Alpha-1 antitripsyn deficiency and augmentation therapy in pregnancy: two case reports

Alpha-1 antitrypsin deficiency (AATD) is an inherited condition characterized by reduced plasma levels of alpha-1 antitrypsin (AAT), often leading to pulmonary diseases primarily emphysema and/or chronic obstructive pulmonary disease (COPD), but also bronchiectasis, bronchial asthma, or other less c...

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Main Authors: Anna Annunziata, Giuseppe Fiorentino, Antonietta Coppola, Rosa Cauteruccio, Laura Ferrentino, Luigi Fiorentino, Cecilia Calabrese
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-12-01
Series:Frontiers in Medicine
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Online Access:https://www.frontiersin.org/articles/10.3389/fmed.2024.1479877/full
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author Anna Annunziata
Giuseppe Fiorentino
Antonietta Coppola
Rosa Cauteruccio
Laura Ferrentino
Luigi Fiorentino
Cecilia Calabrese
author_facet Anna Annunziata
Giuseppe Fiorentino
Antonietta Coppola
Rosa Cauteruccio
Laura Ferrentino
Luigi Fiorentino
Cecilia Calabrese
author_sort Anna Annunziata
collection DOAJ
description Alpha-1 antitrypsin deficiency (AATD) is an inherited condition characterized by reduced plasma levels of alpha-1 antitrypsin (AAT), often leading to pulmonary diseases primarily emphysema and/or chronic obstructive pulmonary disease (COPD), but also bronchiectasis, bronchial asthma, or other less common disorders. Early diagnosis enables AAT augmentation therapy, which has proven to be effective in slowing down functional decline and improving survival rates. This article presents two cases of pregnant women with rare allelic variants of AATD who received AAT augmentation therapy, exploring the limited evidence on its safety during pregnancy and the potential role of decreased serum AAT levels in pregnancy-related complications.
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publishDate 2024-12-01
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spelling doaj-art-7f616fcf21704983a4a044501acd939e2025-08-20T01:56:46ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2024-12-011110.3389/fmed.2024.14798771479877Alpha-1 antitripsyn deficiency and augmentation therapy in pregnancy: two case reportsAnna Annunziata0Giuseppe Fiorentino1Antonietta Coppola2Rosa Cauteruccio3Laura Ferrentino4Luigi Fiorentino5Cecilia Calabrese6Department of Intensive Care, Unit of Pathophysiology and Respiratory Rehabilitation, AORN Ospedali dei Colli, Naples, ItalyDepartment of Intensive Care, Unit of Pathophysiology and Respiratory Rehabilitation, AORN Ospedali dei Colli, Naples, ItalyDepartment of Intensive Care, Unit of Pathophysiology and Respiratory Rehabilitation, AORN Ospedali dei Colli, Naples, ItalyDepartment of Intensive Care, Unit of Pathophysiology and Respiratory Rehabilitation, AORN Ospedali dei Colli, Naples, ItalyDepartment of Translational Medical Sciences, University Federico II, Naples, ItalyDepartment of Intensive Care, Unit of Pathophysiology and Respiratory Rehabilitation, AORN Ospedali dei Colli, Naples, ItalyDepartment of Translational Medical Sciences, University of Campania ‘Luigi Vanvitelli’, AORN Ospedali dei Colli, Naples, ItalyAlpha-1 antitrypsin deficiency (AATD) is an inherited condition characterized by reduced plasma levels of alpha-1 antitrypsin (AAT), often leading to pulmonary diseases primarily emphysema and/or chronic obstructive pulmonary disease (COPD), but also bronchiectasis, bronchial asthma, or other less common disorders. Early diagnosis enables AAT augmentation therapy, which has proven to be effective in slowing down functional decline and improving survival rates. This article presents two cases of pregnant women with rare allelic variants of AATD who received AAT augmentation therapy, exploring the limited evidence on its safety during pregnancy and the potential role of decreased serum AAT levels in pregnancy-related complications.https://www.frontiersin.org/articles/10.3389/fmed.2024.1479877/fullalpha-1 antitrypsin deficiencypregnancyaugmentation therapyemphysemasafetybronchial asthma
spellingShingle Anna Annunziata
Giuseppe Fiorentino
Antonietta Coppola
Rosa Cauteruccio
Laura Ferrentino
Luigi Fiorentino
Cecilia Calabrese
Alpha-1 antitripsyn deficiency and augmentation therapy in pregnancy: two case reports
Frontiers in Medicine
alpha-1 antitrypsin deficiency
pregnancy
augmentation therapy
emphysema
safety
bronchial asthma
title Alpha-1 antitripsyn deficiency and augmentation therapy in pregnancy: two case reports
title_full Alpha-1 antitripsyn deficiency and augmentation therapy in pregnancy: two case reports
title_fullStr Alpha-1 antitripsyn deficiency and augmentation therapy in pregnancy: two case reports
title_full_unstemmed Alpha-1 antitripsyn deficiency and augmentation therapy in pregnancy: two case reports
title_short Alpha-1 antitripsyn deficiency and augmentation therapy in pregnancy: two case reports
title_sort alpha 1 antitripsyn deficiency and augmentation therapy in pregnancy two case reports
topic alpha-1 antitrypsin deficiency
pregnancy
augmentation therapy
emphysema
safety
bronchial asthma
url https://www.frontiersin.org/articles/10.3389/fmed.2024.1479877/full
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