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Pintos-Morell et al. Rare Dis Orphan Drugs J 2024;3:12  https://dx.doi.org/10.20517/rdodj.2023.52   Page 9 of 15

                Glut-1 deficiency            SLC2A1              Ketogenic diet
                Cystinosis (Infantile Nephropathic)  CTNS        Cysteamine, Cysteamine slow release, cysteamine eye drops,
                                                                 Carnitine, GH, vit D, phosphate, citrate, kidney transplant
                                       #         #                                 #
                Mucopolysaccharidosis type 1 (MPS1)  IDUA        Laronidase ERT, BMT, HSCT
                                        #      #                                   #
                Mucopolysaccharidosis type 2 (MPS2)  IDS         Idursulfase ERT, BMT, HSCT
                Mucopolysaccharidosis type IVA #  GALNS #        Elosulfase alpha ERT, HSCT #
                                   #             #                             #
                Mucopolysaccharidosis type VI  ARSB              Galsulfase ERT, HSCT
                Mucopolysaccharidosis type VII #  GUSB #         Mepsevii ERT, HSCT #
                                  #             #                                              #
                Pompe disease (GSD type 2)   GAA                 Avalglucosidase alfa and alglucosidase alfa ERT
                Fabry disease #              GLA #               Agalsidase alfa and beta ERT, pegunigalsidase ERT, migalastat
                                                                    #
                                                                 PCT
                Gaucher disease #            GBA #               ERT: imiglucerase; velaglucerase alfa; and taliglucerase alfa;
                                                                                           #
                                                                 SRT: miglustat, eliglustat; PCT: Ambroxol
                                          #       #
                Acid sphingomyelinase deficiency -ASMD1  SMPD1   Recombinant human acid sphingomyelinase, ERT: olipudase
                                                                    #
                                                                 alfa
                             #                  #                         #
                Niemann-Pick type C          NPC1                SRT: miglustat
                Neuronal Ceroid lipofuscinosis (CLN2) #  TPP1 #  Cerliponase alfa ERT #
                                         #      #                            #
                Lysosomal Acid lipase deficiency (LALD)  LIPA    Sebelipase alfa ERT
                Metachromatic leukodystrophy (MLD) #  ARSA #     HSCT, BMT, atidarsagene autotemcel (Libmeldy) #
                         #                       #                       #
                Krabbe disease               GALC                HSCT, BMT
                Alpha-mannosidosis #         MAN2B1 #            Velmanase alfa ERT #
                AADC deficiency              DDC                 Pyridoxine/pyridoxal phosphate, folinic acid, dopamine
                                                                 agonists, MAO B inhibitors
                                                                 Gene therapy eladocagene exuparvovec (Intracerebral
                                                                       TM
                                                                 Upstaza )
                PNP deficiency (SCID)        PNP                 HSCT
                                                                                              TM
                ADA deficiency (SCID)        ADA                 PEG-ADA ERT, HSCT, Gene therapy Strimvelis
                Abetalipoproteinemia         MTTP                Vitamin E, A, D
                Adenine phosphoribosyltransferase deficiency  APRT  Allopurinol
                Barth syndrome               TAZ (Tafazzin)      Cardiac transplantation, granulocyte colony-stimulating factor
                                                                 (G-CSF), uncooked cornstarch given prior to bedtime,
                                                                 elamipretide
                Cerebrotendinous xanthomatosis   CYP27A1         Chenodeoxycholic acid (CDCA), cholic acid
                Crigler-Najjar syndrome type I   UGT1A1          Intensive phototherapy, albumin infusions, and plasma
                                                                 exchanges, liver transplantation, gene therapy (http://
                                                                 clinicaltrials.gov/show/NCT03466463)
                Familial chylomicronemia syndrome   LPL, APOC2, LMF1, APOA5,   Low-caloric diet, fibrates
                                             GPIHBP1
                Familial hypercholesterolemia  APOB, LDLR, PCSK9  diet, statin, evinacumab, ezetimibe, apheresis, evolocumab,
                                                                 lomitapide
                Fructose-1,6-bisphosphatase deficiency  FBP1     Restriction of fructose or sucrose, avoid prolonged fasting, IV
                                                                 glucose during metabolic decompensation
                Galactokinase deficiency     GALK1               Lactose/galactose-restricted diet
                Glycogen storage disease type I   G6PC1          Restriction of fructose or sucrose, avoid prolonged fasting, IV
                                             SLC37A4             glucose during metabolic decompensation
                Glycogen storage disease type III  AGL           High-protein diet with corn starch supplementation
                Homocystinuria-megaloblastic anemia  MTTR, MTR   Vitamin B12
                Combined immunodeficiency and   MTHFD1           Hydroxocobalamin, folinic acid, betaine
                megaloblastic anemia with or without
                hyperhomocysteinemia
                Primary coenzyme Q10 deficiency  COQ4, COQ6      Coenzyme Q10
                                             COQ2
                Pyridoxine-dependent epilepsy  ALDH7A1           Pyridoxine, lysine-restricted diet, arginine supplementation
                Pyridoxamine 5’- phosphate oxidase   PNPO        Pyridoxal 5’-phosphate (PLP) and pyridoxine
                deficiency
                Pyridoxal 5’-phosphate binding protein   PNPBP   Pyridoxine (first line) and Pyridoxal 5’-phosphate
                deficiency
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