Rapid diagnosis of late-onset Pompe disease by fluorometric assay of α-glucosidase activities in dried blood spots

被引:45
作者
Kallwass, Helmut
Carr, Cortney
Gerrein, Joseph
Titlow, Mariah
Pomponio, Robert
Bali, Deeksha
Dai, Jian
Kishnani, Priya
Skrinar, Alison
Corzo, Deyanira
Keutzer, Joan
机构
[1] Genzyme Corp, Framingham, MA 01701 USA
[2] Duke Univ, Med Ctr, Dept Pediat, Div Med Genet, Durham, NC 27710 USA
关键词
Pompe disease; glycogen storage disease type 2; diagnosis; lysosomal acid alpha-glucosidase; GAA; dried blood spots; enzyme assay; acarbose;
D O I
10.1016/j.ymgme.2006.12.006
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The enzymatic defect in Pompe disease is insufficient lysosomal acid alpha-glucosidase (GAA) activity which leads to lysosomal glycogen accumulation. We recently introduced a simple and reliable method to measure GAA activity in dried blood spots using Acarbose, a highly selective a-glucosidase inhibitor, to eliminate isoenzyme interference. Here we demonstrate that this method efficiently detects late-onset Pompe patients who are frequently misdiagnosed by conventional methods due to residual GAA activity in other tissue types. (c) 2007 Elsevier Inc. All rights reserved.
引用
收藏
页码:449 / 452
页数:4
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