Clinical features and genetic analysis of 5 cases of infantile-type glycogen storage disease type II: Case reports

Qi Feng1,2, Meng Qiao Zhang1,2, Chun Xiao Ba2,3

  • 1Hebei North University, Zhangjiakou, Hebei, China.

Medicine
|August 30, 2024
PubMed

Insights

Infantile glycogen storage disease type II (GSD II) in Chinese children presents with severe muscle weakness and heart issues. Genetic testing of the acidic alpha-glucosidase (GAA) gene is crucial for diagnosis.

Area of Science:

  • Pediatrics
  • Genetics
  • Metabolic Disorders

Background:

  • Glycogen storage disease type II (GSD II), also known as Pompe disease, is a rare inherited metabolic disorder.
  • Infantile-onset GSD II is characterized by progressive muscle weakness and cardiomyopathy, leading to early mortality.

Purpose of the Study:

  • To analyze the clinical and genetic characteristics of five infants with GSD II in mainland China.
  • To identify novel mutations in the acidic alpha-glucosidase (GAA) gene associated with infantile GSD II.

Main Methods:

  • Retrospective analysis of clinical data from five infants diagnosed with infantile GSD II.
  • Comprehensive analysis of the acidic alpha-glucosidase (GAA) gene for variants.
  • Assessment of clinical manifestations including muscle strength, hypotonia, developmental delay, creatine kinase levels, and echocardiographic findings.

Main Results:

  • All five patients presented with progressive muscle weakness, hypotonia, and motor developmental delay, with onset between 2 to 7 months.
  • Elevated creatine kinase and varying degrees of myocardial hypertrophy were observed in all cases.
  • Genetic analysis revealed compound heterozygous mutations in the GAA gene, with six novel mutations identified.

Conclusions:

  • Peripheral blood GAA gene testing and alpha-glucosidase enzyme activity assays are effective diagnostic methods for infantile GSD II.
  • The study identified new GAA gene mutations, expanding the spectrum of known genetic variations for this disease.
Abstract

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