%0 Journal Article %T Mutational spectrum and genotype-phenotype correlation in Mexican patients with infantile-onset and late-onset Pompe disease. %A Martinez-Montoya V %A Sánchez-Sánchez LM %A Sandoval-Pacheco R %A Castro DMA %A Arellano-Valdez CA %A Ávila-Rejón CA %A Aguilar-Juárez PA %A Espino-Pluma M %A González-Santillanes CA %A Martínez-Segovia RI %A Olmos-Morfin D %A la Torre OP %A Solís-Sánchez I %A Espinosa MVM %A Villarroel-Cortés CE %A Velarde-Félix JS %A López-Valdez J %A Olaiz-Urbina J %A Ricárdez-Marcial E %A Vergara-Sánchez I %A Radillo-Díaz P %A Kazakova E %A De la Fuente-Cortez B %A Del Carmen Marquez-Quiróz L %A Torres-Octavo B %A Diaz-Martinez R %J Mol Genet Genomic Med %V 12 %N 7 %D 2024 Jul %M 38958145 %F 2.473 %R 10.1002/mgg3.2480 %X BACKGROUND: Pompe Disease (PD) is a metabolic myopathy caused by variants in the GAA gene, resulting in deficient enzymatic activity. We aimed to characterize the clinical features and related genetic variants in a series of Mexican patients.
METHODS: We performed a retrospective study of clinical records of patients diagnosed with LOPD, IOPD or pseudodeficiency.
RESULTS: Twenty-nine patients were included in the study, comprising these three forms. Overall, age of symptom onset was 0.1 to 43 years old. The most frequent variant identified was c.-32-13T>G, which was detected in 14 alleles. Among the 23 different variants identified in the GAA gene, 14 were classified as pathogenic, 5 were likely pathogenic, and 1 was a variant of uncertain significance. Two variants were inherited in cis arrangement and 2 were pseudodeficiency-related benign alleles. We identified two novel variants (c.1615 G>A and c.1076-20_1076-4delAAGTCGGCGTTGGCCTG).
CONCLUSIONS: To the best of our knowledge, this series represent the largest phenotypic and genotypic characterization of patients with PD in Mexico. Patients within our series exhibited a combination of LOPD and IOPD associated variants, which may be related to genetic diversity within Mexican population. Further population-wide studies are required to better characterize the incidence of this disease in Mexican population.