Highlights of Precision Medicine, Genetics, Epigenetics and Artificial Intelligence in Pompe Disease

Marta Moschetti1, Marika Venezia1, Miriam Giacomarra1

  • 1Institute for Biomedical Research and Innovation (IRIB), National Research Council (CNR), 90146 Palermo, Italy.

Insights

Pompe disease, a neuromuscular disorder from GAA enzyme deficiency, presents challenges in diagnosis and treatment. This review explores genetic, epigenetic, and AI approaches to understand its complex mechanisms and complications.

Area of Science:

  • Biochemistry
  • Genetics
  • Neurology

Background:

  • Pompe disease is a rare neuromuscular disorder caused by acid alpha-glucosidase (GAA) enzyme deficiency, leading to glycogen buildup in lysosomes.
  • It manifests in infantile and adult forms, both causing progressive muscle weakness and mobility loss, with diagnostic and biomarker challenges.
  • Disease complexity arises from multifactorial influences, including pre-treatment muscle damage, autophagic system dysfunction, and various molecular pathways.

Purpose of the Study:

  • To conduct a comprehensive literature review on Pompe disease.
  • To examine known data and complications associated with Pompe disease.
  • To explore methodologies for studying the complex characteristics of Pompe disease.

Main Methods:

  • Literature review of existing data on Pompe disease.
  • Application of genetic and epigenetic knowledge.
  • Progression from proteomics to transcriptomics, with an interest in artificial intelligence.

Main Results:

  • The review synthesizes current knowledge on Pompe disease pathophysiology and clinical manifestations.
  • Identifies challenges in early diagnosis and the utility of biomarkers.
  • Highlights the multifactorial nature of the disease, involving genetic, epigenetic, and cellular pathway interactions.

Conclusions:

  • Understanding Pompe disease requires integrating genetic, epigenetic, proteomic, and transcriptomic data.
  • Artificial intelligence shows promise in analyzing complex disease data.
  • Further research is needed to address diagnostic and therapeutic challenges in Pompe disease.

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