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Published on: February 20, 2015
[Screening for Fabry disease in patients with kidney disease]
1Department of Nephrology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan 250021, China.
Insights
Fabry disease affects nearly 0.3% of kidney disease patients. Early screening is vital, as Fabry disease presents complex and varied clinical features in patients with kidney disease.
Area of Science:
- Rare genetic lysosomal storage disorder
- Nephrology and genetics
Context:
- Fabry disease is an X-linked genetic disorder.
- Kidney disease is a common complication of Fabry disease.
Purpose:
- Determine the prevalence of Fabry disease in patients with kidney disease.
- Observe the clinical features of Fabry disease in kidney disease patients.
Summary:
- The study included 1,693 patients with proteinuria or renal insufficiency.
- The overall prevalence of Fabry disease was 0.295% (5/1,693).
- Prevalence was 0.297% in males and 0.293% in females.
Impact:
- Highlights the importance of screening kidney disease patients for Fabry disease.
- Suggests further research into the pathogenicity of GLA gene mutations.
- Emphasizes the complex and heterogeneous clinical manifestations of Fabry disease in kidney disease patients.
Abstract:
This study aimed to determine the prevalence of Fabry disease in patients with kidney disease and observe its clinical features. A total of 1 693 patients in the Renal Department of Shandong Provincial Hospital Affiliated to Shandong First Medical University with proteinuria or renal insufficiency were included from June 2020 to December 2023. The α-galactosidase A level in males and globotriaosylsphingosine (Lyso-GL-3) level in females were detected, and GLA gene detection was performed in those with abnormalities. The GLA gene mutation rate was 0.297% (3/1 010) in males, 1.025% (7/683) in females, and 0.591% (10/1 693) overall. The prevalence of Fabry disease was 0.297% (3/1 010) in males, 0.293% (2/683) in females, and 0.295% (5/1 693) overall. The clinical manifestations of Fabry patients with kidney disease are complex and varied, with high heterogeneity. The pathogenicity of GLA gene mutations in patients with kidney disease requires further comprehensive analysis. Some GLA gene mutations are non-pathogenic and are mostly found in females. Patients with primary or secondary kidney disease should not be ignored regarding screening for Fabry disease.
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