Glycogen storage diseases symptoms, diagnosis, treatments. Granulocyte colonystimulating factor in glycogen storage disease type 1b. In the diagram, the enzymes whose failure leads to the distinct glycogen storage disorders are underlined and clicking on them will show a list of samples in the nigms repository. Glycogen is an important source of energy that is stored in muscle.
Glycogenolysis, the breakdown of glycogen, requires the presence of a group of enzymes. Ppt glycogen storage disease powerpoint presentation free. They result from a problem with one of the proteins known as enzymes involved in the conversion of glucose to. In children with gsds, an enzyme that helps the body use glucose for energy. Glycogen storage disorders glycogen storage disorders gsds are a group of inherited genetic defects of glycogen metabolism. Glycogen storage disease iii forbes disease is a deficiency. Glycogen storage disease type i sucrose, fructose, galactose free diet food group foods permitted foods need to be omitted meat and fowl plain beef, pork, chicken, turkey, lamb and veal. Biochemical and clinical aspects of glycogen storage diseases. Ppt glycogen storage disease glycogen storage disease ppt glycogen storage diseases glycogen storage disorders authorstream. Andersen disease, is an autosomal recessive disorder due to a deficiency of glycogen branching enzyme.
Children with glycogen storage diseases have a buildup of abnormal amounts or types of glycogen in their tissues. Glycogen storage disorders gsd clinical trials market. A potential treatment strategy for an oftenfatal inherited glycogen storage disease has been identified by researchers. The overall gsd incidence is estimated 1 case per 20 00043 000 live births. Glycogen storage disease type 0, liver genetic and rare. Pediatric glycogen storage disease childrens pittsburgh. Glycogen storage disease glycogen storage disease table glycogen storage disease figure glycogen branching polymer. Glycogen storage diseases gsds are a group of inherited genetic disorders that cause glycogen to be improperly stored in the body.
Test glycogen storage disease and disorders of glucose. Deficiency of gbe results in the formation of an amylopectinlike compact glycogen molecule with fewer branching points and longer outer chains. Get a printable copy pdf file of the complete article 3. Re sults of the european study on glycogen storage disease t ype i. A technique for the enzymatic diagnosis of glycogen storage disease on very small tissue specimens. Glycogen storage diseases are carbohydrate metabolism disorders and are caused by deficiencies of enzymes involved in glycogen synthesis or breakdown. Patients with the disorder lack the enzyme that enables their livers to. Glycogen is a form of stored glucose that the body uses as an energy source. In the liver, glycogen is the storage form of glucose that can be made available to the tissues which are.
In humans, glycogen is the main storage form of glucose and the primary means of nonoxidative glucose disposal into muscle and liver tissues. Glycogen storage diseases are caused by a defect in a gene that is inherited from both parents and causes the excessive buildup of glycogen in the tissues. Glycogen therefore provides a reservoir of glucose for sudden energy demands and is particularly important for supplying glucose to the body from hepatocytes. Glycogen storage diseases msd manual professional edition. The liver glycogen storage disorders gsds comprise gsd i, the hepatic presentations of gsd iii, gsd iv, gsd vi, the liver forms of gsd ix, and gsd 0. The glycogen storage diseases and related disorders. Glycogen storage disorders childrens hospital pittsburgh. Glycogen storage diseases merck manuals consumer version. Dietary interventions have markedly improved the outcome for these disorders, from a previously fatal condition to one where people can do well with. Glycogen storage disease an overview sciencedirect topics. Glycogen storage disease in adults annals of internal. Glycogen storage diseases handbook association for glycogen.
Results of the european study on glycogen storage disease type 1. Glycogen storage disease i is an indication for liver transplant and does not appear to recur in patients with transplants 4548. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Although abnormal glycogen storage is a hallmark, there is a large spectrum of phenotypes associated with these disorders, with the age of onset ranging from in utero to adulthood. Glycogen storage disease, any of a group of enzymatic deficiencies resulting in altered glycogen metabolism. The accumulation of glycogen in certain organs and tissues, especially the liver, kidneys, and small intestines, impairs their ability to function normally. Glycogen storage disease type iv branching enzyme deficiency. The highest incidence of glycogen storage disease type iii is in the faroe islands where it occurs in 1 out of every 3,600 births, probably due to a founder effect. Glucose is the bodys major energy source, and carbohydrate serves as fuelparticularly during highintensity exercise that requires rapid energy release. Only permitted foods may be added when seasoning cooking. Glycogen storage diseases gsds are a heterogeneous group of inherited disorders caused by inborn errors of glycogen metabolism. In some of the glycogen storage diseases but not all maintaining the blood glucose levels is a very central and major problem. Glycogen storage disease type i genetics home reference.
Glycogen storage diseases tend to cause uric acid a waste product to accumulate in the joints, which can cause gout, and in the kidneys, which can cause kidney stones. In the liver, glycogen serves as a glucose reserve for the maintenance of normoglycemia. The liver and muscles are most affected by disorders of glycogen metabolism. Potential treatment approach for glycogen storage disease. Glycogen storage disorders gsds are a group of inherited conditions. Definition glycogen serves as the primary fuel reserve for the bodys energy needs.
Nov 18, 2015 a potential treatment strategy for an oftenfatal inherited glycogen storage disease has been identified by researchers. Degradation errors block formation of glucose from glycogen, leading to hypoglycaemia and pathological accumulation of glycogen in the tissues. The breakdown of glycogen, the storage form of glucose that is concentrated in the liver and skeletal muscle, provides a steady supply of glucose. Glycogen itself is a highly branched glucose polymer that is osmotically inert. Dec 06, 2012 glycogen storage disease type iv branching enzyme deficiency.
Although glycogen synthase deficiency does not result in storage of extra glycogen in the liver, it is often classified with the gsds as type 0 because it is another defect of. Glycogen storage disease type 2, also known as pompe disease or acid maltase deficiency disease, is an inherited metabolic disorder. Glycogen, an important energy source, is found in most tissues, but is. Glycogen storage diseases types ivii differential diagnoses. Glycogen storage diseases step ofglycogen synthesis properis theformation of uridine diphosphoglucose udpgfrom glucose 1phosphate. Glycogen is the form of sugar your body stores in your liver and muscles for future energy needs. Glycogen storage disorders these are a group of inherited disorders associated with glycogen metabolism, familial in incidence and characterized by deposition of normal or abnormal type and quantity of glycogen in the tissues. Glycogen storage disease type 2 genetic and rare diseases. Glycogen storage disease type v omim 232600 is a pure myopathic form of gsd affecting skeletal muscle. They are subdivided on the basis of the specific deficiency into types designated o and by successive roman numerals.
Dietary management of the ketogenic glycogen storage diseases. Gsds are primarily classified according to the affected enzyme, and some brief information is summarized in table 1. Metabolic disorders glycogen storage diseases what are glycogen storages diseases. It is stored in the form of glycogen in both the liver and muscles and later released with the help of enzymes when we dont eat for a stretch of timelike when. Nigms collection glycogen storage diseases pathway. Different hormones, including insulin, glucagon, and cortisol regulate the relationship of glycolysis, gluconeogenesis and glycogen synthesis. Jun 11, 2015 glycogen storage disease type 0, liver liver gsd 0, a form of glycogen storage disease gsd, is a rare abnormality of glycogen metabolism how the body uses and stores glycogen, the storage form of glucose. Glycogen storage disorders are a group of inherited diseases. They result from a problem with one of the proteins known as enzymes involved in the conversion of glucose to glycogen, or the breakdown of glycogen back into glucose.
People with gsd have trouble synthesizing and breaking down. The glycogen storage disorders american academy of. Gsd i causes the inability of the liver to breakdown glycogen to glucose which the body uses as its main source of fuel. Aug 21, 2014 glycogen synthesis errors result in decreased production of normal glycogen deposition of abnormally branched glycogen chains. Dietary management of the glycogen storage diseases. The glycogen storage diseases gsds are a group of inherited metabolic disorders that result from a defect in any one of several enzymes. The types may be divided loosely into those where the enzymic lesion, and. Glycogen storage diseases, also known as glycogenoses, are genetically linked metabolic disorders that involve the enzymes regulating glycogen metabolism. In muscle, glycogen provides energy for muscle contraction. Immunological studies on glycogen storage diseases type 3 and v. The types may be divided loosely into those where the enzymic lesion, and hence the accumulation ofpolysaccharide, are localized types i, v, vii, and those where a more generalized distribution amongst tissues is seen types ii, iii. Glycogen storage diseases gsd are inherited metabolic disorders of glycogen metabolism. Glycogen storage disease gsd is the result of defects in the processing of glycogen synthesis or breakdown within muscles, liver, and other cell types.
A glycogen storage disease gsd, also glycogenosis and dextrinosis is a metabolic disorder caused by enzyme deficiencies affecting either glycogen synthesis, glycogen breakdown or glycolysis glucose breakdown, typically in muscles andor liver cells. Brian mcardle in 1951 after studying a young man with exercise intolerance and muscle cramps. Lack of hepatic glycogen synthase activity causes a. These diseases are named for the specific enzyme deficiency that. Page 1 of 2 background paper on glycogen storage disease glycogen storage disease gsd is the result of defects in the processing of glycogen synthesis or breakdown within muscles, liver, and other cell types. In humans, gsd is a consequence of inborn errors of metabolism genetically defective enzymes. Glycogen storage disease gsd prevention cleveland clinic. General nutrition guidelines for glycogen storage disease type i glycogen storage disease type i gsdi is a genetic metabolic disorder of the liver. Often, infants born with gsd iv are diagnosed with enlarged livers and failure to. Background paper on glycogen storage disease glycogen storage disease gsd is the result of defects in the processing of glycogen synthesis or breakdown within muscles, liver, and other cell types. A glycogen storage disease gsd, also glycogenosis and dextrinosis is a metabolic.
Glycogen storage disease gsd or glycogenosis comprise several inherited diseases caused by abnormalities of the enzymes that regulate the synthesis or degradation of glycogen in muscles, liver, and other cell types 16. Glucose, a type of sugar, is the main source of energy for the body. It is the key enzyme in homeostatic regulation of blood glucose levels, and gsd type ia has the distinction of being the only glycogen storage disease to be both a. Children with glycogen storage diseases have a buildup of. University of groningen glycogen storage disease type i. Patients with the disorder lack the enzyme that enables. Glycogen storage disorders these are a group of inherited disorders. Glycogen storage diseases, also known as glycogenoses, are genetically linked. Glycogen storage disease gsd is a rare genetic disorder that affects about one in 20,000 people in the u. Glycogen metabolism and glycogen storage disorders glucose is the main energy fuel for the human brain. To identify complications amenable to prevention in adults with glycogen storage disease gsd types ia, ib, and iii and to determine the effect of the disease on social factors.
Glycogen, an important energy source, is found in most tissues, but is especially abundant in liver and muscle. Glycogen storage disease gsd is a rare autosomalrecessive disorder characterized by hypoglycemia, hepatosplenomegaly, seizures, and failure to thri. Gsds primarily affect the liver, the muscle, or both. Apr 09, 2015 the glycogen storage disorders gsd comprise a range of disorders that affect the processing of glycogen.
The glycogenoses or glycogen storage diseases are disorders in which glycogen accumulates within a number of tissues. Glycogen storage disease gsd involves defects that cause an abnormal accumulation of glycogen, usually found in the liver, muscle, or both. The diagnosis of glycogen storage disease in clinical practice. They are subdivided on the basis of the specific deficiency into types. The hepatic glycogen storage diseases gsds are a group of disorders where abnormal storage or release of glycogen leads to potentially lifethreatening hypoglycemia and metabolic. Often, infants born with gsd iv are diagnosed with enlarged livers and failure to thrive within their first year of life. The hepatic glycogen storage diseases gsds are a group of disorders where abnormal storage or release of glycogen leads to potentially lifethreatening hypoglycemia and metabolic disturbances. Symptoms vary by the glycogen storage disease gsd type and can include muscle. Table i summarizesthe types ofglycogen storage disease that are now recognized and the main tissues affected.
Metabolic disorders glycogen storage diseases md australia. This disease was the first metabolic myopathy to be recognized and was described by dr. Gsd affects the liver, muscles and other areas of the body. Glycogen storage disease type 5 gsdv is a genetic disorder that prevents the body from breaking down glycogen.
Glycogen storage diseases definition of glycogen storage. Andersen disease, is an autosomal recessive disorder due to a deficiency of glycogen branching enzyme gbe. Jun 01, 2018 glycogen storage disease type 2, also known as pompe disease or acid maltase deficiency disease, is an inherited metabolic disorder. Pdf glycogen storage disorders are a group of inborn errors of metabolism characterized by accumulation of glycogen in various tissues. Glycogen metabolism and glycogen storage disorders kanungo. Glycogen storage disease gsd is a genetic condition in which the body has an enzyme problem and is not able to store or break down the complex sugar glycogen properly. Glycogen storage diseases gsds are a group of inherited genetic disorders that cause glycogen to be improperly formed or released in the body. The glycogen storage diseases gsds are a group of inherited metabolic disorders that result from a defect in any one of several enzymes required for either glycogen synthesis or glycogen. The overall incidence of gsds is estimated to be 1 in 20,00043,000 births. Maintenance of glucose homeostasis is therefore, crucial to meet cellular energy demands in both normal physiological states and during stress or increased demands. Glycogen is a branchedchain polymer of glucose and serves as a dynamic but limited reservoir of glucose, mainly in liver, skeletal muscle, heart, and sometimes the central. Investigation and management of the hepatic glycogen storage. Glycogen storage diseases are complex genetic conditions in which certain enzymes ones. Glycogen storage disorders gsd are a group of potentially lifethreatening genetic disorders present from birth.
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