2012
DOI: 10.1007/s10545-012-9541-7
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Muscle fiber‐type distribution, fiber‐type‐specific damage, and the Pompe disease phenotype

Abstract: Pompe disease is a lysosomal storage disorder caused by acid α-glucosidase deficiency and characterized by progressive muscle weakness. Enzyme replacement therapy (ERT) has ameliorated patients' perspectives, but reversal of skeletal muscle pathology remains a challenge. We studied pretreatment biopsies of 22 patients with different phenotypes to investigate to what extent fiber-type distribution and fiber-type-specific damage contribute to clinical diversity. Pompe patients have the same fiber-type distributi… Show more

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Cited by 19 publications
(12 citation statements)
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“…ii) ACE may influence muscle metabolic efficiency, since an excess of II genotype was observed in elite mountaineers, and likely related to increase in type I/endurance muscle fibres [ 51 ]. The unfavourable prognostic profile of patients with the DD genotype and thus with a relative predominance of type 2 muscle fibres is in full agreement with the observation by van den Berg el at [ 52 ], that “among non-classic patients…those with early onset of symptoms tend to have more type 2 muscle fibers”.…”
Section: Discussionsupporting
confidence: 88%
“…ii) ACE may influence muscle metabolic efficiency, since an excess of II genotype was observed in elite mountaineers, and likely related to increase in type I/endurance muscle fibres [ 51 ]. The unfavourable prognostic profile of patients with the DD genotype and thus with a relative predominance of type 2 muscle fibres is in full agreement with the observation by van den Berg el at [ 52 ], that “among non-classic patients…those with early onset of symptoms tend to have more type 2 muscle fibers”.…”
Section: Discussionsupporting
confidence: 88%
“…Respiratory impairment can occur due to respiratory muscle hypotrophy associated to the involvement of the spinal moto neurons, in particular the phrenic moto neuron. As a consequence, contributes to a more pronounced diaphragmatic failure [34] [46] [48] [49], aggravating the thoracic cage dynamic kyphoscoliosis associated frequently to the Pompe phenotype which progressively decreases lung capacity [50]. The pathophysiology of respiratory insufficiency in neuromuscular diseases also includes alterations in central respiratory control, alveolar hypoventilation, paradoxical movement of the abdominal muscles, sleep apnea, atelectasis, hyper responsiveness of airways and recurrent pneumonia, and most importantly an abnormal and ineffectiveness of cough [51].…”
Section: Discussionmentioning
confidence: 99%
“…A decrease in muscle contraction speed could be associated with greater impairment of type II muscle fibers (fast twitch muscles) which are prevalent in IPD patients ≤ 17 months of age in both genders [25] [26]. However it is still unclear whether this fiber distribution would be physiological, due to the maturation process and differentiation of muscle fibers, or related to IPD.…”
Section: Discussionmentioning
confidence: 99%
“…Furthermore less glycogen clearance in type II muscles fibers compared to Type I fibers through ERT in the Pompe disease mouse model has been notice [27]. Whether there is a predominance of involvement among different types of muscle fibers in the pathophysiology of the disease is still unclear [9] [26].…”
Section: Discussionmentioning
confidence: 99%