WordNet
- a hydrocarbon radical that occurs in many organic compounds
PrepTutorEJDIC
- 〈U〉〈C〉(…の)(量・額などの)不足,欠乏《+『of』(『in』)+『名』》 / 〈C〉不足分,不足量,不足額 / 〈C〉(精神・肉体などの)欠陥
Wikipedia preview
出典(authority):フリー百科事典『ウィキペディア(Wikipedia)』「2014/01/03 12:23:57」(JST)
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Glycogen storage disease type III |
Classification and external resources |
Micrograph of glycogen storage disease with histologic features consistent with Cori disease. Liver biopsy. H&E stain.
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ICD-10 |
E74.0 |
ICD-9 |
271.0 |
OMIM |
232400 |
DiseasesDB |
5302 |
eMedicine |
med/909 ped/479 |
MeSH |
D006010 |
Glycogen storage disease type III is an autosomal recessive metabolic disorder and inborn error of metabolism characterized by a deficiency in glycogen debranching enzymes.
It is also known as Cori's disease in honor of the 1947 Nobel laureates Carl Cori and Gerty Cori. Other names include Forbes disease in honor of clinician Gilbert Burnett Forbes (1915-2003), an American Physician who further described the features of the disorder, or limit dextrinosis.[1]
Glycogen is a molecule the body uses to store carbohydrate energy. Symptoms of GSD-III are caused by a deficiency of the enzyme amylo-1,6 glucosidase, or debrancher enzyme. This causes excess amounts of an abnormal glycogen to be deposited in the liver, muscles and, in some cases, the heart.
Contents
- 1 Genetic prevalence
- 2 Presentation
- 3 Treatment
- 4 External links
- 5 References
Genetic prevalence[edit]
Glycogen storage disease type III has an autosomal recessive pattern of inheritance.
GSD III is inherited in an autosomal recessive pattern, and occurs in about 1 of every 100,000 live births.
Presentation[edit]
Clinical manifestations are divided into four classes:
- GSD IIIa, which clinically includes muscle and liver involvement[2]
- GSD IIIb, which clinically has liver involvement but no muscle involvement
- GSD IIIc and GSD IIId, which are rarer phenotypes with altered penetrance
The disease typically presents during infancy with hypoglycemia and failure to thrive. Clinical examination usually reveals hepatomegaly. Muscular disease, including hypotonia and cardiomyopathy, usually occurs later.
The liver pathology typically regresses as patients enter adolescence, and few patients develop cirrhosis during adulthood.
Treatment[edit]
Treatment may involve a high-protein diet, in order to facilitate gluconeogenesis.
External links[edit]
- GeneReviews/NCBI/NIH/UW entry on Glycogen Storage Disease Type III
- OMIM entries on Glycogen Storage Disease Type III
References[edit]
- ^ eMedicine The Continually Updated Clinical Reference
- ^ Lucchiari S, Fogh I, Prelle A, et al. (2002). "Clinical and genetic variability of glycogen storage disease type IIIa: seven novel AGL gene mutations in the Mediterranean area". Am. J. Med. Genet. 109 (3): 183–90. doi:10.1002/ajmg.10347. PMID 11977176.
Inborn error of carbohydrate metabolism: monosaccharide metabolism disorders (including glycogen storage diseases) (E73–E74, 271)
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Sucrose, transport
(extracellular) |
Disaccharide catabolism
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- Lactose intolerance
- Sucrose intolerance
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Monosaccharide transport
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- Glucose-galactose malabsorption
- Inborn errors of renal tubular transport (Renal glycosuria)
- Fructose malabsorption
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Hexose → glucose |
Monosaccharide catabolism
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fructose:
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- Essential fructosuria
- Fructose intolerance
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galactose/galactosemia:
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- GALK deficiency
- GALT deficiency/GALE deficiency
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Glucose ⇄ glycogen |
Glycogenesis
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- GSD type 0, glycogen synthase
- GSD type IV, Andersen's, branching
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Glycogenolysis
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extralysosomal:
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- GSD type V, McArdle, muscle glycogen phosphorylase/GSD type VI, Hers', liver glycogen phosphorylase
- GSD type III, Cori's, debranching
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- lysosomal/LSD: GSD type II, Pompe's, glucosidase
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Glucose ⇄ CAC |
Glycolysis
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- MODY 2/HHF3
- GSD type VII, Tarui's, phosphofructokinase
- Triosephosphate isomerase deficiency
- Pyruvate kinase deficiency
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Gluconeogenesis
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- PCD
- Fructose bisphosphatase deficiency
- GSD type I, von Gierke, glucose 6-phosphatase
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Pentose phosphate pathway |
- Glucose-6-phosphate dehydrogenase deficiency
- Transaldolase deficiency
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Other |
- Hyperoxaluria
- Pentosuria
- Aldolase A deficiency
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mt, k, c/g/r/p/y/i, f/h/s/l/o/e, a/u, n, m
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k, cgrp/y/i, f/h/s/l/o/e, au, n, m, epon
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m (A16/C10), i (k, c/g/r/p/y/i, f/h/s/o/e, a/u, n, m)
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UpToDate Contents
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English Journal
- Glycogen Storage Disease Type VI With a Novel Mutation in PYGL Gene.
- Jagadisan B1, Ranganath P.
- Indian pediatrics.Indian Pediatr.2017 Sep 15;54(9):775-776.
- PMID 28984260
- Long term longitudinal study of muscle function in patients with glycogen storage disease type IIIa.
- Decostre V1, Laforêt P2, De Antonio M3, Kachetel K4, Canal A5, Ollivier G5, Nadaj-Pakleza A4, Petit FM6, Wahbi K7, Fayssoil A5, Eymard B4, Behin A4, Labrune P8, Hogrel JY5.
- Molecular genetics and metabolism.Mol Genet Metab.2017 Aug 30. pii: S1096-7192(17)30417-1. doi: 10.1016/j.ymgme.2017.08.010. [Epub ahead of print]
- PMID 28888851
Japanese Journal
- A Case of Glycogen Storage Disease Type III (Glycogen Debranching Enzyme Deficiency) with Liver Cirrhosis and Hypertrophic Cardiomyopathy.
- B-13. 血球による糖原病の病型診断とその問題点
★リンクテーブル★
[★]
- 英
- Cori disease Cori's disease
- 同
- III型糖原病 type III glycogen storage disease、glycogen storage disease type III 糖原病III型
- フォーブス病 Forbes disease、限界デキストリン症 limit dextrinosis、アミロ-1,6-グルコシダーゼ欠損症 amylo-1,6-glucosidase deficiency、グリコーゲン脱分枝酵素欠損症 glycogen debrancher deficiency、デブランチャー欠損症 debrancher deficiency
- 関
- 糖原病、Coris disease
- debrancher enzyme deficiency
- hypoglycemia, hepatomegaly, short-stature, and myopathty
検査
- normal: lactate, uric acid and increased cholesterol and triglyceride levels.
[★]
- 英
- deficiency of amylo-1, 6-glucosidase, amylo-1,6-glucosidase deficiency
- 関
- 糖原病III型
[★]
- 不足、欠乏、欠失、欠如、欠損、不十分。栄養不足、栄養素欠乏、欠乏症。(遺伝子)(染色体内の)遺伝子欠失
- 欠けているもの、不足している物。不足分。不完全なもの、欠点のあるもの
- 関
- absence, agenesis, dearth, defect, defective, deficient, deficit, delete, deletion, deletional, depletion, deprivation, deprive, lack, miss, missing, morphological defect, paucity, scarce, scarcity, starve