PMID- 33505859 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20231110 IS - 2214-4269 (Print) IS - 2214-4269 (Electronic) IS - 2214-4269 (Linking) VI - 26 DP - 2021 Mar TI - Is hematopoietic stem cell transplantation a therapeutic option for mucolipidosis type II? PG - 100704 LID - 10.1016/j.ymgmr.2020.100704 [doi] LID - 100704 AB - BACKGROUND: Mucolipidosis type II (MLII) is an ultra-rare lysosomal storage disorder caused by defective lysosomal enzyme trafficking. Clinical hallmarks are craniofacial dysmorphia, cardiorespiratory dysfunction, hepatosplenomegaly, skeletal deformities and neurocognitive retardation. Death usually occurs in the first decade of life and no cure exists. Hematopoietic stem cell transplantation (HSCT) has been performed in few MLII patients, but comprehensive follow-up data are extremely scarce. METHODS: MLII diagnosis was confirmed in a female three-month-old patient with the mutations c.2213C > A and c.2220_2221dup in the GNPTAB gene. At nine months of age, the patient received HSCT from a 9/10 human leukocyte antigen (HLA)-matched unrelated donor. RESULTS: HSCT resulted in a sustained reduction of lysosomal storage und bone metabolism markers. At six years of age, the patient showed normal cardiac function, partial respiratory insufficiency and moderate hepatomegaly, whereas skeletal manifestations had progressed. However, the patient could walk and maintained an overall good quality of life. Neurocognitive testing revealed a developmental quotient of 36%. The patient died at 6.6 years of age following a human metapneumovirus (hMPV) pneumonia. CONCLUSIONS: The exact benefit remains unclear as current literature vastly lacks comparable data on MLII natural history patients. In order to evaluate experimental therapies, in-depth prospective studies and registries of untreated MLII patients are indispensable. CI - (c) 2021 The Authors. FAU - Ammer, Luise Sophie AU - Ammer LS AD - Department of Pediatrics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany. AD - International Center for Lysosomal Disorders (ICLD), University Medical Center Hamburg-Eppendorf, Hamburg, Germany. FAU - Pohl, Sandra AU - Pohl S AD - International Center for Lysosomal Disorders (ICLD), University Medical Center Hamburg-Eppendorf, Hamburg, Germany. AD - Department of Osteology and Biomechanics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany. FAU - Breyer, Sandra Rafaela AU - Breyer SR AD - International Center for Lysosomal Disorders (ICLD), University Medical Center Hamburg-Eppendorf, Hamburg, Germany. AD - Department of Pediatric Orthopedics, Children's Hospital Altona, Hamburg, Germany. AD - Department of Orthopedics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany. FAU - Aries, Charlotte AU - Aries C AD - Department of Pediatrics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany. AD - International Center for Lysosomal Disorders (ICLD), University Medical Center Hamburg-Eppendorf, Hamburg, Germany. FAU - Denecke, Jonas AU - Denecke J AD - Department of Pediatrics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany. FAU - Perez, Anna AU - Perez A AD - Department of Pediatrics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany. AD - International Center for Lysosomal Disorders (ICLD), University Medical Center Hamburg-Eppendorf, Hamburg, Germany. FAU - Petzoldt, Martin AU - Petzoldt M AD - Department of Anesthesiology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany. FAU - Schrum, Johanna AU - Schrum J AD - Division of Pediatric Stem Cell Transplantation and Immunology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany. FAU - Muller, Ingo AU - Muller I AD - Division of Pediatric Stem Cell Transplantation and Immunology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany. FAU - Muschol, Nicole Maria AU - Muschol NM AD - Department of Pediatrics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany. AD - International Center for Lysosomal Disorders (ICLD), University Medical Center Hamburg-Eppendorf, Hamburg, Germany. LA - eng PT - Journal Article DEP - 20210114 PL - United States TA - Mol Genet Metab Rep JT - Molecular genetics and metabolism reports JID - 101624422 PMC - PMC7815485 OTO - NOTNLM OT - Bone marrow cell transplantation OT - Cognitive function OT - Hematopoietic stem cell transplantation OT - I-cell disease OT - Life quality OT - Lysosomal storage disorder OT - Mucolipidosis type II OT - Treatment COIS- The authors declare no conflict of interest. EDAT- 2021/01/29 06:00 MHDA- 2021/01/29 06:01 PMCR- 2021/01/14 CRDT- 2021/01/28 05:43 PHST- 2020/11/16 00:00 [received] PHST- 2020/12/30 00:00 [revised] PHST- 2020/12/30 00:00 [accepted] PHST- 2021/01/28 05:43 [entrez] PHST- 2021/01/29 06:00 [pubmed] PHST- 2021/01/29 06:01 [medline] PHST- 2021/01/14 00:00 [pmc-release] AID - S2214-4269(20)30150-6 [pii] AID - 100704 [pii] AID - 10.1016/j.ymgmr.2020.100704 [doi] PST - epublish SO - Mol Genet Metab Rep. 2021 Jan 14;26:100704. doi: 10.1016/j.ymgmr.2020.100704. eCollection 2021 Mar.