Raras
Buscar doenças, sintomas, genes...
Doença de armazenamento de glicogênio por deficiência na ramificação do glicogênio
ORPHA:367CID-10 · E74.0CID-11 · 5C51.3OMIM 232500DOENÇA RARA

A deficiência da enzima ramificadora de glicogênio (GBE) (doença de Andersen ou amilopectinose), ou doença de armazenamento de glicogênio tipo 4 (GSD4), é uma forma rara e grave de doença de armazenamento de glicogênio que é responsável por aproximadamente 3% de todas as doenças de armazenamento de glicogênio.

Mantido por Agente Raras·Colaborar como especialista →

Introdução

O que você precisa saber de cara

📋

A deficiência da enzima ramificadora de glicogênio (GBE) (doença de Andersen ou amilopectinose), ou doença de armazenamento de glicogênio tipo 4 (GSD4), é uma forma rara e grave de doença de armazenamento de glicogênio que é responsável por aproximadamente 3% de todas as doenças de armazenamento de glicogênio.

Escala de raridade

CLASSIFICAÇÃO ORPHANET · BRASIL 2024
Unknown
Ultra-rara
<1/50k
Muito rara
1/20k
Rara
1/10k
Pouco freq.
1/5k
Incomum
1/2k
Prevalência
0.0
Worldwide
Início
All ages
🏥
SUS: Cobertura parcialScore: 40%
Triagem neonatal (Fase 5)Centros em: PA, PR, SC, RS, ES +8CID-10: E74.0
🇧🇷Dados SUS / DATASUS
PROCEDIMENTOS SIGTAP (7)
0202010279
Dosagem de aminoácidos (erros inatos)metabolic_test
0202010295
Dosagem de ácidos orgânicos na urinagenetic_test
0202010490
Teste de triagem para erros inatos do metabolismonewborn_screening
0202010694
Sequenciamento completo do exoma (WES)enzyme_replacement
0202080013
Teste do pezinho (triagem neonatal)rehabilitation
0303050152
Infusão de alfaglicosidase (Pompe)
+1 outros procedimentos
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Sinais e sintomas

O que aparece no corpo e com que frequência cada sintoma acontece

Partes do corpo afetadas

🧠
Neurológico
16 sintomas
🫃
Digestivo
7 sintomas
💪
Músculos
6 sintomas
❤️
Coração
5 sintomas
🫘
Rins
3 sintomas
🦴
Ossos e articulações
2 sintomas

+ 25 sintomas em outras categorias

Características mais comuns

100%prev.
Aumento do volume do osso
Frequência: 2/2
100%prev.
Polidrâmnio
Ocasional (29-5%)
100%prev.
Movimento fetal diminuído
Frequência: 2/2
90%prev.
Hepatomegalia
Muito frequente (99-80%)
90%prev.
Ramificação neuronal anormal
Muito frequente (99-80%)
90%prev.
Morfologia anormal do cardiomiócito
Muito frequente (99-80%)
73sintomas
Muito frequente (9)
Frequente (12)
Ocasional (15)
Muito raro (1)
Sem dados (36)

Os sintomas variam de pessoa para pessoa. Abaixo estão as 73 características clínicas mais associadas, ordenadas por frequência.

Aumento do volume do ossoHP:0034197
Frequência: 2/2100%
PolidrâmnioPolyhydramnios
Ocasional (29-5%)100%
Movimento fetal diminuídoDecreased fetal movement
Frequência: 2/2100%
HepatomegaliaHepatomegaly
Muito frequente (99-80%)90%
Ramificação neuronal anormalAbnormal neuron branching
Muito frequente (99-80%)90%

Linha do tempo da pesquisa

Publicações por ano — veja quando o interesse científico cresceu
Anos de pesquisa1desde 2026
Últimos 10 anos115publicações
Pico202014 papers
Linha do tempo
2026Hoje · 2026📈 2020Ano de pico
Publicações por ano (últimos 10 anos)

Triagem neonatal (Teste do Pezinho)

👶
Teste: qPCR para deleção de SMN1 em sangue seco
Fase 5 do PNTNpending
Incidência no Brasil: 1:10.000

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.

GBE11,4-alpha-glucan-branching enzymeDisease-causing germline mutation(s) inTolerante
FUNÇÃO

Glycogen-branching enzyme participates in the glycogen biosynthetic process along with glycogenin and glycogen synthase. Generates alpha-1,6-glucosidic branches from alpha-1,4-linked glucose chains, to increase solubility of the glycogen polymer (PubMed:26199317, PubMed:8463281, PubMed:8613547)

LOCALIZAÇÃO

VIAS BIOLÓGICAS (1)
Glycogen synthesis
MECANISMO DE DOENÇA

Glycogen storage disease 4

A metabolic disorder characterized by the accumulation of an amylopectin-like polysaccharide. The typical clinical manifestation is liver disease of childhood, progressing to lethal hepatic cirrhosis. Most children with this condition die before two years of age. However, the liver disease is not always progressive. No treatment apart from liver transplantation has been found to prevent progression of the disease. There is also a neuromuscular form of glycogen storage disease type 4 that varies in onset (perinatal, congenital, juvenile, or adult) and severity.

EXPRESSÃO TECIDUAL(Ubíquo)
Fibroblastos
147.1 TPM
Músculo esquelético
82.1 TPM
Linfócitos
79.9 TPM
Tecido adiposo
72.9 TPM
Artéria tibial
67.4 TPM
OUTRAS DOENÇAS (9)
adult polyglucosan body diseaseglycogen storage disease due to glycogen branching enzyme deficiencyglycogen storage disease due to glycogen branching enzyme deficiency, congenital neuromuscular formglycogen storage disease due to glycogen branching enzyme deficiency, fatal perinatal neuromuscular form
HGNC:4180UniProt:Q04446

Variantes genéticas (ClinVar)

305 variantes patogênicas registradas no ClinVar.

🧬 GBE1: NM_000158.4(GBE1):c.141C>T (p.Arg47=) ()
🧬 GBE1: NM_000158.4(GBE1):c.363del (p.Lys121fs) ()
🧬 GBE1: GRCh37/hg19 3p12.2(chr3:81619507-81822061)x1 ()
🧬 GBE1: NC_000003.12:g.81591165del ()
🧬 GBE1: NM_000158.4(GBE1):c.1618+2T>C ()
Ver todas no ClinVar

Vias biológicas (Reactome)

2 vias biológicas associadas aos genes desta condição.

Diagnóstico

Os sinais que médicos procuram e os exames que confirmam

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Tratamento e manejo

Remédios, cuidados de apoio e o que precisa acompanhar

Carregando informações de tratamento...

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 ramificação do glicogênio

Centros de Referência SUS

21 centros habilitados pelo SUS para Doença de armazenamento de glicogênio por deficiência na ramificação do glicogênio

Centros para Doença de armazenamento de glicogênio por deficiência na ramificação 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

Rota
Anomalias CongênitasErros Inatos do Metabolismo

Hospital de Apoio de Brasília (HAB)

AENW 3 Lote A Setor Noroeste - Plano Piloto, Brasília - DF, 70684-831 · CNES 0010456

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do MetabolismoDeficiência Intelectual

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

Rota
Anomalias CongênitasErros Inatos do MetabolismoDeficiência Intelectual

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

Rota
Anomalias CongênitasErros Inatos do Metabolismo

Hospital das Clínicas da UFMG

Av. Prof. Alfredo Balena, 110 - Santa Efigênia, Belo Horizonte - MG, 30130-100 · CNES 2280167

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do MetabolismoDeficiência Intelectual

NUPAD / Faculdade de Medicina UFMG

Av. Prof. Alfredo Balena, 189 - 5 andar - Centro, Belo Horizonte - MG, 30130-100 · CNES 2183226

Serviço de Referência

Rota
Erros Inatos do Metabolismo

Hospital Universitário João de Barros Barreto

R. dos Mundurucus, 4487 - Guamá, Belém - PA, 66073-000 · CNES 2337878

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do MetabolismoDeficiência Intelectual

Hospital de Clínicas da Universidade Federal de Pernambuco

Av. Prof. Moraes Rego, 1235 - Cidade Universitária, Recife - PE, 50670-901 · CNES 2561492

Atenção Especializada

Rota
Erros Inatos do Metabolismo

Instituto de Medicina Integral Prof. Fernando Figueira (IMIP)

R. dos Coelhos, 300 - Boa Vista, Recife - PE, 50070-902 · CNES 0000647

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do MetabolismoDeficiência Intelectual

Hospital de Clínicas da UFPR

R. Gen. Carneiro, 181 - Alto da Glória, Curitiba - PR, 80060-900 · CNES 2364980

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do MetabolismoDeficiência Intelectual

Hospital Universitário Pedro Ernesto (HUPE-UERJ)

Blvd. 28 de Setembro, 77 - Vila Isabel, Rio de Janeiro - RJ, 20551-030 · CNES 2280221

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do Metabolismo

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

Rota
Anomalias CongênitasErros Inatos do MetabolismoDeficiência Intelectual

Hospital Universitário Onofre Lopes (HUOL)

Av. Nilo Peçanha, 620 - Petrópolis, Natal - RN, 59012-300 · CNES 2408570

Atenção Especializada

Rota
Erros Inatos do Metabolismo

Hospital São Lucas da PUCRS

Av. Ipiranga, 6690 - Jardim Botânico, Porto Alegre - RS, 90610-000 · CNES 2232928

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do Metabolismo

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

Rota
Anomalias CongênitasErros Inatos do MetabolismoDeficiência Intelectual

Hospital Universitário da UFSC (HU-UFSC)

R. Profa. Maria Flora Pausewang - Trindade, Florianópolis - SC, 88036-800 · CNES 2560356

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do Metabolismo

Hospital das Clínicas da FMUSP

R. Dr. Ovídio Pires de Campos, 225 - Cerqueira César, São Paulo - SP, 05403-010 · CNES 2077485

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do MetabolismoDeficiência Intelectual

Hospital de Clínicas da UNICAMP

R. Vital Brasil, 251 - Cidade Universitária, Campinas - SP, 13083-888 · CNES 2748223

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do MetabolismoDeficiência Intelectual

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

Rota
Anomalias CongênitasErros Inatos do MetabolismoDeficiência Intelectual

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

Rota
Erros Inatos do Metabolismo

UNIFESP / Hospital São Paulo

R. Napoleão de Barros, 715 - Vila Clementino, São Paulo - SP, 04024-002 · CNES 2688689

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do Metabolismo
Sobre os centros SUS: Estes centros são habilitados pelo Ministério da Saúde como Serviços de Referência em Doenças Raras ou Serviços de Atenção Especializada. O atendimento é pelo SUS, com encaminhamento da rede de atenção básica.

Dados de DATASUS/CNES, SBGM, ABNeuro e Ministério da Saúde. Sempre confirme a disponibilidade diretamente com o estabelecimento.

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Publicações mais relevantes

Timeline de publicações
0 papers (10 anos)
#1

Hepatic Glycogen Storage Diseases in Brazil: A Multicenter Study.

American journal of medical genetics. Part A2026 Mar 09

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.

#2

Systemic Disease Progression and Neurodegeneration in the Gbe1ys/ys Mouse Model of Glycogen Storage Disease Type IV.

The American journal of pathology2026 Mar

Glycogen storage disease type IV (GSD IV) is a rare autosomal recessive disorder caused by glycogen branching enzyme (GBE1) deficiency, resulting in the accumulation of insoluble polyglucosan. The Gbe1ys/ys mouse model, carrying the p.Y329S variant, recapitulates features of adult-onset GSD IV, also known as adult polyglucosan body disease. However, the natural progression of the disease in this model is not fully understood. This study presents a longitudinal analysis of Gbe1ys/ys mice from 1 to 12 months of age, quantitatively tracking polyglucosan accumulation and correlating it with progressive histopathologic, motor, and behavioral changes. Polyglucosan bodies were detected as early as 1 month, with significant neurodegeneration and astrogliosis by 6 months. Notably, serum neurofilament light chain levels increased with disease progression, identifying neurofilament light chain as a potential noninvasive biomarker of neurodegeneration in GSD IV. Systemic involvement, including severe splenomegaly and gastrointestinal abnormalities, indicates broader effects of GBE1 deficiency beyond the central nervous system. These findings provide important insights into the natural history of GSD IV, establish key disease milestones for therapeutic intervention, and refine the clinical understanding of GSD IV and adult polyglucosan body disease.

#3

Biopsy-Proven Reversal of F4 Cirrhosis in Classic Hepatic Glycogen Storage Disease Type IV: A 42-Year Follow-Up Without Transplantation.

Hepatology research : the official journal of the Japan Society of Hepatology2025 Dec 22

Classic hepatic glycogen storage disease IV (GSD-IV) is widely regarded as an irreversible disorder that causes fatal cirrhosis by the age of 5 years unless liver transplantation is performed. We describe the first patient with biopsy-proven classic hepatic GSD-IV who survived into middle adulthood without transplantation and showed histological reversal of cirrhosis. We followed an infant diagnosed at 11 months with hepatosplenomegaly, severe aminotransferase elevation, and near-absent erythrocyte branching enzyme activity. Liver biopsies at ages 4 and 12 years confirmed polyglucosan-laden METAVIR F4 cirrhosis, and two episodes of variceal bleeding were controlled endoscopically and surgically. Thereafter, without disease-specific therapy, the aminotransferase level, platelet count, and portal hemodynamics gradually normalized. A third biopsy at age 43 showed complete disappearance of polyglucosan bodies and regression of fibrosis to F0, despite persistently minimal enzyme activity and compound heterozygous GBE1 variants in trans: c.137A > C p.(Gln46Pro) and the novel c.1340T > C p.(Leu447Pro). This unprecedented case demonstrates that biochemical and histological remission is possible in classic hepatic GSD-IV despite persistently deficient branching-enzyme activity. Early, aggressive management of portal hypertension may therefore permit long-term survival and full histological recovery, challenging the transplant-first paradigm and supporting individualized, transplant-sparing care.

#4

Noninfectious endocarditis as a novel cardiac manifestation of glycogen storage disease type IV: a case report.

Translational pediatrics2025 Oct 31

Glycogen storage disease type IV (GSD IV), Andersen disease, is a rare autosomal recessive disorder of glycogen metabolism typically associated with liver failure and cardiomyopathy. Isolated non-infectious cardiac valvular disease as a sequela of GSD IV has not been previously reported in this population. We aim to describe the first reported case of non-infectious endocarditis as a novel cardiac manifestation in a patient with GSD IV. We report the case of a 16-year-old male with GSD IV, status post liver transplant in infancy, who presented with fever, fatigue, and cough. He was found to have new-onset mitral valve disease and, over 6 weeks, developed progressive polyvalvular pathology affecting the mitral, aortic, tricuspid, and pulmonary valves. Despite broad-spectrum antibiotics, his condition worsened and necessitated surgical mitral valve replacement, aortic valve reconstruction, and tricuspid valve repair. An extensive infectious and rheumatologic work-up-including serial blood cultures, cell-free deoxyribonucleic acid (DNA) testing (Karius©), and broad-range polymerase chain reaction (PCR) on excised tissue-was negative. Histopathologic analysis of the mitral valve revealed sheets of glycogenated histiocytes and inflammatory infiltrates, consistent with noninfectious endocarditis as a sequela of GSD IV. This is the first report of non-infectious endocarditis, also known as Libman-Sacks endocarditis, in a patient with GSD IV as a primary manifestation of their underlying metabolic disorder, representing a novel cardiac manifestation of the disease. In patients with GSD IV who develop valvular lesions and have a negative infectious work-up, clinicians should consider noninfectious endocarditis as a progression of their genetic disease. Regular cardiac surveillance may be warranted in this population to identify valvular involvement early.

#5

Biparental and Androgenetic Somatic Mosaicism with Presentation of Non-Syndromic Severe Neonatal Hyperinsulinemia.

International journal of molecular sciences2025 Aug 19

Genome-wide paternal uniparental isodisomy mosaicism (GWpUPIDM) is an extremely rare condition characterized by varying proportions of an androgenetic cell line across different tissues. It is primarily associated with severe congenital hyperinsulinism (CHI), Beckwith-Wiedemann syndrome (BWS) stigmata, a high risk (69-79%) of developing neoplasia and, in some cases, additional manifestations of multilocus paternal imprinting disorders (MPIDs). We herein report the first Mexican/Latin American female patient GWpUPIDM presenting with non-syndromic CHI requiring subtotal pancreatectomy and persistent but unexplained asymptomatic diffuse hepatopathy. When she was 8.5 years old, whole-exome sequencing (WES) in blood revealed an unexpectedly high (~92%) proportion of regions of homozygosity. DNA profiling confirmed a single haploid set of paternal chromosomes in both biparental and androgenetic cell lines, with varying proportions of the androgenetic lineage in leukocytes (84%), resected pancreas (74%), buccal cells (47%), and hair follicles (0.7%). Additional WES trio analysis using gDNA from the patient's buccal cells and blood samples from both parents revealed an allelic frequency of ~75% for the paternally inherited variant NM_000158.4(GBE1):c.555+1G>T [ClinVar:632422; dbSNP:rs759707498]. At age 8.5, the patient exhibited no clinical features of BWS, MPIDs, or neoplasia. However, she presented persistent hepatic abnormalities that warrant further investigation to rule out an unmasked glycogen storage disease type IV (OMIM#232500). Our findings emphasize the critical need for early diagnosis of GWpUPIDM using SNP-based microarray or WES with further confirmation through DNA profiling in patients presenting with CHI, placental mesenchymal dysplasia, BWS stigmata, or other MPID-related conditions, including neoplasia, to facilitate timely cancer surveillance and management.

Publicações recentes

Ver todas no PubMed

📚 EuropePMCmostrando 115

2026

Hepatic Glycogen Storage Diseases in Brazil: A Multicenter Study.

American journal of medical genetics. Part A
2025

Biopsy-Proven Reversal of F4 Cirrhosis in Classic Hepatic Glycogen Storage Disease Type IV: A 42-Year Follow-Up Without Transplantation.

Hepatology research : the official journal of the Japan Society of Hepatology
2026

Systemic Disease Progression and Neurodegeneration in the Gbe1ys/ys Mouse Model of Glycogen Storage Disease Type IV.

The American journal of pathology
2025

Predicting subtypes of glycogen storage disease type IV: Challenges of hepatic subtypes and genotype-phenotype correlation.

Molecular genetics and metabolism
2025

Noninfectious endocarditis as a novel cardiac manifestation of glycogen storage disease type IV: a case report.

Translational pediatrics
2025

Urinary tetraglucoside excretion as a biomarker in liver glycogen storage diseases.

Molecular genetics and metabolism
2025

Infant Born With Autosomal Recessive Glycogen Storage Disease Type IV due to Complete Maternal Isodisomy of Chromosome 3.

Case reports in genetics
2025

Biparental and Androgenetic Somatic Mosaicism with Presentation of Non-Syndromic Severe Neonatal Hyperinsulinemia.

International journal of molecular sciences
2025

Congenital neuromuscular variant of glycogen storage disease type IV presenting as hypertrophic cardiomyopathy.

BMJ case reports
2025

Clinical features and rare complications in 132 patients with hepatic glycogenosis.

Orphanet journal of rare diseases
2025

Clinical and molecular characterization of hepatic glycogen storage disease in Saudi Arabia.

PloS one
2025

Galectin-3: a novel biomarker of glycogen storage disease type III.

Cell death discovery
2025

Is Brazil following global trends in high-cost treatments? The case of Pompe Disease.

Journal of community genetics
2025

Clinical phenotype and trio whole exome sequencing data from a patient with glycogen storage disease IV in Indonesia.

Data in brief
2025

Endocrine Complications in Hepatic Glycogen Storage Diseases: A Long-term Perspective.

Experimental and clinical endocrinology &amp; diabetes : official journal, German Society of Endocrinology [and] German Diabetes Association
2025

Neuro-Ophthalmic Manifestations of Adult Polyglucosan Body Disease.

Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society
2024

Natural history study of hepatic glycogen storage disease type IV and comparison to Gbe1ys/ys model.

JCI insight
2024

Exacerbation of Myopathy in Glycogen Debrancher Deficiency After Liver Transplantation: Case Report and Review of the Literature.

Transplantation proceedings
2024

Induced pluripotent stem cell (iPSC) modeling validates reduced GBE1 enzyme activity due to a novel variant, p.Ile694Asn, found in a patient with suspected glycogen storage disease IV.

Molecular genetics and metabolism reports
2024

Unraveling a history of overlap: A phenotypic comparison of RBCK1-related disease and glycogen storage disease type IV.

American journal of medical genetics. Part A
2024

Myofiber-type-dependent 'boulder' or 'multitudinous pebble' formations across distinct amylopectinoses.

Acta neuropathologica
2024

Diabetes in a Patient with Glycogen Storage Disease Type 1a.

Internal medicine (Tokyo, Japan)
2023

Case report: Expanding the understanding of the adult polyglucosan body disease continuum: novel presentations, diagnostic pitfalls, and clinical pearls.

Frontiers in genetics
2023

[Infant glycogen storage disease type Ⅳ: a clinicopathological and genetic characteristics analysis of five cases].

Zhonghua bing li xue za zhi = Chinese journal of pathology
2023

Proteomic investigations of adult polyglucosan body disease: insights into the pathobiology of a neurodegenerative disorder.

Frontiers in neurology
2024

A functional mini-GDE transgene corrects impairment in models of glycogen storage disease type III.

The Journal of clinical investigation
2024

Severe neuromuscular forms of glycogen storage disease type IV: Histological, clinical, biochemical, and molecular findings in a large French case series.

Journal of inherited metabolic disease
2024

Savory Cracker Development for Blood Glucose Control and Management: Glycogen Storage Diseases.

Journal of medicinal food
2023

Neonatal Glycogen Storage Disease Type IA: A Rare Presentation.

Endocrine, metabolic &amp; immune disorders drug targets
2024

Inhibition of Wnt/β-catenin signaling reduces renal fibrosis in murine glycogen storage disease type Ia.

Biochimica et biophysica acta. Molecular basis of disease
2023

An Unusual Case of Neonatal Hypotonia and Femur Fracture: Neuromuscular Variant of Glycogen Storage Disease Type IV.

Children (Basel, Switzerland)
2023

Glycogen storage disease type IV without detectable polyglucosan bodies: importance of broad gene panels.

Neuromuscular disorders : NMD
2023

A Broad Characterization of Glycogen Storage Disease IV Patients: A Clinical, Genetic, and Histopathological Study.

Biomedicines
2023

Diagnosis and management of glycogen storage disease type IV, including adult polyglucosan body disease: A clinical practice resource.

Molecular genetics and metabolism
2023

Echocardiographic Assessment of Patients with Glycogen Storage Disease in a Single Center.

International journal of environmental research and public health
2023

Analysis of urinary oligosaccharide excretion patterns by UHPLC/HRAM mass spectrometry for screening of lysosomal storage disorders.

Journal of inherited metabolic disease
2022

Wernicke's Encephalopathy: A Precipitation of Glycogen Storage Disease.

Cureus
2022

Case report: Familial glycogen storage disease type IV caused by novel compound heterozygous mutations in a glycogen branching enzyme 1 gene.

Frontiers in genetics
2022

A novel approach to characterize phenotypic variation in GSD IV: Reconceptualizing the clinical continuum.

Frontiers in genetics
2022

Prevalence of Genetic Mutations in Horses With Muscle Disease From a Neuromuscular Disease Laboratory.

Journal of equine veterinary science
2023

Lysosomal glycogen accumulation in Pompe disease results in disturbed cytoplasmic glycogen metabolism.

Journal of inherited metabolic disease
2022

Glycogen storage diseases with liver involvement: a literature review of GSD type 0, IV, VI, IX and XI.

Orphanet journal of rare diseases
2022

Long-term Safety and Efficacy of Avalglucosidase Alfa in Patients With Late-Onset Pompe Disease.

Neurology
2022

Glycogen storage disease type IIIa in pregnant women: A guide to management.

JIMD reports
2022

Liver transplantation in glycogen storage disease: a single-center experience.

Orphanet journal of rare diseases
2022

Glycogen synthase downregulation rescues the amylopectinosis of murine RBCK1 deficiency.

Brain : a journal of neurology
2022

A surprising cause of proteinuria: Answers.

Pediatric nephrology (Berlin, Germany)
2021

The Role of Physical Activity in Nonalcoholic and Metabolic Dysfunction Associated Fatty Liver Disease.

Biomedicines
2021

Alleviation of a polyglucosan storage disorder by enhancement of autophagic glycogen catabolism.

EMBO molecular medicine
2022

Proteomic characterisation of polyglucosan bodies in skeletal muscle in RBCK1 deficiency.

Neuropathology and applied neurobiology
2021

Targeted exome sequencing identified a novel frameshift variant in the PGAM2 gene causing glycogen storage disease type X.

European journal of medical genetics
2021

Loss of C2orf69 defines a fatal autoinflammatory syndrome in humans and zebrafish that evokes a glycogen-storage-associated mitochondriopathy.

American journal of human genetics
2021

Alteration of mitochondrial function in the livers of mice with glycogen branching enzyme deficiency.

Biochimie
2021

Liver Transplantation for Glycogen Storage Disease Type IV.

Frontiers in pediatrics
2022

Adult polyglucosan body disease: an acute presentation leading to unmasking of this rare disorder.

Hospital practice (1995)
2021

The potential of dietary treatment in patients with glycogen storage disease type IV.

Journal of inherited metabolic disease
2020

Non-Progressive Hepatic Form of Andersen Disease as a Mimic of Hypertrophic Cardiomyopathy.

Arquivos brasileiros de cardiologia
2021

GBE1-related disorders: Adult polyglucosan body disease and its neuromuscular phenotypes.

Journal of inherited metabolic disease
2020

Diagnosis of hepatic glycogen storage disease patients with overlapping clinical symptoms by massively parallel sequencing: a systematic review of literature.

Orphanet journal of rare diseases
2020

Hallmarks of oxidative stress in the livers of aged mice with mild glycogen branching enzyme deficiency.

Archives of biochemistry and biophysics
2020

GYS1 or PPP1R3C deficiency rescues murine adult polyglucosan body disease.

Annals of clinical and translational neurology
2020

An uncommon cause of early infantile liver disease and raised chitotriosidase.

JIMD reports
2020

Case report: adult-onset manifesting heterozygous glycogen storage disease type IV with dilated cardiomyopathy and absent late gadolinium enhancement on cardiac magnetic resonance imaging.

European heart journal. Case reports
2020

Hepatocellular type II fibrinogen inclusions in a patient with severe COVID-19 and hepatitis.

Journal of hepatology
2020

Two cases of a non-progressive hepatic form of glycogen storage disease type IV with atypical liver pathology.

Molecular genetics and metabolism reports
2020

Novel variants in Turkish patients with glycogen storage disease.

Pediatrics international : official journal of the Japan Pediatric Society
2020

Efficient correction of a deleterious point mutation in primary horse fibroblasts with CRISPR-Cas9.

Scientific reports
2020

No effect of oral sucrose or IV glucose during exercise in phosphorylase b kinase deficiency.

Neuromuscular disorders : NMD
2020

Mtrr hypomorphic mutation alters liver morphology, metabolism and fuel storage in mice.

Molecular genetics and metabolism reports
2020

Type IV Glycogen Storage Disease Associated With Hemophagocytic Lymphohistiocytosis: A Case Report.

Journal of pediatric hematology/oncology
2019

Glycogen branching enzyme controls cellular iron homeostasis via Iron Regulatory Protein 1 and mitoNEET.

Nature communications
2020

Glycogen Storage Disease Type IV Diagnosed at Fetal Autopsy.

Pediatric and developmental pathology : the official journal of the Society for Pediatric Pathology and the Paediatric Pathology Society
2019

Large variation in effects during 10 years of enzyme therapy in adults with Pompe disease.

Neurology
2019

Hepatic Glycogenosis In Children: Spectrum Of Presentation And Diagnostic Modalities.

Journal of Ayub Medical College, Abbottabad : JAMC
2019

Glycogen storage disease type IV: dilated cardiomyopathy as the isolated initial presentation in an adult patient.

BMJ case reports
2019

Update on polyglucosan storage diseases.

Virchows Archiv : an international journal of pathology
2019

Gene Therapy for Pompe Disease: The Time is now.

Human gene therapy
2019

Gene therapy for glycogen storage diseases.

Human molecular genetics
2019

Assessing the Role of Anti rh-GAA in Modulating Response to ERT in a Late-Onset Pompe Disease Cohort from the Italian GSDII Study Group.

Advances in therapy
2019

Glycogen Storage Disease Type IV: A Rare Cause for Neuromuscular Disorders or Often Missed?

JIMD reports
2019

Case of Neonatal Fatality from Neuromuscular Variant of Glycogen Storage Disease Type IV.

JIMD reports
2019

Novel pathogenic variants in GBE1 causing fetal akinesia deformation sequence and severe neuromuscular form of glycogen storage disease type IV.

Clinical dysmorphology
2018

Analysis of GBE1 mutations via protein expression studies in glycogen storage disease type IV: A report on a non-progressive form with a literature review.

Molecular genetics and metabolism reports
2018

Guaiacol as a drug candidate for treating adult polyglucosan body disease.

JCI insight
2018

Sirtuin signaling controls mitochondrial function in glycogen storage disease type Ia.

Journal of inherited metabolic disease
2018

Efficacy, safety profile, and immunogenicity of alglucosidase alfa produced at the 4,000-liter scale in US children and adolescents with Pompe disease: ADVANCE, a phase IV, open-label, prospective study.

Genetics in medicine : official journal of the American College of Medical Genetics
2018

Variable clinical presentation of glycogen storage disease type IV: from severe hepatosplenomegaly to cardiac insufficiency. Some discrepancies in genetic and biochemical abnormalities.

Archives of medical science : AMS
2017

Long-term benefit of enzyme replacement therapy in Pompe disease: A 5-year prospective study.

Neurology
2018

A double-blind, placebo-controlled trial of triheptanoin in adult polyglucosan body disease and open-label, long-term outcome.

Journal of inherited metabolic disease
2017

Impaired glycogen breakdown and synthesis in phosphoglucomutase 1 deficiency.

Molecular genetics and metabolism
2018

Polyglucosan Bodies in Placental Extravillious Trophoblast for the Diagnosis of Fatal Perinatal Neuromuscular-type Glycogen Storage Disease Type IV.

Pediatric and developmental pathology : the official journal of the Society for Pediatric Pathology and the Paediatric Pathology Society
2017

Neural correlates of adaptive working memory training in a glycogen storage disease type-IV patient.

Annals of clinical and translational neurology
2017

A Critical Evaluation of Liver Pathology in Humans with Danon Disease and Experimental Correlates in a Rat Model of LAMP-2 Deficiency.

Clinical reviews in allergy &amp; immunology
2017

Systemic Correction of Murine Glycogen Storage Disease Type IV by an AAV-Mediated Gene Therapy.

Human gene therapy
2016

Alglucosidase alfa treatment alleviates liver disease in a mouse model of glycogen storage disease type IV.

Molecular genetics and metabolism reports
2016

Phenotypic Heterogeneity of Neutropenia and Gastrointestinal Illness Associated with G6PC3 Founder Mutation.

Journal of pediatric hematology/oncology
2016

A novel neuromuscular form of glycogen storage disease type IV with arthrogryposis, spinal stiffness and rare polyglucosan bodies in muscle.

Neuromuscular disorders : NMD
2016

Prospective exploratory muscle biopsy, imaging, and functional assessment in patients with late-onset Pompe disease treated with alglucosidase alfa: The EMBASSY Study.

Molecular genetics and metabolism
2016

Distinctly Elevated Chitotriosidase Activity in a Child with Congenital Andersen Disease (Glycogen Storage Disease Type IV).

Klinische Padiatrie
2017

A 10-Month-Old Male With a Cough, Fever, and Abnormal Hepatitis Serologies.

Clinical pediatrics
2016

A Modified Enzymatic Method for Measurement of Glycogen Content in Glycogen Storage Disease Type IV.

JIMD reports
2017

Severe Cardiomyopathy as the Isolated Presenting Feature in an Adult with Late-Onset Pompe Disease: A Case Report.

JIMD reports
2016

A novel GBE1 gene variant in a child with glycogen storage disease type IV.

Human pathology
2016

Modeling Andersen's Syndrome in Human Induced Pluripotent Stem Cells.

Stem cells and development
2015

A novel mouse model that recapitulates adult-onset glycogenosis type 4.

Human molecular genetics
2015

Structural basis of glycogen branching enzyme deficiency and pharmacologic rescue by rational peptide design.

Human molecular genetics
2016

Glycogen Storage Disease Type IV: A Case With Histopathologic Findings in First-Trimester Placental Tissue.

International journal of gynecological pathology : official journal of the International Society of Gynecological Pathologists
2015

Exome sequencing positively identified relevant alterations in more than half of cases with an indication of prenatal ultrasound anomalies.

Prenatal diagnosis
2015

Human HOIP and LUBAC deficiency underlies autoinflammation, immunodeficiency, amylopectinosis, and lymphangiectasia.

The Journal of experimental medicine
2015

Extended use of dried-leukocytes impregnated in filter paper samples for detection of Pompe, Gaucher, and Morquio A diseases.

Clinica chimica acta; international journal of clinical chemistry
2015

Phenotype consequences of myophosphorylase dysfunction: insights from the McArdle mouse model.

The Journal of physiology
2015

Glycogen Storage Disorder due to Glycogen Branching Enzyme (GBE) Deficiency: A Diagnostic Dilemma.

Ultrastructural pathology
2015

Skeletal muscle metabolism is impaired during exercise in glycogen storage disease type III.

Neurology
2014

First fully laparoscopic donor hepatectomy for pediatric liver transplantation using the indocyanine green near-infrared fluorescence imaging in the Middle East: a case report.

Annals of Saudi medicine
2014

Does type I truly dominate hepatic glycogen storage diseases in Korea?: a single center study.

Pediatric gastroenterology, hepatology &amp; nutrition

Associações

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Comunidades

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Doenças 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.

  1. Hepatic Glycogen Storage Diseases in Brazil: A Multicenter Study.
    American journal of medical genetics. Part A· 2026· PMID 41797620mais citado
  2. Systemic Disease Progression and Neurodegeneration in the Gbe1ys/ys Mouse Model of Glycogen Storage Disease Type IV.
    The American journal of pathology· 2026· PMID 41407198mais citado
  3. Biopsy-Proven Reversal of F4 Cirrhosis in Classic Hepatic Glycogen Storage Disease Type IV: A 42-Year Follow-Up Without Transplantation.
    Hepatology research : the official journal of the Japan Society of Hepatology· 2025· PMID 41428406mais citado
  4. Noninfectious endocarditis as a novel cardiac manifestation of glycogen storage disease type IV: a case report.
    Translational pediatrics· 2025· PMID 41216457mais citado
  5. Biparental and Androgenetic Somatic Mosaicism with Presentation of Non-Syndromic Severe Neonatal Hyperinsulinemia.
    International journal of molecular sciences· 2025· PMID 40869306mais citado
  6. Determination of carriers of deafness-infertility syndrome in Peru.
    Orphanet J Rare Dis· 2025· PMID 41254778recente
  7. Musculoskeletal deformities of Alström syndrome-a review of 55 cases.
    Orphanet J Rare Dis· 2025· PMID 40676683recente
  8. Clinical burden of propionic acidemia in the United States: a claims-based study by age stratum.
    Orphanet J Rare Dis· 2025· PMID 40665346recente
  9. Economic burden of propionic acidemia in the United States: a claims-based study.
    Orphanet J Rare Dis· 2025· PMID 40500726recente
  10. Different diseases, different needs: Patient preferences for gene therapy in lysosomal storage disorders, a probabilistic threshold technique survey.
    Orphanet J Rare Dis· 2024· PMID 39363355recente

Bases de dados e fontes oficiais

Identificadores e referências canônicas usadas para montar este verbete.

  1. ORPHA:367(Orphanet)
  2. OMIM OMIM:232500(OMIM)
  3. MONDO:0009292(MONDO)
  4. GARD:2520(GARD (NIH))
  5. Variantes catalogadas(ClinVar)
  6. 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

Doença de armazenamento de glicogênio por deficiência na ramificação do glicogênio
Compêndio · Raras BR

Doença de armazenamento de glicogênio por deficiência na ramificação do glicogênio

ORPHA:367 · MONDO:0009292
🇧🇷 Brasil SUS
Triagem
qPCR para deleção de SMN1 em sangue seco
PNTN
Fase 5
Incidência BR
1:10.000
Geral
Prevalência
Unknown
Herança
Autosomal recessive
CID-10
E74.0 · Doença de depósito de glicogênio
CID-11
Início
All ages
Prevalência
0.0 (Worldwide)
MedGen
UMLS
C0017923
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