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Cipaglucosidase alfa is a recombinant human acid α-glucosidase enzyme replacement therapy used in combination with miglustat for the long-term treatment of adults with late-onset Pompe disease (lysosomal acid alpha-glucosidase [GAA] deficiency). It provides an exogenous source of GAA to break down accumulated glycogen in lysosomes, thereby reducing tissue damage and improving muscle function. Cipaglucosidase alfa is conjugated with mannose-6-phosphate N-glycans to enhance uptake via the cation-independent mannose-6-phosphate receptor (CI-MPR), facilitating delivery to lysosomes where it becomes active and hydrolyzes glycogen. Miglustat acts as an enzyme stabilizer, maintaining the activity of cipaglucosidase alfa in circulation[1][4][9].
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