The mild form of mucopolysaccharidosis type I (Scheie syndrome) is associated with increased ascending aortic stiffness
Mucopolysaccharidosis type I (MPS IS) is a rare autosomal recessive disease caused by a deficiency of the lysosomal enzyme α- L -iduronidase, which is involved in the degradation of sulfated glycosaminoglycans (GAGs). The deficiency results in the intra-and pericellular accumulation of the GAGs hepa...
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Veröffentlicht in: | Heart and vessels 2008-03, Vol.23 (2), p.108-111 |
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creator | Nemes, Attila Timmermans, Remco G. M. Wilson, J. H. P. Soliman, Osama I. I. Krenning, Boudewijn J. ten Cate, Folkert J. Geleijnse, Marcel L. |
description | Mucopolysaccharidosis type I (MPS IS) is a rare autosomal recessive disease caused by a deficiency of the lysosomal enzyme α-
L
-iduronidase, which is involved in the degradation of sulfated glycosaminoglycans (GAGs). The deficiency results in the intra-and pericellular accumulation of the GAGs heparan sulfate and dermatan sulfate. Eight adult patients with typical features of MPS IS aged 31.5 ± 6.8 years (five men) were included and compared to age-and gender-matched controls. With transthoracic echocardiography, cyclic ascending aortic diameter changes were measured and ascending aortic elastic properties were calculated to characterize aortic elasticity. In MPS IS patients, aortic stiffness index was significantly increased (23.1 ± 10.4 vs 3.9 ± 1.5,
P
< 0.001), while aortic distensibility was significantly decreased (1.6 ± 0.8 vs 1.6 ± 1.9 Ca
2
/dynes 10
−6
,
P
< 0.001) compared to age-and sex-matched controls. The results of the present study demonstrate that in addition to the known cardiac complications, MPS IS patients have an impairment of ascending aortic elasticity. Further follow-up studies are needed to examine arterial elasticity using other methods in this patient population, and to detect possible effects of enzyme replacement therapy. |
doi_str_mv | 10.1007/s00380-007-1013-x |
format | Article |
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L
-iduronidase, which is involved in the degradation of sulfated glycosaminoglycans (GAGs). The deficiency results in the intra-and pericellular accumulation of the GAGs heparan sulfate and dermatan sulfate. Eight adult patients with typical features of MPS IS aged 31.5 ± 6.8 years (five men) were included and compared to age-and gender-matched controls. With transthoracic echocardiography, cyclic ascending aortic diameter changes were measured and ascending aortic elastic properties were calculated to characterize aortic elasticity. In MPS IS patients, aortic stiffness index was significantly increased (23.1 ± 10.4 vs 3.9 ± 1.5,
P
< 0.001), while aortic distensibility was significantly decreased (1.6 ± 0.8 vs 1.6 ± 1.9 Ca
2
/dynes 10
−6
,
P
< 0.001) compared to age-and sex-matched controls. The results of the present study demonstrate that in addition to the known cardiac complications, MPS IS patients have an impairment of ascending aortic elasticity. Further follow-up studies are needed to examine arterial elasticity using other methods in this patient population, and to detect possible effects of enzyme replacement therapy.</description><identifier>ISSN: 0910-8327</identifier><identifier>EISSN: 1615-2573</identifier><identifier>DOI: 10.1007/s00380-007-1013-x</identifier><identifier>PMID: 18389335</identifier><identifier>CODEN: HEVEEO</identifier><language>eng</language><publisher>Japan: Springer Japan</publisher><subject>Adult ; Aorta - diagnostic imaging ; Aorta - physiopathology ; Biomedical Engineering and Bioengineering ; Blood Pressure ; Cardiac Surgery ; Cardiology ; Cardiovascular disease ; Case-Control Studies ; Coronary vessels ; Echocardiography, Doppler ; Elasticity ; Enzymes ; Female ; Humans ; Male ; Medicine ; Medicine & Public Health ; Metabolic disorders ; Mucopolysaccharidosis I - diagnostic imaging ; Mucopolysaccharidosis I - physiopathology ; Original Article ; Phenotype ; Severity of Illness Index ; Vascular Surgery ; Young Adult</subject><ispartof>Heart and vessels, 2008-03, Vol.23 (2), p.108-111</ispartof><rights>Springer Japan 2008</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c393t-5731cf58be668a0766a2b1c58911c6fa1ca26f3a5a3d65c12706e6137c6feec03</citedby><cites>FETCH-LOGICAL-c393t-5731cf58be668a0766a2b1c58911c6fa1ca26f3a5a3d65c12706e6137c6feec03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00380-007-1013-x$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00380-007-1013-x$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,778,782,27907,27908,41471,42540,51302</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18389335$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nemes, Attila</creatorcontrib><creatorcontrib>Timmermans, Remco G. M.</creatorcontrib><creatorcontrib>Wilson, J. H. P.</creatorcontrib><creatorcontrib>Soliman, Osama I. I.</creatorcontrib><creatorcontrib>Krenning, Boudewijn J.</creatorcontrib><creatorcontrib>ten Cate, Folkert J.</creatorcontrib><creatorcontrib>Geleijnse, Marcel L.</creatorcontrib><title>The mild form of mucopolysaccharidosis type I (Scheie syndrome) is associated with increased ascending aortic stiffness</title><title>Heart and vessels</title><addtitle>Heart Vessels</addtitle><addtitle>Heart Vessels</addtitle><description>Mucopolysaccharidosis type I (MPS IS) is a rare autosomal recessive disease caused by a deficiency of the lysosomal enzyme α-
L
-iduronidase, which is involved in the degradation of sulfated glycosaminoglycans (GAGs). The deficiency results in the intra-and pericellular accumulation of the GAGs heparan sulfate and dermatan sulfate. Eight adult patients with typical features of MPS IS aged 31.5 ± 6.8 years (five men) were included and compared to age-and gender-matched controls. With transthoracic echocardiography, cyclic ascending aortic diameter changes were measured and ascending aortic elastic properties were calculated to characterize aortic elasticity. In MPS IS patients, aortic stiffness index was significantly increased (23.1 ± 10.4 vs 3.9 ± 1.5,
P
< 0.001), while aortic distensibility was significantly decreased (1.6 ± 0.8 vs 1.6 ± 1.9 Ca
2
/dynes 10
−6
,
P
< 0.001) compared to age-and sex-matched controls. The results of the present study demonstrate that in addition to the known cardiac complications, MPS IS patients have an impairment of ascending aortic elasticity. Further follow-up studies are needed to examine arterial elasticity using other methods in this patient population, and to detect possible effects of enzyme replacement therapy.</description><subject>Adult</subject><subject>Aorta - diagnostic imaging</subject><subject>Aorta - physiopathology</subject><subject>Biomedical Engineering and Bioengineering</subject><subject>Blood Pressure</subject><subject>Cardiac Surgery</subject><subject>Cardiology</subject><subject>Cardiovascular disease</subject><subject>Case-Control Studies</subject><subject>Coronary vessels</subject><subject>Echocardiography, Doppler</subject><subject>Elasticity</subject><subject>Enzymes</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Metabolic disorders</subject><subject>Mucopolysaccharidosis I - diagnostic imaging</subject><subject>Mucopolysaccharidosis I - physiopathology</subject><subject>Original Article</subject><subject>Phenotype</subject><subject>Severity of Illness Index</subject><subject>Vascular Surgery</subject><subject>Young Adult</subject><issn>0910-8327</issn><issn>1615-2573</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp1kU9r3DAQxUVpaDZpP0AvRfRQ0oPbGauS7WMJ_RMI5JD0LLTyKKtgW1uNTbLfPlp2oaXQ08zwfvM04gnxFuETAjSfGUC1UJW2QkBVPb0QKzSoq1o36qVYQYdQtapuTsUZ8wMA6g67V-IUW9V2SumVeLzbkBzj0MuQ8ihTkOPi0zYNO3beb1yOfeLIct5tSV7Ji1u_oUiSd1Of00gfZdEcc_LRzdTLxzhvZJx8JsdldOxp6uN0L13Kc_SS5xjCRMyvxUlwA9ObYz0Xv75_u7v8WV3f_Li6_HpdedWpuSr_QB90uyZjWgeNMa5eo9dth-hNcOhdbYJy2qneaI91A4YMqqaIRB7Uufhw8N3m9Hshnu0Yy1HD4CZKC9sGvjRQgyrg-3_Ah7TkqdxmsTMdKDS6QHiAfE7MmYLd5ji6vLMIdh-JPURi9-0-EvtUdt4djZf1SP2fjWMGBagPABdpuqf818v_dX0Gvl6YRw</recordid><startdate>20080301</startdate><enddate>20080301</enddate><creator>Nemes, Attila</creator><creator>Timmermans, Remco G. M.</creator><creator>Wilson, J. H. P.</creator><creator>Soliman, Osama I. I.</creator><creator>Krenning, Boudewijn J.</creator><creator>ten Cate, Folkert J.</creator><creator>Geleijnse, Marcel L.</creator><general>Springer Japan</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20080301</creationdate><title>The mild form of mucopolysaccharidosis type I (Scheie syndrome) is associated with increased ascending aortic stiffness</title><author>Nemes, Attila ; Timmermans, Remco G. M. ; Wilson, J. H. P. ; Soliman, Osama I. I. ; Krenning, Boudewijn J. ; ten Cate, Folkert J. ; Geleijnse, Marcel L.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c393t-5731cf58be668a0766a2b1c58911c6fa1ca26f3a5a3d65c12706e6137c6feec03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Adult</topic><topic>Aorta - diagnostic imaging</topic><topic>Aorta - physiopathology</topic><topic>Biomedical Engineering and Bioengineering</topic><topic>Blood Pressure</topic><topic>Cardiac Surgery</topic><topic>Cardiology</topic><topic>Cardiovascular disease</topic><topic>Case-Control Studies</topic><topic>Coronary vessels</topic><topic>Echocardiography, Doppler</topic><topic>Elasticity</topic><topic>Enzymes</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Metabolic disorders</topic><topic>Mucopolysaccharidosis I - diagnostic imaging</topic><topic>Mucopolysaccharidosis I - physiopathology</topic><topic>Original Article</topic><topic>Phenotype</topic><topic>Severity of Illness Index</topic><topic>Vascular Surgery</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nemes, Attila</creatorcontrib><creatorcontrib>Timmermans, Remco G. 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M.</au><au>Wilson, J. H. P.</au><au>Soliman, Osama I. I.</au><au>Krenning, Boudewijn J.</au><au>ten Cate, Folkert J.</au><au>Geleijnse, Marcel L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The mild form of mucopolysaccharidosis type I (Scheie syndrome) is associated with increased ascending aortic stiffness</atitle><jtitle>Heart and vessels</jtitle><stitle>Heart Vessels</stitle><addtitle>Heart Vessels</addtitle><date>2008-03-01</date><risdate>2008</risdate><volume>23</volume><issue>2</issue><spage>108</spage><epage>111</epage><pages>108-111</pages><issn>0910-8327</issn><eissn>1615-2573</eissn><coden>HEVEEO</coden><abstract>Mucopolysaccharidosis type I (MPS IS) is a rare autosomal recessive disease caused by a deficiency of the lysosomal enzyme α-
L
-iduronidase, which is involved in the degradation of sulfated glycosaminoglycans (GAGs). The deficiency results in the intra-and pericellular accumulation of the GAGs heparan sulfate and dermatan sulfate. Eight adult patients with typical features of MPS IS aged 31.5 ± 6.8 years (five men) were included and compared to age-and gender-matched controls. With transthoracic echocardiography, cyclic ascending aortic diameter changes were measured and ascending aortic elastic properties were calculated to characterize aortic elasticity. In MPS IS patients, aortic stiffness index was significantly increased (23.1 ± 10.4 vs 3.9 ± 1.5,
P
< 0.001), while aortic distensibility was significantly decreased (1.6 ± 0.8 vs 1.6 ± 1.9 Ca
2
/dynes 10
−6
,
P
< 0.001) compared to age-and sex-matched controls. The results of the present study demonstrate that in addition to the known cardiac complications, MPS IS patients have an impairment of ascending aortic elasticity. Further follow-up studies are needed to examine arterial elasticity using other methods in this patient population, and to detect possible effects of enzyme replacement therapy.</abstract><cop>Japan</cop><pub>Springer Japan</pub><pmid>18389335</pmid><doi>10.1007/s00380-007-1013-x</doi><tpages>4</tpages></addata></record> |
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subjects | Adult Aorta - diagnostic imaging Aorta - physiopathology Biomedical Engineering and Bioengineering Blood Pressure Cardiac Surgery Cardiology Cardiovascular disease Case-Control Studies Coronary vessels Echocardiography, Doppler Elasticity Enzymes Female Humans Male Medicine Medicine & Public Health Metabolic disorders Mucopolysaccharidosis I - diagnostic imaging Mucopolysaccharidosis I - physiopathology Original Article Phenotype Severity of Illness Index Vascular Surgery Young Adult |
title | The mild form of mucopolysaccharidosis type I (Scheie syndrome) is associated with increased ascending aortic stiffness |
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