Mucopolysaccharidosis, or MPS is a
subgroup of lysosomal storage diseases (DDL) which belong to even larger group
of diseases entitled "Inborn Errors of Metabolism", setting up a
metabolic disease caused by deficiency of enzymes.
Description
In MPS, there is a deficiency or lack
of a certain enzyme in the lysosomes, which leads to accumulation of
glycosaminoglycans (GAG), formerly known as mucopolysaccharides, name that gave
rise to pathology. The glycosaminoglycan are molecules that have in their
composition sugars that bind to a protein core. This molecule absorbs too much
water, acquiring a viscous consistency, thereby promoting the lubrication
between the tissues, allowing the sliding movement between them. This reduction
of friction between the fabric allows, for example, the movement of bone
joints. This dysfunction can lead to accumulation in cell function and, in most
cases, pathological effects in cells, tissues and organs.
The cumulative incidence of all MPS is
1: 22,500 live births, but few studies have been made, which suggests that this
incidence is underestimated.
The clinical manifestations of MPS's
are usually multisystemic (affecting various organs) and very variable,
existing forms mild to very severe.
There are seven types of MPS described
presently, which are classified according to the type of deficient enzyme in
the cell.
Treatment
As with many rare diseases, there is
no cure for Mucopolysaccharidosis, which is merely palliative is to improve the
quality of life of the patient. Some treatments are made basic drugs in an
attempt to achieve the functions disabled by enzymes lacking. For
Mucopolysaccharidosis I is administered the medicine called Laronidase.
However, the most widely used and effective treatment is enzyme replacement
therapy (ERT). The TRE is to introduce intravenous drug deficient in lysosomes
of cells. So far this therapy is only approved for use in patients of
Mucopolysaccharidosis I, MPS II, and MPS VI. Bone marrow transplantation is
also being widely used in the attempt to insert stem cells are able to multiply
properly composing enzymes.
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