PMID- 8165905 OWN - NLM STAT- MEDLINE DCOM- 19940525 LR - 20220310 IS - 0374-5600 (Print) IS - 0374-5600 (Linking) VI - 36 IP - 1 DP - 1994 Feb TI - Long-term effects of bone marrow transplantation for inborn errors of metabolism: a study of four patients with lysosomal storage diseases. PG - 30-6 AB - Long-term effects of bone marrow transplantation (BMT) were evaluated in patients with I-cell disease, metachromatic leukodystrophy (MLD), Maroteaux-Lamy syndrome or Hunter syndrome (mild form). Donors were human leukocyte antigen (HLA)-matched siblings, and the follow-up periods were 24-71 months after BMT. The enzyme activities were increased in leukocytes, plasma or liver tissues compared with pre-BMT levels. A patient with I-cell disease acquired development of 4-8 month old infants and showed no further progression in cardiac dysfunctions. A patient with MLD showed a decelerated disease progression and an improved peripheral neuropathy, but progressive brain atrophy was not prevented. Patients with Maroteaux-Lamy syndrome or Hunter syndrome showed improvements in hepatomegaly, joint contractures, short stature and tight skin, and this greatly increased their quality of life. These results indicated that the long-term therapeutic effects achieved by BMT were subject to multiple factors including biochemical improvements, a reversibility of affected tissues, or advanced states of disease and central nervous system impairments in inborn errors of metabolism. FAU - Imaizumi, M AU - Imaizumi M AD - Department of Pediatrics, Tohoku University School of Medicine, Sendai, Japan. FAU - Gushi, K AU - Gushi K FAU - Kurobane, I AU - Kurobane I FAU - Inoue, S AU - Inoue S FAU - Suzuki, J AU - Suzuki J FAU - Koizumi, Y AU - Koizumi Y FAU - Suzuki, H AU - Suzuki H FAU - Sato, A AU - Sato A FAU - Gotoh, Y AU - Gotoh Y FAU - Haginoya, K AU - Haginoya K AU - et al. LA - eng PT - Case Reports PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - Australia TA - Acta Paediatr Jpn JT - Acta paediatrica Japonica : Overseas edition JID - 0370357 SB - IM MH - Adolescent MH - *Bone Marrow Transplantation MH - Child MH - Child, Preschool MH - Female MH - Humans MH - Infant MH - Leukodystrophy, Metachromatic/therapy MH - Lysosomal Storage Diseases/*therapy MH - Male MH - Metabolism, Inborn Errors/*therapy MH - Mucopolysaccharidosis II/therapy MH - Mucopolysaccharidosis VI/therapy MH - Time Factors MH - Treatment Outcome EDAT- 1994/02/01 00:00 MHDA- 1994/02/01 00:01 CRDT- 1994/02/01 00:00 PHST- 1994/02/01 00:00 [pubmed] PHST- 1994/02/01 00:01 [medline] PHST- 1994/02/01 00:00 [entrez] AID - 10.1111/j.1442-200x.1994.tb03125.x [doi] PST - ppublish SO - Acta Paediatr Jpn. 1994 Feb;36(1):30-6. doi: 10.1111/j.1442-200x.1994.tb03125.x.