Résumé
Background: Fabry disease is an X-linked lysosomal storage disorder affecting both males and females with tremendous genotypic/phenotypic variability. Concentrations of globotriaosylceramide (Gb3), globotriaosylsphingosine (lyso-Gb3)/related analogues were investigated in pediatric and adult Fabry cohorts. The aims of this study were to transfer and validate an HPLC-MS/MS methodology on a UPLC-MS/MS new generation platform, using an HPLC column, for urine analysis of treated and untreated pediatric and adult Fabry patients, to establish correlations between the excretion of Fabry biomarkers with gender, treatment, types of mutations, and to evaluate the biomarker reliability for early detection of pediatric Fabry patients. Method: A UPLC-MS/MS was used for biomarker analysis. Results: Reference values are presented for all biomarkers. Results show that gender strongly influences the excretion of each biomarker in the pediatric Fabry cohort, with females having lower urinary levels of all biomarkers. Urinary distribution of lyso-Gb3/related analogues in treated Fabry males was similar to the untreated and treated Fabry female groups in both children and adult cohorts. Children with the late-onset p.N215S mutation had normal urinary levels of Gb3, and lyso-Gb3 but abnormal levels of related analogues. Conclusions: In this study, Fabry males and most Fabry females would have been diagnosed using the urinary lyso-Gb3/related analogue profile.
Langue d'origine | English |
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Pages (de-à) | 195-204 |
Nombre de pages | 10 |
Journal | Clinica Chimica Acta |
Volume | 438 |
DOI | |
Statut de publication | Published - août 19 2014 |
Note bibliographique
Funding Information:This research was funded by grant-in-aid of research from Genzyme (A Sanofi company), and the Canadian Institutes of Health Research ( CIHR: ISO-86229 ). We are grateful to Waters Corporation for their continued scientific support and partnership. We acknowledge our colleagues at the Canadian Fabry Disease Initiative for their support. We are thankful to all Fabry patients for their cooperation. The funding organizations played no role in the design of this study, choice of enrolled patients, review and interpretation of data, and preparation or approval of the manuscript.
Publisher Copyright:
© 2014 Elsevier B.V.
ASJC Scopus Subject Areas
- Biochemistry
- Clinical Biochemistry
- Biochemistry, medical
PubMed: MeSH publication types
- Comparative Study
- Journal Article
- Randomized Controlled Trial
- Research Support, Non-U.S. Gov't