Advancements in the Treatment of Mucopolysaccharidoses: From Established Therapies to Gene Therapy

Introduction and purpose Mucopolysaccharidoses (MPS), a subset of inborn errors of metabolism (IEM), are genetic disorders requiring pediatricians to recognize non-specific symptoms and carefully monitor newborns. Early diagnosis is essential for optimizing therapeutic outcomes. In recent years, s...

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Main Authors: Joanna Wanat, Wojciech Homa, Aleksandra Warunek, Gabriela Gronowicz, Izabela Dzikowska, Agata Siejka, Daria Stefaniak, Weronika Zielińska, Michał Chról
Format: Article
Language:English
Published: Kazimierz Wielki University 2025-02-01
Series:Journal of Education, Health and Sport
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Online Access:https://apcz.umk.pl/JEHS/article/view/57726
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author Joanna Wanat
Wojciech Homa
Aleksandra Warunek
Gabriela Gronowicz
Izabela Dzikowska
Agata Siejka
Daria Stefaniak
Weronika Zielińska
Michał Chról
author_facet Joanna Wanat
Wojciech Homa
Aleksandra Warunek
Gabriela Gronowicz
Izabela Dzikowska
Agata Siejka
Daria Stefaniak
Weronika Zielińska
Michał Chról
author_sort Joanna Wanat
collection DOAJ
description Introduction and purpose Mucopolysaccharidoses (MPS), a subset of inborn errors of metabolism (IEM), are genetic disorders requiring pediatricians to recognize non-specific symptoms and carefully monitor newborns. Early diagnosis is essential for optimizing therapeutic outcomes. In recent years, significant progress has been made not only in the diagnostic process but also in the development of therapies. Established treatments, such as hematopoietic stem cell transplantation (HSCT) and enzyme replacement therapy (ERT), have been improved, while advancements in gene therapy have opened new possibilities. State of knowledge Numerous studies and clinical trials suggest that novel therapies could be game-changers in managing MPS. Among the promising new treatments are: blood-brain barrier (BBB)-penetrable enzyme replacement therapy (ERT), substrate reduction therapy, nonsense suppression therapy, and mRNA engineering. However, the most advanced treatments, that are currently under investigation are in-vivo and ex-vivo gene therapy. Conclusions This article aims to review treatment options for MPS I (Hurler syndrome), highlighting the evolution from established therapies to innovative approaches.
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institution Kabale University
issn 2391-8306
language English
publishDate 2025-02-01
publisher Kazimierz Wielki University
record_format Article
series Journal of Education, Health and Sport
spelling doaj-art-39daee6e883548778234ef5a5b8c34922025-02-08T08:18:27ZengKazimierz Wielki UniversityJournal of Education, Health and Sport2391-83062025-02-017810.12775/JEHS.2025.78.57726Advancements in the Treatment of Mucopolysaccharidoses: From Established Therapies to Gene TherapyJoanna Wanat0https://orcid.org/0009-0009-3349-3618Wojciech Homa1https://orcid.org/0000-0003-2177-8818Aleksandra Warunek2https://orcid.org/0009-0000-7542-6522Gabriela Gronowicz3https://orcid.org/0009-0009-4034-1284Izabela Dzikowska 4https://orcid.org/0009-0006-5539-3771Agata Siejka 5https://orcid.org/0009-0009-2332-0115Daria Stefaniak6https://orcid.org/0009-0002-2207-4177Weronika Zielińska 7https://orcid.org/0009-0007-0707-9590Michał Chról8https://orcid.org/0009-0005-7776-6260Medical University of Lublin. Aleje Racławickie 1, 20-059 Lublin, Poland.Wojewódzki Szpital Specjalistyczny. al. Kraśnicka 100, 20-718 Lublin, Poland. Medical University of Lublin. Aleje Racławickie 1, 20-059 Lublin, Poland.Medical University of Lublin. Aleje Racławickie 1, 20-059 Lublin, Poland. Medical University of Lublin. Aleje Racławickie 1, 20-059 Lublin, Poland.Medical University of Lublin. Aleje Racławickie 1, 20-059 Lublin, Poland.Medical University of Lublin. Aleje Racławickie 1, 20-059 Lublin, Poland.Medical University of Lublin. Aleje Racławickie 1, 20-059 Lublin, Poland.Medical University of Lublin. Aleje Racławickie 1, 20-059 Lublin, Poland. Introduction and purpose Mucopolysaccharidoses (MPS), a subset of inborn errors of metabolism (IEM), are genetic disorders requiring pediatricians to recognize non-specific symptoms and carefully monitor newborns. Early diagnosis is essential for optimizing therapeutic outcomes. In recent years, significant progress has been made not only in the diagnostic process but also in the development of therapies. Established treatments, such as hematopoietic stem cell transplantation (HSCT) and enzyme replacement therapy (ERT), have been improved, while advancements in gene therapy have opened new possibilities. State of knowledge Numerous studies and clinical trials suggest that novel therapies could be game-changers in managing MPS. Among the promising new treatments are: blood-brain barrier (BBB)-penetrable enzyme replacement therapy (ERT), substrate reduction therapy, nonsense suppression therapy, and mRNA engineering. However, the most advanced treatments, that are currently under investigation are in-vivo and ex-vivo gene therapy. Conclusions This article aims to review treatment options for MPS I (Hurler syndrome), highlighting the evolution from established therapies to innovative approaches. https://apcz.umk.pl/JEHS/article/view/57726Gene therapyMucopolysaccharidosesHurler syndromeHematopoietic stem cell transplantationEnzyme replacement therapyInborn errors of metabolism
spellingShingle Joanna Wanat
Wojciech Homa
Aleksandra Warunek
Gabriela Gronowicz
Izabela Dzikowska
Agata Siejka
Daria Stefaniak
Weronika Zielińska
Michał Chról
Advancements in the Treatment of Mucopolysaccharidoses: From Established Therapies to Gene Therapy
Journal of Education, Health and Sport
Gene therapy
Mucopolysaccharidoses
Hurler syndrome
Hematopoietic stem cell transplantation
Enzyme replacement therapy
Inborn errors of metabolism
title Advancements in the Treatment of Mucopolysaccharidoses: From Established Therapies to Gene Therapy
title_full Advancements in the Treatment of Mucopolysaccharidoses: From Established Therapies to Gene Therapy
title_fullStr Advancements in the Treatment of Mucopolysaccharidoses: From Established Therapies to Gene Therapy
title_full_unstemmed Advancements in the Treatment of Mucopolysaccharidoses: From Established Therapies to Gene Therapy
title_short Advancements in the Treatment of Mucopolysaccharidoses: From Established Therapies to Gene Therapy
title_sort advancements in the treatment of mucopolysaccharidoses from established therapies to gene therapy
topic Gene therapy
Mucopolysaccharidoses
Hurler syndrome
Hematopoietic stem cell transplantation
Enzyme replacement therapy
Inborn errors of metabolism
url https://apcz.umk.pl/JEHS/article/view/57726
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