Glycogen metabolism

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Glycogen metabolism

The metabolic path for Glycogen starts with alfa-D-Glucose that is phosphorylated by a set of enzymes: Hexokinase 1 (HXK1) [1], [2], [3], Hexokinase 2 (HXK2) [4], [5], [6], Hexokinase 3 (HXK3) [6], [7], [8], Glucokinase (hexokinase 4) (HXK4) [9], [10], [11], [12], [13] and alpha-(D)-Glucose-6-phosphate is formed. Also, alpha-D-Glucose is isomerically transformed into beta-D-Glucose by Galactose mutarotase (aldose 1-epimerase) (GALM) [14], [15], [16]. Beta-D-Glucose undergoes the same transformations that alpha-D-glucose under the action of the same enzymes to form beta-(D)-Glucose-6-phosphate which subsequently takes another stereoisomerisation step to alpha-(D)-Glucose-6-phosphate. This step is catalyzed by Glucose phosphate isomerase (GPI) [17]. Phosphoglucomutase 1 (PGMU) catalyzes the next isomerization of alpha-(D)-Glucose-6-phosphate leading to formation of alpha-(D)-Glucose 1-phosphate [18], [19]. UDP is then attached to alpha-(D)-Glucose 1-phosphate by UDP-glucose pyrophosphorylase 1 (UGPA1) or UDP-glucose pyrophosphorylase 2 (UGPA2) to form UDP-D-glucose [20], [21], [22], [23].

UDP-D-glucose polymerizes with (alpha-D-glucosyl-(1-4))n to form Glycogen. This step is catalyzed by Glucan (1,4-alpha-), branching enzyme 1 (GLGB) [24], [25], [26], [27]. On the other hand, Glycogen synthase 1 (muscle) (GYS1) and Glycogen synthase 2 (liver) (GYS2) can cleave UDP-D-glucose from Glycogen to release (alpha-D-glucosyl-(1-4))n [28], [29], [30], [31], [32]. A number of glycogen phosphorylases (Phosphorylase, glycogen, liver (PYGL), Phosphorylase, glycogen, brain (PYGB) and Phosphorylase, glycogen, muscle (PYGM)) mediate phosphorolysis of Glycogen, which is regarded as transfer of one sugar residue (alpha-D-glucose 1-phosphate) from Glycogen to inorganic phosphate. As a result Glycogen chain decreased for one sugar moiety with formation of a reduced product (alpha-D-glucosyl-(1-4))(,n=3)-alpha-D-glucosyl-(1-6)*(glycogen). [33], [34], [35], [36], [37], [38]. This product is a substrate for Amylo-1, 6-glucosidase, 4-alpha-glucanotransferase - glycogen debranching enzyme (GDE) that fractionates the polymeric structure to form two metabolites: the main chain - alpha-D-glucosyl-(1-6)*(glycogen) and branch chain of Glycogen - (alpha-D-glucosyl-(1-4))(,n=3) [39], [40], [41], [42], [43]. GDE also affects both products of the latter reaction. Alpha-D-glucosyl-(1-4))(,n=3) can be directly repolymerized to Glycogen; alpha-D-glucosyl-(1-6)*(glycogen) can be further hydrolyzed giving alpha-D-Glucose as a product.[40], [41], [43].

References:

  1. Magnani M, Stocchi V, Serafini G, Chiarantini L, Fornaini G
    Purification, properties, and evidence for two subtypes of human placenta hexokinase type I. Archives of biochemistry and biophysics 1988 Jan;260(1):388-99
  2. Aleshin AE, Zeng C, Bourenkov GP, Bartunik HD, Fromm HJ, Honzatko RB
    The mechanism of regulation of hexokinase: new insights from the crystal structure of recombinant human brain hexokinase complexed with glucose and glucose-6-phosphate. Structure (London, England : 1993) 1998 Jan 15;6(1):39-50
  3. Bianchi M, Serafini G, Bartolucci E, Palma F, Magnani M
    Expression, purification, and characterization of a recombinant erythroid-specific hexokinase isozyme. Blood cells, molecules & diseases 1998 Dec;24(4):401-11
  4. Echwald SM, Bj?rbaek C, Hansen T, Clausen JO, Vestergaard H, Zierath JR, Printz RL, Granner DK, Pedersen O
    Identification of four amino acid substitutions in hexokinase II and studies of relationships to NIDDM, glucose effectiveness, and insulin sensitivity. Diabetes 1995 Mar;44(3):347-53
  5. Vestergaard H, Bj?rbaek C, Hansen T, Larsen FS, Granner DK, Pedersen O
    Impaired activity and gene expression of hexokinase II in muscle from non-insulin-dependent diabetes mellitus patients. The Journal of clinical investigation 1995 Dec;96(6):2639-45
  6. Lowes W, Walker M, Alberti KG, Agius L
    Hexokinase isoenzymes in normal and cirrhotic human liver: suppression of glucokinase in cirrhosis. Biochimica et biophysica acta 1998 Jan 8;1379(1):134-42
  7. Furuta H, Nishi S, Le Beau MM, Fernald AA, Yano H, Bell GI
    Sequence of human hexokinase III cDNA and assignment of the human hexokinase III gene (HK3) to chromosome band 5q35.2 by fluorescence in situ hybridization. Genomics 1996 Aug 15;36(1):206-9
  8. Sebastian S, Edassery S, Wilson JE
    The human gene for the type III isozyme of hexokinase: structure, basal promoter, and evolution. Archives of biochemistry and biophysics 2001 Nov 1;395(1):113-20
  9. Xu LZ, Harrison RW, Weber IT, Pilkis SJ
    Human beta-cell glucokinase. Dual role of Ser-151 in catalysis and hexose affinity. The Journal of biological chemistry 1995 Apr 28;270(17):9939-46
  10. Xu LZ, Weber IT, Harrison RW, Gidh-Jain M, Pilkis SJ
    Sugar specificity of human beta-cell glucokinase: correlation of molecular models with kinetic measurements. Biochemistry 1995 May 9;34(18):6083-92
  11. St Charles R, Harrison RW, Bell GI, Pilkis SJ, Weber IT
    Molecular model of human beta-cell glucokinase built by analogy to the crystal structure of yeast hexokinase B. Diabetes 1994 Jun;43(6):784-91
  12. Agius L, Peak M
    Intracellular binding of glucokinase in hepatocytes and translocation by glucose, fructose and insulin. The Biochemical journal 1993 Dec 15;296 ( Pt 3):785-96
  13. Takeda J, Gidh-Jain M, Xu LZ, Froguel P, Velho G, Vaxillaire M, Cohen D, Shimada F, Makino H, Nishi S
    Structure/function studies of human beta-cell glucokinase. Enzymatic properties of a sequence polymorphism, mutations associated with diabetes, and other site-directed mutants. The Journal of biological chemistry 1993 Jul 15;268(20):15200-4
  14. Naslund B, Arner P, Bolinder J, Hallander L, Lundin A
    Glucose determination in samples taken by microdialysis by peroxidase-catalyzed luminol chemiluminescence. Analytical biochemistry 1991 Jan;192(1):237-42
  15. Kuchel PW, Chapman BE, Potts JR
    Glucose transport in human erythrocytes measured using 13C NMR spin transfer. FEBS letters 1987 Jul 13;219(1):5-10
  16. Timson DJ, Reece RJ
    Identification and characterisation of human aldose 1-epimerase. FEBS letters 2003 May 22;543(1-3):21-4
  17. Hers HG
    Regulation of glucokinase and its role in liver metabolism. Trends in biochemical sciences 1992 Feb;17(2):59
  18. Tedokon M, Suzuki K, Kayamori Y, Fujita S, Katayama Y
    Enzymatic assay of inorganic phosphate with use of sucrose phosphorylase and phosphoglucomutase. Clinical chemistry 1992 Apr;38(4):512-5
  19. Gururaj A, Barnes CJ, Vadlamudi RK, Kumar R
    Regulation of phosphoglucomutase 1 phosphorylation and activity by a signaling kinase. Oncogene 2004 Oct 21;23(49):8118-27
  20. Chang HY, Peng HL, Chao YC, Duggleby RG
    The importance of conserved residues in human liver UDPglucose pyrophosphorylase. European journal of biochemistry / FEBS 1996 Mar 1;236(2):723-8
  21. Duggleby RG, Chao YC, Huang JG, Peng HL, Chang HY
    Sequence differences between human muscle and liver cDNAs for UDPglucose pyrophosphorylase and kinetic properties of the recombinant enzymes expressed in Escherichia coli. European journal of biochemistry / FEBS 1996 Jan 15;235(1-2):173-9
  22. Cheng SD, Peng HL, Chang HY
    Localization of the human UGP2 gene encoding the muscle isoform of UDPglucose pyrophosphorylase to 2p13-p14 by fluorescence in situ hybridization. Genomics 1997 Feb 1;39(3):414-6
  23. Reynolds TH 4th, Pak Y, Harris TE, Manchester J, Barrett EJ, Lawrence JC Jr
    Effects of insulin and transgenic overexpression of UDP-glucose pyrophosphorylase on UDP-glucose and glycogen accumulation in skeletal muscle fibers. The Journal of biological chemistry 2005 Feb 18;280(7):5510-5
  24. Bao Y, Kishnani P, Wu JY, Chen YT
    Hepatic and neuromuscular forms of glycogen storage disease type IV caused by mutations in the same glycogen-branching enzyme gene. The Journal of clinical investigation 1996 Feb 15;97(4):941-8
  25. Bruno C, DiRocco M, Lamba LD, Bado M, Marino C, Tsujino S, Shanske S, Stella G, Minetti C, van Diggelen OP, DiMauro S
    A novel missense mutation in the glycogen branching enzyme gene in a child with myopathy and hepatopathy. Neuromuscular disorders : NMD 1999 Oct;9(6-7):403-7
  26. Moses SW, Parvari R
    The variable presentations of glycogen storage disease type IV: a review of clinical, enzymatic and molecular studies. Current molecular medicine 2002 Mar;2(2):177-88
  27. L'hermine-Coulomb A, Beuzen F, Bouvier R, Rolland MO, Froissart R, Menez F, Audibert F, Labrune P
    Fetal type IV glycogen storage disease: clinical, enzymatic, and genetic data of a pure muscular form with variable and early antenatal manifestations in the same family. American journal of medical genetics. Part A 2005 Dec 1;139A(2):118-22
  28. Westphal SA, Nuttall FQ
    Comparative characterization of human and rat liver glycogen synthase. Archives of biochemistry and biophysics 1992 Feb 1;292(2):479-86
  29. Orho M, Nikula-Ijas P, Schalin-Jantti C, Permutt MA, Groop LC
    Isolation and characterization of the human muscle glycogen synthase gene. Diabetes 1995 Sep;44(9):1099-105
  30. Su X, Schuler L, Shapiro S
    Cloning and characterization of a glycogen synthase cDNA from human endometrium. The Journal of steroid biochemistry and molecular biology 1996 Dec;59(5-6):459-65
  31. Cid E, Cifuentes D, Baque S, Ferrer JC, Guinovart JJ
    Determinants of the nucleocytoplasmic shuttling of muscle glycogen synthase. The FEBS journal 2005 Jun;272(12):3197-213
  32. Weinstein DA, Correia CE, Saunders AC, Wolfsdorf JI
    Hepatic glycogen synthase deficiency: an infrequently recognized cause of ketotic hypoglycemia. Molecular genetics and metabolism 2006 Apr;87(4):284-8
  33. Newgard CB, Littman DR, van Genderen C, Smith M, Fletterick RJ
    Human brain glycogen phosphorylase. Cloning, sequence analysis, chromosomal mapping, tissue expression, and comparison with the human liver and muscle isozymes. The Journal of biological chemistry 1988 Mar 15;263(8):3850-7
  34. Burwinkel B, Bakker HD, Herschkovitz E, Moses SW, Shin YS, Kilimann MW
    Mutations in the liver glycogen phosphorylase gene (PYGL) underlying glycogenosis type VI. American journal of human genetics 1998 Apr;62(4):785-91
  35. Chang S, Rosenberg MJ, Morton H, Francomano CA, Biesecker LG
    Identification of a mutation in liver glycogen phosphorylase in glycogen storage disease type VI. Human molecular genetics 1998 May;7(5):865-70
  36. Kubisch C, Wicklein EM, Jentsch TJ
    Molecular diagnosis of McArdle disease: revised genomic structure of the myophosphorylase gene and identification of a novel mutation. Human mutation 1998;12(1):27-32
  37. Rath VL, Ammirati M, Danley DE, Ekstrom JL, Gibbs EM, Hynes TR, Mathiowetz AM, McPherson RK, Olson TV, Treadway JL, Hoover DJ
    Human liver glycogen phosphorylase inhibitors bind at a new allosteric site. Chemistry & biology 2000 Sep;7(9):677-82
  38. Ercan-Fang N, Gannon MC, Rath VL, Treadway JL, Taylor MR, Nuttall FQ
    Integrated effects of multiple modulators on human liver glycogen phosphorylase a. American journal of physiology. Endocrinology and metabolism 2002 Jul;283(1):E29-37
  39. Yang BZ, Ding JH, Enghild JJ, Bao Y, Chen YT
    Molecular cloning and nucleotide sequence of cDNA encoding human muscle glycogen debranching enzyme. The Journal of biological chemistry 1992 May 5;267(13):9294-9
  40. Liu W, Madsen NB, Fan B, Zucker KA, Glew RH, Fry DE
    Effects of oligosaccharide binding on glycogen debranching enzyme activity and conformation. Biochemistry 1995 May 30;34(21):7056-61
  41. Shen J, Bao Y, Liu HM, Lee P, Leonard JV, Chen YT
    Mutations in exon 3 of the glycogen debranching enzyme gene are associated with glycogen storage disease type III that is differentially expressed in liver and muscle. The Journal of clinical investigation 1996 Jul 15;98(2):352-7
  42. Bao Y, Dawson TL Jr, Chen YT
    Human glycogen debranching enzyme gene (AGL): complete structural organization and characterization of the 5' flanking region. Genomics 1996 Dec 1;38(2):155-65
  43. Lucchiari S, Donati MA, Melis D, Filocamo M, Parini R, Bresolin N, Comi GP
    Mutational analysis of the AGL gene: five novel mutations in GSD III patients. Human mutation 2003 Oct;22(4):337

  1. Magnani M, Stocchi V, Serafini G, Chiarantini L, Fornaini G
    Purification, properties, and evidence for two subtypes of human placenta hexokinase type I. Archives of biochemistry and biophysics 1988 Jan;260(1):388-99
  2. Aleshin AE, Zeng C, Bourenkov GP, Bartunik HD, Fromm HJ, Honzatko RB
    The mechanism of regulation of hexokinase: new insights from the crystal structure of recombinant human brain hexokinase complexed with glucose and glucose-6-phosphate. Structure (London, England : 1993) 1998 Jan 15;6(1):39-50
  3. Bianchi M, Serafini G, Bartolucci E, Palma F, Magnani M
    Expression, purification, and characterization of a recombinant erythroid-specific hexokinase isozyme. Blood cells, molecules & diseases 1998 Dec;24(4):401-11
  4. Echwald SM, Bj?rbaek C, Hansen T, Clausen JO, Vestergaard H, Zierath JR, Printz RL, Granner DK, Pedersen O
    Identification of four amino acid substitutions in hexokinase II and studies of relationships to NIDDM, glucose effectiveness, and insulin sensitivity. Diabetes 1995 Mar;44(3):347-53
  5. Vestergaard H, Bj?rbaek C, Hansen T, Larsen FS, Granner DK, Pedersen O
    Impaired activity and gene expression of hexokinase II in muscle from non-insulin-dependent diabetes mellitus patients. The Journal of clinical investigation 1995 Dec;96(6):2639-45
  6. Lowes W, Walker M, Alberti KG, Agius L
    Hexokinase isoenzymes in normal and cirrhotic human liver: suppression of glucokinase in cirrhosis. Biochimica et biophysica acta 1998 Jan 8;1379(1):134-42
  7. Furuta H, Nishi S, Le Beau MM, Fernald AA, Yano H, Bell GI
    Sequence of human hexokinase III cDNA and assignment of the human hexokinase III gene (HK3) to chromosome band 5q35.2 by fluorescence in situ hybridization. Genomics 1996 Aug 15;36(1):206-9
  8. Sebastian S, Edassery S, Wilson JE
    The human gene for the type III isozyme of hexokinase: structure, basal promoter, and evolution. Archives of biochemistry and biophysics 2001 Nov 1;395(1):113-20
  9. Xu LZ, Harrison RW, Weber IT, Pilkis SJ
    Human beta-cell glucokinase. Dual role of Ser-151 in catalysis and hexose affinity. The Journal of biological chemistry 1995 Apr 28;270(17):9939-46
  10. Xu LZ, Weber IT, Harrison RW, Gidh-Jain M, Pilkis SJ
    Sugar specificity of human beta-cell glucokinase: correlation of molecular models with kinetic measurements. Biochemistry 1995 May 9;34(18):6083-92
  11. St Charles R, Harrison RW, Bell GI, Pilkis SJ, Weber IT
    Molecular model of human beta-cell glucokinase built by analogy to the crystal structure of yeast hexokinase B. Diabetes 1994 Jun;43(6):784-91
  12. Agius L, Peak M
    Intracellular binding of glucokinase in hepatocytes and translocation by glucose, fructose and insulin. The Biochemical journal 1993 Dec 15;296 ( Pt 3):785-96
  13. Takeda J, Gidh-Jain M, Xu LZ, Froguel P, Velho G, Vaxillaire M, Cohen D, Shimada F, Makino H, Nishi S
    Structure/function studies of human beta-cell glucokinase. Enzymatic properties of a sequence polymorphism, mutations associated with diabetes, and other site-directed mutants. The Journal of biological chemistry 1993 Jul 15;268(20):15200-4
  14. Naslund B, Arner P, Bolinder J, Hallander L, Lundin A
    Glucose determination in samples taken by microdialysis by peroxidase-catalyzed luminol chemiluminescence. Analytical biochemistry 1991 Jan;192(1):237-42
  15. Kuchel PW, Chapman BE, Potts JR
    Glucose transport in human erythrocytes measured using 13C NMR spin transfer. FEBS letters 1987 Jul 13;219(1):5-10
  16. Timson DJ, Reece RJ
    Identification and characterisation of human aldose 1-epimerase. FEBS letters 2003 May 22;543(1-3):21-4
  17. Hers HG
    Regulation of glucokinase and its role in liver metabolism. Trends in biochemical sciences 1992 Feb;17(2):59
  18. Tedokon M, Suzuki K, Kayamori Y, Fujita S, Katayama Y
    Enzymatic assay of inorganic phosphate with use of sucrose phosphorylase and phosphoglucomutase. Clinical chemistry 1992 Apr;38(4):512-5
  19. Gururaj A, Barnes CJ, Vadlamudi RK, Kumar R
    Regulation of phosphoglucomutase 1 phosphorylation and activity by a signaling kinase. Oncogene 2004 Oct 21;23(49):8118-27
  20. Chang HY, Peng HL, Chao YC, Duggleby RG
    The importance of conserved residues in human liver UDPglucose pyrophosphorylase. European journal of biochemistry / FEBS 1996 Mar 1;236(2):723-8
  21. Duggleby RG, Chao YC, Huang JG, Peng HL, Chang HY
    Sequence differences between human muscle and liver cDNAs for UDPglucose pyrophosphorylase and kinetic properties of the recombinant enzymes expressed in Escherichia coli. European journal of biochemistry / FEBS 1996 Jan 15;235(1-2):173-9
  22. Cheng SD, Peng HL, Chang HY
    Localization of the human UGP2 gene encoding the muscle isoform of UDPglucose pyrophosphorylase to 2p13-p14 by fluorescence in situ hybridization. Genomics 1997 Feb 1;39(3):414-6
  23. Reynolds TH 4th, Pak Y, Harris TE, Manchester J, Barrett EJ, Lawrence JC Jr
    Effects of insulin and transgenic overexpression of UDP-glucose pyrophosphorylase on UDP-glucose and glycogen accumulation in skeletal muscle fibers. The Journal of biological chemistry 2005 Feb 18;280(7):5510-5
  24. Bao Y, Kishnani P, Wu JY, Chen YT
    Hepatic and neuromuscular forms of glycogen storage disease type IV caused by mutations in the same glycogen-branching enzyme gene. The Journal of clinical investigation 1996 Feb 15;97(4):941-8
  25. Bruno C, DiRocco M, Lamba LD, Bado M, Marino C, Tsujino S, Shanske S, Stella G, Minetti C, van Diggelen OP, DiMauro S
    A novel missense mutation in the glycogen branching enzyme gene in a child with myopathy and hepatopathy. Neuromuscular disorders : NMD 1999 Oct;9(6-7):403-7
  26. Moses SW, Parvari R
    The variable presentations of glycogen storage disease type IV: a review of clinical, enzymatic and molecular studies. Current molecular medicine 2002 Mar;2(2):177-88
  27. L'hermine-Coulomb A, Beuzen F, Bouvier R, Rolland MO, Froissart R, Menez F, Audibert F, Labrune P
    Fetal type IV glycogen storage disease: clinical, enzymatic, and genetic data of a pure muscular form with variable and early antenatal manifestations in the same family. American journal of medical genetics. Part A 2005 Dec 1;139A(2):118-22
  28. Westphal SA, Nuttall FQ
    Comparative characterization of human and rat liver glycogen synthase. Archives of biochemistry and biophysics 1992 Feb 1;292(2):479-86
  29. Orho M, Nikula-Ijas P, Schalin-Jantti C, Permutt MA, Groop LC
    Isolation and characterization of the human muscle glycogen synthase gene. Diabetes 1995 Sep;44(9):1099-105
  30. Su X, Schuler L, Shapiro S
    Cloning and characterization of a glycogen synthase cDNA from human endometrium. The Journal of steroid biochemistry and molecular biology 1996 Dec;59(5-6):459-65
  31. Cid E, Cifuentes D, Baque S, Ferrer JC, Guinovart JJ
    Determinants of the nucleocytoplasmic shuttling of muscle glycogen synthase. The FEBS journal 2005 Jun;272(12):3197-213
  32. Weinstein DA, Correia CE, Saunders AC, Wolfsdorf JI
    Hepatic glycogen synthase deficiency: an infrequently recognized cause of ketotic hypoglycemia. Molecular genetics and metabolism 2006 Apr;87(4):284-8
  33. Newgard CB, Littman DR, van Genderen C, Smith M, Fletterick RJ
    Human brain glycogen phosphorylase. Cloning, sequence analysis, chromosomal mapping, tissue expression, and comparison with the human liver and muscle isozymes. The Journal of biological chemistry 1988 Mar 15;263(8):3850-7
  34. Burwinkel B, Bakker HD, Herschkovitz E, Moses SW, Shin YS, Kilimann MW
    Mutations in the liver glycogen phosphorylase gene (PYGL) underlying glycogenosis type VI. American journal of human genetics 1998 Apr;62(4):785-91
  35. Chang S, Rosenberg MJ, Morton H, Francomano CA, Biesecker LG
    Identification of a mutation in liver glycogen phosphorylase in glycogen storage disease type VI. Human molecular genetics 1998 May;7(5):865-70
  36. Kubisch C, Wicklein EM, Jentsch TJ
    Molecular diagnosis of McArdle disease: revised genomic structure of the myophosphorylase gene and identification of a novel mutation. Human mutation 1998;12(1):27-32
  37. Rath VL, Ammirati M, Danley DE, Ekstrom JL, Gibbs EM, Hynes TR, Mathiowetz AM, McPherson RK, Olson TV, Treadway JL, Hoover DJ
    Human liver glycogen phosphorylase inhibitors bind at a new allosteric site. Chemistry & biology 2000 Sep;7(9):677-82
  38. Ercan-Fang N, Gannon MC, Rath VL, Treadway JL, Taylor MR, Nuttall FQ
    Integrated effects of multiple modulators on human liver glycogen phosphorylase a. American journal of physiology. Endocrinology and metabolism 2002 Jul;283(1):E29-37
  39. Yang BZ, Ding JH, Enghild JJ, Bao Y, Chen YT
    Molecular cloning and nucleotide sequence of cDNA encoding human muscle glycogen debranching enzyme. The Journal of biological chemistry 1992 May 5;267(13):9294-9
  40. Liu W, Madsen NB, Fan B, Zucker KA, Glew RH, Fry DE
    Effects of oligosaccharide binding on glycogen debranching enzyme activity and conformation. Biochemistry 1995 May 30;34(21):7056-61
  41. Shen J, Bao Y, Liu HM, Lee P, Leonard JV, Chen YT
    Mutations in exon 3 of the glycogen debranching enzyme gene are associated with glycogen storage disease type III that is differentially expressed in liver and muscle. The Journal of clinical investigation 1996 Jul 15;98(2):352-7
  42. Bao Y, Dawson TL Jr, Chen YT
    Human glycogen debranching enzyme gene (AGL): complete structural organization and characterization of the 5' flanking region. Genomics 1996 Dec 1;38(2):155-65
  43. Lucchiari S, Donati MA, Melis D, Filocamo M, Parini R, Bresolin N, Comi GP
    Mutational analysis of the AGL gene: five novel mutations in GSD III patients. Human mutation 2003 Oct;22(4):337

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