The role of the iminosugar N-butyldeoxynojirimycin (miglustat) in the management of type I (non-neuronopathic) Gaucher disease: A position statement

@article{Cox2004TheRO,
  title={The role of the iminosugar N-butyldeoxynojirimycin (miglustat) in the management of type I (non-neuronopathic) Gaucher disease: A position statement},
  author={Timothy Martin Cox and Johannes Aerts and Generoso Andria and Michael Beck and Nadia Belmatoug and Bruno Bembi and Raul Chertkoff and Stephan vom Dahl and Deborah Elstein and Anders Erikson and Manuel Giralt and Rene Heitner and Carla E. M. Hollak and Martin Hřeb{\'i}{\vc}ek and S. Lewis and Atual Mehta and Gregory M. Pastores and Arndt Rolfs and Maria Clara S{\'a} Miranda and Ari Zimran},
  journal={Journal of Inherited Metabolic Disease},
  year={2004},
  volume={26},
  pages={513-526}
}
N-Butyldeoxynojirimycin (NB-DNJ, miglustat 'Zavesca') is an orallyactive iminosugar which inhibits the biosynthesis of macromolecular substrates that accumulate pathologically in glycosphingolipidoses. Clinical trials of NB-DNJ in patients with Gaucher's disease demonstrate the therapeutic potential of such substrate inhibitors in the glycolipid storage disorders. However, macrophage-targetted enzyme replacement using intravenous mannose-terminated human glucocerebrosidase (imiglucerase… 
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Review of miglustat for clinical management in Gaucher disease type 1
  • C. Ficicioglu
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TLDR
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TLDR
NB-DGJ is effective in reducing total brain ganglioside and GM2 content at early neonatal ages and caused a slight, but significant elevation in brain sialidase activity in the Sandhoff disease (Hexb(-/-) mice.
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