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In Vitro Enzyme Measurement to Test Pharmacological Chaperone Responsiveness in Fabry and Pompe Disease
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Fabry's disease.

Rima El-Abassi1, Divya Singhal1, John D England1

  • 1Department of Neurology, Louisiana State University Health Sciences Center, School of Medicine, 1542 Tulane Avenue, New Orleans, LA 70112, United States.

Journal of the Neurological Sciences
|August 10, 2014
PubMed
Summary
This summary is machine-generated.

Fabry disease, a genetic disorder causing organ damage, is effectively managed with early enzyme replacement therapy. This approach improves pain, heart function, and kidney stabilization, enhancing patient quality of life.

Keywords:
Enzyme replacement therapyFabry's diseaseHereditary neuropathyLysosomal storage diseasePainful neuropathySmall fiber neuropathy

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Area of Science:

  • Genetics
  • Metabolic Disorders
  • Rare Diseases

Background:

  • Fabry disease is an X-linked lysosomal storage disorder due to GLA gene mutations.
  • Deficiency in alpha-galactosidase A leads to glycosphingolipid accumulation, primarily globotriaosylceramide.
  • This accumulation progressively impairs renal and cardiac functions, causing pain, GI issues, and cerebrovascular events.

Purpose of the Study:

  • To provide a comprehensive review of Fabry disease.
  • To cover epidemiology, pathophysiology, clinical manifestations, diagnosis, and management.
  • To highlight the impact of enzyme replacement therapy (ERT) on disease burden and quality of life.

Main Methods:

  • Systematic review of existing literature on Fabry disease.
  • Analysis of clinical presentations across various organ systems.
  • Evaluation of diagnostic criteria and therapeutic strategies, including ERT.

Main Results:

  • Disease presentation varies, with females potentially experiencing severe symptoms or remaining asymptomatic.
  • ERT initiated early reduces organ damage, improves neuropathic pain, cardiac mass, renal function, GI symptoms, and hearing.
  • Awareness of signs and symptoms is crucial for timely diagnosis and intervention.

Conclusions:

  • Fabry disease requires a multi-system approach to management.
  • Early diagnosis and treatment, particularly ERT, are critical for mitigating disease progression and improving patient outcomes.
  • This review serves as a guideline for healthcare professionals in diagnosing and managing Fabry disease.