| Exercise testing in late-onset glycogen storage disease type II patients undergoing enzyme replacement therapy. | |
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MedLine Citation:
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PMID: 23182645 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Enzyme replacement therapy (ERT) has recently became available for patients with glycogen storage disease type II. Previous studies have demonstrated clinical efficacy of enzyme replacement therapy, however, data on physiological variables related to exercise tolerance are scarce. Four glycogen storage disease type II late-onset patients (45 ± 6 years) performed an incremental exercise on a cycle ergometer, up to voluntary exhaustion, before (BEFORE) and after 12 months of ERT (AFTER). Peak workload, oxygen uptake, heart rate, cardiac output (by impedance cardiography) and vastus lateralis oxygenation indices (by continuous-wave near-infrared spectroscopy, NIRS) were determined. Peak workload and oxygen uptake values significantly increased during ERT (54 ± 30 vs. 63 ± 31 watt, and 17.2 ± 4.4 vs. 19.7 ± 3.5 ml/kg/min, respectively, in BEFORE vs. AFTER). On the other hand, for both peak cardiac output (12.3 ± 5.3 vs. 14.8 ± 4.5L/min) and the NIRS-determined peak skeletal muscle fractional O(2) extraction, expressed as a percentage of the maximal values during a transient limb ischemia (30 ± 39% vs. 38 ± 28%), the observed increases were not statistically significant. Our findings suggest that in glycogen storage disease type II patients enzyme replacement therapy is associated with a mild improvement of exercise tolerance. The findings need to be validated during a longer follow-up on a larger group of patients. |
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Authors:
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Mauro Marzorati; Simone Porcelli; Giuseppe Bellistri; Lucia Morandi; Bruno Grassi |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Neuromuscular disorders : NMD Volume: 22 Suppl 3 ISSN: 1873-2364 ISO Abbreviation: Neuromuscul. Disord. Publication Date: 2012 Dec |
Date Detail:
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Created Date: 2012-11-27 Completed Date: 2013-03-12 Revised Date: 2013-04-03 |
Medline Journal Info:
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Nlm Unique ID: 9111470 Medline TA: Neuromuscul Disord Country: England |
Other Details:
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Languages: eng Pagination: S230-4 Citation Subset: IM |
Copyright Information:
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Copyright © 2012 Elsevier B.V. All rights reserved. |
Affiliation:
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Institute of Bioimaging and Molecular Physiology, CNR, Segrate Milano, Italy. mauro.marzorati@ibfm.cnr.it |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Age of Onset Cardiac Output / physiology Enzyme Replacement Therapy* / methods Exercise Test / methods Exercise Tolerance / physiology* Female Follow-Up Studies Glycogen Storage Disease Type II / physiopathology*, therapy* Heart Rate / physiology Humans Male Middle Aged Oxygen Consumption / physiology Treatment Outcome alpha-Glucosidases / therapeutic use* |
| Chemical | |
Reg. No./Substance:
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EC 3.2.1.20/alpha-Glucosidases |
| Comments/Corrections | |
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