646 results match your criteria: "Glycogen Storage Disease Type III"

[Genetic and clinical characteristics of 26 cases with glycogen storage disease type Ⅲ].

Zhonghua Gan Zang Bing Za Zhi

November 2024

The Center for Pediatric Liver Diseases, Children's Hospital of Fudan University, Shanghai201102, China.

Article Synopsis
  • The study analyzed the genetic and clinical profiles of 26 patients with glycogen storage disease type III (GSD III), focusing on the effects of different genetic mutations in the AGL gene.
  • It found that the most common symptoms included elevated liver enzymes, hepatomegaly, and fasting hypoglycemia, and that liver biopsies revealed significant fibrosis in 83.3% of cases.
  • After treatment with uncooked cornstarch for over a year, patients showed improvements in growth, liver size, and metabolic markers, although a subset of cases still experienced clinical issues.
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Article Synopsis
  • - The PROPEL trial studied the effects of cipaglucosidase alfa plus miglustat (cipa+mig) versus alglucosidase alfa plus placebo (alg+pbo) on adults with late-onset Pompe disease (LOPD) over 52 weeks, finding improvements in motor and respiratory function for those switching to cipa+mig.
  • - Patient-reported outcomes (PROs) evaluated included various measures of physical function, fatigue, and overall quality of life, with statistical analyses comparing responses between the two treatment groups.
  • - Results showed that cipa+mig significantly improved patient-reported impressions of change in ability to move around and generally outperformed alg+pbo in most PRO measures, indicating enhanced
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Mitochondrial Dysfunction in Glycogen Storage Disorders (GSDs).

Biomolecules

September 2024

Department of Neurology, The Agnes Ginges Center for Human Neurogenetics, Hadassah-Hebrew University Medical Center, Jerusalem 9112001, Israel.

Article Synopsis
  • - Glycogen storage disorders (GSDs) are genetic metabolic conditions caused by enzyme defects that affect glycogen metabolism, leading to mitochondrial dysfunction and issues like oxidative stress and impaired cell metabolism.
  • - Specific GSD types, such as Pompe disease and Cori disease, demonstrate how enzyme deficiencies lead to glycogen accumulation, which disrupts normal mitochondrial function, causing issues like muscle weakness and liver enlargement.
  • - Addressing mitochondrial dysfunction through treatments like antioxidants, enhancing mitochondrial growth, and gene therapy may offer new ways to alleviate symptoms and complications associated with GSDs, including cardiac and cognitive issues.
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Article Synopsis
  • Late-onset Pompe disease leads to worsening muscle and respiratory function, traditionally treated with enzyme replacement therapy (ERT) using alglucosidase alfa, but newer options like avalglucosidase alfa and cipaglucosidase alfa with miglustat are now available.
  • Researchers conducted a systematic review and multi-level meta-regression to compare the effectiveness of these treatments on 6-minute walk distance (6MWD) and forced vital capacity (FVC).
  • Results indicated that cipaglucoside alfa with miglustat improved both 6MWD and FVC relative to alglucosidase alfa when assessing all available evidence, especially for patients with longer prior ERT duration.
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Glycogen storage disease type III (GSDIII) is a hereditary glycogenosis caused by deficiency of the glycogen debranching enzyme (GDE), an enzyme, encoded by , enabling glycogen degradation by catalyzing alpha-1,4-oligosaccharide side chain transfer and alpha-1,6-glucose cleavage. GDE deficiency causes accumulation of phosphorylase-limited dextrin, leading to liver disorder followed by fatal myopathy. Here, we tested the capacity of the new autophagosomal activator GHF-201 to alleviate disease burden by clearing pathogenic glycogen surcharge in the GSDIII mouse model .

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Article Synopsis
  • Late-onset Pompe Disease (LOPD) is a rare genetic disorder caused by a deficiency in an enzyme, leading to muscle damage and glycogen accumulation in cells.
  • This study used advanced techniques like single nuclei RNA sequencing to explore gene expression changes in muscle biopsies from LOPD patients compared to healthy controls, revealing significant metabolic shifts and inflammatory responses in affected fibers.
  • Findings suggest potential benefits of enzyme replacement therapy in restoring metabolic function, especially in healthy muscle fibers, emphasizing the importance of using modern methods to understand muscle disease at a cellular level.
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A Functional Human Glycogen Debranching Enzyme Encoded by a Synthetic Gene: Its Implications for Glycogen Storage Disease Type III Management.

Protein Pept Lett

October 2024

Department of Sustainability, ENEA, Italian National Agency for New Technologies, Energy and Sustainable Economic Development, Casaccia Research Center, Via Anguillarese 301, 00123, Rome, Italy.

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  • Glycogen storage disease type IV (GSD IV) is a rare genetic disorder caused by a deficiency in glycogen branching enzyme, leading to an abnormal form of glycogen called polyglucosan and classified mainly by liver or neuromuscular involvement.
  • A study examined clinical data from 23 patients and a mouse model to propose a new classification for liver disease severity in GSD IV, identifying three stages: severe progressive, intermediate progressive, and attenuated liver disease.
  • The research findings indicate that liver biopsy results are not reliable for predicting liver failure, and suggest that liver disease severity in GSD IV exists on a continuum rather than fitting into distinct subtypes.
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Article Synopsis
  • Two new enzyme replacement therapies for late-onset Pompe disease received approval from the European Medicines Agency between 2022 and 2023, prompting an update to treatment guidelines by the European Pompe Consortium (EPOC).
  • The EPOC, consisting of 25 experts from eight countries, developed a consensus on when to start, switch, or stop ERT based on in-person meetings and discussions.
  • Recommendations emphasize starting ERT in symptomatic patients, criteria for switching treatments based on muscle function stabilization, and the option of stopping ERT if there are severe reactions or lack of improvement, with regular assessments every six months to monitor progress.
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Article Synopsis
  • Glycogen storage disorder type IIIa is a rare genetic condition affecting the liver and muscles, where liver transplantation can help with metabolic control but does not address muscle issues.
  • A case study describes a 31-year-old man who had a liver transplant for end-stage liver disease due to GSD type IIIa, but afterward, he experienced worsening muscle pain and elevated enzyme levels linked to muscle involvement rather than the liver.
  • The increase in muscle symptoms post-transplant may be due to improved liver function which led to excess glucose in the muscle cells, and while a high-protein ketogenic diet was attempted, it did not significantly help the patient's muscle pain.
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Article Synopsis
  • Glycogen storage disease type III (GSDIII) is a rare condition caused by a deficiency in the glycogen debranching enzyme, leading to liver issues and muscle weakness, with no current cure available.
  • Previous research indicated that using two dual AAV (adeno-associated virus) vectors to deliver the GDE gene could effectively target both liver and muscle in a GSDIII mouse model.
  • This study investigated the combination of rapamycin and AAV gene therapy, finding that the treatment improved outcomes by reducing immune response and enhancing the therapeutic effect, supporting further clinical applications.
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Essential dextrin structure as donor substrate for 4-α-glucanotransferase in glycogen debranching enzyme.

J Biochem

July 2024

Department of Chemistry, Graduate School of Science, Osaka Prefecture University, Gakuen-cho 1-1, Naka-ku, Sakai, Osaka 599-8531, Japan.

Glycogen debranching enzyme is a single polypeptide with distinct catalytic sites for 4-α-glucanotransferase and amylo-α-1,6-glucosidase. To allow phosphorylase to degrade the inner tiers of highly branched glycogen, 4-α-glucanotransferase converts the phosphorylase-limit biantennary branch G-G-G-G-(G-G-G-G↔)G-G- (G: d-glucose, hyphens: α-1,4-linkages; double-headed arrow: α-1,6-linkage) into the G-G-G-G-(G↔)G-G- residue, which is then subjected to amylo-α-1,6-glucosidase to release the remaining G↔ residue. However, while the essential side-chain structure of the 4-α-glucanotransferase donor substrate has been determined to be the G-G-G-G↔ residue (Watanabe, Y.

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Article Synopsis
  • The PROPEL study compared a new therapy, cipaglucosidase alfa + miglustat (cipa + mig), to the standard treatment, alglucosidase alfa + placebo (alg + pbo), for adults with late-onset Pompe disease (LOPD).
  • An ongoing open-label extension study is assessing the long-term safety and effectiveness of cipa + mig, focusing on various outcome measures like walking distance and lung function.
  • After 104 weeks, patients on cipa + mig showed maintained improvements in walking distance and biomarkers with minimal safety concerns, indicating potential long-term benefits for those with LOPD.
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Treatment of infantile-onset Pompe disease in a rat model with muscle-directed AAV gene therapy.

Mol Metab

March 2024

Center of Animal Biotechnology and Gene Therapy (CBATEG), Universitat Autònoma de Barcelona, 08193, Bellaterra, Spain; Department of Biochemistry and Molecular Biology, Universitat Autònoma de Barcelona, 08193, Bellaterra, Spain; Centro de Investigación Biomédica en Red de Diabetes y Enfermedades Metabólicas Asociadas, Instituto de Salud Carlos III, Spain. Electronic address:

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Background: Glycogen storage disease type 5 (GSD) is an autosomal recessive inherited metabolic myopathy caused by a deficiency of the enzyme muscle glycogen phosphorylase. Individuals with GSD5 experience physical activity intolerance.

Objective: This patient-led study aimed to capture the daily life experiences of GSD5, with a focus on adapting to and coping with their physical activity intolerance.

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Article Synopsis
  • Cipaglucosidase alfa plus miglustat (cipa + mig) is a new two-part treatment for Pompe disease, assessed in the Phase I/II ATB200-02 study over 48 months.
  • The study involved four adult groups, including both ambulating and non-ambulating patients, who received specific doses of cipa and mig biweekly.
  • Results showed improvements in walking distances and respiratory capacity, especially in ERT-naïve patients, with the treatment generally well tolerated and a safety profile similar to existing therapies.
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Purpose: Glycogen storage disease type III (GSD III) is a rare inherited metabolic disease characterized by excessive accumulation of glycogen in liver, skeletal muscle, and heart. Currently, there are no widely available noninvasive methods to assess tissue glycogen levels and disease load. Here, we use glycogen nuclear Overhauser effect (glycoNOE) MRI to quantify hepatic glycogen levels in a mouse model of GSD III.

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Generation of three induced pluripotent stem cell lines from patients with glycogen storage disease type III.

Stem Cell Res

October 2023

CECS, I-Stem, Corbeil-Essonne 91100, France; INSERM U861, I-Stem, Corbeil-Essonne 91100, France; UEVE U861, I-Stem, Corbeil-Essonne 91100, France. Electronic address:

Glycogen storage disease type III (GSDIII) is an autosomal recessive disorder characterized by a deficiency of glycogen debranching enzyme (GDE) leading to cytosolic glycogen accumulation and inducing liver and muscle pathology. Skin fibroblasts from three GSDIII patients were reprogrammed into induced pluripotent stem cells (iPSCs) using non-integrated Sendai virus. All of the three lines exhibited normal morphology, expression of pluripotent markers, stable karyotype, potential of trilineage differentiation and absence of GDE expression, making them valuable tools for modeling GSDIII disease in vitro, studying pathological mechanisms and investigating potential treatments.

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