1. Oxidative stress and the altered reaction to it in Fabry disease: A possible target for cardiovascular-renal remodeling?
- Author
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Ravarotto, Verdiana, Carraro, Gianni, Pagnin, Elisa, Bertoldi, Giovanni, Simioni, Francesca, Maiolino, Giuseppe, Martinato, Matteo, Landini, Linda, Davis, Paul, and Calò, Lorenzo
- Subjects
Adult ,Aged ,Cyclic AMP ,Enzyme Replacement Therapy ,Fabry Disease ,Female ,Heme Oxygenase-1 ,Humans ,Hypertrophy ,Left Ventricular ,Isoenzymes ,Kidney ,Lipid Peroxidation ,MAP Kinase Signaling System ,Male ,Middle Aged ,Myosin-Light-Chain Phosphatase ,NADPH Oxidases ,Oxidative Stress ,Recombinant Proteins ,Vascular Remodeling ,alpha-Galactosidase ,rho-Associated Kinases - Abstract
BACKGROUND: Fabry disease is characterized by deficient expression/activity of α-GalA with consequent lysosomal accumulation in various organs of its substrate Gb3. Despite enzyme replacement therapy, Fabry disease progresses with serious myocardial, cerebral and renal manifestations. Gb3 accumulation may induce oxidative stress (OxSt), production of inflammatory cytokines and reduction of nitric oxide, which may impact on Fabry diseases clinical manifestations. METHODS: OxSt status was characterized in 10 patients compared with 10 healthy subjects via protein expression of p22phox, subunit of NADH/NADPH oxidase, (Western blot), Heme oxygenase (HO)-1 levels (ELISA), antioxidant/anti-inflammatory, lipid peroxidation as malondialdehyde (MDA) production (colorimetric assay), phosphorylation state of Extracellular Signal Regulated Kinase (ERK)1/2 and Myosin Phosphatase Target Protein (MYPT)-1 (Western blot), marker of Rho kinase activation, both involved in OxSt signaling. Cardiac left ventricular (LV) mass was also evaluated (M-mode echocardiography). RESULTS: LV mass was higher in Fabrys males (123.72±2.03SEM g/m2) and females (132.09±6.72g/m2). p22phox expression was also higher in patients (1.04±0.09 d.u. vs 0.54±0.05 d.u. p
- Published
- 2018