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In Vitro Enzyme Measurement to Test Pharmacological Chaperone Responsiveness in Fabry and Pompe Disease
Published on: December 20, 2017
[Fabry disease]
Paula Boggio1, Paula Carolina Luna, María Eugenia Abad
1Departamento de Dermatologia, Hospital General de Agudos J.M. Ramos Mejía, Buenos Aires, Argentina. paulaboggio@fibertel.com.ar
Insights
Fabry disease, an X-linked disorder, results from a-galactosidase A deficiency, causing globotriaosylceramide buildup. Early signs like angiokeratomas and hypohidrosis are crucial for diagnosis and multidisciplinary care.
Area of Science:
- Genetics and rare diseases
- Biochemistry and metabolic disorders
- Vascular and organ pathology
Context:
- Fabry disease is an uncommon X-linked lysosomal storage disorder.
- It stems from a partial or complete deficiency of the enzyme a-galactosidase A.
- This deficiency leads to the accumulation of uncleaved globotriaosylceramide.
Purpose:
- To review the literature on Fabry disease.
- To highlight key diagnostic signs for early recognition.
- To emphasize the importance of multidisciplinary assessment.
Summary:
- The accumulation of globotriaosylceramide primarily affects vascular endothelium and visceral tissues, including skin, heart, kidneys, and the central nervous system.
- Early identification of angiokeratomas and hypohidrosis are critical diagnostic indicators.
- A comprehensive, multidisciplinary approach is essential for managing patients with Fabry disease.
Impact:
- Facilitates earlier diagnosis and intervention for Fabry disease.
- Improves patient outcomes through timely and coordinated care.
- Enhances understanding of the clinical manifestations and diagnostic challenges.
Abstract:
Fabry disease is an uncommon, X-linked lysosomal storage disorder, caused by partial or complete deficiency of the enzyme a-galactosidase A. The defect leads to accumulation of uncleaved globotriaosylceramide on the vascular endothelium and visceral tissues, being the skin, heart, kidneys and central nervous system the most affected organs. We performed review of the literature related to the disease and emphasized that early recognition of angiokeratomas and hypohidrosis are key diagnostic signs of this serious disease. We also addressed the need of multidisciplinary assessment of these patients.
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