Long-Term Clinical-Pathologic Results of Enzyme Replacement Therapy in Prehypertrophic Fabry Disease Cardiomyopathy.
Andrea FrustaciRomina VerardoNicola GaleaMaria AlfaranoMichele MagnocavalloLivia MarchitelliLuigi SansoneManuel BelliMario CristinaEmanuela FrustaciMatteo Antonio RussoCristina ChimentiPublished in: Journal of the American Heart Association (2024)
ERT stabilizes storage deposits and myocyte dimensions in 87% of patients with prehypertrophic FDCM. Globotriaosylceramide is never completely removed even after long-term treatment. Immune-mediated myocardial inflammation can overlap, limiting ERT activity.