Drug intelligence / Profile preview

laronidase

Development stage
Approved
Lead developer
BioMarin Pharmaceutical
Modality
Replacement Enzymes → Therapeutic Enzymes → Recombinant Proteins and Enzymes
Administration
Intravenous
01

Overview

Laronidase is a recombinant form of the human enzyme alpha-L-iduronidase, produced using Chinese hamster ovary cell lines. It is a glycoprotein with a molecular weight of approximately 83 kDa and contains 6 N-linked oligosaccharide modification sites. Laronidase is used as an enzyme replacement therapy for patients with mucopolysaccharidosis I (MPS I), specifically the Hurler, Hurler-Scheie, and moderate to severe Scheie forms. MPS I results from a deficiency in endogenous alpha-L-iduronidase, leading to accumulation of glycosaminoglycans (GAGs) such as dermatan sulfate and heparan sulfate in tissues and organs. Laronidase catalyzes the hydrolysis of terminal alpha-L-iduronic acid residues from these GAGs, reducing their pathological accumulation. The drug has been shown to improve pulmonary function and walking capacity but does not address central nervous system manifestations due to limited blood-brain barrier penetration[1][3][4][5].

Brand names
Aldurazyme
Other names
recombinant human alpha-L-iduronidase
02

Targets

IGF2R (Cation-independent mannose-6-phosphate receptor)HS (Heparan sulfate)

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