Continuous mannose infusion in carbohydrate-deficient glycoprotein syndrome type I |
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Authors: | E Mayatepek M Schröder D Kohlmüller WP Bieger W Nützenadel |
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Institution: | Division of Metabolic Diseases, University Children's Hospital, Heidelberg;Medical Immunological Laboratories, Munich, Germany |
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Abstract: | The effects on isoelectrofocusing patterns of serum glycoproteins were studied in a patient with CDG syndrome type I and phosphomannomutase deficiency during 3 weeks of continuous intravenous mannose infusion. Doses of 5. 7 g/kg/day led to stable serum mannose levels up to 2. 0 mmol/1 and were well tolerated without signs of liver or renal toxicity. While most of the pathological glycoprotein patterns, including α1-antitrypsin, typical for CDG syndrome type I remained unchanged, mannose infusion led to a unique change of the isoelectrofocusing pattern of serum sialotransferrins with appearance of two extra bands after 3 weeks of treatment. |
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Keywords: | Carbohydrate-deficient glycoprotein syndrome isoelectrofocusing mannose phosphomannomutase deficiency |
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