Raras
Buscar doenças, sintomas, genes...
Doença de armazenamento de ésteres de colesterol
ORPHA:75234CID-10 · E75.5CID-11 · 5C56.0YOMIM 278000DOENÇA RARA

É uma doença causada pela falta ou mau funcionamento de uma enzima no corpo chamada lipase ácida lisossomal. Ela se caracteriza pelo acúmulo progressivo de gorduras, como colesterol e triglicerídeos, em diversos tecidos e órgãos. Geralmente, a pessoa apresenta aumento do fígado e do baço, problemas no funcionamento do fígado e/ou alterações nas taxas de gordura no sangue.

Mantido por Agente Raras·Colaborar como especialista →

Introdução

O que você precisa saber de cara

📋

É uma doença causada pela falta ou mau funcionamento de uma enzima no corpo chamada lipase ácida lisossomal. Ela se caracteriza pelo acúmulo progressivo de gorduras, como colesterol e triglicerídeos, em diversos tecidos e órgãos. Geralmente, a pessoa apresenta aumento do fígado e do baço, problemas no funcionamento do fígado e/ou alterações nas taxas de gordura no sangue.

Pesquisas ativas
1 ensaio
37 total registrados no ClinicalTrials.gov
Publicações científicas
200 artigos
Último publicado: 2026 Mar 24

Escala de raridade

CLASSIFICAÇÃO ORPHANET · BRASIL 2024
Unknown
Ultra-rara
<1/50k
Muito rara
1/20k
Rara
1/10k
Pouco freq.
1/5k
Incomum
1/2k
Prevalência
0.8
Specific population
Início
Adolescent
+ adult, childhood
🏥
SUS: Cobertura parcialScore: 40%
1 medicamentos CEAFTriagem neonatal (Fase 5)Centros em: RN, PR, SC, RS, ES +8CID-10: E75.5
🇧🇷Dados SUS / DATASUS
PROCEDIMENTOS SIGTAP (6)
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)rehabilitation
0202080013
Teste do pezinho (triagem neonatal)
0301070040
Atendimento em reabilitação — doenças raras
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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

🫃
Digestivo
16 sintomas
🫘
Rins
2 sintomas
🩸
Sangue
2 sintomas
😀
Face
1 sintomas
❤️
Coração
1 sintomas
🦴
Ossos e articulações
1 sintomas

+ 21 sintomas em outras categorias

Características mais comuns

100%prev.
Variz esofágica
Ocasional (29-5%)
100%prev.
Hepatomegalia
Muito frequente (99-80%)
100%prev.
Esplenomegalia
Frequente (79-30%)
100%prev.
Insuficiência hepática
Frequente (79-30%)
100%prev.
Esteatose hepática
Frequência: 3/3
100%prev.
Concentração elevada de alanina aminotransferase circulante
Frequência: 5/5
45sintomas
Muito frequente (22)
Frequente (8)
Ocasional (11)
Sem dados (4)

Os sintomas variam de pessoa para pessoa. Abaixo estão as 45 características clínicas mais associadas, ordenadas por frequência.

Variz esofágicaEsophageal varix
Ocasional (29-5%)100%
HepatomegaliaHepatomegaly
Muito frequente (99-80%)100%
EsplenomegaliaSplenomegaly
Frequente (79-30%)100%
Insuficiência hepáticaHepatic failure
Frequente (79-30%)100%
Esteatose hepáticaHepatic steatosis
Frequência: 3/3100%

Linha do tempo da pesquisa

Publicações por ano — veja quando o interesse científico cresceu
Anos de pesquisa1desde 2026
Total histórico200PubMed
Últimos 10 anos87publicações
Pico201814 papers
Linha do tempo
2026Hoje · 2026🧪 1995Primeiro ensaio clínico📈 2018Ano de pico
Publicações por ano (últimos 10 anos)

Triagem neonatal (Teste do Pezinho)

👶
Teste: qPCR para deleção de SMN1 em sangue seco
Fase 5 do PNTNpending
Incidência no Brasil: 1:10.000

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

1 gene identificado com associação a esta condição. Padrão de herança: Autosomal recessive.

LIPALysosomal acid lipase/cholesteryl ester hydrolaseDisease-causing germline mutation(s) (loss of function) inTolerante
FUNÇÃO

Catalyzes the deacylation of cholesteryl ester core lipids of endocytosed low density lipoproteins to generate free fatty acids and cholesterol (PubMed:15269241, PubMed:1718995, PubMed:7204383, PubMed:8112342, PubMed:9633819). Hydrolyzes triglycerides (1,2,3-triacylglycerol) and diglycerides (such as 1,2-diacylglycerol and 1,3-diacylglycerol) with preference for the acyl moieties at the sn-1 or sn-3 positions (PubMed:7204383, PubMed:8112342)

LOCALIZAÇÃO

Lysosome

VIAS BIOLÓGICAS (1)
LDL clearance
MECANISMO DE DOENÇA

Cholesteryl ester storage disease

An autosomal recessive, mild form of lysosomal acid lipase deficiency characterized by accumulation of cholesteryl esters and triglycerides primarily in the liver. The clinical presentation is highly variable depending on residual levels of lysosomal acid lipase activity, and ranges from early onset of severe cirrhosis to later onset of more slowly progressive hepatic disease with survival into adulthood. Age at onset varies from childhood to adulthood.

VIAS REACTOME (1)
EXPRESSÃO TECIDUAL(Ubíquo)
Baço
154.8 TPM
Brain Spinal cord cervical c-1
96.2 TPM
Fibroblastos
73.7 TPM
Tecido adiposo
60.9 TPM
Pulmão
50.6 TPM
OUTRAS DOENÇAS (2)
Wolman diseasecholesteryl ester storage disease
HGNC:6617UniProt:P38571

Medicamentos aprovados (FDA)

1 medicamento encontrado nos registros da FDA americana.

💊 KANUMA (SEBELIPASE ALFA)
Ver no DailyMed/FDA

Variantes genéticas (ClinVar)

207 variantes patogênicas registradas no ClinVar.

🧬 LIPA: NM_000235.4(LIPA):c.1154G>A (p.Trp385Ter) ()
🧬 LIPA: NM_000235.4(LIPA):c.340G>T (p.Asp114Tyr) ()
🧬 LIPA: NM_000235.4(LIPA):c.294C>A (p.Asn98Lys) ()
🧬 LIPA: G87V ()
🧬 LIPA: NM_000235.4(LIPA):c.229+3A>C ()
Ver todas no ClinVar

Classificação de variantes (ClinVar)

Distribuição de 60 variantes classificadas pelo ClinVar.

60
Patogênica (100.0%)
VARIANTES MAIS SIGNIFICATIVAS
LIPA: NM_000235.4(LIPA):c.229+3A>C [Likely pathogenic]
LIPA: NM_000235.4(LIPA):c.34_35del (p.Leu12fs) [Likely pathogenic]
LIPA: NM_000235.4(LIPA):c.213del (p.Asn72fs) [Likely pathogenic]
LIPA: NM_000235.4(LIPA):c.228del (p.Gly77fs) [Likely pathogenic]
LIPA: NM_000235.4(LIPA):c.232_243delinsGCTACTGCCTCCTAAACAATGAATGTTTTGCAG (p.Pro78_Val8... [Likely pathogenic]

Vias biológicas (Reactome)

1 via biológica associada aos genes desta condição.

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 22
·Pré-clínico7
Medicamentos catalogadosEnsaios clínicos· 0 medicamentos · 9 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 armazenamento de ésteres de colesterol

Centros de Referência SUS

21 centros habilitados pelo SUS para Doença de armazenamento de ésteres de colesterol

Centros para Doença de armazenamento de ésteres de colesterol

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

1 pesquisa recrutando participantes. Converse com seu médico sobre a possibilidade de participar.

Outros ensaios clínicos

37 ensaios clínicos encontrados, 1 ativos.

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

Timeline de publicações
88 papers (10 anos)
#1

Real-World Study of Management and Outcomes of Patients with Lysosomal Acid Lipase Deficiency (LAL-D) in France.

Advances in therapy2026 Mar 24

Lysosomal acid lipase deficiency (LAL-D) is a rare inherited lysosomal storage disease leading to accumulation of lipids in organs and tissues. Severity varies from a rapidly progressive infantile form to a less severe, later-onset form. This study aimed to describe patients with LAL-D identified between 2007 and 2020, their treatment, and the burden of disease in France. A retrospective longitudinal study was conducted using nationwide claims data from the French National Health Data System (SNDS). Male and female patients were identified as having a diagnosis of LAL-D or having been administered sebelipase alfa, the only approved treatment. Of 43 patients with LAL-D identified, 17 and 26 had the infantile and later-onset forms, respectively. Frequent symptoms among infants and children included hepatomegaly, splenomegaly, and malnutrition or failure to thrive. Sebelipase alfa was administered to 10 patients with each LAL-D form. Several patients with the infantile form had hepatic complications, including portal hypertension, fibrosis, cirrhosis, and hepatic failure. Three patients, none of whom were treated with sebelipase alfa, died during the study period before the age of 2 years. The later-onset form of LAL-D was associated with hepatic complications among younger patients and cardiovascular events among older patients. Some patients with the later-onset form were treated with sebelipase alfa. Sebelipase alfa is not commercially available in France for symptomatic LAL-D in patients older than 2 years of age at disease onset; therefore, these patients may have started treatment in a clinical trial or based on a compassionate individual access. Most patients in this study were treated with lipid-lowering medications; however, several patients remained untreated. This descriptive study based on claims data confirmed the severity of LAL-D and the need to define the best management, considering the heterogeneity of the patients. Lysosomal acid lipase deficiency (LAL-D) is a rare inherited disease leading to accumulation of lipids in organs and tissues. Symptoms of the disease can appear during infancy or later. The disease is typically more severe when symptoms start in infancy, and the disease can be life-threatening if left untreated. Sebelipase alfa is the only approved treatment for LAL-D. The objective of our study was to describe patients with LAL-D in France. We identified 43 patients with LAL-D between 2007 and 2020. Of these, 17 had infantile and 26 had later-onset forms, respectively. In each group, 10 patients were treated with sebelipase alfa. Several patients with the infantile form had hepatic complications. Three of 7 patients not treated with sebelipase alfa died before the age of 2 years, whereas none of the patients treated with sebelipase alfa died. Among patients with the later-onset form, hepatic complications were observed among younger patients, whereas cardiovascular events were observed among older patients. In France, sebelipase alfa is not commercially available for patients who had first symptoms of LAL-D after 2 years of age. Patients who had symptoms of LAL-D later and were treated with sebelipase alfa may have therefore started treatment in a clinical trial or based on a compassionate individual access. Most patients in this study were treated with lipid-lowering medications; however, several patients remained untreated despite their burden, showing the need to define the best management for this disease, especially considering the heterogeneity of the patients.

#2

Bilateral Adrenal Calcifications as an Imaging Clue to Wolman Disease in Early Infancy: A Case Report.

Cureus2026 Feb

Wolman disease is a rare autosomal recessive lysosomal storage disorder caused by mutations in the LIPA gene, resulting in lysosomal acid lipase (LAL) deficiency and subsequent accumulation of triglycerides and cholesterol esters in multiple organs. We report the case of a two-month-old female infant with an insidious clinical course characterized by vomiting, postprandial abdominal distension, diarrhea, and failure to thrive, associated with hepatomegaly. Laboratory evaluation revealed markedly reduced total cholesterol, low-density lipoprotein, and high-density lipoprotein levels with elevated triglycerides. Abdominal ultrasound demonstrated hepatosplenomegaly with diffuse increased hepatic echogenicity consistent with steatosis and bilateral adrenal enlargement with coarse echogenic foci producing posterior acoustic shadowing, suggestive of adrenal calcifications. These findings were confirmed on contrast-enhanced abdominal computed tomography, which showed the characteristic adreniform preservation of this disease. Given the suspicion of a lysosomal storage disorder, genetic testing identified a homozygous nonsense mutation in LIPA, and enzymatic analysis confirmed markedly reduced LAL activity, establishing the diagnosis of Wolman disease. Enzyme replacement therapy was initiated, with a favorable clinical response. This case highlights the critical role of imaging findings, particularly bilateral adrenal calcifications with preserved morphology, in raising early suspicion of Wolman disease and facilitating timely diagnosis and treatment.

#3

Overview of pediatric and adult lysosomal acid lipase deficiency: expert recommendations from a Gulf cooperation council working group.

Orphanet journal of rare diseases2025 Dec 05

Lysosomal acid lipase deficiency (LAL-D) is an autosomal recessive ultrarare lysosomal storage disease caused by pathogenic/likely pathogenic variants in the LIPA gene. The age of onset and progression rate can significantly vary, possibly due to the nature of the underlying variants. The disorder is often misdiagnosed or undiagnosed in the Gulf Cooperation Council (GCC) countries owing to its nonspecific clinical presentation; this necessitates establishing campaigns to increase awareness among healthcare professionals and strategies for identifying and screening high-risk populations. This narrative review is based on an analysis of the available literature, complemented by key discussions among a group of recognized healthcare professionals from the GCC region with expertise in clinical genetics, hepatology, gastroenterology, and lipidology. The outcome of their discussions is a set of practical recommendations and insights aimed at assisting physicians across multiple specialties in the identification and management of individuals affected by this ultrarare genetic disorder. LAL-D presents significant diagnostic and management challenges, particularly within the GCC region, owing to its rarity, limited awareness, and insufficient utilization of genetic testing. The prevalence and distribution of genetic variations associated with LAL-D remain inadequately explored in this population. The development of standardized regional guidelines is essential to harmonize diagnostic and management practices. Continued research efforts focusing on the genetic landscape of LAL-D in the GCC are imperative to bridge knowledge gaps and enhance clinical outcomes for affected patients.

#4

Correction to: Pedigree Analysis of Nonclassical Cholesteryl Ester Storage Disease with Dominant Inheritance in a LIPA I378T Heterozygous Carrier.

Digestive diseases and sciences2025 Mar
#5

Hepatic Steatosis: A Presentation of Cholesteryl Ester Storage Disease.

ACG case reports journal2025 Dec

Cholesteryl ester storage disease is a rare genetic disorder caused by mutations in the LIPA gene, resulting in lysosomal acid lipase deficiency, which leads to abnormal accumulation of cholesteryl esters and triglycerides within lysosomes. We describe a case of late-onset cholesteryl ester storage disease in a woman with elevated liver enzymes, histologic evidence of microvesicular steatosis and cirrhosis, with a confirmed LIPA mutation, who initiated enzyme replacement therapy with sebelipase alfa. This case highlights the importance of considering hereditary disorders of lipid metabolism in patients presenting unexpectedly with steatotic liver disease in the absence of significant metabolic risk factors.

Publicações recentes

Ver todas no PubMed

📚 EuropePMC100 artigos no totalmostrando 86

2026

Real-World Study of Management and Outcomes of Patients with Lysosomal Acid Lipase Deficiency (LAL-D) in France.

Advances in therapy
2026

Bilateral Adrenal Calcifications as an Imaging Clue to Wolman Disease in Early Infancy: A Case Report.

Cureus
2025

Hepatic Steatosis: A Presentation of Cholesteryl Ester Storage Disease.

ACG case reports journal
2025

Lysosomal acid lipase deficiency: The forgotten link between liver and cardiovascular disease.

World journal of cardiology
2025

Overview of pediatric and adult lysosomal acid lipase deficiency: expert recommendations from a Gulf cooperation council working group.

Orphanet journal of rare diseases
2025

Long-term clinical outcomes in lysosomal acid lipase deficiency: Fibrosis regression with sebelipase alfa therapy.

Canadian liver journal
2025

Enzyme replacement therapy in cholesteryl ester storage disease: A case report on lysosomal acid lipase deficiency management.

Journal of clinical lipidology
2025

The lysosomal acid lipase deficiency spectrum from infancy to adulthood: a multidisciplinary experience.

Nutrition, metabolism, and cardiovascular diseases : NMCD
2025

Successful pregnancy outcome in a woman with cholesteryl ester storage disease treated with enzyme replacement therapy.

Journal of clinical lipidology
2024

Practical Recommendations for the Diagnosis and Management of Lysosomal Acid Lipase Deficiency with a Focus on Wolman Disease.

Nutrients
2024

Lysosomal Acid Lipase Deficiency: A Report of Two Cases and a Review of the Literature.

Cureus
2024

Evaluation of 73 Enlisted Patients for Liver Transplant with Unknown Etiology Reveals a Late-Diagnosed Case of Lysosomal Acid Lipase Deficiency.

International journal of molecular sciences
2024

Pedigree Analysis of Nonclassical Cholesteryl Ester Storage Disease with Dominant Inheritance in a LIPA I378T Heterozygous Carrier.

Digestive diseases and sciences
2023

Dissecting cell type-specific impact in lysosomal acid lipase deficiency-associated disorders.

Journal of lipid research
2023

A Form of Metabolic-Associated Fatty Liver Disease Associated with a Novel LIPA Variant.

Archives of Iranian medicine
2023

Pediatric patients with lysosomal acid lipase deficiency.

Revista espanola de patologia : publicacion oficial de la Sociedad Espanola de Anatomia Patologica y de la Sociedad Espanola de Citologia
2023

Recent insights into lysosomal acid lipase deficiency.

Trends in molecular medicine
2022

A Novel Variant in the LIPA Gene Associated with Distinct Phenotype.

Balkan journal of medical genetics : BJMG
2022

Lysosomal Acid Lipase Deficiency: Genetics, Screening, and Preclinical Study.

International journal of molecular sciences
2022

Stratification of patients with lysosomal acid lipase deficiency by enzyme activity in dried blood spots.

Molecular genetics and metabolism reports
2022

Natural history and management of liver dysfunction in lysosomal storage disorders.

World journal of hepatology
2022

Lysosomal acid lipase deficiency: A rare inherited dyslipidemia but potential ubiquitous factor in the development of atherosclerosis and fatty liver disease.

Frontiers in genetics
2022

Therapeutic efficacy of rscAAVrh74.miniCMV.LIPA gene therapy in a mouse model of lysosomal acid lipase deficiency.

Molecular therapy. Methods &amp; clinical development
2022

Drosophila Lipase 3 Mediates the Metabolic Response to Starvation and Aging.

Frontiers in aging
2022

Hematological Findings in Lysosomal Storage Disorders: A Perspective from the Medical Laboratory.

EJIFCC
2022

Living-Donor Liver Transplantation for Late-Onset Lysosomal Acid Lipase Deficiency.

Journal of clinical and experimental hepatology
2022

[A case of delayed-type cholesteryl ester storage disease derived from LIPA gene mutation].

Zhonghua er ke za zhi = Chinese journal of pediatrics
2022

Molecular markers of brain cholesterol homeostasis are unchanged despite a smaller brain mass in a mouse model of cholesteryl ester storage disease.

Lipids
2021

Enzyme replacement therapy in lysosomal acid lipase deficiency (LAL-D): a systematic literature review.

Therapeutic advances in rare disease
2022

Lysosomal acid lipase deficiency in pediatric patients: a scoping review.

Jornal de pediatria
2021

Large-scale screening of lipase acid deficiency in at risk population.

Clinica chimica acta; international journal of clinical chemistry
2021

Loss of function of lysosomal acid lipase (LAL) profoundly impacts osteoblastogenesis and increases fracture risk in humans.

Bone
2021

The Emerging Battle: Lysosomal Acid Lipase Deficiency vs Familial Hypercholesterolemia in Children.

ACG case reports journal
2020

A rare cause of hepatomegaly and dyslipidemia: lysosomal acid lipase deficiency.

The Turkish journal of pediatrics
2020

Crystal structure of human lysosomal acid lipase and its implications in cholesteryl ester storage disease.

Journal of lipid research
2020

Cholesteryl ester storage disease of clinical and genetic characterisation: A case report and review of literature.

World journal of clinical cases
2020

LIPA gene mutations affect the composition of lipoproteins: Enrichment in ACAT-derived cholesteryl esters.

Atherosclerosis
2020

AISF update on the diagnosis and management of adult-onset lysosomal storage diseases with hepatic involvement.

Digestive and liver disease : official journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver
2020

Cholesteryl ester storage disease: endoscopic findings of an orphan disease.

Endoscopy
2020

Lysosomal acid lipase does not have a propeptide and should not be considered being a proprotein.

Proteins
2019

Clinical outcome of a patient with lysosomal acid lipase deficiency and first results after initiation of treatment with Sebelipase alfa: A case report.

Molecular genetics and metabolism reports
2019

The novel synonymous variant in LIPA gene affects splicing and causes lysosomal acid lipase deficiency.

Molecular genetics and metabolism
2019

Immunometabolic function of cholesterol in cardiovascular disease and beyond.

Cardiovascular research
2019

Lysosomal Acid Lipase in Lipid Metabolism and Beyond.

Arteriosclerosis, thrombosis, and vascular biology
2019

Hepatocyte-specific lysosomal acid lipase deficiency protects mice from diet-induced obesity but promotes hepatic inflammation.

Biochimica et biophysica acta. Molecular and cell biology of lipids
2019

Combined Hepatocellular-Cholangiocarcinoma in a Patient With Cirrhosis Due to Cholesteryl Ester Storage Disease.

Hepatology (Baltimore, Md.)
2019

The global prevalence and genetic spectrum of lysosomal acid lipase deficiency: A rare condition that mimics NAFLD.

Journal of hepatology
2018

Screening for lysosomal acid lipase deficiency: A retrospective data mining study and evaluation of screening criteria.

Atherosclerosis
2019

The silent course of liver steatosis and fibrosis in an adult patient with Cholesteryl Ester Storage Disease.

Clinics and research in hepatology and gastroenterology
2019

Estimation of the prevalence of cholesteryl ester storage disorder in a cohort of patients with clinical features of familial hypercholesterolaemia.

Annals of clinical biochemistry
2018

Diagnostic Algorithm for Cholesteryl Ester Storage Disease: Clinical Presentation in 19 Polish Patients.

Journal of pediatric gastroenterology and nutrition
2019

Genetically modified mouse models to study hepatic neutral lipid mobilization.

Biochimica et biophysica acta. Molecular basis of disease
2018

Cholesteryl Ester Storage Disease: Fatal Outcome without Causal Therapy in a Female Patient with the Preventable Sequelae of Progressive Liver Disease after Many Years of Mild Symptoms.

The American journal of case reports
2018

Lysosomal Acid Lipase Deficiency in Japan: A Case Report of Siblings and a Literature Review of Cases in Japan.

Journal of Nippon Medical School = Nippon Ika Daigaku zasshi
2018

Liver histology in cholesteryl ester storage disease.

Indian journal of pathology &amp; microbiology
2018

Lysosomal acid lipase deficiency allograft recurrence and liver failure- clinical outcomes of 18 liver transplantation patients.

Molecular genetics and metabolism
2018

Sebelipase alfa improves atherogenic biomarkers in adults and children with lysosomal acid lipase deficiency.

Journal of clinical lipidology
2018

Lysosomal acid lipase and lipid metabolism: new mechanisms, new questions, and new therapies.

Current opinion in lipidology
2018

Identification of rare diseases by screening a population selected on the basis of routine pathology results-the PATHFINDER project: lysosomal acid lipase/cholesteryl ester storage disease substudy.

Journal of clinical pathology
2018

Mexican consensus on lysosomal acid lipase deficiency diagnosis.

Revista de gastroenterologia de Mexico (English)
2018

Impact of loss of SOAT2 function on disease progression in the lysosomal acid lipase-deficient mouse.

Steroids
2018

Prevalence of cholesteryl ester storage disease among hypercholesterolemic subjects and functional characterization of mutations in the lysosomal acid lipase gene.

Molecular genetics and metabolism
2018

IMPORTANCE OF LIVER BIOPSY IN THE DIAGNOSIS OF LYSOSOMAL ACID LIPASE DEFICIENCY: A CASE REPORT.

Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo
2017

Steryl ester synthesis, storage and hydrolysis: A contribution to sterol homeostasis.

Biochimica et biophysica acta. Molecular and cell biology of lipids
2017

Molecular and clinical characterization of a series of patients with childhood-onset lysosomal acid lipase deficiency. Retrospective investigations, follow-up and detection of two novel LIPA pathogenic variants.

Atherosclerosis
2017

The role of sebelipase alfa in the treatment of lysosomal acid lipase deficiency.

Therapeutic advances in gastroenterology
2017

Wolman's disease and cholesteryl ester storage disorder: the phenotypic spectrum of lysosomal acid lipase deficiency.

The lancet. Gastroenterology &amp; hepatology
2018

Genetic characterization of GSD I in Serbian population revealed unexpectedly high incidence of GSD Ib and 3 novel SLC37A4 variants.

Clinical genetics
2017

Best practice in the measurement and interpretation of lysosomal acid lipase in dried blood spots using the inhibitor Lalistat 2.

Clinica chimica acta; international journal of clinical chemistry
2017

Targeting Wolman Disease and Cholesteryl Ester Storage Disease: Disease Pathogenesis and Therapeutic Development.

Current chemical genomics and translational medicine
2017

Quantitation of the rates of hepatic and intestinal cholesterol synthesis in lysosomal acid lipase-deficient mice before and during treatment with ezetimibe.

Biochemical pharmacology
2017

Cholesteryl Ester Storage Disease: An underdiagnosed cause of cirrhosis in adults.

Annals of diagnostic pathology
2017

Managing Cardiovascular Risk in Lysosomal Acid Lipase Deficiency.

American journal of cardiovascular drugs : drugs, devices, and other interventions
2017

Morphology of Wolman cholesteryl ester storage disease.

Blood
2016

Diagnostic and therapeutic management of children with lysosomal acid lipase deficiency (LAL-D). Review of the literature and own experience.

Developmental period medicine
2016

Sebelipase Alfa: A Review in Lysosomal Acid Lipase Deficiency.

American journal of cardiovascular drugs : drugs, devices, and other interventions
2016

Sequencing for LIPA mutations in patients with a clinical diagnosis of familial hypercholesterolemia.

Atherosclerosis
2016

Sebelipase alfa: enzymatic replacement treatment for lysosomal acid lipase deficiency.

Drugs of today (Barcelona, Spain : 1998)
2016

Low Serum Lysosomal Acid Lipase Activity Correlates with Advanced Liver Disease.

International journal of molecular sciences
2015

Identification and metabolic profiling of patients with lysosomal acid lipase deficiency.

Journal of clinical lipidology
2015

[Lysosomal storage diseases: A brief summary].

Der Pathologe
2015

Cholesterol trafficking-related serum lipoprotein functions in children with cholesteryl ester storage disease.

Atherosclerosis
2015

PRD125, a potent and selective inhibitor of sterol O-acyltransferase 2 markedly reduces hepatic cholesteryl ester accumulation and improves liver function in lysosomal acid lipase-deficient mice.

The Journal of pharmacology and experimental therapeutics
2015

Hypercholesterolaemia and hepatosplenomegaly: two manifestations of cholesteryl ester storage disease.

The Netherlands journal of medicine
2015

Novel LIPA mutations in Mexican siblings with lysosomal acid lipase deficiency.

World journal of gastroenterology
2015

Expression and functional characterization of human lysosomal acid lipase gene (LIPA) mutation responsible for cholesteryl ester storage disease (CESD) phenotype.

Protein expression and purification
Ver todos os 100 no EuropePMC

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Doenças relacionadas

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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. Real-World Study of Management and Outcomes of Patients with Lysosomal Acid Lipase Deficiency (LAL-D) in France.
    Advances in therapy· 2026· PMID 41874849mais citado
  2. Bilateral Adrenal Calcifications as an Imaging Clue to Wolman Disease in Early Infancy: A Case Report.
    Cureus· 2026· PMID 41869254mais citado
  3. Overview of pediatric and adult lysosomal acid lipase deficiency: expert recommendations from a Gulf cooperation council working group.
    Orphanet journal of rare diseases· 2025· PMID 41345659mais citado
  4. Correction to: Pedigree Analysis of Nonclassical Cholesteryl Ester Storage Disease with Dominant Inheritance in a LIPA I378T Heterozygous Carrier.
    Digestive diseases and sciences· 2025· PMID 39985739mais citado
  5. Hepatic Steatosis: A Presentation of Cholesteryl Ester Storage Disease.
    ACG case reports journal· 2025· PMID 41357559mais citado
  6. Lysosomal acid lipase deficiency: The forgotten link between liver and cardiovascular disease.
    World J Cardiol· 2025· PMID 41356588recente

Bases de dados e fontes oficiais

Identificadores e referências canônicas usadas para montar este verbete.

  1. ORPHA:75234(Orphanet)
  2. OMIM OMIM:278000(OMIM)
  3. MONDO:0019149(MONDO)
  4. GARD:12099(GARD (NIH))
  5. Variantes catalogadas(ClinVar)
  6. Busca completa no PubMed(PubMed)
  7. Q2622714(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 armazenamento de ésteres de colesterol
Compêndio · Raras BR

Doença de armazenamento de ésteres de colesterol

ORPHA:75234 · MONDO:0019149
🇧🇷 Brasil SUS
Triagem
qPCR para deleção de SMN1 em sangue seco
PNTN
Fase 5
Incidência BR
1:10.000
CEAF
1ASebelipase alfa
Geral
Prevalência
Unknown
Herança
Autosomal recessive
CID-10
E75.5 · Outros distúrbios do depósito de lípides
CID-11
Ensaios
1 ativos
Início
Adolescent, Adult, Childhood
Prevalência
0.8 (Specific population)
MedGen
UMLS
C0008384
EuropePMC
Wikidata
Papers 10a
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