Pathogenesis of Bone Alterations in Gaucher Disease: The Role of Immune System

Autor: Juan Marcos Mucci, Paula Rozenfeld
Jazyk: angličtina
Rok vydání: 2015
Předmět:
Zdroj: Journal of Immunology Research, Vol 2015 (2015)
Druh dokumentu: article
ISSN: 2314-8861
2314-7156
DOI: 10.1155/2015/192761
Popis: Gaucher, the most prevalent lysosomal disorder, is an autosomal recessive inherited disorder due to a deficiency of glucocerebrosidase. Glucocerebrosidase deficiency leads to the accumulation of glucosylceramide primarily in cells of mononuclear-macrophage lineage. Clinical alterations are visceral, hematological, and skeletal. Bone disorder in Gaucher disease produces defects on bone metabolism and structure and patients suffer from bone pain and crisis. Skeletal problems include osteopenia, osteoporosis, osteolytic lesions, and osteonecrosis. On the other hand a chronic stimulation of the immune system is a well-accepted hallmark in this disease. In this review we summarize the latest findings in the mechanisms leading to the bone pathology in Gaucher disease in relationship with the proinflammatory state.
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