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Updated: Jun 14, 2025

Detecting Glycogen in Peripheral Blood Mononuclear Cells with Periodic Acid Schiff Staining
Published on: December 23, 2014
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.
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.
Objective:
Clinical and genetic mutation analysis was performed on 5 infantile glycogen storage disease type II children in Chinese mainland.
Methods:
Clinical data of 5 children with infantile-type glycogen storage disease type II due to the acidic α-glucosidase (GAA) gene variants diagnosed and treated at Hebei Provincial Children's Hospital from January 2018 to April 2020 were retrospectively analyzed.
Results:
Among the 5 cases, 1 was female and 4 were male, and the age at first diagnosis was from 2 months to 7 months. The first symptoms of all 5 cases showed progressive muscle weakness, hypotonia, and motor developmental backwardness, and all of them had abnormally elevated creatine kinase, and the echocardiograms suggested different degrees of myocardial hypertrophy, with ejection fractions ranging from 44% to 67%. Analysis of GAA gene variations: all 5 cases were compound heterozygous, and a total of 12 variant loci were detected, of which c.2024_2026delACA, c.2853G > A, c.1124G > T, c.574G > A, c.2509C > T, and c.2013G > A were new mutations that had not been reported.
Followup:
All 5 children died before 1 year of age, and the age of death ranged from 7 months to 11.5 months, with a mean survival time of 9.8 months.
Conclusion:
Peripheral blood GAA gene testing and alpha-glucosidase enzyme activity testing is an effective method for diagnosing this disease.
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