title: Molecular features of 23 patients with glycogen storage disease type III in Turkey: a novel mutation p.R1147G associated with isolated glucosidase deficiency, along with 9 AGL mutations.
abstract: Glycogen storage disease type III (GSD III) is an autosomal recessive disorder caused by deficiency in the glycogen debranching enzyme (gene symbol: AGL) with two enzyme activities: transferase and glucosidase. A missense mutation causing isolated glucosidase deficiency has never been reported. In this study, we examined 23 patients of Turkish ancestry and identified a novel missense mutation p.R1147G with isolated glucosidase deficiency, along with nine AGL mutations: six nonsense mutations (p.W373X, p.R595X, p.Q667X, p.Q1205X, p.W1327X and p.Q1376X), one deletion (c.1019delA) and two splicing mutation (c.293+2T>G and c.958+1G>A). As p.R1147G impaired glucosidase activity, but maintained transferase activity in vitro, a 12-year-old girl homozygous for p.R1147G was diagnosed with having isolated glucosidase deficiency. Of nine other mutations, p.W1327X and c.1019delA were recurrent, whereas seven mutations were novel. Six patients with p.W1327X were all from two nearby cities on the East Black Sea and shared the same AGL haplotype, indicating a founder effect in Turkish patients. Patients with the same mutations had identical haplotypes. Our results provide the first comprehensive overview of clinical and molecular features of Turkish GSD III patients and the first description of the missense mutation associated with isolated glucosidase deficiency.
authors.affiliation: Okinaka Memorial Institute for Medical Research, Tokyo, Japan.
authors.forename: Yoshiko
authors.initials: Y
authors.lastname: Aoyama
authors.forename: Isil
authors.initials: I
authors.lastname: Ozer
authors.forename: Mubeccel
authors.initials: M
authors.lastname: Demirkol
authors.forename: Tetsu
authors.initials: T
authors.lastname: Ebara
authors.forename: Toshio
authors.initials: T
authors.lastname: Murase
authors.forename: Teodor
authors.initials: T
authors.lastname: Podskarbi
authors.forename: Yoon S
authors.initials: YS
authors.lastname: Shin
authors.forename: Gulden
authors.initials: G
authors.lastname: Gokcay
authors.forename: Minoru
authors.initials: M
authors.lastname: Okubo
mesh_terms: D000293:Adolescent; D000328:Adult; D000595:Amino Acid Sequence; D002648:Child; D002675:Child, Preschool; D018389:Codon, Nonsense; D004252:DNA Mutational Analysis; D005260:Female; D018703:Founder Effect; D005843:Geography; D005959:Glucosidases / Q000172:deficiency / Q000235:genetics*; D006004:Glycogen Debranching Enzyme System / Q000235:genetics*; D006010:Glycogen Storage Disease Type III / Q000201:enzymology / Q000235:genetics*; D006239:Haplotypes; D006801:Humans; D007223:Infant; D008297:Male; D009154:Mutation; D020125:Mutation, Missense; D020641:Polymorphism, Single Nucleotide; D022821:RNA Splice Sites / Q000235:genetics; D017384:Sequence Deletion; D014421:Turkey; D055815:Young Adult
chemical_list: D018389:Codon, Nonsense; D006004:Glycogen Debranching Enzyme System; D022821:RNA Splice Sites; D005959:Glucosidases