Fabry Disease

What is Fabry Disease? Fabry disease is a rare X-linked sphingolipid lysosomal storage disorder. It is the most prevalent of the lysosomal storage disorders affecting 1 in 40,000 men and 1 in 117,000 women, although based on neonatal screenings alone, the incidence of the disease is thought to be higher.

What is the Cause of Fabry Disease?

 

Fabry disease is caused by an inborn error in the GLA gene resulting in the deficiency of alpha-galactosidase A (α-Gal A), an enzyme present in the lysosome that is involved in the glycosphingolipid metabolic pathway. 

 

The deficiency leads to the accumulation of globotriaosylceramide (Gb3) in nearly all organs leading to progressive, multiorgan damage.

 

Symptoms of Fabry Disease

 

The symptoms of Fabry disease can have a variable presentation depending upon the type of mutation affecting the GLA gene, the age of presentation,  and the degree of deficiency of the enzymes. Fabry disease also tends to be milder in women.

 

Common signs and symptoms include:

Cardiovascular events such as stroke and peripheral vascular disease

Cardiomyopathy

Arrhythmia

Gastrointestinal symptoms, including abdominal pain and diarrhea

Neuropathic pain

Hearing loss

Renal impairment

Source: Lenders, M., & Brand, E. (2021). Fabry Disease: The Current Treatment Landscape. Drugs, 81(6), 635–645. https://doi.org/10.1007/s40265-021-01486-1