Current and future treatment approaches for Barth syndrome.


Journal

Journal of inherited metabolic disease
ISSN: 1573-2665
Titre abrégé: J Inherit Metab Dis
Pays: United States
ID NLM: 7910918

Informations de publication

Date de publication:
01 2022
Historique:
revised: 18 10 2021
received: 21 07 2021
accepted: 26 10 2021
pubmed: 30 10 2021
medline: 8 2 2022
entrez: 29 10 2021
Statut: ppublish

Résumé

Barth Syndrome is an X-linked disorder of mitochondrial cardiolipin metabolism caused by pathogenic variants in TAFAZZIN with pleiotropic effects including cardiomyopathy, neutropenia, growth delay, and skeletal myopathy. Management requires a multidisciplinary approach to the organ-specific manifestations including specialists from cardiology, hematology, nutrition, physical therapy, genetics, and metabolism. Currently, treatment is centered on management of specific clinical features, and is not targeted toward remediating the underlying biochemical defect. However, two clinical trials have been recently undertaken which target the mitochondrial pathology of this disease: a study to examine the effects of elamipretide, a cardiolipin targeted agent, and a study to examine the effects of bezafibrate, a peroxisome proliferator-activated receptor (PPAR) agonist. Treatments to directly target the defective TAFAZZIN pathway are under development, including enzyme and gene therapies.

Identifiants

pubmed: 34713454
doi: 10.1002/jimd.12453
doi:

Substances chimiques

Cardiolipins 0
Oligopeptides 0
Peroxisome Proliferator-Activated Receptors 0
arginyl-2,'6'-dimethyltyrosyl-lysyl-phenylalaninamide 0
Acyltransferases EC 2.3.-
TAFAZZIN protein, human EC 2.3.1.-
Bezafibrate Y9449Q51XH

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

17-28

Informations de copyright

© 2021 SSIEM.

Références

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Auteurs

Reid Thompson (R)

Department of Pediatric Cardiology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.

John Jefferies (J)

The Cardiovascular Institute, The University of Tennessee Health Science Center, Memphis, Tennessee, USA.

Suya Wang (S)

Department of Cardiology, Boston Children's Hospital, Boston, Massachusetts, USA.

William T Pu (WT)

Department of Cardiology, Boston Children's Hospital, Boston, Massachusetts, USA.
Harvard Stem Cell Institute, Cambridge, Massachusetts, USA.

Clifford Takemoto (C)

Division of Clinical Hematology, St. Jude Children's Research Hospital, Memphis, Tennessee, USA.

Brittany Hornby (B)

Department of Physical Therapy, Kennedy Krieger Institute, Baltimore, Maryland, USA.

Andrea Heyman (A)

Department of Nutrition, Kennedy Krieger Institute, Baltimore, Maryland, USA.

Michael T Chin (MT)

Molecular Cardiology Research Institute, Tufts Medical Center, Boston, Massachusetts, USA.

Hilary J Vernon (HJ)

Department of Genetics, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Department of Neurogenetics, Kennedy Krieger Institute, Baltimore, Maryland, USA.

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