Evidence map›Paper›PMID 30261035›Full record

ArticlePloS one2018

Oxidative stress and the altered reaction to it in Fabry disease: A possible target for cardiovascular-renal remodeling?

Verdiana Ravarotto, Gianni Carraro, Elisa Pagnin, Giovanni Bertoldi, Francesca Simioni, Giuseppe Maiolino, Matteo Martinato, Linda Landini, Paul A Davis, Lorenzo A Calò

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06325488 (Fibrosis, Inflammation, Oxygenation of Renal Tissue In FabrY Disease), which is not on this map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
1.8field-weighted citation impact, top 15% 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.

NCT06325488 recruitingnot on this mapstarted 2024, after this paper: background citation

Fibrosis, Inflammation, Oxygenation of Renal Tissue In FabrY Disease

TypeobservationalSponsorCaroline Michaela KistorpRan2024 to 2026Enrolled60ConditionsFabry Disease, Chronic Kidney Diseases
3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 34 citations in OpenAlex.

  1. Review
  2. Fabry Disease: A Focus on the Role of Oxidative Stress.Antioxidants (Basel, Switzerland) · 2026
    Review
  3. Article
  4. Article
  5. Fabry disease: a rare disorder calling for personalized medicine.International urology and nephrology · 2024
    Review
  6. Observational
  7. Review
  8. Review
  9. Article
  10. The RAAS Goodfellas in Cardiovascular System.Journal of clinical medicine · 2023
    Review
  11. Fasudil alleviates the vascular endothelial dysfunction and several phenotypes of Fabry disease.Molecular therapy : the journal of the American Society of Gene Therapy · 2023
    Article
  12. Article
  13. Review
  14. Arteriolar neuropathology in cerebral microvascular disease.Neuropathology and applied neurobiology · 2023
    Review
  15. Article
  16. Review
  17. Article
  18. Article
  19. Review
  20. Review
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 3 institutions in 2 countries.

Verdiana RavarottoDepartment of Medicine, Nephrology, University of Padua, Padua Italy.
Gianni CarraroDepartment of Medicine, Nephrology, University of Padua, Padua Italy.
Elisa PagninDepartment of Medicine, Nephrology, University of Padua, Padua Italy.
Giovanni BertoldiDepartment of Medicine, Nephrology, University of Padua, Padua Italy.
Francesca SimioniDepartment of Medicine, Nephrology, University of Padua, Padua Italy.
Giuseppe MaiolinoDepartment of Medicine, Hypertension, University of Padua, Padua Italy.
Matteo MartinatoClinical Research Unit, Padua University Hospital, Padua, Italy.
Linda LandiniMedical Affairs Sanofi-Genzyme, Milan, Italy.
Paul A DavisDepartment of Nutrition, University of California, Davis, United States of America.
Lorenzo A CalòDepartment of Medicine, Nephrology, University of Padua, Padua Italy.ORCID 0000-0002-7534-0128
University of Padua · ITSanofi (Italy) · ITUniversity of California, Davis · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFabry disease is characterized by deficient expression/activity of α-GalA with consequent lysosomal accumulation in various organs of its substrate Gb3. Despite enzyme replacement therapy, Fabry disease progresses with serious myocardial, cerebral and renal manifestations. Gb3 accumulation may induce oxidative stress (OxSt), production of inflammatory cytokines and reduction of nitric oxide, which may impact on Fabry disease's clinical manifestations.

methodsOxSt status was characterized in 10 patients compared with 10 healthy subjects via protein expression of p22phox, subunit of NADH/NADPH oxidase, (Western blot), Heme oxygenase (HO)-1 levels (ELISA), antioxidant/anti-inflammatory, lipid peroxidation as malondialdehyde (MDA) production (colorimetric assay), phosphorylation state of Extracellular Signal Regulated Kinase (ERK)1/2 and Myosin Phosphatase Target Protein (MYPT)-1 (Western blot), marker of Rho kinase activation, both involved in OxSt signaling. Cardiac left ventricular (LV) mass was also evaluated (M-mode echocardiography).

resultsLV mass was higher in Fabry's males (123.72±2.03SEM g/m2) and females (132.09±6.72g/m2). p22phox expression was also higher in patients (1.04±0.09 d.u. vs 0.54±0.05 d.u. p<0.01) as well as MDA levels (54.51±3.97 vs 30.05±7.11 nmol/mL p = 0.01) while HO-1 was reduced (8.84±0.79 vs 14.03±1.23 ng/mL, p<0.02). MYPT-1's phosphorylation was increased in patients (0.52±0.11 d.u. vs 0.03±0.08 d.u., p<0.01) while phosphorylation of ERK1/2 was reduced (0.91±0.08 d.u. vs 1.53±0.17 d.u., p = 0.004).

conclusionsThis study documents OxSt activation and the altered reaction to it in Fabry patients. Cardiac remodeling, Rho kinase signaling activation and reduction of protective HO-1 might suggest that, in addition to enzyme replacement therapy, OxSt inhibition by either pharmacological or nutritional measures, is likely to prove useful for the prevention/treatment of Fabry patients' cardiovascular-renal remodeling.

Indexed as

Oxidative StressAdultAgedalpha-GalactosidaseCyclic AMPEnzyme Replacement TherapyFabry DiseaseFemaleHeme Oxygenase-1HumansHypertrophy, Left VentricularIsoenzymesKidneyLipid PeroxidationMaleMAP Kinase Signaling Systemagalsidase alfaagalsidase betaalpha-GalactosidaseCYBA protein, humanCyclic AMPHeme Oxygenase-1HMOX1 protein, humanIsoenzymesMyosin-Light-Chain PhosphataseNADPH OxidasesPPP1R12A protein, humanRecombinant Proteinsrho-Associated Kinases

Identifiers

PMID30261035
PMCPMC6160124
OpenAlexW2893942340

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Registered trials

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.