A deficiência da enzima desramificadora de glicogênio (GDE), ou doença de armazenamento de glicogênio tipo 3 (GSD 3), é uma forma de doença de armazenamento de glicogênio caracterizada por fraqueza muscular grave e hepatopatia.
Introdução
O que você precisa saber de cara
A deficiência da enzima desramificadora de glicogênio (GDE), ou doença de armazenamento de glicogênio tipo 3 (GSD 3), é uma forma de doença de armazenamento de glicogênio caracterizada por fraqueza muscular grave e hepatopatia.
Tem tratamento?
Escala de raridade
<1/50kMuito rara
1/20kRara
1/10kPouco freq.
1/5kIncomum
1/2k
Encontrou um erro ou informação desatualizada? Sugira uma correção →
Entender a doença
Do básico ao detalhe, leia no seu ritmo
Preparando trilha educativa...
Sinais e sintomas
O que aparece no corpo e com que frequência cada sintoma acontece
Partes do corpo afetadas
+ 5 sintomas em outras categorias
Características mais comuns
Os sintomas variam de pessoa para pessoa. Abaixo estão as 25 características clínicas mais associadas, ordenadas por frequência.
Linha do tempo da pesquisa
Triagem neonatal (Teste do Pezinho)
A triagem neonatal permite diagnóstico precoce e início imediato do tratamento.
Encontrou um erro ou informação desatualizada? Sugira uma correção →
Genética e causas
O que está alterado no DNA e como passa nas famílias
Genes associados
1 gene identificado com associação a esta condição. Padrão de herança: Autosomal recessive.
Multifunctional enzyme acting as 1,4-alpha-D-glucan:1,4-alpha-D-glucan 4-alpha-D-glycosyltransferase and amylo-1,6-glucosidase in glycogen degradation
Cytoplasm
Glycogen storage disease 3
A metabolic disorder associated with an accumulation of abnormal glycogen with short outer chains. It is clinically characterized by hepatomegaly, hypoglycemia, short stature, and variable myopathy. Glycogen storage disease type 3 includes different forms: GSD type 3A patients lack glycogen debrancher enzyme activity in both liver and muscle, while GSD type 3B patients are enzyme-deficient in liver only. In rare cases, selective loss of only 1 of the 2 debranching activities, glucosidase or transferase, results in GSD type 3C or type 3D, respectively.
Medicamentos e terapias
Mecanismo: Histamine H1 receptor antagonist
Mecanismo: Cyclooxygenase inhibitor
Mecanismo: Cyclooxygenase inhibitor
Mecanismo: Histamine H2 receptor antagonist
Variantes genéticas (ClinVar)
702 variantes patogênicas registradas no ClinVar.
Vias biológicas (Reactome)
2 vias biológicas associadas aos genes desta condição.
Diagnóstico
Os sinais que médicos procuram e os exames que confirmam
Tratamento e manejo
Remédios, cuidados de apoio e o que precisa acompanhar
Onde tratar no SUS
Hospitais de referência no Brasil e o protocolo oficial do SUS (PCDT)
🇧🇷 Atendimento SUS — Doença de armazenamento de glicogênio por deficiência na desramificação do glicogênio
Centros de Referência SUS
21 centros habilitados pelo SUS para Doença de armazenamento de glicogênio por deficiência na desramificação do glicogênio
Centros para Doença de armazenamento de glicogênio por deficiência na desramificação do glicogênio
Detalhes dos centros
Hospital Universitário Prof. Edgard Santos (HUPES)
R. Dr. Augusto Viana, s/n - Canela, Salvador - BA, 40110-060 · CNES 0003808
Serviço de Referência
Hospital de Apoio de Brasília (HAB)
AENW 3 Lote A Setor Noroeste - Plano Piloto, Brasília - DF, 70684-831 · CNES 0010456
Serviço de Referência
Hospital Estadual Infantil e Maternidade Alzir Bernardino Alves (HIABA)
Av. Min. Salgado Filho, 918 - Soteco, Vila Velha - ES, 29106-010 · CNES 6631207
Serviço de Referência
Hospital das Clínicas da UFG
Rua 235 QD. 68 Lote Área, Nº 285, s/nº - Setor Leste Universitário, Goiânia - GO, 74605-050 · CNES 2338424
Serviço de Referência
Hospital das Clínicas da UFMG
Av. Prof. Alfredo Balena, 110 - Santa Efigênia, Belo Horizonte - MG, 30130-100 · CNES 2280167
Serviço de Referência
NUPAD / Faculdade de Medicina UFMG
Av. Prof. Alfredo Balena, 189 - 5 andar - Centro, Belo Horizonte - MG, 30130-100 · CNES 2183226
Serviço de Referência
Hospital Universitário João de Barros Barreto
R. dos Mundurucus, 4487 - Guamá, Belém - PA, 66073-000 · CNES 2337878
Serviço de Referência
Hospital de Clínicas da Universidade Federal de Pernambuco
Av. Prof. Moraes Rego, 1235 - Cidade Universitária, Recife - PE, 50670-901 · CNES 2561492
Atenção Especializada
Instituto de Medicina Integral Prof. Fernando Figueira (IMIP)
R. dos Coelhos, 300 - Boa Vista, Recife - PE, 50070-902 · CNES 0000647
Serviço de Referência
Hospital de Clínicas da UFPR
R. Gen. Carneiro, 181 - Alto da Glória, Curitiba - PR, 80060-900 · CNES 2364980
Serviço de Referência
Hospital Universitário Pedro Ernesto (HUPE-UERJ)
Blvd. 28 de Setembro, 77 - Vila Isabel, Rio de Janeiro - RJ, 20551-030 · CNES 2280221
Serviço de Referência
Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira (IFF/Fiocruz)
Av. Rui Barbosa, 716 - Flamengo, Rio de Janeiro - RJ, 22250-020 · CNES 2269988
Serviço de Referência
Hospital Universitário Onofre Lopes (HUOL)
Av. Nilo Peçanha, 620 - Petrópolis, Natal - RN, 59012-300 · CNES 2408570
Atenção Especializada
Hospital São Lucas da PUCRS
Av. Ipiranga, 6690 - Jardim Botânico, Porto Alegre - RS, 90610-000 · CNES 2232928
Serviço de Referência
Hospital de Clínicas de Porto Alegre (HCPA)
Rua Ramiro Barcelos, 2350 Bloco A - Av. Protásio Alves, 211 - Bloco B e C - Santa Cecília, Porto Alegre - RS, 90035-903 · CNES 2237601
Serviço de Referência
Hospital Universitário da UFSC (HU-UFSC)
R. Profa. Maria Flora Pausewang - Trindade, Florianópolis - SC, 88036-800 · CNES 2560356
Serviço de Referência
Hospital das Clínicas da FMUSP
R. Dr. Ovídio Pires de Campos, 225 - Cerqueira César, São Paulo - SP, 05403-010 · CNES 2077485
Serviço de Referência
Hospital de Clínicas da UNICAMP
R. Vital Brasil, 251 - Cidade Universitária, Campinas - SP, 13083-888 · CNES 2748223
Serviço de Referência
Hospital de Clínicas de Ribeirão Preto (HCRP-USP)
R. Ten. Catão Roxo, 3900 - Vila Monte Alegre, Ribeirão Preto - SP, 14015-010 · CNES 2082187
Serviço de Referência
Instituto da Criança e do Adolescente (ICr-HCFMUSP)
Av. Dr. Enéas Carvalho de Aguiar, 647 - Cerqueira César, São Paulo - SP, 05403-000 · CNES 2081695
Serviço de Referência
UNIFESP / Hospital São Paulo
R. Napoleão de Barros, 715 - Vila Clementino, São Paulo - SP, 04024-002 · CNES 2688689
Serviço de Referência
Dados de DATASUS/CNES, SBGM, ABNeuro e Ministério da Saúde. Sempre confirme a disponibilidade diretamente com o estabelecimento.
Pesquisa ativa
Ensaios clínicos abertos e novidades científicas recentes
Pesquisa e ensaios clínicos
Nenhum ensaio clínico registrado para esta condição.
Publicações mais relevantes
A roadmap for a patient-centred approach to Pompe disease management.
Pompe disease is a rare, progressive genetic disorder caused by pathogenic variants in the GAA gene. Emerging gene therapies offer the potential for long-term disease management, although logistical and clinical challenges demand specialised centres with defined protocols. A scientific steering committee of 8 European experts deliberated on the requirements for establishing gene therapy centres of excellence for Pompe disease. A modified think-tank approach was used to develop expert-based recommendations through qualitative research utilizing expert opinion methodology. Discussion topics were validated in an online kick-off meeting. Experts were assigned specific topics and tasked with generating content. Multiple online meetings facilitated expert presentations, discussions, and validation of recommendations for each topic. Optimised patient management and timely access to treatment require accurate diagnosis and evaluation of Pompe disease. The committee recommended expanding newborn screening programs for infantile-onset Pompe disease and developing protocols for follow-up of presymptomatic late-onset Pompe disease. A specialised multidisciplinary team trained in Pompe disease and gene therapy should manage the patient journey. Pre-gene therapy assessments were recommended to mitigate risks. Patients should be hospitalized and continuously monitored during gene therapy infusions. After gene therapy, guidelines recommend corticosteroid immunosuppression, monitoring for adverse events (including hepatoxicity, myocarditis, thrombocytopenia, thrombotic microangiopathy, and hemophagocytic lymphohistiocytosis), and Pompe disease assessments (including motor functional assessments, magnetic resonance imaging of the muscles, and patient-reported outcomes). Centres of excellence require infrastructure with standard operating procedures for gene therapy products. Implementing gene therapy for Pompe disease requires a coordinated multidisciplinary effort to overcome gaps in knowledge, infrastructure, and patient management.
Enhanced lysosomal glycogen breakdown is associated with liver tumorigenesis in glycogen storage disease type III.
Glycogen storage disease type III (GSDIII) is a rare metabolic disorder caused by mutations in the glycogen debranching enzyme (AGL), leading to hepatic glycogen accumulation, fibrosis and increased hepatocellular carcinoma (HCC) risk. This study investigates the metabolic mechanisms driving liver tumorigenesis in an Agl -/- model of GSDIII. Liver and tumor samples from 14-month-old Agl -/- and Agl +/+ mice, and liver biopsies from patients with GSDIII (n = 4), were analyzed using histological, biochemical and molecular approaches. Agl -/- mice recapitulated key features of GSDIII, including a 3.5-fold hepatic glycogen overload (p <0.001), and chronic liver disease. More than 30% of the animals developed liver tumors, associated with a 2.5-fold increase in alpha-fetoprotein levels (p <0.005). Despite marked reductions in glucose (7.5-fold, p <0.0001), glucose-6 phosphate (266-fold, p <0.0001), lactate (8-fold, p <0.005), cholesterol (1.9-fold, p <0.001) and triglyceride levels (6.2-fold, p <0.001) in the liver, glycaemia was maintained at around 87.0 ± 9.6 mg/dl after 6 h of fasting, through activated extrahepatic, but not hepatic, gluconeogenesis. Intriguingly, most tumors exhibited lower glycogen content than surrounding tissue (3.3-fold decrease, p <0.0001), which was associated with increased lysosomal alpha-acid glucosidase activity (19.5 ± 5.5 in tumor vs. 9.9 ± 2.0 mmol/h/mg in Agl -/- liver; p <0.0005) and the presence of glycophagosomes. PAS-negative staining in HCCs from patients with GSDIII supported these observations. Although YAP nuclear staining varied among tumors, the overall increase in YAP nuclear localization and CTGF expression suggests that inhibition of the Hippo/YAP pathway may contribute to tumorigenesis in GSDIII hepatocytes. In GSDIII, liver metabolism is characterized by the accumulation of structurally abnormal glycogen and a significant reduction of key energy substrates. In this metabolic context, enhanced lysosomal glycogen degradation may support tumor growth, highlighting a mechanistic link between glycogen metabolism and the development of liver cancer. This study provides novel insights into the metabolic dysregulations driving liver tumorigenesis in glycogen storage disease type III (GSDIII). Our findings reveal a potential link between abnormal glycogen accumulation and liver cancer, highlighting the pivotal role of lysosomal glycogen degradation in supporting tumor growth. These results are particularly important for researchers and clinicians working on metabolic liver diseases, as they suggest potential glycogen-targeting therapeutic strategies for GSDIII and other related liver disorders. Practically, they could guide future interventions aimed at modulating glycogen metabolism, offering new treatment avenues for patients with GSDIII at risk of hepatocellular carcinoma, while contributing to the broader understanding of metabolic dysregulation in cancer biology.
Austrian Pompe Outcome Consensus (APOC): a national Delphi study.
Follow-up assessments form the basis for the continuous optimization of therapy and supportive care on an individual level, for confirming treatment efficacy, and for detecting newly emerging or unexpectedly progressive symptoms early enough to permit timely therapeutic intervention. For Pompe disease, evidence based guidelines on which assessments should constitute the minimum standard and which are required in specific situations only, were missing. Therefore, we started the Austrian Pompe Outcome Consensus (APOC) Study. APOC was a Delphi process with two classical online and a modified third round, implemented September 2023-May 2024, following the AWMF S2k guideline. A five-member interdisciplinary steering committee invited 23 clinical experts, achieving response rates of 69.6% and 100%. A questionnaire was developed via literature scoping and an expert workshop. The importance and recommended frequency of follow-up assessments were rated using AGREE II consensus thresholds, and the classification for recommendation strength of the German Association of the Scientific Medical Societies (AWMF;Arbeitsgemeinschaft der Wissenschaftlichen Medizinischen Fachgesellschaften e. V.). 34 statements achieved consensus. Strong recommendations included the 6-minute walk test (6MWT), timed tests, Pompe PEDI and other age-appropriate functional tests in children, muscle tests, handheld dynamometry, Fatigue Severity Scale, patient-reported outcome measures (e.g. R-Pact), forced vital capacity (sitting/supine), morphologic muscle imaging studies, pain and quality of life assessment. Further recommendations included respiratory (MIP/MEP) and sleep studies (polysomnography), creatine kinase, antibody titers, swallowing studies, liver sonography, hearing tests and speech and speech/oromotor function, physical therapy and rehabilitation, bone density assessment, and caregiver psychosocial care. The APOC Delphi consensus yields AGREE II-compliant, systematically weighted recommendations delineating essential and optional follow-up assessments for Pompe disease in the context of Austrian healthcare. The applied method enabled a structured and efficient consensus-building process and appears well suited for addressing comparable questions in other rare disease contexts. Not applicable.
Hepatic Glycogen Storage Diseases in Brazil: A Multicenter Study.
To describe clinical and laboratory characteristics, emphasizing the evolution of patients with hepatic glycogen storage diseases (GSDs) followed in Brazilian reference centers. Multicenter, retrospective study involving 13 centers, using RedCap platform. 132 patients were included: 63 (47.8%) GSD type I (56 Ia, 7 Ib), 13 (9.8%) with type III (12 IIIa, 1 IIIb), 1 (0.8%) type IV, 6 (4.5%) type VI, and 49 (37.1%) with type IX (28 IXa, 7 IXb, and 14 IXc). Type I patients presented earlier (4 months) and had more episodes of hypoglycemia at clinical presentation (p < 0.001). Anthropometric data at admission revealed impaired growth, with a tendency toward short stature across the groups (median -2.06, -1.89, and -1.96 among type I, III, and IX respectively). The median body mass index (BMI) z-scores at admission for all three types were above +1. Only patients with type IX demonstrated significant improvement in height (p = 0.007) and BMI (p = 0.020) z-scores during follow-up. Regarding laboratory tests, significant decreases were observed in total cholesterol, triglycerides, venous lactate and aminotransferases in patients with types I and IX. Hepatic GSDs are heterogeneous diseases. There is a significant height impairment with a troublesome trend to overweight and obesity, especially in type I. Although there is improvement in aminotransferases, cholesterol, and triglycerides with follow-up, adherence to treatment remains a challenge.
Design of multivalent pharmacological chaperones against Pompe disease via metal-free ligation.
We report herein the design of multivalent pharmacological chaperones (PCs), based on D- and L-deoxynojirimycin (DNJ), to treat Pompe disease (PD), a lysosomal storage disorder caused by mutations in the acid alpha-glucosidase (GAA) enzyme. Multivalent DNJ platforms were built on a pentaerythritol core by Copper Azide-Alkyne Click (CuAAC) ligation. Moreover, new phosphorus-containing dendrimers were decorated with DNJ by Strain Promoted Azide-Alkyne Click (SPAAC) reaction. Our main objective was to systematically study how the chirality and the hydrophobicity of these constructs could modulate their ability to inhibit, stabilize, and restore GAA activity. Thermal stabilization assays identified several highly effective stabilizers. Most importantly, the phosphorus-containing dendrimer 15b, an L-N-undecanyl-DNJ derivative, was found to enhance GAA activity by 1.2 fold in fibroblasts from a Pompe patient at the dose of only 0.5 nM. This finding is a significant breakthrough as it represents the first report of a multivalent compound increasing GAA activity in patient cells. This novel multivalent PC, which is a very weak GAA inhibitor, offers a promising avenue for the development of effective treatments for Pompe disease.
Publicações recentes
Steroid pulse therapy for VKH during pregnancy: a safe and effective option?
📖 RevisãoHeterozygous pathogenic STT3A variation leads to dominant congenital glycosylation disorders and functional validation in zebrafish.
Genetic testing in pediatric kidney transplant recipients to promote informed choice and improve individualized monitoring.
Clinical and genetic profiles of chinese pediatric patients with catecholaminergic polymorphic ventricular tachycardia.
📖 RevisãoEducational needs of patients, families, and healthcare professionals to support the patient journey in haemophilia gene therapy in the UK.
💬 Opinião📚 EuropePMCmostrando 196
Hepatic Glycogen Storage Diseases in Brazil: A Multicenter Study.
American journal of medical genetics. Part ADesign of multivalent pharmacological chaperones against Pompe disease via metal-free ligation.
Organic & biomolecular chemistryComparing the efficacy of cipaglucosidase alfa plus miglustat with alglucosidase alfa for late-onset Pompe disease: an expanded network meta-analysis utilizing patient-level and aggregate data.
Journal of comparative effectiveness researchGlycogen storage disease type IX: Long-term follow-up of 52 patients from three European countries.
Molecular genetics and metabolism reportsCardiopulmonary and skeletal muscle strategies underlying exhaustive exercise in adults with glycogen storage disease type III.
Physiological reportsA roadmap for a patient-centred approach to Pompe disease management.
Journal of neurologyEnhanced lysosomal glycogen breakdown is associated with liver tumorigenesis in glycogen storage disease type III.
JHEP reports : innovation in hepatologyCHK1 inhibition rescues abnormal glycogen buildup in a Caenorhabditis elegans model for glycogen storage disease III.
Communications biologyAustrian Pompe Outcome Consensus (APOC): a national Delphi study.
Orphanet journal of rare diseasesRecommendations for the diagnosis, treatment, and follow-up of late-onset Pompe disease.
NeurologiaSystemic Disease Progression and Neurodegeneration in the Gbe1ys/ys Mouse Model of Glycogen Storage Disease Type IV.
The American journal of pathologyIdentification of a novel nonsense mutation in the AGL gene in glycogen storage disease type IIIa: first genetically confirmed case report from Morocco.
Molecular biology reportsPredicting subtypes of glycogen storage disease type IV: Challenges of hepatic subtypes and genotype-phenotype correlation.
Molecular genetics and metabolismUnfolding the genetic map of monogenic liver diseases in Egypt.
Human genetics[A case report of glycogen storage disease type III combined with Guillain-Barré syndrome and literature review].
Zhonghua yi xue yi chuan xue za zhi = Zhonghua yixue yichuanxue zazhi = Chinese journal of medical geneticsLong-Term Correction of Murine Glycogen Storage Disease Type III by AAV-Mediated Gene Therapy Using an Immunotolerizing Dual Promoter to Express Bacterial Pullulanase.
Advances in cell and gene therapyGrowth impairment in glycogen storage disease type I versus types III/VI/IX: a cross-sectional study.
BMC pediatricsGlycogen Storage Disease Type III: The Critical Role of Cardiac MRI in Detecting Insidious Progression.
Radiology. Cardiothoracic imagingHigh-potency MyoAAV capsids enhanced skeletal muscle correction in a mouse model of GSD IIIa.
Molecular therapy. Methods & clinical developmentAvascular necrosis as an uncommon manifestation in glycogen storage disease type III: diagnostic and therapeutic challenges.
Oxford medical case reportsEfficacy and safety of avalglucosidase alfa in patients with late-onset Pompe disease after 145 weeks of treatment during the COMET trial.
Journal of neurologyCongenital neuromuscular variant of glycogen storage disease type IV presenting as hypertrophic cardiomyopathy.
BMJ case reportsFirst evaluation of fibroblast growth factor 21 levels in patients diagnosed with glycogen storage diseases with liver involvement.
Journal of pediatric endocrinology & metabolism : JPEMClinical features and rare complications in 132 patients with hepatic glycogenosis.
Orphanet journal of rare diseasesClinical and molecular characterization of hepatic glycogen storage disease in Saudi Arabia.
PloS one[Modified Atkins diet in the treatment of a glycogen storage disease type Ⅲ patient].
Zhonghua er ke za zhi = Chinese journal of pediatricsThe Management and Clinical Outcomes of Pregnancy in a Female With Glycogen Storage Disease Type IIIA Caused by Rare Variant.
JIMD reportsMolecular architecture and catalytic mechanism of human glycogen debranching enzyme.
Nature communicationsProgress and Criteria in Public Health Applications of Gene Therapy and Gene Editing: Beyond the White Paper.
Public health genomicsFeeding Difficulties in Children with Hepatic Glycogen Storage Diseases Identified by a Brazilian Portuguese Validated Screening Tool.
NutrientsPhysical exercise intervention in glycogen storage disease IIIa: Feasibility and multisystem benefits.
Experimental physiologyExpanding the clinical phenotype and understanding the biochemical consequences of Muscle Glycogen Synthase Deficiency (GSD0B).
Molecular genetics and metabolismDefining clinically meaningful thresholds for forced vital capacity in patients with neuromuscular disorders: Lessons learned from the COMET study in Pompe disease.
Journal of neuromuscular diseasesDiverse electrophysiological demyelinating features in a late-onset glycogen storage disease type IIIa case.
Open medicine (Warsaw, Poland)Galectin-3: a novel biomarker of glycogen storage disease type III.
Cell death discoveryRecurrence of Myopathy After Liver Transplantation for Patients With End-Stage GSD Type IIIa.
Transplantation proceedingsGastrointestinal complications of hepatic glycogen storage disease: a national survey questionnaire study in China.
Orphanet journal of rare diseasesLiver transplantation in glycogen storage disease type III: A case-series.
JIMD reportsChallenges in multinational rare disease clinical studies during COVID-19: regulatory assessment of cipaglucosidase alfa plus miglustat in adults with late-onset Pompe disease.
Journal of neurologyHypercalcemia and co-occurring TBX1 mutation in Glycogen Storage Disease Type Ib: case report.
BMC medical genomics[Genetic and clinical characteristics of 26 cases with glycogen storage disease type Ⅲ].
Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatologyContinuous glucose monitoring (CGM) for effective glucose control in a pregnant woman living with type IIIa glycogenosis. A case report.
Clinical nutrition ESPENSwitching treatment to cipaglucosidase alfa plus miglustat positively affects patient-reported outcome measures in patients with late-onset Pompe disease.
Journal of patient-reported outcomesEndocrine Complications in Hepatic Glycogen Storage Diseases: A Long-term Perspective.
Experimental and clinical endocrinology & diabetes : official journal, German Society of Endocrinology [and] German Diabetes AssociationMitochondrial Dysfunction in Glycogen Storage Disorders (GSDs).
BiomoleculesComparing the efficacy of cipaglucosidase alfa plus miglustat with other enzyme replacement therapies for late-onset Pompe disease: a network meta-analysis utilizing patient-level and aggregate data.
Journal of comparative effectiveness researchThe Autophagic Activator GHF-201 Can Alleviate Pathology in a Mouse Model and in Patient Fibroblasts of Type III Glycogenosis.
BiomoleculesNeuro-Ophthalmic Manifestations of Adult Polyglucosan Body Disease.
Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology SocietyAdvances in Pompe Disease Treatment: From Enzyme Replacement to Gene Therapy.
Molecular diagnosis & therapyDecoding the muscle transcriptome of patients with late-onset Pompe disease reveals markers of disease progression.
Brain : a journal of neurologyA Functional Human Glycogen Debranching Enzyme Encoded by a Synthetic Gene: Its Implications for Glycogen Storage Disease Type III Management.
Protein and peptide lettersNatural history study of hepatic glycogen storage disease type IV and comparison to Gbe1ys/ys model.
JCI insightStart, switch and stop (triple-S) criteria for enzyme replacement therapy of late-onset Pompe disease: European Pompe Consortium recommendation update 2024.
European journal of neurologyExacerbation of Myopathy in Glycogen Debrancher Deficiency After Liver Transplantation: Case Report and Review of the Literature.
Transplantation proceedingsSynergism of dual AAV gene therapy and rapamycin rescues GSDIII phenotype in muscle and liver.
JCI insightLong-term personalized high-protein, high-fat diet in pediatric patients with glycogen storage disease type IIIa: Evaluation of myopathy, metabolic control, physical activity, growth, and dietary compliance.
Journal of inherited metabolic diseaseEssential dextrin structure as donor substrate for 4-α-glucanotransferase in glycogen debranching enzyme.
Journal of biochemistry104-week efficacy and safety of cipaglucosidase alfa plus miglustat in adults with late-onset Pompe disease: a phase III open-label extension study (ATB200-07).
Journal of neurologyTreatment of infantile-onset Pompe disease in a rat model with muscle-directed AAV gene therapy.
Molecular metabolismReport of an Iranian child with chronic abdominal pain and constipation diagnosed as glycogen storage disease type IX: a case report.
Journal of medical case reportsGlycogen storage disease type III: a mixed-methods study to assess the burden of disease.
Therapeutic advances in endocrinology and metabolismEffect of avalglucosidase alfa on disease-specific and general patient-reported outcomes in treatment-naïve adults with late-onset Pompe disease compared with alglucosidase alfa: Meaningful change analyses from the Phase 3 COMET trial.
Molecular genetics and metabolismToward an Understanding of GSD5 (McArdle disease): How Do Individuals Learn to Live with the Metabolic Defect in Daily Life.
Journal of neuromuscular diseasesLong-term safety and efficacy of cipaglucosidase alfa plus miglustat in individuals living with Pompe disease: an open-label phase I/II study (ATB200-02).
Journal of neurologyA functional mini-GDE transgene corrects impairment in models of glycogen storage disease type III.
The Journal of clinical investigationIn vivo characterization of glycogen storage disease type III in a mouse model using glycoNOE MRI.
Magnetic resonance in medicineGeneration of three induced pluripotent stem cell lines from patients with glycogen storage disease type III.
Stem cell researchClinical manifestations and MRI features of Danon disease: a case series.
BMC cardiovascular disordersPopulation Pharmacokinetic Modeling and Determination of Individual Exposure to Avalglucosidase Alfa in Adolescent and Adult Patients With Late-Onset Pompe Disease: Analysis of Pooled Data From Phase I to III Clinical Trials.
Therapeutic drug monitoringFrench recommendations for the management of glycogen storage disease type III.
European journal of medical researchData from the European registry for patients with McArdle disease (EUROMAC): functional status and social participation.
Orphanet journal of rare diseasesGene therapy for glycogen storage diseases.
Journal of inherited metabolic diseaseClinical and Functional Characterization of Novel AGL Variants in Two Families with Glycogen Storage Disease Type III.
International journal of endocrinologyHypersensitivity infusion-associated reactions induced by enzyme replacement therapy in a cohort of patients with late-onset Pompe disease: An experience from the French Pompe Registry.
Molecular genetics and metabolismNutritional management of glycogen storage disease type III: a case report and a critical appraisal of the literature.
Frontiers in nutritionPathological modeling of glycogen storage disease type III with CRISPR/Cas9 edited human pluripotent stem cells.
Frontiers in cell and developmental biologyIdentification of mutations that causes glucose-6-phosphate transporter defect in tunisian patients with glycogenosis type 1b.
Diabetology & metabolic syndromeBlood glucose trends in glycogen storage disease type Ia: A cross-sectional study.
Journal of inherited metabolic diseaseEfficacy and Safety of Avalglucosidase Alfa in Patients With Late-Onset Pompe Disease After 97 Weeks: A Phase 3 Randomized Clinical Trial.
JAMA neurologyNovel AGL variants in a patient with glycogen storage disease type IIIb and pulmonary hypertension caused by pulmonary veno-occlusive disease: A case report.
Frontiers in geneticsGene therapy and genome editing for type I glycogen storage diseases.
Frontiers in molecular medicineEchocardiographic Assessment of Patients with Glycogen Storage Disease in a Single Center.
International journal of environmental research and public healthAnalysis of urinary oligosaccharide excretion patterns by UHPLC/HRAM mass spectrometry for screening of lysosomal storage disorders.
Journal of inherited metabolic diseaseImpact of hematopoietic stem cell transplantation in glycogen storage disease type Ib: A single-subject research design using 13C-glucose breath test.
Molecular genetics and metabolism reportsThe new horizons for treatment of Late-Onset Pompe Disease (LOPD).
Revue neurologiqueAnesthetic management for dental surgery in a child with glycogen storage disease type IIIa: a case report.
Journal of dental anesthesia and pain medicineSurvey on the management of Pompe disease in routine clinical practice in Spain.
Orphanet journal of rare diseasesCytokine profiling in patients with hepatic glycogen storage disease: Are there clues for unsolved aspects?
CytokineGeneration of the First Human In Vitro Model for McArdle Disease Based on iPSC Technology.
International journal of molecular sciencesSuppression of pullulanase-induced cytotoxic T cell response with a dual promoter in GSD IIIa mice.
JCI insightGenotypic and phenotypic characteristics of 12 chinese children with glycogen storage diseases.
Frontiers in geneticsImprovement in hypertrophic cardiomyopathy after using a high-fat, high-protein and low-carbohydrate diet in a non-adherent child with glycogen storage disease type IIIa.
Molecular genetics and metabolism reportsBody composition in patients with hepatic glycogen storage diseases.
Nutrition (Burbank, Los Angeles County, Calif.)Molecular and clinical profiling in a large cohort of Asian Indians with glycogen storage disorders.
PloS oneBeyond predicting diagnosis: Is there a role for measuring biotinidase activity in liver glycogen storage diseases?
Molecular genetics and metabolism reportsGlycogen storage diseases with liver involvement: a literature review of GSD type 0, IV, VI, IX and XI.
Orphanet journal of rare diseasesReal-world patient data on immunity and COVID-19 status of patients with MPS, Gaucher, and Pompe diseases from Turkey.
Archives de pediatrie : organe officiel de la Societe francaise de pediatrieIsogenic GAA-KO Murine Muscle Cell Lines Mimicking Severe Pompe Mutations as Preclinical Models for the Screening of Potential Gene Therapy Strategies.
International journal of molecular sciencesThe biallelic novel pathogenic variants in AGL gene in a chinese patient with glycogen storage disease type III.
BMC pediatricsIdentification of Potential Muscle Biomarkers in McArdle Disease: Insights from Muscle Proteome Analysis.
International journal of molecular sciencesPaternal eNOS deficiency in mice affects glucose homeostasis and liver glycogen in male offspring without inheritance of eNOS deficiency itself.
DiabetologiaLiver transplantation in glycogen storage disease: a single-center experience.
Orphanet journal of rare diseasesInvolvement of muscle satellite cell dysfunction in neuromuscular disorders: Expanding the portfolio of satellite cell-opathies.
European journal of translational myologyAerobic capacity and skeletal muscle characteristics in glycogen storage disease IIIa: an observational study.
Orphanet journal of rare diseasesGlycogen synthase downregulation rescues the amylopectinosis of murine RBCK1 deficiency.
Brain : a journal of neurologyExpected or unexpected clinical findings in liver glycogen storage disease type IX: distinct clinical and molecular variability.
Journal of pediatric endocrinology & metabolism : JPEMClinical, pathological and molecular spectrum of patients with glycogen storage diseases in Pakistan.
Journal of pediatric endocrinology & metabolism : JPEMCognitive impairment in glycogen storage disease type III with severe heart failure: A case report.
Revue neurologiquePharmacological Chaperone Therapy for Pompe Disease.
Molecules (Basel, Switzerland)A retrospective longitudinal study and comprehensive review of adult patients with glycogen storage disease type III.
Molecular genetics and metabolism reportsSafety and efficacy of cipaglucosidase alfa plus miglustat versus alglucosidase alfa plus placebo in late-onset Pompe disease (PROPEL): an international, randomised, double-blind, parallel-group, phase 3 trial.
The Lancet. NeurologyHepatic expression of GAA results in enhanced enzyme bioavailability in mice and non-human primates.
Nature communications[Analysis of two cases of glycogen storage disease type III due to compound heterozygous variants of AGL gene].
Zhonghua yi xue yi chuan xue za zhi = Zhonghua yixue yichuanxue zazhi = Chinese journal of medical geneticsAssessing Cognitive Function in Neuromuscular Diseases: A Pilot Study in a Sample of Children and Adolescents.
Journal of clinical medicinePhysical therapy assessment and whole-body magnetic resonance imaging findings in children with glycogen storage disease type IIIa: A clinical study and review of the literature.
Molecular genetics and metabolismUsher syndrome type 2A complicated with glycogen storage disease type 3 due to paternal uniparental isodisomy of chromosome 1 in a sporadic patient.
Molecular genetics & genomic medicine[Chinese experts consensus on diagnosis and treatment of glycogen storage disease type Ⅱ in children].
Zhonghua er ke za zhi = Chinese journal of pediatricsA triple-blinded crossover study to evaluate the short-term safety of sweet manioc starch for the treatment of glycogen storage disease type Ia.
Orphanet journal of rare diseasesGlycogen Debrancher Enzyme Deficiency Myopathy.
Journal of clinical neuromuscular diseaseAlteration of mitochondrial function in the livers of mice with glycogen branching enzyme deficiency.
BiochimiePearls & Oy-sters: Hickam's Dictum in Genetic Myopathies: When a Proven Pathogenic Mutation Does Not Explain the Phenotype.
NeurologyDiurnal variability of glucose tetrasaccharide (Glc4) excretion in patients with glycogen storage disease type III.
JIMD reportsEffects of acute nutritional ketosis during exercise in adults with glycogen storage disease type IIIa are phenotype-specific: An investigator-initiated, randomized, crossover study.
Journal of inherited metabolic diseaseA new UHPLC-MS/MS method for the screening of urinary oligosaccharides expands the detection of storage disorders.
Orphanet journal of rare diseasesNarrative review of glycogen storage disorder type III with a focus on neuromuscular, cardiac and therapeutic aspects.
Journal of inherited metabolic diseaseThe Novel Compound Heterozygous Mutations in the AGL Gene in a Chinese Family With Adult Late-Onset Glycogen Storage Disease Type IIIa.
Frontiers in neurologyData from the European registry for patients with McArdle disease and other muscle glycogenoses (EUROMAC).
Orphanet journal of rare diseasesOrofacial features and pediatric dentistry in the long-term management of Infantile Pompe Disease children.
Orphanet journal of rare diseasesMolecular and histologic insights on early onset cardiomyopathy in Danon disease females.
Clinical geneticsNew approach to prepare fluorogenic branched dextrins for assaying glycogen debranching enzyme.
Glycoconjugate journalA novel homozygous splicing mutation of the AGL gene in a Chinese patient with severe myopathy involvement of glycogen storage disease type IIIa.
Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical NeurophysiologyGBE1-related disorders: Adult polyglucosan body disease and its neuromuscular phenotypes.
Journal of inherited metabolic diseaseDiagnosis of hepatic glycogen storage disease patients with overlapping clinical symptoms by massively parallel sequencing: a systematic review of literature.
Orphanet journal of rare diseasesCreation and implementation of a European registry for patients with McArdle disease and other muscle glycogenoses (EUROMAC registry).
Orphanet journal of rare diseasesHallmarks of oxidative stress in the livers of aged mice with mild glycogen branching enzyme deficiency.
Archives of biochemistry and biophysicsData highlighting effects of Ketogenic diet on cardiomyopathy and hepatopathy in Glycogen storage disease Type IIIA.
Data in briefBeneficial Effects of Modified Atkins Diet in Glycogen Storage Disease Type IIIa.
Annals of nutrition & metabolismVariability of clinical and biochemical phenotype in liver phosphorylase kinase deficiency with variants in the phosphorylase kinase (PHKG2) gene.
Journal of pediatric endocrinology & metabolism : JPEMA Novel Gene Therapy Approach for GSD III Using an AAV Vector Encoding a Bacterial Glycogen Debranching Enzyme.
Molecular therapy. Methods & clinical developmentGenetic analysis and long-term treatment monitoring of 11 children with glycogen storage disease type IIIa.
Journal of pediatric endocrinology & metabolism : JPEMRescue of Advanced Pompe Disease in Mice with Hepatic Expression of Secretable Acid α-Glucosidase.
Molecular therapy : the journal of the American Society of Gene Therapy"On air" diagnosis of sudden cardiac death with dynamic Holter ECG in glycogen storage disease type III young female.
Minerva pediatricaGene therapy using a novel G6PC-S298C variant enhances the long-term efficacy for treating glycogen storage disease type Ia.
Biochemical and biophysical research communicationsAortopathies in mouse models of Pompe, Fabry and Mucopolysaccharidosis IIIB lysosomal storage diseases.
PloS oneOver 20-Year Follow-up of Patients with Hepatic Glycogen Storage Diseases: Single-Center Experience.
Diagnostics (Basel, Switzerland)Hepatic Glycogenoses Among Children-Clinical and Biochemical Characterization: Single-Center Study.
Journal of clinical and experimental hepatologyUrine glucose tetrasaccharide: A good biomarker for glycogenoses type II and III? A study of the French cohort.
Molecular genetics and metabolism reportsNovel variants in Turkish patients with glycogen storage disease.
Pediatrics international : official journal of the Japan Pediatric SocietySpectrum of amyloglucosidase mutations in Asian Indian patients with Glycogen storage disease type III.
American journal of medical genetics. Part ADietary lipids in glycogen storage disease type III: A systematic literature study, case studies, and future recommendations.
Journal of inherited metabolic diseasePulmonary involvement in selected lysosomal storage diseases and the impact of enzyme replacement therapy: A state-of-the art review.
The clinical respiratory journalImproved muscle function in a phase I/II clinical trial of albuterol in Pompe disease.
Molecular genetics and metabolismMcArdle Disease: New Insights into Its Underlying Molecular Mechanisms.
International journal of molecular sciencesMycotoxin Dietary Exposure Assessment through Fruit Juices Consumption in Children and Adult Population.
ToxinsDeep morphological analysis of muscle biopsies from type III glycogenesis (GSDIII), debranching enzyme deficiency, revealed stereotyped vacuolar myopathy and autophagy impairment.
Acta neuropathologica communicationsExpression of a Functional Recombinant Human Glycogen Debranching Enzyme (hGDE) in N. benthamiana Plants and in Hairy Root Cultures.
Protein and peptide lettersHepatic Glycogenosis In Children: Spectrum Of Presentation And Diagnostic Modalities.
Journal of Ayub Medical College, Abbottabad : JAMCSystemic AAV8-mediated delivery of a functional copy of muscle glycogen phosphorylase (Pygm) ameliorates disease in a murine model of McArdle disease.
Human molecular geneticsUniparental isodisomy caused autosomal recessive diseases: NGS-based analysis allows the concurrent detection of homogenous variants and copy-neutral loss of heterozygosity.
Molecular genetics & genomic medicineChallenges of Gene Therapy for the Treatment of Glycogen Storage Diseases Type I and Type III.
Human gene therapyModified Atkins ketogenic diet improves heart and skeletal muscle function in glycogen storage disease type III.
Acta myologica : myopathies and cardiomyopathies : official journal of the Mediterranean Society of MyologyLiver fibrosis during clinical ascertainment of glycogen storage disease type III: a need for improved and systematic monitoring.
Genetics in medicine : official journal of the American College of Medical GeneticsFirst report of glycogen storage disease type 111a in a Nigerian child.
The Nigerian postgraduate medical journalIntron retention is among six unreported AGL mutations identified in Malaysian GSD III patients.
Genes & genomicsWhole-Body Muscle Magnetic Resonance Imaging in Glycogen-Storage Disease Type III.
Muscle & nerveUniparental isodisomy of chromosome 1 results in glycogen storage disease type III with profound growth retardation.
Molecular genetics & genomic medicineAn evolutionary approach to optimizing glucose-6-phosphatase-α enzymatic activity for gene therapy of glycogen storage disease type Ia.
Journal of inherited metabolic diseaseElucidating the role of Agl in bladder carcinogenesis by generation and characterization of genetically engineered mice.
CarcinogenesisLiver transplantation in patients with type IIIa glycogen storage disease, cirrhosis and hepatocellular carcinoma.
Revista espanola de enfermedades digestivasNeuromuscular Involvement in Glycogen Storage Disease Type III in Fifty Tunisian Patients: Phenotype and Natural History in Young Patients.
NeuropediatricsFeeding Difficulties and Orofacial Myofunctional Disorder in Patients with Hepatic Glycogen Storage Diseases.
JIMD reportsA lower energetic, protein and uncooked cornstarch intake is associated with a more severe outcome in glycogen storage disease type III: an observational study of 50 patients.
Journal of pediatric endocrinology & metabolism : JPEMGlucose-free/high-protein diet improves hepatomegaly and exercise intolerance in glycogen storage disease type III mice.
Biochimica et biophysica acta. Molecular basis of diseaseMissense mutations have unexpected consequences: The McArdle disease paradigm.
Human mutationManifesting heterozygotes in McArdle disease: a myth or a reality-role of statins.
Journal of inherited metabolic disease[Molecular and clinical characterization of Colombian patients suffering from type III glycogen storage disease].
Biomedica : revista del Instituto Nacional de SaludDistinct Clinical and Genetic Findings in Iranian Patients With Glycogen Storage Disease Type 3.
Journal of clinical neuromuscular diseaseInhibition of Glycogen Synthase II with RNAi Prevents Liver Injury in Mouse Models of Glycogen Storage Diseases.
Molecular therapy : the journal of the American Society of Gene TherapyDental and periodontal manifestations of glycogen storage diseases: a case series of 60 patients.
Journal of inherited metabolic diseaseGenetic analysis and clinical assessment of four patients with Glycogen Storage Disease Type IIIa in China.
BMC medical geneticsNon-osteogenic muscle hypertrophy in children with McArdle disease.
Journal of inherited metabolic diseaseClassic infantile Pompe patients approaching adulthood: a cohort study on consequences for the brain.
Developmental medicine and child neurologyPre- and peripartal management of a woman with McArdle disease: a case report.
Gynecological endocrinology : the official journal of the International Society of Gynecological EndocrinologyAberrant apolipoprotein C-III glycosylation in glycogen storage disease type III and IX.
Metabolism: clinical and experimentalRescue of GSDIII Phenotype with Gene Transfer Requires Liver- and Muscle-Targeted GDE Expression.
Molecular therapy : the journal of the American Society of Gene TherapyInfantile-onset Pompe disease with neonatal debut: A case report and literature review.
MedicineLate presentation of glycogen storage disease types Ia and III in children with short stature and hepatomegaly.
Journal of pediatric endocrinology & metabolism : JPEMLiver Transplantation in a Myopathic Patient with Glycogen Storage Disease Type IIIa and Decompensated Cirrhosis.
International journal of organ transplantation medicineMuscle molecular adaptations to endurance exercise training are conditioned by glycogen availability: a proteomics-based analysis in the McArdle mouse model.
The Journal of physiologyGeneration of a GDE heterozygous mutation human embryonic stem cell line WAe001-A-14 by CRISPR/Cas9 editing.
Stem cell researchPompe disease in Austria: clinical, genetic and epidemiological aspects.
Journal of neurologyGenotypic and phenotypic features of all Spanish patients with McArdle disease: a 2016 update.
BMC genomicsGlycogen Storage Disease Type VI With a Novel Mutation in PYGL Gene.
Indian pediatrics[Characteristics of lipid metabolism and the cardiovascular system in glycogenosis types I and III].
Terapevticheskii arkhivLong term longitudinal study of muscle function in patients with glycogen storage disease type IIIa.
Molecular genetics and metabolism[Identification of a novel mutation of AGL gene in two siblings affected with glycogen storage disease type IIIa].
Zhonghua yi xue yi chuan xue za zhi = Zhonghua yixue yichuanxue zazhi = Chinese journal of medical geneticsAssociações
Organizações que acompanham esta doença — pra ter apoio e orientação
Ainda não temos associações cadastradas para Doença de armazenamento de glicogênio por deficiência na desramificação do glicogênio.
É de uma associação que acompanha esta doença? Fale com a gente →
Comunidades
Grupos ativos de quem convive com esta doença aqui no Raras
Ainda não existe comunidade no Raras para Doença de armazenamento de glicogênio por deficiência na desramificação do glicogênio
Pacientes, familiares e cuidadores se organizam em comunidades pra compartilhar experiências, fazer perguntas e se apoiar. Você pode ser o primeiro.
Tire suas dúvidas
Perguntas, dicas e experiências compartilhadas aqui na página
Participe da discussão
Faça login para postar dúvidas, compartilhar experiências e interagir com especialistas.
Fazer loginDoenças relacionadas
Doenças com sintomas parecidos — ajudam quem ainda está buscando diagnóstico
Referências e fontes
Bases de dados externas citadas neste artigo
Publicações científicas
Artigos indexados no PubMed ligados a esta doença no grafo RarasNet — título, periódico e PMID direto da fonte, sem intermediação de IA.
- A roadmap for a patient-centred approach to Pompe disease management.
- Enhanced lysosomal glycogen breakdown is associated with liver tumorigenesis in glycogen storage disease type III.
- Austrian Pompe Outcome Consensus (APOC): a national Delphi study.
- Hepatic Glycogen Storage Diseases in Brazil: A Multicenter Study.
- Design of multivalent pharmacological chaperones against Pompe disease via metal-free ligation.
- Steroid pulse therapy for VKH during pregnancy: a safe and effective option?
- Heterozygous pathogenic STT3A variation leads to dominant congenital glycosylation disorders and functional validation in zebrafish.
- Genetic testing in pediatric kidney transplant recipients to promote informed choice and improve individualized monitoring.
- Clinical and genetic profiles of chinese pediatric patients with catecholaminergic polymorphic ventricular tachycardia.
- Educational needs of patients, families, and healthcare professionals to support the patient journey in haemophilia gene therapy in the UK.
Bases de dados e fontes oficiais
Identificadores e referências canônicas usadas para montar este verbete.
- ORPHA:366(Orphanet)
- OMIM OMIM:232400(OMIM)
- MONDO:0009291(MONDO)
- GARD:9442(GARD (NIH))
- Variantes catalogadas(ClinVar)
- Busca completa no PubMed(PubMed)
Dados compilados pelo RarasNet a partir de fontes abertas (Orphanet, OMIM, MONDO, PubMed/EuropePMC, ClinicalTrials.gov, DATASUS, PCDT/MS). Este conteúdo é informativo e não substitui avaliação médica.
Conteúdo mantido por Agente Raras · Médicos e pesquisadores podem colaborar
