2019
DOI: 10.1038/s41598-019-54314-8
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Dynamic respiratory muscle function in late-onset Pompe disease

Abstract: Maximal inspiratory pressure (PIMAX) reflects inspiratory weakness in late-onset Pompe disease (LOPD). However, static pressure tests may not reveal specific respiratory muscle adaptations to disruptions in breathing. We hypothesized that dynamic respiratory muscle functional tests reflect distinct ventilatory compensations in LOPD. We evaluated LOPD (n = 7) and healthy controls (CON, n = 7) during pulmonary function tests, inspiratory endurance testing, dynamic kinematic MRI of the thorax, and ventilatory adj… Show more

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Cited by 8 publications
(7 citation statements)
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References 54 publications
(66 reference statements)
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“…Respiratory dysfunction involves upper airway as well as respiratory muscle and motor neuron pathology. Similar to Pompe mice, patients with Pompe disease demonstrate respiratory pathophysiology and insufficiency, as well as upper airway pathology [74][75][76][77][78][79]. Furthermore, IPD and LOPD patients have reduced vital capacity [76,80,81], which is reminiscent of the reduced tidal volume during the respiratory challenge demonstrated by WBP in mice [51,62,63,71].…”
Section: Discussionmentioning
confidence: 99%
“…Respiratory dysfunction involves upper airway as well as respiratory muscle and motor neuron pathology. Similar to Pompe mice, patients with Pompe disease demonstrate respiratory pathophysiology and insufficiency, as well as upper airway pathology [74][75][76][77][78][79]. Furthermore, IPD and LOPD patients have reduced vital capacity [76,80,81], which is reminiscent of the reduced tidal volume during the respiratory challenge demonstrated by WBP in mice [51,62,63,71].…”
Section: Discussionmentioning
confidence: 99%
“…It has been proposed that diaphragm atrophy, which is often associated with reduced lung height and band‐like atelectasis, can be considered a hallmark of respiratory failure in LOPD patients 23–26 . To evaluate dynamic anatomic airway disorders in patients with LOPD who have received Myozyme, a recent study 27 performed dynamic respiratory muscle functional tests including dynamic kinematic MRI of the thorax. However, none of the examinations could provide real‐time dynamic images or could be performed for diagnosis and interventions at the same time.…”
Section: Discussionmentioning
confidence: 99%
“…Diaphragm dysfunction could also be assessed by dynamic respiratory testing (57) as well as CT and MRI imaging (58,59). MRI data have demonstrated that the pattern of respiratory muscle weakness is predominantly diaphragmatic, with sparing of intercostal muscles, as measured by antero-posterior chest expansion (59).…”
Section: Investigating Respiratory Function In Lopdmentioning
confidence: 99%