A síndrome de Hurler é a forma mais grave de mucopolissacaridose tipo 1 (MPS1), uma doença rara de armazenamento lisossômico, caracterizada por anormalidades esqueléticas, comprometimento cognitivo, doenças cardíacas, problemas respiratórios, aumento do fígado e baço, fácies característica e redução da expectativa de vida.
Introdução
O que você precisa saber de cara
A síndrome de Hurler é a forma mais grave de mucopolissacaridose tipo 1 (MPS1), uma doença rara de armazenamento lisossômico, caracterizada por anormalidades esqueléticas, comprometimento cognitivo, doenças cardíacas, problemas respiratórios, aumento do fígado e baço, fácies característica e redução da expectativa de vida.
Escala de raridade
<1/50kMuito rara
1/20kRara
1/10kPouco freq.
1/5kIncomum
1/2k
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Sinais e sintomas
O que aparece no corpo e com que frequência cada sintoma acontece
Partes do corpo afetadas
+ 35 sintomas em outras categorias
Características mais comuns
Os sintomas variam de pessoa para pessoa. Abaixo estão as 101 características clínicas mais associadas, ordenadas por frequência.
Linha do tempo da pesquisa
Triagem neonatal (Teste do Pezinho)
A triagem neonatal permite diagnóstico precoce e início imediato do tratamento.
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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.
Lysosome
Mucopolysaccharidosis 1H
A severe form of mucopolysaccharidosis type 1, a rare lysosomal storage disease characterized by progressive physical deterioration with urinary excretion of dermatan sulfate and heparan sulfate. Patients with MPS1H usually present, within the first year of life, a combination of hepatosplenomegaly, skeletal deformities, corneal clouding and severe intellectual disability. Obstructive airways disease, respiratory infection and cardiac complications usually result in death before 10 years of age.
Variantes genéticas (ClinVar)
695 variantes patogênicas registradas no ClinVar.
Classificação de variantes (ClinVar)
Distribuição de 280 variantes classificadas pelo ClinVar.
Vias biológicas (Reactome)
4 vias biológicas associadas aos genes desta condição.
Diagnóstico
Os sinais que médicos procuram e os exames que confirmam
Tratamento e manejo
Remédios, cuidados de apoio e o que precisa acompanhar
Onde tratar no SUS
Hospitais de referência no Brasil e o protocolo oficial do SUS (PCDT)
🇧🇷 Atendimento SUS — Síndrome de Hurler
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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
Ensaios em destaque
Pesquisa e ensaios clínicos
69 ensaios clínicos encontrados, 2 ativos.
Publicações mais relevantes
Case Report: Compound heterozygous mutations in the IDUA gene causing mucopolysaccharidosis type I with uterine developmental abnormality.
Mucopolysaccharidosis (MPS) represents a group of rare inherited metabolic disorders characterized by abnormal accumulation of glycosaminoglycans (GAGs) due to deficiencies of lysosomal enzymes. Mucopolysaccharidosis type I (MPS I) is caused by biallelic pathogenic variants in the IDUA gene and is inherited in an autosomal recessive pattern. The IDUA gene is located on chromosome 4p16.3 and encodes the lysosomal enzyme α-L-iduronidase, which plays a critical role in the degradation of GAGs, particularly dermatan sulfate and heparan sulfate. Reduced or absent IDUA enzymatic activity leads to the progressive accumulation of undegraded substrates within lysosomes, resulting in multisystem organ involvement. Based on clinical severity, MPS I is traditionally classified into three phenotypic subtypes: the severe form (Hurler syndrome), the intermediate form (Hurler-Scheie syndrome), and the attenuated form (Scheie syndrome, MPS I-S). This report describes a 13-year-old female patient in whom compound heterozygous pathogenic variants in the IDUA gene were identified by genetic testing, and whose clinical manifestations were consistent with the MPS I-S. In addition to typical skeletal and joint abnormalities, the patient also presented with uterine developmental abnormality. Currently, there is no definitive evidence supporting a direct causal relationship between MPS I and uterine developmental abnormalities; however, this case suggests a potential association between MPS I and reproductive system developmental abnormalities. This case may help further expand the phenotypic spectrum of MPS I and enhance clinical awareness of its multisystem involvement.
Neurophysiological Characteristics of Upper Extremity Neuropathy in Three Young Patients with Mucopolysaccharidosis Type I and II in a Five-Year Observation-A Case Series Study.
Background/Objectives: To date, few studies have reported the use of neurophysiological testing to assess the long-term progression of functional changes in median and ulnar nerve conduction in children and adolescents with mucopolysaccharidosis (MPS). This case series study aimed to perform an electroneurographic (ENG) assessment of the median and ulnar nerves in three young patients with MPS treated with enzyme replacement therapy (ERT) and hematopoietic stem cell transplantation (HSCT) over a five-year observation period. Methods: Bilateral electroneurography of the motor and sensory fibers in the median and ulnar nerves, recording compound muscle action potential (CMAP) and sensory nerve action potential (SNAP), was performed twice in 5-, 7-, and 19-year-old males at two time points: before and five years after the application of ERT and HSCT. Results: In three MPS patients with Hurler or Hunter syndrome, ENG studies similarly demonstrated decreased amplitudes and prolonged distal latencies in their CMAP recordings, confirming the bilateral progression of axonal degeneration and demyelinating changes in the distal parts of the median nerves. The SNAP recordings revealed more severe degenerative processes of similar types in the sensory fibers of the median nerves. Nerve conduction studies in the ulnar nerve fibers bilaterally revealed analogous pathologies, but with a lesser degree of progression. Conclusions: This study confirms the progression of axonal degeneration and demyelinating changes in the distal parts of the median nerves, which were associated with decreased amplitudes and prolonged distal latencies in the CMAP recordings of the MPS patients. More expressed degeneration processes of a similar type were found in the sensory fibers of the median nerves. Ulnar nerve pathologies of neural conduction are less advanced in patients with Hurler and Hunter syndromes. It seems advisable to implement neurophysiological diagnostics as soon as possible to specify surgical or conservative therapy, which is crucial for maintaining hand function in the case of progressive peripheral neuropathies in patients with MPS. The timing of the treatment and the patient's age may be factors influencing the effectiveness of treatment.
Molecular Profile of Mucopolysaccharidosis Type I Patients in Brazil.
Mucopolysaccharidosis type I (MPS I) is an autosomal recessive disease caused by mutations in the IDUA gene, resulting in decreased activity of the lysosomal enzyme α-l-iduronidase (IDUA) and consequent accumulation of glycosaminoglycans in the lysosomes. There are more than 300 disease-causing variants reported in the IDUA gene, and the mutational profile varies considerably worldwide. In this study, we performed molecular analysis on 119 MPS I patients, representing the largest Brazilian cohort studied so far. Forty-seven different mutations were identified in our sample, and 13 of them are newly described: c.48delG, c.78delC, c.159-23_159-1del23, p.Gln125Ter, p.Trp175Ter, c.590-6ins4G, c.763delC, c.973-1G>A, p.Asp349Glu, p.Asn350Lys, p.Lys384Asn, c.1403-12_1403-4del9, and p.Lys546Ter. In silico analysis of novel variants suggests they are possibly pathogenic, supporting previous biochemical and clinical diagnoses. Among recurrent mutations, p.Trp402Ter and p.Pro533Arg are the most frequent in Brazil, found in 42.4% and 16% of the alleles, respectively. These results reveal the great allelic heterogeneity of IDUA variants in Brazilian patients. Unraveling the genetic profile of MPS I patients may improve the diagnosis and management of this rare disease.
Non-neurological, non-skeletal outcomes after hematopoietic stem and progenitor cell-gene therapy (OTL-203) for Hurler syndrome.
Patients with mucopolysaccharidosis type I Hurler (MPSIH) experience multisystem clinical manifestations, which are only partially addressed by allogeneic hematopoietic stem cell transplantation (allo-HSCT). This study evaluated outcomes from a lentiviral vector-mediated hematopoietic stem and progenitor cell-gene therapy (HSPC-GT) trial (NCT03488394) in eight MPSIH patients followed up to 4 years post-treatment. Key findings included corneal clouding, hearing loss (HL), carpal tunnel syndrome (CTS), and cardiac evaluations. A retrospective comparison with an external cohort of nine MPSIH patients undergoing allo-HSCT was performed. All patients are alive at last follow-up, show stable engraftment without graft failure, insertional oncogenesis, or immune responses to the transgene. Notably, at last follow-up 3/8 HSPC-GT patients experienced corneal clouding resolution, while all allo-HSCT patients maintained moderate corneal clouding; 4/8 HSPC-GT patients showed normal hearing function at last follow-up due to improvement (n = 3) or stabilization (n = 1); 7/9 allo-HSCT patients had mild or moderate HL at baseline, while 2/9 showed moderate HL at last follow-up. No HSPC-GT patients required surgery for CTS developed after HSPC-GT, while 7/9 patients needed such surgery after allo-HSCT. No HSPC-GT patients developed severe cardiomyopathy or valvular disease, while in the HSCT cohort 4/9 patients experienced progression of valvular insufficiency although not requiring valve replacement. Our results indicate a favorable effect of HSPC-GT on MPSIH multisystemic manifestations up to 4 years after treatment; long-term, prospective comparative studies are warranted for definitive conclusions.
Specific and efficient RNA A-to-I editing through cleavage of an ADAR inhibitor.
RNA editing can be a promising therapeutic approach. However, ectopic expression of RNA editing enzymes has been shown to trigger off-target editing. Here we identified adenosine deaminase acting on RNA (ADAR) inhibitors (ADIs) that suppress the activity of the fused ADAR2 deamination domain (ADAR2DD). Using these specific ADIs, we develop an RNA transformer adenosine base editor (RtABE) with high specificity. Fusing ADI to ADAR2DD, RtABE remains inactive until it binds to its target site. After binding to the target site, ADI is cleaved from ADAR2DD, and RtABE becomes active. RtABE can induce efficient editing in broad sequence contexts, including UAN, AAN, CAN and GAN. Using an adeno-associated virus for delivery of RtABE enables therapeutic RNA correction and restoration of α-L-iduronidase activity in Hurler syndrome mice with no substantial off-target editing. RtABE is a specific and efficient RNA editing system with a broad scope that may be a better alternative to existing RNA editing tools.
Publicações recentes
First-in-human intracisternal dosing of RGX-111 in severe MPS I is well-tolerated and generates sustained neurodevelopment without HSCT.
Cerebrospinal fluid heparan sulfate as a biomarker for neuronopathic mucopolysaccharidoses: Rationale and regulatory challenges.
📖 RevisãoBeyond Detection: Comparing State-Based Newborn Screening Methods for Effective Mucopolysaccharidosis I Diagnosis.
Case Report: Compound heterozygous mutations in the IDUA gene causing mucopolysaccharidosis type I with uterine developmental abnormality.
Development and characterization of a model of mucopolysaccharidosis type IVA for evaluating therapies targeting bone disease.
📚 EuropePMC277 artigos no totalmostrando 198
Case Report: Compound heterozygous mutations in the IDUA gene causing mucopolysaccharidosis type I with uterine developmental abnormality.
Frontiers in pediatricsDevelopment and characterization of a model of mucopolysaccharidosis type IVA for evaluating therapies targeting bone disease.
Disease models & mechanismsNeurophysiological Characteristics of Upper Extremity Neuropathy in Three Young Patients with Mucopolysaccharidosis Type I and II in a Five-Year Observation-A Case Series Study.
Neurology internationalMolecular Profile of Mucopolysaccharidosis Type I Patients in Brazil.
Journal of inherited metabolic diseaseGenetic Modeling of Lysosomal Storage Disorders (LSDs) in the Brain-Midgut Axis of Drosophila melanogaster During Aging.
CellsFrom trial to transformation: insights into hematopoietic stem cell-gene therapy for Hurler syndrome.
Expert opinion on biological therapyMucopolysaccharidoses: A biochemical study under limited resources.
Molecular genetics and metabolism reportsClinical outcomes of exclusive enzyme therapy (laronidase) in a cohort of patients with mucopolysaccharidosis type I.
Orphanet journal of rare diseasesBilateral Foveal Cysts in Mucopolysaccharidosis Type I (Hurler Syndrome): Response to Acetazolamide With Insights From Multimodal Retinal Imaging and Electrophysiology.
Case reports in ophthalmological medicineReclassifying IDUA c.250G>A (p.Gly84Ser): Evidence for a Possible Pseudodeficiency Allele.
International journal of neonatal screeningPrime editing-installed suppressor tRNAs for disease-agnostic genome editing.
NatureCongenital Dermal Melanocytosis Exhibited in Two Patients with Hurler Syndrome: Clinical Characterization and Report of a Recurrent IDUA Allele in Colombia.
International journal of molecular sciencesFatal EBV-Associated Posttransplant Lymphoproliferative Disease and Secondary Hemophagocytic Lymphohistiocytosis in a Pediatric Patient With Hurler Syndrome Following Hematopoietic Cell Transplantation: A Case Report and Review of the Literature.
Pediatric blood & cancerEffect of Early Hematopoietic Stem Cell Transplantation on Carpal Tunnel Syndrome Surgery in Patients With Hurler Syndrome.
The Journal of hand surgeryCervicothoracic Kyphosis and Spinal Cord Compression in Hurler Syndrome.
Journal of pediatric orthopedicsNon-neurological, non-skeletal outcomes after hematopoietic stem and progenitor cell-gene therapy (OTL-203) for Hurler syndrome.
Molecular therapy : the journal of the American Society of Gene TherapyNeuroimaging and spinal manifestations of mucopolysaccharidosis type I: Insights from a pediatric case.
Radiology case reportsUltrasonographic hip morphology in mucopolysaccharidosis type I Hurler after hematopoietic stem cell gene therapy.
Journal of children's orthopaedicsImaging hallmarks of mucopolysaccharidosis in a young Ethiopian boy: A case report.
Radiology case reportsNeurologic outcomes in patients with skeletal dysplasias undergoing cervical fusion and occipitocervical fusion.
Child's nervous system : ChNS : official journal of the International Society for Pediatric NeurosurgeryPrognostic Modeling of Deleterious IDUA Mutations L238Q and P385R in Hurler Syndrome Through Molecular Dynamics Simulations.
Pharmaceuticals (Basel, Switzerland)Mitral Annular Calcification, a Not So Marginal and Relatively Benign Finding as Many of Us Think: A Review.
Journal of cardiovascular development and diseaseLong-Term Outcomes of Hematopoietic Stem Cell Transplantation in Mucopolysaccharidoses Patients Without Radiation.
Clinical transplantationAn engineered U7 small nuclear RNA scaffold greatly increases ADAR-mediated programmable RNA base editing.
Nature communicationsAnaesthesia Considerations for an Adult with Hurler Syndrome.
Irish medical journalLongitudinal clinical and imaging analysis of hydrocephalus in a single-center study in 57 patients with mucopolysaccharidosis type IH (Hurler syndrome).
Journal of neurosurgery. PediatricsGiant cytoplasmic inclusions (Alder-Reilly bodies) in Hurler syndrome (mucopolysaccharidosis type 1H).
BloodSpecific and efficient RNA A-to-I editing through cleavage of an ADAR inhibitor.
Nature biotechnologyBodyweight and Absolute Lymphocyte Count-Based Dosing of Rabbit Anti-thymocyte Globulin Results in Early CD4+ Immune Reconstitution in Patients with Inborn Errors of Metabolism Undergoing Umbilical Cord Blood Transplantation.
Transplantation and cellular therapyMucopolysaccharidoses types I and IIIA: Diagnosis and identification of novel polymorphisms associated with common mutations in Moroccan patients.
Molecular genetics and metabolism reportsDiffusion tensor imaging with free-water correction reveals distinctions between severe and attenuated subtypes in Mucopolysaccharidosis type I.
Journal of inherited metabolic diseaseNewborn Screening for Hurler Syndrome Facilitates Early Transplant and Good Outcomes.
Pediatric neurologyEngineering memory T cells as a platform for long-term enzyme replacement therapy in lysosomal storage disorders.
Molecular therapy : the journal of the American Society of Gene TherapyChallenges in Diagnosing and Managing Hurler Syndrome: A Case Report.
CureusPrevalence and natural history of gibbus deformity in patients with Hurler syndrome.
NeuroradiologyMacroglossia in endocrine and metabolic disorders: current evidence, perspectives and challenges.
Minerva endocrinologyProgrammable DNA pyrimidine base editing via engineered uracil-DNA glycosylase.
Nature communicationsInternational Society for Cell & Gene Therapy Stem Cell Engineering Committee report on the current state of hematopoietic stem and progenitor cell-based genomic therapies and the challenges faced.
CytotherapyTherapeutic Nonsense Suppression Modalities: From Small Molecules to Nucleic Acid-Based Approaches.
BiomedicinesSuccessful treatment of corneal hypertrophic scar in Hurler syndrome.
Clinical case reportsEarly skeletal outcomes after hematopoietic stem and progenitor cell gene therapy for Hurler syndrome.
Science translational medicineNatural history of craniovertebral abnormalities in a single-center study in 54 patients with Hurler syndrome.
Journal of neurosurgery. PediatricsModeling skeletal dysplasia in Hurler syndrome using patient-derived bone marrow osteoprogenitor cells.
JCI insightNear-cognate tRNAs increase the efficiency and precision of pseudouridine-mediated readthrough of premature termination codons.
Nature biotechnologyEvaluation of tendon and ligament microstructure and mechanical properties in a canine model of mucopolysaccharidosis I.
Journal of orthopaedic research : official publication of the Orthopaedic Research SocietyMucopolysaccharidosis type I Hurler-Scheie syndrome: a case report.
Annals of medicine and surgery (2012)Extensive and Persistent Dermal Melanocytosis in a Male Carrier of Mucopolysaccharidosis Type IIIC (Sanfilippo Syndrome): A Case Report.
Children (Basel, Switzerland)Discovery of Novel Chromenopyridine Derivatives as Readthrough-Inducing Drugs.
Chemical & pharmaceutical bulletinUtilizing AAV-mediated LEAPER 2.0 for programmable RNA editing in non-human primates and nonsense mutation correction in humanized Hurler syndrome mice.
Genome biologyNatural history of cardiac findings in mucopolysaccharidosis type I: report from an international registry.
Cardiology in the youngHurler Syndrome Glycosaminoglycans Decrease in Cerebrospinal Fluid without Brain-Targeted Therapy.
Annals of neurologySynthesis and Evaluation of Novel Triaryl Derivatives with Readthrough-Inducing Activity.
Chemical & pharmaceutical bulletinDrug-induced eRF1 degradation promotes readthrough and reveals a new branch of ribosome quality control.
Cell reportsHepatic adenoma in a 7-year-old girl: a case report and literature review.
BMC pediatricsIncidence of Bloodstream Infections after Hematopoietic Stem Cell Transplantation for Hurler Syndrome.
Transplantation and cellular therapyHematopoietic cell transplantation for Mucopolysaccharidosis I in the presence of decreased cardiac function.
Molecular genetics and metabolismFirst Three Years' Experience of Mucopolysaccharidosis Type-I Newborn Screening in California.
The Journal of pediatricsPhenotypic characterisation of the Mucopolysaccharidosis Type I (MPSI) Idua-W392X mouse model reveals increased anxiety-related traits in female mice.
Molecular genetics and metabolismPosterior Fossa Horns in Hurler Syndrome: Prevalence and Regression.
AJNR. American journal of neuroradiologyHurler Syndrome (Mucopolysaccharidosis Type 1): A Case Report.
CureusIncreased pituitary volumes in patients with Sanfilippo syndrome (mucopolysaccharidosis type 3, MPS III).
NeuroradiologyTriamterene Functions as an Effective Nonsense Suppression Agent for MPS I-H (Hurler Syndrome).
International journal of molecular sciencesIn vivo adenine base editing corrects newborn murine model of Hurler syndrome.
Molecular biomedicineC-MAC® pediatric D-blade for intubation in a child with Hurler syndrome.
Journal of anaesthesiology, clinical pharmacologyHurler Syndrome: Orofacial Clinical Findings.
CureusDilated Optic Nerve Sheath in Mucopolysaccharidosis I: Common and Not Necessarily High Intracranial Pressure.
AJNR. American journal of neuroradiology18-year follow-up of enzyme-replacement therapy in two siblings with attenuated mucopolysaccharidosis I.
American journal of medical genetics. Part AEffects of gentamicin inducing readthrough premature stop Codons: A study of alpha-L-iduronidase nonsense variants in COS-7 Cells.
Biochemical and biophysical research communicationsComparison of growth dynamics in different types of MPS: an attempt to explain the causes.
Orphanet journal of rare diseasesEarly Neonatal Cardiac Phenotype in Hurler Syndrome: Case Report and Literature Review.
GenesA rapid and non-invasive proteomic analysis using DBS and buccal swab for multiplexed second-tier screening of Pompe disease and Mucopolysaccharidosis type I.
Molecular genetics and metabolismNew Indications for Hematopoietic Stem Cell Gene Therapy in Lysosomal Storage Disorders.
Frontiers in oncologyBone Remodeling in an Mps-1h Girl after Hematopoietic Stem Cell Transplantation along with Enzymatic Replacement Therapy.
Endocrine, metabolic & immune disorders drug targetsLiver-directed gene therapy corrects neurologic disease in a murine model of mucopolysaccharidosis type I-Hurler.
Molecular therapy. Methods & clinical developmentHematopoietic stem cell transplant for Hurler syndrome: does using bone marrow or umbilical cord blood make a difference?
Blood advancesQuantifying medical manifestations in Hurler syndrome with the infant physical symptom score: associations with long-term physical and adaptive outcomes.
Molecular genetics and metabolismEngineered circular ADAR-recruiting RNAs increase the efficiency and fidelity of RNA editing in vitro and in vivo.
Nature biotechnologyEfficient in vitro and in vivo RNA editing via recruitment of endogenous ADARs using circular guide RNAs.
Nature biotechnologyBrain and visceral gene editing of mucopolysaccharidosis I mice by nasal delivery of the CRISPR/Cas9 system.
The journal of gene medicineDrosophila D-idua Reduction Mimics Mucopolysaccharidosis Type I Disease-Related Phenotypes.
CellsLysosomal Storage Disorders: Clinical, Biochemical and molecular profile from Rare disease centre, India.
Annals of Indian Academy of NeurologyDamage of the cardiovascular system in lysosomal storage disease - mucopolysaccharidosis.
Polski merkuriusz lekarski : organ Polskiego Towarzystwa LekarskiegoThe Beginning of the End of Allogeneic Transplantation for Hurler Syndrome?
The New England journal of medicineHematopoietic Stem- and Progenitor-Cell Gene Therapy for Hurler Syndrome.
The New England journal of medicineEffects of lithium administration on vertebral bone disease in mucopolysaccharidosis I dogs.
BoneB-cell depletion abrogates immune mediated cytopenia and rejection of cord blood transplantation in Hurler syndrome.
Bone marrow transplantationLong-term evolution of mucopolysaccharidosis type I in twins treated with enzyme replacement therapy plus hematopoietic stem cells transplantation.
HeliyonIn utero adenine base editing corrects multi-organ pathology in a lethal lysosomal storage disease.
Nature communicationsTrigger finger in children with hurler syndrome - distribution pattern and treatment options.
GMS Interdisciplinary plastic and reconstructive surgery DGPWSurrogate Cerebrospinal Fluid Biomarkers for Assessing the Efficacy of Gene Therapy in Hurler Syndrome.
Frontiers in neurologyMucopolysaccharidosis Type I-Associated Corneal Disease: A Clinicopathologic Study.
American journal of ophthalmologyRejecting Gargoylism: Reflections on the term and its relationship to Hurler syndrome.
American journal of medical genetics. Part C, Seminars in medical geneticsMucopolysaccharidosis Type I: Current Treatments, Limitations, and Prospects for Improvement.
BiomoleculesLong term disease burden post-transplantation: three decades of observations in 25 Hurler patients successfully treated with hematopoietic stem cell transplantation (HSCT).
Orphanet journal of rare diseases[Infantile arterial hypertension: A diagnostic challenge in paediatrics].
Anales de pediatriaCurrent Practices for U.S. Newborn Screening of Pompe Disease and MPSI.
International journal of neonatal screeningMultimodal imaging of Hurler syndrome-related keratopathy treated with deep anterior lamellar keratoplasty.
BMC ophthalmologyDigital Microfluidics in Newborn Screening for Mucopolysaccharidoses: A Progress Report.
International journal of neonatal screeningEvaluation of Multiple Methods for Quantification of Glycosaminoglycan Biomarkers in Newborn Dried Blood Spots from Patients with Severe and Attenuated Mucopolysaccharidosis-I.
International journal of neonatal screeningMucopolysaccharidosis type I due to maternal uniparental disomy of chromosome 4 with partial isodisomy of 4p16.3p15.2.
Molecular genetics and metabolism reportsMucopolysaccharidosis type I newborn screening: Importance of second tier testing for ethnically diverse populations.
American journal of medical genetics. Part AOutcome After Cord Blood Transplantation Using Busulfan Pharmacokinetics-Targeted Myeloablative Conditioning for Hurler Syndrome.
Transplantation and cellular therapyLower Exposure to Busulfan Allows for Stable Engraftment of Donor Hematopoietic Stem Cells in Children with Mucopolysaccharidosis Type I: A Case Report of Four Patients.
International journal of molecular sciencesA case study of three patients with mucopolysaccharidoses in Hue Central Hospital.
SAGE open medical case reportsmiR-143 Regulates Lysosomal Enzyme Transport across the Blood-Brain Barrier and Transforms CNS Treatment for Mucopolysaccharidosis Type I.
Molecular therapy : the journal of the American Society of Gene TherapyHearing loss in patients with mucopolysaccharidoses-1 and -6 after hematopoietic cell transplantation: A longitudinal analysis.
Journal of inherited metabolic diseaseMyelin and Lipid Composition of the Corpus Callosum in Mucopolysaccharidosis Type I Mice.
LipidsImprovement in functional gait parameters following corrective thoracolumbar surgery in children affected by Mucopolysaccharidosis 1 (Hurler syndrome).
Orphanet journal of rare diseasesIntravenous delivery for treatment of mucopolysaccharidosis type I: A comparison of AAV serotypes 9 and rh10.
Molecular genetics and metabolism reportsAnterior segment optical coherence tomography and in vivo confocal microscopy in cases of mucopolysaccharidosis.
American journal of ophthalmology case reportsTreatment of Severe Kyphoscoliosis in Children with Mucopolysaccharidosis Type I (Pfaundler-Hurler Syndrome) Using the Growing Rod Technique: A Case Series with Mid-Term Results.
World neurosurgeryNewborn screening of mucopolysaccharidoses: past, present, and future.
Journal of human geneticsHematopoietic stem cell transplantation in mucopolysaccharidosis type IIIA: A case description and comparison with a genotype-matched control group.
Molecular genetics and metabolism reportsMucopolysaccharidosis Type I.
Diagnostics (Basel, Switzerland)Implementation of an Affordable Method for MPS Diagnosis from Urine Screening to Enzymatic Confirmation: Results of a Pilot Study in Morocco.
Clinical laboratoryCauses of congenital corneal opacities and their management in a tertiary care center.
Arquivos brasileiros de oftalmologiaInherited Metabolic Diseases and Cardiac Pathology in Adults: Diagnosis and Prevalence in a CardioMetabo Study.
Journal of clinical medicineMucopolysaccharidosis Type II: One Hundred Years of Research, Diagnosis, and Treatment.
International journal of molecular sciences[Rhinosinusitis in Hurler syndrome patients requiring hematopoietic stem cells transplantation].
Vestnik otorinolaringologiiIdentification of a novel compound heterozygous IDUA mutation underlies Mucopolysaccharidoses type I in a Chinese pedigree.
Molecular genetics & genomic medicineReduced-Toxicity (BuFlu) Conditioning Is Better Tolerated but Has a Higher Second Transplantation Rate Compared to Myeloablative Conditioning (BuCy) in Children with Inherited Metabolic Disorders.
Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow TransplantationGrowth patterns for untreated individuals with MPS I: Report from the international MPS I registry.
American journal of medical genetics. Part APost-transplant laronidase augmentation for children with Hurler syndrome: biochemical outcomes.
Scientific reportsClinical trial of laronidase in Hurler syndrome after hematopoietic cell transplantation.
Pediatric researchObstructive sleep apnea and craniofacial appearance in MPS type I-Hurler children after hematopoietic stem cell transplantation.
Sleep & breathing = Schlaf & AtmungProgrammable RNA editing by recruiting endogenous ADAR using engineered RNAs.
Nature biotechnologyMutation Analysis of the IDUA Gene in Iranian Patients with Mucopolysaccharidosis Type 1: Identification of Four Novel Mutations.
Genetic testing and molecular biomarkersEnzyme replacement therapy with laronidase (Aldurazyme®) for treating mucopolysaccharidosis type I.
The Cochrane database of systematic reviewsGenotype-phenotype relationships in mucopolysaccharidosis type I (MPS I): Insights from the International MPS I Registry.
Clinical geneticsCase report: a rare case of Hunter syndrome (type II mucopolysaccharidosis) in a girl.
BMC medical geneticsIntrathecal enzyme replacement for Hurler syndrome: biomarker association with neurocognitive outcomes.
Genetics in medicine : official journal of the American College of Medical GeneticsImmune cytopenia post-cord transplant in Hurler syndrome is a forme fruste of graft rejection.
Blood advancesAn online survey on burden of illness among families with post-stem cell transplant mucopolysaccharidosis type I children in the United States.
Orphanet journal of rare diseasesEarly enzyme replacement therapy enables a successful hematopoietic stem cell transplantation in mucopolysaccharidosis type IH: Divergent clinical outcomes in two Japanese siblings.
Brain & developmentZFN-Mediated In Vivo Genome Editing Corrects Murine Hurler Syndrome.
Molecular therapy : the journal of the American Society of Gene TherapyHematopoietic cell transplantation for severe MPS I in the first six months of life: The heart of the matter.
Molecular genetics and metabolismAudiometric evaluation in individuals with mucopolysaccharidosis.
Clinics (Sao Paulo, Brazil)Neurobehavioral phenotypes of neuronopathic mucopolysaccharidoses.
Italian journal of pediatricsGetting the Most: Enhancing Efficacy by Promoting Erythropoiesis and Thrombopoiesis after Gene Therapy in Mice with Hurler Syndrome.
Molecular therapy. Methods & clinical developmentLate Mortality after Allogeneic Blood or Marrow Transplantation for Inborn Errors of Metabolism: A Report from the Blood or Marrow Transplant Survivor Study-2 (BMTSS-2).
Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow TransplantationMucopolysaccharidosis Type I and Bilateral Optic Disc Edema.
Neuro-ophthalmology (Aeolus Press)CRISPR-Cas9-mediated gene editing in human MPS I fibroblasts.
GeneToxicology Study of Intra-Cisterna Magna Adeno-Associated Virus 9 Expressing Human Alpha-L-Iduronidase in Rhesus Macaques.
Molecular therapy. Methods & clinical developmentPatient iPSC-derived neural stem cells exhibit phenotypes in concordance with the clinical severity of mucopolysaccharidosis I.
Human molecular geneticsAvoiding diagnostic delay for mucopolysaccharidosis IIIB: do not overlook common clues such as wheezing and otitis media.
BMJ case reportsCurrent State of the Art of Newborn Screening for Lysosomal Storage Disorders.
International journal of neonatal screeningNovel splice site IDUA gene mutation in Tunisian pedigrees with hurler syndrome.
Diagnostic pathologyMucopolysaccharidoses: overview of neuroimaging manifestations.
Pediatric radiologyBeneath the floor: re-analysis of neurodevelopmental outcomes in untreated Hurler syndrome.
Orphanet journal of rare diseasesChildren with mucopolysaccharidosis risk progressive visual dysfunction despite haematopoietic stem cell transplants.
Acta paediatrica (Oslo, Norway : 1992)Total hip arthroplasty in Hurler syndrome - 8 years follow up - A case report with review of literature.
Journal of orthopaedicsNeonatal Onset Interstitial Lung Disease as a Primary Presenting Manifestation of Mucopolysaccharidosis Type I.
JIMD reportsLong-term outcomes of systemic therapies for Hurler syndrome: an international multicenter comparison.
Genetics in medicine : official journal of the American College of Medical GeneticsMetabolic Syndrome and Cardiovascular Risk Factors after Hematopoietic Cell Transplantation in Severe Mucopolysaccharidosis Type I (Hurler Syndrome).
Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow TransplantationQuality of life of Hurler syndrome patients after successful hematopoietic stem cell transplantation.
Blood advancesUnfavourable outcome after uneventful anaesthesia and surgery in a child with Hurler syndrome.
Indian journal of anaesthesiaAlder-Reilly Anomaly in the Cerebrospinal Fluid of a Child With Hurler Syndrome.
Journal of pediatric hematology/oncologyRTB lectin-mediated delivery of lysosomal α-l-iduronidase mitigates disease manifestations systemically including the central nervous system.
Molecular genetics and metabolismLong-term cognitive and somatic outcomes of enzyme replacement therapy in untransplanted Hurler syndrome.
Molecular genetics and metabolism reportsClinical features of Mexican patients with Mucopolysaccharidosis type I.
Genetics and molecular research : GMROutcome of Combined Mitral and Aortic Valve Replacement in Adults With Mucopolysaccharidosis (the Hurler Syndrome).
The American journal of cardiologyCarpal tunnel syndrome in mucopolysaccharidosis I: a registry-based cohort study.
Developmental medicine and child neurologyPeculiar Clinical Presentation of Coxsackievirus B4 Infection: Neonatal Restrictive Cardiomyopathy.
AJP reportsChiari I malformation and syringomyelia in mucopolysaccharidosis type I (Hurler syndrome) treated with posterior fossa decompression: Case report and review of the literature.
Surgical neurology internationalLiver-Directed Human Amniotic Epithelial Cell Transplantation Improves Systemic Disease Phenotype in Hurler Syndrome Mouse Model.
Stem cells translational medicineThe Frequency of Carpal Tunnel Syndrome in Hurler Syndrome After Peritransplant Enzyme Replacement Therapy: A Retrospective Comparison.
The Journal of hand surgeryLong term survival and cardiopulmonary outcome in children with Hurler syndrome after haematopoietic stem cell transplantation.
Journal of inherited metabolic diseaseChanges in the incidence, patterns and outcomes of graft failure following hematopoietic stem cell transplantation for Hurler syndrome.
Bone marrow transplantationEarly disease progression of Hurler syndrome.
Orphanet journal of rare diseasesSubregional brain distribution of simple and complex glycosphingolipids in the mucopolysaccharidosis type I (Hurler syndrome) mouse: impact of diet.
Journal of neurochemistryCognitive outcomes and age of detection of severe mucopolysaccharidosis type 1.
Genetics in medicine : official journal of the American College of Medical GeneticsImmune tolerance induction for laronidase treatment in mucopolysaccharidosis I.
Molecular genetics and metabolism reportsMortality after hematopoietic stem cell transplantation for severe mucopolysaccharidosis type I: the 30-year University of Minnesota experience.
Journal of inherited metabolic diseaseMid-term outcome of total hip arthroplasty using a short stem.
Journal of orthopaedic surgery (Hong Kong)Neurological outcomes after hematopoietic stem cell transplantation for cerebral X-linked adrenoleukodystrophy, late onset metachromatic leukodystrophy and Hurler syndrome.
Arquivos de neuro-psiquiatriaAllele-Level HLA Matching Impacts Key Outcomes Following Umbilical Cord Blood Transplantation for Inherited Metabolic Disorders.
Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow TransplantationLysosomal Storage Disorders in Nonimmune Hydrops Fetalis (NIHF): An Indian Experience.
JIMD reportsRole of rehabilitation in Hurler's syndrome.
Journal of back and musculoskeletal rehabilitationElevated cerebral spinal fluid biomarkers in children with mucopolysaccharidosis I-H.
Scientific reportsAnaesthetic implications of the changing management of patients with mucopolysaccharidosis.
Anaesthesia and intensive careSleep Apnea in Hurler Syndrome: Looking Beyond the Upper Airway.
Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep MedicineProteomic analysis of mucopolysaccharidosis I mouse brain with two-dimensional polyacrylamide gel electrophoresis.
Molecular genetics and metabolismHaematopoietic stem cell transplantation in inborn errors of metabolism.
Current opinion in hematologyParents' experiences of living with, and caring for children, adolescents and young adults with Mucopolysaccharidosis (MPS).
Orphanet journal of rare diseasesElements of lentiviral vector design toward gene therapy for treating mucopolysaccharidosis I.
Molecular genetics and metabolism reportsMusculoskeletal manifestations in mucopolysaccharidosis type I (Hurler syndrome) following hematopoietic stem cell transplantation.
Orphanet journal of rare diseasesA novel explanation of corneal clouding in a bone marrow transplant-treated patient with Hurler syndrome.
Experimental eye researchIdentification and characterization of 20 novel pathogenic variants in 60 unrelated Indian patients with mucopolysaccharidoses type I and type II.
Clinical geneticsAlternative laronidase dose regimen for patients with mucopolysaccharidosis I: a multinational, retrospective, chart review case series.
Orphanet journal of rare diseasesDesign of Novel Aminoglycoside Derivatives with Enhanced Suppression of Diseases-Causing Nonsense Mutations.
ACS medicinal chemistry lettersEnzyme replacement therapy with laronidase (Aldurazyme(®)) for treating mucopolysaccharidosis type I.
The Cochrane database of systematic reviews12 year follow up of enzyme-replacement therapy in two siblings with attenuated mucopolysaccharidosis I: the important role of early treatment.
BMC medical geneticsEnzyme replacement therapy in Hurler syndrome after failure of hematopoietic transplant.
Molecular genetics and metabolism reportsProgression of Hip Dysplasia in Mucopolysaccharidosis Type I Hurler After Successful Hematopoietic Stem Cell Transplantation.
The Journal of bone and joint surgery. American volumeThe Neurobehavioral Phenotype in Mucopolysaccharidosis Type IIIB: an Exploratory Study.
Molecular genetics and metabolism reportsLaronidase desensitization during stem cell transplant in a child with Hurler syndrome.
Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & ImmunologyEnzyme replacement therapy prior to haematopoietic stem cell transplantation in Mucopolysaccharidosis Type I: 10 year combined experience of 2 centres.
Molecular genetics and metabolismLong-Term Cognitive and Functional Outcomes in Children with Mucopolysaccharidosis (MPS)-IH (Hurler Syndrome) Treated with Hematopoietic Cell Transplantation.
JIMD reportsAssociações
Organizações que acompanham esta doença — pra ter apoio e orientação
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Comunidades
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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.
- Case Report: Compound heterozygous mutations in the IDUA gene causing mucopolysaccharidosis type I with uterine developmental abnormality.
- Neurophysiological Characteristics of Upper Extremity Neuropathy in Three Young Patients with Mucopolysaccharidosis Type I and II in a Five-Year Observation-A Case Series Study.
- Molecular Profile of Mucopolysaccharidosis Type I Patients in Brazil.
- Non-neurological, non-skeletal outcomes after hematopoietic stem and progenitor cell-gene therapy (OTL-203) for Hurler syndrome.Molecular therapy : the journal of the American Society of Gene Therapy· 2026· PMID 41017152mais citado
- Specific and efficient RNA A-to-I editing through cleavage of an ADAR inhibitor.
- First-in-human intracisternal dosing of RGX-111 in severe MPS I is well-tolerated and generates sustained neurodevelopment without HSCT.
- Cerebrospinal fluid heparan sulfate as a biomarker for neuronopathic mucopolysaccharidoses: Rationale and regulatory challenges.
- Beyond Detection: Comparing State-Based Newborn Screening Methods for Effective Mucopolysaccharidosis I Diagnosis.
- Development and characterization of a model of mucopolysaccharidosis type IVA for evaluating therapies targeting bone disease.
Bases de dados e fontes oficiais
Identificadores e referências canônicas usadas para montar este verbete.
- ORPHA:93473(Orphanet)
- OMIM OMIM:607014(OMIM)
- MONDO:0011758(MONDO)
- Mucopolissacaridose tipo I(PCDT · Ministério da Saúde)
- GARD:12559(GARD (NIH))
- Variantes catalogadas(ClinVar)
- Busca completa no PubMed(PubMed)
- Q25379699(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
