Evidence map›Paper›PMID 25977923›Full record

ArticleBioMed research international2015

High variability of Fabry disease manifestations in an extended Italian family.

Giuseppe Cammarata, Pasquale Fatuzzo, Margherita Stefania Rodolico, Paolo Colomba, Luigi Sicurella, Francesco Iemolo, Carmela Zizzo, Riccardo Alessandro, Caterina Bartolotta, Giovanni Duro and 1 more

Open access · hybridAbstract readCase Reports
In one paragraph

Article in BioMed research international, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
2.6field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 31 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. Article
  5. Molecular genetics and metabolism reports · 2024
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Balance control impairments in Fabry disease.Frontiers in neurology · 2022
    Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Anderson-Fabry disease in heart failure.Biophysical reviews · 2018
    Review
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 5 institutions in 1 country.

Giuseppe CammarataInstitute of Biomedicine and Molecular Immunology (IBIM), National Research Council, 90146 Palermo, Italy.
Pasquale FatuzzoInternal Medicine, Nephrology and Dialysis Unit, Department of Medical and Pediatric Sciences, University of Catania, 95100 Catania, Italy.
Margherita Stefania RodolicoInstitute of Neurological Sciences (ISN), National Research Council, 95126 Catania, Italy.
Paolo ColombaInstitute of Biomedicine and Molecular Immunology (IBIM), National Research Council, 90146 Palermo, Italy.
Luigi SicurellaComplex Operative Unit of Neurology, S. Antonio Abate Hospital, 91016 Trapani, Italy.
Francesco IemoloInstitute of Biomedicine and Molecular Immunology (IBIM), National Research Council, 90146 Palermo, Italy ; Department of Neurology, "R. Guzzardi" Hospital, ASP Ragusa, Vittoria, 97019 Ragusa, Italy.
Carmela ZizzoInstitute of Biomedicine and Molecular Immunology (IBIM), National Research Council, 90146 Palermo, Italy.
Riccardo AlessandroInstitute of Biomedicine and Molecular Immunology (IBIM), National Research Council, 90146 Palermo, Italy ; Department of Biopathology and Medical and Forensic Biotechnology, Section of Biology and Genetics, University of Palermo, 90133 Palermo, Italy.ORCID 0000-0002-9935-1040
Caterina BartolottaInstitute of Biomedicine and Molecular Immunology (IBIM), National Research Council, 90146 Palermo, Italy.
Giovanni DuroInstitute of Biomedicine and Molecular Immunology (IBIM), National Research Council, 90146 Palermo, Italy.
Ines MonteCardio-Thorax-Vascular and Transplant Department, University of Catania, 95125 Catania, Italy.ORCID 0000-0001-7059-7525
Istituto di Biomedicina e di Immunologia Molecolare Alberto Monroy · ITUniversity of Catania · ITInstitute of Neurological Sciences · ITOspedale Sant Antonio · ITUniversity of Ragusa · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Fabry disease (FD) is an inherited metabolic disorder caused by partial or full inactivation of the lysosomal hydrolase α-galactosidase A (α-GAL). The impairment of α-GAL results in the accumulation of undegraded glycosphingolipids in lysosomes and subsequent cell and microvascular dysfunctions. This study reports the clinical, biochemical, and molecular characterization of 15 members of the same family. Eight members showed the exonic mutation M51I in the GLA gene, a disease-causing mutation associated with the atypical phenotype. The clinical history of this family highlights a wide phenotypic variability, in terms of involved organs and severity. The phenotypic variability of two male patients is not related to differences in α-GAL enzymatic activity: though both have no enzymatic activity, the youngest shows severe symptoms, while the eldest is asymptomatic. It is noticeable that for two female patients with the M51I mutation the initial clinical diagnosis was different from FD. One of them was diagnosed with Familial Mediterranean Fever, the other with Multiple Sclerosis. Overall, this study confirms that the extreme variability of the clinical manifestations of FD is not entirely attributable to different mutations in the GLA gene and emphasizes the need to consider other factors or mechanisms involved in the pathogenesis of Fabry Disease.

Indexed as

FamilyAdultalpha-GalactosidaseBase SequenceDNA Mutational AnalysisFabry DiseaseFemaleHumansItalyMaleMiddle AgedMolecular Sequence DataPedigreeYoung Adultalpha-Galactosidase

Identifiers

PMID25977923
PMCPMC4421032
OpenAlexW2021191803

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.