Allergic Reactions at Enzyme Replacement Therapy in Children with Mucopolysaccharidosis Type II

Mucopolysaccharidosis type II (MPS II; Hunter syndrome) is rare hereditary disease caused by changes in the IDS gene and associated deficiency of lysosomal enzyme iduronate-2-sulfatase (I2S). The main treatment scheme for children with MPS II is enzyme replacement therapy (ERT) with recombinant huma...

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Main Authors: Julia G. Levina, Nato D. Vashakmadze, Leyla S. Namazova-Baranova, Elena A. Vishneva, Natalia V. Zhurkova, Kamilla E. Efendieva, Anna A. Alekseeva, Vera G. Kalugina
Format: Article
Language:English
Published: "Paediatrician" Publishers LLC 2021-12-01
Series:Вопросы современной педиатрии
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Online Access:https://vsp.spr-journal.ru/jour/article/view/2782
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author Julia G. Levina
Nato D. Vashakmadze
Leyla S. Namazova-Baranova
Elena A. Vishneva
Natalia V. Zhurkova
Kamilla E. Efendieva
Anna A. Alekseeva
Vera G. Kalugina
author_facet Julia G. Levina
Nato D. Vashakmadze
Leyla S. Namazova-Baranova
Elena A. Vishneva
Natalia V. Zhurkova
Kamilla E. Efendieva
Anna A. Alekseeva
Vera G. Kalugina
author_sort Julia G. Levina
collection DOAJ
description Mucopolysaccharidosis type II (MPS II; Hunter syndrome) is rare hereditary disease caused by changes in the IDS gene and associated deficiency of lysosomal enzyme iduronate-2-sulfatase (I2S). The main treatment scheme for children with MPS II is enzyme replacement therapy (ERT) with recombinant human I2S. The major issue of ERT is development of allergic (sometimes up to severe anaphylaxis) reactions to recombinant enzymes. The article covers features of infusion-related reactions to ERT, it describes pathogenesis, diagnostic criteria management algorithm of anaphylaxis. Whereas, there is the need of further studies on allergic infusion-related reactions to ERT in children.
format Article
id doaj-art-43b99bf093e444f8a3b9a08a8d576030
institution Matheson Library
issn 1682-5527
1682-5535
language English
publishDate 2021-12-01
publisher "Paediatrician" Publishers LLC
record_format Article
series Вопросы современной педиатрии
spelling doaj-art-43b99bf093e444f8a3b9a08a8d5760302025-08-04T13:09:41Zeng"Paediatrician" Publishers LLCВопросы современной педиатрии1682-55271682-55352021-12-01206s62462910.15690/vsp.v20i6S.23721998Allergic Reactions at Enzyme Replacement Therapy in Children with Mucopolysaccharidosis Type IIJulia G. Levina0Nato D. Vashakmadze1Leyla S. Namazova-Baranova2Elena A. Vishneva3Natalia V. Zhurkova4Kamilla E. Efendieva5Anna A. Alekseeva6Vera G. Kalugina7Research Institute of Pediatrics and Children’s Health in “Central Clinical Hospital of the Russian Academy of Sciences”; Pirogov Russian National Research Medical UniversityResearch Institute of Pediatrics and Children’s Health in “Central Clinical Hospital of the Russian Academy of Sciences”; Pirogov Russian National Research Medical UniversityResearch Institute of Pediatrics and Children’s Health in “Central Clinical Hospital of the Russian Academy of Sciences”; Pirogov Russian National Research Medical University; Belgorod State National Research UniversityResearch Institute of Pediatrics and Children’s Health in “Central Clinical Hospital of the Russian Academy of Sciences”; Pirogov Russian National Research Medical UniversityResearch Institute of Pediatrics and Children’s Health in “Central Clinical Hospital of the Russian Academy of Sciences”; Medical Genetic Research Center named after N.P. BochkovResearch Institute of Pediatrics and Children’s Health in “Central Clinical Hospital of the Russian Academy of Sciences”; Pirogov Russian National Research Medical UniversityResearch Institute of Pediatrics and Children’s Health in “Central Clinical Hospital of the Russian Academy of Sciences”Research Institute of Pediatrics and Children’s Health in “Central Clinical Hospital of the Russian Academy of Sciences”Mucopolysaccharidosis type II (MPS II; Hunter syndrome) is rare hereditary disease caused by changes in the IDS gene and associated deficiency of lysosomal enzyme iduronate-2-sulfatase (I2S). The main treatment scheme for children with MPS II is enzyme replacement therapy (ERT) with recombinant human I2S. The major issue of ERT is development of allergic (sometimes up to severe anaphylaxis) reactions to recombinant enzymes. The article covers features of infusion-related reactions to ERT, it describes pathogenesis, diagnostic criteria management algorithm of anaphylaxis. Whereas, there is the need of further studies on allergic infusion-related reactions to ERT in children.https://vsp.spr-journal.ru/jour/article/view/2782mucopolysaccharidosis type iienzyme replacement therapyidursulfaseidursulfase betainfusion-related reactionsanaphylaxis
spellingShingle Julia G. Levina
Nato D. Vashakmadze
Leyla S. Namazova-Baranova
Elena A. Vishneva
Natalia V. Zhurkova
Kamilla E. Efendieva
Anna A. Alekseeva
Vera G. Kalugina
Allergic Reactions at Enzyme Replacement Therapy in Children with Mucopolysaccharidosis Type II
Вопросы современной педиатрии
mucopolysaccharidosis type ii
enzyme replacement therapy
idursulfase
idursulfase beta
infusion-related reactions
anaphylaxis
title Allergic Reactions at Enzyme Replacement Therapy in Children with Mucopolysaccharidosis Type II
title_full Allergic Reactions at Enzyme Replacement Therapy in Children with Mucopolysaccharidosis Type II
title_fullStr Allergic Reactions at Enzyme Replacement Therapy in Children with Mucopolysaccharidosis Type II
title_full_unstemmed Allergic Reactions at Enzyme Replacement Therapy in Children with Mucopolysaccharidosis Type II
title_short Allergic Reactions at Enzyme Replacement Therapy in Children with Mucopolysaccharidosis Type II
title_sort allergic reactions at enzyme replacement therapy in children with mucopolysaccharidosis type ii
topic mucopolysaccharidosis type ii
enzyme replacement therapy
idursulfase
idursulfase beta
infusion-related reactions
anaphylaxis
url https://vsp.spr-journal.ru/jour/article/view/2782
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