SI Appendix, Table S1
DOI: 10.1073/pnas.2603452123
Resource: RRID:WB-STRAIN:WBStrain00036122
Curator: @Apiekniewska
SciCrunch record: RRID:WB-STRAIN:WBStrain00036122
SI Appendix, Table S1
DOI: 10.1073/pnas.2603452123
Resource: RRID:WB-STRAIN:WBStrain00036122
Curator: @Apiekniewska
SciCrunch record: RRID:WB-STRAIN:WBStrain00036122
SI Appendix, Table S1
DOI: 10.1073/pnas.2603452123
Resource: RRID:WB-STRAIN:WBStrain00036481
Curator: @Apiekniewska
SciCrunch record: RRID:WB-STRAIN:WBStrain00036481
SI Appendix, Table S1
DOI: 10.1073/pnas.2603452123
Resource: RRID:WB-STRAIN:WBStrain00004114
Curator: @Apiekniewska
SciCrunch record: RRID:WB-STRAIN:WBStrain00004114
SI Appendix, Table S1
DOI: 10.1073/pnas.2603452123
Resource: (WB Cat# WBStrain00000001,RRID:WB-STRAIN:WBStrain00000001)
Curator: @Apiekniewska
SciCrunch record: RRID:WB-STRAIN:WBStrain00000001
SI Appendix, Table S1
DOI: 10.1073/pnas.2603452123
Resource: RRID:WB-STRAIN:WBStrain00035599
Curator: @Apiekniewska
SciCrunch record: RRID:WB-STRAIN:WBStrain00035599
hpIs675 [rgef-1p::GCaMP6s::3xNLS::mNeptune + lin-15(+)]
DOI: 10.1016/j.celrep.2026.117489
Resource: Caenorhabditis Genetics Center (RRID:SCR_007341)
Curator: @Apiekniewska
SciCrunch record: RRID:SCR_007341
N2
DOI: 10.1016/j.celrep.2026.117489
Resource: (WB Cat# WBStrain00000001,RRID:WB-STRAIN:WBStrain00000001)
Curator: @Apiekniewska
SciCrunch record: RRID:WB-STRAIN:WBStrain00000001
OP50
DOI: 10.1016/j.celrep.2026.117489
Resource: (WB Cat# WBStrain00041969,RRID:WB-STRAIN:WBStrain00041969)
Curator: @Apiekniewska
SciCrunch record: RRID:WB-STRAIN:WBStrain00041969
wdIs52 [F49H12.4::GFP + unc-119(+)]
DOI: 10.1016/j.celrep.2026.117489
Resource: Caenorhabditis Genetics Center (RRID:SCR_007341)
Curator: @Apiekniewska
SciCrunch record: RRID:SCR_007341
xbIs1502 [act-1::GFP + rol-6(su1006)]
DOI: 10.1016/j.celrep.2026.117489
Resource: RRID:WB-STRAIN:WBStrain00055598
Curator: @Apiekniewska
SciCrunch record: RRID:WB-STRAIN:WBStrain00055598
vit-2(crg9070[vit-2::gfp]) X
DOI: 10.1016/j.celrep.2026.117489
Resource: Caenorhabditis Genetics Center (RRID:SCR_007341)
Curator: @Apiekniewska
SciCrunch record: RRID:SCR_007341
pwIs503 [vha-6p::mans::GFP + Cbr-unc-119(+)]
DOI: 10.1016/j.celrep.2026.117489
Resource: RRID:WB-STRAIN:WBStrain00033482
Curator: @Apiekniewska
SciCrunch record: RRID:WB-STRAIN:WBStrain00033482
HT115
DOI: 10.1016/j.celrep.2026.117489
Resource: RRID:WB-STRAIN:WBStrain00041079
Curator: @Apiekniewska
SciCrunch record: RRID:WB-STRAIN:WBStrain00041079
jrIs2 [rpl-17p::Grx1-roGFP2 + unc-119(+)]
DOI: 10.1016/j.celrep.2026.117489
Resource: RRID:WB-STRAIN:WBStrain00023445
Curator: @Apiekniewska
SciCrunch record: RRID:WB-STRAIN:WBStrain00023445
hsp-4p::GFP
DOI: 10.1016/j.celrep.2026.117489
Resource: Caenorhabditis Genetics Center (RRID:SCR_007341)
Curator: @Apiekniewska
SciCrunch record: RRID:SCR_007341
gst-4p::GFP
DOI: 10.1016/j.celrep.2026.117489
Resource: Caenorhabditis Genetics Center (RRID:SCR_007341)
Curator: @Apiekniewska
SciCrunch record: RRID:SCR_007341
ergu-1(gk840471)
DOI: 10.1016/j.celrep.2026.117489
Resource: Caenorhabditis Genetics Center (RRID:SCR_007341)
Curator: @Apiekniewska
SciCrunch record: RRID:SCR_007341
1
CaseVI,1: Early adult onset, 63 years diagnosis
CasePresentingHPOs: HP:0003701, HP:0003327, HP:0002795, HP:0003388, HP:0003326 (Proximal muscle weakness, Axial muscle weakness, Abnormal respiration, Easy fatiguability, Myalgia)
HPOsFreeText: GAA activity from dried blood spot: 0.24%, Forced Vital Capacity Seated: 1520 (38%)
CaseNotHPOs: HP:0003236 (Increased serum CK)
CaseAddInfo: Late-Onset Pompe Disease
VII
CaseVII: Adolescent onset, 33 years diagnosis
CasePresentingHPOs: HP:0003701, HP:0003236, HP:0002460, HP:0003394 (Proximal muscle weakness, Increased serum CK, Distal muscle weakness, Muscle cramps)
HPOsFreeText: GAA activity from dried blood spot: 0.20%, Forced Vital Capacity Seated: 5260 (112%), Plasma CK 2.5-5x Normal, Vacuoles in histology
CaseNotHPOs: HP:0002795 (Abnormal respiration)
CaseAddInfo: Late-Onset Pompe Disease
28/M
Patient28: Male
CasePresentingHPOs: HP:0004887, HP:0011471, HP:0001270, HP:0002546, HP:0000365, HP:0001371
HPOsFreeText: CRIM positive, Anti-rh GGA antibodies maximum titer = 1:3200, infusion associated reaction, tracheostomy, heart normalization
CaseNotHPOs:
NotHPOsFreeText:
CaseAddInfo: variants in trans, symptom onset at 2yo, diagnosis at 4yo, ERT at 9yo
CasePreviousTesting: same as group
CaseGenotypingMethod: same as group
Variant1: NM_000152.4(GAA):c.2237G>A (p.Trp746Ter)
ClinVar: 280063, https://www.ncbi.nlm.nih.gov/clinvar/variation/280063/
gnomAD: 0.000003988, http://gnomad.broadinstitute.org/variant/17-78090814-G-A
Variant2: NM_000152.4(GAA):c.1655T>C (p.Leu552Pro)
ClinVar: 279811, https://www.ncbi.nlm.nih.gov/clinvar/variation/279811/
gnomAD: 0.00003188, http://gnomad.broadinstitute.org/variant/17-78085800-T-C
16/M
Patient16: male
CasePresentingHPOs: HP:0004887, HP:0011471, HP:0001270, HP:0002546, HP:0001371, HP:0001025
HPOsFreeText: CRIM negative, Anti-rh GGA antibodies maximum titer = 1:102.400, immunomodulation, infusion associated reaction, tracheostomy, partial heart normalization
CaseNotHPOs: HP:0000365
CaseAddInfo: variants in trans, symptom onset at birth, diagnosis at 3 days, ERT at 4 days
CasePreviousTesting: same as group
CaseGenotypingMethod: same as group
Variant1: NM_000152.4(GAA):c.525delT (p.Glu176Argfs)
ClinVar: 4033, https://www.ncbi.nlm.nih.gov/clinvar/variation/4033/
gnomAD: 7.041e-05, http://exac.broadinstitute.org/variant/17-78078909-CT-C
Variant2: NM_000152.4(GAA):c.2237G>A (p.Trp746Ter)
ClinVar: 280063, https://www.ncbi.nlm.nih.gov/clinvar/variation/280063/
gnomAD: 8.301e-06, http://exac.broadinstitute.org/variant/17-78090814-G-A
23/F
Patient23: Female
CasePresentingHPOs: HP:0000365
HPOsFreeText: CRIM positive, heart normalization, moderate periventricular white matter abnormalities (hypomyelination)
CaseNotHPOs: HP:0004887, HP:0025156, HP:0002355, HP:0002546, HP:0001371
Not HPOsFreeText: infusion associated reaction
CaseAddInfo: homozygous variants in trans, symptom onset at birth, diagnosis and ERT at 1yo
CasePreviousTesting: same as group
CaseGenotypingMethod: same as group
Variant: NM_000152.4(GAA):c.1933G>A (p.Asp645Asn)
ClinVar: 188728, https://www.ncbi.nlm.nih.gov/clinvar/variation/188728/
gnomAD: 0.000008250, http://gnomad.broadinstitute.org/variant/17-78086719-G-A
11/M
Patient11: male
CasePresentingHPOs: HP:0002546, HP:0001371
HPOsFreeText: CRIM positive, heart normalization, moderate periventricular white matter abnormalities (hypomyelination)
CaseNotHPOs: HP:0004887, HP:0025156, HP:0002355, HP:0000365
CaseAddInfo: variants in trans, symptom onset at birth, diagnosis at 12 days. Died at 78mo due to cardiorespiratory failure.
CasePreviousTesting: same as group
CaseGenotypingMethod: same as group
Variant1: NM_000152.4(GAA):c.1942G>A (p.Gly648Ser)
ClinVar: 188902, https://www.ncbi.nlm.nih.gov/clinvar/variation/188902/
gnomAD: 0.0001018, http://exac.broadinstitute.org/variant/17-78086728-G-A
Variant2: NM_000152.4(GAA):c.2646+2T>A
ClinVar: 188924, https://www.ncbi.nlm.nih.gov/clinvar/variation/188924/
gnomAD: n/a
26/F
Patient26: Female
CasePresentingHPOs: HP:0004887, HP:0001270, HP:0001371
HPOsFreeText: CRIM positive, Anti-rh GGA antibodies maximum titer = ≤ 1:400, heart normalization
CaseNotHPOs: HP:0025156, HP:0002546, HP:0000365
NotHPOsFreeText: infusion associated reaction
CaseAddInfo: variants in trans, symptom onset at 3yo, diagnosis at 5yo, ERT at 8yo
CasePreviousTesting: same as group
CaseGenotypingMethod: same as group
Variant1: NM_000152.4(GAA):c.1064T>C (p.Leu355Pro)
ClinVar: 284093, https://www.ncbi.nlm.nih.gov/clinvar/variation/284093/
gnomAD: 0.000007972, http://gnomad.broadinstitute.org/variant/17-78082197-T-C
14/M
Patient14: male
CasePresentingHPOs: HP:0004887, HP:0040288, HP:0002546, HP:0000365
HPOsFreeText: CRIM negative, Anti-rh GGA antibodies maximum titer = 1:204.800, immunomodulation, infusion associated reaction, able to sit independently, partial heart normalization
CaseNotHPOs: HP:0001371
CaseAddInfo: homozygous variants in trans. Symptom onset, diagnosis and ERT at 4yo.
CasePreviousTesting: same as group
CaseGenotypingMethod: same as group
Variant: NM_000152.4(GAA):c.236_246delCCACACAGTGC (p.Pro79Argfs)
ClinVar: 371302, https://www.ncbi.nlm.nih.gov/clinvar/variation/371302/
gnomAD: n/a
Case35: Male, 26 years report
HPOsFreeText: ERT not started, 6 Minute Walking Test at 645 meters, Forced Vital Capacity at 101%
GenotypingMethod: GAA Gene Sequencing
Variant1: NM_000152.4:c.-32-13T>G
ClinVar: 4027 http://www.ncbi.nlm.nih.gov/clinvar/variation/4027
gnomAD: Ashkenazi Jewish 5.541e-3, Overall 3.401e-3 http://gnomad.broadinstitute.org/variant/17-78078341-T-G
Variant2: NM_000152.4:c.655G>A (p.Gly219Arg)
ClinVar: 189065 https://www.ncbi.nlm.nih.gov/clinvar/variation/189065/
gnomAD: African 4.024e-5, Overall 1.809e-5 http://gnomad.broadinstitute.org/variant/17-78079656-G-A
CaseAddInfo: Late Onset Pompe Disease
Case12: Male, 45 years report
HPOsFreeText: 5 years of ERT completed, 6 Minute Walking Test at 301 meters, Forced Vital Capacity at 13%
GenotypingMethod: GAA Gene Sequencing
Variant1: NM_000152.4:c.-32-13T>G
ClinVar: 4027 http://www.ncbi.nlm.nih.gov/clinvar/variation/4027
gnomAD: Ashkenazi Jewish 5.541e-3, Overall 3.401e-3 http://gnomad.broadinstitute.org/variant/17-78078341-T-G
Variant2: NM_000152.4:c.655G>A (p.Gly219Arg)
ClinVar: 189065 https://www.ncbi.nlm.nih.gov/clinvar/variation/189065/
gnomAD: African 4.024e-5, Overall 1.809e-5 http://gnomad.broadinstitute.org/variant/17-78079656-G-A
CaseAddInfo: Late Onset Pompe Disease
Case17: Female, 49 years report
HPOsFreeText: 2 years of ERT completed, 6 Minute Walking Test at 314 meters, Forced Vital Capacity at 54%
GenotypingMethod: GAA Gene Sequencing
Variant1: NM_000152.4:c.-32-13T>G
ClinVar: 4027 http://www.ncbi.nlm.nih.gov/clinvar/variation/4027
gnomAD: Ashkenazi Jewish 5.541e-3, Overall 3.401e-3 http://gnomad.broadinstitute.org/variant/17-78078341-T-G
Variant2: NM_000152.4:c.1548G>A (p.Trp516Ter)
ClinVar: 189025 https://www.ncbi.nlm.nih.gov/clinvar/variation/189025/
gnomAD: European (Non-Finnish) 1.552e-5, Overall 7.079e-6 http://gnomad.broadinstitute.org/variant/17-78084636-G-A
CaseAddInfo: Late Onset Pompe Disease
Case26: Female, 65 years report
HPOsFreeText: 5 years of ERT completed, Forced Vital Capacity at 57%
GenotypingMethod: GAA Gene Sequencing
Variant1: NM_000152.4:c.-32-13T>G
ClinVar: 4027 http://www.ncbi.nlm.nih.gov/clinvar/variation/4027
gnomAD: Ashkenazi Jewish 5.541e-3, Overall 3.401e-3 http://gnomad.broadinstitute.org/variant/17-78078341-T-G
Variant2: NM_000152.4:c.1548G>A (p.Trp516Ter)
ClinVar: 189025 https://www.ncbi.nlm.nih.gov/clinvar/variation/189025/
gnomAD: European (Non-Finnish) 1.552e-5, Overall 7.079e-6 http://gnomad.broadinstitute.org/variant/17-78084636-G-A
CaseAddInfo: Late Onset Pompe Disease
Case27: Male, 71 years report
HPOsFreeText: 0.3 years of ERT completed, 6 Minute Walking Test at 348 meters, Forced Vital Capacity at 53%
GenotypingMethod: GAA Gene Sequencing
Variant1: NM_000152.4:c.-32-13T>G
ClinVar: 4027 http://www.ncbi.nlm.nih.gov/clinvar/variation/4027
gnomAD: Ashkenazi Jewish 5.541e-3, Overall 3.401e-3 http://gnomad.broadinstitute.org/variant/17-78078341-T-G
Variant2: NM_000152.4:c.2608C>T (p.Arg870Ter)
ClinVar: 189009 https://www.ncbi.nlm.nih.gov/clinvar/variation/189009/
gnomAD: European (Non-Finnish) 4.888e-5, Overall 2.662e-5 http://gnomad.broadinstitute.org/variant/17-78092118-C-T
CaseAddInfo: Late Onset Pompe Disease
7
Family 7 - Patient 7
FamilyPresentingHPOs: HP:0007340, HP:0003701, HP:0003306, HP:0002111, HP:0040081
HPOsFreeText: muscle pathology with vacuolar myopathy with glycogen excess, myopathic muscle unit action potentials
FamilyNotHPOs: HP:0010628, HP:0002015, HP:0003691, HP:0002650
Ethnicity: Iranian
ProbandLabel:
FamilyAddInfo: male, 20yo at onset, 23yo at diagnosis, MRC sum score = 96, patient required use of NIV
FamilyPreviousTesting: Respiratory Evaluation: FVC = 20%, CK = 2,550 U/L, muscle pathology examined, DBS enzyme activity (with inhibition) = 0.1 μmol/L/h, NCS, EMG
FamilyGenotypingMethod: GAA analyzed with Sanger Sequencing for entire coding region and conserved exon-intron splice junctions, PCR performed for deletion screening
VariantAllele1: NM_000152.4(GAA):c.-32-13T>G
Clinvar: 4027, https://www.ncbi.nlm.nih.gov/clinvar/variation/4027/
gnomAD: 0.003582, http://exac.broadinstitute.org/variant/17-78078341-T-G
VariantAllele2: NM_000152.4(GAA):c.2662G>T (p.Glu888Ter)
ClinVar: 578595, https://www.ncbi.nlm.nih.gov/clinvar/variation/578595/
gnomAD: 1.65e-05, http://exac.broadinstitute.org/variant/17-78092467-G-T
1
Family 1 - Patient 1
FamilyPresentingHPOs: HP:0002355, HP:0003701, HP:0040081, HP:0100284
HPOsFreeText: myopathic muscle unit action potentials
FamilyNotHPOs HP:0010628, HP:0002015, HP:0003691, HP:0003306, HP:0002650
NotHPOsFreeText:
Ethnicity: Iranian
ProbandLabel: Patient 1, male
FamilyAddInfo: 2yo at onset, 4yo at diagnosis, MRC sum score not available, consanguineous family
FamilyPreviousTesting: Respiratory evaluation: FVC = 90%, CK = 2,960 U/L,DBS enzyme activity (with inhibition) = 0.3 μmol/L/h, no muscle pathology performed, cardiac evaluations, NCS, EMG
FamilyGenotypingMethod: GAA analyzed with Sanger Sequencing for entire coding region and conserved exon-intron splice junctions, PCR performed for deletion screening
Variant: NM_000152.4(GAA):c.854C>G (p.Pro285Arg)
ClinVar: 225114, https://www.ncbi.nlm.nih.gov/clinvar/variation/225114/
gnomAD: n/a
P15
Patient15: Female, 56yo
CasePresentingHPOs: HP:0003077, HP:0000822
HPOsFreeText: LOPD
CaseNotHPOs:
NotHPOsFreeText:
CaseAddInfo: 19yr disease duration, ERT lasted 48mo
CasePMIDs:
CasePreviousTesting: same as group
CaseGenotypingMethod: same as group
Variant1: NM_000152.4(GAA):c.-32-13T>G
Clinvar: 4027, https://www.ncbi.nlm.nih.gov/clinvar/variation/4027/
gnomAD: 0.003582, http://exac.broadinstitute.org/variant/17-78078341-T-G
Variant2: NC_000017.11:g.(?80118193)(80118357_?)del (c.2481 + 102_2646 + 31del)
ClinVar: 456368, https://www.ncbi.nlm.nih.gov/clinvar/variation/456368/
gnomAD: n/a
P14
Patient14: Female, 54yo
CasePresentingHPOs: HP:0003077, HP:0000822
HPOsFreeText: LOPD
CaseNotHPOs:
NotHPOsFreeText:
CaseAddInfo: 18yr disease duration, ERT lasted 44mo
CasePMIDs:
CasePreviousTesting: same as group
CaseGenotypingMethod: same as group
Variant1: NM_000152.4(GAA):c.-32-13T>G
Clinvar: 4027, https://www.ncbi.nlm.nih.gov/clinvar/variation/4027/
gnomAD: 0.003582, http://exac.broadinstitute.org/variant/17-78078341-T-G
Variant2: NC_000017.11:g.(?80118193)(80118357_?)del (c.2481 + 102_2646 + 31del)
ClinVar: 456368, https://www.ncbi.nlm.nih.gov/clinvar/variation/456368/
gnomAD: n/a
P19
Patient19: Female, 61yo
CasePresentingHPOs: HP:0000822
HPOsFreeText: LOPD
CaseNotHPOs:
NotHPOsFreeText:
CaseAddInfo: 2yr disease duration, ERT lasted 9mo
CasePMIDs:
CasePreviousTesting: same as group
CaseGenotypingMethod: same as group
Variant1: NM_000152.4(GAA):c.-32-13T>G
Clinvar: 4027, https://www.ncbi.nlm.nih.gov/clinvar/variation/4027/
gnomAD: 0.003582, http://exac.broadinstitute.org/variant/17-78078341-T-G
Variant2: NM_000152.4(GAA):c.925G>A (p.Gly309Arg)
ClinVar: 188797, https://www.ncbi.nlm.nih.gov/clinvar/variation/188797/
gnomAD: 0.00002860, http://gnomad.broadinstitute.org/variant/17-78081665-G-A
Ten patients received concomitant immunomodulation (detailed in Supplementary Table S4); six were genotype-predicted as CRIM-negative, three were CRIM-positive, and one lacked genotype data.
Patient 6
Variant1: NM_000152.4(GAA):c.1292_1295dup (p.Gln433Alafs)
ClinVar: 552165, https://www.ncbi.nlm.nih.gov/clinvar/variation/552165/
gnomAD: 0.000004293, http://gnomad.broadinstitute.org/variant/17-78082592-C-CTGCA
Variant2: NM_000152.4(GAA):c.2560C>T (p.Arg854Ter)
ClinVar: 4034, https://www.ncbi.nlm.nih.gov/clinvar/variation/4034/
gnomAD: 0.0002090, http://gnomad.broadinstitute.org/variant/17-78092070-C-T
Ten patients received concomitant immunomodulation (detailed in Supplementary Table S4); six were genotype-predicted as CRIM-negative, three were CRIM-positive, and one lacked genotype data.
Patient 7:
Variant1: NM_000152.4(GAA):c.1933G>C (p.Asp645His)
ClinVar: 189013, https://www.ncbi.nlm.nih.gov/clinvar/variation/189013/
gnomAD: 0.000008250, http://gnomad.broadinstitute.org/variant/17-78086719-G-C
Variant2: NM_000152.4(GAA):c.2662G>T (p.Glu888Ter)
ClinVar: 578595, https://www.ncbi.nlm.nih.gov/clinvar/variation/578595/
gnomAD: 0.00001998, http://gnomad.broadinstitute.org/variant/17-78092467-G-T
Ten patients received concomitant immunomodulation (detailed in Supplementary Table S4); six were genotype-predicted as CRIM-negative, three were CRIM-positive, and one lacked genotype data.
Patient 10
Variant1: NM_000152.4(GAA):c.2237G>A (p.Trp746Ter)
ClinVar: 280063, https://www.ncbi.nlm.nih.gov/clinvar/variation/280063/
gnomAD: 0.000003988, http://gnomad.broadinstitute.org/variant/17-78090814-G-A
Variant2: NM_000152.4(GAA):c.1128_1129delGGinsC (p.Trp376Cysfs)
ClinVar: 189041, https://www.ncbi.nlm.nih.gov/clinvar/variation/189041/
gnomAD: n/a
A 50-year-old man
Subject II-8: male, 50yo
CasePresentingHPOs: HP:0002094, HP:0002015, HP:0003323, HP:0002878, HP:0006532, HP:0000822, HP:0005978, HP:0003119, HP:0004325, HP:0009055, HP:0012533, HP:0002540, HP:0003698, HP:0030829, HP:0003236, HP:0010899, HP:0003445, HP:0001271
HPOsFreeText: Previously hospitalized 3 times, during the last of which he received a tracheostomy and was dependent on a ventilator. When study began, he was being treated with IV gamma-globulin therapy for likely chronic inflammatory demyelinating polyneuropathy. Motor examination showed symmetrical 2/5 proximal and 4/5 distal strength. Absent reflexes of bilateral biceps, triceps, patellar, and ankle jerk. Allodynia in soles and distal parts of both legs, normal cardiologic examination, bilateral reduced breath sounds, CK = 132 IU/L, aspartate aminotransferase = 46 IU/L, denervation and spontaneous activity with complex repetitive discharges on muscles associated with cranial nerves and cervical, thoracic, and lumbar areas. Demyelinating, mixed sensorimotor polyneuropathy with absent F wave, reduced GAA activity. 6mo after discharge with tracheostomy and ventilator support patient died from respiratory failure due to pulmonary infection.
CaseNotHPOs: HP:0007185, HP:0001291, HP:0003487, HP:0002370, HP:0011675
NotHPOsFreeText: Absent Hoffmann signs, no myotonic phenomenon
CaseAddInfo: Symptoms (dyspnea, dysphagia, and muscle weakness) had been occurring for 2yrs prior to initiation of case study. based on pedigree, it is likely this patients variants are in trans
CasePMIDs:
CasePreviousTesting: neurological examination, motor examination, cardiologic eamination, pulmonary evaluation, lab studies (CK, AST), ECG, needle electromyogram, nerve conduction studies, DBS
CaseGenotypingMethod: genetic analysis (method not described)
Variant1: NM_000152.4(GAA):c.-32-13T>G
Clinvar: 4027, https://www.ncbi.nlm.nih.gov/clinvar/variation/4027/
gnomAD: 0.003582, http://exac.broadinstitute.org/variant/17-78078341-T-G
Variant2: NM_000152.4(GAA):c.2560C>T (p.Arg854Ter)
ClinVar: 4034, https://www.ncbi.nlm.nih.gov/clinvar/variation/4034/
gnomAD: 0.0002090, http://gnomad.broadinstitute.org/variant/17-78092070-C-T
Variant3: NM_000152.4(GAA):c.1551+42G>A
ClinVar: 496841, https://www.ncbi.nlm.nih.gov/clinvar/variation/496841/
gnomAD: 0.003009, http://gnomad.broadinstitute.org/variant/17-78084681-G-A
15
Patient15: Male
CasePresentingHPOs: HP:0002194, HP:0004887, HP:0001522, CRIM positive
HPOsFreeText: ERT Dosage = 20mg/kg/2w, HCM reversal
CaseNotHPOs:
NotHPOsFreeText:
CaseAddInfo: Symptom onset at 4mo, diagnosis and ERT at 9mo, ERT lasted for 12mo, ventilation required at 10mo, died at 21mo
CasePMIDs: 11738358
CasePreviousTesting: same as group
CaseGenotypingMethod: same as group
Variant: NM_000152.4(GAA):c.1082C>T (p.Pro361Leu)
ClinVar: 403712, https://www.ncbi.nlm.nih.gov/clinvar/variation/403712/
gnomAD: 8.469e-06, http://exac.broadinstitute.org/variant/17-78082294-C-T
14
Patient14: Female
CasePresentingHPOs: HP:0004887, HP:0002194, HP:0001522
HPOsFreeText: ERT dosage = 20mg/kg/2w, was able to crawl but this ability was eventually lost, CRIM positive
CaseNotHPOs:
NotHPOsFreeText: no HCM reversal
CaseAddInfo: Symptom onset at 4mo, diagnosis at 8mo, ERT at 9mo, ERT lasted for 1mo, ventilation required at 8mo, died at 10mo
CasePMIDs: 11738358
CasePreviousTesting: same as group
CaseGenotypingMethod: same as group
Variant: NM_000152.4(GAA):c.1802C>T (p.Ser601Leu)
ClinVar: 194154, https://www.ncbi.nlm.nih.gov/clinvar/variation/194154/
gnomAD: 0.00003187, http://gnomad.broadinstitute.org/variant/17-78086424-C-T
c.2237G > A(p.Trp746*)
Case11
HPOsFreeText: See Group Phenotypes
CasePreviousTesting: Sanger sequencing
CaseMethod1: Sanger sequencing and PCR Amplification
CaseMethod2: Whole Exome Sequencing (WES)
CaseGenotypingMethod: Patients were previously confirmed with Pompe disease by Sanger sequencing to capture the pathogenic variants. The process was repeated as part of the study taking care to amplify the coding regions and exon/intron boundaries to compare with the WES results afterwards.
Variant1: NM_000152.4:c.2237G>A (p.Trp746*)
ClinVar: 280063 https://www.ncbi.nlm.nih.gov/clinvar/variation/280063/
gnomAD: European (Non-Finnish) 8.834e-6, Overall 3.988e-6 http://gnomad.broadinstitute.org/variant/17-78090814-G-A
Variant2: NM_000152.4:c.437delT (p.Met146Argfs*7)
ClinVar: 554096 https://www.ncbi.nlm.nih.gov/clinvar/variation/554096/
gnomAD: Not in gnomAD
CaseAddInfo: Infantile Onset Pompe Disease
c.1548G > A(p.Trp516*)
Case62
HPOsFreeText: See Group Phenotypes
CasePreviousTesting: Sanger sequencing
CaseMethod1: Sanger sequencing and PCR Amplification
CaseMethod2: Whole Exome Sequencing (WES)
CaseGenotypingMethod: Patients were previously confirmed with Pompe disease by Sanger sequencing to capture the pathogenic variants. The process was repeated as part of the study taking care to amplify the coding regions and exon/intron boundaries to compare with the WES results afterwards.
Variant1: NM_000152.4:c.1548G>A (p.Trp516*)
ClinVar: 189025 https://www.ncbi.nlm.nih.gov/clinvar/variation/189025/
gnomAD: European (Non-Finnish) 1.552e-5, Overall 7.079e-6 http://gnomad.broadinstitute.org/variant/17-78084636-G-A
Variant2: NM_000152.4:c.-32-13T>G
ClinVar: 4027 https://www.ncbi.nlm.nih.gov/clinvar/variation/4027/
gnomAD: Ashkenazi Jewish 5.541e-3, Overall 3.401e-3 http://gnomad.broadinstitute.org/variant/17-78078341-T-G
CaseAddInfo: Adult Late Onset Pompe Disease, 1 person more with the same genotype
c.1826dupA(p.Tyr609*)
Case9
HPOsFreeText: See Group Phenotypes
CasePreviousTesting: Sanger sequencing
CaseMethod1: Sanger sequencing and PCR Amplification
CaseMethod2: Whole Exome Sequencing (WES)
CaseGenotypingMethod: Patients were previously confirmed with Pompe disease by Sanger sequencing to capture the pathogenic variants. The process was repeated as part of the study taking care to amplify the coding regions and exon/intron boundaries to compare with the WES results afterwards.
Variant1: NM_000152.4:c.1826dupA (p.Tyr609*)
ClinVar: 189144 https://www.ncbi.nlm.nih.gov/clinvar/variation/189144/
gnomAD: European (Non-Finnish) 1.816e-5, Overall 8.159e-6 http://gnomad.broadinstitute.org/variant/17-78086447-T-TA
Variant2: NM_000152.4:c.2238G>A (p.Trp746*)
ClinVar: 370904 https://www.ncbi.nlm.nih.gov/clinvar/variation/370904/
gnomAD: African 4.011e-5, Overall 1.063e-5 http://gnomad.broadinstitute.org/variant/17-78090815-G-A
CaseAddInfo: Infantile Onset Pompe Disease
c.1438-1G > C
Case31
HPOsFreeText: See Group Phenotypes
CasePreviousTesting: Sanger sequencing
CaseMethod1: Sanger sequencing and PCR Amplification
CaseMethod2: Whole Exome Sequencing (WES)
CaseGenotypingMethod: Patients were previously confirmed with Pompe disease by Sanger sequencing to capture the pathogenic variants. The process was repeated as part of the study taking care to amplify the coding regions and exon/intron boundaries to compare with the WES results afterwards.
Variant1: NM_000152.4:c.1438-1G>C
ClinVar: 189184 https://www.ncbi.nlm.nih.gov/clinvar/variation/189184/
gnomAD: African 1.150e-4, Overall 3.187e-5 http://gnomad.broadinstitute.org/variant/17-78084525-G-C
Variant2: NM_000152.4:c.1655T>C (p.Leu552Pro)
ClinVar: 279811 https://www.ncbi.nlm.nih.gov/clinvar/variation/279811/
gnomAD: European (Non-Finnish) 7.053e-5, Overall 3.188e-5 http://gnomad.broadinstitute.org/variant/17-78085800-T-C
CaseAddInfo: Infantile Onset Pompe Disease
c.2560C > T(p.Arg854*)
Case13
HPOsFreeText: See Group Phenotypes
CasePreviousTesting: Sanger sequencing
CaseMethod1: Sanger sequencing and PCR Amplification
CaseMethod2: Whole Exome Sequencing (WES)
CaseGenotypingMethod: Patients were previously confirmed with Pompe disease by Sanger sequencing to capture the pathogenic variants. The process was repeated as part of the study taking care to amplify the coding regions and exon/intron boundaries to compare with the WES results afterwards.
Variant1: NM_000152.4:c.2560C>T (p.Arg854*)
ClinVar: 4034 https://www.ncbi.nlm.nih.gov/clinvar/variation/4034/
gnomAD: African 1.891e-3, Overall 2.090e-4 http://gnomad.broadinstitute.org/variant/17-78092070-C-T
Variant2: NM_000152.4:c.1292_1295dupTGCA (p.Gln433Alafs*74)
ClinVar: 552165 https://www.ncbi.nlm.nih.gov/clinvar/variation/552165/
gnomAD: African 6.992e-5, Overall 4.293e-6 http://gnomad.broadinstitute.org/variant/17-78082592-C-CTGCA
CaseAddInfo: Infantile Onset Pompe Disease
c.1143delC(p.Ala382Leufs*10)
Case92
HPOsFreeText: See Group Phenotypes
CasePreviousTesting: Sanger sequencing
CaseMethod1: Sanger sequencing and PCR Amplification
CaseMethod2: Whole Exome Sequencing (WES)
CaseGenotypingMethod: Patients were previously confirmed with Pompe disease by Sanger sequencing to capture the pathogenic variants. The process was repeated as part of the study taking care to amplify the coding regions and exon/intron boundaries to compare with the WES results afterwards.
Variant1: NM_000152.4:c.1143delC (p.Ala382Leufs*10)
ClinVar: 370263 https://www.ncbi.nlm.nih.gov/clinvar/variation/370263/
gnomAD: European (Non-Finnish) 8.946e-6, Overall 4.031e-6 http://gnomad.broadinstitute.org/variant/17-78082353-AC-A
Variant2: NM_000152.4:c.-32-13T>G
ClinVar: 4027 https://www.ncbi.nlm.nih.gov/clinvar/variation/4027/
gnomAD: Ashkenazi Jewish 5.541e-3, Overall 3.401e-3 http://gnomad.broadinstitute.org/variant/17-78078341-T-G
CaseAddInfo: Adult Late Onset Pompe Disease, 1 other patient has the same genotype
c.2242dupG (p.Glu748Glyfs*48)
Case71
HPOsFreeText: See Group Phenotypes
CasePreviousTesting: Sanger sequencing
CaseMethod1: Sanger sequencing and PCR Amplification
CaseMethod2: Whole Exome Sequencing (WES)
CaseGenotypingMethod: Patients were previously confirmed with Pompe disease by Sanger sequencing to capture the pathogenic variants. The process was repeated as part of the study taking care to amplify the coding regions and exon/intron boundaries to compare with the WES results afterwards.
Variant1: NM_000152.4:c.2242dupG (p.Glu748Glyfs*48)
ClinVar: 370651 https://www.ncbi.nlm.nih.gov/clinvar/variation/370651/
gnomAD: European (Non-Finnish) 1.767e-5, Overall 7.975e-6 http://gnomad.broadinstitute.org/variant/17-78090813-T-TG
Variant2: NM_000152.4:c.-32-13T>G
ClinVar: 4027 https://www.ncbi.nlm.nih.gov/clinvar/variation/4027/
gnomAD: Ashkenazi Jewish 5.541e-3, Overall 3.401e-3 http://gnomad.broadinstitute.org/variant/17-78078341-T-G
CaseAddInfo: Adult Late Onset Pompe Disease
c.655G > A(p.Gly219Arg)
Case48
HPOsFreeText: See Group Phenotypes
CasePreviousTesting: Sanger sequencing
CaseMethod1: Sanger sequencing and PCR Amplification
CaseMethod2: Whole Exome Sequencing (WES)
CaseGenotypingMethod: Patients were previously confirmed with Pompe disease by Sanger sequencing to capture the pathogenic variants. The process was repeated as part of the study taking care to amplify the coding regions and exon/intron boundaries to compare with the WES results afterwards.
Variant: NM_000152.4:c.655G>A (p.Gly219Arg) (p.Glu176Argfs*45)
ClinVar: 189065 https://www.ncbi.nlm.nih.gov/clinvar/variation/189065/
gnomAD: African 4.024e-5, Overall 1.809e-5 http://gnomad.broadinstitute.org/variant/17-78079656-G-A
CaseAddInfo: Infantile Onset Pompe Disease, Patient is homozygous for this variant
c.1099T > C(p.Trp367Arg)
Case28
HPOsFreeText: See Group Phenotypes
CasePreviousTesting: Sanger sequencing
CaseMethod1: Sanger sequencing and PCR Amplification
CaseMethod2: Whole Exome Sequencing (WES)
CaseGenotypingMethod: Patients were previously confirmed with Pompe disease by Sanger sequencing to capture the pathogenic variants. The process was repeated as part of the study taking care to amplify the coding regions and exon/intron boundaries to compare with the WES results afterwards.
Variant1: NM_000152.4:c.1099T>C (p.Trp367Arg)
ClinVar: 555820 https://www.ncbi.nlm.nih.gov/clinvar/variation/555820/
gnomAD: Not in gnomAD
Variant2: NM_000152.4:c.1802C>T (p.Ser601Leu)
ClinVar: 194154 https://www.ncbi.nlm.nih.gov/clinvar/variation/194154/
gnomAD: East Asian 6.418e-4, Overall 3.187e-5 http://gnomad.broadinstitute.org/variant/17-78086424-C-T
CaseAddInfo: Infantile Onset Pompe Disease
2/M
Patient2: Male, African American, 11yo
CasePresentingHPOs:
HPOsFreeText: IOPD, rhGAA IgG antibody titer = 800, CRIM positive
CaseNotHPOs:
NotHPOsFreeText: no infusion associated reactions
CaseAddInfo: 15mo at diagnosis, 16mo at ERT start
CasePMIDs:
CasePreviousTesting: same as group
CaseGenotypingMethod: same as group
Variant1: NM_000152.4(GAA):c.-32-13T>G
Clinvar: 4027, https://www.ncbi.nlm.nih.gov/clinvar/variation/4027/
gnomAD: 0.003582, http://exac.broadinstitute.org/variant/17-78078341-T-G
Variant2: NM_000152.4(GAA):c.1447G>A (p.Gly483Arg)
ClinVar: 285157, https://www.ncbi.nlm.nih.gov/clinvar/variation/285157/
4/M
Patient4: Male, Caucasian, 12yo
CasePresentingHPOs: HP:0001025 (hives)
HPOsFreeText: IOPD, rhGAA IgG antibody titer = 400, CRIM positive
CaseNotHPOs:
NotHPOsFreeText:
CaseAddInfo: homozygous, 2.7mo at diagnosis, 2.9mo at ERT start
CasePMIDs:
CasePreviousTesting: same as group
CaseGenotypingMethod: same as group
Variant: NM_000152.4(GAA):c.1933G>A (p.Asp645Asn)
ClinVar: 188728, https://www.ncbi.nlm.nih.gov/clinvar/variation/188728/
gnomAD: 0.000008250, https://gnomad.broadinstitute.org/variant/17-78086719-G-A
OP50-1
DOI: 10.1007/s11357-026-02144-8
Resource: (WB Cat# WBStrain00041971,RRID:WB-STRAIN:WBStrain00041971)
Curator: @Apiekniewska
SciCrunch record: RRID:WB-STRAIN:WBStrain00041971
JK574
DOI: 10.1007/s11357-026-02144-8
Resource: RRID:WB-STRAIN:WBStrain00022518
Curator: @Apiekniewska
SciCrunch record: RRID:WB-STRAIN:WBStrain00022518
CB1489
DOI: 10.1007/s11357-026-02144-8
Resource: RRID:WB-STRAIN:WBStrain00004346
Curator: @Apiekniewska
SciCrunch record: RRID:WB-STRAIN:WBStrain00004346
N2
DOI: 10.1007/s11357-026-02144-8
Resource: (WB Cat# WBStrain00000001,RRID:WB-STRAIN:WBStrain00000001)
Curator: @Apiekniewska
SciCrunch record: RRID:WB-STRAIN:WBStrain00000001
PD1073
DOI: 10.1007/s11357-026-02144-8
Resource: RRID:WB-STRAIN:WBStrain00044717
Curator: @Apiekniewska
SciCrunch record: RRID:WB-STRAIN:WBStrain00044717
12
Case#: Patient 12, male
CasePresentingHPOs: HP:0003236
CaseAddInfo: 42yo at onset, 46yo at diagnosis
VariantAllele1: NM_000152.4(GAA):c.-32-13T>G
ClinVar: 4027, https://www.ncbi.nlm.nih.gov/clinvar/variation/4027/
gnomAD: 0.003582, http://exac.broadinstitute.org/variant/17-78078341-T-G
VariantAllele2: NM_000152.4(GAA):c.1438-2A>G
ClinVar: 526521, https://www.ncbi.nlm.nih.gov/clinvar/variation/526521/
gnomAD: n/a
3
Case#: Patient 3, female
CasePresentingHPOs: HP:0003236
CaseAddInfo: 29yo at onset, 39yo at diagnosis
VariantAllele1: NM_000152.4(GAA):c.-32-13T>G
ClinVar: 4027, https://www.ncbi.nlm.nih.gov/clinvar/variation/4027/
gnomAD: 0.003582, http://exac.broadinstitute.org/variant/17-78078341-T-G
VariantAllele2: NM_000152.4(GAA):c.784G>A (p.Glu262Lys)
ClinVar: 188806, https://www.ncbi.nlm.nih.gov/clinvar/variation/188806/
gnomAD: 1.66e-05, http://exac.broadinstitute.org/variant/17-78081447-G-A
17
Case#: Patient 17, female
CasePresentingHPOs: HP:0003236
CaseAddInfo: 38yo at onset, 39yo at diagnosis
VariantAllele1: NM_000152.4(GAA):c.-32-13T>G
ClinVar: 4027, https://www.ncbi.nlm.nih.gov/clinvar/variation/4027/
gnomAD: 0.003582, http://exac.broadinstitute.org/variant/17-78078341-T-G
VariantAllele2: NM_000152.4(GAA):c.2237G>A (p.Trp746Ter)
ClinVar: 280063, https://www.ncbi.nlm.nih.gov/clinvar/variation/280063/
gnomAD: 8.301e-06, http://exac.broadinstitute.org/variant/17-78090814-G-A
Detailed characteristics of these patients
Patient6: male, 50yo, adult onset
CasePresentingHPOs:
HPOsFreeText: LOPD, BMI = 26.3 / 26.6 / n-a, required use of wheelchair and BiPAP, WGMS = 3 / 4 / n-a
CaseNotHPOs:
NotHPOsFreeText:
CaseAddInfo:
CasePMIDs:
CasePreviousTesting: same as group
CaseGenotypingMethod: same as group
Variant1: NM_000152.4(GAA):c.-32-13T>G
Clinvar: 4027, https://www.ncbi.nlm.nih.gov/clinvar/variation/4027/
gnomAD: 0.003582, http://exac.broadinstitute.org/variant/17-78078341-T-G
Variant2: NM_000152.4(GAA):c.1143delC (p.Ala382Leufs)
ClinVar: 370263, https://www.ncbi.nlm.nih.gov/clinvar/variation/370263/
gnomAD: 0.000004031, http://gnomad.broadinstitute.org/variant/17-78082353-AC-A
9
Case9: Male, 21 years onset, 21.5 years diagnosis, 38 years report
CasePresentingHPOs: HP:0003325, HP:0003327, HP:0003236, HP:0002747, HP:0003691 (Limb-girdle muscle weakness, Axial muscle weakness, Increased serum CK, Respiratory muscle weakness, Scapula alata)
CaseAddInfo: Late-Onset Pompe Disease
15
Case15: Male, 3.5 years onset, 5 years diagnosis, 16 years report
CasePresentingHPOs: HP:0003325, HP:0003327, HP:0003236 (Limb-girdle muscle weakness, Axial muscle weakness, Increased serum CK)
CaseAddInfo: Late-Onset Pompe Disease
7
Case7: Male, 11 years onset, 16 years diagnosis, 27 years report
CasePresentingHPOs: HP:0003325, HP:0003327, HP:0003236 (Limb-girdle muscle weakness, Axial muscle weakness, Increased serum CK)
CaseAddInfo: Late-Onset Pompe Disease
2
Case2: Female, 44 years onset, 54 years diagnosis, 65 years report
CasePresentingHPOs: HP:0003325, HP:0003327, HP:0003236, HP:0002747 (Limb-girdle muscle weakness, Axial muscle weakness, Increased serum CK, Respiratory muscle weakness)
CaseAddInfo: Late-Onset Pompe Disease
VC199
DOI: 10.1002/mco2.70543
Resource: RRID:WB-STRAIN:WBStrain00035578
Curator: @Apiekniewska
SciCrunch record: RRID:WB-STRAIN:WBStrain00035578
KU25
DOI: 10.1002/mco2.70543
Resource: (WB Cat# WBStrain00024040,RRID:WB-STRAIN:WBStrain00024040)
Curator: @Apiekniewska
SciCrunch record: RRID:WB-STRAIN:WBStrain00024040
EU1
DOI: 10.1002/mco2.70543
Resource: RRID:WB-STRAIN:WBStrain00007249
Curator: @Apiekniewska
SciCrunch record: RRID:WB-STRAIN:WBStrain00007249
GR1309
DOI: 10.1002/mco2.70543
Resource: RRID:WB-STRAIN:WBStrain00007897
Curator: @Apiekniewska
SciCrunch record: RRID:WB-STRAIN:WBStrain00007897
CB1370
DOI: 10.1002/mco2.70543
Resource: RRID:WB-STRAIN:WBStrain00004309
Curator: @Apiekniewska
SciCrunch record: RRID:WB-STRAIN:WBStrain00004309
CF1038
DOI: 10.1002/mco2.70543
Resource: (WB Cat# WBStrain00004840,RRID:WB-STRAIN:WBStrain00004840)
Curator: @Apiekniewska
SciCrunch record: RRID:WB-STRAIN:WBStrain00004840
LD1
DOI: 10.1002/mco2.70543
Resource: RRID:WB-STRAIN:WBStrain00024125
Curator: @Apiekniewska
SciCrunch record: RRID:WB-STRAIN:WBStrain00024125
CF1553
DOI: 10.1002/mco2.70543
Resource: RRID:WB-STRAIN:WBStrain00004861
Curator: @Apiekniewska
SciCrunch record: RRID:WB-STRAIN:WBStrain00004861
N2
DOI: 10.1002/mco2.70543
Resource: (WB Cat# WBStrain00000001,RRID:WB-STRAIN:WBStrain00000001)
Curator: @Apiekniewska
SciCrunch record: RRID:WB-STRAIN:WBStrain00000001
TJ356
DOI: 10.1002/mco2.70543
Resource: (WB Cat# WBStrain00034892,RRID:WB-STRAIN:WBStrain00034892)
Curator: @Apiekniewska
SciCrunch record: RRID:WB-STRAIN:WBStrain00034892
DA1116
DOI: 10.1002/mco2.70543
Resource: (WB Cat# WBStrain00005548,RRID:WB-STRAIN:WBStrain00005548)
Curator: @Apiekniewska
SciCrunch record: RRID:WB-STRAIN:WBStrain00005548
PD01
Patient1: Female, northern China
CasePresentingHPOs:
HPOsFreeText: IOPD
CaseNotHPOs:
NotHPOsFreeText:
CaseAddInfo:
CasePMIDs:
CasePreviousTesting: same as group
CaseGenotypingMethod: same as group
Variant1: NM_000152.4(GAA):c.2662G>T (p.Glu888Ter)
ClinVar: 578595, https://www.ncbi.nlm.nih.gov/clinvar/variation/578595/
gnomAD: 1.65e-05, http://exac.broadinstitute.org/variant/17-78092467-G-T
Variant2: NM_000152.4(GAA):c.1927G>A (p.Gly643Arg)
ClinVar: 4023, https://www.ncbi.nlm.nih.gov/clinvar/variation/4023/
1
Case1: 0.2 years diagnosis, Germany
CasePresentingHPOs: HP:0031185, HP:0001635, HP:0001252, HP:0001324, HP:0003236, HP:0001639 (Increased NT-proBNP level, Cardiac failure, Muscular hypotonia, Muscle weakness, Increased serum CK, Hypertrophic cardiomyopathy)
HPOsFreeText: 3442 BNP (pg/ml), 4.71 IVS (d) z score, 4.29 IVS (s) z score, Heart Failure at NYHA Class 3
NotHPOsFreeText: No left-ventricular outflow tract obstruction
CaseAddInfo: Infantile-Onset Pompe Disease
33
Patient33: Female, 24 years report, 3 year onset
CasePresentingHPOs: HP:0001324 (Muscle weakness)
HPOsFreeText: GAA activity 9.6% from leukocyte
CaseNotHPOs: HP:0002098, HP:0002240, HP:0001640 (Respiratory distress, Hepatomegaly, Cardiomegaly)
NotHPOsFreeText: No wheelchair needed, Respiratory Assistance not needed
CaseAddInfo: LOPD
12
Patient12: Male, 19 years report, 13 years onset
CasePresentingHPOs: HP:0001324 (Muscle weakness)
HPOsFreeText: GAA activity 9.9% from leukocyte
CaseNotHPOs: HP:0002098, HP:0002240, HP:0001640 (Respiratory distress, Hepatomegaly, Cardiomegaly)
NotHPOsFreeText: No wheelchair needed, Respiratory Assistance not needed
CaseAddInfo: LOPD
29
Patient29: Female, 30 years onset
CasePresentingHPOs: HP:0001324, HP:0001288 (Muscle weakness, Gait disturbance)
HPOsFreeText: GAA activity 4% from leukocyte
CaseNotHPOs: HP:0002098, HP:0002240, HP:0001640 (Respiratory distress, Hepatomegaly, Cardiomegaly)
NotHPOsFreeText: No wheelchair needed, Respiratory Assistance not needed
CaseAddInfo: LOPD
18
Patient18: Female, 48 years report, 42 years onset
CasePresentingHPOs: N/A
HPOsFreeText: GAA activity 8.1% from leukocyte
CaseNotHPOs: HP:0002098, HP:0001324, HP:0001640, HP:0002240 (Respiratory distress, Muscle weakness, Cardiomegaly, Hepatomegaly)
NotHPOsFreeText: No wheelchair needed, Respiratory Assistance not needed
CaseAddInfo: LOPD
23
Patient23: Male, 68 years report, 2.5 year onset
CasePresentingHPOs: HP:0001324, HP:0002098 (Muscle weakness, Respiratory distress)
HPOsFreeText: GAA activity 9.8% from leukocyte, Respiratory Assistance needed
CaseNotHPOs: HP:0002240 (Hepatomegaly)
NotHPOsFreeText: N/A
CaseAddInfo: LOPD
4
Patient4: Male, 5 years report, 1 year onset
CasePresentingHPOs: HP:0001640 (Cardiomegaly)
HPOsFreeText: GAA activity 3.5% from leukocyte
CaseNotHPOs: HP:0002098, HP:0001324, HP:0002240 (Respiratory distress, Muscle weakness, Hepatomegaly)
NotHPOsFreeText: No wheelchair needed, Respiratory Assistance not needed
CaseAddInfo: IOPD
21
Patient21: Male, 35 years report, 1y< years onset
CasePresentingHPOs: HP:0001324, HP:0002240 (Muscle weakness, Hepatomegaly)
CaseAddInfo: LOPD
11
Patient11: Male, 10 years report, 4 years onset
CasePresentingHPOs: HP:0001324 (Muscle weakness)
HPOsFreeText: GAA activity 16.9% from leukocyte
CaseNotHPOs: HP:0002098, HP:0002240, HP:0001640 (Respiratory distress, Hepatomegaly, Cardiomegaly)
NotHPOsFreeText: No wheelchair needed, Respiratory Assistance not needed
CaseAddInfo: LOPD
38
Patient38: Male, 20 years report, 2 year onset
CasePresentingHPOs: HP:0001324, HP:0002098, HP:0002527 (Muscle weakness, Respiratory distress, Falls)
HPOsFreeText: GAA activity 2.7% from leukocyte, Wheelchair needed, Respiratory Assistance needed
CaseNotHPOs: HP:0001640, HP:0002240 (Cardiomegaly, Hepatomegaly)
NotHPOsFreeText: N/A
CaseAddInfo: LOPD
Xla.Tg(tuba1a:MyrPalm-mRFP)NXR), were previously generated and obtained from the National Xenopus Resource Center (NXR
DOI: 10.1038/s41467-025-60724-2
Resource: National Xenopus Resource (RRID:SCR_013731)
Curator: @AleksanderDrozdz
SciCrunch record: RRID:SCR_013731
4
Patient4: Male, 2.2mo at ERT start, 1.7yo at study end
CasePresentingHPOs:
HPOsFreeText: treated with 20mg/kg/2wks, patient had 3 infusion associated reactions
CaseNotHPOs:
NotHPOsFreeText:
CaseAddInfo:
CasePMIDs:
CasePreviousTesting: same as group
CaseGenotypingMethod: same as group
Variant1: NC_000017.11:g.(?80118193)(80118357_?)del (c.2481 + 102_2646 + 31del)
ClinVar: 456368, https://www.ncbi.nlm.nih.gov/clinvar/variation/456368/
gnomAD: n/a
Variant2: NM_000152.4(GAA):c.525delT (p.Glu176Argfs)
ClinVar: 4033, https://www.ncbi.nlm.nih.gov/clinvar/variation/4033/
gnomAD: 0.00009959, http://gnomad.broadinstitute.org/variant/17-78078909-CT-C
Supplement Table 1)
Patient12: 8yo
CasePresentingHPOs: HP:0001638
HPOsFreeText: rhGAA dosage = 20 EOW, independent walker
CaseNotHPOs:
NotHPOsFreeText:
CaseAddInfo: 26days old at ERT start
CasePMIDs:
CasePreviousTesting: same as group
CaseGenotypingMethod: same as group
Variant1: NM_000152.4(GAA):c.1935C>A (p.Asp645Glu)
ClinVar: 4029, https://www.ncbi.nlm.nih.gov/clinvar/variation/4029/
gnomAD: 0.0001721, http://exac.broadinstitute.org/variant/17-78086721-C-A
Variant2: NM_000152.4(GAA):c.1411_1414delGAGA (p.Glu471Profs)
ClinVar: 188874, https://www.ncbi.nlm.nih.gov/clinvar/variation/188874/
gnomAD: 1.688e-05, http://exac.broadinstitute.org/variant/17-78083827-CGAGA-C
Supplement Table 1)
Patient6: 7yo
CasePresentingHPOs: HP:0001638
HPOsFreeText: rhGAA = 20 EOW, independent walker
CaseNotHPOs:
NotHPOsFreeText:
CaseAddInfo: 3mo at ERT start
CasePMIDs:
CasePreviousTesting: same as group
CaseGenotypingMethod: same as group
Variant1: NM_000152.4(GAA):c.1935C>A (p.Asp645Glu)
ClinVar: 4029, https://www.ncbi.nlm.nih.gov/clinvar/variation/4029/
gnomAD: 0.0001721, http://exac.broadinstitute.org/variant/17-78086721-C-A
Variant2: NM_000152.4(GAA):c.1411_1414delGAGA (p.Glu471Profs)
ClinVar: 188874, https://www.ncbi.nlm.nih.gov/clinvar/variation/188874/
gnomAD: 1.688e-05, http://exac.broadinstitute.org/variant/17-78083827-CGAGA-C
strains were provided by the CGC,
DOI: 10.1002/2211-5463.70274
Resource: Caenorhabditis Genetics Center (RRID:SCR_007341)
Curator: @Apiekniewska
SciCrunch record: RRID:SCR_007341
RRID:CVCL_0291
DOI: 10.64898/2026.10.30.763015
Resource: (RRID:CVCL_0291)
Curator: @scibot
SciCrunch record: RRID:CVCL_0291
RRID:SCR_026393
DOI: 10.64898/2026.10.29.762815
Resource: Paris Brain Institute Quantitative Cellular and Molecular Imaging Core Facility (RRID:SCR_026393)
Curator: @scibot
SciCrunch record: RRID:SCR_026393
RRID:SCR_028048
DOI: 10.64898/2026.10.29.762815
Resource: RRID:SCR_028048
Curator: @scibot
SciCrunch record: RRID:SCR_028048
RRID:SCR_027891
DOI: 10.64898/2026.10.29.762815
Resource: RRID:SCR_027891
Curator: @scibot
SciCrunch record: RRID:SCR_027891
RRID:SCR_026138
DOI: 10.64898/2026.10.29.762815
Resource: Paris Brain Institute Data Analysis Core Facility (RRID:SCR_026138)
Curator: @scibot
SciCrunch record: RRID:SCR_026138
#21
Case21: Female, 5 years onset, 5 years diagnosis
CaseAddInfo: Late-Onset Pompe Disease
20 mg/kg (N = 16)
Case22HPOsFreeText: 20 mg/kg GAA treatment, GAA activity at 7 mU/U hexosaminidas, GAA activity at 25% lower limit of normal
CaseAddInfo: Late Onset Pompe Disease
CaseGenotypingMethod: Method not described, only that the diagnosis was "confirmed … based on 2 GAA gene mutations"
Variant1: NM_000152.4:c.-32-13T>G
ClinVar: 4027 https://www.ncbi.nlm.nih.gov/clinvar/variation/4027/
gnomAD: Ashkenazi Jewish 5.541e-3, Overall 3.401e-3 https://gnomad.broadinstitute.org/variant/17-78078341-T-G
Variant2: NM_000152.4:c.2608C>T (p.Arg870Ter)
ClinVar: 189009 https://www.ncbi.nlm.nih.gov/clinvar/variation/189009/
gnomAD: European (Non-Finnish) 4.888e-5, Overall 2.662e-5 https://gnomad.broadinstitute.org/variant/17-78092118-C-T
CaseAddInfo: Patient is compound heterozygous for these variants
10 mg/kg (N = 3)
Case6HPOsFreeText: 10 mg/kg GAA treatment, GAA activity at 1 pmol/punch/hr, GAA activity at 10% lower limit of normal
CaseAddInfo: Late Onset Pompe Disease
CaseGenotypingMethod: Method not described, only that the diagnosis was "confirmed … based on 2 GAA gene mutations"
Variant1: NM_000152.4:c.-32-13T>G
ClinVar: 4027 https://www.ncbi.nlm.nih.gov/clinvar/variation/4027/
gnomAD: Ashkenazi Jewish 5.541e-3, Overall 3.401e-3 https://gnomad.broadinstitute.org/variant/17-78078341-T-G
Variant2: NM_000152.4:c.2242dupG (p.Glu748Glyfs)
ClinVar: 370651 https://www.ncbi.nlm.nih.gov/clinvar/variation/370651/
gnomAD: European (Non-Finnish) 1.767e-5, Overall 7.975e-6 https://gnomad.broadinstitute.org/variant/17-78090813-T-TG
CaseAddInfo:
CaseOPTPD-79: Male, Taiwan, Birth diagnosis
HPOsFreeText: GAA (MS/MS) enzyme activity at 0.75 umol/hr/L
GenotypingMethod: GAA Gene Sequencing and PCR Amplification
Variant1: NM_000152.4:c.1726G>A (p.Gly576Ser)
ClinVar: 92467 https://www.ncbi.nlm.nih.gov/clinvar/variation/92467/
gnomAD: East Asian 0.1427, Overall 0.01700 http://gnomad.broadinstitute.org/variant/17-78085871-G-A
Variant2: NM_000152.4:c.2238G>C (p.Trp746Cys)
ClinVar: 265160 https://www.ncbi.nlm.nih.gov/clinvar/variation/265160/
gnomAD: European (Non-Finnish) 5.673e-4, Overall 3.083e-4 http://gnomad.broadinstitute.org/variant/17-78090815-G-C
CaseAddInfo: One Pompe Mutation allele and Two Pseudodeficency Mutation alleles, Nomenclature indicates patient is homozygous for Variant 1 and Variant 2 is in cis with one copy, 5 other patients have the same genotype
CaseOPOPD-53: Female, Taiwan, Birth diagnosis
HPOsFreeText: GAA (MS/MS) enzyme activity at 1.23 umol/hr/L
GenotypingMethod: GAA Gene Sequencing and PCR Amplification
Variant1: NM_000152.4:c.1726G>A (p.Gly576Ser)
ClinVar: 92467 https://www.ncbi.nlm.nih.gov/clinvar/variation/92467/
gnomAD: East Asian 0.1427, Overall 0.01700 http://gnomad.broadinstitute.org/variant/17-78085871-G-A
Variant2: NM_000152.4:c.1843G>A (p.Gly615Arg)
ClinVar: 188786 https://www.ncbi.nlm.nih.gov/clinvar/variation/188786/
gnomAD: East Asian 2.223e-4, Overall 1.640e-5 http://gnomad.broadinstitute.org/variant/17-78086465-G-A
CaseAddInfo: One Pompe Mutation allele and One Pseudodeficency Mutation allele, 1 other patient has the same genotype
CaseOPOPD-6: Female, Taiwan, Birth diagnosis
HPOsFreeText: GAA (MS/MS) enzyme activity at 0.75 umol/hr/L
GenotypingMethod: GAA Gene Sequencing and PCR Amplification
Variant1: NM_000152.4:c.569G>A (p.Arg190His)
ClinVar: 188809 https://www.ncbi.nlm.nih.gov/clinvar/variation/188809/
gnomAD: African 6.166e-5, Overall 1.602e-5 http://gnomad.broadinstitute.org/variant/17-78079570-G-A
Variant2: NM_000152.4:c.1726G>A (p.Gly576Ser)
ClinVar: 92467 https://www.ncbi.nlm.nih.gov/clinvar/variation/92467/
gnomAD: East Asian 0.1427, Overall 0.01700 http://gnomad.broadinstitute.org/variant/17-78085871-G-A
CaseAddInfo: One Pompe Mutation and One Pseudodeficency Mutation, 2 others have the same genotype
CaseOPOPD-44: Female, Taiwan, Birth diagnosis
HPOsFreeText: GAA (MS/MS) enzyme activity at 1.51 umol/hr/L
GenotypingMethod: GAA Gene Sequencing and PCR Amplification
Variant1: NM_000152.4:c.1222A>G (p.Met408Val)
ClinVar: 371235 https://www.ncbi.nlm.nih.gov/clinvar/variation/371235/
gnomAD: European (Non-Finnish) 1.790e-5, Overall 8.058e-6 http://gnomad.broadinstitute.org/variant/17-78082523-A-G
Variant2: NM_000152.4:c.1726G>A (p.Gly576Ser)
ClinVar: 92467 https://www.ncbi.nlm.nih.gov/clinvar/variation/92467/
gnomAD: East Asian 0.1427, Overall 0.01700 http://gnomad.broadinstitute.org/variant/17-78085871-G-A
CaseAddInfo: One Pompe Mutation allele and One Pseudodeficency Mutation allele
CaseIP2-3: Male, Taiwan, Birth diagnosis
HPOsFreeText: GAA (MS/MS) enzyme activity at 0.04 umol/hr/L, Serum CK at 809 U/L
GenotypingMethod: GAA Gene Sequencing and PCR Amplification
Variant1: NM_000152.4:c.1082C>T (p.Pro361Leu)
ClinVar: 403712 https://www.ncbi.nlm.nih.gov/clinvar/variation/403712/
gnomAD: Latino 5.798e-5, Overall 1.203e-5 http://gnomad.broadinstitute.org/variant/17-78082294-C-T
Variant2: NM_000152.4:c.1935C>A (p.Asp645Glu)
ClinVar: 4029 https://www.ncbi.nlm.nih.gov/clinvar/variation/4029/
gnomAD: East Asian 1.729e-3, Overall 1.240e-4 http://gnomad.broadinstitute.org/variant/17-78086721-C-A
Variant3: NM_000152.4:c.1726G>A (p.Gly576Ser)
ClinVar: 92467 https://www.ncbi.nlm.nih.gov/clinvar/variation/92467/
gnomAD: East Asian 0.1427, Overall 0.01700 http://gnomad.broadinstitute.org/variant/17-78085871-G-A
CaseAddInfo: Infantile Onset Pompe Disease, Nomenclature indicates Variant 2 and 3 are in trans
CaseOPOPD-39: Male, Taiwan, Birth diagnosis
HPOsFreeText: GAA (MS/MS) enzyme activity at 1.56 umol/hr/L
GenotypingMethod: GAA Gene Sequencing and PCR Amplification
Variant1: NM_000152.4:c.841C>T (p.Arg281Trp)
ClinVar: 283894 https://www.ncbi.nlm.nih.gov/clinvar/variation/283894/
gnomAD: European (Non-Finnish) 4.051e-4, Overall 2.051e-4 http://gnomad.broadinstitute.org/variant/17-78081504-C-T
Variant2: NM_000152.4:c.1726G>A (p.Gly576Ser)
ClinVar: 92467 https://www.ncbi.nlm.nih.gov/clinvar/variation/92467/
gnomAD: East Asian 0.1427, Overall 0.01700 http://gnomad.broadinstitute.org/variant/17-78085871-G-A
CaseAddInfo: One Pompe Mutation allele and One Pseudodeficency Mutation allele
CaseOPOPD-65: Female, Taiwan, Birth diagnosis
HPOsFreeText: GAA (MS/MS) enzyme activity at 0.77 umol/hr/L
GenotypingMethod: GAA Gene Sequencing and PCR Amplification
Variant1: NM_000152.4:c.1726G>A (p.Gly576Ser)
ClinVar: 92467 https://www.ncbi.nlm.nih.gov/clinvar/variation/92467/
gnomAD: East Asian 0.1427, Overall 0.01700 http://gnomad.broadinstitute.org/variant/17-78085871-G-A
Variant2: NM_000152.4:c.2185delC (p.Leu729Trpfs)
ClinVar: 370552 https://www.ncbi.nlm.nih.gov/clinvar/variation/370552/
gnomAD: Not in gnomAD
CaseAddInfo: One Pompe Mutation allele and One Pseudodeficency Mutation allele, 1 other patient has this genotype
RRID:Addgene_20725
DOI: 10.64898/2026.10.29.762773
Resource: RRID:Addgene_20725
Curator: @scibot
SciCrunch record: RRID:Addgene_20725
RRID:Addgene_20724
DOI: 10.64898/2026.10.29.762773
Resource: RRID:Addgene_20724
Curator: @scibot
SciCrunch record: RRID:Addgene_20724
RRID:SCR_019170
DOI: 10.64898/2026.10.29.762773
Resource: University of North Carolina at Chapel Hill Flow Cytometry Core Facility (RRID:SCR_019170)
Curator: @scibot
SciCrunch record: RRID:SCR_019170
RRID:Addgene_20726
DOI: 10.64898/2026.10.29.762773
Resource: RRID:Addgene_20726
Curator: @scibot
SciCrunch record: RRID:Addgene_20726
RRID:Addgene_50772
DOI: 10.64898/2026.10.29.762773
Resource: RRID:Addgene_50772
Curator: @scibot
SciCrunch record: RRID:Addgene_50772
RRID:Addgene_24603
DOI: 10.64898/2026.10.29.762773
Resource: RRID:Addgene_24603
Curator: @scibot
SciCrunch record: RRID:Addgene_24603
RRID:Addgene_139817
DOI: 10.64898/2026.10.29.762773
Resource: RRID:Addgene_139817
Curator: @scibot
SciCrunch record: RRID:Addgene_139817
RRID:Addgene_51543
DOI: 10.64898/2026.10.29.762773
Resource: RRID:Addgene_51543
Curator: @scibot
SciCrunch record: RRID:Addgene_51543
RRID:Addgene_83915
DOI: 10.64898/2026.10.29.762773
Resource: RRID:Addgene_83915
Curator: @scibot
SciCrunch record: RRID:Addgene_83915
RRID:Addgene_44012
DOI: 10.64898/2026.10.29.762773
Resource: RRID:Addgene_44012
Curator: @scibot
SciCrunch record: RRID:Addgene_44012
30
Case30: Female, 10 yr onset, 11 yr diagnosis, 16.4 yr report
CasePresentingHPOs: HP:0002650 (Scoliosis)
HPOsFreeText: Wheelchair used at 16 yr, Respiratory support used at 12 yr, FVC z-score sitting -8.07 (13% pred), 72% MRC Scale, 1560 CK U/l, 3.4 GAA activity (nmol/h/mg)^h from cultured fibroblasts
15
Case15: Male, 8 yr onset, 4 yr diagnosis, 15.8 yr report
HPOsFreeText: FVC z-score sitting -2.65 (70% pred), FVC z-score supine -3.05 (65% pred), 93% MRC Scale, 1424 CK U/l, 7.8 GAA activity (nmol/h/mg)^h from cultured fibroblasts
NotHPOsFreeText: No wheelchair used, No respiratory support
12
Case12: Female, 5 yr onset, 7.8 yr diagnosis, 7.8 yr report
HPOsFreeText: FVC z-score sitting 0.62 (108% pred), FVC z-score supine 0.35 (104% pred), 100% MRC Scale, 1003 CK U/l, 11.6 GAA activity (nmol/h/mg)^h from cultured fibroblasts
NotHPOsFreeText: No wheelchair used, No respiratory support
10a
Patient10: Male, 45yo at diagnosis, 58yo at ERT
CasePresentingHPOs:
HPOsFreeText: anti rh-GAA antibodies titre = 1:3200, enzyme (μmol/g/h) = 0.39 (3-20), mobility aid required before and after ERT
CaseNotHPOs:
NotHPOsFreeText: NIV not required
CaseAddInfo: 27yr disease duration, patient discontinued ERT, variants in trans
CasePMIDs:
CasePreviousTesting: same as group
CaseGenotypingMethod: same as group
Variant1: NM_000152.4(GAA):c.-32-13T>G
Clinvar: 4027, https://www.ncbi.nlm.nih.gov/clinvar/variation/4027/
gnomAD: 0.003582, http://exac.broadinstitute.org/variant/17-78078341-T-G
Variant2: NM_000152.4(GAA):c.258dupC (p.Asn87Glnfs)
ClinVar: 282842, https://www.ncbi.nlm.nih.gov/clinvar/variation/282842/
gnomAD: 2.653e-05, http://exac.broadinstitute.org/variant/17-78078636-T-TC
20
Patient20: Female, 46yo at diagnosis and ERT
CasePresentingHPOs:
HPOsFreeText: anti rh-GAA antibodies titre = 1:12,800, enzyme (μmol/g/h) = 0.64 (3-20), NIV required before and after ERT
CaseNotHPOs:
NotHPOsFreeText: mobility aid not required
CaseAddInfo: 26yr disease progression, variants in trans
CasePMIDs:
CasePreviousTesting: same as group
CaseGenotypingMethod: same as group
Variant1: NM_000152.4(GAA):c.-32-13T>G
Clinvar: 4027, https://www.ncbi.nlm.nih.gov/clinvar/variation/4027/
gnomAD: 0.003582, http://exac.broadinstitute.org/variant/17-78078341-T-G
Variant2: NM_000152.4(GAA):c.2242dupG (p.Glu748Glyfs)
ClinVar: 370651, https://www.ncbi.nlm.nih.gov/clinvar/variation/370651/
gnomAD: 1.66e-05, http://exac.broadinstitute.org/variant/17-78090813-T-TG
19
Patient19: Male, 54yo at diagnosis and ERT
CasePresentingHPOs:
HPOsFreeText: anti rh-GAA antibodies titre = 1:6400, enzyme (μmol/g/h) = 0.41 (3-20), NIV and mobility aid required before and after ERT
CaseNotHPOs:
NotHPOsFreeText:
CaseAddInfo: 35yr disease duration, variants in trans
CasePMIDs:
CasePreviousTesting: same as group
CaseGenotypingMethod: same as group
Variant1: NM_000152.4(GAA):c.-32-13T>G
Clinvar: 4027, https://www.ncbi.nlm.nih.gov/clinvar/variation/4027/
gnomAD: 0.003582, http://exac.broadinstitute.org/variant/17-78078341-T-G
Variant2: NM_000152.4(GAA):c.2242dupG (p.Glu748Glyfs)
ClinVar: 370651, https://www.ncbi.nlm.nih.gov/clinvar/variation/370651/
gnomAD: 1.66e-05, http://exac.broadinstitute.org/variant/17-78090813-T-TG
RRID:SCR_015040
DOI: 10.64898/2026.10.29.762714
Resource: Agilent Masshunter Quantitative Analysis software (RRID:SCR_015040)
Curator: @scibot
SciCrunch record: RRID:SCR_015040
RRID:CVCL_0182
DOI: 10.64898/2026.10.29.762714
Resource: (KCB Cat# KCB 200770YJ, RRID:CVCL_0182)
Curator: @scibot
SciCrunch record: RRID:CVCL_0182
RRID:SCR_002285
DOI: 10.64898/2026.10.29.762714
Resource: Fiji (RRID:SCR_002285)
Curator: @scibot
SciCrunch record: RRID:SCR_002285
RRID:RGD_737929
DOI: 10.64898/2026.10.29.762714
Resource: (RGD Cat# 737929,RRID:RGD_737929)
Curator: @scibot
SciCrunch record: RRID:RGD_737929
RRID:SCR_020245
DOI: 10.64898/2026.10.29.762714
Resource: Life Technologies QuantStudio 7 Real Time PCR System (RRID:SCR_020245)
Curator: @scibot
SciCrunch record: RRID:SCR_020245
RRID:SCR_018411
DOI: 10.64898/2026.10.29.762714
Resource: Olympus VS120 microscope (RRID:SCR_018411)
Curator: @scibot
SciCrunch record: RRID:SCR_018411
RRID:SCR_003081
DOI: 10.64898/2026.10.29.762714
Resource: Primer3Plus (RRID:SCR_003081)
Curator: @scibot
SciCrunch record: RRID:SCR_003081
RRID:SCR_012482
DOI: 10.64898/2026.10.29.762714
Resource: Montana State University Mass Spectrometry Core Facility (RRID:SCR_012482)
Curator: @scibot
SciCrunch record: RRID:SCR_012482
RRID:SCR_002798
DOI: 10.64898/2026.10.29.762714
Resource: GraphPad Prism (RRID:SCR_002798)
Curator: @scibot
SciCrunch record: RRID:SCR_002798
RRID:SCR_021921
DOI: 10.64898/2026.10.29.762714
Resource: BioRad T100 Thermal Cycler (RRID:SCR_021921)
Curator: @scibot
SciCrunch record: RRID:SCR_021921
RRID:SCR_023005
DOI: 10.64898/2026.10.29.762714
Resource: Thermo Scientific NanoDrop One/OneC Microvolume UV Vis Spectrophotometer (RRID:SCR_023005)
Curator: @scibot
SciCrunch record: RRID:SCR_023005
Patient 3
Case3: Female, Caucasian, United States, 8 days diagnosis, 2 weeks onset, 1.2 years report
CasePresentingHPOs: HP:0003236, HP:0002194, HP:0003749, HP:0003093, HP:0003273, HP:0003184, HP:0008796, HP:0006380, HP:0001435, HP:0003484, HP:0006589, HP:0003725, HP:0008981, HP:0001270, HP:0001290, HP:0002376 (Increased serum CK, Delayed gross motor development, Pelvic girdle muscle weakness, Limited hip extension, Hip flexion contractures, Decreased hip abduction, Externally rotated hips, Knee flexion contracture, Abnormality of the shoulder girdle musculature, Upper limb muscle weakness, Flaring of lower rib cage, Firm muscles, Calf muscle hypertrophy, Motor delay, Generalized hypotonia, Developmental regression)
HPOsFreeText: Had hyperCKemia since the second week of life (605 IU/L, day 8 of life; 513 IU/L, age 3 months), At 5 months she was unable to hold head up to 90 degrees in prone, unable to sit with slight support but unable to prop-sit, and unable to bear weight on hands in prone with AIMS score at the 10th percentile, PT evaluation at age 6 months revealed progression of delay in gross motor milestones, with AIMS score at the 3rd percentile, Unable to sit upright or unsupported and unable to push up on arms in prone, scored only 20% on Dimension B (Sitting) of the GMFM, Imbalanced weakness was evident in trunk and pelvic musculature with predominant active use of, and positioning in, hip flexion/abduction/external rotation in supine, prone and sitting, decreased use of hip extensors and abdominals, and limitation in the use of abdominal obliques for active trunk rotation, Adduction, Tightness in hip flexors, IT bands, and plantar flexors present, Weakness in abdominals, and in hip extension, ankle dorsiflexion, and ankle eversion persisted at 16 months after walking began, ALT 198 U/L (Normal 5–40 U/L), AST 139 U/L (Normal 15–41 U/L), ALP 248 U/L (Normal 24–170 U/L), Urinary Glc4 7.3 mmol/mol creatinine (Normal ≤8.3 mmol/mol creatinine)
RRID:SCR_017041
DOI: 10.64898/2026.10.29.762653
Resource: SPARC Project (RRID:SCR_017041)
Curator: @scibot
SciCrunch record: RRID:SCR_017041
SCR_022628
DOI: 10.64898/2026.10.29.762550
Resource: Cincinnati Children's Hospital Confocal Imaging Core Facility (RRID:SCR_022628)
Curator: @scibot
SciCrunch record: RRID:SCR_022628
PD/VOUS-4
CasePD/VOUS-4: 2 weeks diagnosis
HPOsFreeText: GAA activity 5.3 (nmol · h−1 · mg−1), Mean percentage of normal 7.5%
GenotypingMethod: Newborn Screening Panels
Variant1: NM_000152.4:c.1726G>A (p.Gly576Ser)
ClinVar: 92467 https://www.ncbi.nlm.nih.gov/clinvar/variation/92467/
gnomAD: East Asian 0.1427, Overall 0.01700 http://gnomad.broadinstitute.org/variant/17-78085871-G-A
Variant2: NM_000152.4:c.2065G>A (p.Glu689Lys)
ClinVar: 4030 https://www.ncbi.nlm.nih.gov/clinvar/variation/4030/
gnomAD: East Asian 0.2355, Overall 0.05524 http://gnomad.broadinstitute.org/variant/17-78087041-G-A
Variant3: NM_000152.4:c.664G>A (p.Val222Met)
ClinVar: 290223 https://www.ncbi.nlm.nih.gov/clinvar/variation/290223/
gnomAD: South Asian 5.393e-3, Overall 6.931e-4 http://gnomad.broadinstitute.org/variant/17-78079665-G-A
CaseAddInfo: Patient has one pseudodeficency allele and one allele of uncertain significance, Nomenclature claims Variant 1 and 2 are in cis
PD/VOUS-1
CasePD/VOUS-1: 3 weeks diagnosis
HPOsFreeText: GAA activity 3.6 (nmol · h−1 · mg−1), Mean percentage of normal 5.0%
GenotypingMethod: Newborn Screening Panels
Variant1: NM_000152.4:c.1726G>A (p.Gly576Ser)
ClinVar: 92467 https://www.ncbi.nlm.nih.gov/clinvar/variation/92467/
gnomAD: East Asian 0.1427, Overall 0.01700 http://gnomad.broadinstitute.org/variant/17-78085871-G-A
Variant2: NM_000152.4:c.2065G>A (p.Glu689Lys)
ClinVar: 4030 https://www.ncbi.nlm.nih.gov/clinvar/variation/4030/
gnomAD: East Asian 0.2355, Overall 0.05524 http://gnomad.broadinstitute.org/variant/17-78087041-G-A
Variant3: NM_000152.4:c.664G>A (p.Val222Met)
ClinVar: 290223 https://www.ncbi.nlm.nih.gov/clinvar/variation/290223/
gnomAD: South Asian 5.393e-3, Overall 6.931e-4 http://gnomad.broadinstitute.org/variant/17-78079665-G-A
CaseAddInfo: Patient has one pseudodeficency allele and one allele of uncertain significance, Nomenclature claims Variant 1 and 2 are in cis
AB_2349813
DOI: 10.64898/2026.10.29.762343
Resource: RRID:AB_2349813
Curator: @scibot
SciCrunch record: RRID:AB_2349813
RRID:SCR_022420
DOI: 10.64898/2026.10.29.762343
Resource: University of Pennsylvania Perelman School of Medicine Molecular Pathology and Imaging Core (MPIC) (RRID:SCR_022420)
Curator: @scibot
SciCrunch record: RRID:SCR_022420
6
Case6: Male, 36 years onset, 45 years diagnosis, 68 years report, France
CasePresentingHPOs: HP:0002540, HP:0002878, HP:0004887, HP:0002093 (Inability to walk, Respiratory failure, Respiratory failure requiring assisted ventilation, Respiratory insufficiency)
HPOsFreeText: Lost ambulation at 54 years, Started invasive ventilation at 52 years, Started ERT given every other week at a dose of 20 mg/kg at 63 years for 56 months, Peak Anti-rhGAA antibodies at 1:51,200, FVC at 0.7/18 (L / % expected), MIP at 9 (cm H2O), MEP at 13 (cm H2O), Time off ventilation stayed constant at 240 min, Total Motor Function Measure from 49 to 35, 6MWT from 50 to 10 meters
CaseNotHPOs: HP:0030148 (Heart murmur)
NotHPOsFreeText: No adverse reaction to ERT was recorded
CaseAddInfo: Late Onset Pompe Disease, Patient died before publication
8
Case8: Female, 36 years onset, 43 years diagnosis, 60 years report, France
CasePresentingHPOs: HP:0002540, HP:0002878, HP:0004887 (Inability to walk, Respiratory failure, Respiratory failure requiring assisted ventilation)
HPOsFreeText: Lost ambulation at 51 years, Started invasive ventilation at 53 years, Started ERT given every other week at a dose of 20 mg/kg at 55 years for 63 months, Peak Anti-rhGAA antibodies at 1:12,800, Time off ventilation stayed constant at 0 min, Total Motor Function Measure from 45 to 40, 6MWT stayed constant at 0 meters
CaseNotHPOs: HP:0030148 (Heart murmur)
NotHPOsFreeText: No adverse reaction to ERT was recorded
CaseAddInfo: Late Onset Pompe Disease
RRID:CVCL_0045
DOI: 10.64898/2026.10.29.758816
Resource: (DSMZ Cat# ACC-305, RRID:CVCL_0045)
Curator: @scibot
SciCrunch record: RRID:CVCL_0045
RRID:AB_10866289
DOI: 10.64898/2026.10.29.758816
Resource: (Abcam Cat# ab108342, RRID:AB_10866289)
Curator: @scibot
SciCrunch record: RRID:AB_10866289
RRID:AB_2217206
DOI: 10.64898/2026.10.29.758816
Resource: (Proteintech Cat# 15473-1-AP, RRID:AB_2217206)
Curator: @scibot
SciCrunch record: RRID:AB_2217206
RRID:AB_2115315
DOI: 10.64898/2026.10.29.758816
Resource: (Proteintech Cat# 12640-1-AP, RRID:AB_2115315)
Curator: @scibot
SciCrunch record: RRID:AB_2115315
RRID:AB_1549585
DOI: 10.64898/2026.10.29.758816
Resource: (Cell Signaling Technology Cat# 3724, RRID:AB_1549585)
Curator: @scibot
SciCrunch record: RRID:AB_1549585
RRID:AB_259529
DOI: 10.64898/2026.10.29.758816
Resource: (Sigma-Aldrich Cat# F3165, RRID:AB_259529)
Curator: @scibot
SciCrunch record: RRID:AB_259529
RRID:AB_262044
DOI: 10.64898/2026.10.29.758816
Resource: (Sigma-Aldrich Cat# F1804, RRID:AB_262044)
Curator: @scibot
SciCrunch record: RRID:AB_262044
RRID:AB_2927691
DOI: 10.64898/2026.10.29.758816
Resource: (Cell Signaling Technology Cat# 58996, RRID:AB_2927691)
Curator: @scibot
SciCrunch record: RRID:AB_2927691
RRID:AB_10691311
DOI: 10.64898/2026.10.29.758816
Resource: (Cell Signaling Technology Cat# 2367, RRID:AB_10691311)
Curator: @scibot
SciCrunch record: RRID:AB_10691311
2/b
Case#: 2/b, age 11, age 5 (report)
DiseaseAssertion: Pompe Disease
FamilyInfo: Family 2, no further information
CasePresenting HPOs:HP:0002878, HP:0012378, HP:0003546, HP:0001324 (Respiratory failure, fatigue, exercise intolerance, muscle weakness)
CaseHPOFreeText: valvular myopathy, biopsy with vacuolar myopathy with PAS +
CaseNotHPOs: N/A
CaseNotHPOFreeText: N/A
CasePreviousTesting: single gene sequencing/analysis, 105.01 NaG/AaGIA, 90.98% inhibition of GAA; NaG/AaGIA above 40 and %INH above 87 are in the affected range
Variants:
Variant 1:NM_000152.5(GAA):c.377G>A (p.Trp126Ter)
ClinVar: 932904
Variant 2: NM_000152.5(GAA):c.1655T>C (p.Leu552Pro)
ClinVar: 279811
ParentalGenotypes: N/A
PreviouslyPublished: N/A
6/b
Case#: 6/b, age 40, age 36 (report)
DiseaseAssertion: gray zone (Pompe Disease)
FamilyInfo: Family 6, no further information
CasePresenting HPOs: HP:0001288 (Impaired gait)
CaseHPOFreeText: Progressive worsening muscle weakness, vacuolar myopathy biopsy PAS +
CaseNotHPOs: N/A
CaseNotHPOFreeText: N/A
CasePreviousTesting: single gene sequencing/analysis, the results of (NaG/AaGIA > 40 and %INH < 87) or (NaG/AaGIA < 40 and %INH > 87) are considered to be within a gray zone.
Variants:
Variant 1: NM_000152.5(GAA):c.1941C>G (p.Cys647Trp)
ClinVar: 550327
Variant 2:NM_000152.5(GAA):c.-32-13T>G
ClinVar: 4027
ParentalGenotypes: N/A
PreviouslyPublished: N/A
5/a
Case#: 5/a, age 6, age 1 (report)
DiseaseAssertion: Pompe Disease
FamilyInfo: Family 5, no further information
CasePresenting HPOs: HP:0001290, HP:0001639 (hypotonia, hypertrophic cardiomyopathy)
CaseHPOFreeText: N/A
CaseNotHPOs: N/A
CaseNotHPOFreeText: N/A
CasePreviousTesting: single gene sequencing/analysis, 94.50 NaG/AaGIA, 94.31% inhibition of GAA; NaG/AaGIA above 40 and %INH above 87 are in the affected range
Variants:
Variant 1:NM_000152.5(GAA):c.1832G>A (p.Gly611Asp)
ClinVar: 371226
Variant 2:NM_000152.5(GAA):c.1832G>A (p.Gly611Asp)
ClinVar: 371226
ParentalGenotypes: N/A
PreviouslyPublished: N/A
P8
Patient8: Male, 1mo at diagnosis, 4mo at ERT
CasePresentingHPOs:
HPOsFreeText: classic IOPD, poor response to ERT, Pompe muscle pathology score = 3.5, Glycogen = 28.4 Vv(PAS + /mf)%, larger empty vacuoles = 46.8 Vv (LEV/mf)%, Autophagic vacuoles = 0,2 %/mf
CaseNotHPOs:
NotHPOsFreeText:
CaseAddInfo: homozygous, biopsy taken from musculus vastus lateralis
CasePMIDs:
CasePreviousTesting: same as group
CaseGenotypingMethod: same as group
Variant: NM_000152.4(GAA):c.2662G>T (p.Glu888Ter)
ClinVar: 578595, https://www.ncbi.nlm.nih.gov/clinvar/variation/578595/
gnomAD: 1.65e-05, http://exac.broadinstitute.org/variant/17-78092467-G-T
P4
Patient4: Male, 2mo at diagnosis, 2.5mo at ERT
CasePresentingHPOs:
HPOsFreeText: classic IOPD, poor response to ERT, Pompe muscle pathology score = 4.1, Glycogen = 40.3 Vv(PAS + /mf)%, larger empty vacuoles = 52.2 Vv (LEV/mf)%, Autophagic vacuoles = 0 %/mf
CaseNotHPOs:
NotHPOsFreeText:
CaseAddInfo: biopsy taken from musculus vastus lateralis
CasePMIDs:
CasePreviousTesting: same as group
CaseGenotypingMethod: same as group
Variant1: NM_000152.4(GAA):c.2213G>A (p.Trp738Ter)
ClinVar: 370222, https://www.ncbi.nlm.nih.gov/clinvar/variation/370222/
gnomAD: n/a
Variant2: NM_000152.4:c.delExon18
ClinVar: 4031 https://www.ncbi.nlm.nih.gov/clinvar/variation/4031/
gnomAD: n/a
RRID:SCR_021728
DOI: 10.64898/2026.10.28.762571
Resource: University of Texas at Austin Biological Mass Spectrometry Proteomics Core Facility (RRID:SCR_021728)
Curator: @scibot
SciCrunch record: RRID:SCR_021728
14
Patient14: 48yo
CasePresentingHPOs: HP:0003325, HP:0002093, HP:0004944
HPOsFreeText: GAA = 6.5%, BMI = 20.3, MCA M1 tract aneurysm (2mm), normal CT
CaseNotHPOs:
NotHPOsFreeText: No cardiovascular risk
CaseAddInfo: 28yr disease duration, variants in trans
CasePMIDs:
CasePreviousTesting: same as group
CaseGenotypingMethod: same as group
Variant1: NM_000152.4(GAA):c.-32-13T>G
Clinvar: 4027, https://www.ncbi.nlm.nih.gov/clinvar/variation/4027/
gnomAD: 0.003582, http://exac.broadinstitute.org/variant/17-78078341-T-G
Variant2: NC_000017.11:g.(?80118193)(80118357_?)del
ClinVar: 456368, https://www.ncbi.nlm.nih.gov/clinvar/variation/456368/
gnomAD: n/a
12
Patient12: 53yo
CasePresentingHPOs: HP:0003325, HP:0002093, HP:0002315
HPOsFreeText: morning headache, GAA = 5%, BMI = 27.4, left ventricular artery dominant, subcortical white matter lacunes
CaseNotHPOs:
NotHPOsFreeText: No cardiovascular risk
CaseAddInfo: 11yr disease duration, variants in trans
CasePMIDs:
CasePreviousTesting: same as group
CaseGenotypingMethod: same as group
Variant: NM_000152.4(GAA):c.-32-13T>G
Clinvar: 4027, https://www.ncbi.nlm.nih.gov/clinvar/variation/4027/
gnomAD: 0.003582, http://exac.broadinstitute.org/variant/17-78078341-T-G
Variant2: NM_000152.4(GAA):c.670C>T (p.Arg224Trp)
ClinVar: 189188, https://www.ncbi.nlm.nih.gov/clinvar/variation/189188/
gnomAD: 2.53e-05, http://exac.broadinstitute.org/variant/17-78079671-C-T
RRID:SCR_022376
DOI: 10.64898/2026.10.28.761959
Resource: University of Pennsylvania Perelman School of Medicine Cytomics and Cell Sorting Resource Laboratory Core Facility (RRID:SCR_022376)
Curator: @scibot
SciCrunch record: RRID:SCR_022376
P3
PatientF3P3: Male, 6 years report, Multiracial (maternal European and Native American and paternal Czechoslovakian, German, and Australian)
CaseAddInfo: Presymptomatic, sibling of F3P1 and child of F3P2, has a presymptomatic sister age 4, F3P4, with the same GAA mutations, Author states variants are in trans
RRID:AB_262011
DOI: 10.64898/2026.10.28.26366400
Resource: (Sigma-Aldrich Cat# A3854, RRID:AB_262011)
Curator: @scibot
SciCrunch record: RRID:AB_262011
RRID:AB_2118291
DOI: 10.64898/2026.10.28.26366400
Resource: (Abcam Cat# ab4729, RRID:AB_2118291)
Curator: @scibot
SciCrunch record: RRID:AB_2118291
RRID:AB_10692650
DOI: 10.64898/2026.10.28.26366400
Resource: (Cell Signaling Technology Cat# 5324, RRID:AB_10692650)
Curator: @scibot
SciCrunch record: RRID:AB_10692650
RRID:AB_2096481
DOI: 10.64898/2026.10.28.26366400
Resource: (Cell Signaling Technology Cat# 3398, RRID:AB_2096481)
Curator: @scibot
SciCrunch record: RRID:AB_2096481
RRID:AB_3265513
DOI: 10.64898/2026.10.28.26366400
Resource: Cell Signaling Technology Cat# 32683, RRID:AB_3265513
Curator: @scibot
SciCrunch record: RRID:AB_3265513
RRID:AB_11182486
DOI: 10.64898/2026.10.28.26366400
Resource: (Proteintech Cat# 12592-1-AP, RRID:AB_11182486)
Curator: @scibot
SciCrunch record: RRID:AB_11182486
RRID:AB_1852908
DOI: 10.64898/2026.10.28.26366400
Resource: (Sigma-Aldrich Cat# AV48784, RRID:AB_1852908)
Curator: @scibot
SciCrunch record: RRID:AB_1852908
RRID:AB_212120
DOI: 10.64898/2026.10.28.26366400
Resource: (Millipore Cat# 437695-100UL, RRID:AB_212120)
Curator: @scibot
SciCrunch record: RRID:AB_212120
RRID:AB_2102602
DOI: 10.64898/2026.10.28.26366400
Resource: RRID:AB_2102602
Curator: @scibot
SciCrunch record: RRID:AB_2102602
RRID:AB_10695157
DOI: 10.64898/2026.10.28.26366400
Resource: (Cell Signaling Technology Cat# 5556, RRID:AB_10695157)
Curator: @scibot
SciCrunch record: RRID:AB_10695157
RRID:AB_2797893
DOI: 10.64898/2026.10.28.26366400
Resource: (Cell Signaling Technology Cat# 12362, RRID:AB_2797893)
Curator: @scibot
SciCrunch record: RRID:AB_2797893
RRID:AB_2616025
DOI: 10.64898/2026.10.28.26366400
Resource: (Cell Signaling Technology Cat# 11815, RRID:AB_2616025)
Curator: @scibot
SciCrunch record: RRID:AB_2616025
RRID:AB_2639083
DOI: 10.64898/2026.10.28.26366400
Resource: RRID:AB_2639083
Curator: @scibot
SciCrunch record: RRID:AB_2639083
RRID:Addgene_189757
DOI: 10.64898/2026.10.27.762381
Resource: RRID:Addgene_189757
Curator: @scibot
SciCrunch record: RRID:Addgene_189757
RRID:Addgene_98875
DOI: 10.64898/2026.10.27.762381
Resource: RRID:Addgene_98875
Curator: @scibot
SciCrunch record: RRID:Addgene_98875
In the present study, we describe the clinical course and provide a molecular analysis of another 25 mainland Chinese patients with IOPD, and we identified c.2662G > T (p.Glu888X) as the most common mutation in northern Chinese patients. These data collectively lay a foundation for understanding the clinical and genetic features of mainland Chinese patients with IOPD.
GroupPresentingHPOs: HP:0001324, HP:0001270, HP:0002205, HP:0002098, HP:0001635, HP:0001640, HP:0011968
HPOsFreeText: IOPD, reduced GAA activity, paucity of movements
GroupNotHPOs:
NumberMales: 14
NumberFemales: 11
CountryOrigin: mainland China; 12 patients from southern China, 13 from northern China
Ethnicity: Chinese
Race: Chinese
AgeRange: median age at symptom onset = 3.4mo, median age at diagnosis = 4.9mo
*TotalNumber: 25
FamilyInfo: Parents of those individuals with mutations were sequenced
NoFamily: n/a
GroupAddInfo: all patients diagnosed with IOPD between 2013 and 2016 at Shanghai Children's Medical Center. Of the 24 untreated patients, non survived beyond 1.5yrs, only surviving (Patient 25) was 7mo at last follow-up.
GroupPreviousTesting: IOPD diagnosed via reduced GAA enzyme activity in leukocytes or DBS (PMID: 16702880)
GroupGenotypingMethod: DNA isolated from blood samples, coding exons (2-20) and intron/exon boundaries of GAA gene amplified via PCR (primers: PMID: 10338092), resulting DNA was sequenced with ABI3730XL sequencer then was analyzed with Mutation Survey or DNA Variant Analysis software, novel mutations were screened in 60 normal individuals (120 alleles) via direct sequencing and no novel variants were found among these suggesting those found in study patients are uncommon polymorphisms.
fragments containing a mutation in the patients were amplified and sequenced for the corresponding parents
Phylogenetic conservation of missense mutations analyzed with ClustalX program, and pathogenicity of novel variants predicited with MutationTaster, sorting intolerant from tolerant (SIFT), and PolyPhen-2
Variant: NM_000152.4(GAA):c.2662G>T (p.Glu888Ter)
this was identified (by present study) as the most common variant in northern Chinese patients, heterozygous for 5 patients, homozygous for one patient
ClinVar: 578595, https://www.ncbi.nlm.nih.gov/clinvar/variation/578595/
gnomAD: 1.65e-05, http://exac.broadinstitute.org/variant/17-78092467-G-T
PD23
Patient23: Male, Southern China
CasePresentingHPOs:
HPOsFreeText: IOPD
CaseNotHPOs:
NotHPOsFreeText:
CaseAddInfo:
CasePMIDs:
CasePreviousTesting: same as group
CaseGenotypingMethod: same as group
Variant1: NM_000152.4(GAA):c.1411_1414delGAGA (p.Glu471Profs)
ClinVar: 188874, https://www.ncbi.nlm.nih.gov/clinvar/variation/188874/
gnomAD: 1.688e-05, http://exac.broadinstitute.org/variant/17-78083827-CGAGA-C
Variant2: NM_000152.4(GAA):c.2024_2026delACA (p.Asn675del)
ClinVar: 189006, https://www.ncbi.nlm.nih.gov/clinvar/variation/189006/
gnomAD: 2.105e-05, http://exac.broadinstitute.org/variant/17-78086806-CACA-C
PD08
Patient8: Male, Southern China
CasePresentingHPOs:
HPOsFreeText: IOPD
CaseNotHPOs:
NotHPOsFreeText:
CaseAddInfo:
CasePMIDs:
CasePreviousTesting: same as group
CaseGenotypingMethod: same as group
Variant1: NM_000152.4(GAA):c.1411_1414delGAGA (p.Glu471Profs)
ClinVar: 188874, https://www.ncbi.nlm.nih.gov/clinvar/variation/188874/
gnomAD: 1.688e-05, http://exac.broadinstitute.org/variant/17-78083827-CGAGA-C
PD05
Patient5: Male, northern China
CasePresentingHPOs:
HPOsFreeText: IOPD
CaseNotHPOs:
NotHPOsFreeText:
CaseAddInfo: homozygous
CasePMIDs:
CasePreviousTesting: same as group
CaseGenotypingMethod: same as group
Variant: NM_000152.4(GAA):c.2662G>T (p.Glu888Ter)
ClinVar: 578595, https://www.ncbi.nlm.nih.gov/clinvar/variation/578595/
gnomAD: 1.65e-05, http://exac.broadinstitute.org/variant/17-78092467-G-T
RRID:SCR_017764
DOI: 10.64898/2026.10.27.762356
Resource: Allen Human Reference Atlas, 3D, 2020 (RRID:SCR_017764)
Curator: @scibot
SciCrunch record: RRID:SCR_017764
Here, we investigated anti-rhGAA antibody formation in a cohort of 73 adult Pompe patients during a period of 3 years of ERT. We measured their neutralizing effect on GAA enzymatic activity and cellular uptake and their impact on clinical outcome.
GroupPresentingHPOs: HP:0005952, HP:0030197
HPOsFreeText: LOPD confirmed by enzyme analysis in leukocytes or fibroblasts and mutation analysis, median GAA activity in leukocytes = 1.0 nmol glucose/mg hour, median GAA activity in fibroblasts = 12.9 nmol 4MU/mg hour, median MRC sum score = 80.8, 7 patients had total wheelchair dependence, 17 patients had partial wheelchair dependence, median upright FVC = 71.9%, median supine FVC = 54.0%, 4 patients required invasive ventilation, 18 required NIV, 13 patients experienced infusion associated reactions
GroupNotHPOs:
NotHPOsFreeText: no ERT treatments prior to study, no pregnant patients
NumberMales: 37
NumberFemales: 36
CountryOrigin: n/a
Ethnicity: n/a
Race: n/a
AgeRange: at symtom onset = 1.4-62.6yrs, at diagnosis = 1.4-72.7yrs, at ERT start = 26.2-74.0yrs
TotalNumber: 73
FamilyInfo: n/a
NoFamily: n/a
GroupAddInfo: all patients received ERT of 20mg/kg/2wk alglucosidase alfa intravenoulsy, minimum 5 months of treatment. Median duration of disease = 8.2yrs
GroupPreviousTesting: anti-rhGAA antibody titers determined in plasma or serum using ELISA, neutralizing effects of antibodies determined by addition of alglucosidase alfa and patient serum to medium of GAA-deficient fibroblasts then by measurement of GAA activity in cells and medium, manual muscle testing to assess skeletal muscle strength, FVC in upright and supine positions, 46 patients developed anti-rhGAA titers about background of 1:250 (16 high, 29 intermediate, 28 low to no)
GroupGenotypingMethod: mutation analysis (PMID: 18425781)
Variant1: NM_000152.4(GAA):c.-32-13T>G this was carried by all but 1 patient
Clinvar: 4027, https://www.ncbi.nlm.nih.gov/clinvar/variation/4027/
gnomAD: 0.003582, http://exac.broadinstitute.org/variant/17-78078341-T-G
The following are the four most common variants on the second allele
Variant2: NM_000152.4(GAA):c.525delT (p.Glu176Argfs)
ClinVar: 4033, https://www.ncbi.nlm.nih.gov/clinvar/variation/4033/
gnomAD: 7.041e-05, http://exac.broadinstitute.org/variant/17-78078909-CT-C
Variant3: NC_000017.11:g.(?80118193)(80118357_?)del
ClinVar: 456368, https://www.ncbi.nlm.nih.gov/clinvar/variation/456368/
gnomAD: n/a
Variant4: NM_000152.4(GAA):c.1548G>A (p.Trp516Ter)
ClinVar: 189025, https://www.ncbi.nlm.nih.gov/clinvar/variation/189025/
gnomAD: n/a
Variant5: NM_000152.4(GAA):c.925G>A (p.Gly309Arg)
ClinVar: 188797, https://www.ncbi.nlm.nih.gov/clinvar/variation/188797/
gnomAD: 4.609e-05, http://exac.broadinstitute.org/variant/17-78081665-G-A
RRID:AB_2687446
DOI: 10.64898/2026.10.27.762113
Resource: (Cell Signaling Technology Cat# 9129, RRID:AB_2687446)
Curator: @scibot
SciCrunch record: RRID:AB_2687446
RRID:CVCL_0480
DOI: 10.64898/2026.10.27.762113
Resource: (ECACC Cat# 87092802, RRID:CVCL_0480)
Curator: @scibot
SciCrunch record: RRID:CVCL_0480
CVCL_VU02
DOI: 10.64898/2026.10.27.761987
Resource: (RRID:CVCL_VU02)
Curator: @scibot
SciCrunch record: RRID:CVCL_VU02
RRID:SCR_027027
DOI: 10.64898/2026.10.27.761987
Resource: RRID:SCR_027027
Curator: @scibot
SciCrunch record: RRID:SCR_027027
RRID:AB_2535792
DOI: 10.64898/2026.10.27.760324
Resource: (Thermo Fisher Scientific Cat# A-21206, RRID:AB_2535792)
Curator: @scibot
SciCrunch record: RRID:AB_2535792
RRID:AB_221569
DOI: 10.64898/2026.10.27.760324
Resource: (Molecular Probes Cat# A-11122, RRID:AB_221569)
Curator: @scibot
SciCrunch record: RRID:AB_221569
RRID:Addgene_59462
DOI: 10.64898/2026.10.27.760324
Resource: RRID:Addgene_59462
Curator: @scibot
SciCrunch record: RRID:Addgene_59462
5
Case5: Female, 43 years report, Italy
CasePresentingHPOs: HP:0002355, HP:0003551, HP:0002098 (Difficulty walking, Difficulty climbing stairs, Respiratory distress)
HPOsFreeText: Height is 1.68 m, Weight is 80 kg, BMI is 28.3 kg/cm2, 7 years on ERT, Forced Vital Capacity at 64%, Nocturnal non-invasive ventilation
CaseAddInfo: Late Onset Pompe Disease
RRID:SCR_005223
DOI: 10.64898/2026.10.27.26366457
Resource: STRING (RRID:SCR_005223)
Curator: @scibot
SciCrunch record: RRID:SCR_005223
RRID:SCR_002798
DOI: 10.64898/2026.10.27.26366457
Resource: GraphPad Prism (RRID:SCR_002798)
Curator: @scibot
SciCrunch record: RRID:SCR_002798
RRID:SCR_014555
DOI: 10.64898/2026.10.27.26366457
Resource: cBioPortal (RRID:SCR_014555)
Curator: @scibot
SciCrunch record: RRID:SCR_014555
RRID:SCR_016418
DOI: 10.64898/2026.10.27.26366457
Resource: pheatmap (RRID:SCR_016418)
Curator: @scibot
SciCrunch record: RRID:SCR_016418
RRID:SCR_004463
DOI: 10.64898/2026.10.27.26366457
Resource: rna-star (RRID:SCR_004463)
Curator: @scibot
SciCrunch record: RRID:SCR_004463
RRID:SCR_003032
DOI: 10.64898/2026.10.27.26366457
Resource: Cytoscape (RRID:SCR_003032)
Curator: @scibot
SciCrunch record: RRID:SCR_003032
RRID:SCR_014782
DOI: 10.64898/2026.10.27.26366457
Resource: OncoKB (RRID:SCR_014782)
Curator: @scibot
SciCrunch record: RRID:SCR_014782
3
Patient3: male, German
CasePresentingHPOs: HP:0003677, HP:0003236, HP:0003325, HP:0003327
HPOsFreeText: CK < 10x increase , CK = 1729 U/L, reduced alpha-glucosidase activity, treated with ERT
CaseNotHPOs: HP:0002093, HP:0003457
CaseAddInfo: onset after 30yo, previously diagnosed with Brugada Syndrome, but Pompe was confirmed via Sanger Sequencing. Asymptomatic brother also diagnosed with Pompe.
CasePreviousTesting: same as group, EMG
CaseGenotypingMethod: same as group
Variant1: NM_000152.4(GAA):c.2331+2T>A
ClinVar: 371281, https://www.ncbi.nlm.nih.gov/clinvar/variation/371281/
gnomAD: n/a
Variant2: NM_000152.4(GAA):c.-32-13T>G
Clinvar: 4027, https://www.ncbi.nlm.nih.gov/clinvar/variation/4027/
gnomAD: 0.003582, http://exac.broadinstitute.org/variant/17-78078341-T-G
Addgene_42230
DOI: 10.64898/2026.10.26.762095
Resource: RRID:Addgene_42230
Curator: @scibot
SciCrunch record: RRID:Addgene_42230