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Elosulfase alfa is a recombinant form of the human enzyme N-acetylgalactosamine-6-sulfatase (GALNS). It is used as an enzyme replacement therapy for patients with mucopolysaccharidosis type IVA (MPS IVA), also known as Morquio A syndrome, a rare genetic disorder caused by GALNS deficiency. This deficiency leads to the accumulation of glycosaminoglycans (GAGs), specifically keratan sulfate and chondroitin-6-sulfate, resulting in progressive musculoskeletal, cardiorespiratory, and other systemic complications. Elosulfase alfa works by supplementing or replacing the missing GALNS enzyme, thereby reducing GAG buildup in tissues. The drug was developed by BioMarin Pharmaceutical and is administered intravenously[1][5][6][9].
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