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논문 기본 정보

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학술저널
저자정보
Kim, Soo Hyun (Department of Pediatrics, Asan Medical Center Children's Hospital, University of Ulsan College of Medicine) Kang, Eungu (Department of Pediatrics, Asan Medical Center Children's Hospital, University of Ulsan College of Medicine) Kim, Yoon-Myung (Department of Pediatrics, Asan Medical Center Children's Hospital, University of Ulsan College of Medicine) Kim, Gu-Hwan (Medical Genetics Center, Asan Medical Center Children's Hospital, University of Ulsan College of Medicine) Choi, In-Hee (Medical Genetics Center, Asan Medical Center Children's Hospital, University of Ulsan College of Medicine) Choi, Jin-Ho (Department of Pediatrics, Asan Medical Center Children's Hospital, University of Ulsan College of Medicine) Yoo, Han-Wook (Department of Pediatrics, Asan Medical Center Children's Hospital, University of Ulsan College of Medicine) Lee, Beom Hee (Department of Pediatrics, Asan Medical Center Children's Hospital, University of Ulsan College of Medicine)
저널정보
대한의학유전학회 Journal of genetic medicine Journal of genetic medicine 제13권 제2호
발행연도
2016.1
수록면
72 - 77 (6page)

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Purpose: Gaucher disease (GD) is the most common lysosomal storage disease caused by beta-glucocerebrosidase (GBA) deficiency. Oral substrate reduction therapy with miglustat ($Zavesca^{(R)}$) was approved for the treatment of adults with GD type 1, for whom enzyme replacement therapy (ERT) is unsuitable or not a therapeutic option. In this study, we report the effect of miglustat ($Zavesca^{(R)}$) in three Korean GD patients. Materials and Methods: Clinical findings comprising age at diagnosis, presenting signs, laboratory findings at diagnosis, GBA activity and mutations, and clinical courses of the three patients were reviewed. Results: Miglustat was administered to three patients who reported allergic reactions during intravenous imiglucerase infusions. One patient withdrew after 15 months of miglustat administration owing to continuous elevation of disease biomarker levels (chitotriosidase, acid phosphatase, and angiotensin-converting enzyme). Poor adherence to medication was suspected but was denied by the patient. In the other two patients, platelet count and levels of hemoglobin and other biomarkers remained stable during miglustat administration. However, they suffered from severe diarrhea and weight loss, which led to miglustat discontinuation after 1 and 12 months of administration. Conclusion: Our study shows that although miglustat is suggested to GD patients as an alternative treatment to ERT, significant adverse reactions may lead to discontinuation of miglustat. In addition, it is difficult to monitor the drug adherence.
#Gaucher disease #Miglustat

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참고문헌 (23)

참고문헌 신청
Sidransky E / 2004 / Gaucher disease: complexity in a "simple" disorder / Mol Genet Metab 83:6~15 google schola Zimran A / 2011 / How I treat Gaucher disease / Blood 118:1463~1471 google schola Cabrera-Salazar MA / 2004 / Correlation of surrogate markers of Gaucher disease. Implications for long-term follow up of enzyme replacement therapy / Clin Chim Acta 344:101~107 google schola Ju-Young Lee / 2012 / Clinical and genetic characteristics of Gaucher disease according to phenotypic subgroups / Korean Journal of Pediatrics 55(2):48~53 google schola Zimran A / 1995 / Replacement therapy with imiglucerase for type 1 Gaucher's disease / Lancet 345:1479~1480 google schola

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