Pompe disease

Context: India's first patient diagnosed with Pompe disease, a rare genetic disorder, has passed away.

About Pompe disease: 

Pompe disease
  • It is a rare and progressive genetic disorder in which a complex sugar called glycogen builds up in the lysosomes (a cellular structures that act as recycling center).
  • It is an autosomal recessive disorder, means when individuals with Pompe disease inherit two defective copies of the gene, one from each parent.
  • The disease occurs when individual, lack a specific digestive enzyme called acid alpha-glucosidase (GAA). The deficiency of GAA leads to the accumulation of glycogen in various tissues, particularly in muscles.
  • It is also known as glycogen storage disease type II (GSD II).

Symptoms of Pompe disease

  • Muscle weakness, difficulty breathing, respiratory insufficiency, enlarged heart (cardiomegaly), and problems with motor skills.

Diagnosis of Pompe disease

  • By genetic and enzyme test.

Cure of Pompe disease

  • There is no cure for the disease.

Treatment of Pompe disease

  • Involves enzyme replacement therapy (ERT), to replace the deficient GAA enzyme. The most commonly used enzyme in replacement therapy is alglucosidase alfa.

Cases in India: 

  • Although no cumulative government data is available, there are about 50 individuals in India who currently suffer from Pompe disease.

Practice question

With reference to the Pompe disease, consider the following statements:

  1. It is an rare autosomal recessive disorder.
  2. It is caused by a deficiency of enzyme that is responsible for breakdown of tyrosine, an amino acid.

Which of the statements given above is/are correct?

(a) 1 only

(b)2 only

(c)Both 1 and 2

(d)Neither 1 nor 2

Ans: (a)

Statement 1 is correct: It is an autosomal recessive disorder, means when individuals with Pompe disease inherit two defective copies of the gene, one from each parent.

Statement 2 is not correct: It is a rare and progressive genetic disorder in which a complex sugar called glycogen builds up in the lysosomes (a cellular structures that act as recycling center). The disease occurs when individual, lack a specific digestive enzyme called acid alpha-glucosidase (GAA). The deficiency of GAA leads to the accumulation of glycogen in various tissues, particularly in muscles.

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