Evidence map›Paper›PMID 39685654›Full record

ArticleJournal of clinical medicine2024

Overcoming Resistance in Anderson-Fabry Disease: Current Therapeutic Challenges and Future Perspectives.

Maria Cristina Carella, Cinzia Forleo, Pierpaolo Caretto, Maria Ludovica Naccarati, Ilaria Dentamaro, Marco Maria Dicorato, Paolo Basile, Eugenio Carulli, Michele Davide Latorre, Andrea Baggiano and 3 more

Abstract read
In one paragraph

Article in Journal of clinical medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–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

9 citing papers in PubMed.

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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

13 authors.

Maria Cristina CarellaInterdisciplinary Department of Medicine, University of Bari "Aldo Moro", Polyclinic University Hospital, 70124 Bari, Italy.
Cinzia ForleoInterdisciplinary Department of Medicine, University of Bari "Aldo Moro", Polyclinic University Hospital, 70124 Bari, Italy.ORCID 0000-0002-9452-4037
Pierpaolo CarettoInterdisciplinary Department of Medicine, University of Bari "Aldo Moro", Polyclinic University Hospital, 70124 Bari, Italy.
Maria Ludovica NaccaratiInterdisciplinary Department of Medicine, University of Bari "Aldo Moro", Polyclinic University Hospital, 70124 Bari, Italy.
Ilaria DentamaroInterdisciplinary Department of Medicine, University of Bari "Aldo Moro", Polyclinic University Hospital, 70124 Bari, Italy.
Marco Maria DicoratoInterdisciplinary Department of Medicine, University of Bari "Aldo Moro", Polyclinic University Hospital, 70124 Bari, Italy.ORCID 0009-0008-4865-2522
Paolo BasileInterdisciplinary Department of Medicine, University of Bari "Aldo Moro", Polyclinic University Hospital, 70124 Bari, Italy.ORCID 0000-0002-2327-7585
Eugenio CarulliDepartment of Emergency and Acceptance, Division of Cardiology, Azienda Sanitaria locale Matera, 75100 Matera, Italy.
Michele Davide LatorreInterdisciplinary Department of Medicine, University of Bari "Aldo Moro", Polyclinic University Hospital, 70124 Bari, Italy.
Andrea BaggianoDepartment of Perioperative Cardiology and Cardiovascular Imaging, IRCCS Centro Cardiologico Monzino, 20138 Milan, Italy.ORCID 0000-0002-8261-4529
Gianluca PontoneDepartment of Perioperative Cardiology and Cardiovascular Imaging, IRCCS Centro Cardiologico Monzino, 20138 Milan, Italy.
Marco Matteo CicconeInterdisciplinary Department of Medicine, University of Bari "Aldo Moro", Polyclinic University Hospital, 70124 Bari, Italy.
Andrea Igoren GuaricciInterdisciplinary Department of Medicine, University of Bari "Aldo Moro", Polyclinic University Hospital, 70124 Bari, Italy.ORCID 0000-0001-7133-4401

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Anderson-Fabry disease (AFD) remains a therapeutic challenge despite advances in early diagnosis and the availability of enzyme replacement therapies (ERTs). While early initiation of therapy can mitigate disease progression, resistance mechanisms-such as the development of anti-drug antibodies-limit the efficacy of current treatments, particularly in patients with severe genetic variants. Chaperone therapy provides a targeted option for a subset of patients, yet significant gaps remain in treating those with complete enzyme deficiency. This perspective article explores the existing therapeutic landscape and reflects on emerging treatments, such as mRNA and gene therapies, which hold promise for overcoming the resistance mechanisms. By addressing the limitations of current pharmacological options and considering future innovations, this article aims to outline the path forward for more effective and personalized treatment strategies in Anderson-Fabry disease.

Indexed as

Anderson–Fabry diseaseanti-drug antibodieschaperone therapyenzyme replacement therapiesgene therapiesmRNAresistance mechanismstailoring treatment

Identifiers

PMID39685654
PMCPMC11641994

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Registered trials

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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.