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Related Concept Videos

Lysosomal Hydrolases01:22

Lysosomal Hydrolases

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Lysosomes are the site for the degradation of macromolecules and biological polymers released during membrane trafficking events such as secretory, endocytic, autophagic, and phagocytic pathways. The membrane-enclosed area of the lysosome, called the lumen, contains hydrolytic enzymes active in an acidic environment. These acid hydrolases are functional at a pH between 4.5 and 5 and are involved in cellular processes such as cell signaling, energy metabolism, restoration of the plasma membrane,...
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Rheumatic Heart Disease I: Introduction01:23

Rheumatic Heart Disease I: Introduction

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Rheumatic heart disease or RHD is a chronic condition that results from rheumatic fever, causing permanent damage to the heart valves.Etiology and Risk FactorsIt primarily arises from rheumatic fever, an inflammatory disease that can develop after untreated or inadequately treated group A streptococcal (GAS) pharyngitis. Streptococcus spreads through direct contact with oral or respiratory secretions. While the bacteria are the causative agents, factors like malnutrition, overcrowding, poor...
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Cystic Fibrosis: Pathogenesis01:23

Cystic Fibrosis: Pathogenesis

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Cystic fibrosis (CF), an autosomal recessive disorder, significantly affects the function of exocrine glands. This genetically inherited disease is characterized by the production of thick and sticky mucus, which can severely affect various organs and systems in the body.
CF is primarily caused by a genetic mutation in a chromosome 7 gene coding for the cystic fibrosis transmembrane conductance regulator (CFTR) protein. The most common gene mutation leading to CF is the ΔF508 mutation,...
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Fibril-associated Collagen01:11

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Fibril-associated collagens are a type of collagens present in the extracellular matrix with interrupted triple helices or FACIT (Fibril-associated collagens interrupted triple-helices). FACIT help connect and attach the collagen fibrils with each other as well as with other proteins of the extracellular matrix.
For example, the type II collagen fibrils in cartilage have covalently bound type IX fibril-associated collagens at regular intervals. Other types of fibril-associated collagens are...
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Chronic Kidney Disease II: Clinical Manifestations01:24

Chronic Kidney Disease II: Clinical Manifestations

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Chronic Kidney Disease (CKD) progressively impairs multiple body systems due to the accumulation of uremic toxins, which disrupt cellular functions across various organs.Neurologic symptomsNeurologic symptoms often arise early in CKD, as uremic toxin buildup drives changes in cognitive and motor functions. Patients frequently experience fatigue, headache, confusion, difficulty concentrating, and, in severe cases, seizures. Peripheral neuropathy commonly manifests as burning sensations in the...
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Renal Corpuscle01:20

Renal Corpuscle

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The glomerulus and Bowman's capsule are two essential components of the nephron, which is the functional unit of the kidney. These microscopic structures play a critical role in the process of blood filtration to produce urine.
Glomerulus: Structure and Function
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Related Experiment Video

Updated: Mar 17, 2026

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

Hugo Abensur1, Marlene Antônia Dos Reis2

  • 1Universidade de São Paulo, Brazil.

Jornal Brasileiro De Nefrologia
|July 21, 2016
PubMed
Summary

Fabry disease causes globotriaosylceramide accumulation due to a genetic mutation, leading to organ damage. Enzyme replacement therapy can slow kidney disease progression, particularly when started early.

Area of Science:

  • Biochemistry
  • Genetics
  • Nephrology

Background:

  • Fabry disease is a rare genetic disorder caused by mutations in the alpha-galactosidase A gene.
  • This leads to the accumulation of globotriaosylceramide (Gb3) in cells throughout the body.
  • Gb3 accumulation particularly affects renal cells, causing progressive kidney damage.

Purpose of the Study:

  • To summarize the pathophysiology and clinical manifestations of Fabry disease.
  • To outline diagnostic methods for Fabry disease.
  • To discuss the role of enzyme replacement therapy in managing renal complications.

Main Methods:

  • Review of existing literature on Fabry disease.
  • Analysis of clinical features and diagnostic criteria.

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  • Evaluation of treatment outcomes for enzyme replacement therapy.
  • Main Results:

    • Fabry disease presents with diverse clinical symptoms including angiokeratomas, neuropathic pain, and significant renal involvement.
    • Renal pathology involves Gb3 deposition in podocytes, leading to proteinuria and impaired glomerular and tubular function.
    • Diagnosis relies on measuring alpha-galactosidase activity and genetic testing.
    • Enzyme replacement therapy has shown efficacy in slowing the progression of kidney disease.

    Conclusions:

    • Fabry disease is a multisystemic lysosomal storage disorder with severe renal consequences.
    • Early diagnosis and timely initiation of enzyme replacement therapy are crucial for mitigating kidney damage.
    • Continued research is needed to further optimize treatment strategies for Fabry disease.