Phenotypic characteristics of the p.Asn215Ser (p.N215S) GLA mutation in male and female patients with Fabry disease: A multicenter Fabry Registry study
Status Publisher Jazyk angličtina Země Spojené státy americké Médium print-electronic
Typ dokumentu časopisecké články
Grantová podpora
R01 DK076877
NIDDK NIH HHS - United States
PubMed
29649853
PubMed Central
PMC6081232
DOI
10.1002/mgg3.389
Knihovny.cz E-zdroje
- Klíčová slova
- GLA, Fabry disease, cardiac variant, p.Asn215Ser, p.N215S, phenotype,
- Publikační typ
- časopisecké články MeSH
BACKGROUND: The p.Asn215Ser or p.N215S GLA variant has been associated with late-onset cardiac variant of Fabry disease. METHODS: To expand on the scarce phenotype data, we analyzed natural history data from 125 p.N215S patients (66 females, 59 males) enrolled in the Fabry Registry (NCT00196742) and compared it with data from 401 patients (237 females, 164 males) harboring mutations associated with classic Fabry disease. We evaluated interventricular septum thickness (IVST), left ventricular posterior wall thickness (LVPWT), estimated glomerular filtration rate and severe clinical events. RESULTS: In p.N215S males, mildly abnormal mean IVST and LVPWT values were observed in patients aged 25-34 years, and values gradually increased with advancing age. Mean values were similar to those of classic males. In p.N215S females, these abnormalities occurred primarily in patients aged 55-64 years. Severe clinical events in p.N215S patients were mainly cardiac (males 31%, females 8%) while renal and cerebrovascular events were rare. Renal impairment occurred in 17% of p.N215S males (mostly in patients aged 65-74 years), and rarely in females (3%). CONCLUSION: p.N215S is a disease-causing mutation with severe clinical manifestations found primarily in the heart. Cardiac involvement may become as severe as in classic Fabry patients, especially in males.
Department of Biochemistry and Molecular Biology University of Massachusetts Amherst Amherst MA USA
Department of Human Genetics Emory University School of Medicine Atlanta GA USA
Department of Infectious and Pediatric Immunology University of Debrecen Debrecen Hungary
Department of Medicine and Surgery Nephrology Unit University of Milano Bicocca Monza Italy
Department of Nephrology Hypertension and Rheumatology University Hospital Münster Münster Germany
Department of Pediatrics Division of Genomic Medicine UC Davis School of Medicine Sacramento CA USA
Division of Medical Genetics University of Versailles Paris Saclay University Montigny France
Formerly Sanofi Genzyme Cambridge MA USA
Mark Holland Metabolic Unit Salford Royal NHS Foundation Trust Salford UK
Neurological Unit St Bassiano Hospital Bassano del Grappa Italy
Renal Division University Hospital of Würzburg Würzburg Germany
Unidad de Dialisis IIS Fundación Jiménez Díaz School of Medicine UAM IRSIN and REDINREN Madrid Spain
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GENBANK
NCT00196742