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GLYCOGEN STORAGE DISEASES

BY SURAJ KUMAR
ROLL NUMBER -115
DEPARTMENT OF BIOCHEMISTRY
OBJECTIVE

GENERAL INTRODUCTION
CAUSES OF DISEASE
TYPES OF DISEASE
SIGNS AND SYNMPTOMS
INTRODUCTION
The metabolic defects concerned with the
glycogen synthesis and degradation are
collectively referred to as glycogen storage
diseases.
These disorders are due to defects in the
enzymes.
 The inherited disorders are characterized
by deposition of normal or abnormal type
of glycogen in one or more tissues.
CAUSES

When glucose is changed into glycogen, a
different enzyme is required at each step.
If one of these enzymes is defective (not
normal) and fails to complete its step, the
process stops. These enzyme defects cause
glycogen storage diseases.

TYPES
Type I- von Gierke disease
Typell- Pompe’s disease.
Type Ill-Cori disease, or Forbes disease
Type IV- Andersen’s disease.
TypeV- McArdle’s disease.
TypeVl- Her’s disease.
 TypeVII- Tarui’s disease
Von Gierke’s disease (Type I)

It is transmitted by autosomal recessive trait

Enzyme deficiency :-Glucose 6-phosphatase

The enzyme is absent in liver cells & intestinal mucosa.

 Liver cells, intestinal mucosa & renal tubular epithelial


cells are loaded with glycogen, which is normal in
structure but metabolically not available
Pompe’s disease (Type II)

Enzyme deficiency: - Lysosomal -1,4 glucosidase (acid


maltase).

Enlargement of heart:- (cardiomegaly).


Glycogen accumulates in lysosomes in all most all the
tissues.
Nervous system is also affected
No hypoglycemia
Death occurs due to heart failure
Coris disease type (III)
limit Dextrinosis Forbes disease

Enzyme deficiency :-
amyl9 a 1 4 glucosidase debranching enzyme
Organs affected :-
liver heptaomegaly
Muscle heart leucocytes
Branches chain glycogen accumulates
Clinical manifestations
Are similar to von giekes disease but glycogen is
abnormal moderate hypoglycemia
Andersons disease(TYPE IV )
Enzyme deficiency :- Glucosyl 4 6 transferase.
 Glycogen deposited ís abnormal .
 Glycogen with only few branches accumulate
Organs mainly affected ;
 Liver (heptaomegaly) Heart, muscle and
kidney Moderate hypoglycemia
ascites ,cirrhosis of liver ,hepatic failure and
usually fatal.
McArdle’s disease (Type V)

Enzyme deficiency:
Muscle glycogen phosphorylase
Glycogen deposited is normal in structure.

Organs involved – skeletal muscle.


Muscle cramps on exercise, pain, weakness & stiffness
of muscles
No lactate is formed
Muscle may get damaged
Her’s disease (Type VI)

Enzyme deficiency:
Liver glycogen phosphorylase.
Glycogen deposited is normal in structure
Organs mainly affected - liver
Hepatomegaly, moderate hypoglycemia, mild
acidosis, liver glycogen cannot form glucose
(pyruvate & lactate can be precursors for
glucose).
Tarui’s disease (Type VII)

Enzyme deficiency: -Phosphofructokinase

Organs affected – skeletal muscles


Accumulation of glycogen in skeletal muscles.
Glucose 6-phosphate & fructose 6-phosphate
is also accumulated
Muscle cramps
Sign and symptoms:
Failure to thrive
Poor infant weight gain.
Lack of infant muscle tone.
Enlarged liver
Growth delay in childhood
Reduce blood glucose
 Even heart abnormalities.

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