In a first, doctors successfully treated a rare genetic disease before birth

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In a first, doctors successfully treated a rare genetic disease before birth
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The toddler, now 16 months old, is growing up healthy.

In a medical first, doctors successfully treated a fetus for a fatal genetic condition called Pompe disease, according to a

Alya was identified with severe Pompe disease while she was still a fetus. She is her parents' fifth child but only the third to survive. The other two, Zara and Sara, died of the same disease.that affects about 1 in 40,000 births. It is caused by mutations in a gene that makes a crucial enzyme called acid alpha-glucosidase . This enzyme breaks down glycogen, or stored sugar, in cells.

"The rationale for giving ERT before birth is to prevent the onset of organ damage, to get the enzyme into the [central nervous system] prior to closure of the blood-brain barrier, and to avoid an immune response to the missing protein," said senior study author Tippi MacKenzie, UCSF researcher and developer of the team's protocol in a statement.To treat Alya before birth, researchers from UCSF teamed up with doctors at the Children's Hospital of Eastern Ontario in Canada.

Upon delivery, Alya's heart was normal; at 16 months, she is meeting all of her developmental milestones on time. There's also evidence that her body is more tolerant towards the therapy than it would typically be, compared to how her siblings responded to it. Ayla continues to get weekly infusions of enzyme therapy to maintain her development.

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