Evidence map›Paper›PMID 39077177›Full record

ReviewReviews in cardiovascular medicine2022

The Heart in Fabry Disease: Mechanisms Beyond Storage and Forthcoming Therapies.

Maurizio Pieroni, Michele Ciabatti, Francesca Graziani, Antonia Camporeale, Elisa Saletti, Rosa Lillo, Stefano Figliozzi, Leonardo Bolognese

Abstract readReview
In one paragraph

Review in Reviews in cardiovascular medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

18 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Pathogenic mechanisms in Fabry disease.Frontiers in medicine · 2026
    Review
  9. Review
  10. Article
  11. Observational
  12. Review
  13. Article
  14. Cardiac involvement in Fabry disease: Recent advances, unresolved issues, and unmet needs.European heart journal supplements : journal of the European Society of Cardiology · 2025
    Article
  15. Right atrial strain in Anderson-Fabry disease.Frontiers in cardiovascular medicine · 2025
    Article
  16. Review
  17. Article
  18. 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

8 authors.

Maurizio PieroniCardiovascular Department, San Donato Hospital, 52100 Arezzo, Italy.
Michele CiabattiCardiovascular Department, San Donato Hospital, 52100 Arezzo, Italy.
Francesca GrazianiDepartment of Cardiovascular Medicine, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy.
Antonia CamporealeMultimodality Cardiac Imaging Unit, IRCCS Policlinico San Donato, San Donato Milanese, 20097 Milan, Italy.
Elisa SalettiCardiovascular Department, San Donato Hospital, 52100 Arezzo, Italy.
Rosa LilloDepartment of Cardiovascular Medicine, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy.
Stefano FigliozziClinical Echocardiography Diagnostic Service, Cardio Center, Humanitas Research Hospital IRCCS, 20089 Rozzano, Italy.
Leonardo BologneseCardiovascular Department, San Donato Hospital, 52100 Arezzo, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In patients with Fabry disease (FD), cardiovascular involvement is the main cause of death and reduction of quality of life. Left ventricular hypertrophy mimicking hypertrophic cardiomyopathy is the main feature of FD cardiac involvement although glycolipid storage occurs in all cardiac cellular types. Accumulation of lysosomal globotriasylceramide represents the main mechanism of cardiac damage in early stages, but secondary pathways of cellular and tissue damage, triggered by lysosomal storage, and including altered energy production, inflammation and cell death, contribute to cardiac damage and disease progression. These mechanisms appear prominent in more advanced stages, hampering and reducing the efficacy of FD-specific treatments. Therefore, additional cardiovascular therapies are important to manage cardiovascular symptoms and reduce cardiovascular events. Although new therapies targeting lysosomal storage are in development, a better definition and comprehension of the complex pathophysiology of cardiac damage in FD, may lead to identify new therapeutic targets beyond storage and new therapeutic strategies.

Indexed as

autophagyFabry diseaseleft ventricular hypertrophylysosomal storagemyocardial inflammationunfolded protein response

Identifiers

PMID39077177
PMCPMC11273771

What OpenQuestion holds

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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.