[Alpha 1-antitrypsin deficiency].
Alpha-1-Antitrypsin-Mangel.
Liver diseases
Lung diseases
Mutation
Protease inhibitor
Therapeutic substitution
Journal
Innere Medizin (Heidelberg, Germany)
ISSN: 2731-7099
Titre abrégé: Inn Med (Heidelb)
Pays: Germany
ID NLM: 9918384885306676
Informations de publication
Date de publication:
24 May 2024
24 May 2024
Historique:
accepted:
29
04
2024
medline:
25
5
2024
pubmed:
25
5
2024
entrez:
24
5
2024
Statut:
aheadofprint
Résumé
Alpha 1‑antitrypsin (AAT) deficiency represents a complex genetic disorder and necessitates an interdisciplinary approach in the clinical practice. This article provides an overview of the epidemiology, genetics, symptoms, diagnostics and treatment of AAT deficiency. Knowledge and an in-depth understanding of AAT deficiency are indispensable to improve the early recognition of AAT, to optimize the quality of life of those affected and to enable targeted treatment interventions. Der α
Autres résumés
Type: Publisher
(ger)
Der α
Identifiants
pubmed: 38789803
doi: 10.1007/s00108-024-01722-2
pii: 10.1007/s00108-024-01722-2
doi:
Types de publication
English Abstract
Journal Article
Review
Langues
ger
Sous-ensembles de citation
IM
Informations de copyright
© 2024. The Author(s), under exclusive licence to Springer Medizin Verlag GmbH, ein Teil von Springer Nature.
Références
Laurell CBE (1963) The electrophoretic alpha 1‑globulin pattern of serum in alpha 1‑antitrypsin deficiency. Scand J Clin Lab Invest 15:132–140
doi: 10.1080/00365516309051324
Blanco I, de Serres FJ, Fernandez-Bustillo E, Lara B, Miravitlles M (2006) Estimated numbers and prevalence of PI*S and PI*Z alleles of alpha1-antitrypsin deficiency in European countries. Eur Respir J 27(1):77–84
doi: 10.1183/09031936.06.00062305
pubmed: 16387939
Strnad P, McElvaney NG, Lomas DA (2020) Alpha1-Antitrypsin deficiency. N Engl J Med 382(15):1443–1455
doi: 10.1056/NEJMra1910234
pubmed: 32268028
Fazleen A, Wilkinson T (2021) The emerging role of proteases in α(1)-antitrypsin deficiency and beyond. ERJ Open Res 7(4)
Bernhard N, Lepper PM, Vogelmeier C, Seibert M, Wagenpfeil S, Bals R, Fahndrich S (2017) Intensive smoking diminishes the differences in quality of life and exacerbation frequency between the alpha-1-antitrypsin deficiency genotypes PiZZ and PiSZ. Respir Med 130:1–8
doi: 10.1016/j.rmed.2017.07.004
pubmed: 29206626
Kokturk N, Khodayari N, Lascano J, Riley EL, Brantly ML (2023) Lung Inflammation in alpha-1-antitrypsin deficient individuals with normal lung function. Respir Res 24(1):40
doi: 10.1186/s12931-023-02343-3
pubmed: 36732772
pmcid: 9893669
Vogelmeier C, Buhl R, Burghuber O, Criée CP, Ewig S, Godnic-Cvar J et al (2018) Guideline for the Diagnosis and Treatment of COPD Patients—Issued by the German Respiratory Society and the German Atemwegsliga in Cooperation with the Austrian Society of Pneumology. Pneumologie 72(4):253–308
pubmed: 29523017
Simon S, Joean O, Welte T, Rademacher J (2023) The role of vaccination in COPD: influenza, SARS-CoV‑2, pneumococcus, pertussis, RSV and varicella zoster virus. Eur Respir Rev 32(169)
(2023) Positionspapier der DGP. https://pneumologie.de/storage/app/media/uploaded-files/2023_RSV-Impfung_DGP.pdf
Greulich T, Fähndrich S, Clarenbach C, Gleiber W, Hautmann H, Heine R et al (2020) Alpha‑1 Antitrypsin Deficiency (AATD)—D-A-CH-Expert Statement. Pneumologie 74(7):436–442
doi: 10.1055/a-1143-8186
pubmed: 32492720
Rahaghi FF, Miravitlles M (2017) Long-term clinical outcomes following treatment with alpha 1‑proteinase inhibitor for COPD associated with alpha‑1 antitrypsin deficiency: a look at the evidence. Respir Res 18(1):105
doi: 10.1186/s12931-017-0574-1
pubmed: 28558837
pmcid: 5450185
Wewers MD, Casolaro MA, Crystal RG (1987) Comparison of alpha-1-antitrypsin levels and antineutrophil elastase capacity of blood and lung in a patient with the alpha-1-antitrypsin phenotype null-null before and during alpha-1-antitrypsin augmentation therapy. Am Rev Respir Dis 135(3):539–543
pubmed: 3493719
Wewers MD, Casolaro MA, Sellers SE, Swayze SC, McPhaul KM, Wittes JT, Crystal RG (1987) Replacement therapy for alpha 1‑antitrypsin deficiency associated with emphysema. N Engl J Med 316(17):1055–1062
doi: 10.1056/NEJM198704233161704
pubmed: 3494198
McElvaney NG, Burdon J, Holmes M, Glanville A, Wark PA, Thompson PJ et al (2017) Long-term efficacy and safety of α1 proteinase inhibitor treatment for emphysema caused by severe α1 antitrypsin deficiency: an open-label extension trial (RAPID-OLE). Lancet Respir Med 5(1):51–60
doi: 10.1016/S2213-2600(16)30430-1
pubmed: 27916480
Schmidt EW, Rasche B, Ulmer WT, Konietzko N, Becker M, Fallise JP et al (1988) Replacement therapy for alpha-1-protease inhibitor deficiency in PiZ subjects with chronic obstructive lung disease. Am J Med 84(6a):63–69
doi: 10.1016/0002-9343(88)90160-X
pubmed: 3289388
Dirksen A, Dijkman JH, Madsen F, Stoel B, Hutchison DC, Ulrik CS et al (1999) A randomized clinical trial of alpha(1)-antitrypsin augmentation therapy. Am J Respir Crit Care Med 160(5 Pt 1):1468–1472
doi: 10.1164/ajrccm.160.5.9901055
pubmed: 10556107
Dirksen A, Piitulainen E, Parr DG, Deng C, Wencker M, Shaker SB, Stockley RA (2009) Exploring the role of CT densitometry: a randomised study of augmentation therapy in alpha1-antitrypsin deficiency. Eur Respir J 33(6):1345–1353
doi: 10.1183/09031936.00159408
pubmed: 19196813
Chapman KR, Burdon JG, Piitulainen E, Sandhaus RA, Seersholm N, Stocks JM et al (2015) Intravenous augmentation treatment and lung density in severe α1 antitrypsin deficiency (RAPID): a randomised, double-blind, placebo-controlled trial. Lancet 386(9991):360–368
doi: 10.1016/S0140-6736(15)60860-1
pubmed: 26026936
Green CE, Parr DG, Edgar RG, Stockley RA, Turner AM (2016) Lung density associates with survival in alpha 1 antitrypsin deficient patients. Respir Med 112:81–87
doi: 10.1016/j.rmed.2016.01.007
pubmed: 26874894
Fraughen DD, Ghosh AJ, Hobbs BD, Funk GC, Meischl T, Clarenbach CF et al (2023) Augmentation therapy for severe alpha‑1 Antitrypsin deficiency improves survival and is decoupled from spirometric decline—a multinational registry analysis. Am J Respir Crit Care Med 208(9):964–974
doi: 10.1164/rccm.202305-0863OC
pubmed: 37624745
pmcid: 10870866
Survival and FEV1 decline in individuals with severe deficiency of alpha1-antitrypsin. The Alpha-1-Antitrypsin Deficiency Registry Study Group. American journal of respiratory and critical care medicine. 1998;158(1):49–59.
Chapman KR, Burdon JG, Piitulainen E, Sandhaus RA, Seersholm N, Stocks JM et al (2015) Intravenous augmentation treatment and lung density in severe alpha1 antitrypsin deficiency (RAPID): a randomised, double-blind, placebo-controlled trial. Lancet 386(9991):360–368
doi: 10.1016/S0140-6736(15)60860-1
pubmed: 26026936
Nakamura K, Fujita Y, Chen H, Somekawa K, Kashizaki F, Koizumi H et al (2023) The effectiveness and safety of long-term Macrolide therapy for COPD in stable status: a systematic review and meta-analysis. Diseases 11(4)
Lu HY, Chen CF, Lee DL, Tsai YJ, Lin PC (2023) Effects of early pulmonary rehabilitation on hospitalized patients with acute exacerbation of chronic obstructive pulmonary disease: a systematic review and meta-analysis. Int J Chronic Obstr Pulm Dis 18:881–893
doi: 10.2147/COPD.S397361
Lambe K, Guerra S, Salazar de Pablo G, Ayis S, Cameron ID, Foster NE et al (2022) Effect of inpatient rehabilitation treatment ingredients on functioning, quality of life, length of stay, discharge destination, and mortality among older adults with unplanned admission: an overview review. BMC Geriatr 22(1):501
doi: 10.1186/s12877-022-03169-2
pubmed: 35689181
pmcid: 9188066
Gulbas G, Gunen H, In E, Kilic T (2012) Long-term follow-up of chronic obstructive pulmonary disease patients on long-term oxygen treatment. Int J Clin Pract 66(2):152–157
doi: 10.1111/j.1742-1241.2011.02833.x
pubmed: 22188416
Köhnlein T, Windisch W, Köhler D, Drabik A, Geiseler J, Hartl S et al (2014) Non-invasive positive pressure ventilation for the treatment of severe stable chronic obstructive pulmonary disease: a prospective, multicentre, randomised, controlled clinical trial. Lancet Respir Med 2(9):698–705
doi: 10.1016/S2213-2600(14)70153-5
pubmed: 25066329
Everaerts S, Hartman JE, Van Dijk M, Koster TD, Slebos DJ, Klooster K (2023) Bronchoscopic lung volume reduction in patients with emphysema due to Alpha‑1 antitrypsin deficiency. Respiration 102(2):134–142
doi: 10.1159/000528182
pubmed: 36549279
Riley L, Lascano J (2020) Clinical outcomes and survival following lung transplantation in patients with Alpha‑1 antitrypsin deficiency. Respir Med 172:106145
doi: 10.1016/j.rmed.2020.106145
pubmed: 32911139
Remih K, Amzou S, Strnad P (2021) Intravenous Alpha1-antitrypsin deficiency: New therapies on the horizon. Curr Opin Pharmacol 59:149–156. https://doi.org/10.1016/j.coph.2021.06.001