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法布里病运动耐量降低的心肺决定因素。

Cardiopulmonary determinants of reduced exercise tolerance in Fabry disease.

作者信息

De Marco Oriana, Gambardella Jessica, Bianco Antonio, Fiordelisi Antonella, Cerasuolo Federica Andrea, Buonaiuto Antonietta, Avvisato Roberta, Capuano Ivana, Amicone Maria, Di Risi Teodolinda, Riccio Eleonora, Spinelli Letizia, Pisani Antonio, Iaccarino Guido, Sorriento Daniela

机构信息

Department of Public Health, Federico II University, Naples, Italy.

Centro Interdipartimentale di Ricerca in Ipertensione Arteriosa e Patologie Associate, Federico II University of Naples, Naples, Italy.

出版信息

Front Cardiovasc Med. 2024 May 2;11:1396996. doi: 10.3389/fcvm.2024.1396996. eCollection 2024.

DOI:10.3389/fcvm.2024.1396996
PMID:38756750
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11096481/
Abstract

Fabry disease (FD), also known as Anderson-Fabry disease, is a hereditary disorder of glycosphingolipid metabolism, caused by a deficiency of the lysosomal alpha-galactosidase A enzyme. This causes a progressive accumulation of glycosphingolipids in tissues and organs which represents the main pathogenetic mechanism of FD. The disease is progressive and multisystemic and is characterized by early symptoms and late complications (renal, cardiac and neurological dysfunction). Fatigue and exercise intolerance are early common symptoms in FD patients but the specific causes are still to be defined. In this narrative review, we deal with the contribution of cardiac and pulmonary dysfunctions in determining fatigue and exercise intolerance in FD patients.

摘要

法布里病(FD),也称为安德森 - 法布里病,是一种鞘糖脂代谢的遗传性疾病,由溶酶体α - 半乳糖苷酶A酶缺乏引起。这导致鞘糖脂在组织和器官中进行性蓄积,这是法布里病的主要发病机制。该疾病是进行性和多系统的,其特征为早期症状和晚期并发症(肾脏、心脏和神经功能障碍)。疲劳和运动不耐受是法布里病患者早期常见的症状,但具体原因仍有待确定。在这篇叙述性综述中,我们探讨心脏和肺功能障碍在法布里病患者疲劳和运动不耐受的发生中所起的作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1921/11096481/ca096f6a140b/fcvm-11-1396996-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1921/11096481/ca096f6a140b/fcvm-11-1396996-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1921/11096481/ca096f6a140b/fcvm-11-1396996-g001.jpg

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Cardiopulmonary determinants of reduced exercise tolerance in Fabry disease.法布里病运动耐量降低的心肺决定因素。
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Physical performance and nutritional status in patients with Fabry disease: study design of an Italian multicenter cross-sectional study.法布里病患者的身体机能与营养状况:一项意大利多中心横断面研究的研究设计
J Nephrol. 2025 Mar 24. doi: 10.1007/s40620-025-02253-1.
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Cardiopulmonary exercise testing in Fabry disease: is it an early marker of cardiomyopathy?

本文引用的文献

1
Fatigue as hallmark of Fabry disease: role of bioenergetic alterations.疲劳作为法布里病的标志:生物能量改变的作用。
Front Cardiovasc Med. 2024 Jan 24;11:1341590. doi: 10.3389/fcvm.2024.1341590. eCollection 2024.
2
Fabry Disease: Cardiac Implications and Molecular Mechanisms.法布里病:心脏影响与分子机制。
Curr Heart Fail Rep. 2024 Apr;21(2):81-100. doi: 10.1007/s11897-024-00645-1. Epub 2024 Jan 30.
3
Training the Vessels: Molecular and Clinical Effects of Exercise on Vascular Health-A Narrative Review.训练血管:运动对血管健康的分子和临床影响——综述
法布里病的心肺运动试验:它是心肌病的早期标志物吗?
Heart. 2025 Feb 12;111(5):193-194. doi: 10.1136/heartjnl-2024-325300.
4
Changes in peak oxygen consumption in Fabry disease and associations with cardiomyopathy severity.法布里病患者峰值耗氧量的变化及其与心肌病严重程度的关联。
Heart. 2025 Feb 12;111(5):230-238. doi: 10.1136/heartjnl-2024-324553.
Cells. 2023 Oct 30;12(21):2544. doi: 10.3390/cells12212544.
4
Anderson-Fabry disease cardiomyopathy: an update on epidemiology, diagnostic approach, management and monitoring strategies.安德森-法布里病心肌病:流行病学、诊断方法、管理及监测策略的最新进展
Front Cardiovasc Med. 2023 Jun 2;10:1152568. doi: 10.3389/fcvm.2023.1152568. eCollection 2023.
5
Experimental evidence and clinical implications of Warburg effect in the skeletal muscle of Fabry disease.法布里病骨骼肌中瓦尔堡效应的实验证据及临床意义
iScience. 2023 Jan 27;26(3):106074. doi: 10.1016/j.isci.2023.106074. eCollection 2023 Mar 17.
6
Left atrial strain correlates with severity of cardiac involvement in Anderson-Fabry disease.左心房应变与安德森-法布里病心脏受累的严重程度相关。
Eur Radiol. 2023 Mar;33(3):2039-2051. doi: 10.1007/s00330-022-09183-7. Epub 2022 Nov 2.
7
Methylome Profiling in Fabry Disease in Clinical Practice: A Proof of Concept.在临床实践中进行法布里病的甲基组谱分析:概念验证。
Int J Mol Sci. 2022 Oct 11;23(20):12110. doi: 10.3390/ijms232012110.
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An expert consensus on practical clinical recommendations and guidance for patients with classic Fabry disease.关于经典法布里病患者实用临床建议与指导的专家共识。
Mol Genet Metab. 2022 Sep-Oct;137(1-2):49-61. doi: 10.1016/j.ymgme.2022.07.010. Epub 2022 Jul 26.
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Central and Peripheral Fatigue in Physical Exercise Explained: A Narrative Review.运动性中枢疲劳与外周疲劳解析:一项叙述性综述。
Int J Environ Res Public Health. 2022 Mar 25;19(7):3909. doi: 10.3390/ijerph19073909.
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Cardiopulmonary Exercise Testing.心肺运动试验
JAMA. 2022 Apr 5;327(13):1284-1285. doi: 10.1001/jama.2022.2037.