Resistive index of central retinal artery, aortic arterial stiffness and OCTA correlated parameters in the early stage of fabry disease

Abstract This study aimed to evaluate the impact of Fabry disease (FD) on retinal microvasculature using optical coherence tomography angiography (OCTA), arterial stiffness, and the resistive index (RI) of the central retinal artery (CRA) in early disease stages. Twenty-nine genetically confirmed FD...

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Main Authors: Michele Rinaldi, Flavia Chiosi, Maria Laura Passaro, Francesco Natale, Alessia Riccardo, Luca D’Andrea, Martina Caiazza, Marta Rubino, Emanuele Monda, Gilda Cennamo, Francesco Calabrò, Giuseppe Limongelli, Ciro Costagliola
Format: Article
Language:English
Published: Nature Portfolio 2024-10-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-024-74146-5
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author Michele Rinaldi
Flavia Chiosi
Maria Laura Passaro
Francesco Natale
Alessia Riccardo
Luca D’Andrea
Martina Caiazza
Marta Rubino
Emanuele Monda
Gilda Cennamo
Francesco Calabrò
Giuseppe Limongelli
Ciro Costagliola
author_facet Michele Rinaldi
Flavia Chiosi
Maria Laura Passaro
Francesco Natale
Alessia Riccardo
Luca D’Andrea
Martina Caiazza
Marta Rubino
Emanuele Monda
Gilda Cennamo
Francesco Calabrò
Giuseppe Limongelli
Ciro Costagliola
author_sort Michele Rinaldi
collection DOAJ
description Abstract This study aimed to evaluate the impact of Fabry disease (FD) on retinal microvasculature using optical coherence tomography angiography (OCTA), arterial stiffness, and the resistive index (RI) of the central retinal artery (CRA) in early disease stages. Twenty-nine genetically confirmed FD patients and twenty-six healthy controls were enrolled. Vessel density (VD) values of the superficial, deep, and choriocapillaris plexuses (SCP, DCP, and CC) were measured via OCTA. CRA RI was studied using color Doppler and grayscale sonography, and aortic pulse wave velocity (PWV) was assessed with the Complior method. CRA RI was significantly lower in the control group compared to the Fabry group (p < 0.001). Central VD was found to be significantly higher in the control group compared to the Fabry group in all the retinal layers (SCP (p < 0.001), DCP (p < 0.005), CC (p < 0.001)). PWV was significantly higher in the Fabry group than in the control group (p = 0.03). Fabry disease patients demonstrate elevated arterial stiffness, increased CRA RI, and diminished retinal microvascular density compared to healthy controls, indicating early ocular damage. Continuous monitoring and targeted screening for organ impairment are crucial in FD management. Identifying biomarkers for assessing ocular vascular involvement and treatment response is imperative. Further research is needed.
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spelling doaj-art-96b0aaf653bd4ae78f1232f689b26f532025-08-20T02:17:54ZengNature PortfolioScientific Reports2045-23222024-10-0114111010.1038/s41598-024-74146-5Resistive index of central retinal artery, aortic arterial stiffness and OCTA correlated parameters in the early stage of fabry diseaseMichele Rinaldi0Flavia Chiosi1Maria Laura Passaro2Francesco Natale3Alessia Riccardo4Luca D’Andrea5Martina Caiazza6Marta Rubino7Emanuele Monda8Gilda Cennamo9Francesco Calabrò10Giuseppe Limongelli11Ciro Costagliola12Department of Neuroscience, Reproductive and Dentistry Sciences, Federico II University of NaplesDepartment of Ophthalmology, Azienda Ospedaliera dei Colli, Monaldi HospitalDepartment of Neuroscience, Reproductive and Dentistry Sciences, Federico II University of NaplesDepartment of Cardiothoracic Sciences, University of Campania “Luigi Vanvitelli”, Monaldi HospitalDepartment of Neuroscience, Reproductive and Dentistry Sciences, Federico II University of NaplesDepartment of Neuroscience, Reproductive and Dentistry Sciences, Federico II University of NaplesInherited and Rare Cardiovascular Diseases, Department of Translational Medical Sciences, University of Campania “Luigi Vanvitelli”, Monaldi HospitalInherited and Rare Cardiovascular Diseases, Department of Translational Medical Sciences, University of Campania “Luigi Vanvitelli”, Monaldi HospitalInherited and Rare Cardiovascular Diseases, Department of Translational Medical Sciences, University of Campania “Luigi Vanvitelli”, Monaldi HospitalDepartment of Neuroscience, Reproductive and Dentistry Sciences, Federico II University of NaplesDepartment of Ophthalmology, Azienda Ospedaliera dei Colli, Monaldi HospitalInherited and Rare Cardiovascular Diseases, Department of Translational Medical Sciences, University of Campania “Luigi Vanvitelli”, Monaldi HospitalDepartment of Neuroscience, Reproductive and Dentistry Sciences, Federico II University of NaplesAbstract This study aimed to evaluate the impact of Fabry disease (FD) on retinal microvasculature using optical coherence tomography angiography (OCTA), arterial stiffness, and the resistive index (RI) of the central retinal artery (CRA) in early disease stages. Twenty-nine genetically confirmed FD patients and twenty-six healthy controls were enrolled. Vessel density (VD) values of the superficial, deep, and choriocapillaris plexuses (SCP, DCP, and CC) were measured via OCTA. CRA RI was studied using color Doppler and grayscale sonography, and aortic pulse wave velocity (PWV) was assessed with the Complior method. CRA RI was significantly lower in the control group compared to the Fabry group (p < 0.001). Central VD was found to be significantly higher in the control group compared to the Fabry group in all the retinal layers (SCP (p < 0.001), DCP (p < 0.005), CC (p < 0.001)). PWV was significantly higher in the Fabry group than in the control group (p = 0.03). Fabry disease patients demonstrate elevated arterial stiffness, increased CRA RI, and diminished retinal microvascular density compared to healthy controls, indicating early ocular damage. Continuous monitoring and targeted screening for organ impairment are crucial in FD management. Identifying biomarkers for assessing ocular vascular involvement and treatment response is imperative. Further research is needed.https://doi.org/10.1038/s41598-024-74146-5Fabry diseaseRetinal vessel densityRetinal and choroidal microangiopathyOCT angiographyResistive index of central retinal artery
spellingShingle Michele Rinaldi
Flavia Chiosi
Maria Laura Passaro
Francesco Natale
Alessia Riccardo
Luca D’Andrea
Martina Caiazza
Marta Rubino
Emanuele Monda
Gilda Cennamo
Francesco Calabrò
Giuseppe Limongelli
Ciro Costagliola
Resistive index of central retinal artery, aortic arterial stiffness and OCTA correlated parameters in the early stage of fabry disease
Scientific Reports
Fabry disease
Retinal vessel density
Retinal and choroidal microangiopathy
OCT angiography
Resistive index of central retinal artery
title Resistive index of central retinal artery, aortic arterial stiffness and OCTA correlated parameters in the early stage of fabry disease
title_full Resistive index of central retinal artery, aortic arterial stiffness and OCTA correlated parameters in the early stage of fabry disease
title_fullStr Resistive index of central retinal artery, aortic arterial stiffness and OCTA correlated parameters in the early stage of fabry disease
title_full_unstemmed Resistive index of central retinal artery, aortic arterial stiffness and OCTA correlated parameters in the early stage of fabry disease
title_short Resistive index of central retinal artery, aortic arterial stiffness and OCTA correlated parameters in the early stage of fabry disease
title_sort resistive index of central retinal artery aortic arterial stiffness and octa correlated parameters in the early stage of fabry disease
topic Fabry disease
Retinal vessel density
Retinal and choroidal microangiopathy
OCT angiography
Resistive index of central retinal artery
url https://doi.org/10.1038/s41598-024-74146-5
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