Glycogen storage disease type II (GSD-II), also known as Pompe disease, is
a fatal genetic muscle disorder caused by a deficiency of acid a-glucosidas
e, a glycogen-degrading lysosomal enzyme. Currently, there is no treatment
for this fatal disorder. However, several lines of research suggest the pos
sibility of future treatment. Enzyme replacement strategies hold the greate
st hope for patients currently affected by GSD-II, but future strategies co
uld include in vivo or ex vivo gene therapy approaches and/or mesenchymal s
tem cell or bone-marrow transplantation approaches. Each of the approaches
might eventually be combined to further improve the overall clinical effica
cy of any one treatment regimen. The lessons learned from GSD-II research w
ill also benefit a great number of individuals affected by other genetic di
sorders.