Table 1.
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