Niemann-Pick disease: UNI-MED SCIENCE
Autor Eugen Mengelen Limba Engleză Hardback – 15 noi 2022
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Specificații
ISBN-13: 9783837424447
ISBN-10: 3837424448
Pagini: 88
Dimensiuni: 242 x 172 x 10 mm
Greutate: 0.31 kg
Editura: Uni-Med Verlag Ag
Seria UNI-MED SCIENCE
ISBN-10: 3837424448
Pagini: 88
Dimensiuni: 242 x 172 x 10 mm
Greutate: 0.31 kg
Editura: Uni-Med Verlag Ag
Seria UNI-MED SCIENCE
Cuprins
1.Historical aspects of Niemann-Pick disease12 2.Biochemistry of Niemann-Pick disease18 2.1.Introduction and definitions18 2.2.Missing or pathological products of "Niemann-Pick genes"19 2.3.Biochemical foundations of diagnosing Niemann-Pick diseases 19 2.3.1.Niemann-Pick disease, SMPD1-associated19 2.3.2.Niemann-Pick disease, transport protein deficiency-associated (NPC1, NPC2)19 2.3.3.Chitotriosidase activity in plasma20 2.3.4.Determination of oxysterols20 2.3.5.Determination of lyso-sphingomyelin-509 (lyso-SM-509)21 2.3.6.Determination of bile acids21 2.4.Biochemistry of Niemann-Pick diseases that is pathogenetically relevant or suspected to be significant21 2.4.1.Niemann-Pick disease, SMPD1-associated21 2.4.2.Niemann-Pick disease, transport protein deficiency-associated (NPC1, NPC2) in general22 2.4.3.Niemann-Pick disease, transport protein deficiency-associated (NPC1, NPC2), central nervous system24 2.5.Animal models25 2.5.1.Niemann-Pick disease, SMPD1-associated25 2.5.2.Niemann-Pick disease, transport protein deficiency-associated (NPC1, NPC2)25 2.6.Therapeutic concepts for the possible influence of pathogenetically significant metabolic changes26 2.6.1.Niemann-Pick disease, SMPD1-associated26 2.6.2.Niemann-Pick disease, transport protein deficiency-associated (NPC1)26 3.Genetics of Niemann-Pick disease34 3.1.Niemann-Pick disease type A/B (NPA/B) [MIM: 257200/607616]34 3.1.1.SMPD1 gene and ASM protein [HGNC Gene-ID: 11120]34 3.1.2.SMPD1 variants34 3.2.Niemann-Pick disease type C (NPC) [MIM: 257220/607625]35 3.2.1.NPC1 gene and protein [HGNC Gene-ID: 7897]36 3.2.2.NPC1 variants37 3.2.3.NPC2 gene and protein [HGNC Gene-ID: 14537]38 3.2.4.NPC2 variants38 3.3.Challenges of genetic testing in Niemann-Pick disease and outlook38 3.4.Genetic databases for Niemann-Pick diseases39 4.Diagnosis of Niemann-Pick disease type C (NPC) 44 4.1.Recommendations for differential diagnosis and initial diagnosis44 4.2.Clinical diagnosis and key findings in NPC46 4.2.1.Neuropsychological diagnosis and key findings46 4.2.2.Laboratory diagnostics and biomarkers47 4.3.Significance of genetic testing in NPC50 4.3.1.Next-generation sequencing (NGS) and gene panels52 4.3.2.Differentiation from acid sphingomyelinase deficiency (ASMD)52 4.4.Differential diagnosis of similar lysosomal diseases54 5.Clinical manifestation58 5.1.Niemann-Pick disease type A and type B58 5.2.Niemann-Pick type C disease62 5.2.1.Perinatal type63 5.2.2.Infantile type64 5.2.3.Late-infantile type64 5.2.4.Juvenile classic type67 5.2.5.Adult type70 5.2.6.Psychiatric manifestations in Niemann-Pick type C disease71 6.Management and treatment of Niemann-Pick diseases80 6.1.Management and treatment of Niemann-Pick type A/B disease80 6.1.1.Supportive care80 6.1.2.Causal therapeutic approaches81 6.1.3.Future therapy options82 6.2.Management and treatment of Niemann-Pick type C disease83 6.2.1.Miglustat84 6.2.2.Bone marrow and liver transplantations85 6.2.3.Treatment of extrapyramidal symptoms, spasticity, cataplexy and epilepsy85 6.2.4.Substances in preclinical and experimental studies86 Index87