Abstract
We report three patients diagnosed with Fabry disease through a screening study which included individuals suffering from chronic kidney disease (CKD) at any stage. The study recruited 1740 male patients, and three Fabry patients were diagnosed, resulting in a frequency of 0.17%. The analysis by CKD stage group revealed frequencies of 3.03%, 0.77% and 0.17%, in CKD1, CKD3 and CKD5, respectively. Pedigree analysis was carried out for these families, with a high ratio index: pedigree (1:16). This study underlines the importance of considering Fabry disease in the differential diagnosis at every stage of CKD, including the early ones, and stresses the possibility of finding patients with late onset phenotypes.
References
Eng CM et al (1994) Fabry disease: twenty-three mutations including sense and antisense CPG alterations and identification of a deletional hot-spot in the α-galactosidase A gene. Hum Mol Genet 3:1795–1799
Arends M et al (2017) Characterization of classical and nonclassical fabry disease: a multicenter study. J Am Soc Nephrol 28:1631–1641
Marchesoni CL et al (2010) Misdiagnosis in Fabry disease. J Pediatr 156:828–831
Donehy D et al (2018) Fabry Disease: prevalence of affected males and heterozygotes with pathogenic GLA mutations identified by screening renal, cardiac and stroke clinics, 1995–2017. J Med Genet 55(4):261–268
Capuano I et al (2019) Identifying Fabry patients in dialysis population: prevalence of GLA mutations by renal clinic screening, 1995–2019. J Nephrol 33:569–581
Van Der Tol L et al (2014) A systematic review on screening for fabry disease: Prevalence of individuals with genetic variants of unknown significance. J Med Genet 51:1–9
Rozenfeld PA, Tarabuso A, Ebner R, Ramallo G, Fossati CA (2006) A successful approach for the detection of Fabry patients in Argentina. Clin Genet 69:344–348
Michaud M et al (2020) When and how to diagnose Fabry disease in clinical pratice. Am J Med Sci 360:641–649
Parini R et al (2020) Analysis of renal and cardiac outcomes in male participants in the fabry outcome survey starting agalsidase alfa enzyme replacement therapy before and after 18 years of age. Drug Des Devel Ther 14:2149–2158
Rozenfeld PA et al (2019) Fabry pedigree analysis: a successful program for targeted genetic approach. Mol Genet Genom Med. https://doi.org/10.1002/mgg3.794
Acknowledgements
Argentine renal group on Fabry disease: Choua Martin: AADELFA, La Plata, Argentina, Neumann Pablo: Servicio de Nefrología, Ipensa, La Plata, Argentina, Quieto Pedro: AADELFA, La Plata, Argentina, Lococo Bruno: AADELFA, La Plata, Argentina, Abascal Juan Manuel: AADELFA, La Plata, Argentina, Abdala Jorge: AADELFA, La Plata, Argentina, Aguerre Maria Alejandra: AADELFA, La Plata, Argentina, Arias Arturo: AADELFA, La Plata, Argentina, Alvarez Oscar: AADELFA, La Plata, Argentina, Bonfanti Walter: AADELFA, La Plata, Argentina, Bueno Dennis: AADELFA, La Plata, Argentina, Calvo Monica: AADELFA, La Plata, Argentina, Casas Carlos: AADELFA, La Plata, Argentina, Cejas Raul: AADELFA, La Plata, Argentina, D´errico Daniel: AADELFA, La Plata, Argentina, Espeche Juan Carlos: AADELFA, La Plata, Argentina, Fernandez Juan Carlos: AADELFA, La Plata, Argentina, Fernandez Pablo: AADELFA, La Plata, Argentina, Fernandez Segundo: AADELFA, La Plata, Argentina, Feuli Rolando: AADELFA, La Plata, Argentina, Fragueiro Carlos: AADELFA, La Plata, Argentina; Gil Laura: AADELFA, La Plata, Argentina, Gini Maria: AADELFA, La Plata, Argentina, Gutierrez Carlos: AADELFA, La Plata, Argentina, Gastaldi Anibal: AADELFA, La Plata, Argentina, Lara Carlos: AADELFA, La Plata, Argentina, Liziardi Silvina: AADELFA, La Plata, Argentina, Lludgar Maria Lidia: AADELFA, La Plata, Argentina, Mattausch Silvia: AADELFA, La Plata, Argentina, Marini Alicia: AADELFA, La Plata, Argentina, Martinez Alfonso: AADELFA, La Plata, Argentina, Marchetta Nora: AADELFA, La Plata, Argentina, Mendez Sandra: AADELFA, La Plata, Argentina, Moreno Jose: AADELFA, La Plata, Argentina, Petros Adriana: AADELFA, La Plata, Argentina, Priori Silvina: AADELFA, La Plata, Argentina, Querci Roque: AADELFA, La Plata, Argentina, Ramirez Maria Rosa: AADELFA, La Plata, Argentina, Ricobelli Nicolas: AADELFA, La Plata, Argentina, Segovia Beatriz: AADELFA, La Plata, Argentina, Sena Javier: AADELFA, La Plata, Argentina, Stepanenko Cristina: AADELFA, La Plata, Argentina, Urtiaga Luis: AADELFA, La Plata, Argentina, Vazquez Vanesa: AADELFA, La Plata, Argentina, Rozenfeld Paula: AADELFA, La Plata, Argentina, Instituto de Estudios Inmunológicos y Fisiopatológicos (IIFP), UNLP, CONICET, asociado CIC PBA, Facultad de Ciencias Exactas, Departamento de Ciencias Biológicas, La Plata, Argentina
Funding
This project was funded by AADELFA (Asociación de estudios y difusion de las Enfermedades lisosomales en Argentina).
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Consultancies: P Rozenfeld (Takeda, Amicus), P Quieto (Takeda), M Choua, (Takeda), P Neumann (Takeda). Grants received: P Rozenfeld (Takeda, Amicus).
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The study was performed in compliance with the Declaration of Helsinki and the local GCP guidelines for research in human subjects (resolution 1480/11 from the Ministry of Health in Argentina), all the subjects provided written informed consent that has been approved by the Institutional Review Board/Independent Ethics Committee (IRB/IEC).
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The members of the Argentine renal group on Fabry disease are mentioned in “Acknowledgement” section.
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Martin, C., Pablo, N., Pedro, Q. et al. Screening for Fabry disease in Argentina in male patients with chronic kidney disease at all stages. J Nephrol 35, 2437–2440 (2022). https://doi.org/10.1007/s40620-022-01405-x
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DOI: https://doi.org/10.1007/s40620-022-01405-x