Niemann-Pick disease type C. Clinical symptoms, diagnostics and therapy

Mengel, E. and Beck, M. and Das, A. M. and Ebinger, F. and Koch, S. and Kluenemann, H. H. and Rohrbach, M. and Runz, H. and Rutsch, F. and Korenke, G. C. (2012) Niemann-Pick disease type C. Clinical symptoms, diagnostics and therapy. MONATSSCHRIFT KINDERHEILKUNDE, 160 (1). 47-+. ISSN 0026-9298,

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Abstract

Niemann-Pick disease type C (NPC) is a rare, neurovisceral lysosomal storage disease. A deficiency in the NPC1 or NPC2 protein results in impaired digestion and subsequent accumulation of plasma membrane lipids in the lysosomes. Visceral signs and symptoms may occur years before the onset of neurological manifestations. The clinical phenotype of NPC is, however, determined by the onset and progression of neurodegeneration. Neurological manifestations of NPC can be treated using substrate reduction therapy with miglustat. A clinical study showed that 72% of NPC patients treated with miglustat experienced stabilization or slowed progression of the disease. At present, miglustat is the only approved treatment option in Europe for NPC patients with neurological symptoms. Monitoring of disease progression and response to treatment with miglustat should be conducted with regular follow-up and standardized documentation. Additional research on the molecular basis and clinical course of NPC will be required in order to provide affected patients with an early targeted and efficacious treatment to curtail this normally progressive disease.

Item Type: Article
Uncontrolled Keywords: BRAIN-STEM; ADULT; MIGLUSTAT; CHILDREN; SCALE; GENE; Niemann-Pick disease, type C; Lysosomal storage diseases; Substrate reduction therapy; Miglustat; Glycosphingolipids
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Psychiatrie und Psychotherapie
Depositing User: Dr. Gernot Deinzer
Date Deposited: 25 May 2020 11:24
Last Modified: 25 May 2020 11:24
URI: https://pred.uni-regensburg.de/id/eprint/19567

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