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What is mucopolysaccharidosis (MPS)?

Mucopolysaccharidosis (MPS) is a lysosomal storage disorder which can occur in children and adults. The age of onset can vary and depends on which type of the disorder the patients has. Mucopolysaccharidosis is a progressive disorder in which the symptoms increase over the course of life. This is due to an increasing storage of mucopolysaccharides in the organs.   

Types of mucopolysaccharidosis (MPS)

Mucopolysaccharidoses is a group of disorders which can be classified in different types. Each type has its own clinical features.  

  • MPS I, syndroom van Hurler-Scheie.
  • MPS II, syndroom van Hunter.
  • MPS III, syndroom van Sanfilippo A, B, C, D.
  • MPS IV, syndroom van Morquio A en B.
  • MPS VI, syndroom van Maroteaux-Lamy.
  • MPS VII, syndroom van Sly.

What is the incidence?

Mucopolysaccharidoses occur at an estimated frequency of 1 in 60,000, but possibly more frequently. How common depends on the type.

For example:

Mucopolysaccharidosis type I occurs in 1 in 84,000 live births.
Mucopolysaccharidosis type II occurs in 1 in 150,000 live births.
Mucopolysaccharidosis type VI occurs in 1 in 600,000 live births.

Causes

Mucopolysaccharidose is a inherited lysosomal storage disorders in which the mucopolysaccharides can not be broken down properly in the body. This dysfunction is caused by an inherited deficiency of certain enzymes which are needed to break down the mucopolysaccharides. As a result the mucopolysaccharides will accumulate in the cells which will then lead to damage of the organs. 

Symptoms

The symptoms of mucopolysaccharidoses differ per type. The most common symptoms are: 

  • Coarse facial features

  • Joint problems

  • Dwarfism

  • Skeletal abnormalities

  • Enlarged liver and spleen

  • Heart valve abnormalities

  • Developmental delay

Diagnosis and testing

If the doctor suspects that you or your child has mucopolysaccharidosis, he or she will do a number of tests to make the diagnosis. The following tests may be involved:

  • Urine sampling

  • Blood sampling

  • DNA test

Treatment

Mucopolysaccharidosen are being treated with enzym replacement therapy (ERT). With ERT the missing enzym is administered to the patient through an IV. The enzyme will slow down the accumulation of mucopolysaccharides in the cells. Patients receive this treatment every week for a couple of hours.  

ERT is a life long treatment which is given in the hospital. At a later stage it is also possible to apply ERT at home. ERT is available is for MPS I, MPS II, MPS IV and MPS VI. Our center mainly treats patients with MPS I, MPS II and MPS VI. For the most severe form of MPS I, Hurler syndrome, bone marrow transplantation is the treatment of choice.

Which specialist will I be in contact with?

Patients with mucopolysaccharidosis will need to be followed and treated throughout their lives. Because different organs are affected in  mucopolysaccharidosis, the patient will see different specialists.   

Our scheduling coordinator will schedule appointments for you. To minimize hospital visits for you and/or your child, we will try to schedule appointments with different specialists on the same day whenever possible. The center has a day clinic with specialized nurses, who supervise the enzyme replacement therapy treatment.

Please also visit our team page to our specialists.