{"id":1278,"date":"2019-04-30T13:50:24","date_gmt":"2019-04-30T13:50:24","guid":{"rendered":"https:\/\/blogs.bmj.com\/jmg\/?p=1278"},"modified":"2026-02-24T00:40:52","modified_gmt":"2026-02-24T00:40:52","slug":"mutation-specific-fabry-disease-patient-derived-cell-model-to-evaluate-the-amenability-to-chaperone-therapy","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/jmg\/2019\/04\/30\/mutation-specific-fabry-disease-patient-derived-cell-model-to-evaluate-the-amenability-to-chaperone-therapy\/","title":{"rendered":"Mutation-specific Fabry disease patient-derived cell model to evaluate the amenability to chaperone therapy (Contributed by Dr. rer. nat. Malte Lenders)"},"content":{"rendered":"<p>Patients with Fabry disease (FD) and amenable mutations can be treated with the chaperone migalastat to restore endogenous \u03b1-galactosidase A (AGAL) activity. Our study demonstrates that repeated AGAL activity measurements in patients\u2019 white blood cells at treatment-na\u00efve baseline and during follow-up is mandatory to assess the in vivo amenability to migalastat. In addition, plasma lyso-globotriaosylceramide (lyso-Gb3) levels seem to be an appropriate tool to measure the biochemical response to migalastat. Patients with very low AGAL activities and increasing lyso-Gb3 levels despite in vitro amenability might not benefit sufficiently from chaperone treatment. (<a href=\"https:\/\/jmg.bmj.com\/content\/early\/2019\/04\/22\/jmedgenet-2019-106005\">https:\/\/jmg.bmj.com\/content\/early\/2019\/04\/22\/jmedgenet-2019-106005<\/a> )<!--TrendMD v2.4.8--><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Patients with Fabry disease (FD) and amenable mutations can be treated with the chaperone migalastat to restore endogenous \u03b1-galactosidase A (AGAL) activity. Our study demonstrates that repeated AGAL activity measurements in patients\u2019 white blood cells at treatment-na\u00efve baseline and during follow-up is mandatory to assess the in vivo amenability to migalastat. In addition, plasma lyso-globotriaosylceramide [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/jmg\/2019\/04\/30\/mutation-specific-fabry-disease-patient-derived-cell-model-to-evaluate-the-amenability-to-chaperone-therapy\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":123,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-1278","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Mutation-specific Fabry disease patient-derived cell model to evaluate the amenability to chaperone therapy (Contributed by Dr. rer. nat. Malte Lenders) - JMG Contact blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/jmg\/2019\/04\/30\/mutation-specific-fabry-disease-patient-derived-cell-model-to-evaluate-the-amenability-to-chaperone-therapy\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Mutation-specific Fabry disease patient-derived cell model to evaluate the amenability to chaperone therapy (Contributed by Dr. rer. nat. Malte Lenders) - JMG Contact blog\" \/>\n<meta property=\"og:description\" content=\"Patients with Fabry disease (FD) and amenable mutations can be treated with the chaperone migalastat to restore endogenous \u03b1-galactosidase A (AGAL) activity. Our study demonstrates that repeated AGAL activity measurements in patients\u2019 white blood cells at treatment-na\u00efve baseline and during follow-up is mandatory to assess the in vivo amenability to migalastat. In addition, plasma lyso-globotriaosylceramide [...]Read More...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/blogs.bmj.com\/jmg\/2019\/04\/30\/mutation-specific-fabry-disease-patient-derived-cell-model-to-evaluate-the-amenability-to-chaperone-therapy\/\" \/>\n<meta property=\"og:site_name\" content=\"JMG Contact blog\" \/>\n<meta property=\"article:published_time\" content=\"2019-04-30T13:50:24+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2026-02-24T00:40:52+00:00\" \/>\n<meta name=\"author\" content=\"hqqu\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@HuiQiQu\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"hqqu\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/jmg\\\/2019\\\/04\\\/30\\\/mutation-specific-fabry-disease-patient-derived-cell-model-to-evaluate-the-amenability-to-chaperone-therapy\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/jmg\\\/2019\\\/04\\\/30\\\/mutation-specific-fabry-disease-patient-derived-cell-model-to-evaluate-the-amenability-to-chaperone-therapy\\\/\"},\"author\":{\"name\":\"hqqu\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/jmg\\\/#\\\/schema\\\/person\\\/be0250f8d5b52412c3e7c222dabd591b\"},\"headline\":\"Mutation-specific Fabry disease patient-derived cell model to evaluate the amenability to chaperone therapy (Contributed by Dr. rer. nat. 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