Clinical Diversity in Patients with Anderson-fabry Disease with the R301Q Mutation

Anderson-Fabry disease (AFD) is a rare X-linked disorder caused by deficient activity of the lysosomal enzyme α-galactosidase A (α-GAL A). We herein report 10 cases of AFD in 5 families (3 men and 7 women) that were found to have a specific common mutation in R301Q [G-to-A transition in exon 6 (codo...

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Veröffentlicht in:Internal Medicine 2019/02/15, Vol.58(4), pp.603-607
Hauptverfasser: Yamamoto, Saori, Nagasawa, Tasuku, Sugimura, Koichiro, Kanno, Atsuhiro, Tatebe, Shunsuke, Aoki, Tatsuo, Sato, Haruka, Kozu, Katsuya, Konno, Ryo, Nochioka, Kotaro, Satoh, Kimio, Shimokawa, Hiroaki
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container_end_page 607
container_issue 4
container_start_page 603
container_title Internal Medicine
container_volume 58
creator Yamamoto, Saori
Nagasawa, Tasuku
Sugimura, Koichiro
Kanno, Atsuhiro
Tatebe, Shunsuke
Aoki, Tatsuo
Sato, Haruka
Kozu, Katsuya
Konno, Ryo
Nochioka, Kotaro
Satoh, Kimio
Shimokawa, Hiroaki
description Anderson-Fabry disease (AFD) is a rare X-linked disorder caused by deficient activity of the lysosomal enzyme α-galactosidase A (α-GAL A). We herein report 10 cases of AFD in 5 families (3 men and 7 women) that were found to have a specific common mutation in R301Q [G-to-A transition in exon 6 (codon 301) resulting in the replacement of a glutamine with an arginine residue]. We evaluated their clinical characteristics, residual enzymatic activity, and plasma concentrations of globotriaosylsphingosine (Lyso-Gb3). Although all 10 cases had cardiac and renal manifestations in common, their clinical manifestations were markedly divergent despite the same genetic abnormality.
doi_str_mv 10.2169/internalmedicine.0959-18
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subjects Anderson-Fabry disease
Arginine
Case Report
Enzymatic activity
Fabry's disease
Galactosidase
Glutamine
hypertrophic cardiomyopathy
Internal medicine
Mutation
renal failure
ɑ-galactosidase mutant (R301Q)
title Clinical Diversity in Patients with Anderson-fabry Disease with the R301Q Mutation
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