Raras
Buscar doenças, sintomas, genes...
Doença de Gaucher
ORPHA:355CID-10 · E75.2CID-11 · 5C56.0YPCDT · SUSDOENÇA RARA

A Doença de Gaucher (DG) é uma doença genética em que o corpo não consegue processar certas substâncias dentro das células (nos lisossomos), o que causa o acúmulo delas. Ela apresenta três formas principais (tipos 1, 2 e 3), uma forma que afeta o feto e uma variante que causa problemas cardíacos (conhecida como Doença de Gaucher com paralisia dos músculos dos olhos e acúmulo de cálcio nos vasos sanguíneos e no coração, ou doença similar à de Gaucher).

Mantido por Agente Raras·Colaborar como especialista →

Introdução

O que você precisa saber de cara

📋

A Doença de Gaucher (DG) é uma doença genética em que o corpo não consegue processar certas substâncias dentro das células (nos lisossomos), o que causa o acúmulo delas. Ela apresenta três formas principais (tipos 1, 2 e 3), uma forma que afeta o feto e uma variante que causa problemas cardíacos (conhecida como Doença de Gaucher com paralisia dos músculos dos olhos e acúmulo de cálcio nos vasos sanguíneos e no coração, ou doença similar à de Gaucher).

Pesquisas ativas
30 ensaios
171 total registrados no ClinicalTrials.gov
Publicações científicas
4.124 artigos
Último publicado: 2026
Medicamentos
8 registrados
MIGLUSTAT, ELIGLUSTAT, VENGLUSTAT

Tem tratamento?

8 medicamentos registrados
Ver detalhes, fases e interações →
MIGLUSTATELIGLUSTATVENGLUSTATAFEGOSTATAFEGOSTAT TARTRATESIROLIMUSPREDNISONEMETHYLPREDNISOLONE

Escala de raridade

CLASSIFICAÇÃO ORPHANET · BRASIL 2024
1-9 / 100 000
Ultra-rara
<1/50k
Muito rara
1/20k
Rara
1/10k
Pouco freq.
1/5k
Incomum
1/2k
Prevalência
1.0
Europe
Início
All ages
🏥
SUS: Cobertura completaScore: 95%
PCDT disponível5 medicamentos CEAFTriagem neonatal (Fase 3)Centros em: PA, PR, SC, RS, ES +8CID-10: E75.2
🇧🇷Dados SUS / DATASUS2024
890
internações/ano
R$ 45.670
custo médio/internação
ESTADOS COM MAIS INTERNAÇÕES
SPRJMGRSPR
PROCEDIMENTOS SIGTAP (8)
0202010279
Dosagem de aminoácidos (erros inatos)metabolic_test
0202010295
Dosagem de ácidos orgânicos na urinagenetic_test
0202010490
Teste de triagem para erros inatos do metabolismonewborn_screening
0202010694
Sequenciamento completo do exoma (WES)enzyme_replacement
0202080013
Teste do pezinho (triagem neonatal)rehabilitation
0303050101
Infusão de imiglucerase (Gaucher)
+2 outros procedimentos
Você se identifica com essa condição?
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Entender a doença

Do básico ao detalhe, leia no seu ritmo

Preparando trilha educativa...

Sinais e sintomas

O que aparece no corpo e com que frequência cada sintoma acontece

Partes do corpo afetadas

🧠
Neurológico
24 sintomas
🦴
Ossos e articulações
24 sintomas
❤️
Coração
18 sintomas
🫃
Digestivo
14 sintomas
🫁
Pulmão
14 sintomas
👁️
Olhos
12 sintomas

+ 76 sintomas em outras categorias

Características mais comuns

90%prev.
Anemia
Muito frequente (99-80%)
90%prev.
Esplenomegalia
Muito frequente (99-80%)
90%prev.
Nível diminuído de beta-glicocerebrosidase
Muito frequente (99-80%)
90%prev.
Hepatomegalia
Muito frequente (99-80%)
90%prev.
Fadiga
Muito frequente (99-80%)
55%prev.
Atraso de crescimento
Frequente (79-30%)
228sintomas
Muito frequente (5)
Frequente (30)
Ocasional (55)
Muito raro (3)
Sem dados (135)

Os sintomas variam de pessoa para pessoa. Abaixo estão as 228 características clínicas mais associadas, ordenadas por frequência.

Anemia
Muito frequente (99-80%)90%
EsplenomegaliaSplenomegaly
Muito frequente (99-80%)90%
Nível diminuído de beta-glicocerebrosidaseDecreased beta-glucocerebrosidase level
Muito frequente (99-80%)90%
HepatomegaliaHepatomegaly
Muito frequente (99-80%)90%
FadigaFatigue
Muito frequente (99-80%)90%

Linha do tempo da pesquisa

Publicações por ano — veja quando o interesse científico cresceu
Anos de pesquisa1desde 2026
Total histórico4.124PubMed
Últimos 10 anos200publicações
Pico2025148 papers
Linha do tempo
2026Hoje · 2026🧪 1988Primeiro ensaio clínico📈 2025Ano de pico
Publicações por ano (últimos 10 anos)

Triagem neonatal (Teste do Pezinho)

👶
Teste: Atividade de beta-glicosidase em sangue seco
Fase 3 do PNTNpending
Incidência no Brasil: 1:60.000

A triagem neonatal permite diagnóstico precoce e início imediato do tratamento.

Encontrou um erro ou informação desatualizada? Sugira uma correção →

Genética e causas

O que está alterado no DNA e como passa nas famílias

Genes associados

2 genes identificados com associação a esta condição. Padrão de herança: Autosomal recessive.

GBA1Lysosomal acid glucosylceramidaseDisease-causing germline mutation(s) inTolerante
FUNÇÃO

Glucosylceramidase that catalyzes, within the lysosomal compartment, the hydrolysis of glucosylceramides/GlcCers (such as beta-D-glucosyl-(1<->1')-N-acylsphing-4-enine) into free ceramides (such as N-acylsphing-4-enine) and glucose (PubMed:15916907, PubMed:24211208, PubMed:32144204, PubMed:39395789, PubMed:9201993). Plays a central role in the degradation of complex lipids and the turnover of cellular membranes (PubMed:27378698). Through the production of ceramides, participates in the PKC-activ

LOCALIZAÇÃO

Lysosome membrane

VIAS BIOLÓGICAS (1)
Glycosphingolipid catabolism
MECANISMO DE DOENÇA

Gaucher disease

An autosomal recessive lysosomal storage disease due to deficient activity of lysosomal beta-glucocerebrosidase, and characterized by accumulation of glucosylceramide in the reticulo-endothelial system. GD is a multisystem disease historically divided into three main subtypes on the basis of the presence of neurologic involvement, age at onset and progression rate: type 1 is the non-neuropathic form, type 2 is the acute neuropathic form with early onset and rapid neurologic deterioration, type 3 is the chronic neuropathic form with slow progression of neurologic features. GD shows a marked phenotypic diversity ranging from adult asymptomatic forms, at the mild end, to perinatal lethal forms at the severe end of the disease spectrum. Formal diagnosis of Gaucher disease is based on the measurement of glucocerebrosidase levels in circulating leukocytes and molecular genetic analysis.

OUTRAS DOENÇAS (7)
Gaucher disease type IIGaucher disease perinatal lethalGaucher disease-ophthalmoplegia-cardiovascular calcification syndromeGaucher disease type I
HGNC:4177UniProt:P04062
SCARB2Lysosome membrane protein 2Candidate gene tested inTolerante
FUNÇÃO

Acts as a lysosomal receptor for glucosylceramidase (GBA1) targeting (Microbial infection) Acts as a receptor for enterovirus 71

LOCALIZAÇÃO

Lysosome membrane

VIAS BIOLÓGICAS (1)
Clathrin-mediated endocytosis
MECANISMO DE DOENÇA

Epilepsy, progressive myoclonic 4, with or without renal failure

A form of progressive myoclonic epilepsy, a clinically and genetically heterogeneous group of disorders defined by the combination of action and reflex myoclonus, other types of epileptic seizures, and progressive neurodegeneration and neurocognitive impairment. EPM4 is an autosomal recessive form associated with renal failure in some cases. Cognitive function is preserved.

EXPRESSÃO TECIDUAL(Ubíquo)
Brain Spinal cord cervical c-1
119.7 TPM
Fibroblastos
117.7 TPM
Pulmão
114.5 TPM
Cervix Endocervix
105.3 TPM
Artéria coronária
99.7 TPM
OUTRAS DOENÇAS (3)
action myoclonus-renal failure syndromeGaucher disease type IUnverricht-Lundborg syndrome
HGNC:1665UniProt:Q14108

Medicamentos e terapias

MIGLUSTATPhase 4

Mecanismo: Ceramide glucosyltransferase inhibitor

ELIGLUSTATPhase 4

Mecanismo: Ceramide glucosyltransferase inhibitor

VENGLUSTATPhase 3

Mecanismo: Ceramide glucosyltransferase inhibitor

AFEGOSTATPhase 2

Mecanismo: Beta-glucocerebrosidase stabiliser

AFEGOSTAT TARTRATEPhase 2

Mecanismo: Beta-glucocerebrosidase stabiliser

SIROLIMUSPhase 1

Mecanismo: FK506-binding protein 1A inhibitor

PREDNISONEPhase 1

Mecanismo: Glucocorticoid receptor agonist

METHYLPREDNISOLONEPhase 1

Mecanismo: Glucocorticoid receptor agonist

Ver mais no OpenTargets

Variantes genéticas (ClinVar)

480 variantes patogênicas registradas no ClinVar.

🧬 GBA1: NM_000157.4(GBA1):c.518C>T (p.Thr173Ile) ()
🧬 GBA1: NC_000001.10:g.(?_155204242)_(155209869_155210420)del ()
🧬 GBA1: NM_000157.4(GBA1):c.745del (p.Ala249fs) ()
🧬 GBA1: GRCh37/hg19 1q21.1-44(chr1:143932350-249224684)x3 ()
🧬 GBA1: GRCh37/hg19 1q21.3-22(chr1:154822196-156304685)x3 ()
Ver todas no ClinVar

Classificação de variantes (ClinVar)

Distribuição de 431 variantes classificadas pelo ClinVar.

280
86
65
Patogênica (65.0%)
VUS (20.0%)
Benigna (15.1%)
VARIANTES MAIS SIGNIFICATIVAS
GBA1: NC_000001.10:g.(?_155204242)_(155209869_155210420)del [Pathogenic]
GBA1: NM_000157.4(GBA1):c.1389-2A>G [Pathogenic]
GBA1: NM_000157.4(GBA1):c.1162G>T (p.Glu388Ter) [Likely pathogenic]
GBA1: NM_000157.4(GBA1):c.800_801insTGTACAG (p.Trp267fs) [Likely pathogenic]
GBA1: NM_000157.4(GBA1):c.-119_-116del [Likely pathogenic]

Diagnóstico

Os sinais que médicos procuram e os exames que confirmam

Carregando...

Tratamento e manejo

Remédios, cuidados de apoio e o que precisa acompanhar

Pipeline de tratamentos
Pipeline regulatório — de medicamentos já aprovados a drogas em pesquisa exploratória.
Aprovado2
3Fase 32
2Fase 24
1Fase 14
·Pré-clínico16
Medicamentos catalogadosEnsaios clínicos· 8 medicamentos · 20 ensaios
✓ Aprovados — podem ser usados hoje
MIGLUSTATELIGLUSTAT
Carregando informações de tratamento...

Onde tratar no SUS

Hospitais de referência no Brasil e o protocolo oficial do SUS (PCDT)

🇧🇷 Atendimento SUS — Doença de Gaucher

Centros de Referência SUS

21 centros habilitados pelo SUS para Doença de Gaucher

Centros para Doença de Gaucher

Detalhes dos centros

Hospital Universitário Prof. Edgard Santos (HUPES)

R. Dr. Augusto Viana, s/n - Canela, Salvador - BA, 40110-060 · CNES 0003808

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do Metabolismo

Hospital de Apoio de Brasília (HAB)

AENW 3 Lote A Setor Noroeste - Plano Piloto, Brasília - DF, 70684-831 · CNES 0010456

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do MetabolismoDeficiência Intelectual

Hospital Estadual Infantil e Maternidade Alzir Bernardino Alves (HIABA)

Av. Min. Salgado Filho, 918 - Soteco, Vila Velha - ES, 29106-010 · CNES 6631207

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do MetabolismoDeficiência Intelectual

Hospital das Clínicas da UFG

Rua 235 QD. 68 Lote Área, Nº 285, s/nº - Setor Leste Universitário, Goiânia - GO, 74605-050 · CNES 2338424

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do Metabolismo

Hospital das Clínicas da UFMG

Av. Prof. Alfredo Balena, 110 - Santa Efigênia, Belo Horizonte - MG, 30130-100 · CNES 2280167

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do MetabolismoDeficiência Intelectual

NUPAD / Faculdade de Medicina UFMG

Av. Prof. Alfredo Balena, 189 - 5 andar - Centro, Belo Horizonte - MG, 30130-100 · CNES 2183226

Serviço de Referência

Rota
Erros Inatos do Metabolismo

Hospital Universitário João de Barros Barreto

R. dos Mundurucus, 4487 - Guamá, Belém - PA, 66073-000 · CNES 2337878

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do MetabolismoDeficiência Intelectual

Hospital de Clínicas da Universidade Federal de Pernambuco

Av. Prof. Moraes Rego, 1235 - Cidade Universitária, Recife - PE, 50670-901 · CNES 2561492

Atenção Especializada

Rota
Erros Inatos do Metabolismo

Instituto de Medicina Integral Prof. Fernando Figueira (IMIP)

R. dos Coelhos, 300 - Boa Vista, Recife - PE, 50070-902 · CNES 0000647

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do MetabolismoDeficiência Intelectual

Hospital de Clínicas da UFPR

R. Gen. Carneiro, 181 - Alto da Glória, Curitiba - PR, 80060-900 · CNES 2364980

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do MetabolismoDeficiência Intelectual

Hospital Universitário Pedro Ernesto (HUPE-UERJ)

Blvd. 28 de Setembro, 77 - Vila Isabel, Rio de Janeiro - RJ, 20551-030 · CNES 2280221

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do Metabolismo

Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira (IFF/Fiocruz)

Av. Rui Barbosa, 716 - Flamengo, Rio de Janeiro - RJ, 22250-020 · CNES 2269988

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do MetabolismoDeficiência Intelectual

Hospital Universitário Onofre Lopes (HUOL)

Av. Nilo Peçanha, 620 - Petrópolis, Natal - RN, 59012-300 · CNES 2408570

Atenção Especializada

Rota
Erros Inatos do Metabolismo

Hospital São Lucas da PUCRS

Av. Ipiranga, 6690 - Jardim Botânico, Porto Alegre - RS, 90610-000 · CNES 2232928

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do Metabolismo

Hospital de Clínicas de Porto Alegre (HCPA)

Rua Ramiro Barcelos, 2350 Bloco A - Av. Protásio Alves, 211 - Bloco B e C - Santa Cecília, Porto Alegre - RS, 90035-903 · CNES 2237601

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do MetabolismoDeficiência Intelectual

Hospital Universitário da UFSC (HU-UFSC)

R. Profa. Maria Flora Pausewang - Trindade, Florianópolis - SC, 88036-800 · CNES 2560356

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do Metabolismo

Hospital das Clínicas da FMUSP

R. Dr. Ovídio Pires de Campos, 225 - Cerqueira César, São Paulo - SP, 05403-010 · CNES 2077485

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do MetabolismoDeficiência Intelectual

Hospital de Clínicas da UNICAMP

R. Vital Brasil, 251 - Cidade Universitária, Campinas - SP, 13083-888 · CNES 2748223

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do MetabolismoDeficiência Intelectual

Hospital de Clínicas de Ribeirão Preto (HCRP-USP)

R. Ten. Catão Roxo, 3900 - Vila Monte Alegre, Ribeirão Preto - SP, 14015-010 · CNES 2082187

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do MetabolismoDeficiência Intelectual

Instituto da Criança e do Adolescente (ICr-HCFMUSP)

Av. Dr. Enéas Carvalho de Aguiar, 647 - Cerqueira César, São Paulo - SP, 05403-000 · CNES 2081695

Serviço de Referência

Rota
Erros Inatos do Metabolismo

UNIFESP / Hospital São Paulo

R. Napoleão de Barros, 715 - Vila Clementino, São Paulo - SP, 04024-002 · CNES 2688689

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do Metabolismo
Sobre os centros SUS: Estes centros são habilitados pelo Ministério da Saúde como Serviços de Referência em Doenças Raras ou Serviços de Atenção Especializada. O atendimento é pelo SUS, com encaminhamento da rede de atenção básica.

Dados de DATASUS/CNES, SBGM, ABNeuro e Ministério da Saúde. Sempre confirme a disponibilidade diretamente com o estabelecimento.

Pesquisa ativa

Ensaios clínicos abertos e novidades científicas recentes

🟢 Recrutando agora

20 pesquisas recrutando participantes. Converse com seu médico sobre a possibilidade de participar.

NCT07223944 · A Gaucher Disease Gene Therapy Trial With FLT201Recrutando
PHASE3
NCT05487599 · A Clinical Trial of PR001 (LY3884961) in Patients With Perip…Recrutando
PHASE1, PHASE2
NCT00358943 · International Collaborative Gaucher Group (ICGG) Gaucher Dis…Recrutando
NCT05619900 · Registry of Patients Diagnosed With Lysosomal Storage Diseas…Recrutando
NCT05843552 · Extracellular Vesicles as Potential Biomarkers and Therapeut…Recrutando
NCT02437396 · Oxidative Stress and Inflammatory Biomarkers in Gaucher Dise…Recrutando
NCT04532047 · PEARL (PrEnAtal Enzyme Replacement Therapy for Lysosomal Sto…Recrutando
PHASE1
NCT05992532 · GammaGA: Prevalence of Acid Sphingomyelinase Deficiency Dise…Recrutando
NCT03333200 · Longitudinal Study of Neurodegenerative DisordersRecrutando
NCT06818838 · A Clinical Study Evaluating LY-M001 Injection in the Treatme…Recrutando
PHASE1, PHASE2
NCT06573723 · Institutional Registry of Rare DiseasesRecrutando
NCT05586243 · MAGNETIC RESONANCE SPECTROSCOPY BIOMARKERS IN TYPE 3 GAUCHER…Recrutando
NCT03291223 · Gaucher Disease Outcome Survey (GOS)Recrutando
NCT03190837 · A Long-term Follow-up Study of Gaucher DiseaseRecrutando
NCT04101968 · The GBA Multimodal Study in Parkinson's DiseaseRecrutando
NCT05536388 · Drug Discovery for Parkinson's With Mutations in the GBA Gen…Recrutando
NCT06162338 · A Study of the Safety and Preliminary Efficacy of LY-M001 In…Recrutando
NA
NCT06539169 · FLOWER: Following Longitudinal Outcomes With Epidemiology fo…Recrutando
NCT03240653 · Gaucherite - A Study to Stratify Gaucher DiseaseRecrutando
NCT00001215 · Genetic Studies of Lysosomal Storage DisordersPor convite

Outros ensaios clínicos

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Publicações mais relevantes

Timeline de publicações
1.820 papers (10 anos)

Mostrando amostra de 200 publicações de um total de 1.820

#1

The dual impact of GBA1 in disease: from germline mutations in neurological disorders to alterations in cancer.

Cell death discovery2026 Mar 19

The GBA1 gene encodes the enzyme glucocerebrosidase, which is responsible for lysosomal degradation of the glycosphingolipid glucosylceramide. Biallelic mutations in GBA1 are causative for Gaucher disease, whereas either monoallelic or biallelic mutations are a risk factor for Parkinson's disease. GBA1 mutations, beside reducing enzymatic activity and leading to substrate accumulation, influence a number of molecular and cellular pathways, including lipid homeostasis, endosome-lysosome pathway, endoplasmic reticulum to Golgi protein trafficking, autophagy and mitophagy. Given the critical role of GBA1 in these key pathways for cellular homeostasis, it can be expected that alterations in this enzyme may influence also cancer development and/or pathology, keeping in mind that Gaucher disease is associated with an increased risk of cancer development. Notably, a large fraction of patients affected by different cancer types carry an amplification of the long arm of chromosome 1, that includes the GBA1 gene. Furthermore, GBA1 expression is elevated in different cancer tissues, compared with healthy counterparts and associated with outcome in some cases. In this perspective, we narratively review the main evidence supporting a role for GBA1 in influencing tumorigenesis and we present our analyses on GBA1 amplification and expression throughout different cancer types. Taken together, these data suggest that the presence of a GBA1 germline mutation or a somatic amplification may influence cancer pathogenesis and/or response to therapies through context-dependent mechanisms that are still to be characterized.

#2

Glucosylsphingosine (Lyso-Gb1): An Update on Its Use as a Biomarker in Gaucher Disease.

International journal of molecular sciences2026 Feb 10

Gaucher disease (GD) is a lysosomal storage disorder caused by mutations in the glucocerebrosidase gene (GBA1), leading to acid β-glucosidase deficiency and the accumulation of glucosylceramide-derived glycosphingolipids. Its three phenotypes (non-neuronopathic, acute neuronopathic, and chronic neuronopathic) have variable clinical presentations including hepatosplenomegaly, cytopenia, bone disease, and neurological involvement. Early diagnosis and treatment are critical for improving outcomes, but GD is under-recognized due to non-specific symptoms and limited access to appropriate diagnostic testing. Glucosylsphingosine (lyso-Gb1), a deacylated metabolite of glucosylceramide, has been identified as a candidate biomarker for diagnosis and monitoring. This narrative review examines the role of biomarkers in GD, focusing on lyso-Gb1 as a potential diagnostic and prognostic biomarker. Lyso-Gb1 is markedly elevated in GD patients and correlates with disease burden, severity, and response to therapy. It is detectable in plasma and dried blood spots, making it suitable for newborn screening, diagnosis, and monitoring. Lyso-Gb1 is a sensitive and specific biomarker for GD, facilitating early detection, guiding treatment decisions, and enabling personalized disease management. Lyso-Gb1 levels reflect substrate accumulation and therapeutic response more reliably than other biomarkers such as chitotriosidase or CCL18. Ongoing research aims to refine diagnostic thresholds and integrate lyso-Gb1 monitoring into routine clinical practice for optimal patient outcomes.

#3

Stability study of pharmacy compounded high-dose ambroxol hydrochloride capsules for an n-of-1 clinical trial involving Dutch patients with Gaucher disease type 3.

European journal of hospital pharmacy : science and practice2026 Feb 26

Several studies have investigated the effectiveness of high-dose ambroxol in treating patients with Gaucher disease type 3. Since there are no registered high-dose ambroxol preparations available, information on the development of this preparation can be important to improve access. The pharmacy and clinical pharmacology department of Amsterdam University Medical Center has developed a simple 75 mg ambroxol hydrochloride (HCl) capsule formulation for this purpose. The aim of this study was to investigate the stability of 75 mg ambroxol capsules. Three batches (n=1000) of 75 mg ambroxol HCl capsules were produced and stored in climate chambers for 6 months under accelerated (40±2°C and 75% relative humidity (RH)±5% RH) and long-term (25±2°C and 60% RH±5% RH) conditions. At 0, 3 and 6 months, appearance, identity, related substances, assay, uniformity of dosage units (content uniformity (CU)), dissolution and microbiology were evaluated. The specifications and acceptance criteria were derived from the European Pharmacopoeia and the International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use guidelines. All parameters met the predefined specifications from t=0 to t=6 months for both the accelerated and long-term stability studies. There were no visible changes in appearance of the capsule content, no degradation products above 0.05%, and no decrease in ambroxol content. Furthermore, the capsules met the criteria for CU with an acceptance value ≤15.0. The dissolution was rapid, with ≥80% of ambroxol released from the capsules within 30 min, and no microbiological growth was observed. The 75 mg ambroxol HCl capsules are stable for at least 6 months at room temperature. This paper provides guidance to pharmacies for compounding of high-dose ambroxol HCl capsules to ensure the availability of ambroxol for patients in need.

#4

Exploring delayed diagnosis in Gaucher disease: insights from a community survey and potential solutions.

Orphanet journal of rare diseases2026 Feb 20

Gaucher disease is a rare lysosomal storage disorder caused by insufficient activity of the enzyme β-glucocerebrosidase. This leads to the accumulation of fatty deposits in cells and tissues and damages multiple organ systems. Diagnosing Gaucher disease often involves a prolonged and challenging "diagnostic odyssey". The International Gaucher Alliance (IGA) conducted a survey among individuals living with Gaucher disease, including patients, families, and caregivers, to investigate diagnostic challenges. Distributed primarily in English language, with a Spanish translation for relevant IGA members, the survey was completed by 142 respondents from 40 different countries between November 2024 and February 2025. The study aims to guide future efforts to promote timely diagnosis, access to expert management, and treatment before irreversible damage occurs. Early diagnosis also brings emotional and practical benefits, including informed family planning and support networks. The survey revealed that diagnostic delays remain prevalent, with 58% of respondents waiting more than a year for diagnosis. Key contributors to delays included low awareness among physicians and inadequate communication between medical specialties. Common "red flag" symptoms identified in guidelines were often linked to eventual diagnosis, highlighting the need to educate healthcare professionals, especially those likely to encounter patients but not consider Gaucher disease (e.g., internal medicine specialists and gastroenterologists). Notably, 17% of respondents were not made aware of the genetic nature of Gaucher disease when they were diagnosed, potentially missing opportunities to identify affected relatives or influence family planning. Respondents suggested that increased awareness among healthcare professionals, expanded access to newborn screening, and greater availability of genetic and enzymatic testing could significantly accelerate the process. As well as continuing to engage in education and awareness activities for specialists that commonly diagnose Gaucher, targeted awareness campaigns for secondary care clinicians that do not commonly diagnose Gaucher, but are regularly seen in the journey to diagnosis could reduce diagnostic delays. Providing lay-friendly resources to help specialists explain genetic inheritance to newly diagnosed patients may enhance early family diagnoses. Country-specific surveys to understand local diagnostic experiences could shape tailored interventions. Lastly, advocacy efforts to address access barriers, should amplify patient voices and prioritise community needs.

#5

Maternal and Fetal Outcomes in Imiglucerase-Treated Patients With Gaucher Disease: Real-World Evidence From the International Collaborative Gaucher Group (ICGG) Gaucher Registry Pregnancy Sub-Registry.

Journal of inherited metabolic disease2026 Mar

Untreated women with Gaucher disease (GD) are at an increased risk of GD-related complications during pregnancy. Enzyme replacement therapy with imiglucerase is effective at improving hematologic, visceral, and bone manifestations of GD, and the Food & Drug Administration prescribing information supports that imiglucerase is not associated with adverse maternal or fetal outcomes when used during pregnancy. This study population included women with GD enrolled in the International Collaborative Gaucher Group Gaucher Registry (NCT00358943) Pregnancy Sub-Registry who were treated with imiglucerase during at least one pregnancy as of October 2023. We describe frequency of pregnancy outcomes, birth outcomes, and maternal and neonatal complications. Imiglucerase exposure was reported in 110 pregnancies in 68 women with GD type 1; 68% of pregnancies were exposed during all three trimesters. Of 104 fetuses with reported data, 92 were live births (88.5%), eight were spontaneous abortions (7.7%), and four were elective/therapeutic terminations (3.8%); no stillbirths (> 20 weeks gestation) were reported. The majority of infants (80 of 85 [94.1%]) were born at term. Among 108 pregnancies with data, maternal pregnancy, labor and delivery, and post-partum complications were reported for 33 (30.6%), 26 (24.1%), and 24 (22.2%) pregnancies, respectively, with anemia, thrombocytopenia, and vaginal bleeding among the most prevalent complications. Among 74 infants with data, neonatal complications were reported for seven infants (9.5%). Most pregnancies to women with GD treated with imiglucerase resulted in live births and healthy infants, with risk of spontaneous abortions similar to that of the general population (12%-18%).

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Orphanet journal of rare diseases
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Molecular genetics and metabolism reports
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Molecular genetics and metabolism reports
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Clinical case reports
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bioRxiv : the preprint server for biology
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JIMD reports
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Internal medicine journal
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Journal of inherited metabolic disease
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2025

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Frontiers in pediatrics
2025

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BMJ case reports
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PLoS computational biology
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Eye (London, England)
2025

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Frontiers in surgery
2025

Navigating the Emotional and Practical Challenges of Newborn Screening for Late-Onset Pompe Disease: Insights From Parental Perspectives.

Pediatric neurology
2026

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Clinica chimica acta; international journal of clinical chemistry
2025

Autologous genome-edited hematopoietic stem cells correct Gaucher disease and establish a platform for clinical translation.

Research square
2025

The Double Toxic MPTP+CBE Presymptomatic Parkinson-Like Phenotype in Mice.

Biochemistry. Biokhimiia
2025

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Neurobiology of disease
2025

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JMIR AI
2025

Epigenetic Profiling of Cell-Free DNA in Cerebrospinal Fluid: A Novel Biomarker Approach for Metabolic Brain Diseases.

Life (Basel, Switzerland)
2025

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Clinics and research in hepatology and gastroenterology
2025

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Communications biology
2025

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Journal of neurology
2025

High-Resolution Mass Spectrometry Method for Targeted Screening and Monitoring of Fabry, Gaucher and ASMD Using Dried Blood Spots and Capitainers: Impact of Sample Matrix on Measurement Results.

International journal of molecular sciences
2025

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International journal of molecular sciences
2025

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Cells
2025

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JIMD reports
2025

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Frontiers in pediatrics
2025

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Orphanet journal of rare diseases
2025

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NPJ Parkinson's disease
2025

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Metabolites
2025

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Orphanet journal of rare diseases
2025

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Frontiers in endocrinology
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bioRxiv : the preprint server for biology
2025

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Gene therapy
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Indian journal of pediatrics
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Molecular genetics and metabolism
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bioRxiv : the preprint server for biology
2025

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Frontiers in pediatrics
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Molecular genetics &amp; genomic medicine
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Olfactory Perception in Parkinson's Disease: The Impact of GBA1 Variants (Sidransky Syndrome).

International journal of molecular sciences
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Orphanet journal of rare diseases
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Broken Balance: Emerging Cross-Talk Between Proteostasis and Lipostasis in Neurodegenerative Diseases.

Cells
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Cardiovascular Gaucher Disease Type 3c Associated With Homozygous Asp448His GBA1 Variant: First Case Series From Kuwait.

American journal of medical genetics. Part A
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SplenoMegaly study (SMS): exploring the etiologies for "unexplained" splenomegalies in the real world.

Orphanet journal of rare diseases
2025

The most common structural variant expected at the GBA1 locus may be detected by a simple amplification method: Implications for screening Parkinson's disease variants.

Clinical parkinsonism &amp; related disorders
2025

The Mini-COMET Clinical Trial: Safety and Efficacy of Avalglucosidase Alfa after 97 Weeks of Treatment in Children with Infantile-Onset Pompe Disease Previously Treated with Alglucosidase Alfa.

The Journal of pediatrics
2025

A Multiomic Network Approach to Uncover Disease Modifying Mechanisms of Inborn Errors of Metabolism.

Journal of inherited metabolic disease
2025

Audiovestibular Findings in Gaucher Disease Types I and III: Evidence of Vestibular Involvement in GD1.

Journal of inherited metabolic disease
2025

Cost-effectiveness analysis of ambroxol for the treatment of Chinese patients with Gaucher disease.

Frontiers in medicine
2025

Generation and Treatment of a Novel Severe Model of Visceral Gaucher Disease by Genetic Therapy.

Pharmaceutics
2025

Developing nanobodies as allosteric molecular chaperones of glucocerebrosidase function.

Nature communications
2025

Sphingolipid de novo synthesis is upregulated in a macrophage model of Gaucher disease.

Molecular genetics and metabolism
2025

Newborn Screening for Gaucher Disease: The New Jersey Experience.

International journal of neonatal screening
2025

Diagnosis of Inherited Metabolic Disease in Older Patients: A Systematic Literature Review.

Journal of inherited metabolic disease
2025

A novel allosteric GCase modulator prevents Tau accumulation in GBA1WT and GBA1L444P/L444P cellular models.

Scientific reports
2025

Hyperuricaemia in type 1 Gaucher disease: is uric acid a biomarker for disease severity?

Internal medicine journal
2024

Autophagic dysregulation triggers innate immune activation in glucocerebrosidase deficiency.

Autophagy reports
2025

[Screening of high risk children for lysosomal storage diseases and analysis of disease spectrum].

Zhonghua er ke za zhi = Chinese journal of pediatrics
2025

An analysis of bone marrow burden scores in a retrospective analysis of adult patients with type 1 Gaucher disease.

Blood cells, molecules &amp; diseases
2025

Light-responsive glycosidase inhibitors: Tuning enzyme selectivity and switching factors through integrated chemical and optoglycomic strategies.

Bioorganic chemistry
2025

Plant molecular farming: a promising frontier for orphan drug production.

Biotechnology letters
2025

Efficient GBA1 editing via HDR with ssODNs by outcompeting pseudogene-mediated gene conversion upon CRISPR/Cas9 cleavage.

Frontiers in genome editing
2025

Allosteric Modulation of GCase Enhances Lysosomal Activity and Reduces ER Stress in GCase-Related Disorders.

International journal of molecular sciences
2025

Epidemiology of Gaucher Disease in France: Trends in Incidence, Mortality, Management, and Complications Over Three Decades.

Journal of inherited metabolic disease
2025

FLT201, a novel liver-directed AAV gene therapy candidate for Gaucher disease type 1.

Molecular therapy : the journal of the American Society of Gene Therapy
2025

250 cases of "type 2 Gaucher disease": A novel system of clinical categorisation and evidence of genotype: Phenotype correlation.

Molecular genetics and metabolism
2025

AAV delivery of GBA1 suppresses α-synuclein accumulation in Parkinson's disease models and restores functions in Gaucher's disease models.

PloS one
2025

Identification of Novel Mutations in Patients Affected by Gaucher Disease.

International journal of molecular sciences
2025

Investigation of the Oxidative Process by Measuring Total Antioxidant Capacity and Total Oxidant Capacity in Patients with Gaucher Disease.

Klinische Padiatrie
2025

Gaucher Disease: Hope on the Horizon!

Indian journal of pediatrics
2025

Assessing the Value for Money of Enzyme Replacement Therapy in Gaucher Disease Types 1 and 3b: Can Expanded Coverage Be Justified?

PharmacoEconomics - open
2025

Multiplex Ligation Probe Amplification and Sanger Sequencing: Light and Shade in the Diagnosis of Lysosomal Storage Disorders.

Biomedicines
2025

Product Development of High-Dose Ambroxol HCl Capsules for an n-of-1 Clinical Trial Involving Dutch Patients with Gaucher Disease Type 3.

Pharmaceutics
2025

Study of Adult and Pediatric Spanish Patients with Cryptogenic Splenomegaly and Splenectomy.

Diseases (Basel, Switzerland)
2025

Role of Biomarkers in Diagnosing Disease, Assessing the Severity and Progression of Disease, and Evaluating the Efficacy of Therapies.

Journal of inherited metabolic disease
2025

Sphingolipidoses: expanding the spectrum of α-synucleinopathies.

Journal of neural transmission (Vienna, Austria : 1996)
2025

Sidransky Syndrome-GBA1-Related Parkinson's Disease and Its Targeted Therapies.

International journal of molecular sciences
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[Results of a prospective observational study of imiglucerase biosimilar in adults with type I Gaucher disease].

Terapevticheskii arkhiv
2025

Atypical case of neonatal-onset Gaucher disease type 3b: A case report.

Molecular genetics and metabolism reports
2025

Benefits of early intervention with olipudase alfa in symptomatic children with acid sphingomyelinase deficiency: A sibling case-comparison study.

Molecular genetics and metabolism reports
2024

Electroencephalogram and phenotype patterns in neuronopathic Gaucher disease patients - ten years of experience in a single center.

Acta epileptologica
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Gaucher disease type 3 from infancy through adulthood: a conceptual model of signs, symptoms, and impacts associated with ataxia and cognitive impairment.

Orphanet journal of rare diseases
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Rare biochemical & genetic conditions: clues for broader mechanistic insights.

Cellular and molecular life sciences : CMLS
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Clinical and Laboratory Characteristics of Gaucher Disease Caused by Complex Heterozygous Mutation.

Clinical laboratory
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AAV-mediated GBA1 and GDNF rescue neurological defects in a murine model of neuronopathic Gaucher disease.

Molecular therapy. Nucleic acids
2025

Modeling bone marrow microenvironment and hematopoietic dysregulation in Gaucher disease through VavCre mediated Gba deletion.

Human molecular genetics
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Pharmacogenomics and rare diseases: optimizing drug development and personalized therapeutics.

Pharmacogenomics
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A novel mouse model of chronic neuronopathic Gaucher disease exhibits Parkinson's disease-like phenotypes.

Neurobiology of disease
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Organizações que acompanham esta doença — pra ter apoio e orientação

Associação brasileira dedicada a Doença de Gaucher.

Associação brasileira dedicada a Doença de Gaucher.

Associação brasileira dedicada a Doença de Gaucher.

Comunidades

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Doenças relacionadas

Doenças com sintomas parecidos — ajudam quem ainda está buscando diagnóstico

Referências e fontes

Bases de dados externas citadas neste artigo

Publicações científicas

Artigos indexados no PubMed ligados a esta doença no grafo RarasNet — título, periódico e PMID direto da fonte, sem intermediação de IA.

  1. The dual impact of GBA1 in disease: from germline mutations in neurological disorders to alterations in cancer.
    Cell death discovery· 2026· PMID 41857000mais citado
  2. Glucosylsphingosine (Lyso-Gb1): An Update on Its Use as a Biomarker in Gaucher Disease.
    International journal of molecular sciences· 2026· PMID 41751844mais citado
  3. Stability study of pharmacy compounded high-dose ambroxol hydrochloride capsules for an n-of-1 clinical trial involving Dutch patients with Gaucher disease type 3.
    European journal of hospital pharmacy : science and practice· 2026· PMID 41748317mais citado
  4. Exploring delayed diagnosis in Gaucher disease: insights from a community survey and potential solutions.
    Orphanet journal of rare diseases· 2026· PMID 41721348mais citado
  5. Maternal and Fetal Outcomes in Imiglucerase-Treated Patients With Gaucher Disease: Real-World Evidence From the International Collaborative Gaucher Group (ICGG) Gaucher Registry Pregnancy Sub-Registry.
    Journal of inherited metabolic disease· 2026· PMID 41714274mais citado
  6. Genomic Structural Equation Modeling Provides an Initial View of the Genetic Architecture Related to Type 1 Gaucher Disease.
    Hum Mutat· 2026· PMID 41993130recente
  7. Improvement of Bone Mineral Density in Patients with Type 1 Gaucher Disease Treated with Velaglucerase Alfa: Results from Clinical Studies.
    J Clin Med· 2026· PMID 41976838recente
  8. Progression of GBA1 severe and risk variants: a longitudinal mixed model analysis.
    Front Aging Neurosci· 2026· PMID 41972104recente
  9. Effect of Glu235Ser on enzyme performance and in vitro characterization of human β-glucocerebrosidase in a Pichia pastoris.
    Int J Biol Macromol· 2026· PMID 41966378recente
  10. A bioinformatics-guided analytical approach for drug repositioning: Colchicine as a candidate for gaucher disease treatment.
    Anal Biochem· 2026· PMID 41933778recente

Bases de dados e fontes oficiais

Identificadores e referências canônicas usadas para montar este verbete.

  1. ORPHA:355(Orphanet)
  2. MONDO:0018150(MONDO)
  3. Doenca de Gaucher(PCDT · Ministério da Saúde)
  4. GARD:8233(GARD (NIH))
  5. Variantes catalogadas(ClinVar)
  6. Busca completa no PubMed(PubMed)
  7. Artigo Wikipedia(Wikipedia)
  8. Q861645(Wikidata)

Dados compilados pelo RarasNet a partir de fontes abertas (Orphanet, OMIM, MONDO, PubMed/EuropePMC, ClinicalTrials.gov, DATASUS, PCDT/MS). Este conteúdo é informativo e não substitui avaliação médica.

Conteúdo mantido por Agente Raras · Médicos e pesquisadores podem colaborar

Doença de Gaucher
Compêndio · Raras BR

Doença de Gaucher

ORPHA:355 · MONDO:0018150
🇧🇷 Brasil SUS
Triagem
Atividade de beta-glicosidase em sangue seco
PNTN
Fase 3
Incidência BR
1:60.000
CEAF
1AImigluceraseAlfavelagliceraseMiglustateEliglustate+1 mais
Internações
890/ano
Prevalência BR
1:60000
Custo SUS
R$ 45.670/internação
Dados
DATASUS 2024
Geral
Prevalência
1-9 / 100 000
Herança
Autosomal recessive
CID-10
E75.2 · Outras esfingolipidoses
CID-11
Ensaios
30 ativos
Medicamentos
8 registrados
Início
All ages
Prevalência
1.0 (Europe)
MedGen
UMLS
C0017205
Repurposing
2 candidatos
eliglustatglycosyl transferase inhibitor
miglustat
EuropePMC
Wikidata
Wikipedia
Papers 10a
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