Evidence map›Paper›PMID 32127409›Full record

ArticleJournal of the American Society of Nephrology : JASN2020

Accumulation of Globotriaosylceramide in Podocytes in Fabry Nephropathy Is Associated with Progressive Podocyte Loss.

Behzad Najafian, Camilla Tøndel, Einar Svarstad, Marie-Claire Gubler, João-Paulo Oliveira, Michael Mauer

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Journal of the American Society of Nephrology : JASN, 2020. 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 49 papers.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed
7.1field-weighted citation impact, top 2% 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

49 citing papers in PubMed, 81 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. Article
  5. Review
  6. Pathogenic mechanisms in Fabry disease.Frontiers in medicine · 2026
    Review
  7. Review
  8. Review
  9. Article
  10. Molecular therapy. Nucleic acids · 2025
    Article
  11. Status and frontiers of Fabre disease.Orphanet journal of rare diseases · 2025
    Review
  12. Genetics in Kidney Diseases.Advances in kidney disease and health · 2025
    Review
  13. Article
  14. Article
  15. Article
  16. Cells · 2024
    Article
  17. Article
  18. Review
  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

6 authors at 5 institutions in 4 countries.

Behzad NajafianDepartment of Pathology, University of Washington, Seattle, Washington; Najafian@uw.edu.
Camilla TøndelDepartment of Pediatrics, Haukland University Hospital, Bergen, Norway.
Einar SvarstadInstitute of Clinical Medicine, University of Bergen, Bergen, Norway.
Marie-Claire GublerInstitut National de la Santé et de la Recherche Médicale (INSERM) U1163, Imagine Institute, Necker-Enfants Malades Hospital, Paris, France.
João-Paulo OliveiraService of Medical Genetics, São João University Hospital, Porto, Portugal.
Michael MauerDepartment of Pediatrics, University of Minnesota, Minneapolis, Minnesota; and.
University of Bergen · NOHospital de São João · PTInserm · FRUniversity of Minnesota · USUniversity of Washington · US

Funding

Training & EducationU54NS065768 · NINDS · UNIVERSITY OF MINNESOTA · PI WHITLEY, CHESTER B. · 2009 to 2024
$17.7M
NINDS NIH HHS U54 NS065768
6 · The paper itself

Abstract

backgroundIn males with classic Fabry disease, the processes leading to the frequent outcome of ESKD are poorly understood. Defects in the gene encoding

methodsIn this study of 55 males (mean age 27 years) with classic Fabry disease genotype and/or phenotype, we performed unbiased quantitative morphometric electron microscopic studies of biopsied kidney samples from patients and seven living transplant donors (to serve as controls). We extracted clinical information from medical records and clinical trial databases.

resultsPodocyte GL3 volume fraction (proportion of podocyte cytoplasm occupied by GL3) increased with age up to about age 27, suggesting that increasing podocyte GL3 volume fraction beyond a threshold may compromise survival of these cells. GL3 accumulation was associated with podocyte injury and loss, as evidenced by increased foot process width (a generally accepted structural marker of podocyte stress and injury) and with decreased podocyte number density per glomerular volume. Worsening podocyte structural parameters (increasing podocyte GL3 volume fraction and foot process width) was also associated with increasing urinary protein excretion-a strong prognosticator of adverse renal outcomes in Fabry disease-as well as with decreasing GFR.

conclusionsGiven the known association between podocyte loss and irreversible FSGS and global glomerulosclerosis, this study points to an important role for podocyte injury and loss in the progression of Fabry nephropathy and indicates a need for therapeutic intervention before critical podocyte loss occurs.

Indexed as

AdolescentAdultAge FactorsCase-Control StudiesChildChild, PreschoolFabry DiseaseGlomerular Filtration RateHumansKidney GlomerulusMaleMiddle AgedPodocytesTrihexosylceramidesYoung AdultglobotriaosylceramideTrihexosylceramideschronic kidney diseaseFabry diseasepathologypodocyte

Identifiers

PMID32127409
PMCPMC7191924
OpenAlexW3010418309

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.