About Mucopolysaccharidosis IV

What is Mucopolysaccharidosis IV?

Mucopolysaccharidosis IV (MPS IV) is a rare, inherited metabolic disorder caused by a deficiency of the enzyme N-acetylgalactosamine-6-sulfatase (GALNS). This enzyme is responsible for breaking down certain complex carbohydrates called glycosaminoglycans (GAGs). Without this enzyme, GAGs accumulate in the body, leading to a wide range of physical and neurological symptoms. Symptoms of MPS IV can include skeletal abnormalities, hearing loss, vision problems, and heart and respiratory problems.

What are the symptoms of Mucopolysaccharidosis IV?

The symptoms of Mucopolysaccharidosis IV (MPS IV) vary from person to person, but may include:

-Delayed development
-Short stature
-Joint stiffness
-Hearing loss
-Corneal clouding
-Heart valve problems
-Enlarged liver and spleen
-Frequent respiratory infections
-Carpal tunnel syndrome
-Gait abnormalities
-Scoliosis
-Sleep apnea
-Cognitive impairment

What are the causes of Mucopolysaccharidosis IV?

Mucopolysaccharidosis IV (MPS IV) is a rare genetic disorder caused by mutations in the GALNS gene. This gene provides instructions for making an enzyme called N-acetylgalactosamine-6-sulfatase. This enzyme is responsible for breaking down certain complex sugars called glycosaminoglycans (GAGs). When the GALNS gene is mutated, the body is unable to produce enough of the enzyme, leading to a buildup of GAGs in the body's cells. This buildup causes the signs and symptoms of MPS IV.

What are the treatments for Mucopolysaccharidosis IV?

The treatments for Mucopolysaccharidosis IV (MPS IV) vary depending on the severity of the condition. Generally, treatments focus on managing the symptoms and slowing the progression of the disease. These treatments may include:

1. Enzyme replacement therapy (ERT): This involves replacing the missing enzyme in the body with a synthetic version.

2. Bone marrow transplant: This procedure involves replacing the defective bone marrow with healthy bone marrow from a donor.

3. Physical therapy: This helps to maintain muscle strength and joint mobility.

4. Occupational therapy: This helps to improve daily living skills.

5. Speech therapy: This helps to improve communication skills.

6. Nutritional therapy: This helps to ensure that the patient is getting the proper nutrition.

7. Medications: These may be used

What are the risk factors for Mucopolysaccharidosis IV?

1. Genetic inheritance: Mucopolysaccharidosis IV is an inherited disorder caused by mutations in the GALNS gene.

2. Age: Mucopolysaccharidosis IV is most commonly diagnosed in childhood, usually between the ages of 2 and 4.

3. Gender: Mucopolysaccharidosis IV is more common in males than females.

4. Ethnicity: Mucopolysaccharidosis IV is more common in people of Ashkenazi Jewish descent.

Is there a cure/medications for Mucopolysaccharidosis IV?

Yes, there is a medication called Elaprase (idursulfase) that is approved to treat Mucopolysaccharidosis IV (MPS IV). Elaprase is an enzyme replacement therapy that helps to reduce the buildup of glycosaminoglycans (GAGs) in the body. It is administered as an intravenous infusion every other week. Other treatments for MPS IV include physical therapy, occupational therapy, speech therapy, and orthopedic surgery.