PMID- 10482962 OWN - NLM STAT- MEDLINE DCOM- 19991101 LR - 20071114 IS - 1018-4813 (Print) IS - 1018-4813 (Linking) VI - 7 IP - 6 DP - 1999 Sep TI - The putative glucose 6-phosphate translocase gene is mutated in essentially all cases of glycogen storage disease type I non-a. PG - 717-23 AB - The purpose of this work was to test the hypothesis that mutations in the putative glucose 6-phosphate translocase gene would account for most of the cases of GSD I that are not explained by mutations in the phosphohydrolase gene, ie that are not type Ia. Twenty-three additional families diagnosed as having GSD I non-a (GSDIb, Ic or Id) have now been analysed. The 9exons of the gene were amplified by PCR and mutations searched both by SSCP and heteroduplex analysis. Except for one family in which only one mutation was found, all patients had two allelic mutations in the gene encoding the putative glucose 6-phosphate translocase. Sixteen of the mutations are new and they are all predicted to lead to non-functional proteins. All investigated patients had some degree of neutropenia or neutrophil dysfunction and the clinical phenotype of the four new patients who had been diagnosed as GSD Ic and the one diagnosed as GSD Id was no different from the GSD Ib patients. Since these patients, and the four type Ic patients from two families previously studied, shared several mutations with GSD Ib patients, we conclude that their basic defect is in the putative glucose 6-phosphate translocase and that they should be reclassified as GSD Ib. Isolated defects in microsomal Pi transporter or in microsomal glucose transporter must be very rare or have phenotypes that are not recognised as GSD I, so that in practice there are only two subtypes of GSD I (GSD Ia and GSD Ib). FAU - Veiga-da-Cunha, M AU - Veiga-da-Cunha M AD - Laboratory of Physiological Chemistry, Brussels, Belgium. veigadacunha@bchm.ucl.ac.be FAU - Gerin, I AU - Gerin I FAU - Chen, Y T AU - Chen YT FAU - Lee, P J AU - Lee PJ FAU - Leonard, J V AU - Leonard JV FAU - Maire, I AU - Maire I FAU - Wendel, U AU - Wendel U FAU - Vikkula, M AU - Vikkula M FAU - Van Schaftingen, E AU - Van Schaftingen E LA - eng GR - M01-RR30/RR/NCRR NIH HHS/United States PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. PL - England TA - Eur J Hum Genet JT - European journal of human genetics : EJHG JID - 9302235 RN - 0 (Antiporters) RN - 0 (Monosaccharide Transport Proteins) RN - 0 (Nucleic Acid Heteroduplexes) RN - 0 (SLC37A4 protein, human) RN - 0 (glucose 6-phosphate(transporter)) RN - EC 2.7.- (Phosphotransferases) SB - IM MH - Alleles MH - Antiporters MH - Exons MH - Female MH - Gene Deletion MH - Glycogen Storage Disease Type I/*genetics MH - Humans MH - Introns MH - Liver/enzymology MH - Male MH - Models, Genetic MH - Monosaccharide Transport Proteins MH - *Mutation MH - Nucleic Acid Heteroduplexes MH - Phosphotransferases/*genetics/metabolism MH - Point Mutation MH - Polymorphism, Single-Stranded Conformational MH - RNA Splicing EDAT- 1999/09/14 00:00 MHDA- 1999/09/14 00:01 CRDT- 1999/09/14 00:00 PHST- 1999/09/14 00:00 [pubmed] PHST- 1999/09/14 00:01 [medline] PHST- 1999/09/14 00:00 [entrez] AID - 10.1038/sj.ejhg.5200366 [doi] PST - ppublish SO - Eur J Hum Genet. 1999 Sep;7(6):717-23. doi: 10.1038/sj.ejhg.5200366.