Raras
Buscar doenças, sintomas, genes...
Doença de Krabbe
ORPHA:487CID-10 · E75.2CID-11 · 8A44.4OMIM 245200DOENÇA RARA

Distúrbio lisossômico que afeta a substância branca dos sistemas nervoso central e periférico. Inclui as formas infantil, infantil tardia/juvenil e adulta.

Mantido por Agente Raras·Colaborar como especialista →

Introdução

O que você precisa saber de cara

📋

Distúrbio lisossômico que afeta a substância branca dos sistemas nervoso central e periférico. Inclui as formas infantil, infantil tardia/juvenil e adulta.

Pesquisas ativas
7 ensaios
31 total registrados no ClinicalTrials.gov
Publicações científicas
797 artigos
Último publicado: 2026 Feb 27

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
Adolescent
+ adult, childhood, infancy, neonatal
🏥
SUS: Cobertura mínimaScore: 20%
CID-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
39 sintomas
💪
Músculos
10 sintomas
👁️
Olhos
9 sintomas
📏
Crescimento
5 sintomas
🫁
Pulmão
3 sintomas
🫃
Digestivo
3 sintomas

+ 66 sintomas em outras categorias

Características mais comuns

100%prev.
Espasticidade progressiva
Frequência: 30/30
100%prev.
Atividade reduzida da galactocerebrosidase
Muito frequente (99-80%)
90%prev.
Anormalidade do metabolismo/homeostase
Muito frequente (99-80%)
90%prev.
Deficiência visual
Muito frequente (99-80%)
90%prev.
Neuropatia periférica
Muito frequente (99-80%)
90%prev.
Deficiência auditiva
Muito frequente (99-80%)
146sintomas
Muito frequente (18)
Frequente (14)
Ocasional (22)
Muito raro (1)
Sem dados (91)

Os sintomas variam de pessoa para pessoa. Abaixo estão as 146 características clínicas mais associadas, ordenadas por frequência.

Espasticidade progressivaProgressive spasticity
Frequência: 30/30100%
Atividade reduzida da galactocerebrosidaseReduced galactocerebrosidase activity
Muito frequente (99-80%)100%
Anormalidade do metabolismo/homeostaseAbnormality of metabolism/homeostasis
Muito frequente (99-80%)90%
Deficiência visualVisual impairment
Muito frequente (99-80%)90%
Neuropatia periféricaPeripheral neuropathy
Muito frequente (99-80%)90%

Linha do tempo da pesquisa

Publicações por ano — veja quando o interesse científico cresceu
Anos de pesquisa1desde 2026
Total histórico797PubMed
Últimos 10 anos200publicações
Pico202254 papers
Linha do tempo
2026Hoje · 2026🧪 1995Primeiro ensaio clínico📈 2022Ano de pico
Publicações por ano (últimos 10 anos)

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.

GALCGalactocerebrosidaseDisease-causing germline mutation(s) inTolerante
FUNÇÃO

Hydrolyzes the galactose ester bonds of glycolipids such as galactosylceramide and galactosylsphingosine (PubMed:8281145, PubMed:8399327). Enzyme with very low activity responsible for the lysosomal catabolism of galactosylceramide, a major lipid in myelin, kidney and epithelial cells of small intestine and colon (PubMed:8281145, PubMed:8399327)

LOCALIZAÇÃO

Lysosome

VIAS BIOLÓGICAS (1)
Glycosphingolipid catabolism
MECANISMO DE DOENÇA

Krabbe disease

An autosomal recessive disorder characterized by insufficient catabolism of several galactolipids that are important for normal myelin production. Four clinical forms are recognized. The infantile form accounts for 90% of cases. It manifests before six months of age with irritability, spasticity, arrest of motor and mental development, and bouts of temperature elevation without infection. This is followed by myoclonic jerks of arms and legs, oposthotonus, hypertonic fits, and mental regression, which progresses to a severe decerebrate condition with no voluntary movements and death from respiratory infections or cerebral hyperpyrexia before 2 years of age. Cases with later onset present with unexplained blindness, weakness and sensorimotor peripheral neuropathy, mental deterioration and death.

EXPRESSÃO TECIDUAL(Ubíquo)
Nervo tibial
31.7 TPM
Testículo
28.0 TPM
Brain Spinal cord cervical c-1
26.5 TPM
Pulmão
25.7 TPM
Ovário
22.2 TPM
OUTRAS DOENÇAS (4)
Krabbe diseaseinfantile Krabbe diseaseadult Krabbe diseaselate-infantile/juvenile Krabbe disease
HGNC:4115UniProt:P54803
PSAPMitochondrial carrier homolog 1Candidate gene tested inRestrito
FUNÇÃO

Protein insertase that mediates insertion of transmembrane proteins into the mitochondrial outer membrane (PubMed:36264797). Catalyzes insertion of proteins with alpha-helical transmembrane regions, such as signal-anchored, tail-anchored and multi-pass membrane proteins (By similarity). Does not mediate insertion of beta-barrel transmembrane proteins (By similarity). May play a role in apoptosis (PubMed:12377771)

LOCALIZAÇÃO

Mitochondrion outer membrane

VIAS BIOLÓGICAS (1)
Glycosphingolipid catabolism
EXPRESSÃO TECIDUAL(Ubíquo)
Aorta
1575.5 TPM
Baço
1390.0 TPM
Glândula adrenal
1384.0 TPM
Sangue
1315.6 TPM
Cervix Endocervix
1314.5 TPM
OUTRAS DOENÇAS (9)
Gaucher disease due to saposin C deficiencyKrabbe disease due to saposin A deficiencycombined PSAP deficiencymetachromatic leukodystrophy due to saposin B deficiency
HGNC:9498UniProt:Q9NZJ7

Variantes genéticas (ClinVar)

655 variantes patogênicas registradas no ClinVar.

🧬 GALC: NM_000153.4(GALC):c.733A>T (p.Lys245Ter) ()
🧬 GALC: NM_000153.4(GALC):c.522T>G (p.Tyr174Ter) ()
🧬 GALC: NM_000153.4(GALC):c.909-1G>A ()
🧬 GALC: NM_000153.4(GALC):c.64_79dup (p.Ala27fs) ()
🧬 GALC: NC_000014.8:g.(88406326_88407738)_(88414223_88416188)del ()
Ver todas no ClinVar

Classificação de variantes (ClinVar)

Distribuição de 98 variantes classificadas pelo ClinVar.

49
39
10
Patogênica (50.0%)
VUS (39.8%)
Benigna (10.2%)
VARIANTES MAIS SIGNIFICATIVAS
PSAP: NM_002778.4(PSAP):c.568C>T (p.Gln190Ter) [Likely pathogenic]
PSAP: NM_002778.4(PSAP):c.1005+1G>T [Likely pathogenic]
PSAP: NM_002778.4(PSAP):c.1006-1G>A [Likely pathogenic]
PSAP: NM_002778.4(PSAP):c.1006-2_1017delinsT [Likely pathogenic]
PSAP: NM_002778.4(PSAP):c.1351-1G>T [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.
2Fase 25
1Fase 11
·Pré-clínico9
Medicamentos catalogadosEnsaios clínicos· 0 medicamentos · 15 ensaios
Carregando informações de tratamento...

Onde tratar no SUS

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

🇧🇷 Atendimento SUS — Doença de Krabbe

🗺️

Selecione um estado ou use sua localização para ver resultados.

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

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

Outros ensaios clínicos

31 ensaios clínicos encontrados, 7 ativos.

Distribuição por fase
Ver todos no ClinicalTrials.gov
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Publicações mais relevantes

Timeline de publicações
397 papers (10 anos)
#1

Clinical and molecular characterization of Krabbe disease in Iranian patients: case report and literature review.

BMC neurology2026 Feb 27

Krabbe disease (KD, OMIM #245200) is a rare autosomal recessive lysosomal storage disorder characterized by severe demyelination affecting both the central and peripheral nervous systems. Here we report the clinical and molecular findings of two unrelated Iranian patients with KD, originating from consanguineous families. Genetic analysis was initially performed using whole-exome sequencing (WES), then validated by Sanger sequencing. WES identified a novel homozygous variant in the GALC, c.836T > G (p.L279X), in patient-1. In patient-2, WES detected a previously reported homozygous variant, c.578T > C (p.I193T), in the GALC. Sanger sequencing confirmed homozygosity of these variants in the affected patients and heterozygosity in their parents. The affected brother of patient-2 was also homozygous for the variant c.578T > C. The pathogenicity of the detected variants was supported by various lines of evidence, including in silico predictive tools, segregation analysis, and population genetic databases frequency. Our findings expand the mutational spectrum of GALC and highlight the clinical heterogeneity of KD. Morover, these finding contribute to improved genotype-phenotype correlations, which are essential for accurate diagnosis, prognostic valuation, and genetic counseling.

#2

Sphingolipid-neutralizing molecular therapy reduces psychosine cytotoxicity in Krabbe disease.

iScience2026 Mar 20

The deficiency of β-galactosylceramidase causes a lysosomal leukodystrophy, known as Krabbe disease (KD), resulting in elevated psychosine (PSY) levels, which are highly cytotoxic to myelin-forming cells. 2-hydroxypropyl-α-CD (HPaCD), a cyclic-oligosaccharide containing a lipophilic central cavity and hydrophilic outer surfaces, significantly reduces PSY cytotoxicity in cultured KD patient cells. Further 1H-NMR studies revealed stronger interactions between HPaCD and PSY. Regarding safety, HPaCD-treated mice showed no electrophysiological and histological ototoxicity signs. In the murine KD model, HPaCD improved neurobehavior and reduced PSY levels in the CNS and PNS. The reduction of astrogliosis, increased myelin basic protein, and improvements in PNS axonal-myelin morphometrics were also observed in HPaCD-treated mice. In summary, this is an innovative therapeutic approach that leverages HPaCD's dual properties of molecularly shielding and neutralizing PSY and facilitating its CNS and PNS clearance. Since several newborn screening programs currently include KD, HPaCD becomes highly important as an adjunctive/bridge therapy for improving outcomes in this devastating disorder.

#3

Very late-onset Krabbe disease with concomitant dementia: case description and a critical review of the literature.

Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology2026 Feb 13

Krabbe disease (KD) is a rare autosomal recessive lysosomal storage disorder caused by pathogenic variants in GALC. Despite accounting only for 5% of forms, reports of adult-onset KD cases are increasingly described. A female patient manifesting KD after the age of 60 years, presenting with spastic paraplegia and cognitive decline, is described. The scientific literature of KD with onset > 10 years has been extensively reviewed to refine the spectrum of later-onset KD manifestations. Including ours, we identified 84 KD adolescent/adult-onset patients (mean age at onset 28.7 ± 14.2 years). Most patients had limb spasticity as main characterizing neurological feature (58/84, 70.2%), followed by polyneuropathy (11/ 84, 13.1%), both upper and lower motor neuron signs (2/84, 2.4%), and epilepsy (2/84, 2.4%). Five out of 84 patients (6.0%) were asymptomatic. Most patients had cortico-spinal tracts involvement at brain MRI. The most common pathogenic GALC variants were the c.1901 T > C (18 patients), the c.857G > A (13 patients), and the c.1161 + 6532_polyA + 9kbdel (13 patients). Complicated spastic paraplegia is the most common manifestation in later-onset KD, rarely with normal brain MRI. KD should be always considered also in cases with very late-onset spastic paraplegia. The online version contains supplementary material available at 10.1007/s10072-026-08836-5.

#4

Long-term neurological outcome after hematopoietic stem cell transplant in juvenile Krabbe disease.

Journal of neurology2026 Jan 28

Globoid cell leukodystrophy (GLD) is a progressive neurodegenerative disease caused by galactocerebrosidase deficiency. Juvenile phenotypes-onset between ages 3 and 16-account for up to 25% of cases. Hematopoietic stem cell transplantation (HSCT) is the only available treatment, yet only eight juvenile-onset cases treated with HSCT have been reported, with heterogeneously collected data. We aim to comprehensively evaluate long-term neurological outcomes post-HSCT in juvenile GLD. We conducted a retrospective study of all juvenile GLD patients treated with HSCT and followed at our Institution. We assessed survival, neurological status, disability (modified Rankin Scale), cognitive outcomes, GALC activity, serial MRIs (Loes score), evoked potentials (internal scoring system), and nerve conduction studies at pre-HSCT, first post-HSCT visit, and last follow-up. Six biochemically and genetically confirmed juvenile GLD cases were included. Four were symptomatic at diagnosis; two were pre-symptomatic. All survived to last follow-up (range 9 years, 2 months-19 years, and 8 months). Four achieved near-normal cognitive, motor, and functional status. Two symptomatic patients-with extensive pre-HSCT white matter disease and specific pre-HSCT clinical features (epilepsy and cognitive impairment)-had suboptimal outcomes. Loes scores stabilized/improved in four patients; GALC enzyme activity normalized in all. Electrophysiological measures mostly remained stable. HSCT significantly impacts the natural history of juvenile GLD, resulting in largely optimal long-term outcomes, preserved quality of life, and minimal disability. Standardized pre-transplant assessments are critical. High pre-HSCT Loes scores, epilepsy, and cognitive impairment could be prognostic indicators, highlighting the importance of early intervention based on comprehensive instrumental evaluations.

#5

Caregiver-reported disease burden in Krabbe disease: evaluating outcomes of hematopoietic stem cell transplantation.

Orphanet journal of rare diseases2026 Jan 07

Krabbe disease (KD) is a rapidly progressive neurodegenerative disorder caused by β-galactocerebrosidase deficiency. While KD has been added to the Recommended Uniform Screening Panel (RUSP), only 15 states have an active KD newborn screening (NBS) program. It is uncertain at what rate states will adopt RUSP recommendations, with a frequently cited barrier being the absence of investigations addressing the impact of hematopoietic stem cell transplantation (HSCT) on quality-of-life. We developed a 90-minute caregiver interview to gather qualitative and quantitative data (including the validated Leukodystrophy Quality-of-Life Assessment – LQLA) evaluating patient/family-centered outcomes of HSCT. The interview was designed to explore the following: 1) disease burden on the patient; 2) physical burden on the caregiver; and 3) emotional/social burden on the caregiver. Comparisons were made between children not transplanted/transplanted late and children transplanted early. Infantile KD (IKD) and late infantile KD (LIKD) were analyzed independently. Forty caregivers participated (non-transplanted/transplanted late: IKD = 19, LIKD = 7; transplanted early: IKD = 10, LIKD = 4). Analysis of the LQLA revealed a relative reduction in disease burden in both IKD and LIKD groups who were transplanted early. Specifically, the early transplanted cohorts achieved statistically significant higher overall scores on the LQLA, as well as better scores in various subcategories in comparison to their non-transplanted/transplanted late counterparts. For IKD, analysis of Likert scale and weighted analysis demonstrated a tendency towards decreased physical burden on caregivers of children transplanted early. Although all groups experienced significant social/emotional burdens, caregivers of IKD transplanted early benefitted from improved sleep, mental health, and familial/spousal relationships compared to IKD non-transplanted/transplanted late. This study provides convincing evidence that HSCT improves quality-of-life and reduces caregiver burden in IKD. The evidence is somewhat less clear for LIKD due to the small LIKD sample size. This data will be critical in the decision-making process for states not currently screening for KD but debating the addition of KD to their NBS panels. Lastly, it will allow families to weigh the risks and benefits of HSCT more confidently when contemplating the life-altering decision of whether to proceed with transplantation.

Publicações recentes

Ver todas no PubMed

📚 EuropePMC478 artigos no totalmostrando 195

2026

Clinical and molecular characterization of Krabbe disease in Iranian patients: case report and literature review.

BMC neurology
2026

Sphingolipid-neutralizing molecular therapy reduces psychosine cytotoxicity in Krabbe disease.

iScience
2026

Very late-onset Krabbe disease with concomitant dementia: case description and a critical review of the literature.

Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology
2026

Brachial plexopathy in juvenile-onset Krabbe disease: A rare case.

Skeletal radiology
2026

Novel GALC Deletion and Paradoxical Optic Nerve Hypertrophy in Severe Infantile Krabbe Disease.

Neuropediatrics
2026

Long-term neurological outcome after hematopoietic stem cell transplant in juvenile Krabbe disease.

Journal of neurology
2026

A case report of integrating Chinese and Western medicine: A new era in the treatment of late-onset Krabbe disease.

Transplantation
2026

Caregiver-reported disease burden in Krabbe disease: evaluating outcomes of hematopoietic stem cell transplantation.

Orphanet journal of rare diseases
2025

Abnormal Splicing of GALC Transcripts Underlies Unusual Cases of Krabbe Disease.

Biomedicines
2025

Impaired docking and recycling of synaptic vesicles in inherited lysosomal sphingolipidoses.

Cell communication and signaling : CCS
2026

New multiplex LC-MS/MS method for lipid biomarker analysis of inherited neurodegenerative metabolic diseases.

Journal of lipid research
2025

Timeliness of reporting NBS results for Krabbe disease.

Genetics in medicine : official journal of the American College of Medical Genetics
2025

Genetic and Clinical Characteristics of Chinese Adult Patients With Krabbe Disease.

CNS neuroscience &amp; therapeutics
2026

Gene therapy for Krabbe disease: evidence from mouse and canine models.

Gene
2025

CRISPR-mediated correction of GALC mutations in Krabbe disease neural models - opportunities and risks.

Annals of medicine and surgery (2012)
2025

Advanced biomaterials for rare Krabbe disease: galactocerebrosidase scaffolds in demyelinating lesions.

Annals of medicine and surgery (2012)
2026

Spatial and temporal brain biodistribution of neuropathogenic sphingolipids of Krabbe disease.

Journal of lipid research
2025

Generalized tonic-clonic seizures as the initial symptom of late-onset Krabbe disease: a Case Report.

Frontiers in behavioral neuroscience
2025

Ceramide levels predict clinical severity in adult-onset Krabbe disease independent of extensive white matter hyperintensities.

Neurobiology of disease
2025

Analyzing accessibility and suitability of online Krabbe disease resources.

Journal of community genetics
2025

[A case of adult-onset Krabbe disease diagnosed by galactocerebrosidase gene mutations, presenting with an atypical phenotype].

Rinsho shinkeigaku = Clinical neurology
2025

Beyond Krabbe disease, the intriguing connection of galactocerebrosidase (GALC) with nervous system illness: A novel risk factor?

Neuroscience
2025

Parental psychosocial outcomes after a positive newborn screen for a lysosomal storage disorder.

Molecular genetics and metabolism
2025

Chimeric enzymes enhance treatment potential for globoid cell leukodystrophy through hematopoietic stem cell gene therapy.

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

Molecular Characterization of the GALC Mutation Thr112Ala Causing Krabbe Disease.

International journal of molecular sciences
2025

Two-tiered newborn screening for infantile Krabbe disease allows timely treatment initiation and avoids false-positive results.

Genetics in medicine : official journal of the American College of Medical Genetics
2025

Unravelling neurodegeneration with cerebral calcifications: Krabbe disease masquerading as Aicardi-Goutieres syndrome.

BMJ case reports
2025

Adult-onset leukoencephalopathy with axonal spheroids and pigmented glia mimicking adult-onset Krabbe disease.

Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia
2025

Krabbe disease: a differential cause of the hyperdense boomerang sign.

Arquivos de neuro-psiquiatria
2025

Inherited white matter disorders in Japan: focusing on demyelinating leukodystrophy.

Brain &amp; development
2025

Outcome of two siblings with late-onset Krabbe disease following allogeneic hematopoietic stem cell transplantation: And review of literature.

Molecular genetics and metabolism reports
2025

Amelioration of Inflammation and Metabolic Blockage in GALC Deficient Mice After Enzyme Replacement Therapy via Extracellular Vesicles.

International journal of nanomedicine
2025

Investigating the Cellular Effects of GALC Dosing in Enzyme Replacement Therapy for Krabbe Disease Supports the Role of Nanomedicine.

Advanced biology
2025

Peripheral Neuropathy as an Early Marker in Newborn-Screened Krabbe Disease: The Value of Pre-Confirmatory Neurophysiological Testing.

Journal of the peripheral nervous system : JPNS
2025

Clinical application of expanded carrier screening based on next-generation sequencing in the Chinese population.

Archives of gynecology and obstetrics
2025

Secondary accumulation of lyso-platelet activating factors in lysosomal storage diseases.

Molecular genetics and metabolism
2025

Neuroglial Pathophysiology of Leukodystrophies.

Advances in neurobiology
2025

Quantification profiles of enzyme activity, secretion, and psychosine levels of Krabbe disease galactosylceramidase missense variants.

The Journal of biological chemistry
2025

Microglia replacement: from monocytic origin to therapy.

Trends in immunology
2025

High Prevalence of GALC Gene Variants in Adults With Neurodegenerative Conditions.

European journal of neurology
2025

Effect of newborn genomic screening for lysosomal storage disorders: a cohort study in China.

Genome medicine
2025

Direct microglia replacement reveals pathologic and therapeutic contributions of brain macrophages to a monogenic neurological disease.

Immunity
2025

Brain accumulation of lactosylceramide characterizes GALC deficiency in a zebrafish model of Krabbe disease.

Brain : a journal of neurology
2025

Clinical experience of the expanded carrier screening for recessive genetic diseases in a large cohort study in Southern central China.

Scientific reports
2025

Sphingolipidoses: expanding the spectrum of α-synucleinopathies.

Journal of neural transmission (Vienna, Austria : 1996)
2024

Novel Pathogenic Variants in POLR3K Cause POLR3-Related Leukodystrophy.

Human mutation
2025

STING mediates lysosomal quality control and recovery through its proton channel function and TFEB activation in lysosomal storage disorders.

Molecular cell
2025

Neuroglia in leukodystrophies.

Handbook of clinical neurology
2025

Evidence and Recommendation for Infantile Krabbe Disease Newborn Screening.

Pediatrics
2025

Natural History and Diagnostic Findings in an Adult Man Diagnosed With Attenuated Krabbe Disease.

American journal of medical genetics. Part A
2025

Newborn screening and rapid genomic diagnosis of neuromuscular diseases.

Journal of neuromuscular diseases
2025

Late-Onset Krabbe Disease: Case Report of Two Patients in a Chinese Family and Literature Review.

Molecular genetics &amp; genomic medicine
2025

Experiences of Patients and Families Living with Krabbe Disease.

Journal of patient experience
2025

Unifying biology of neurodegeneration in lysosomal storage diseases.

Journal of inherited metabolic disease
2024

Ablation of lipocalin-2 reduces neuroinflammation in a mouse model of Krabbe disease.

Scientific reports
2024

A lipid nanoparticle-based oligodendrocyte-specific mRNA therapy.

Molecular therapy. Nucleic acids
2024

Human iPSC-derived myelinating organoids and globoid cells to study Krabbe disease.

PloS one
2024

Infantile Krabbe disease (0-12 months), progression, and recommended endpoints for clinical trials.

Annals of clinical and translational neurology
2024

Expression study of Krabbe Disease GALC missense variants - Insights from quantification profiles of residual enzyme activity, secretion and psychosine levels.

bioRxiv : the preprint server for biology
2024

Childhood-inherited white matter disorders with calcification.

Handbook of clinical neurology
2024

Hematopoietic stem cell transplantation in leukodystrophies.

Handbook of clinical neurology
2024

Lysosomal storage diseases.

Handbook of clinical neurology
2024

Overview of Neuro-Ophthalmic Findings in Leukodystrophies.

Journal of clinical medicine
2024

Exploring the globoid cell leukodystrophy protein network and therapeutic interventions.

Scientific reports
2024

Dietary Supplementation with n-3 Polyunsaturated Fatty Acids Delays the Phenotypic Manifestation of Krabbe Disease and Partially Restores Lipid Mediator Production in the Brain-Study in a Mouse Model of the Disease.

International journal of molecular sciences
2024

Triggered saccadic oscillations: case series and review of the literature.

Journal of neurology
2024

Late-onset Krabbe disease presenting as spastic paraplegia - implications of GCase and CTSB/D.

Annals of clinical and translational neurology
2024

Promyelinating drugs ameliorate oligodendrocyte pathologies in a mouse model of Krabbe disease.

Molecular genetics and metabolism
2024

Splicing mutations of GALC in adult patient with adult-onset Krabbe disease: case report and review of literature.

Neurocase
2024

Newborn Screening for 6 Lysosomal Storage Disorders in China.

JAMA network open
2024

Perinatal loss of galactosylceramidase in both oligodendrocytes and microglia is crucial for the pathogenesis of Krabbe disease in mice.

Molecular therapy : the journal of the American Society of Gene Therapy
2024

Dual rare genetic diseases in five pediatric patients: insights from next-generation diagnostic methods.

Orphanet journal of rare diseases
2024

Impact of an irreversible β-galactosylceramidase inhibitor on the lipid profile of zebrafish embryos.

Computational and structural biotechnology journal
2024

The Effect of Donepezil Hydrochloride in the Twitcher Mouse Model of Krabbe Disease.

Molecular neurobiology
2024

Genetic and Functional Analyses of Patients with Marked Hypo-High-Density Lipoprotein Cholesterolemia.

Journal of atherosclerosis and thrombosis
2024

Experiences of patients with metachromatic leukodystrophy, adrenoleukodystrophy, or Krabbe disease and the experiences of their family members: a qualitative systematic review.

JBI evidence synthesis
2024

Clinical feature, GALC variant spectrum, and genotype-phenotype correlation in Korean Krabbe disease patients: Multicenter experience over 13 years.

Clinical genetics
2024

Lysosomal storage disorders identified in adult population from India: Experience of a tertiary genetic centre and review of literature.

JIMD reports
2024

From pathological mechanisms in Krabbe disease to cutting-edge therapy: A comprehensive review.

Neuropathology : official journal of the Japanese Society of Neuropathology
2024

Chronic Rapamycin administration via drinking water mitigates the pathological phenotype in a Krabbe disease mouse model through autophagy activation.

Biomedicine &amp; pharmacotherapy = Biomedecine &amp; pharmacotherapie
2024

Newborn Screening for Krabbe Disease: Status Quo and Recommendations for Improvements.

International journal of neonatal screening
2024

[Genetic analysis of a case with Adult-onset globoid cell leukodystrophy].

Zhonghua yi xue yi chuan xue za zhi = Zhonghua yixue yichuanxue zazhi = Chinese journal of medical genetics
2024

Progress in leukodystrophies with zebrafish.

Development, growth &amp; differentiation
2024

Newborn Screening for Krabbe Disease and Identification of Minority Patients.

Pediatric neurology
2024

Combination HSCT and intravenous AAV-mediated gene therapy in a canine model proves pivotal for translation of Krabbe disease therapy.

Molecular therapy : the journal of the American Society of Gene Therapy
2023

Globoid Cell Leukodystrophy (Krabbe Disease): An Update.

ImmunoTargets and therapy
2023

Nanomedicines to treat rare neurological disorders: The case of Krabbe disease.

Advanced drug delivery reviews
2023

Biallelic pathogenic variants in POLR3D alter tRNA transcription and cause a hypomyelinating leukodystrophy: A case report.

Frontiers in neurology
2023

Untargeted Lipidomic Approach for Studying Different Nervous System Tissues of the Murine Model of Krabbe Disease.

Biomolecules
2023

The development of a broad-spectrum retaining β-exo-galactosidase activity-based probe.

Organic &amp; biomolecular chemistry
2023

Biomarker-based risk prediction for the onset of neuroinflammation in X-linked adrenoleukodystrophy.

EBioMedicine
2023

Brain Targeted AAV1-GALC Gene Therapy Reduces Psychosine and Extends Lifespan in a Mouse Model of Krabbe Disease.

Genes
2023

Allogeneic Cell Therapy Applications in Neonates: A Systematic Review.

Stem cells translational medicine
2023

Novel genetic variant associated with globoid cell leukodystrophy in a family of mixed breed dogs.

Journal of veterinary internal medicine
2023

Core protocol development for phase 2/3 clinical trials in the leukodystrophy vanishing white matter: a consensus statement by the VWM consortium and patient advocates.

BMC neurology
2023

HDAC-6 inhibition ameliorates the early neuropathology in a mouse model of Krabbe disease.

Frontiers in molecular neuroscience
2023

A novel variant of GALC in a familial case of Krabbe disease: Insights from structural bioinformatics and molecular dynamics simulation.

Genes &amp; diseases
2023

The Krabbe Conundrum-How Are Benefits and Harms Weighed to Determine the Net Benefit of Screening?

JAMA pediatrics
2023

Hypomyelination caused by a novel homozygous pathogenic variant in FOLR1: complete clinical and radiological recovery with oral folinic acid therapy and review of the literature.

Orphanet journal of rare diseases
2023

Genetic ablation of Saposin-D in Krabbe disease eliminates psychosine accumulation but does not significantly improve demyelination.

Journal of neurochemistry
2023

The Effects of Antipsychotics in Experimental Models of Krabbe Disease.

Biomedicines
2023

The Experience of Parents of Children With Genetically Determined Leukoencephalopathies With the Health Care System: A Qualitative Study.

Journal of child neurology
2023

Craniofacial features of POLR3-related leukodystrophy caused by biallelic variants in POLR3A, POLR3B and POLR1C.

Journal of medical genetics
2023

Molecular genetic screening of full-term small for gestational age.

BMC pediatrics
2023

rAAV2-Mediated Restoration of GALC in Neural Stem Cells from Krabbe Patient-Derived iPSCs.

Pharmaceuticals (Basel, Switzerland)
2023

Favorable outcome of hematopoietic stem cell transplantation in late-onset Krabbe disease.

Brain &amp; development
2023

Solving inherited white matter disorder etiologies in the neurology clinic: Challenges and lessons learned using next-generation sequencing.

Frontiers in neurology
2023

Rapamycin Alleviates Protein Aggregates, Reduces Neuroinflammation, and Rescues Demyelination in Globoid Cell Leukodystrophy.

Cells
2023

Altered plasma membrane abundance of the sulfatide-binding protein NF155 links glycosphingolipid imbalances to demyelination.

Proceedings of the National Academy of Sciences of the United States of America
2023

Impaired Autophagy in Krabbe Disease: The Role of BCL2 and Beclin-1 Phosphorylation.

International journal of molecular sciences
2023

Mechanotransduction Impairment in Primary Fibroblast Model of Krabbe Disease.

Biomedicines
2023

Combined saposin deficiency: A rare occurrence.

Medical journal, Armed Forces India
2023

A novel mutation in the GALC gene causes Krabbe disease accompanied with extensive Mongolian spots in a consanguineous family.

Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology
2023

In silico modelling of the function of disease-related CAZymes.

Essays in biochemistry
2023

Gene Therapy of Sphingolipid Metabolic Disorders.

International journal of molecular sciences
2022

Reliable and Fast Genotyping Protocol for Galactosylceramidase (Galc) in the Twitcher (Twi) Mouse.

Biomedicines
2023

Upregulation of non-canonical and canonical inflammasome genes associates with pathological features in Krabbe disease and related disorders.

Human molecular genetics
2022

Early recognition of patients with leukodystrophies.

Current problems in pediatric and adolescent health care
2023

Experiences of patients and their family members with metachromatic leukodystrophy, adrenoleukodystrophy, and Krabbe disease: a qualitative systematic review protocol.

JBI evidence synthesis
2022

CTCF loss induces giant lamellar bodies in Purkinje cell dendrites.

Acta neuropathologica communications
2022

A Roadmap for Potential Improvement of Newborn Screening for Inherited Metabolic Diseases Following Recent Developments and Successful Applications of Bivariate Normal Limits for Pre-Symptomatic Detection of MPS I, Pompe Disease, and Krabbe Disease.

International journal of neonatal screening
2023

The genetic and phenotypic spectra of adult genetic leukoencephalopathies in a cohort of 309 patients.

Brain : a journal of neurology
2022

Neurodegenerative Disorder Risk in Krabbe Disease Carriers.

International journal of molecular sciences
2022

Adult-onset Krabbe disease presenting with progressive myoclonic epilepsy and asymmetric occipital lesions: A case report.

Frontiers in neurology
2022

The development and validation of sensitive LC-MS/MS method for quantitative bioanalysis of carmofur in mouse plasma and its application to pharmacokinetic study.

Journal of chromatography. B, Analytical technologies in the biomedical and life sciences
2022

Newborn Screening Is on a Collision Course with Public Health Ethics.

International journal of neonatal screening
2023

Krabbe's disease; A rare case report.

Legal medicine (Tokyo, Japan)
2022

Production and characterization of human induced pluripotent stem cell line (PUMCi002-A) from a Krabbe patient related control to study disease mechanisms associated with GALC mutation.

Stem cell research
2022

An autopsy case report of adult-onset Krabbe disease: Comparison with an infantile-onset case.

Pathology international
2023

Preclinical studies in Krabbe disease: A model for the investigation of novel combination therapies for lysosomal storage diseases.

Molecular therapy : the journal of the American Society of Gene Therapy
2022

A neglected neurodegenerative disease: Adult-onset globoid cell leukodystrophy.

Frontiers in neuroscience
2022

Current Understanding on the Genetic Basis of Key Metabolic Disorders: A Review.

Biology
2022

Plasma Lysosphingolipid Biomarker Measurement by Liquid Chromatography Tandem Mass Spectrometry.

Methods in molecular biology (Clifton, N.J.)
2022

Galactosylceramidase deficiency and pathological abnormalities in cerebral white matter of Krabbe disease.

Neurobiology of disease
2022

Adult-onset Krabbe disease presenting as isolated sensorimotor demyelinating polyneuropathy: A case report.

Journal of the peripheral nervous system : JPNS
2022

Why must the debate continue on Krabbe disease newborn screening?

American journal of medical genetics. Part C, Seminars in medical genetics
2022

Versatile use of Carmofur: A comprehensive review of its chemistry and pharmacology.

Drug development research
2022

β-Galactosylceramidase Deficiency Causes Upregulation of Long Pentraxin-3 in the Central Nervous System of Krabbe Patients and Twitcher Mice.

International journal of molecular sciences
2022

Improved Brain Pathology and Progressive Peripheral Neuropathy in a 15 Year Old Survivor of Infantile Krabbe Disease Treated With Umbilical Cord Transplantation.

Frontiers in molecular neuroscience
2022

An Overview of PDE4 Inhibitors in Clinical Trials: 2010 to Early 2022.

Molecules (Basel, Switzerland)
2022

Human iPSC-derived astrocytes generated from donors with globoid cell leukodystrophy display phenotypes associated with disease.

PloS one
2022

Making Decisions About Krabbe Disease Newborn Screening.

Pediatrics
2022

Measuring Molecular Diffusion in Dynamic Subcellular Nanostructures by Fast Raster Image Correlation Spectroscopy and 3D Orbital Tracking.

International journal of molecular sciences
2022

Neurons contribute to pathology in a mouse model of Krabbe disease in a cell-autonomous manner.

PLoS biology
2022

Neuron-specific ablation of the Krabbe disease gene galactosylceramidase in mice results in neurodegeneration.

PLoS biology
2022

Carrier screening for Krabbe disease in an isolated inbred community.

American journal of medical genetics. Part A
2022

Hematopoietic Stem Cell Transplantation for Children With Inborn Errors of Metabolism: Single Center Experience Over Two Decades.

Indian pediatrics
2022

Label-free multiplex electrochemical immunosensor for early diagnosis of lysosomal storage disorders.

Scientific reports
2022

A novel GALC gene mutation associated with adult-onset Krabbe disease: a case report.

Neurocase
2022

Highly-sensitive simultaneous quantitation of glucosylsphingosine and galactosylsphingosine in human cerebrospinal fluid by liquid chromatography/tandem mass spectrometry.

Journal of pharmaceutical and biomedical analysis
2022

CRISPR-Cas9 Knock-In of T513M and G41S Mutations in the Murine β-Galactosyl-Ceramidase Gene Re-capitulates Early-Onset and Adult-Onset Forms of Krabbe Disease.

Frontiers in molecular neuroscience
2022

Evidence of seeding capacity of α-synuclein assemblies in infantile Krabbe disease.

Brain : a journal of neurology
2022

"Atypical" Krabbe disease in two siblings harboring biallelic GALC mutations including a deep intronic variant.

European journal of human genetics : EJHG
2022

Rare Diseases in Glycosphingolipid Metabolism.

Advances in experimental medicine and biology
2022

Cut-off values of neonatal lysosomal storage disease-related enzymes detected by tandem mass spectrometry.

Zhejiang da xue xue bao. Yi xue ban = Journal of Zhejiang University. Medical sciences
2022

Establishment of Cutoff Values for Newborn Screening of Six Lysosomal Storage Disorders by Tandem Mass Spectrometry.

Frontiers in pediatrics
2022

Mass spectrometry-based proteomics in neurodegenerative lysosomal storage disorders.

Molecular omics
2022

Efficacy and Safety of a Krabbe Disease Gene Therapy.

Human gene therapy
2022

The Pathogenic Sphingolipid Psychosine is Secreted in Extracellular Vesicles in the Brain of a Mouse Model of Krabbe Disease.

ASN neuro
2022

A novel brain-penetrant oral UGT8 inhibitor decreases in vivo galactosphingolipid biosynthesis in murine Krabbe disease.

Biomedicine &amp; pharmacotherapy = Biomedecine &amp; pharmacotherapie
2022

Clinical and molecular findings in 6 Turkish cases with Krabbe disease.

The Turkish journal of pediatrics
2022

Galactocerebrosidase deficiency induces an increase in lactosylceramide content: A new hallmark of Krabbe disease?

The international journal of biochemistry &amp; cell biology
2022

Incidental magnetic resonance imaging findings leading to an unusual diagnosis: Adult onset Krabbe disease.

European journal of neurology
2021

Substrate Reduction Therapy for Krabbe Disease: Exploring the Repurposing of the Antibiotic D-Cycloserine.

Frontiers in pediatrics
2022

Krabbe disease: A personal perspective and hypothesis.

BioImpacts : BI
2022

Gene therapy offers new hope for children with metachromatic leukodystrophy.

Lancet (London, England)
2022

Benefits of newborn screening and hematopoietic cell transplant in infantile Krabbe disease.

Blood advances
2022

Chronic lithium administration in a mouse model for Krabbe disease.

JIMD reports
2022

A novel compound heterozygous mutation in GALC associated with adult-onset Krabbe disease: case report and literature review.

Neurogenetics
2021

Krabbe Disease with Normal Enzyme Assay with a Pathogenic Variant in GALC Gene-A Report of Two Indian Cases.

Annals of Indian Academy of Neurology
2022

Prion-like α-synuclein pathology in the brain of infants with Krabbe disease.

Brain : a journal of neurology
2021

Krabbe Disease Associated With Mitochondrial Dysfunction in a Chinese Family.

Frontiers in neurology
2021

National U.S. Patient and Transplant Data for Krabbe Disease.

Frontiers in pediatrics
2021

Krabbe Disease: Prospects of Finding a Cure Using AAV Gene Therapy.

Frontiers in medicine
2021

Compound heterozygous pathogenic variants in the GALC gene cause infant-onset Krabbe disease.

Translational pediatrics
2022

Mesenchymal stem cells for lysosomal storage and polyglutamine disorders: Possible shared mechanisms.

European journal of clinical investigation
2022

Hospitalization Burden and Incidence of Krabbe Disease.

Journal of child neurology
2021

Newborn screening of neuromuscular diseases.

Neuromuscular disorders : NMD
2021

Advances in the Diagnosis and Treatment of Krabbe Disease.

International journal of neonatal screening
2022

A qualitative assessment of parental experiences with false-positive newborn screening for Krabbe disease.

Journal of genetic counseling
2021

Substrate reduction therapy for Krabbe disease and metachromatic leukodystrophy using a novel ceramide galactosyltransferase inhibitor.

Scientific reports
2021

Ethical Issues in Care and Treatment of Neuronal Ceroid Lipofuscinoses (NCL)-A Personal View.

Frontiers in neurology
2021

Expression of Ripk1 and DAM genes correlates with severity and progression of Krabbe disease.

Human molecular genetics
2021

The future of newborn screening for lysosomal disorders.

Neuroscience letters
2021

Glucosylceramide and galactosylceramide, small glycosphingolipids with significant impact on health and disease.

Glycobiology
2021

Therapeutic Uses of Bacterial Subunit Toxins.

Toxins
2021

Low Psychosine in Krabbe Disease with Onset in Late Infancy: A Case Report.

International journal of neonatal screening
2021

Impact of Fatty Acid-Binding Proteins in α-Synuclein-Induced Mitochondrial Injury in Synucleinopathy.

Biomedicines
2021

Newborn Screening for Krabbe Disease-Illinois Experience: Role of Psychosine in Diagnosis of the Disease.

International journal of neonatal screening
2021

Galactocerebrosidase activity by liquid-chromatography tandem mass spectrometry for clinical diagnosis of Krabbe disease.

Clinica chimica acta; international journal of clinical chemistry
2021

Late-Onset Leukodystrophy Mimicking Hereditary Spastic Paraplegia without Diffuse Leukodystrophy on Neuroimaging.

Neuropsychiatric disease and treatment
2021

Human iPSC-based neurodevelopmental models of globoid cell leukodystrophy uncover patient- and cell type-specific disease phenotypes.

Stem cell reports
2021

Adult-Onset Krabbe Disease: The Importance of a Systematic Approach to Brain MRI Findings.

Neurology. Clinical practice
2021

Epidemiological, clinical, and genetic characteristics of paediatric genetic white matter disorders in Northern Finland.

Developmental medicine and child neurology
2021

Mechanisms of demyelination and neurodegeneration in globoid cell leukodystrophy.

Glia
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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. Clinical and molecular characterization of Krabbe disease in Iranian patients: case report and literature review.
    BMC neurology· 2026· PMID 41761111mais citado
  2. Sphingolipid-neutralizing molecular therapy reduces psychosine cytotoxicity in Krabbe disease.
    iScience· 2026· PMID 41743237mais citado
  3. Very late-onset Krabbe disease with concomitant dementia: case description and a critical review of the literature.
    Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology· 2026· PMID 41686260mais citado
  4. Long-term neurological outcome after hematopoietic stem cell transplant in juvenile Krabbe disease.
    Journal of neurology· 2026· PMID 41604001mais citado
  5. Caregiver-reported disease burden in Krabbe disease: evaluating outcomes of hematopoietic stem cell transplantation.
    Orphanet journal of rare diseases· 2026· PMID 41501923mais citado
  6. Brachial plexopathy in juvenile-onset Krabbe disease: A rare case.
    Skeletal Radiol· 2026· PMID 41661317recente
  7. Novel GALC Deletion and Paradoxical Optic Nerve Hypertrophy in Severe Infantile Krabbe Disease.
    Neuropediatrics· 2026· PMID 41638225recente

Bases de dados e fontes oficiais

Identificadores e referências canônicas usadas para montar este verbete.

  1. ORPHA:487(Orphanet)
  2. OMIM OMIM:245200(OMIM)
  3. MONDO:0009499(MONDO)
  4. GARD:6844(GARD (NIH))
  5. Variantes catalogadas(ClinVar)
  6. Busca completa no PubMed(PubMed)
  7. Artigo Wikipedia(Wikipedia)
  8. Q511372(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 Krabbe
Compêndio · Raras BR

Doença de Krabbe

ORPHA:487 · MONDO:0009499
🇧🇷 Brasil SUS
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
7 ativos
Início
Adolescent, Adult, Childhood, Infancy, Neonatal
Prevalência
1.0 (Europe)
MedGen
UMLS
C0023521
EuropePMC
Wikidata
Wikipedia
Papers 10a
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