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. 2021 Apr 15;21:175. doi: 10.1186/s12887-021-02648-6

Table 1.

Presentation of patients and mutations in PHKB gene (NM_000293.1) reported in the literature

Patient Gender Onset (year) Ethnicity Hypoglycemia Hepatomegaly Biochemical findings Pathological findings Mutation Variant type Development Ref.

1

2a

3a

F

M

M

1.6

0.5

2.6

UK

Ireland

Ireland

Yes

No

No

No

Yes

Yes

NR

NR

NR

-

Mild Liver dysfunction

Slight Liver dysfunction

c.[555G > T] + [=],p.M185I

c.[1257T > A]+[2336 + 965 A > C],p.Y419X

c.[1257T > A]+[2336 + 965 A > C],p.Y419X

Missense

Nonsense

Nonsense

Normal

Slightly hypotonic, speech poor

Normal

[2]
1 M 2.10 German No Yes NR Slight Liver dysfunction c.306-2 A > G Deletion of exon 5 Normal [3]

1

2

3

4

5

F

M

F

M

M

2.10

25

6

5

1.6

German

Norway

Dutch

UK

Israeli-Arab

Yes

Just with exercise

No

No

No

Yes

Yes

Yes

Yes

Yes

Elevated AST,ALT,TG

NR

Normal AST,ALT,TG

NR

NR

NR

NR

NR

NR

NR

c.1275dupA, p.N422KfsX

c.1969 C > T p.Q657X

c.1257T > A, p.Y419X

c.2926G > T, p.E976X

c.2896-1G > T, c.2896_2911del16

c.1285 C > T, p.R429X

7574-bp deletion of exon 8

Nonsense

Nonsense

Nonsense

Nonsense

Frame-shift deletion

Nonsense

Deletion of exon 8

hypoglycemic symptoms upon physical exercise

Normal

Normal

Doll-face, abdominal extension (noted since early infancy) and muscle weakness, reduced muscle power and bulk

A doll-face, mild generalized muscular hypotonia, but blood glucose and glucagon test normal

[6]
1 F 2.9 Dutch Yes Yes Elevated AST, LDH, TG No fibrosis

c.1827G > A, p.W609X

IVS30− 1,g→t

Nonsense

splice site

No hypotonia or muscle weakness [7]

1

2

3

M

M

M

1.3

1.5

1.6

Canadian

No

No

No

Yes

Yes

Yes

Elevated AST,ALT

Elevated AST,ALT

Normal AST, ALT

NR

NR

NR

c.2839 C > T, p.Gln947X

c.2839 C > T, p.Gln947X

c.1106-2 A > G, p?

Nonsense

Nonsense

Split-site mu

Normal

Short stature

Normal

[8]

1

2

3

F

M

M

NR French

No

No

No

Yes

Yes

Yes

Elevated AST,ALT

Elevated AST,ALT

Normal AST,ALT

Mild Liver dysfunction

Slight Liver dysfunction

Slight Liver dysfunction

c.1285 C > T, p.R429X

c.573_577delGATTA,

c.2427 + 3 A > G

Nonsense

Deletion

Missense

Normal

Normal

Normal

[9]
1 M 0.6 English No Yes Normal AST,ALT Splenomegaly, no liver biopsy

c.555G > T, p.Met185Ile

c.574 A > G, p.Ile192Val

Missense

Missense

Normal

Normal

[10]
1 F 2 Iranian Yes Yes Elevated AST,ALT, Chol Cirrhosis

c.1127-2 A > G, p.?

c.2840 A > G, p.Gln947Arg

Split site mu

Missense

Short stature Present report

a Siblings

GSD glycogen storage disease; FTT failure to thrive; TG triglyceride; Chol cholesterol; BCR blood urea nitrogen (BUN)/creatinine ratio; Alb albumin; ALT alanine transaminase; AST aspartate transaminase