávkou a účinkem léčiva MeSH
- Check Tag
- dítě MeSH
- kojenec MeSH
- lidé MeSH
- mladiství MeSH
- mladý dospělý MeSH
- mužské pohlaví MeSH
- předškolní dítě MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- klinické zkoušky MeSH
PurposePhosphoglucomutase-1 deficiency is a subtype of congenital disorders of glycosylation (PGM1-CDG). Previous casereports in PGM1-CDG patients receiving oral D-galactose (D-gal) showed clinical improvement. So far no systematic in vitro and clinical studies have assessed safety and benefits of D-gal supplementation. In a prospective pilot study, we evaluated the effects of oral D-gal in nine patients.MethodsD-gal supplementation was increased to 1.5 g/kg/day (maximum 50 g/day) in three increments over 18 weeks. Laboratory studies were performed before and during treatment to monitor safety and effect on serum transferrin-glycosylation, coagulation, and liver and endocrine function. Additionally, the effect of D-gal on cellular glycosylation was characterized in vitro.ResultsEight patients were compliant with D-gal supplementation. No adverse effects were reported. Abnormal baseline results (alanine transaminase, aspartate transaminase, activated partial thromboplastin time) improved or normalized already using 1 g/kg/day D-gal. Antithrombin-III levels and transferrin-glycosylation showed significant improvement, and increase in galactosylation and whole glycan content. In vitro studies before treatment showed N-glycan hyposialylation, altered O-linked glycans, abnormal lipid-linked oligosaccharide profile, and abnormal nucleotide sugars in patient fibroblasts. Most cellular abnormalities improved or normalized following D-gal treatment. D-gal increased both UDP-Glc and UDP-Gal levels and improved lipid-linked oligosaccharide fractions in concert with improved glycosylation in PGM1-CDG.ConclusionOral D-gal supplementation is a safe and effective treatment for PGM1-CDG in this pilot study. Transferrin glycosylation and ATIII levels were useful trial end points. Larger, longer-duration trials are ongoing.
Biochemical Diseases Mater Children's Hospital South Brisbane Queensland Australia
Centre for Organismal Studies University of Heidelberg Heidelberg Germany
Department of Anatomy Radboud University Medical Centre Nijmegen The Netherlands
Department of Pediatric Habilitation Stavanger University Hospital Stavanger Norway
Department of Pediatrics University Hospitals Leuven Leuven Belgium
Genetics Metabolics Service Tawam Hospital Al Ain United Arab Emirates
Hayward Genetics Center Tulane University School of Medicine New Orleans Louisiana USA
Pediatric Cardiology Bergisch Gladbacher Koln Koln Germany
Screening and Metabolic Diagnostics Department The Institute of Mother and Child Warsaw Poland
University Lille CNRS UMR 8576 UGSF Unité de Glycobiologie Structurale et Fonctionnelle Lille France
Washington State University College of Pharmacy Spokane Washington USA
Citace poskytuje Crossref.org
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- $a PurposePhosphoglucomutase-1 deficiency is a subtype of congenital disorders of glycosylation (PGM1-CDG). Previous casereports in PGM1-CDG patients receiving oral D-galactose (D-gal) showed clinical improvement. So far no systematic in vitro and clinical studies have assessed safety and benefits of D-gal supplementation. In a prospective pilot study, we evaluated the effects of oral D-gal in nine patients.MethodsD-gal supplementation was increased to 1.5 g/kg/day (maximum 50 g/day) in three increments over 18 weeks. Laboratory studies were performed before and during treatment to monitor safety and effect on serum transferrin-glycosylation, coagulation, and liver and endocrine function. Additionally, the effect of D-gal on cellular glycosylation was characterized in vitro.ResultsEight patients were compliant with D-gal supplementation. No adverse effects were reported. Abnormal baseline results (alanine transaminase, aspartate transaminase, activated partial thromboplastin time) improved or normalized already using 1 g/kg/day D-gal. Antithrombin-III levels and transferrin-glycosylation showed significant improvement, and increase in galactosylation and whole glycan content. In vitro studies before treatment showed N-glycan hyposialylation, altered O-linked glycans, abnormal lipid-linked oligosaccharide profile, and abnormal nucleotide sugars in patient fibroblasts. Most cellular abnormalities improved or normalized following D-gal treatment. D-gal increased both UDP-Glc and UDP-Gal levels and improved lipid-linked oligosaccharide fractions in concert with improved glycosylation in PGM1-CDG.ConclusionOral D-gal supplementation is a safe and effective treatment for PGM1-CDG in this pilot study. Transferrin glycosylation and ATIII levels were useful trial end points. Larger, longer-duration trials are ongoing.
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