Biomarkers in Fabry Disease. Implications for Clinical Diagnosis and Follow-up

Fabry disease (FD) is a lysosomal storage disorder caused by deficient alpha-galactosidase A activity in the lysosome due to mutations in the GLA gene, resulting in gradual accumulation of globotriaosylceramide and other derivatives in different tissues. Substrate accumulation promotes different pat...

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Autores: Carnicer-Cáceres, Clara, Arranz-Amo, Jose Antonio|||0000-0002-2236-4185, Cea-Arestin, Cristina|||0000-0003-4939-3645, Camprodon Gomez, Maria|||0000-0002-2359-3238, Moreno-Martinez, David|||0000-0001-9777-7796, Lucas-del-Pozo, Sara|||0000-0002-5431-8204, Moltó Abad, Marc|||0000-0002-6364-4570, Tigri-Santiña, Ariadna|||0000-0003-2765-0065, Agraz Pamplona, Irene|||0000-0002-4223-6834, Rodríguez Palomares, José F.|||0000-0002-7229-9780, Hernández-Vara, Jorge|||0000-0002-9129-5224, Armengol-Bellapart, Mar|||0000-0002-8294-6566, Del Toro, Mireia|||0000-0002-8163-1853, Pintos-Morell, Guillem|||0000-0002-9347-2386
Formato: artículo
Fecha de publicación:2021
País:España
Recursos:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:255530
Acesso em linha:https://ddd.uab.cat/record/255530
https://dx.doi.org/urn:doi:10.3390/jcm10081664
Access Level:acceso abierto
Palavra-chave:Fabry disease
Classic phenotype
Late-onset phenotype
Biomarkers
Cardiomyopathy
Chronic kidney disease
Vasculopathy
Lyso-gb3
Gb3
Inflammatory response
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oai_identifier_str oai:ddd.uab.cat:255530
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spelling Biomarkers in Fabry Disease. Implications for Clinical Diagnosis and Follow-up Carnicer-Cáceres, Clara Arranz-Amo, Jose Antonio|||0000-0002-2236-4185 Cea-Arestin, Cristina|||0000-0003-4939-3645 Camprodon Gomez, Maria|||0000-0002-2359-3238 Moreno-Martinez, David|||0000-0001-9777-7796 Lucas-del-Pozo, Sara|||0000-0002-5431-8204 Moltó Abad, Marc|||0000-0002-6364-4570 Tigri-Santiña, Ariadna|||0000-0003-2765-0065 Agraz Pamplona, Irene|||0000-0002-4223-6834 Rodríguez Palomares, José F.|||0000-0002-7229-9780 Hernández-Vara, Jorge|||0000-0002-9129-5224 Armengol-Bellapart, Mar|||0000-0002-8294-6566 Del Toro, Mireia|||0000-0002-8163-1853 Pintos-Morell, Guillem|||0000-0002-9347-2386 Fabry disease Classic phenotype Late-onset phenotype Biomarkers Cardiomyopathy Chronic kidney disease Vasculopathy Lyso-gb3 Gb3 Inflammatory response Fabry disease (FD) is a lysosomal storage disorder caused by deficient alpha-galactosidase A activity in the lysosome due to mutations in the GLA gene, resulting in gradual accumulation of globotriaosylceramide and other derivatives in different tissues. Substrate accumulation promotes different pathogenic mechanisms in which several mediators could be implicated, inducing multiorgan lesions, mainly in the kidney, heart and nervous system, resulting in clinical manifestations of the disease. Enzyme replacement therapy was shown to delay disease progression, mainly if initiated early. However, a diagnosis in the early stages represents a clinical challenge, especially in patients with a non-classic phenotype, which prompts the search for biomarkers that help detect and predict the evolution of the disease. We have reviewed the mediators involved in different pathogenic mechanisms that were studied as potential biomarkers and can be easily incorporated into clinical practice. Some accumulation biomarkers seem to be useful to detect non-classic forms of the disease and could even improve diagnosis of female patients. The combination of such biomarkers with some response biomarkers, may be useful for early detection of organ injury. The incorporation of some biomarkers into clinical practice may increase the capacity of detection compared to that currently obtained with the established diagnostic markers and provide more information on the progression and prognosis of the disease. https://ddd.uab.cat/record/255530 https://dx.doi.org/urn:doi:10.3390/jcm10081664
title Biomarkers in Fabry Disease. Implications for Clinical Diagnosis and Follow-up
spellingShingle Biomarkers in Fabry Disease. Implications for Clinical Diagnosis and Follow-up
Carnicer-Cáceres, Clara
Fabry disease
Classic phenotype
Late-onset phenotype
Biomarkers
Cardiomyopathy
Chronic kidney disease
Vasculopathy
Lyso-gb3
Gb3
Inflammatory response
title_short Biomarkers in Fabry Disease. Implications for Clinical Diagnosis and Follow-up
title_full Biomarkers in Fabry Disease. Implications for Clinical Diagnosis and Follow-up
title_fullStr Biomarkers in Fabry Disease. Implications for Clinical Diagnosis and Follow-up
title_full_unstemmed Biomarkers in Fabry Disease. Implications for Clinical Diagnosis and Follow-up
title_sort Biomarkers in Fabry Disease. Implications for Clinical Diagnosis and Follow-up
author Carnicer-Cáceres, Clara
author_facet Carnicer-Cáceres, Clara
Arranz-Amo, Jose Antonio|||0000-0002-2236-4185
Cea-Arestin, Cristina|||0000-0003-4939-3645
Camprodon Gomez, Maria|||0000-0002-2359-3238
Moreno-Martinez, David|||0000-0001-9777-7796
Lucas-del-Pozo, Sara|||0000-0002-5431-8204
Moltó Abad, Marc|||0000-0002-6364-4570
Tigri-Santiña, Ariadna|||0000-0003-2765-0065
Agraz Pamplona, Irene|||0000-0002-4223-6834
Rodríguez Palomares, José F.|||0000-0002-7229-9780
Hernández-Vara, Jorge|||0000-0002-9129-5224
Armengol-Bellapart, Mar|||0000-0002-8294-6566
Del Toro, Mireia|||0000-0002-8163-1853
Pintos-Morell, Guillem|||0000-0002-9347-2386
author_role author
author2 Arranz-Amo, Jose Antonio|||0000-0002-2236-4185
Cea-Arestin, Cristina|||0000-0003-4939-3645
Camprodon Gomez, Maria|||0000-0002-2359-3238
Moreno-Martinez, David|||0000-0001-9777-7796
Lucas-del-Pozo, Sara|||0000-0002-5431-8204
Moltó Abad, Marc|||0000-0002-6364-4570
Tigri-Santiña, Ariadna|||0000-0003-2765-0065
Agraz Pamplona, Irene|||0000-0002-4223-6834
Rodríguez Palomares, José F.|||0000-0002-7229-9780
Hernández-Vara, Jorge|||0000-0002-9129-5224
Armengol-Bellapart, Mar|||0000-0002-8294-6566
Del Toro, Mireia|||0000-0002-8163-1853
Pintos-Morell, Guillem|||0000-0002-9347-2386
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
topic Fabry disease
Classic phenotype
Late-onset phenotype
Biomarkers
Cardiomyopathy
Chronic kidney disease
Vasculopathy
Lyso-gb3
Gb3
Inflammatory response
topic_facet Fabry disease
Classic phenotype
Late-onset phenotype
Biomarkers
Cardiomyopathy
Chronic kidney disease
Vasculopathy
Lyso-gb3
Gb3
Inflammatory response
description Fabry disease (FD) is a lysosomal storage disorder caused by deficient alpha-galactosidase A activity in the lysosome due to mutations in the GLA gene, resulting in gradual accumulation of globotriaosylceramide and other derivatives in different tissues. Substrate accumulation promotes different pathogenic mechanisms in which several mediators could be implicated, inducing multiorgan lesions, mainly in the kidney, heart and nervous system, resulting in clinical manifestations of the disease. Enzyme replacement therapy was shown to delay disease progression, mainly if initiated early. However, a diagnosis in the early stages represents a clinical challenge, especially in patients with a non-classic phenotype, which prompts the search for biomarkers that help detect and predict the evolution of the disease. We have reviewed the mediators involved in different pathogenic mechanisms that were studied as potential biomarkers and can be easily incorporated into clinical practice. Some accumulation biomarkers seem to be useful to detect non-classic forms of the disease and could even improve diagnosis of female patients. The combination of such biomarkers with some response biomarkers, may be useful for early detection of organ injury. The incorporation of some biomarkers into clinical practice may increase the capacity of detection compared to that currently obtained with the established diagnostic markers and provide more information on the progression and prognosis of the disease.
publishDate 2021
format article
url https://ddd.uab.cat/record/255530
https://dx.doi.org/urn:doi:10.3390/jcm10081664
language eng
eu_rights_str_mv openAccess
institution Universitat Autònoma de Barcelona
collection Dipòsit Digital de Documents de la UAB
reponame_str Dipòsit Digital de Documents de la UAB
instname_str Universitat Autònoma de Barcelona
_version_ 1878437368186273792
publishDateSort 2021
author_browse Agraz Pamplona, Irene|||0000-0002-4223-6834
Armengol-Bellapart, Mar|||0000-0002-8294-6566
Arranz-Amo, Jose Antonio|||0000-0002-2236-4185
Camprodon Gomez, Maria|||0000-0002-2359-3238
Carnicer-Cáceres, Clara
Cea-Arestin, Cristina|||0000-0003-4939-3645
Del Toro, Mireia|||0000-0002-8163-1853
Hernández-Vara, Jorge|||0000-0002-9129-5224
Lucas-del-Pozo, Sara|||0000-0002-5431-8204
Moltó Abad, Marc|||0000-0002-6364-4570
Moreno-Martinez, David|||0000-0001-9777-7796
Pintos-Morell, Guillem|||0000-0002-9347-2386
Rodríguez Palomares, José F.|||0000-0002-7229-9780
Tigri-Santiña, Ariadna|||0000-0003-2765-0065
score 6.9303427