CNS-Targeting Therapies for Lysosomal Storage Diseases: Current Advances and Challenges.

enzyme replacement therapy exosomes extracellular vesicles gene therapy liposomes lysosomes small molecules therapy

Journal

Frontiers in molecular biosciences
ISSN: 2296-889X
Titre abrégé: Front Mol Biosci
Pays: Switzerland
ID NLM: 101653173

Informations de publication

Date de publication:
2020
Historique:
received: 07 05 2020
accepted: 15 09 2020
entrez: 11 12 2020
pubmed: 12 12 2020
medline: 12 12 2020
Statut: epublish

Résumé

During the past decades, several therapeutic approaches have been developed and made rapidly available for many patients afflicted with lysosomal storage disorders (LSDs), inborn organelle disorders with broad clinical manifestations secondary to the progressive accumulation of undegraded macromolecules within lysosomes. These conditions are individually rare, but, collectively, their incidence ranges from 1 in 2,315 to 7,700 live-births. Most LSDs are manifested by neurological symptoms or signs, including developmental delay, seizures, acroparesthesia, motor weakness, and extrapyramidal signs. The chronic and later-onset clinical forms are at one end of the continuum spectrum and are characterized by a subtle and slow progression of neurological symptoms. Due to its inherent physiological properties, unfortunately, the blood-brain barrier (BBB) constitutes a significant obstacle for current and upcoming therapies to achieve the central nervous system (CNS) and treat neurological problems so prevalent in these conditions. To circumvent this limitation, several strategies have been developed to make the therapeutic agent achieve the CNS. This narrative will provide an overview of current therapeutic strategies under development to permeate the BBB, and address and unmet need for treatment of the progressive neurological manifestations, which are so prevalent in these inherited lysosomal disorders.

Identifiants

pubmed: 33304924
doi: 10.3389/fmolb.2020.559804
pmc: PMC7693645
doi:

Types de publication

Journal Article Review

Langues

eng

Pagination

559804

Subventions

Organisme : NINDS NIH HHS
ID : R21 NS113649
Pays : United States

Informations de copyright

Copyright © 2020 Edelmann and Maegawa.

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Auteurs

Mariola J Edelmann (MJ)

Department of Microbiology and Cell Science, The University of Florida's Institute of Food and Agricultural Sciences, University of Florida, Gainesville, FL, United States.

Gustavo H B Maegawa (GHB)

Department of Pediatrics, College of Medicine, University of Florida, Gainesville, FL, United States.

Classifications MeSH