Glycogen Storage Diseases Flashcards

(30 cards)

1
Q

What is the first step of forming glycogen?

A

Glucose-6-Phosphate -> Glucose-1-Phosphate

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2
Q

What does UDP-Glucose Pyrophosphorylase do?

A

Converts Glucose-1-Phosphate to UDP-Glucose

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3
Q

Glucose-1-Phosphate is converted to UDP-Glucose via which enzyme?

A

UDP-Glucose Pyrophosphorylase

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4
Q

UDP-Glucose is converted to Glycogen by which enzyme?

A

Glycogen Synthase

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5
Q

What is the first step of Glycogenolysis?

A

Glycogen -> Glucose-1-Phosphate

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6
Q

Which enzyme converts Glycogen to Glucose-1-Phosphate?

A

Glycogen Phosphorylase

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7
Q

What is the rate limiting enzyme in glycogen synthesis?

A

Glycogen Synthase

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8
Q

What is the rate limiting enzyme in glycogenlysis?

A

Glycogen Phosphorylase

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9
Q

What activates Glycogen Synthase?

A

Insulin

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10
Q

What activates Glycogen Phosphorylase?

A

1) Glucagon
2) Epinephrine
3) cAMP

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11
Q

Glycogen Synthase adds glycogen in which bonds?

A

Alpha-1,4 linkages

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12
Q

What do branching enzymes do?

A

Add glycogen branches in alpha-1,6 linkages

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13
Q

Which comes first: Glycogen Phosphorylase or De-branching enzymes?

A

Glycogen Phosphorylase

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14
Q

Von Gierke Disease is characterized by which enzyme deficiency?

A

Glucose-6-Phosphatase

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15
Q

What accumulates if we don’t have Glucose-6-Phosphatase (Von Gierke Disease)?

A

Glucose-6-Phosphate

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16
Q

What are the clinical findings in Von Gierk’s Disease?

A

1) Hepatomegaly
2) Hypoglycemia
3) Hyperlipidemia
4) Hyperuricemia

17
Q

Which enzyme is deficient in Cori Disease?

A

De-branching enzyme (Alpha-1,6-Glucosidase)

18
Q

Cori disease has the same findings as:

A

Von Gierke disease

19
Q

In Cori disease, glycogen has an:

A

Abnormal structure

20
Q

What accumulates in Cori disease?

A

Abnormal glycogen

21
Q

Where is Glycogen Phosphorylase usually found?

A

1) Muscles
2) Liver

22
Q

Which disease occurs when Glycogen Phosphorylase is absent in the muscles?

A

McArdle’s Disease

23
Q

Which disease occurs when Glycogen Phosphorylase is absent in the liver?

A

Her’s disease

24
Q

What are the clinical findings in McArdle’s Disease?

A

1) Muscle cramps on exertion
2) Hypoglycemia on exertion
3) Myoglobinurua

25
What are the clinical findings in Her’s Disease?
1) Fasting hypoglycemia! 2) Hepatomegaly
26
Which enzyme is deficient in Anderson’s Disease?
Branching enzyme
27
What are the clinical findings in Anderson’s disease?
Cirrhosis (FATAL!!)
28
What happens if a LYSOSOME lacks a de-branching enzyme?
Pompe Disease
29
Pompe Disease is when ___ lack a de-branching enzyme.
Lysosomes
30
What are the clinical findings in Pompe disease?
Cardiomegaly (Pompe affects the Pump)