2020, Número 1
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Rev Nefrol Dial Traspl 2020; 40 (1)
Chaperonas farmacológicas. Nueva alternativa terapéutica para la nefropatía por enfermedad de fabry en Argentina
Jaurretche S
Idioma: Español
Referencias bibliográficas: 64
Paginas: 51-61
Archivo PDF: 175.66 Kb.
FRAGMENTO
ENFERMEDAD DE FABRY
Definición
La enfermedad de Fabry (EF, OMIM 301500)
es una enfermedad por depósito lisosomal
(EDL). Este grupo de enfermedades incluye al
menos cincuenta entidades hereditarias de baja
frecuencia, originadas por un error congénito
del metabolismo, secundario a un defecto génico
específico, que conduce a una deficiencia en la
actividad de una o varias enzimas lisosomales.
El déficit de actividad enzimática produce el
acúmulo anormal de productos no metabolizados,
primariamente en los lisosomas celulares.
La EF es una EDL causada por la actividad
deficiente de la enzima α-galactosidasa-A
(αGal-A, EC 3.2.1.22), lo que produce la
acumulación de glicoesfingolípidos complejos,
principalmente globotriaosilceramida (Gb3)
(Galα1→4Galβ1→4Glcβ→Cer, Gb3) y sus
metabolitos asociados en los lisosomas, en otros
compartimientos celulares y en el plasma, de
manera progresiva y multisistémica.
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