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法布里病(无阿加糖酶α)中心房颤动的冷冻消融治疗:一例报告

Cryo-ablation management of atrial fibrillation in Fabry disease without agalsidase alpha: a case report.

作者信息

Li Yuanzhu, Huang Bi, Luo Suxin

机构信息

Department of Cardiology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.

Cardiovascular Disease Laboratory, Chongqing Medical University, Chongqing, China.

出版信息

Front Cardiovasc Med. 2025 May 30;12:1483283. doi: 10.3389/fcvm.2025.1483283. eCollection 2025.

DOI:10.3389/fcvm.2025.1483283
PMID:40520931
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12162670/
Abstract

Fabry disease (FD) is a rare genetic disorder caused by mutations in the gene, affecting multiple organs. Over 60% of patients experience heart-related issues, primarily arrhythmias. Unlike typical cases, these arrhythmias are complex and often do not respond well to standard antiarrhythmic drugs, sometimes worsening symptoms. This paper presents a case study of a FD patient with paroxysmal atrial fibrillation successfully treated using bilateral pulmonary vein cryoablation, resulting in positive outcomes. Additionally, we conducted molecular docking studies for the first time to assess the enzyme-substrate binding of E358del, confirming findings similar to laboratory experiments. Our findings underscore the potential role of artificial intelligence in better understanding FD, and aim to provide insights into managing arrhythmias associated with FD.

摘要

法布里病(FD)是一种由基因突变引起的罕见遗传性疾病,会影响多个器官。超过60%的患者会出现与心脏相关的问题,主要是心律失常。与典型病例不同的是,这些心律失常情况复杂,通常对标准抗心律失常药物反应不佳,有时还会使症状恶化。本文介绍了一例阵发性心房颤动的法布里病患者通过双侧肺静脉冷冻消融术成功治疗的病例研究,取得了积极的治疗效果。此外,我们首次进行了分子对接研究,以评估E358del的酶-底物结合情况,证实了与实验室实验相似的结果。我们的研究结果强调了人工智能在更好地理解法布里病方面的潜在作用,旨在为管理与法布里病相关的心律失常提供见解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fcb9/12162670/e8bbf67460cb/fcvm-12-1483283-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fcb9/12162670/42b2ddf93f5f/fcvm-12-1483283-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fcb9/12162670/e9e9eb128f42/fcvm-12-1483283-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fcb9/12162670/e8bbf67460cb/fcvm-12-1483283-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fcb9/12162670/42b2ddf93f5f/fcvm-12-1483283-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fcb9/12162670/e9e9eb128f42/fcvm-12-1483283-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fcb9/12162670/e8bbf67460cb/fcvm-12-1483283-g003.jpg

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Cryo-ablation management of atrial fibrillation in Fabry disease without agalsidase alpha: a case report.法布里病(无阿加糖酶α)中心房颤动的冷冻消融治疗:一例报告
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本文引用的文献

1
Fabry Disease in Women: Genetic Basis, Available Biomarkers, and Clinical Manifestations.女性法布里病:遗传基础、可用生物标志物和临床表现。
Genes (Basel). 2023 Dec 26;15(1):37. doi: 10.3390/genes15010037.
2
A review and recommendations for oral chaperone therapy in adult patients with Fabry disease.《法布瑞病成年患者口服伴侣治疗的综述及推荐》
Orphanet J Rare Dis. 2024 Jan 18;19(1):16. doi: 10.1186/s13023-024-03028-w.
3
Redocking the PDB.重新对接 PDB。
J Chem Inf Model. 2024 Jan 8;64(1):219-237. doi: 10.1021/acs.jcim.3c01573. Epub 2023 Dec 18.
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
Clinical and CMR characteristics associated with cardiac events in patients with Fabry disease.法布里病患者心脏事件的临床和 CMR 特征。
Int J Cardiol. 2023 Jul 1;382:46-51. doi: 10.1016/j.ijcard.2023.04.016. Epub 2023 Apr 10.
6
Cardiac MRI in Fabry disease.法布里病的心脏磁共振成像
Front Cardiovasc Med. 2023 Feb 2;9:1075639. doi: 10.3389/fcvm.2022.1075639. eCollection 2022.
7
ECG Changes during Adult Life in Fabry Disease: Results from a Large Longitudinal Cohort Study.法布里病成人期的心电图变化:一项大型纵向队列研究的结果
Diagnostics (Basel). 2023 Jan 18;13(3):354. doi: 10.3390/diagnostics13030354.
8
Chaperone Therapy in Fabry Disease.法布瑞病的伴侣蛋白治疗。
Int J Mol Sci. 2022 Feb 8;23(3):1887. doi: 10.3390/ijms23031887.
9
Narrative review on Morbus Fabry: diagnosis and management of cardiac manifestations.法布里病的叙述性综述:心脏表现的诊断与管理
Cardiovasc Diagn Ther. 2021 Apr;11(2):650-660. doi: 10.21037/cdt-20-593.
10
Fabry Disease: The Current Treatment Landscape.法布里病:当前的治疗现状。
Drugs. 2021 Apr;81(6):635-645. doi: 10.1007/s40265-021-01486-1. Epub 2021 Mar 15.