Plasma KL-6 reflects pulmonary severity and longitudinal response to enzyme replacement therapy in acid sphingomyelinase deficiency type B.

Plasma KL-6 reflects pulmonary severity and longitudinal response to enzyme replacement therapy in acid sphingomyelinase deficiency type B.

Publication date: Sep 01, 2026

Acid sphingomyelinase deficiency (ASMD) type B is frequently complicated by interstitial lung disease without validated circulating pulmonary biomarkers. In this retrospective longitudinal study of five patients treated with enzyme replacement therapy, plasma KL-6 was evaluated in relation to CT-based severity, DLCO, and treatment response. Higher pre-treatment KL-6 concentrations were observed with higher exploratory CT severity grades, and KL-6 levels generally decreased or remained stable during follow-up. A transient rise occurred during SARS-CoV-2 infection. KL-6 may reflect dynamic alveolar epithelial injury in ASMD.

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Concepts Keywords
Ct Acid sphingomyelinase deficiency
Decreased Alveolar epithelial injury
Pulmonary Biomarker
Sphingomyelinase Enzyme replacement therapy
Therapy Interstitial lung disease
KL-6
Pulmonary diffusing capacity

Semantics

Type Source Name
disease MESH acid sphingomyelinase deficiency
disease MESH ASMD
disease MESH interstitial lung disease
disease MESH SARS-CoV-2 infection
pathway REACTOME SARS-CoV-2 Infection
disease MESH injury
disease MESH Metabolic Diseases
disease MESH dyslipidemia
drug DRUGBANK Carbon monoxide
drug DRUGBANK Olipudase alfa
drug DRUGBANK Esomeprazole
disease MESH included
pathway REACTOME Metabolism
drug DRUGBANK Coenzyme M
disease MESH lung inflammation
disease MESH repeated injury
disease MESH image
disease MESH dissociation
drug DRUGBANK Ezogabine
disease MESH Dis
disease MESH sphingolipidoses

Original Article

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