Evidence map›Paper›PMID 26334996›Full record

ArticleBMC genetics2015

Increased glycolipid storage produced by the inheritance of a complex intronic haplotype in the α-galactosidase A (GLA) gene.

Javier Gervas-Arruga, Jorge J Cebolla, Pilar Irun, Javier Perez-Lopez, Luis Plaza, Jose C Roche, Jose L Capablo, Jose C Rodriguez-Rey, Miguel Pocovi, Pilar Giraldo

Open access · diamondAbstract read
In one paragraph

Article in BMC genetics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.7field-weighted citation impact, top 16% 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

12 citing papers in PubMed, 23 citations in OpenAlex.

  1. Trial
  2. Potential Pathogenetic Role of the D313Y Mutation in theInternational journal of molecular sciences · 2025
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Observational
  8. Article
  9. Review
  10. Low frequency of Fabry disease in patients with common heart disease.Genetics in medicine : official journal of the American College of Medical Genetics · 2018
    Article
  11. Observational
  12. 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

10 authors at 5 institutions in 1 country.

Javier Gervas-ArrugaCentro de Investigación Biomédica en Red de Enfermedades Raras (CIBERER), Zaragoza, Spain. gervas.j@gmail.com.
Jorge J CebollaTranslational Research Unit, Instituto de Investigación Sanitaria Aragón (IIS Aragón), Miguel Servet University Hospital, Zaragoza, Spain. jorgecebollasanz@gmail.com.
Pilar IrunCentro de Investigación Biomédica en Red de Enfermedades Raras (CIBERER), Zaragoza, Spain. mpirun.uit@gmail.com.
Javier Perez-LopezMolecular Biology Department, Cantabria University and IFIMAV, Santander, Spain. javier.perez@unican.es.
Luis PlazaAnatomic Pathology Department, Miguel Servet University Hospital, Zaragoza, Spain. lplaza@salud.aragon.es.
Jose C RocheNeurology Department, Miguel Servet University Hospital, Zaragoza, Spain. jcrochebueno@hotmail.com.
Jose L CapabloNeurology Department, Miguel Servet University Hospital, Zaragoza, Spain. jcapablo@gmail.com.
Jose C Rodriguez-ReyMolecular Biology Department, Cantabria University and IFIMAV, Santander, Spain. josecarlos.rodriguez@unican.es.
Miguel PocoviInstituto de Investigación Sanitaria Aragón (IIS Aragón), Zaragoza, Spain. mpocovi@unizar.es.
Pilar GiraldoCentro de Investigación Biomédica en Red de Enfermedades Raras (CIBERER), Zaragoza, Spain. giraldocastellano@gmail.com.
Hospital Universitario Miguel Servet · ESCentre for Biomedical Network Research on Rare Diseases · ESUniversidad de Cantabria · ESUniversidad de Zaragoza · ESCentro de Investigación Biomédica en Red · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAccumulation of galactosphingolipids is a general characteristic of Fabry disease, a lysosomal storage disorder caused by the deficient activity of α-galactosidase A encoded by the GLA gene. Although many polymorphic GLA haplotypes have been described, it is still unclear whether some of these variants are causative of disease symptoms. We report the study of an inheritance of a complex intronic haplotype (CIH) (c.-10C > T, c.369 + 990C > A, c.370-81_370-77delCAGCC, c.640-16A > G, c.1000-22C > T) within the GLA gene associated with Fabry-like symptoms and galactosphingolipid accumulation. We analysed α-Gal A activity in plasma, leukocytes and skin fibroblasts in patients, and measured accumulation of galactosphingolipids by enzymatic methods and immunofluorescence techniques. Additionally, we evaluated GLA expression using quantitative PCR, EMSA, and cDNA cloning.

resultsCIH carriers had an altered GLA expression pattern, although most of the carriers had high residual enzyme activity in plasma, leukocytes and in skin fibroblasts. Nonetheless, CIH carriers had significant galactosphingolipid accumulation in fibroblasts in comparison with controls, and also glycolipid deposits in renal tubules and glomeruli. EMSA assays indicated that the c.-10C > T variant in the promoter affected a nuclear protein binding site.

conclusionsThus, inheritance of the CIH caused an mRNA deregulation altering the GLA expression pattern, producing a tissue glycolipid storage.

Indexed as

Genetic Association StudiesHaplotypesIntronsAdultAgedAllelesalpha-GalactosidaseCell LineEnzyme ActivationFabry DiseaseFemaleFibroblastsGenotypeGlycolipidsHumansLeukocytesalpha-GalactosidaseGLA protein, humanGlycolipidsRNA Splice Sites

Identifiers

PMID26334996
PMCPMC4558912
OpenAlexW2112453376

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.