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
Hauptverfasser: Nemes, Attila, Timmermans, Remco G. M., Wilson, J. H. P., Soliman, Osama I. I., Krenning, Boudewijn J., ten Cate, Folkert J., Geleijnse, Marcel L.
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container_end_page 111
container_issue 2
container_start_page 108
container_title Heart and vessels
container_volume 23
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
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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). 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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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