What is Pompe disease?

Dec. 6, 2023

Recently, India’s first patient diagnosed with the Pompe disease died after spending nearly six years in a semi-comatose state.

About the Pompe disease:

  • It is a rare inherited disorder that affects one child per million.
  • Causes:
    • Mutations in the GAA gene cause Pompe disease.
    • The GAA gene provides instructions for producing an enzyme called acid alpha-glucosidase (also known as acid maltase).
    • This enzyme is active in lysosomes, which are structures that serve as recycling centres within cells.
    • The enzyme normally breaks down glycogen into a simpler sugar called glucose, which is the main energy source for most cells.
    • Mutations in the GAA gene prevent acid alpha-glucosidase from breaking down glycogen effectively, which allows this sugar to build up to toxic levels in lysosomes.
    • This buildup damages organs and tissues throughout the body, particularly the muscles, leading to the progressive signs and symptoms of Pompe disease.
  • Some common side effects and symptoms include muscle weakness, respiratory issues, heart problems and difficulty swallowing.
  • This disease can be:
    • Infantile-onset: symptoms begin in the first few months after birth.
    • Late-onset or delayed-onset: symptoms appear later in childhood or in adulthood.
  • It affects males and females equally.
  • Treatment: The treatment includes enzyme replacement therapy (ERT). 

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