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- W1978700432 abstract "Paroxysmal nocturnal hemoglobinuria (PNH) is a rare bone marrow failure disorder that manifests with hemolytic anemia, thrombosis, and peripheral blood cytopenias. The absence of two glycosylphosphatidylinositol (GPI)-anchored proteins, CD55 and CD59, leads to uncontrolled complement activation that accounts for hemolysis and other PNH manifestations. GPI anchor protein deficiency is almost always due to somatic mutations in phosphatidylinositol glycan class A (PIGA), a gene involved in the first step of GPI anchor biosynthesis; however, alternative mutations that cause PNH have recently been discovered. In addition, hypomorphic germ-line PIGA mutations that do not cause PNH have been shown to be responsible for a condition known as multiple congenital anomalies-hypotonia-seizures syndrome 2. Eculizumab, a first-in-class monoclonal antibody that inhibits terminal complement, is the treatment of choice for patients with severe manifestations of PNH. Bone marrow transplantation remains the only cure for PNH but should be reserved for patients with suboptimal response to eculizumab." @default.
- W1978700432 created "2016-06-24" @default.
- W1978700432 creator A5083424368 @default.
- W1978700432 date "2014-10-30" @default.
- W1978700432 modified "2023-10-17" @default.
- W1978700432 title "Paroxysmal nocturnal hemoglobinuria" @default.
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- W1978700432 doi "https://doi.org/10.1182/blood-2014-02-522128" @default.
- W1978700432 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/4215311" @default.
- W1978700432 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/25237200" @default.
- W1978700432 hasPublicationYear "2014" @default.
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