RT Journal Article T1 Characterization of New Proteomic Biomarker Candidates in Mucopolysaccharidosis Type IVA A1 Álvarez González, José Víctor A1 Bravo López, Susana Belén A1 Chantada Vázquez, María del Pilar A1 Colón Mejeras, Cristóbal A1 Castro López, María José de A1 Morales, Montserrat A1 Vitoria, Isidro A1 Tomatsu, Shunji A1 Otero Espinar, Francisco Javier A1 Couce Pico, María Luz K1 Biomarkers K1 Enzyme replacement therapy K1 Lysosomal disorders K1 Proteomics AB Mucopolysaccharidosis type IVA (MPS IVA) is a lysosomal storage disease caused by mutations in the N-acetylgalactosamine-6-sulfatase (GALNS) gene. Skeletal dysplasia and the related clinical features of MPS IVA are caused by disruption of the cartilage and its extracellular matrix, leading to a growth imbalance. Enzyme replacement therapy (ERT) with recombinant human GALNS has yielded positive results in activity of daily living and endurance tests. However, no data have demonstrated improvements in bone lesions and bone grow thin MPS IVA after ERT, and there is no correlation between therapeutic efficacy and urine levels of keratan sulfate, which accumulates in MPS IVA patients. Using qualitative and quantitative proteomics approaches, we analyzed leukocyte samples from healthy controls (n = 6) and from untreated (n = 5) and ERT-treated (n = 8, sampled before and after treatment) MPS IVA patients to identify potential biomarkers of disease. Out of 690 proteins identified in leukocytes, we selected a group of proteins that were dysregulated in MPS IVA patients with ERT. From these, we identified four potential protein biomarkers, all of which may influence bone and cartilage metabolism: lactotransferrin, coronin 1A, neutral alpha-glucosidase AB, and vitronectin. Further studies of cartilage and bone alterations in MPS IVA will be required to verify the validity of these proteins as potential biomarkers of MPS IVA PB MDPI YR 2021 FD 2021 LK http://hdl.handle.net/10347/24188 UL http://hdl.handle.net/10347/24188 LA eng NO Álvarez, V.J.; Bravo, S.B.; Chantada-Vazquez, M.P.; Colón, C.; De Castro, M.J.; Morales, M.; Vitoria, I.; Tomatsu, S.; Otero-Espinar, F.J.; Couce, M.L. Characterization of New Proteomic Biomarker Candidates in Mucopolysaccharidosis Type IVA. Int. J. Mol. Sci. 2021, 22, 226 DS Minerva RD 22 abr 2026