Lysomal Storage Disorder

The Boa Constrictor

Pompe Disease

Pompe disease (also referred to as glycogenosis type II or acid maltase deficiency) is a rare, inherited metabolic disease caused by a deficiency of the enzyme acid glucosidase. This deficiency results in a progressive accumulation of glycogen in the lysosomes. Complete deficiency of this enzyme causes a pronounced cardiomyopathy, muscle weakness and feeding problems already during the first months of life. Without treatment, the children die in the first year of life. With residual enzyme activity a milder course of the disease is seen, characterized by increasing muscle weakness and/or breathing problems during adolescence and adulthood. Examination of blood samples shows increased activity of creatinine kinase (CK) and of liver enzymes.

Pompe Disease | SphinCS - Clinical Science for LSD

Synonym: Glycogen storage disease type II
Etiology: Deficiency of acid alpha-1,4-glucosidase
Gene: GAA Gene
Mode of inheritance: Autosomal recessive
Phenotypes:

  • Infantile form
  • Late-onset form 

Leading symptoms

Infantile form
(Age of onset: first months of life)

  • Cardiomyopathy
  • Muscular hypotonia „floppy infant“
  • Respiratory insufficiency
  • Psychomotor development delay/ arrest

Late-onset form
(Age of onset: variable, from childhood to adulthood)

  • Progressive proximale muscle weakness
  • Diaphragm weakness
  • Respiratory insufficiency
  • Sleep apnea

Diagnostics

  • Diagnostics: - Measurement of the activity of acid alpha-1,4-glucosidase in lymphocytes or dried blood spot

  • Molecular genetic analysis of GAA Gene

Therapy

Alglucosidase alfa (Myozyme®)

Current Studies

The "U.S. National Library of Medicine" provides a complete list of all international studies at www.clinicaltrials.gov. The comparable EU website is less comprehensive: www.clinicaltrialsregister.eu.

Self-help groups

Pompe Deutschland e.V.
https://www.mpompe.de/

Selbsthilfegruppe Glykogenose Deutschland e.V.
https://www.glykogenose.de/de/

At the moment we are not aware of any self-help groups.

Literature

Boentert, M., N. Karabul, S. Wenninger, B. Stubbe-Drager, E. Mengel, B. Schoser, and P. Young

Sleep-Related Symptoms and Sleep-Disordered Breathing in Adult Pompe Disease
Eur J Neurol 22, no. 2 (Feb 2015): 369-76, e27.
Link to the publication

Byrne, B. J., T. Geberhiwot, B. A. Barshop, R. Barohn, D. Hughes, D. Bratkovic, C. Desnuelle, P. Laforet, E. Mengel, M. Roberts, P. Haroldsen, K. Reilley, K. Jayaram, K. Yang, L. Walsh, and P. O. M. Investigators

A Study on the Safety and Efficacy of Reveglucosidase Alfa in Patients with Late-Onset Pompe Disease
Orphanet J Rare Dis 12, no. 1 (Aug 24 2017): 144.
Link to the publication

Chien, Y. H., A. van der Ploeg, S. Jones, B. Byrne, A. Vellodi, N. Leslie, E. Mengel, S. P. Shankar, P. Tanpaiboon, D. W. Stockton, J. B. Hennermann, Z. Devecseri, J. Kempf, J. Keutzer, and P. Kishnani

Survival and Developmental Milestones among Pompe Registry Patients with Classic Infantile-Onset Pompe Disease with Different Timing of Initiation of Treatment with Enzyme Replacement Therapy
J Neuromuscul Dis 2, no. s1 (2015): S61-S62.
Link to the publication

El-Gharbawy, A. H., G. Bhat, J. E. Murillo, B. L. Thurberg, C. Kampmann, K. E. Mengel, and P. S. Kishnani

Expanding the Clinical Spectrum of Late-Onset Pompe Disease: Dilated Arteriopathy Involving the Thoracic Aorta, a Novel Vascular Phenotype Uncovered
Mol Genet Metab 103, no. 4 (Aug 2011): 362-6.
Link to the publication

Gokce, S., N. Karabul, J. B. Hennermann, and E. Mengel

Motor Development in Infantile Pompe Disease
J Neuromuscul Dis 2, no. s1 (2015): S18.
Link to the publication

Hahn, A., J. B. Hennermann, M. Huemer, C. Kampmann, T. Marquardt, E. Mengel, W. Muller-Felber, N. Muschol, M. Rohrbach, and F. Stehling

Diagnosis and Care of Infants and Children with Pompe Disease
Klin Padiatr (Feb 18 2020). Diagnostik und Therapie des Morbus Pompe im Kindesalter.
Link to the publication

Hahn, A., S. Praetorius, N. Karabul, J. Diessel, D. Schmidt, R. Motz, C. Haase, M. Baethmann, J. B. Hennermann, M. Smitka, R. Santer, N. Muschol, A. Meyer, T. Marquardt, M. Huemer, C. Thiels, M. Rohrbach, G. Seyfullah, and E. Mengel

Outcome of Patients with Classical Infantile Pompe Disease Receiving Enzyme Replacement Therapy in Germany
JIMD Rep 20 (2015): 65-75.
Link to the publication

Hauser, F., S. Gokce, G. Werner, S. Danckwardt, S. Sollfrank, C. Neukirch, V. Beyer, J. B. Hennermann, K. J. Lackner, E. Mengel, and H. Rossmann

A Non-Invasive Diagnostic Assay for Rapid Detection and Characterization of Aberrant Mrna-Splicing by Nonsense Mediated Decay Inhibition
Mol Genet Metab (Mar 19 2020).
Link to the publication

Herzog, A., R. Hartung, A. J. Reuser, P. Hermanns, H. Runz, N. Karabul, S. Gokce, J. Pohlenz, C. Kampmann, C. Lampe, M. Beck, and E. Mengel

A Cross-Sectional Single-Centre Study on the Spectrum of Pompe Disease, German Patients: Molecular Analysis of the Gaa Gene, Manifestation and Genotype-Phenotype Correlations
Orphanet J Rare Dis 7 (Jun 7 2012): 35.
Link to the publication

Karabul, N., J. Berndt, C. Kornblum, R. A. Kley, S. Wenninger, N. Tiling, E. Mengel, U. Plockinger, M. Vorgerd, M. Deschauer, B. Schoser, and F. Hanisch

Pregnancy and Delivery in Women with Pompe Disease
Mol Genet Metab 112, no. 2 (Jun 2014): 148-53.
Link to the publication

Karabul, N., A. Skudlarek, J. Berndt, C. Kornblum, R. A. Kley, S. Wenninger, N. Tiling, E. Mengel, U. Plockinger, M. Vorgerd, M. Deschauer, B. Schoser, and F. Hanisch

Urge Incontinence and Gastrointestinal Symptoms in Adult Patients with Pompe Disease: A Cross-Sectional Survey
JIMD Rep 17 (2014): 53-61.
Link to the publication

Karabul, N., A. Skudlarek, J. Berndt, C. Kornblum, R. A. Kley, S. Wenninger, N. Tiling, E. Mengel, U. Plockinger, M. Vorgerd, M. Deschauer, B. Schoser, and F. Hanisch

Urge Incontinence and Gastrointestinal Symptoms in Adult Patients with Pompe Disease: A Cross-Sectional Survey
JIMD Rep 17 (2014): 53-61.
Link to the publication

Lagler, F. B., A. Moder, M. Rohrbach, J. Hennermann, E. Mengel, S. Gokce, T. Hundsberger, K. M. Rosler, N. Karabul, and M. Huemer

Extent, Impact, and Predictors of Diagnostic Delay in Pompe Disease: A Combined Survey Approach to Unveil the Diagnostic Odyssey
IMD Rep 49, no. 1 (Sep 2019): 89-95.
Link to the publication

Lollert, A., C. Stihl, A. M. Hotker, E. Mengel, J. Konig, K. Laudemann, S. Gokce, C. Duber, and G. Staatz

Quantification of Intramuscular Fat in Patients with Late-Onset Pompe Disease by Conventional Magnetic Resonance Imaging for the Long-Term Follow-up of Enzyme Replacement Therapy
PLoS One 13, no. 1 (2018): e0190784.
Link to the publication

Lukacs, Z., P. Nieves Cobos, E. Mengel, R. Hartung, M. Beck, M. Deschauer, A. Keil, and R. Santer

Diagnostic Efficacy of the Fluorometric Determination of Enzyme Activity for Pompe Disease from Dried Blood Specimens Compared with Lymphocytes-Possibility for Newborn Screening
J Inherit Metab Dis 33, no. 1 (Feb 2010): 43-50.
Link to the publication

Pena, L. D. M., R. J. Barohn, B. J. Byrne, C. Desnuelle, O. Goker-Alpan, S. Ladha, P. Laforet, K. E. Mengel, A. Pestronk, J. Pouget, B. Schoser, V. Straub, J. Trivedi, P. Van Damme, J. Vissing, P. Young, K. Kacena, R. Shafi, B. L. Thurberg, K. Culm-Merdek, A. T. van der Ploeg, and N. E. O. Investigator Group

Safety, Tolerability, Pharmacokinetics, Pharmacodynamics, and Exploratory Efficacy of the Novel Enzyme Replacement Therapy Avalglucosidase Alfa (Neogaa) in Treatment-Naive and Alglucosidase Alfa-Treated Patients with Late-Onset Pompe Disease: A Phase 1, O
Neuromuscul Disord 29, no. 3 (Mar 2019): 167-86.
Link to the publication

Pompe Disease Diagnostic Working, Group, B. Winchester, D. Bali, O. A. Bodamer, C. Caillaud, E. Christensen, A. Cooper, E. Cupler, M. Deschauer, K. Fumic, M. Jackson, P. Kishnani, L. Lacerda, J. Ledvinova, A. Lugowska, Z. Lukacs, I. Maire, H. Mandel, E. Mengel, W. Muller-Felber, M. Piraud, A. Reuser, T. Rupar, I. Sinigerska, M. Szlago, F. Verheijen, O. P. van Diggelen, B. Wuyts, E. Zakharova, and J. Keutzer

Methods for a Prompt and Reliable Laboratory Diagnosis of Pompe Disease: Report from an International Consensus Meeting
Mol Genet Metab 93, no. 3 (Mar 2008): 275-81.
Link to the publication

Regnery, C., C. Kornblum, F. Hanisch, S. Vielhaber, N. Strigl-Pill, B. Grunert, W. Muller-Felber, F. X. Glocker, M. Spranger, M. Deschauer, E. Mengel, and B. Schoser

36 Months Observational Clinical Study of 38 Adult Pompe Disease Patients under Alglucosidase Alfa Enzyme Replacement Therapy
J Inherit Metab Dis 35, no. 5 (Sep 2012): 837-45.
Link to the publication

Schanzer, A., A. K. Kaiser, C. Muhlfeld, M. Kulessa, W. Paulus, H. von Pein, M. Rohrbach, L. Viergutz, E. Mengel, T. Marquardt, B. Neubauer, T. Acker, and A. Hahn

Quantification of Muscle Pathology in Infantile Pompe Disease
Neuromuscul Disord 27, no. 2 (Feb 2017): 141-52.
Link to the publication

Schuller, A., C. Kornblum, M. Deschauer, M. Vorgerd, B. Schrank, E. Mengel, Z. Lukacs, D. Glaser, P. Young, U. Plockinger, and B. Schoser

Diagnosis and Therapy of Late Onset Pompe Disease
Nervenarzt 84, no. 12 (Dec 2013): 1467-72.
Link to the publication

Strothotte, S., N. Strigl-Pill, B. Grunert, C. Kornblum, K. Eger, C. Wessig, M. Deschauer, F. Breunig, F. X. Glocker, S. Vielhaber, A. Brejova, M. Hilz, K. Reiners, W. Muller-Felber, E. Mengel, M. Spranger, and B. Schoser

Enzyme Replacement Therapy with Alglucosidase Alfa in 44 Patients with Late-Onset Glycogen Storage Disease Type 2: 12-Month Results of an Observational Clinical Trial
J Neurol 257, no. 1 (Jan 2010): 91-7.
Link to the publication

van Capelle, C. I., J. C. van der Meijden, J. M. van den Hout, J. Jaeken, M. Baethmann, T. Voit, M. A. Kroos, T. G. Derks, M. E. Rubio-Gozalbo, M. A. Willemsen, R. H. Lachmann, E. Mengel, H. Michelakakis, J. C. de Jongste, A. J. Reuser, and A. T. van der Ploeg

Childhood Pompe Disease: Clinical Spectrum and Genotype in 31 Patients
Orphanet J Rare Dis 11, no. 1 (May 18 2016): 65.
Link to the publication

Beck, M.

Alglucosidase Alfa: Long Term Use in the Treatment of Patients with Pompe Disease
Ther Clin Risk Manag 5 (2009): 767-72.
Link to the publication

Kishnani, P. S., D. Corzo, N. D. Leslie, D. Gruskin, A. Van der Ploeg, J. P. Clancy, R. Parini, G. Morin, M. Beck, M. S. Bauer, M. Jokic, C. E. Tsai, B. W. Tsai, C. Morgan, T. O'Meara, S. Richards, E. C. Tsao, and H. Mandel

Early Treatment with Alglucosidase Alpha Prolongs Long-Term Survival of Infants with Pompe Disease
Pediatr Res 66, no. 3 (Sep 2009): 329-35.
Link to the publication

Kishnani, P. S., D. Corzo, M. Nicolino, B. Byrne, H. Mandel, W. L. Hwu, N. Leslie, J. Levine, C. Spencer, M. McDonald, J. Li, J. Dumontier, M. Halberthal, Y. H. Chien, R. Hopkin, S. Vijayaraghavan, D. Gruskin, D. Bartholomew, A. van der Ploeg, J. P. Clancy, R. Parini, G. Morin, M. Beck, G. S. De la Gastine, M. Jokic, B. Thurberg, S. Richards, D. Bali, M. Davison, M. A. Worden, Y. T. Chen, and J. E. Wraith

Recombinant Human Acid Alpha-Glucosidase: Major Clinical Benefits in Infantile-Onset Pompe Disease
Neurology 68, no. 2 (Jan 9 2007): 99-109.
Link to the publication

At present we have no literature available.

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