Cells,
Journal Year:
2024,
Volume and Issue:
13(5), P. 437 - 437
Published: March 1, 2024
Fabry
disease
(FD)
is
an
X-linked
recessive
inheritance
lysosomal
storage
disorder
caused
by
pathogenic
mutations
in
the
GLA
gene
leading
to
a
deficiency
of
enzyme
alpha-galactosidase
A
(α-Gal
A).
Multiple
organ
systems
are
implicated
FD,
most
notably
kidney,
heart,
and
central
nervous
system.
In
our
previous
study,
we
identified
four
from
independent
families
with
kidney
or
neuropathic
pain:
c.119C>A
(p.P40H),
c.280T>C
(C94R),
c.680G>C
(p.R227P)
c.801+1G>A
(p.L268fsX3).
To
reveal
molecular
mechanism
underlying
predisposition
mutations,
analyzed
effects
these
on
protein
structure
α-galactosidase
using
bioinformatics
methods.
The
results
showed
that
have
significant
impact
internal
dynamics
structures
GLA,
all
altered
amino
acids
close
activity
center
lead
significantly
reduced
activity.
Furthermore,
led
accumulation
autophagosomes
impairment
autophagy
cells,
which
may
turn
negatively
regulate
slightly
increasing
phosphorylation
mTOR.
Moreover,
overexpression
mutants
promoted
expression
lysosome-associated
membrane
2
(LAMP2),
resulting
increased
number
lysosomes.
Our
study
reveals
pathogenesis
FD
provides
scientific
foundation
for
accurate
diagnosis
precise
medical
intervention
FD.
Orphanet Journal of Rare Diseases,
Journal Year:
2025,
Volume and Issue:
20(1)
Published: March 13, 2025
Abstract
Fabry
disease
is
characterized
by
an
X
sex
chromosome
gene
mutation
caused
α-galactosidase
A
deficiency,
resulting
in
the
accumulation
of
globotriaosylceramide
and
globotriaosylsphingosine
various
organs,
which
induces
end-organ
lesions.
In
disease,
enzymes
with
lost
or
decreased
activity
body
are
replaced
exogenous
supplementation
normal-function
A.
Currently,
agalsidase
α
β
widely
used
for
ERT
therapy.
However,
this
therapy
has
limitations
such
as
high
cost,
short
half-life,
production
neutralizing
drug
antibodies.
The
use
Migalastat
chaperone
been
approved
many
countries,
it
plays
a
therapeutic
role
enhancing
enzyme
activity.
companion
drugs
only
suitable
patients
activity,
so
scope
their
application
limited.
addition,
there
several
development,
including
new
generation
therapies,
resistant
to
anti-drug
antibody
drugs,
substrate
reduction
drugs.
Due
existing
researchers
have
begun
explore
pathogenic
mechanisms
adjuvant
continuously
discovered,
development
related
will
contribute
control
treatment.
This
article
summarizes
potential
treating
facilitate
selection
effective
Aging,
Journal Year:
2020,
Volume and Issue:
12(17), P. 17601 - 17624
Published: Aug. 28, 2020
Healthy
aging
is
typified
by
a
progressive
and
absolute
loss
of
podocytes
over
the
lifespan
animals
humans.
To
test
hypothesis
that
subset
glomerular
parietal
epithelial
cell
(PEC)
progenitors
transition
to
podocyte
fate
with
aging,
dual
reporter
PEC-rtTA|LC1|tdTomato|Nphs1-FLPo|FRT-EGFP
mice
were
generated.
PECs
inducibly
labeled
tdTomato
reporter,
constitutively
an
EGFP
reporter.
With
advancing
age
(14
24
months)
glomeruli
in
juxta-medullary
cortex
(JMC)
more
severely
injured
than
those
outer
(OC).
In
aged
(24m),
lower
number
(41%
decrease),
showed
PEC
migration
differentiation
mildly
or
healthy
glomeruli.
differentiated
had
ultrastructural
features
co-expressed
markers
podocin,
nephrin,
p57
VEGF164,
but
not
mesangial
(Perlecan)
endothelial
(ERG)
cells.
did
express
CD44,
marker
activation.
Taken
together,
we
demonstrate
subpopulation
differentiate
predominantly
advanced
age.
Journal of Clinical Medicine,
Journal Year:
2021,
Volume and Issue:
10(8), P. 1664 - 1664
Published: April 13, 2021
Fabry
disease
(FD)
is
a
lysosomal
storage
disorder
caused
by
deficient
alpha-galactosidase
A
activity
in
the
lysosome
due
to
mutations
GLA
gene,
resulting
gradual
accumulation
of
globotriaosylceramide
and
other
derivatives
different
tissues.
Substrate
promotes
pathogenic
mechanisms
which
several
mediators
could
be
implicated,
inducing
multiorgan
lesions,
mainly
kidney,
heart
nervous
system,
clinical
manifestations
disease.
Enzyme
replacement
therapy
was
shown
delay
progression,
if
initiated
early.
However,
diagnosis
early
stages
represents
challenge,
especially
patients
with
non-classic
phenotype,
prompts
search
for
biomarkers
that
help
detect
predict
evolution
We
have
reviewed
involved
were
studied
as
potential
can
easily
incorporated
into
practice.
Some
seem
useful
forms
even
improve
female
patients.
The
combination
such
some
response
biomarkers,
may
detection
organ
injury.
incorporation
practice
increase
capacity
compared
currently
obtained
established
diagnostic
markers
provide
more
information
on
progression
prognosis
Molecular Genetics and Metabolism,
Journal Year:
2022,
Volume and Issue:
137(4), P. 328 - 341
Published: Oct. 30, 2022
Fabry
disease
(FD)
is
a
rare
lysosomal
storage
disorder,
characterized
by
reduction
in
α-galactosidase
A
enzyme
activity
and
the
progressive
accumulation
of
globotriaosylceramide
(GL3)
its
metabolites
cells
various
organs.
Agalsidase
beta,
an
replacement
therapy
(ERT),
approved
for
use
patients
with
FD
Europe,
Canada,
Australia,
South
America,
Asia,
only
ERT
United
States.
In
this
review,
we
discuss
clinical
relevance
GL3
accumulation,
effect
agalsidase
beta
on
target
tissues,
association
between
treatment-related
tissue
clearance
long-term
structure,
function,
or
outcomes.
Accumulation
kidney,
heart,
vasculature,
neurons,
skin,
gastrointestinal
tract
auditory
system
correlates
to
cellular
damage
irreversible
organ
damage,
as
result
sclerosis,
fibrosis,
apoptosis,
inflammation,
endothelial
dysfunction.
Damage
leads
renal
dysfunction
end-stage
disease;
myocardial
hypertrophy
heart
failure
arrhythmias;
ischemic
stroke;
neuropathic
pain;
skin
lesions;
intestinal
ischemia
dysmotility;
hearing
loss.
Treatment
effective
substantially
clearing
range
from
tissues
affected
FD.
has
also
been
shown
slow
decline
lower
overall
risk
progression,
demonstrating
indirect
link
stabilization
Clinical Journal of the American Society of Nephrology,
Journal Year:
2023,
Volume and Issue:
18(10), P. 1272 - 1282
Published: July 27, 2023
Fabry
disease
is
a
very
heterogeneous
X-linked
lysosomal
storage
disease.
Disease
manifestations
in
the
kidneys,
heart,
and
brain
vary
greatly,
even
between
patients
of
same
sex
with
classification
(classical
or
nonclassical).
A
biomarker
strong
association
development
needed
to
determine
need
for
Fabry-specific
treatment
appropriate
frequency
follow-up
because
clinical
disorder
may
take
decennia
develop.
Rare Disease and Orphan Drugs Journal,
Journal Year:
2024,
Volume and Issue:
3(3)
Published: June 27, 2024
Aim:
In
2016,
a
team
of
Canadian
researchers
initiated
the
world’s
first
gene
therapy
clinical
trial
for
Fabry
disease.
The
study,
aiming
to
determine
safety
and
toxicity
lentivirus
α-galactosidase
A
transduced
autologous
CD34+
cells
in
adult
males
with
disease
(n
=
5),
was
conducted
at
three
centers.
objective
present
work
evaluate
profile
disease-related
biomarkers
five
participants
during
5-year
surveillance
period,
as
part
evaluation
this
novel
therapy.
Methods:
Sixteen
globotriaosylceramide
(Gb3)
isoforms
eight
globotriaosylsphingosine
(lyso-Gb3)
analogues
were
measured
by
LC-MS/MS
plasma
urine
numerous
time
points
before
after
Plasma
peripheral
blood
leukocyte
activity
also
measured.
Results:
Levels
lyso-Gb3
analogues,
Gb3
lower
while
treated
enzyme
replacement
(ERT)
compared
baseline
(before
therapy)
ERT
only.
Three
chose
cease
treatment
some
point
Two
these
patients
had
levels
baseline,
whereas
one
participant
higher
baseline.
An
increase
observed
when
ceased
(P
<
0.05)
all
participants.
Conclusion:
complete
glycosphingolipid
biomarker
useful
monitoring
biochemical
response
cohort
Journal of Translational Genetics and Genomics,
Journal Year:
2025,
Volume and Issue:
9(1), P. 48 - 51
Published: Feb. 26, 2025
Aims:
This
study
used
induced
pluripotent
stem
cell-derived
podocytes
from
a
Fabry
disease
(FD)
patient
carrying
the
p.Met284Thr
pathogenic
variant
as
an
in
vitro
model
to
investigate
lysosomal
abnormalities
driving
cell
pathology.
Proteomic
analysis
was
assess
changes
protein
abundance
FD
compared
controls.
Additionally,
temporal
lysosome
number
were
analyzed
using
automated
live-cell
imaging.
Methods:
Label-free
mass
spectrometry
proteomics
performed
on
at
day
10
of
differentiation
For
imaging,
cultured
transfected
with
CellLight
Lysosomes-GFP
and
Plasma
Membrane-CFP,
then
visualized
quantified
days
20
post-differentiation
Perkin
Elmer
Phenix
High
Content
Screening
Microscope.
Results:
showed
dysregulation
glycosphingolipid
metabolism
proteins,
including
decreased
galactosidase
alpha
(GLA;
P
<
0.01)
increased
galactosylceramidase
glucosylceramidase
(P
podocytes.
Lysosomal
proteins
enriched,
significant
increase
cathepsin
B
0.001)
decrease
lipase
A
0.01).
Furthermore,
involved
cycle
regulation
growth
signaling
pathways,
such
polo-like
kinase
1
(PLK1;
0.0001)
proto-oncogene
tyrosine-protein
Src
(SRC;
0.01),
suggested
broader
impacts
cellular
processes.
Temporal
imaging
revealed
controls
Conclusions:
These
findings
collectively
suggest
that
undergo
progressive
impairment,
which
may
contribute
dysfunction
progression.
proof-of-concept
lay
foundation
for
future
research
targeted
therapies
high-throughput
screening
advanced
analytical
techniques.