Anderson–Fabry Disease: From Endothelial Dysfunction to Emerging Therapies

The Anderson–Fabry disease is a rare, X-linked, multisystemic, progressive lysosomal storage disease caused by α-galactosidase A total or partial deficiency. The resulting syndrome is mainly characterized by early-onset autonomic neuropathy and life-threatening multiorgan involvement, including rena...

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Main Authors: Cosimo A. Stamerra, Rita Del Pinto, Paolo di Giosia, Claudio Ferri, Amirhossein Sahebkar
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Advances in Pharmacological and Pharmaceutical Sciences
Online Access:http://dx.doi.org/10.1155/2021/5548445
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author Cosimo A. Stamerra
Rita Del Pinto
Paolo di Giosia
Claudio Ferri
Amirhossein Sahebkar
author_facet Cosimo A. Stamerra
Rita Del Pinto
Paolo di Giosia
Claudio Ferri
Amirhossein Sahebkar
author_sort Cosimo A. Stamerra
collection DOAJ
description The Anderson–Fabry disease is a rare, X-linked, multisystemic, progressive lysosomal storage disease caused by α-galactosidase A total or partial deficiency. The resulting syndrome is mainly characterized by early-onset autonomic neuropathy and life-threatening multiorgan involvement, including renal insufficiency, heart disease, and early stroke. The enzyme deficiency leads to tissue accumulation of the glycosphingolipid globotriaosylceramide and its analogues, but the mechanisms linking such accumulation to organ damage are only partially understood. In contrast, enzyme replacement and chaperone therapies are already fully available to patients and allow substantial amelioration of quality and quantity of life. Substrate reduction, messenger ribonucleic acid (mRNA)-based, and gene therapies are also on the horizon. In this review, the clinical scenario and molecular aspects of Anderson–Fabry disease are described, along with updates on disease mechanisms and emerging therapies.
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spelling doaj-art-a3afd51029b1412e9ce5735fb133dfb32025-02-03T06:45:45ZengWileyAdvances in Pharmacological and Pharmaceutical Sciences2633-46902021-01-01202110.1155/2021/55484455548445Anderson–Fabry Disease: From Endothelial Dysfunction to Emerging TherapiesCosimo A. Stamerra0Rita Del Pinto1Paolo di Giosia2Claudio Ferri3Amirhossein Sahebkar4University of L’Aquila, Department of Life, Health and Environmental Sciences, Building Delta 6-San Salvatore Hospital, Via Vetoio, Coppito, L’Aquila 67100, ItalyUniversity of L’Aquila, Department of Life, Health and Environmental Sciences, Building Delta 6-San Salvatore Hospital, Via Vetoio, Coppito, L’Aquila 67100, ItalyUniversity of L’Aquila, Department of Life, Health and Environmental Sciences, Building Delta 6-San Salvatore Hospital, Via Vetoio, Coppito, L’Aquila 67100, ItalyUniversity of L’Aquila, Department of Life, Health and Environmental Sciences, Building Delta 6-San Salvatore Hospital, Via Vetoio, Coppito, L’Aquila 67100, ItalyBiotechnology Research Center, Pharmaceutical Technology Institute, Mashhad University of Medical Sciences, Mashhad, IranThe Anderson–Fabry disease is a rare, X-linked, multisystemic, progressive lysosomal storage disease caused by α-galactosidase A total or partial deficiency. The resulting syndrome is mainly characterized by early-onset autonomic neuropathy and life-threatening multiorgan involvement, including renal insufficiency, heart disease, and early stroke. The enzyme deficiency leads to tissue accumulation of the glycosphingolipid globotriaosylceramide and its analogues, but the mechanisms linking such accumulation to organ damage are only partially understood. In contrast, enzyme replacement and chaperone therapies are already fully available to patients and allow substantial amelioration of quality and quantity of life. Substrate reduction, messenger ribonucleic acid (mRNA)-based, and gene therapies are also on the horizon. In this review, the clinical scenario and molecular aspects of Anderson–Fabry disease are described, along with updates on disease mechanisms and emerging therapies.http://dx.doi.org/10.1155/2021/5548445
spellingShingle Cosimo A. Stamerra
Rita Del Pinto
Paolo di Giosia
Claudio Ferri
Amirhossein Sahebkar
Anderson–Fabry Disease: From Endothelial Dysfunction to Emerging Therapies
Advances in Pharmacological and Pharmaceutical Sciences
title Anderson–Fabry Disease: From Endothelial Dysfunction to Emerging Therapies
title_full Anderson–Fabry Disease: From Endothelial Dysfunction to Emerging Therapies
title_fullStr Anderson–Fabry Disease: From Endothelial Dysfunction to Emerging Therapies
title_full_unstemmed Anderson–Fabry Disease: From Endothelial Dysfunction to Emerging Therapies
title_short Anderson–Fabry Disease: From Endothelial Dysfunction to Emerging Therapies
title_sort anderson fabry disease from endothelial dysfunction to emerging therapies
url http://dx.doi.org/10.1155/2021/5548445
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