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Treatment of lysosomal storage diseases: recent patents and future strategies.
[fabry disease]
Lysosomal
storage
diseases
(
LSDs
)
are
a
group
of
rare
genetic
multisystemic
disorders
,
resulting
in
deficient
lysosomal
activity
.
These
pathologies
are
characterized
by
progressive
accumulation
of
storage
material
within
the
lysosomes
,
ultimately
leading
to
organ
dysfunctions
.
LSDs
patient
's
clinical
outcomes
have
significantly
improved
,
since
the
advent
of
enzyme
replacement
therapy
(
ERT
)
.
ERT
is
approved
worldwide
for
6
LSDs
:
Gaucher
disease
,
Fabry
disease
,
Mucopolysaccharidosis
types
I
,
II
,
and
VI
,
and
Pompe
disease
.
The
efficacy
and
safety
of
ERT
for
LSDs
has
been
confirmed
by
extensive
clinical
trials
,
however
therapy
with
infused
protein
is
life-
long
and
disease
progression
is
still
observed
in
treated
patients
.
Obstacles
to
successful
ERT
,
such
as
immune
reactions
against
the
infused
enzyme
,
miss-targeting
of
recombinant
enzymes
,
and
difficult
delivery
to
crucial
tissues
(
i
.
e
.
brain
and
bone
)
,
determine
the
need
for
further
research
,
in
order
to
ameliorate
therapeutic
strategies
.
Viral
gene
therapy
,
stem
cell
based
therapy
,
pharmacological
chaperones
and
could
be
considered
essential
tools
for
future
improvement
of
recombinant
enzyme
trafficking
and
targeting
.
This
review
will
discuss
recent
patents
and
new
strategic
approaches
for
enzyme
delivery
to
highlight
the
most
relevant
aspects
,
concerning
next
generation
LSDs
treatment
.
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fabry disease
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