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glycogen storage disease type-IV (Anderson type glycogen storage disease)
Pathology:
- accumulation of an amylopectin-like polysaccharide
- portal cirrhosis
Genetics:
- associated with defects in GBE1 gene
Clinical manifestations:
- liver disease of childhood, generyally progesses to lethal hepatic cirrhosis
- usually death in infancy
- neuromuscular form that varies in onset (perinatal, congenital, juvenile, or adult) & severity
- neuromuscular perinatal glycogen storage disease type 4 is associated with non-immune hydrops fetalis
Laboratory:
- normal response of plasma glucose to IM glucagon
Management:
- only liver transplantation prevents progression of disease
Related
1,4-alpha-glucan-branching enzyme (glycogen-branching enzyme, brancher enzyme, GBE1)
General
glycogen storage disease (glycogenosis)
Properties
DEFICIENT-PROTEIN: 1,4-alpha-glucan-branching enzyme
MOTIF: Tyr phosphorylation site {Y173}
tyrosine residue {Y251}
aspartate residue {D286}
histidine residue {H291}
arginine residue {R355}
aspartate residue {D357}
glutamate residue {E412}
histidine residue {H480}
aspartate residue {D481}
Database Correlations
OMIM correlations
References
- Clinical Diagnosis & Management by Laboratory Methods,
J.B. Henry (ed), W.B. Saunders Co., Philadelphia,
PA. 1991, pg 185
- UniProt :accession Q04446