Bioanalysis,
Journal Year:
2023,
Volume and Issue:
15(23), P. 1421 - 1437
Published: Oct. 17, 2023
Background:
A
biomarker
profile
was
evaluated
longitudinally
in
patients
with
Fabry
disease
switched
from
enzyme-replacement
therapy
(ERT)
to
migalastat.
Methods:
16
Gb3
isoforms
and
eight
lyso-Gb3
analogues
were
analyzed
plasma
urine
by
LC–MS/MS
at
baseline
three
different
time
points
naive
participants
switching
either
agalsidase
α
or
β
Results:
29
adult
recruited
internationally
(seven
centers).
The
Mainz
Severity
Score
Index
mean
levels
remained
stable
(p
≥
0.05)
over
a
minimum
of
12
months
compared
following
the
treatment
switch.
Conclusion:
In
this
cohort
amenable
mutations,
short
term,
switch
ERT
migalastat
did
not
have
marked
effect
on
average
profile.
Cancers,
Journal Year:
2023,
Volume and Issue:
15(8), P. 2195 - 2195
Published: April 7, 2023
Metabolic
changes
are
an
important
component
of
tumor
cell
progression.
Tumor
cells
adapt
to
environmental
stresses
via
carbohydrate
and
lipid
metabolism.
Autophagy,
a
physiological
process
in
mammalian
that
digests
damaged
organelles
misfolded
proteins
lysosomal
degradation,
is
closely
associated
with
metabolism
cells,
acting
as
meter
cellular
ATP
levels.
In
this
review,
we
discuss
the
glycolytic
biosynthetic
pathways
their
impact
on
carcinogenesis
autophagy
pathway.
addition,
these
metabolic
lung
cancer.
Current Heart Failure Reports,
Journal Year:
2024,
Volume and Issue:
21(2), P. 81 - 100
Published: Jan. 30, 2024
Abstract
Purpose
of
Review
This
review
explores
the
interplay
among
metabolic
dysfunction,
oxidative
stress,
inflammation,
and
fibrosis
in
Fabry
disease,
focusing
on
their
potential
implications
for
cardiac
involvement.
We
aim
to
discuss
biochemical
processes
that
operate
parallel
sphingolipid
accumulation
contribute
disease
pathogenesis,
emphasizing
importance
a
comprehensive
understanding
these
processes.
Recent
Findings
Beyond
accumulation,
emerging
studies
have
revealed
mitochondrial
chronic
inflammation
could
be
significant
contributors
These
factors
promote
remodeling
may
predispose
patients
conduction
disturbances,
ventricular
arrhythmias,
heart
failure.
While
current
treatments,
such
as
enzyme
replacement
therapy
pharmacological
chaperones,
address
progression
symptoms,
effectiveness
is
limited.
Summary
Our
uncovers
relationships
disease–related
complications.
Current
findings
suggest
beyond
other
mechanisms
significantly
pathogenesis.
prompts
exploration
innovative
therapeutic
strategies
underscores
holistic
approach
managing
disease.
Frontiers in Cardiovascular Medicine,
Journal Year:
2024,
Volume and Issue:
11
Published: Feb. 5, 2024
Introduction
Fabry's
disease
is
an
X-linked
lysosomal
storage
disorder
caused
by
reduced
activity
of
α-galactosidase
A
(GAL),
leading
to
premature
death
on
account
renal,
cardiac,
and
vascular
organ
failure.
Accumulation
the
GAL
substrate
globotriaosylceramide
(Gb3)
in
endothelial
smooth
muscle
cells
associated
with
early
cell
damage,
suggesting
dysfunction
as
a
driver
cardiorenal
Here,
we
studied
expression
key
angiogenic
factors,
VEGFα
its
antagonist
angiostatin,
Fabry
α-GAL-Tg/KO
mice
determined
circulating
angiostatin
serum
levels
patients
Fabry’s
healthy
controls.
Methods
Cryopreserved
aortic
vessels
from
six
wild-type
(WT)
were
obtained
performing
Western
blot
analysis.
was
visualized
immunohistochemical
staining
paraffin
rings.
In
addition,
measured
using
enzyme-linked
immunosorbent
assay
48
genetically
verified
(50%
male)
22
controls
correlated
severity
markers
such
lyso-Gb3,
albuminuria,
NTproBNP,
high-sensitive
troponin
T
(hsTNT),
myocardial
wall
thickness.
Results
It
found
that
there
significant
increase
protein
(1.66
±
0.35
vs.
0.62
0.16,
p
=
0.0009)
decrease
(0.024
0.007
0.053
0.02,
0.038)
lysates
compared
WT
mice.
Immunohistochemical
revealed
adventitial
signal
mice,
whereas
no
could
be
detected
aortas.
No
differences
between
α-GAL-Tg/KO-
visualized.
The
significantly
upregulated
(708.5
426.3
458.5
181.5
pg/ml,
0.048)
positively
albuminuria
(
r
0.82,
<
0.0001)
elevated
NTproBNP
0.87,
hsTNT
values
0.41,
male
disease.
For
difference
(747.6
390.3
858.8
599.3
pg/ml).
Discussion
conclusion,
overexpression
downregulation
counter
player
tissue
support
hypothesis
underlying
vasculopathy
Elevated
also
observed
manifestation
males.
These
findings
suggest
angiogenetic
markers,
VEGFα,
may
potentially
useful
biomarkers
for
detection
classical
Scientific Reports,
Journal Year:
2025,
Volume and Issue:
15(1)
Published: Feb. 11, 2025
Hemodialysis
employing
molecular
hydrogen
(H2)-enriched
dialysis
solution
rendered
by
water
electrolysis
(E-HD),
has
been
reported
to
alleviate
dialysis-related
fatigue,
but
its
association
with
metabolic
profiles
remains
unclear.
Eighty-one
patients
undergoing
standard
HD
were
classified
into
3
groups
[Group
A
(n
=
25,
30.9%):
fatigue
activity
reduction—subgroups
A1:
chronic
persistent
11),
A2:
only
on
days
14);
Group
B:
without
reduction
24,
29.6%);
C
32,
39.5%):
no
fatigue],
and
their
changes
in
body
composition,
studied
following
12
months
of
E-HD.
There
significant
differences
baseline
characteristics
among
the
groups.
Over
after
E-HD
initiation,
significantly
decreased,
while
Group-B
C.
Bio-impedance
analysis
revealed
A1,
reductions
fat
increases
skeletal
muscle
mass
observed
despite
weight
change
A2.
Enrichment
suggested
pathways
such
as
fatty
acid
metabolism,
citric
cycle,
glycolysis
between
Groups
at
baseline,
these
mitigated
could
suppress
through
possible
involvement
altered
energy
metabolism
patients.
may
represent
a
new
paradigm
for
uremia
treatment
beyond
traditional
solute
removal-based
therapies.
European Heart Journal Supplements,
Journal Year:
2025,
Volume and Issue:
27(Supplement_1), P. i51 - i55
Published: Feb. 1, 2025
Fabry
disease
is
an
X-linked
lysosomal
storage
disorder
caused
by
deficient
activity
of
the
enzyme
α-galactosidase
A,
leading
to
accumulation
globotriaosylceramide
in
various
tissues,
including
heart.
Cardiac
involvement
a
prominent
feature
and
major
cause
morbidity
mortality
disease,
manifesting
as
left
ventricular
hypertrophy,
myocardial
ischaemia,
heart
failure,
arrhythmias.
Secondary
mechanisms,
triggered
storage,
contribute
damage,
particular,
inflammation.
Early
cardiac
can
be
subtle,
but
with
progression,
it
becomes
determinant
mortality.
Recent
progresses
diagnostic
techniques,
such
advanced
magnetic
resonance
imaging
T1
T2
mapping,
have
improved
early
detection
Fabry-related
disease.
Enzyme
replacement
therapy
newer
treatments
like
chaperone
shown
potential
managing
manifestations
when
initiated
early,
while
progression
may
difficult
halt
patients
diagnosed
late
course.
Gene
substrate
reduction
are
emerging
treatment
modalities
that
hold
promise
require
further
clinical
evaluation.
The
limited
efficacy
available
therapies
variability
response
represent
main
unresolved
issues,
together
challenges
monitoring
need
for
additional
therapeutic
strategies
targeting
secondary
mechanisms.
Unmet
needs
practice
include
identification
disease-specific
cardiac-specific
biomarkers
detection,
staging,
damage.
Similarly,
prognostic
stratification
better
prevention
cardiovascular
complications
essential
improve
care
these
patients.
Frontiers in Cardiovascular Medicine,
Journal Year:
2024,
Volume and Issue:
11
Published: Jan. 24, 2024
Fabry
disease
(FD)
is
a
lysosomal
storage
disorder
due
to
the
impaired
activity
of
α
-galactosidase
A
(GLA)
enzyme
which
induces
Gb3
deposition
and
multiorgan
dysfunction.
Exercise
intolerance
fatigue
are
frequent
early
findings
in
FD
patients,
representing
self-standing
clinical
phenotype
with
significant
impact
on
patient's
quality
life.
Several
determinants
can
trigger
fatigability
including
psychological
factors,
cardiopulmonary
dysfunctions,
primary
alterations
skeletal
muscle.
The
“metabolic
hypothesis”
explain
muscle
symptoms
patients
growing
acknowledged.
In
this
report,
we
will
focus
motor
system
emphasizing
role
metabolic
disarrangement
determining
altered
exercise
tolerance
patients.
We
discuss
most
recent
about
profile
associated
offering
new
insights
for
diagnosis,
management,
therapy.
Frontiers in Cardiovascular Medicine,
Journal Year:
2024,
Volume and Issue:
11
Published: May 2, 2024
Fabry
disease
(FD),
also
known
as
Anderson-Fabry
disease,
is
a
hereditary
disorder
of
glycosphingolipid
metabolism,
caused
by
deficiency
the
lysosomal
alpha-galactosidase
A
enzyme.
This
causes
progressive
accumulation
glycosphingolipids
in
tissues
and
organs
which
represents
main
pathogenetic
mechanism
FD.
The
multisystemic
characterized
early
symptoms
late
complications
(renal,
cardiac
neurological
dysfunction).
Fatigue
exercise
intolerance
are
common
FD
patients
but
specific
still
to
be
defined.
In
this
narrative
review,
we
deal
with
contribution
pulmonary
dysfunctions
determining
fatigue
patients.
Cardiovascular Diabetology,
Journal Year:
2024,
Volume and Issue:
23(1)
Published: Dec. 20, 2024
Abstract
In
patients
with
type
II
diabetes,
the
development
of
diabetic
cardiomyopathy
(DC)
is
associated
a
high
risk
mortality.
Left
ventricular
hypertrophy,
diastolic
dysfunction,
and
exercise
intolerance
are
first
signs
DC.
The
underlying
mechanisms
not
fully
elucidated,
there
an
urgent
need
for
specific
biomarkers
molecular
targets
early
diagnosis
treatment.
Mitochondrial
alterations
play
key
role
in
DC,
microRNAs
regulating
mitochondrial
function
emerging
as
potential
metabolic
stress
L-Arginine
(Arg)
supplementation
has
been
shown
to
be
effective
strategy
improving
energetics,
significant
impact
on
physical
performance.
aim
current
study
was
evaluate
effects
Arg
cardiac
function,
DC
development,
relative
phenotypes
including
intolerance.
We
used
db/db
mice
model
chronically
treated
(1
mg/kg/day)
12
weeks.
Arg-treated
showed
preserved
left
morphology
compared
untreated
mice.
also
improved
tolerance
propensity
activity.
respiration
significantly
increased
cardiomyocytes
isolated
from
mice,
well
vitro.
improvement
+
increase
PGC-1-alpha
levels,
biogenesis,
recycling,
antioxidant
capacity.
treatment
prevented
accumulation
circulating
miR-143
which
index
activation
damage
mechanisms.
conclusion,
preventing
preserving
by
fitness
homeostasis.
Additionally,
could
potentially
employed
monitor
diabetes.