The Cardiovascular Phenotype in Fabry Disease: New Findings in the Research Field

Fabry disease (FD) is a lysosomal storage disorder, depending on defects in alpha-galactosidase A (GAL) activity. At the clinical level, FD shows a high phenotype variability. Among them, cardiovascular dysfunction is often recurrent or, in some cases, is the sole symptom (cardiac variant) represent...

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Main Authors: Daniela Sorriento, Guido Iaccarino
Format: Article
Language:English
Published: MDPI AG 2021-01-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:https://www.mdpi.com/1422-0067/22/3/1331
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author Daniela Sorriento
Guido Iaccarino
author_facet Daniela Sorriento
Guido Iaccarino
author_sort Daniela Sorriento
collection DOAJ
description Fabry disease (FD) is a lysosomal storage disorder, depending on defects in alpha-galactosidase A (GAL) activity. At the clinical level, FD shows a high phenotype variability. Among them, cardiovascular dysfunction is often recurrent or, in some cases, is the sole symptom (cardiac variant) representing the leading cause of death in Fabry patients. The existing therapies, besides specific symptomatic treatments, are mainly based on the restoration of GAL activity. Indeed, mutations of the galactosidase alpha gene (GLA) cause a reduction or lack of GAL activity leading to globotriaosylceramide (Gb3) accumulation in several organs. However, several other mechanisms are involved in FD’s development and progression that could become useful targets for therapeutics. This review discusses FD’s cardiovascular phenotype and the last findings on molecular mechanisms that accelerate cardiac cell damage.
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spelling doaj.art-e0f7e7085500404bb3ac138fbddc34da2023-12-03T15:09:54ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672021-01-01223133110.3390/ijms22031331The Cardiovascular Phenotype in Fabry Disease: New Findings in the Research FieldDaniela Sorriento0Guido Iaccarino1Department of Advanced Biomedical Sciences, Federico II University, Via Pansini 5, 80131 Naples, ItalyDepartment of Advanced Biomedical Sciences, Federico II University, Via Pansini 5, 80131 Naples, ItalyFabry disease (FD) is a lysosomal storage disorder, depending on defects in alpha-galactosidase A (GAL) activity. At the clinical level, FD shows a high phenotype variability. Among them, cardiovascular dysfunction is often recurrent or, in some cases, is the sole symptom (cardiac variant) representing the leading cause of death in Fabry patients. The existing therapies, besides specific symptomatic treatments, are mainly based on the restoration of GAL activity. Indeed, mutations of the galactosidase alpha gene (GLA) cause a reduction or lack of GAL activity leading to globotriaosylceramide (Gb3) accumulation in several organs. However, several other mechanisms are involved in FD’s development and progression that could become useful targets for therapeutics. This review discusses FD’s cardiovascular phenotype and the last findings on molecular mechanisms that accelerate cardiac cell damage.https://www.mdpi.com/1422-0067/22/3/1331fabrylysosomal disordercardiovascular diseaseinflammationmitochondrial dysfunction
spellingShingle Daniela Sorriento
Guido Iaccarino
The Cardiovascular Phenotype in Fabry Disease: New Findings in the Research Field
International Journal of Molecular Sciences
fabry
lysosomal disorder
cardiovascular disease
inflammation
mitochondrial dysfunction
title The Cardiovascular Phenotype in Fabry Disease: New Findings in the Research Field
title_full The Cardiovascular Phenotype in Fabry Disease: New Findings in the Research Field
title_fullStr The Cardiovascular Phenotype in Fabry Disease: New Findings in the Research Field
title_full_unstemmed The Cardiovascular Phenotype in Fabry Disease: New Findings in the Research Field
title_short The Cardiovascular Phenotype in Fabry Disease: New Findings in the Research Field
title_sort cardiovascular phenotype in fabry disease new findings in the research field
topic fabry
lysosomal disorder
cardiovascular disease
inflammation
mitochondrial dysfunction
url https://www.mdpi.com/1422-0067/22/3/1331
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