The History of Cystinosis: Lessons for Clinical Management

Cystinosis is a rare disorder, and, accordingly, progress on the understanding and treatment of this disease has been relatively slow. Although cystinosis was identified over 100 years ago, the history of cystinosis is marked by a few sudden leaps forward in our understanding rather than by a sustai...

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Main Author: Paul Goodyer
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:International Journal of Nephrology
Online Access:http://dx.doi.org/10.4061/2011/929456
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author Paul Goodyer
author_facet Paul Goodyer
author_sort Paul Goodyer
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description Cystinosis is a rare disorder, and, accordingly, progress on the understanding and treatment of this disease has been relatively slow. Although cystinosis was identified over 100 years ago, the history of cystinosis is marked by a few sudden leaps forward in our understanding rather than by a sustained research effort fuelled by the larger research community. Major conceptual break-throughs include (a) its discovery in 1903, (b) recognition of the renal Fanconi syndrome, (c) realization that tissue accumulation of cystine reflects a defective channel in the lysosomal membrane, (d) translation of this discovery to trials of cysteamine, (e) discovery of the CTNS gene, and (f) report of successful stem cell therapy in the cystinotic mouse. This paper focuses on the importance management lessons from these milestones and the potential new therapeutic strategies which may be looming in the near future.
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spelling doaj-art-648c963027e94e9aad5583f34fce22452025-02-03T01:20:15ZengWileyInternational Journal of Nephrology2090-214X2090-21582011-01-01201110.4061/2011/929456929456The History of Cystinosis: Lessons for Clinical ManagementPaul Goodyer0Department of Pediatrics, McGill University, Montreal, QC, H3H 1P3, CanadaCystinosis is a rare disorder, and, accordingly, progress on the understanding and treatment of this disease has been relatively slow. Although cystinosis was identified over 100 years ago, the history of cystinosis is marked by a few sudden leaps forward in our understanding rather than by a sustained research effort fuelled by the larger research community. Major conceptual break-throughs include (a) its discovery in 1903, (b) recognition of the renal Fanconi syndrome, (c) realization that tissue accumulation of cystine reflects a defective channel in the lysosomal membrane, (d) translation of this discovery to trials of cysteamine, (e) discovery of the CTNS gene, and (f) report of successful stem cell therapy in the cystinotic mouse. This paper focuses on the importance management lessons from these milestones and the potential new therapeutic strategies which may be looming in the near future.http://dx.doi.org/10.4061/2011/929456
spellingShingle Paul Goodyer
The History of Cystinosis: Lessons for Clinical Management
International Journal of Nephrology
title The History of Cystinosis: Lessons for Clinical Management
title_full The History of Cystinosis: Lessons for Clinical Management
title_fullStr The History of Cystinosis: Lessons for Clinical Management
title_full_unstemmed The History of Cystinosis: Lessons for Clinical Management
title_short The History of Cystinosis: Lessons for Clinical Management
title_sort history of cystinosis lessons for clinical management
url http://dx.doi.org/10.4061/2011/929456
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