Evidence map›Paper›PMID 40840785›Full record

SynthesisProgress in cardiovascular diseases

Fabry disease cardiomyopathy: A state-of-the-art review.

Shivangi Pande, Fahimeh Varzideh, Jessica Gambardella, Stanislovas S Jankauskas, Federica Andrea Cerasuolo, Letizia Spinelli, Urna Kansakar, Antonio De Luca, Irwin J Kurland, Simone Sidoli and 3 more

Abstract readSystematic Review
In one paragraph

Synthesis in Progress in cardiovascular diseases. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

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

  1. Immunology of heart failure with preserved ejection fraction.Expert review of clinical immunology · 2025
    Pooled it
  2. Review
  3. Article
  4. Article
  5. Review
  6. Article
  7. Review
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Pathogenic mechanisms in Fabry disease.Frontiers in medicine · 2026
    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

13 authors.

Shivangi PandeDepartment of Medicine, Fleischer Institute for Diabetes and Metabolism (FIDAM), Albert Einstein College of Medicine, New York City, NY 10461, USA.
Fahimeh VarzidehDepartment of Medicine, Fleischer Institute for Diabetes and Metabolism (FIDAM), Albert Einstein College of Medicine, New York City, NY 10461, USA.
Jessica GambardellaDepartment of Medicine, Fleischer Institute for Diabetes and Metabolism (FIDAM), Albert Einstein College of Medicine, New York City, NY 10461, USA; International Translational Research and Medical Education (ITME) Consortium, Academic Research Unit, "Federico II" University, Naples 80100, Italy; Department of Clinical Medicine and Surgery, "Federico II" University, Naples 80131, Italy.
Stanislovas S JankauskasDepartment of Medicine, Fleischer Institute for Diabetes and Metabolism (FIDAM), Albert Einstein College of Medicine, New York City, NY 10461, USA.
Federica Andrea CerasuoloDepartment of Medicine, Fleischer Institute for Diabetes and Metabolism (FIDAM), Albert Einstein College of Medicine, New York City, NY 10461, USA; International Translational Research and Medical Education (ITME) Consortium, Academic Research Unit, "Federico II" University, Naples 80100, Italy; Department of Clinical Medicine and Surgery, "Federico II" University, Naples 80131, Italy; University of Florence, Department of Statistics, Computer Science, and Applications, Florence 50134, Italy.
Letizia SpinelliInternational Translational Research and Medical Education (ITME) Consortium, Academic Research Unit, "Federico II" University, Naples 80100, Italy; Department of Advanced Biomedical Sciences, "Federico II" University, Naples 80131, Italy.
Urna KansakarDepartment of Medicine, Fleischer Institute for Diabetes and Metabolism (FIDAM), Albert Einstein College of Medicine, New York City, NY 10461, USA.
Antonio De LucaDepartment of Mental and Physical Health and Preventive Medicine, Division of Human Anatomy, University of Campania "Luigi Vanvitelli", Naples 80138, Italy.
Irwin J KurlandDepartment of Medicine, Fleischer Institute for Diabetes and Metabolism (FIDAM), Albert Einstein College of Medicine, New York City, NY 10461, USA.
Simone SidoliDepartment of Biochemistry and Department of Genetics, Albert Einstein College of Medicine, New York City, NY 10461, USA.
Guido IaccarinoDepartment of Clinical Medicine and Surgery, "Federico II" University, Naples 80131, Italy.
Junichi SadoshimaDepartment of Cell Biology and Molecular Medicine, Cardiovascular Research Institute, Rutgers-New Jersey Medical School, Newark, NJ 07103, USA.
Gaetano SantulliDepartment of Medicine, Fleischer Institute for Diabetes and Metabolism (FIDAM), Albert Einstein College of Medicine, New York City, NY 10461, USA; International Translational Research and Medical Education (ITME) Consortium, Academic Research Unit, "Federico II" University, Naples 80100, Italy; Department of Advanced Biomedical Sciences, "Federico II" University, Naples 80131, Italy; Department of Molecular Pharmacology, Wilf Family Cardiovascular Research Institute, Einstein Institute for Aging Research, Einstein-Mount Sinai Diabetes Research Center (ES-DRC), The New York Center for Rare Diseases (NYCRD), Einstein Institute for Neuroimmunology and Inflammation (INI), Albert Einstein College of Medicine, New York City, NY 10461, USA. Electronic address: gsantulli001@gmail.com.

Funding

Functional role of IP3 receptors in the regulation of cardiac myofibroblastsR01HL146691 · NHLBI · ALBERT EINSTEIN COLLEGE OF MEDICINE · PI SANTULLI, GAETANO · 2019 to 2023
$2.1M
Beta Cell Intracellular Calcium and DiabetesR01DK123259 · NIDDK · ALBERT EINSTEIN COLLEGE OF MEDICINE · PI SANTULLI, GAETANO · 2020 to 2023
$1.7M
Purposeful Outreach for Diversity and Inclusion of Underrepresented in Medicine (PODIUM) Physician-ScientistsT32HL172255 · NHLBI · ALBERT EINSTEIN COLLEGE OF MEDICINE · PI Carmen R. Isasi, Marina Reznik · 2024 to 2026
$936k
NHLBI NIH HHS R01 HL146691NHLBI NIH HHS T32 HL172255NIDDK NIH HHS R01 DK123259
6 · The paper itself

Abstract

Fabry disease or Anderson-Fabry disease is an X-linked lysosomal storage disorder caused by a deficiency of α-galactosidase A (GLA), leading to systemic accumulation of globotriaosyl-ceramide (Gb3). Initially described in 1898 as a dermatological condition, Fabry disease is now recognized as a progressive multisystem disorder with significant cardiac involvement. Cardiomyopathy in Fabry disease arises from Gb3 accumulation in cardiac tissue, resulting in fibrosis, left ventricular hypertrophy (LVH), diastolic dysfunction, and heart failure. The deacylated derivative, lysoGb3, serves as a biomarker of cardiac involvement. Diagnosis relies on enzyme assays, genetic testing, and advanced cardiac imaging modalities like echocardiography and cardiac MRI. Management strategies are centered around enzyme replacement therapy, and prognosis varies due to phenotypic heterogeneity and severity of disease progression. Psychological and social burdens further complicate patient care. However, underdiagnosis remains a concerning issue, particularly in individuals with unexplained cardiomyopathies. Early recognition through increased clinical awareness and genetic screening is crucial for timely intervention. Ongoing research is essential to develop new therapies targeting the genetic and metabolic roots of the disease. This systematic review comprehensively examines current evidence regarding the mechanisms, diagnosis, treatment, and prognosis of cardiomyopathy associated with Fabry disease, providing insights that may enhance clinical practice and guide future research initiatives.

Indexed as

CardiomyopathiesFabry Diseasealpha-GalactosidaseEnzyme Replacement TherapyGenetic Predisposition to DiseaseGenetic TestingHumansPhenotypePredictive Value of TestsPrognosisVentricular Function, Leftalpha-GalactosidaseAnderson-Fabry diseaseDiastolic DysfunctionLysosomesMitochondria

Identifiers

PMID40840785
PMCPMC12967211

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.