학술논문

Natural history and galsulfase treatment in mucopolysaccharidosis VI (MPS VI, Maroteaux–Lamy syndrome)—10‐year follow‐up of patients who previously participated in an MPS VI survey study
Document Type
article
Source
American Journal of Medical Genetics Part A. 164(8)
Subject
Biomedical and Clinical Sciences
Clinical Sciences
Digestive Diseases
Mucopolysaccharidoses (MPS)
Rare Diseases
Clinical Research
Cardiovascular
Adolescent
Body Weights and Measures
Child
Child
Preschool
Cross-Sectional Studies
Enzyme Replacement Therapy
Exercise Test
Female
Follow-Up Studies
Heart Function Tests
Humans
Male
Mucopolysaccharidosis VI
N-Acetylgalactosamine-4-Sulfatase
Quality of Life
Recombinant Proteins
Respiratory Function Tests
Young Adult
mucopolysaccharidosis VI
Maroteaux-Lamy syndrome
N-acetylgalactosamine-4-sulfatase
enzyme replacement therapy
follow-up studies
multicenter study [publication type]
survival rate
exercise tolerance
respiratory function tests
Genetics
Clinical sciences
Language
Abstract
Mucopolysaccharidosis VI (MPS VI) is a clinically heterogeneous and progressive disorder with multiorgan manifestations caused by deficient N-acetylgalactosamine-4-sulfatase activity. A cross-sectional Survey Study in individuals (n = 121) affected with MPS VI was conducted between 2001 and 2002 to establish demographics, urinary glycosaminoglycan (GAG) levels, and clinical progression of disease. We conducted a Resurvey Study (ClinicalTrials.gov: NCT01387854) to obtain 10-year follow-up data, including medical histories and clinical assessments (n = 59), and survival status over 12 years (n = 117). Patients received a mean (SD) of 6.8 (2.2) years of galsulfase ERT between baseline (Survey Study) and follow-up. ERT patients increased in height by 20.4 cm in the 4-7-year-old baseline age group and by 16.8 cm in the 8-12-year-old baseline age group. ERT patients 200 µg/mg baseline uGAG levels increased FVC by 48% in the