Sickle Cell Disease.

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Accounts of Chemical Research Pub Date : 2024-08-06 eCollection Date: 2024-10-01 DOI:10.1159/000540149
Joachim B Kunz, Laura Tagliaferri
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Abstract

Background: Sickle cell disease (SCD) is among the most frequent hereditary disorders globally and its prevalence in Europe is increasing due to migration movements.

Summary: The basic pathophysiological event of SCD is polymerization of deoxygenated sickle hemoglobin, resulting in hemolysis, vasoocclusion, and multiorgan damage. While the pathophysiological cascade offers numerous targets for treatment, currently only two disease-modifying drugs have been approved in Europe and transfusion remains a mainstay of both preventing and treating severe complications of SCD. Allogeneic stem cell transplantation and gene therapy offer a curative option but are restricted to few patients due to costs and limited availability of donors.

Key message: Further efforts are needed to grant patients access to approved treatments, to explore drug combinations and to establish new treatment options.

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镰状细胞病
背景:摘要:镰状细胞病(SCD)的基本病理生理现象是脱氧镰状血红蛋白聚合,导致溶血、血管闭塞和多器官损伤。虽然病理生理级联提供了许多治疗靶点,但目前欧洲仅批准了两种改变病情的药物,输血仍是预防和治疗 SCD 严重并发症的主要手段。同种异体干细胞移植和基因治疗提供了一种治疗选择,但由于费用和供体有限,仅限于少数患者:需要进一步努力,让患者获得已获批准的治疗方法,探索药物组合,并建立新的治疗方案。
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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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