Startseite Medizin Could GSD type I expand the spectrum of disorders with elevated plasma chitotriosidase activity?
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Could GSD type I expand the spectrum of disorders with elevated plasma chitotriosidase activity?

  • Leyla Tümer , Çiğdem Seher Kasapkara EMAIL logo , Gürsel Biberoğlu, , Fatih Ezgü und Alev Hasanoğlu
Veröffentlicht/Copyright: 29. Juni 2013

Abstract

Glycogen storage disease type I (GSDI) is characterized by accumulation of glycogen and fat in the liver and kidneys, resulting in hepatomegaly and renomegaly. Human chitotriosidase is a recently described fully active chitinase expressed by activated macrophages. Marked elevation of chitotriosidase activity was initially observed in plasma of patients with Gaucher disease. Subsequently, elevation was also observed in various lysosomal storage disorders such as fucosidosis, galactosialidosis and glycogen storage disease type IV. The aim of the present study was to evaluate plasma chitotriosidase activity in 19 children with glycogen storage disease type I. Plasma chitotriosidase levels were found to be significantly higher in children with GSD type I than healthy age-matched controls (21.3±16.4 vs. 12.3±8.9 nmol/h/mL, p=0.04). All the patients reported here presented with hepatomegaly. Our report expands the spectrum of disorders that should be included in the differential diagnosis of patients with increased plasma chitotriosidase activity, irrespective of the mechanisms involved.


Corresponding author: Çiğdem Seher Kasapkara, MD, Gazi University School of Medicine, Department of Pediatric Metabolism, Besevler, 10th floor, Ankara, Turkey, E-mail:

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Received: 2013-2-17
Accepted: 2013-5-28
Published Online: 2013-06-29
Published in Print: 2013-11-01

©2013 by Walter de Gruyter Berlin Boston

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