Table 1 Clinical, biochemical and genetic data of patients with GSD type VI and IX.
Patient No/Gender/ Gene | Genetic variants | Age at diagnosis/Follow-up period (years) | Initial Symptoms | Weight;Height-SDS (diagnosis/last visit) | Liver Bx | Liver Ultrasound (diagnosis/last visit) | ALT at diagnosis/at last visit (NR: ( < 45IU/L) | TG at diagnosis/at last visit (NR: <150 mg/dl) | Biotinidase at diagnosis/at last visit (NR:4.4–12 nmol/dk/mL) | Treatment UCS (g/kg/d) (at diagnosis-last visit) Protein(g /kg/day %TC) MCT(+/-) |
|---|---|---|---|---|---|---|---|---|---|---|
GSD type VI | ||||||||||
P1/M/ PYGL | c.1131C>G (p.Asn377Lys) | 13 mo / 9 y | HM, H | −1.36/−1.1; −1.87/−0.01 | S - GSD | HM/HM | 80/74 | 320/131 | 8.3/5.7 | 1–1; 1.5–2.5; (+) |
P2/M/ PYGL | c.1131C>G (p.Asn377Lys) | 18mo/14 y | HM | −1.6 / 0.05; −2.2 / −2.0 | S – GSD, F | HM, IE/HM | 273/216 | 230/167 | 8.9/7.4 | 2–2; 1.2–2.5; (+) |
P3/F/ PYGL | c.1806G>C (p.Arg602Ser) | 9.5 y/ 18 y | HM | −1.6/−1.8; −2.2/−1.8 | S - GSD | HM, SM/HM | 55/10 | 68/86 | 7.9/5.6 | 1–0.6; 0.95−2.0; (−) |
P4/M/ PYGL | c.1131C>G (p.Asn377Lys) | 26 mo/ 11.6 y | HM | −0.03/0.12 0.04/0.4 | S – GSD, F | HM/HM, IE | 685/67 | 222/115 | 6.8/8.7 | 1–1; 1.1−2.2; (+) |
P5/M/ PYGL | c.1131C>G (p.Asn377Lys) | 2.5 y/ 3 y | HM | 0.58/ 0.40; −1.9/−1.05 | No | HM/ | 39/40 | 317/175 | 8.2 / 7.1 | 1–0.5/ 1.2−2.015/+ |
P6/F/ PYGL | c.1164G>A (p.Trp388*) | 20 mo/ 6.5 y | HM | −0.9/ + 0.31 −2.8/ + 0.02 | No | HM/ | 141/42 | 851/252 | 8.4/8.6 | 1–0.7; 0.95−2.0; (+) |
GSD Type IX | ||||||||||
P7/M/PHKA2 | c.1324G>A (p.Val442Ile) | 25mo/10 y | HM,H | −2.27/−1.97 −2.24/−0.95 | No | HM/HM, IE | 70/39 | 301/98 | 8.6/6.7 | 2-Stop; 1.2–2.2; (+) |
P8/M/PHKA2 | c.321C>A (p.Trp1067*) | 18mo/6.8 y | HM,H | −1.47/−0.51; −2.47/−0.81 | S - GSD | HM/ Normal | 79/18 | 166/62 | 9.2/7.8 | 3.5−0.7; 1.2–2.4; (−) |
P9/M/ PHKA2 | c.1324G>A (p.Val442Ile) | 27mo / 12 y | HM | 1/−0.9; −2.5/−2 | S - GSD | HM/ HM,IE | 97/46 | 316/122 | 7.7/7.2 | 2-Stop; 1.2–2.1; (+) |
P10/F/ PHKB | c.594+4T>G | 28mo/11 y | H | 0.7/ 1.2; 1.2/ 1.2 | S - GSD | HM, IE/Normal | 18/171 | 82/48 | 7.1/7.5 | 2.3-2; 1.2–2.3 (−) |
P11/M/PHKB | c.1969C>T (p.Gln657*) | 38mo / 16.5 y | HM | −0.5/−0.5; −2.61/−0.62 | S- GSD | HM, IE/ HM, IE | 308/25 | 89/106 | 7.8/7.2 | 2–1.5; 1.0–2.3; (−) |
P12/F/PHKB | c.1564C>T (p.Gln522*) | 46mo / 8.5 y | HM | −0.28/1.42; 0.01/1.27 | S- GSD, F | HM/HM, IE | 104/71 | 280/105 | 7.2/12.2 | 2–1; 1.2–2.1; (−) |
P13/M/PHKB | c.1969C>T (p.Gln657*) | 60mo/9.1 y | HM | −0.5/−0.87; −0.93/−0.71 | No | HM, IE/Normal | 100/33 | 153/206 | 8.5/6.9 | 0.5–0.5; 1.0–2.2; (−) |
P14/M/PHKB | c.305+1G>A | 14mo / 5.4 y | HM | 1.1/0.74; −1.53/0.32 | S GSD | HM, HM | 121/45 | 143/102 | 8.5/8.7 | 2-Stop; 1.2–2.4; (−) |
P15/M/ PHKB | c.1969C>T (p.Gln657*) | 12mo/ 8.3 y | HM,H | 1.97/ 1.35; 0.95/1.8 | No | Normal/Normal | 908/22 | 149/37 | 9.1/7.9 | 05-Stop; 1.2–2.5; (−) |
P16/M/ PHKG2 | c.112G>A (p.Val38Ile) | 78mo/ 19 y | HM | 0.5/152; −2.8/−2.7 | S GSD, F | HM, IE/ HM, IE | 72/30 | 230/80 | 6.9/6.42 | No; 1.2–2; (−) |