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Uşurelu N, Blăniţă D, Boiciuc C, Hlistun V, Egorov V, Popovici E, Gnatcova E, Stamati A, Oglindă A, Revenco N, Gladun S, Ţurea V. Gaucher disease type 1: the first experience of enzyme replacement therapy in pediatric practice in Moldova - case report. Med Pharm Rep 2021; 94:S57-S60. [PMID: 34527913 DOI: 10.15386/mpr-2232] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
We report on a case of a little girl patient diagnosed with Gaucher disease (GD) type 1 in her early childhood and our first experience with enzyme replacement therapy (ERT). She was first diagnosed accidentally with enlarged spleen during a pediatric examination when she was three years old, but the family ignored investigations; she was hospitalized for diagnosis at six years old. The GD was confirmed based on: clinical manifestations of left abdominal flank pain, multiple bruising, general weakness, bone pain, low appetite, failure to thrive <5th percentile, minor hepato- and severe splenomegaly, enlarged submaxillary lymph nodes, associated by anemia with normal platelets; low activity of beta-Glucosidase, two found mutations in GBA gene, Gaucher cells in bone marrow. The ERT was initiated with Imiglucerase (54 UI/kg/2 wks) two years later after diagnosis, avoiding the splenectomy. Subsequently, the platelets showed the first a promising result, gradually increasing their number every 2 weeks and maintaining it in good parameters till the reported moment (2.5 yrs from the start). The hemoglobin level was appreciated within normal ranges 3 months after ERT start and stabilized completely after 6 months. On the other hand, the red blood count normalized within 20 months of applied therapy. The Lyso-GL-1 decreased by 30% after three months of therapy, no antibodies to Imiglucerase were found. The initial spleen volume (1178.19 cm3) decreased by almost 60% in 6 months of ERT, reaching absolutely normal dimensions after 9 months. The ERT with Imiglucerase was tolerated very well by the patient, showing a clear improvement of clinical symptoms after 4-6 months of therapy, hematological picture and splenomegaly solving. Even if the little patient had to come every 2 weeks for infusion, her quality of life improved a lot, being a totally happy child, going to school and having friends. The ERT should be initiated immediately after diagnosis to prevent the multisystem complications.
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Affiliation(s)
- Natalia Uşurelu
- Institute of Mother and Child, Chişinău, Republic of Moldova
| | - Daniela Blăniţă
- Institute of Mother and Child, Chişinău, Republic of Moldova
| | - Chiril Boiciuc
- Institute of Mother and Child, Chişinău, Republic of Moldova
| | | | - Vladimir Egorov
- Institute of Mother and Child, Chişinău, Republic of Moldova
| | - Eugen Popovici
- Institute of Mother and Child, Chişinău, Republic of Moldova
| | - Elena Gnatcova
- Institute of Mother and Child, Chişinău, Republic of Moldova
| | - Adela Stamati
- "Nicolae Testemiţanu" State University of Medicine and Pharmacy, Chişinău, Republic of Moldova
| | - Ana Oglindă
- "Nicolae Testemiţanu" State University of Medicine and Pharmacy, Chişinău, Republic of Moldova
| | - Ninel Revenco
- Institute of Mother and Child, Chişinău, Republic of Moldova.,"Nicolae Testemiţanu" State University of Medicine and Pharmacy, Chişinău, Republic of Moldova
| | - Sergiu Gladun
- Institute of Mother and Child, Chişinău, Republic of Moldova
| | - Valentin Ţurea
- Institute of Mother and Child, Chişinău, Republic of Moldova.,"Nicolae Testemiţanu" State University of Medicine and Pharmacy, Chişinău, Republic of Moldova
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Nicolescu A, Blanita D, Boiciuc C, Hlistun V, Cristea M, Rotaru D, Pinzari L, Oglinda A, Stamati A, Tarcomnicu I, Tutulan-Cunita A, Stambouli D, Gladun S, Revenco N, Uşurelu N, Deleanu C. Monitoring Methylmalonic Aciduria by NMR Urinomics. Molecules 2020; 25:molecules25225312. [PMID: 33202577 PMCID: PMC7697698 DOI: 10.3390/molecules25225312] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2020] [Revised: 10/28/2020] [Accepted: 11/06/2020] [Indexed: 12/19/2022] Open
Abstract
The paper reports on monitoring methylmalonic aciduria (MMA)-specific and non-specific metabolites via NMR urinomics. Five patients have been monitored over periods of time; things involved were diet, medication and occasional episodes of failing to comply with prescribed diets. An extended dataset of targeted metabolites is presented, and correlations with the type of MMA are underlined. A survey of previous NMR studies on MMA is also presented.
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Affiliation(s)
- Alina Nicolescu
- “Petru Poni” Institute of Macromolecular Chemistry, Romanian Academy, Aleea Grigore Ghica Voda 41A, RO-700487 Iasi, Romania;
- “C. D. Nenitescu” Centre of Organic Chemistry, Romanian Academy, Spl. Independentei 202B, RO-060023 Bucharest, Romania
- Correspondence: (A.N.); (N.U.); or (C.D.); Tel.: +40-744-340-456 (C.D.)
| | - Daniela Blanita
- Institute of Mother and Child, Str. Burebista 93, MD-2062 Chisinau, Moldova; (D.B.); (C.B.); (V.H.); (L.P.); (S.G.)
| | - Chiril Boiciuc
- Institute of Mother and Child, Str. Burebista 93, MD-2062 Chisinau, Moldova; (D.B.); (C.B.); (V.H.); (L.P.); (S.G.)
| | - Victoria Hlistun
- Institute of Mother and Child, Str. Burebista 93, MD-2062 Chisinau, Moldova; (D.B.); (C.B.); (V.H.); (L.P.); (S.G.)
| | - Mihaela Cristea
- “Petru Poni” Institute of Macromolecular Chemistry, Romanian Academy, Aleea Grigore Ghica Voda 41A, RO-700487 Iasi, Romania;
| | - Dorina Rotaru
- “Gheorghe Palade” City Clinical Hospital, Str. Melestiu 20, MD-2001 Chisinau, Moldova;
| | - Ludmila Pinzari
- Institute of Mother and Child, Str. Burebista 93, MD-2062 Chisinau, Moldova; (D.B.); (C.B.); (V.H.); (L.P.); (S.G.)
| | - Ana Oglinda
- “Nicolae Testemitanu” State University of Medicine and Pharmacy, Bd. Stefan cel Mare si Sfint 165, MD-2004 Chisinau, Moldova; (A.O.); (A.S.); (N.R.)
| | - Adela Stamati
- “Nicolae Testemitanu” State University of Medicine and Pharmacy, Bd. Stefan cel Mare si Sfint 165, MD-2004 Chisinau, Moldova; (A.O.); (A.S.); (N.R.)
| | - Isabela Tarcomnicu
- Cytogenomic Medical Laboratory, Calea Floreasca 35, RO-014453 Bucharest, Romania; (I.T.); (A.T.-C.); (D.S.)
| | - Andreea Tutulan-Cunita
- Cytogenomic Medical Laboratory, Calea Floreasca 35, RO-014453 Bucharest, Romania; (I.T.); (A.T.-C.); (D.S.)
| | - Danae Stambouli
- Cytogenomic Medical Laboratory, Calea Floreasca 35, RO-014453 Bucharest, Romania; (I.T.); (A.T.-C.); (D.S.)
| | - Sergiu Gladun
- Institute of Mother and Child, Str. Burebista 93, MD-2062 Chisinau, Moldova; (D.B.); (C.B.); (V.H.); (L.P.); (S.G.)
| | - Ninel Revenco
- “Nicolae Testemitanu” State University of Medicine and Pharmacy, Bd. Stefan cel Mare si Sfint 165, MD-2004 Chisinau, Moldova; (A.O.); (A.S.); (N.R.)
| | - Natalia Uşurelu
- Institute of Mother and Child, Str. Burebista 93, MD-2062 Chisinau, Moldova; (D.B.); (C.B.); (V.H.); (L.P.); (S.G.)
- Correspondence: (A.N.); (N.U.); or (C.D.); Tel.: +40-744-340-456 (C.D.)
| | - Calin Deleanu
- “Petru Poni” Institute of Macromolecular Chemistry, Romanian Academy, Aleea Grigore Ghica Voda 41A, RO-700487 Iasi, Romania;
- “C. D. Nenitescu” Centre of Organic Chemistry, Romanian Academy, Spl. Independentei 202B, RO-060023 Bucharest, Romania
- Correspondence: (A.N.); (N.U.); or (C.D.); Tel.: +40-744-340-456 (C.D.)
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Stamati A, Revenco N, Belai O. SFP-P147 – Cardiologie – Dysfonction ventriculaire gauche chez les enfants après la chirurgie cardiaque. Arch Pediatr 2008. [DOI: 10.1016/s0929-693x(08)72277-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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