Evidence map›Paper›PMID 29875425›Full record

ArticleGenetics in medicine : official journal of the American College of Medical Genetics2019

Identification of lysosomal and extralysosomal globotriaosylceramide (Gb3) accumulations before the occurrence of typical pathological changes in the endomyocardial biopsies of Fabry disease patients.

Ming-Jia Hsu, Fu-Pang Chang, Yung-Hsiu Lu, Sheng-Che Hung, Yu-Chen Wang, An-Hang Yang, Han-Jui Lee, Shih-Hsien Sung, Yen-Feng Wang, Wen-Chung Yu and 6 more

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Article in Genetics in medicine : official journal of the American College of Medical Genetics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 30% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Cardiac manifestations of Fabry disease.NPJ cardiovascular health · 2025
    Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Response to Juang et al.Genetics in medicine : official journal of the American College of Medical Genetics · 2019
    Article
  14. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors at 4 institutions in 1 country.

Ming-Jia Hsu *Institute of Microbiology and Immunology, National Yang-Ming University, Taipei, Taiwan.
Fu-Pang Chang *Department of Pathology and Laboratory Medicine, National Yang-Ming University, Taipei, Taiwan.
Yung-Hsiu LuInstitute of Clinical Medicine, National Yang-Ming University, Taipei, Taiwan.
Sheng-Che HungDepartment of Medicine, National Yang-Ming University, Taipei, Taiwan.
Yu-Chen WangDepartment of Pathology and Laboratory Medicine, National Yang-Ming University, Taipei, Taiwan.
An-Hang YangDepartment of Pathology and Laboratory Medicine, National Yang-Ming University, Taipei, Taiwan.
Han-Jui LeeDepartment of Radiology, Taipei Veterans General Hospital, Taipei, Taiwan.
Shih-Hsien SungDivision of Cardiology, Taipei Veterans General Hospital, Taipei, Taiwan.
Yen-Feng WangDepartment of Neurology, Taipei Veterans General Hospital, Taipei, Taiwan.
Wen-Chung YuDepartment of Medicine, National Yang-Ming University, Taipei, Taiwan.
Ting-Rong HsuDivision of Cardiology, Taipei Veterans General Hospital, Taipei, Taiwan.
Po-Hsun HuangDepartment of Medicine, National Yang-Ming University, Taipei, Taiwan.
Sheng-Kai ChangDepartment of Pediatrics, Taipei Veterans General Hospital, Taipei, Taiwan.
Ivan DzhagalovInstitute of Microbiology and Immunology, National Yang-Ming University, Taipei, Taiwan.
Chia-Lin HsuInstitute of Microbiology and Immunology, National Yang-Ming University, Taipei, Taiwan. Chialin.hsu@ym.edu.tw.
Dau-Ming NiuInstitute of Clinical Medicine, National Yang-Ming University, Taipei, Taiwan. dmniu1111@yahoo.com.tw.
Taipei Veterans General Hospital · TWNational Yang Ming Chiao Tung University · TWNational Yang Ming University Hospital · TWNational Yang Ming Chiao Tung University · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeEvaluation standards and treatment initiation timing have been debated for a long time, particularly for late-onset Fabry disease (FD), because of its slow progression. However, early initiation of enzyme replacement therapy (ERT) for FD could be effective in stabilizing the disease progression and potentially preventing irreversible organ damage. We aimed to examine globotriaosylceramide (Gb3) deposits in patients' endomyocardial biopsies to understand the early pathogenesis of FD cardiomyopathy.

methodsImmunofluorescent (IF) staining of Gb3 and lysosomal-associated membrane protein 1 (LAMP-1) was performed on endomyocardial biopsies of patients suspected of Fabry cardiomyopathy who had negative or only slight Gb3 accumulation determined by toluidine blue staining and electron microscopic examination.

resultsThe IF staining results revealed that all patients examined had abundant Gb3 accumulation in their cardiomyocytes, including the ones who are negative for inclusion bodies. Furthermore, we found that early Gb3 deposits were mostly confined within lysosomes, while they appeared extralysosomally at a later stage.

conclusionA significant amount of lysosomal Gb3 deposits could be detected by IF staining in cardiac tissue before the formation of inclusion bodies, suggesting the cardiomyocytes might have been experiencing cellular stress and damage early on, before the appearance of typical pathological changes of FD during the disease progression.

Indexed as

AdultBiopsyDisease ProgressionEnzyme Replacement TherapyFabry DiseaseFluorescent Antibody TechniqueGlobosidesHumansLysosomal-Associated Membrane Protein 1Lysosomal Membrane ProteinsLysosomesMaleMiddle AgedMyocardiumTrihexosylceramidesGlobosidesglobotrihexosylceramideLAMP1 protein, humanLysosomal-Associated Membrane Protein 1Lysosomal Membrane ProteinsTrihexosylceramidesCardiomyopathyFabry diseaseGlobotriaosylceramideImmunofluorescent staining

Identifiers

PMID29875425
OpenAlexW2805237671

What OpenQuestion holds

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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.