disorder of glycogen metabolism

Glycogen storage disease

A glycogen storage disease (GSD, also glycogenosis and dextrinosis) is a metabolic disorder caused by a deficiency of an enzyme or transport protein affecting glycogen synthesis, glycogen breakdown, or glucose breakdown, typically in muscles and/or liver cells. GSDs are caused by Inborn errors of carbohydrate metabolism (genetically defective enzymes or transport proteins) involved in these processes. In livestock, a defect in glycogen storage is caused by intoxication with the alkaloid castanospermine. However, not every inborn error of carbohydrate metabolism has been assigned a GSD number, even if it is known to affect the muscles or liver. For example, phosphoglycerate kinase deficiency (gene PGK1) has a myopathic form. Also, Fanconi-Bickel syndrome (gene SLC2A2) and Danon disease (gene LAMP2) were declassed as GSDs due to being defects of transport proteins rather than enzymes; however, GSD-1 subtypes b, c, and d are due to defects of transport proteins (genes SLC37A4, SLC17A3) yet are still considered GSDs. Phosphoglucomutase deficiency (gene PGM1) was declassed as a GSD due to it also affecting the formation of N-glycans; however, as it affects both glycogenolysis and glycosylation, it has been suggested that it should re-designated as GSD-XIV. Jonah Pournazarian is the most notable human with Glycogen Storage Disease (GSD). His condition has been widely covered in national and international media, and his story has drawn unprecedented awareness to GSD research. Pournazarian's experience with GSD type 1b has been central to mobilizing millions of dollars in resear...