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AGAS<br />

8784<br />

> or =23.1 nmol/hour/mg protein<br />

An interpretative report will be provided.<br />

Note: Results from this assay do not reflect carrier status because of individual variation of<br />

alpha-galactosidase enzyme levels.<br />

Clinical References: 1. Desnick RJ, Ioannou YA, Eng CM: a-Galactosidase A deficiency: Fabry<br />

disease. In The Metabolic Basis of Inherited Disease. Vol. 2. 7th edition. Edited by CR Scriver, AL<br />

Beaudet, WS Sly, D Valle. New York, McGraw-Hill Book Company, 1995, pp 2741-2784 2. De<br />

Schoenmakere G, Poppe B, Wuyts B, et al: Two-tier approach for the detection of alpha-galactosidase A<br />

deficiency in kidney transplant recipients. Nephrol Dial Transplant 2008;23:4044-4048 3. Spada M,<br />

Pagliardini S, Yasuda M, et al: High incidence of later-onset Fabry disease revealed by newborn<br />

screening. Am J Hum Genet 2006;79:31-40 4. Mehta A, Hughes DA: Fabry Disease. GeneReviews.<br />

Edited by RA Pagon, TD Bird, CR Dolan, et al: University of Washington, Seattle. Last updated March<br />

2011<br />

Alpha-Galactosidase, Serum<br />

Clinical Information: Fabry disease is an X-linked recessive lysosomal storage disorder resulting<br />

from deficient activity of the enzyme alpha-galactosidase A (alpha-Gal A) and the subsequent deposition<br />

of glycosylsphingolipids in tissues throughout the body; in particular, the kidney, heart, and brain. More<br />

than 150 mutations in the GLA gene have been identified in individuals diagnosed with Fabry disease.<br />

Severity and onset of symptoms are dependent on the amount of residual enzyme activity. The classic<br />

form of Fabry disease occurs in males with

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