SUBJECT CONSULTANT REVIEW

Title of the article
Renal histology before and after effective enzyme replacement therapy in a patient with classical Fabry's disease.
Authors

Hirashio S, Taguchi T, Naito T, Maki K, Ogata S, Taniyama K, Taniguchi Y, Yorioka N

Journal

Clin Nephrol. 2009 May;71(5):550-6.

Subject Consultant
V. Nickeleit
Score (1 to 3 stars)
**
Comments
Interesting case study. The presented data suggest that in the patient under discussion with Fabry's disease enzyme therapy resulted in the improvement of symptoms but not in the improvement of histologic lesions. Additional immuohistochemical analyses demonstrated under enzyme therapy a reduced intracellular load of globotriaosylceramide in renal cells- a finding that may explain some of the therapeutic effects seen with enzyme treatment in Fabry's disease.