358 results match your criteria: "Glycogen Storage Disease Type IV"

Article Synopsis
  • 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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  • 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 4 (GSD4) is caused by a deficiency in glycogen branching enzyme 1 (GBE1) and affects multiple organs, leading to symptoms like hepatosplenomegaly and cardiac issues; the study identified two genetic variants in a patient.
  • Researchers used CRISPR/Cas9 to edit induced pluripotent stem cells (iPSCs) from a healthy donor to create models that mimic the patient's GBE1 deficiency for better understanding of the disease.
  • The results showed that the edited cells had lower GBE1 activity and displayed polyglucosan deposits similar to the patient's tissues, highlighting the potential of iPSC modeling in studying rare genetic disorders and assessing the impact
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Unraveling a history of overlap: A phenotypic comparison of RBCK1-related disease and glycogen storage disease type IV.

Am J Med Genet A

July 2024

Penn Medicine, Department of Medicine, Division of Translational Medicine and Human Genetics, Philadelphia, Pennsylvania, USA.

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Diabetes in a Patient with Glycogen Storage Disease Type 1a.

Intern Med

August 2024

Department of Diabetes, Endocrinology and Nutrition, Graduate School of Medicine, Kyoto University, Japan.

Glycogen storage disease type 1a (GSD-1a) is a rare congenital disease. Recently, life expectancy with GSD-1a has been improved by its early diagnosis and management. Complications of diabetes with GSD-1a are extremely rare.

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Adult polyglucosan body disease (APBD) has long been regarded as the adult-onset form of glycogen storage disease type IV (GSD IV) and is caused by biallelic pathogenic variants in . Advances in the understanding of the natural history of APBD published in recent years have led to the use of discrete descriptors ("typical" versus "atypical") based on adherence to traditional symptomatology and homozygosity for the p.Y329S variant.

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To investigate the clinical pathology and gene mutation characteristics of patients with glycogen storage disease type Ⅳ (GSD Ⅳ). The clinical data, liver histopathology and ultrastructural morphology, and gene sequencing results of 5 GSD Ⅳ cases diagnosed in the Children's Hospital Affiliated to Shanghai Jiaotong University School of Medicine and the Children's Hospital of Fudan University from January 2015 to February 2022 were collected and analyzed retrospectively. Among the 5 cases, 3 were male and 2 were female, ranging in age from 4 months to 1 year and 9 months.

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Inadequate glycogen branching enzyme 1 (GBE1) activity results in different forms of glycogen storage disease type IV, including adult polyglucosan body disorder (APBD). APBD is clinically characterized by adult-onset development of progressive spasticity, neuropathy, and neurogenic bladder and is histologically characterized by the accumulation of structurally abnormal glycogen (polyglucosan bodies) in multiple cell types. How insufficient GBE1 activity causes the disease phenotype of APBD is poorly understood.

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Article Synopsis
  • * This condition is diagnosed through histological examination, enzyme activity tests, and genetic studies; severe forms of GSD IV exhibit devastating outcomes, with most affected infants being stillborn or dying shortly after birth.
  • * The study presents a detailed case series of 10 patients from 8 families with severe neuromuscular GSD IV, highlighting key symptoms such as fetal movement reduction, muscle atrophy, and novel genetic variants
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The blood glucose response of savory slow energy-release crackers (GLY-HYP) were evaluated in volunteers carrying glycogen storage diseases (GSDs), Types I (Ia) and IV. The crackers have been shown previously to provide a "flat" slow glucose response in healthy volunteers, for up to 4 h. On average for the mixed-sex volunteer group aged 53 to 70 for Type I, the blood glucose concentration increased from baseline to a maximum of 9.

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Inhibition of Wnt/β-catenin signaling reduces renal fibrosis in murine glycogen storage disease type Ia.

Biochim Biophys Acta Mol Basis Dis

January 2024

Section on Cellular Differentiation, Division of Translational Medicine, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, MD 20802, USA. Electronic address:

Glycogen storage disease type Ia (GSD-Ia) is caused by a deficiency in the enzyme glucose-6-phosphatase-α (G6Pase-α or G6PC) that is expressed primarily in the gluconeogenic organs, namely liver, kidney cortex, and intestine. Renal G6Pase-α deficiency in GSD-Ia is characterized by impaired gluconeogenesis, nephromegaly due to elevated glycogen accumulation, and nephropathy caused, in part, by renal fibrosis, mediated by activation of the renin-angiotensin system (RAS). The Wnt/β-catenin signaling regulates the expression of a variety of downstream mediators implicated in renal fibrosis, including multiple genes in the RAS.

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Glycogen storage disease type IV (GSD IV) (OMIM #232500) is an autosomal recessive disorder caused by deficiency of the glycogen-branching enzyme. Here, we report a patient presenting with prematurity and severe hypotonia resulting from a complicated pregnancy with polyhydramnios. During her stay in the neonatal unit, the infant remained dependent on a ventilator, and her movements were mostly absent, except for occasional small movements of her fingers.

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Article Synopsis
  • Glycogen storage disease (GSD) is a genetic condition marked by enzyme deficiencies that cause glycogen to build up in organs like the liver, muscles, heart, and kidneys, potentially affecting heart health.
  • The study examined 62 GSD patients' heart functions using echocardiography, focusing on left ventricle performance among children and adults with types I, III, and IX, while analyzing results through z-scores.
  • Findings indicated that increased body mass index (BMI) and creatine kinase (CK) levels correlate with higher left ventricle mass, highlighting the need for ongoing heart evaluations in all GSD types due to associated risks.
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Glycogen storage diseases with liver involvement: a literature review of GSD type 0, IV, VI, IX and XI.

Orphanet J Rare Dis

June 2022

Division of Metabolism, Department of Pediatric Subspecialties, Ospedale Pediatrico Bambino Gesù, IRCCS, Piazza S. Onofrio 4, 00165, Rome, Italy.

Article Synopsis
  • Glycogen storage diseases (GSDs) affecting the liver are categorized by specific enzyme deficiencies, with symptoms including low blood sugar and enlarged liver, potentially leading to muscle and kidney issues as well as bone density loss.
  • Diagnosis often requires a combination of clinical observations and lab tests, with genetic analysis commonly needed to accurately identify the type due to similar presentations among them.
  • Early diagnosis and nutritional interventions can significantly improve metabolic balance and patient quality of life, highlighting the importance of physician awareness and ongoing patient monitoring to manage these rare diseases effectively.
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