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17 Results Found

  • Review
  • Open Access
5 Citations
3,796 Views
15 Pages

Illuminating Dersimelagon: A Novel Agent in the Treatment of Erythropoietic Protoporphyria and X-Linked Protoporphyria

  • Katelyn E. Madigan,
  • Sean R. Rudnick,
  • Matthew A. Agnew,
  • Numra Urooj and
  • Herbert L. Bonkovsky

25 December 2023

Erythropoietic protoporphyria (EPP) is a genetic disorder stemming from reduced ferrochelatase expression, the final enzyme in the pathway of heme biosynthesis. A closely related condition, X-linked protoporphyria (XLP), bears similar clinical featur...

  • Review
  • Open Access
23 Citations
8,425 Views
18 Pages

Recognized and Emerging Features of Erythropoietic and X-Linked Protoporphyria

  • Elena Di Pierro,
  • Francesca Granata,
  • Michele De Canio,
  • Mariateresa Rossi and ,
  • Andrea Ricci,
  • Matteo Marcacci,
  • Giacomo De Luca,
  • Luisa Sarno,
  • Luca Barbieri and
  • Giovanna Graziadei
  • + 6 authors+ 1 author

Erythropoietic protoporphyria (EPP) and X-linked protoporphyria (XLP) are inherited disorders resulting from defects in two different enzymes of the heme biosynthetic pathway, i.e., ferrochelatase (FECH) and delta-aminolevulinic acid synthase-2 (ALAS...

(This article belongs to the Section Pathology and Molecular Diagnostics)
  • Brief Report
  • Open Access
9 Citations
3,638 Views
9 Pages

Afamelanotide for Treatment of the Protoporphyrias: Impact on Quality of Life and Laboratory Parameters in a US Cohort

  • Rebecca K. Leaf,
  • Hetanshi Naik,
  • Paul Y. Jiang,
  • Sarina B. Elmariah and ,
  • Pamela Hodges,
  • Jennifer Mead,
  • John Trinidad,
  • Behnam Saberi,
  • Benny Tran and
  • Amy K. Dickey
  • + 9 authors+ 4 authors

28 May 2024

Background: Erythropoietic protoporphyria (EPP) and X-linked protoporphyria (XLP) are rare disorders of heme biosynthesis characterized by severe cutaneous phototoxicity. Afamelanotide, an α-melanocyte-stimulating hormone analogue, is the only...

(This article belongs to the Special Issue Heme Metabolism and Porphyria)
  • Article
  • Open Access
9 Citations
5,911 Views
15 Pages

Afamelanotide Is Associated with Dose-Dependent Protective Effect from Liver Damage Related to Erythropoietic Protoporphyria

  • Anna-Elisabeth Minder,
  • Xiaoye Schneider-Yin,
  • Henryk Zulewski,
  • Christoph E. Minder and
  • Elisabeth I. Minder

21 April 2023

In animal models, melanocyte-stimulating hormones (MSHs) protect the liver from various injuries. Erythropoietic protoporphyria (EPP), a metabolic disorder, leads to the accumulation of protoporphyrin (PPIX). In addition to the most prominent symptom...

(This article belongs to the Special Issue Heme Metabolism and Porphyria)
  • Case Report
  • Open Access
2,157 Views
5 Pages

Background/Objectives: Patients with erythropoietic protoporphyria (EPP) have a decreased activity of the ferrochelatase enzyme which converts protoporphyrin IX (PpIX) into heme, causing PpIX to accumulate in erythrocytes. The ensuing release of PpIX...

  • Article
  • Open Access
8 Citations
4,256 Views
15 Pages

Quality-Adjusted Life Years in Erythropoietic Protoporphyria and Other Rare Diseases: A Patient-Initiated EQ-5D Feasibility Study

  • Jasmin Barman-Aksözen,
  • Anna-Elisabeth Minder,
  • Francesca Granata,
  • Mårten Pettersson and ,
  • Cornelia Dechant,
  • Mehmet Hakan Aksözen and
  • Rocco Falchetto
  • + 2 authors+ 0 author

Erythropoietic protoporphyria (EPP) is an ultra-rare inborn error of metabolism characterised by painful phototoxic burn injuries after short exposure times to visible light. Patients with EPP are highly adapted to their condition which makes the qua...

(This article belongs to the Special Issue Second Edition of the Current Situation and Distribution of Rare Diseases: Challenges, Prevention, Healthcare, and Effects)
  • Article
  • Open Access
7 Citations
3,831 Views
28 Pages

CRISPR/Cas9-Mediated fech Knockout Zebrafish: Unraveling the Pathogenesis of Erythropoietic Protoporphyria and Facilitating Drug Screening

  • Hitihami M. S. M. Wijerathna,
  • Kateepe A. S. N. Shanaka,
  • Sarithaa S. Raguvaran,
  • Bulumulle P. M. V. Jayamali and ,
  • Seok-Hyung Kim,
  • Myoung-Jin Kim,
  • Sumi Jung and
  • Jehee Lee
  • + 3 authors+ 0 author

8 October 2024

Erythropoietic protoporphyria (EPP1) results in painful photosensitivity and severe liver damage in humans due to the accumulation of fluorescent protoporphyrin IX (PPIX). While zebrafish (Danio rerio) models for porphyria exist, the utility of ferro...

(This article belongs to the Section Molecular Biology)
  • Article
  • Open Access
9 Citations
3,973 Views
15 Pages

24 December 2023

Acute intermittent porphyria (AIP) is characterized by acute neurovisceral attacks that are precipitated by the induction of hepatic 5-aminolevulinic acid synthase 1 (ALAS1). In erythropoietic protoporphyria (EPP), sun exposure leads to skin photosen...

(This article belongs to the Section Molecular Biology)
  • Article
  • Open Access
4 Citations
2,968 Views
14 Pages

Fair Funding Decisions: Consistency of the Time Horizons Used in the Calculation of Quality-Adjusted Life Years for Therapies for Very Rare Diseases by the National Institute for Health and Care Excellence in England

  • Jasmin Barman-Aksözen,
  • Nicole Hentschel,
  • Mårten Pettersson,
  • Eva Schupp and ,
  • Francesca Granata,
  • Cornelia Dechant,
  • Mehmet Hakan Aksözen and
  • Rocco Falchetto
  • + 3 authors+ 0 author

The National Institute for Health and Care Excellence (NICE) in England uses quality-adjusted life years (QALYs) to assess the cost-effectiveness of treatments. A QALY is a measure that combines the size of the clinical benefit of a treatment with th...

(This article belongs to the Special Issue Innovations in Health Economics, Social Policy and Health Management)
  • Review
  • Open Access
32 Citations
9,733 Views
12 Pages

Iron, Heme Synthesis and Erythropoietic Porphyrias: A Complex Interplay

  • Antoine Poli,
  • Caroline Schmitt,
  • Boualem Moulouel,
  • Arienne Mirmiran and ,
  • Hervé Puy,
  • Thibaud Lefèbvre and
  • Laurent Gouya
  • + 2 authors+ 0 author

23 November 2021

Erythropoietic porphyrias are caused by enzymatic dysfunctions in the heme biosynthetic pathway, resulting in porphyrins accumulation in red blood cells. The porphyrins deposition in tissues, including the skin, leads to photosensitivity that is pres...

(This article belongs to the Section Endocrinology and Clinical Metabolic Research)
  • Review
  • Open Access
27 Citations
6,280 Views
29 Pages

Iron Metabolism in the Disorders of Heme Biosynthesis

  • Andrea Ricci,
  • Giada Di Betto,
  • Elisa Bergamini,
  • Elena Buzzetti and ,
  • Elena Corradini and
  • Paolo Ventura
  • + 1 author+ 0 author

31 August 2022

Given its remarkable property to easily switch between different oxidative states, iron is essential in countless cellular functions which involve redox reactions. At the same time, uncontrolled interactions between iron and its surrounding milieu ma...

(This article belongs to the Section Endocrinology and Clinical Metabolic Research)
  • Review
  • Open Access
109 Citations
18,610 Views
30 Pages

Clinically Important Features of Porphyrin and Heme Metabolism and the Porphyrias

  • Siddesh Besur,
  • Wehong Hou,
  • Paul Schmeltzer and
  • Herbert L. Bonkovsky

3 November 2014

Heme, like chlorophyll, is a primordial molecule and is one of the fundamental pigments of life. Disorders of normal heme synthesis may cause human diseases, including certain anemias (X-linked sideroblastic anemias) and porphyrias. Porphyrias are cl...

(This article belongs to the Special Issue Inborn Errors of Metabolism)
  • Review
  • Open Access
12 Citations
4,207 Views
16 Pages

Psychological Aspect and Quality of Life in Porphyrias: A Review

  • Granata Francesca,
  • Annamaria Nicolli,
  • Alessia Colaiocco,
  • Elena Di Pierro and
  • Giovanna Graziadei

The World Health Organization (WHO) describes “health” as a state of physical, mental, and social well-being and not merely the absence of disease or infirmity. Therefore, a biopsychosocial approach should be considered as an integral par...

(This article belongs to the Special Issue Advances in Diagnosis and Treatment of Porphyrias)
  • Case Report
  • Open Access
2,915 Views
9 Pages

Congenital Erythropoietic Porphyria with Persistent Severe Biochemical Abnormalities and a Non-Mutilating Clinical Course: A Case Report

  • Supriya Peshin,
  • Ehab Takrori,
  • Kaneez S. Khan,
  • Bilal Rahimuddin and ,
  • Sanjaya K. Upadhyaya,
  • Pintu K. Gami and
  • Sakshi Singal
  • + 2 authors+ 0 author

16 February 2026

Background and Clinical Significance: Congenital erythropoietic porphyria (CEP), also known as Günther disease, is a rare autosomal recessive porphyria caused by a deficiency of uroporphyrinogen III synthase, leading to the accumulation of photo...

  • Review
  • Open Access
90 Citations
20,382 Views
19 Pages

Due to their potential health-promoting effects, carotenoids have drawn both scientific and public attention in recent years. The primary source of carotenoids in the human skin is diet, mainly fruits, vegetables, and marine product, but they may ori...

(This article belongs to the Special Issue Carotenoids)
  • Article
  • Open Access
6 Citations
4,383 Views
20 Pages

Biosynthesis of heme represents a complex process that involves multiple stages controlled by different enzymes. The first of these proteins is a pyridoxal 5′-phosphate (PLP)-dependent homodimeric enzyme, 5-aminolevulinate synthase (ALAS), that...

(This article belongs to the Special Issue Protein Structural Dynamics)
  • Review
  • Open Access
5 Citations
6,107 Views
26 Pages

Polymorphism of Melanocortin Receptor Genes—Association with Inflammatory Traits and Diseases

  • Mainak Bardhan,
  • Ayush Anand,
  • Amaan Javed,
  • Maria Andrea Chilo and ,
  • Nida Khan,
  • Tulika Garg,
  • Arihant Surana,
  • Helen Huang,
  • M M Samim and
  • Tithishri Kundu
  • + 8 authors+ 3 authors

16 September 2025

Melanocortin receptors (MCRs) are responsible for various functions ranging from skin pigmentation, regulation of appetite, stress response and cognition, steroid synthesis, and energy balance to cellular regeneration and immunomodulation. The geneti...