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Comprehensive review of recent advances in Pompe disease: pathogenesis, management, and future directions - PubMed

3 days ago
  • #digital health technology
  • #Pompe disease
  • #enzyme replacement therapy
  • Pompe disease is an autosomal recessive lysosomal storage disorder caused by deficiency of acid alpha-glucosidase (GAA).
  • Recent advances include newborn screening (NBS), novel biomarkers, next-generation enzyme replacement therapies (ERTs), gene therapy, and digital health technologies (DHTs).
  • Next-generation ERTs like avalglucosidase alfa and cipaglucosidase alfa combined with miglustat have improved outcomes and safety.
  • Emerging strategies such as transferrin receptor-mediated ERT and muscle-targeted adeno-associated virus (AAV) vectors show promise for overcoming current limitations, including CNS involvement.
  • Digital health technologies (DHTs) enable sensitive detection of motor impairment even in presymptomatic stages.
  • Challenges remain in early detection, long-term management, and healthcare resource allocation.
  • Future success requires integrated strategies combining NBS, innovative therapeutics, sensitive monitoring, and supportive policies.