Glycogen storage disease due to glycogen branching enzyme deficiency
General Information (adopted from Orphanet):
Synonyms, Signs: |
Glycogen storage disease type 4 Andersen disease Amylopectinosis GSD type 4 Glycogenosis due to glycogen branching enzyme deficiency Glycogenosis type 4 GSD due to glycogen branching enzyme deficiency |
Number of Symptoms | 35 |
OrphanetNr: | 367 |
OMIM Id: |
232500
263570 |
ICD-10: |
E74.0 |
UMLs: |
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MeSH: |
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MedDRA: |
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Snomed: |
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Prevalence, inheritance and age of onset:
Prevalence: | < 0.1 of 100 000 - PMID: 20833045 [IBIS] |
Inheritance: |
Autosomal recessive - PMID: 20833045 [IBIS] |
Age of onset: |
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Disease classification (adopted from Orphanet):
Parent Diseases: |
Familial dilated cardiomyopathy
-Rare cardiac disease -Rare genetic disease Glycogen storage disease -Rare genetic disease Metabolic liver disease -Rare genetic disease -Rare hepatic disease Muscular glycogenosis -Rare genetic disease -Rare neurologic disease |
Comment:
The disease is extremely heterogeneous in terms of tissue involvement, age of onset and clinical manifestations (PMD:11949934). In the classic hepatic form with rapid progressive liver cirrhosis in childhood, 3 mutations, R515C, F257L, and R524X, were identified; in the mild nonprogressive hepatic form L224P, Y329S, IVS5+2T>C, and R515H mutations; in the neuromuscular neonatal form deletion of 210 bp were identified (PMID:17027861). GSD IV can be easily distinguished from GSD II (Pompe disease) on the basis of muscle morphology (showing abundant glycogenosomes and no polyglucosan in GSD II) and biochemistry (lack of alpha glucosidase activity in GSDII) (PMID:20833045). |
Symptom Information:
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(HPO:0001315) | Reduced tendon reflexes | 23014386 | IBIS | 160 / 7739 | ||
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(HPO:0001999) | Abnormal facial shape | 23014386 | IBIS | 169 / 7739 | ||
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(HPO:0002878) | Respiratory failure | 23014386 | IBIS | 57 / 7739 | ||
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(HPO:0001324) | Muscle weakness | 23014386 | IBIS | 859 / 7739 | ||
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(HPO:0001409) | Portal hypertension | 23014386 | IBIS | 39 / 7739 | ||
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(HPO:0001508) | Failure to thrive | 26385640 | IBIS | 454 / 7739 | ||
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(HPO:0001488) | Bilateral ptosis | 20833045 | IBIS | 42 / 7739 | ||
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(HPO:0002804) | Arthrogryposis multiplex congenita | 20833045 | IBIS | 93 / 7739 | ||
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(HPO:0001284) | Areflexia | 20833045 | IBIS | 198 / 7739 | ||
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(HPO:0001371) | Flexion contracture | 20833045 | IBIS | 220 / 7739 | ||
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(HPO:0001397) | Hepatic steatosis | 20833045 | IBIS | 75 / 7739 | ||
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(HPO:0003715) | Myofibrillar myopathy | 20833045 | IBIS | 9 / 7739 | ||
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(HPO:0100314) | Cerebral inclusion bodies | 20833045 | IBIS | 2 / 7739 | ||
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(HPO:0100303) | Muscle fiber cytoplasmatic inclusion bodies | 20833045 | IBIS | 3 / 7739 | ||
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(HPO:0001558) | Decreased fetal movement | 20833045 | IBIS | 74 / 7739 | ||
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(HPO:0001561) | Polyhydramnios | 20833045 | IBIS | 191 / 7739 | ||
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(HPO:0001637) | Abnormality of the myocardium | 20833045 | IBIS | 76 / 7739 | ||
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(HPO:0001639) | Hypertrophic cardiomyopathy | 23056054 | IBIS | 137 / 7739 | ||
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(HPO:0001644) | Dilated cardiomyopathy | 23056054 | IBIS | 141 / 7739 | ||
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(HPO:0030148) | Heart murmur | 25155778 | IBIS | 29 / 7739 | ||
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(HPO:0001638) | Cardiomyopathy | Occasional [Orphanet] | 17027861 | IBIS | 192 / 7739 | |
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(HPO:0001649) | Tachycardia | 25155778 | IBIS | 53 / 7739 | ||
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(HPO:0003270) | Abdominal distention | 25155778 | IBIS | 46 / 7739 | ||
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(HPO:0003202) | Skeletal muscle atrophy | 17027861 | IBIS | 281 / 7739 | ||
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(HPO:0001252) | Muscular hypotonia | Very frequent [Orphanet] Very frequent [IBIS] | 23014386 | IBIS | 990 / 7739 | |
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(HPO:0001789) | Hydrops fetalis | 17027861 | IBIS | 63 / 7739 | ||
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(HPO:0008947) | Infantile muscular hypotonia | 17027861 | IBIS | 482 / 7739 | ||
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(HPO:0001394) | Cirrhosis | 17027861 | IBIS | 102 / 7739 | ||
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(HPO:0001395) | Hepatic fibrosis | 17027861 | IBIS | 67 / 7739 | ||
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(HPO:0001433) | Hepatosplenomegaly | 25155778 | IBIS | 78 / 7739 | ||
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(HPO:0100022) | Abnormality of movement | Very frequent [Orphanet] | 23014386 | IBIS | 129 / 7739 | |
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(HPO:0006568) | Increased hepatic glycogen content | Very frequent [Orphanet] | 25155778 | IBIS | 34 / 7739 | |
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(HPO:0001541) | Ascites | Very frequent [Orphanet] | 25155778 | IBIS | 94 / 7739 | |
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(HPO:0001399) | Hepatic failure | Very frequent [Orphanet] Very frequent [IBIS] | 23014386 | IBIS | 80 / 7739 | |
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(HPO:0001939) | Abnormality of metabolism/homeostasis | Very frequent [Orphanet] | 20833045 | IBIS | 328 / 7739 |
Associated genes:
GBE1; |
ClinVar (via SNiPA)
Gene symbol | Variation | Clinical significance | Reference |
---|---|---|---|
GBE1 | rs137852886 | pathogenic | RCV000002909.2 |
GBE1 | rs137852886 | pathogenic | RCV000056134.1 |
GBE1 | rs137852887 | pathogenic | RCV000056143.1 |
GBE1 | rs137852887 | pathogenic | RCV000002912.3 |
GBE1 | rs137852888 | pathogenic | RCV000002914.3 |
GBE1 | rs137852888 | pathogenic | RCV000002913.3 |
GBE1 | rs137852888 | pathogenic | RCV000056093.1 |
GBE1 | rs137852889 | pathogenic | RCV000002919.3 |
GBE1 | rs137852889 | pathogenic | RCV000056095.1 |
GBE1 | rs137852890 | pathogenic | RCV000002920.1 |
GBE1 | rs137852890 | pathogenic | RCV000056097.1 |
GBE1 | rs137852891 | pathogenic | RCV000056098.1 |
GBE1 | rs137852891 | pathogenic | RCV000002922.3 |
GBE1 | rs137852892 | pathogenic | RCV000002924.1 |
GBE1 | rs137852893 | pathogenic | RCV000002925.1 |
GBE1 | rs137852894 | pathogenic | RCV000056096.1 |
GBE1 | rs137852894 | pathogenic | RCV000002927.1 |
GBE1 | rs192044702 | pathogenic | RCV000190589.1 |
GBE1 | rs397515342 | pathogenic | RCV000002906.1 |
GBE1 | rs397515343 | pathogenic | RCV000002918.3 |
GBE1 | rs397515343 | pathogenic | RCV000056092.1 |
GBE1 | rs397515344 | pathogenic | RCV000056135.1 |
GBE1 | rs397515344 | pathogenic | RCV000002926.1 |
GBE1 | rs80338671 | pathogenic | RCV000020163.1 |
GBE1 | rs80338671 | pathogenic | RCV000002907.4 |
GBE1 | rs80338672 | pathogenic | RCV000020161.1 |
GBE1 | rs80338672 | pathogenic | RCV000002910.5 |
GBE1 | rs80338673 | pathogenic | RCV000020162.1 |
GBE1 | rs80338673 | pathogenic | RCV000002915.5 |