Managing LAL-D
LAL-D can be diagnosed by demonstrating deficient LAL activity or pathogenic variants in the LIPA gene.1 The level of LAL activity is determined using an enzyme-based blood test.1 Genetic testing enables characterisation of the genetic status of individuals with suspected LAL-D but some infants may have pathogenic variants that are not detected by routine screening.1
Unexplained liver and lipid abnormalities should raise suspicion of LAL-D.1,2 LAL-D is a progressive disease, with rapid progression in some infants, that is associated with severe complications.2 Therefore, early recognition and accurate diagnosis of LAL-D are critical.1
Dietary interventions together with ongoing clinical care are now seen as an integral part of LAL-D management.3 Studies have shown that a low-fat diet can act as a supportive or complementary treatment.4 Speak to your doctor about the best way to manage your LAL-D.
Other management options include:
Unexplained liver and lipid abnormalities should raise suspicion of LAL-D.1,2 LAL-D is a progressive disease, with rapid progression in some infants, that is associated with severe complications.2 Therefore, early recognition and accurate diagnosis of LAL-D are critical.1
Dietary interventions together with ongoing clinical care are now seen as an integral part of LAL-D management.3 Studies have shown that a low-fat diet can act as a supportive or complementary treatment.4 Speak to your doctor about the best way to manage your LAL-D.
Other management options include:
These medications typically treat high cholesterol – a common complication in patients with LAL-D. However, there is evidence that hepatic damage progresses in patients with LAL-D in spite of treatment.1
A liver transplant may provide patients with LAL-D relief from liver failure, but it does not address the underlying cause of the disease and may not halt disease progression in the heart and kidneys. It will also not prevent the risk of other severe complications.1,2
HSCT has been performed in a few infants with LAL-D. While information regarding long-term outcomes is limited, HSCT has been associated with serious complications.1
Enzyme replacement therapy (ERT) as a treatment option is recommended for several conditions where natural enzyme is either deficient or completely absent. In LAL-D, ERT plays a role in replacing the deficient or malfunctioning lysosomal acid lipase enzyme.5
What are the signs and symptoms
The LAL enzyme plays a central role in breaking down certain fats and cholesterol. When there is a decrease or loss of the LAL enzyme, lipids and cholesterol do not get processed and get deposited...
What is LAL-D?
Lysosomal acid lipase deficiency (LAL-D) is a rare, progressive, and inherited condition caused by mutations in the LIPA gene which is responsible for the production of the lysosomal acid lipase (LAL) enzyme. LAL-D...
Complications associated with LAL-D
LAL-D affects many vital organs, such as the liver, cardiovascular system, spleen and the gastrointestinal tract. In fact, most people with LAL-D experience complications in more than one organ system: Liver LAL-D is a...
ERT, enzyme replacement therapy; HSCT, hematopoietic stem cell transplant; LAL, lysosomal acid lipase; LAL-D, lysosomal acid lipase deficiency.