Abstract

Alpha-mannosidosis, a rare lysosomal storage disorder caused by deficiency of the lysosomal enzyme alpha-mannosidase, results in accumulation of mannose-rich glycoproteins in the tissues and sequel...

Highlights

  • Alpha-mannosidosis disease is a rare autosomal recessive disorder caused by mutations in the MAN2B1 gene, resulting in a deficiency of the lysosomal enzyme alpha-mannosidase

  • This study helps to define the impact of alpha-mannosidosis on Health-related quality of life (HRQoL), disability level, and pain

  • Baseline values illustrate that a moderate level of disability was present in the overall alpha-mannosidosis patient population and that a greater level of disability and poorer overall health was present in adult versus pediatric patients

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Summary

Introduction

Alpha-mannosidosis disease is a rare autosomal recessive disorder caused by mutations in the MAN2B1 gene, resulting in a deficiency of the lysosomal enzyme alpha-mannosidase. Alpha-mannosidase deficiency blocks the degradation of glycoproteins, which results in the accumulation of mannose-rich oligosaccharides in all tissues; the progressive accumulation of oligosaccharides leads to impaired cell function and apoptosis. The typical clinical attributes of alpha-mannosidosis include coarse facial features, intellectual disability, ataxia, impaired hearing and speech, immune deficiency with recurrent infections, skeletal abnormalities, muscular pain, and weakness.[1] Most patients are diagnosed in their first or second decade of life with documentation of increased levels of mannose-rich oligosaccharides in urine, reduced activity of alpha-mannosidase in leukocytes, or 2 pathogenic mutations in MAN2B1

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