Week 3: Glycogen Storage Disorders Flashcards
GSD 0 is a mutation in:
Glycogen Synthase
Non-diabetic, variable exercise intolerance, muscle/cardiac hypertrophy after overnight fasting.
GSD 0
GSD I (von Gierke’s disease) mutation in:
G-6-P phosphatase (only in liver)
Fasting hypoglycemia, lactic acidosis, hepatomegaly, hyperuricemia/hyperlipidemia, can’t export glucose from liver.
GSD I
GSD IIIa (Coris’ disease) mutation in:
Alpha-1,6-glucosidase (liver and muscle)
Severe cardiac problems and severe muscle pain.
GSD IIIa
GSD IIIb mutation in:
alpha-1,6-glucosidase (liver only)
Some muscle pain, patient can outgrow
GSD IIIb
GSD IV (Anderson disease) mutation in:
4:6 transferase glycogen synthesis problem
Failure to thrive, hepatomegaly, liver failure, fatal
GSD IV
GSD V (McArdle’s disease) mutation in:
muscle glycogen phosphorylase
Late childhood onset, exercise intolerance, loss of cell shape/structure, myogloburinia, hyperammonia, increased creatine kinase in blood
GSD V