Review Article

Volume: 6 | Issue: 1 | Published: Feb 09, 2023 | Pages: 41 - 56 | DOI: 10.24911/JBCGenetics/183-1664963756

The landscape of acid sphingomyelinase deficiency in a new therapeutic era: insights from experts in the Gulf region


Authors: Moeenaldeen AlSayed , Fatma Al-Jasmi , Tawfeg Ben Omran , Fathiya Al-Murshedi , Rawda Sunbul , Nadia Al-Hashmi , Talal Al-Enazi


Article Info

Authors

Moeenaldeen AlSayed

King Faisal Specialist Hospital& Research Center, Saudi Arabia

Fatma Al-Jasmi

Department of Genetics & Genomics, United Arab Emirates University, United Arab Emirates

Tawfeg Ben Omran

Division of Genetic and Genomic Medicine, Sidra Medicine and Hamad Medical Corporation, Qatar

Fathiya Al-Murshedi

Genetic and Developmental Medicine Clinic, Department of Genetics, Sultan Qaboos University Hospital, Oman

Rawda Sunbul

Qatif Central Hospital, Saudi Arabia

Nadia Al-Hashmi

Royal Hospital, Oman

Talal Al-Enazi

Prince Sultan Military Medical City, Saudi Arabia.

Publication History

Received: October 05, 2022

Revised: January 01, 2023

Accepted: January 17, 2023

Published: February 09, 2023


Abstract


Acid sphingomyelinase deficiency (ASMD) is an autosomal-recessive progressive multiorgan metabolic disorder due to pathogenic variants in the sphingomyelin phosphodiesterase 1 gene. It can lead to death in early childhood in its most severe form. According to previous registries, the birth prevalence of ASMD is nearly 0.4-0.6 per 100,000 live births. The diagnosis of ASMD is usually delayed or missed due to the wide variability of clinical manifestations of the disease. Until recently, the management of ASMD patients was based on symptomatic treatments and supportive care; however, the introduction of enzyme replacement therapy (ERT) has revolutionized the management landscape of ASMD. ERT with a recombinant human Acid Sphingomyelinase Enzyme administered intravenously demonstrated a significant improvement in the non-neuronopathic type of ASMD in phase 2/3 trials. In June 2022, the European Medical Agency granted the ERT, olipudase alfa, marketing authorization. The prevalence of inherited metabolic disorders, including lysosomal storage diseases, is relatively higher in the Arab world than in the rest of the world due to the high consanguinity rate. In this study, we aim to review the current landscape of ASMD in the Gulf Cooperation Council countries and gather insights from experts regarding the roadmap to diagnosis, prevalence, and management approaches of ASMD in the region.

Keywords: Acid sphingomyelinase deficiency, lysosomal storage diseases, enzyme replacement therapy, Niemann-Pick disease, acid sphingomyelinase enzyme


Pubmed Style

Moeenaldeen AlSayed, Fatma Al-Jasmi, Tawfeg Ben Omran, Fathiya Al-Murshedi, Rawda Sunbul, Nadia Al-Hashmi, Talal Al-Enazi. The landscape of acid sphingomyelinase deficiency in a new therapeutic era: insights from experts in the Gulf region. JBC Genetics. 2023; 09 (February 2023): 41-56. doi:10.24911/JBCGenetics/183-1664963756

Web Style

Moeenaldeen AlSayed, Fatma Al-Jasmi, Tawfeg Ben Omran, Fathiya Al-Murshedi, Rawda Sunbul, Nadia Al-Hashmi, Talal Al-Enazi. The landscape of acid sphingomyelinase deficiency in a new therapeutic era: insights from experts in the Gulf region. https://www.jbcgenetics.com/articles/2082 [Access: April 27, 2025]. doi:10.24911/JBCGenetics/183-1664963756

AMA (American Medical Association) Style

Moeenaldeen AlSayed, Fatma Al-Jasmi, Tawfeg Ben Omran, Fathiya Al-Murshedi, Rawda Sunbul, Nadia Al-Hashmi, Talal Al-Enazi. The landscape of acid sphingomyelinase deficiency in a new therapeutic era: insights from experts in the Gulf region. JBC Genetics. 2023; 09 (February 2023): 41-56. doi:10.24911/JBCGenetics/183-1664963756

Vancouver/ICMJE Style

Moeenaldeen AlSayed, Fatma Al-Jasmi, Tawfeg Ben Omran, Fathiya Al-Murshedi, Rawda Sunbul, Nadia Al-Hashmi, Talal Al-Enazi. The landscape of acid sphingomyelinase deficiency in a new therapeutic era: insights from experts in the Gulf region. JBC Genetics. (2023), [cited April 27, 2025]; 09 (February 2023): 41-56. doi:10.24911/JBCGenetics/183-1664963756

Harvard Style

Moeenaldeen AlSayed, Fatma Al-Jasmi, Tawfeg Ben Omran, Fathiya Al-Murshedi, Rawda Sunbul, Nadia Al-Hashmi, Talal Al-Enazi (2023) The landscape of acid sphingomyelinase deficiency in a new therapeutic era: insights from experts in the Gulf region. JBC Genetics, 09 (February 2023): 41-56. doi:10.24911/JBCGenetics/183-1664963756

Chicago Style

Moeenaldeen AlSayed, Fatma Al-Jasmi, Tawfeg Ben Omran, Fathiya Al-Murshedi, Rawda Sunbul, Nadia Al-Hashmi, Talal Al-Enazi. "The landscape of acid sphingomyelinase deficiency in a new therapeutic era: insights from experts in the Gulf region." 09 (2023), 41-56. doi:10.24911/JBCGenetics/183-1664963756

MLA (The Modern Language Association) Style

Moeenaldeen AlSayed, Fatma Al-Jasmi, Tawfeg Ben Omran, Fathiya Al-Murshedi, Rawda Sunbul, Nadia Al-Hashmi, Talal Al-Enazi. "The landscape of acid sphingomyelinase deficiency in a new therapeutic era: insights from experts in the Gulf region." 09.February 2023 (2023), 41-56. Print. doi:10.24911/JBCGenetics/183-1664963756

APA (American Psychological Association) Style

Moeenaldeen AlSayed, Fatma Al-Jasmi, Tawfeg Ben Omran, Fathiya Al-Murshedi, Rawda Sunbul, Nadia Al-Hashmi, Talal Al-Enazi (2023) The landscape of acid sphingomyelinase deficiency in a new therapeutic era: insights from experts in the Gulf region. , 09 (February 2023), 41-56. doi:10.24911/JBCGenetics/183-1664963756