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Phosphorylase b Kinase Deficiency in Man: a Review

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Carbohydrate and Glycoprotein Metabolism; Maternal Phenylketonuria

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Summary

Phosphorylase b kinase is involved in the activation of glycogen phosphorylase and is thus involved in the breakdown of glycogen. The enzyme exists as several tissue specific isoenzymes of which the muscle enzyme (rabbit) has been most characterized. It is a multimeric protein composed of four subunits, α, β, γ and δ The four subunits are coded on different chromosomes, the α, β and γ subunit genes being on the X, 16 and 17 chromosomes respectively. The δ subunit is a calmodulin and confers calcium sensitivity on phosphorylase b kinase. Tissue specificity of the enzyme is conferred, at least in some cases, by variation in the γ subunit.

Seven different clinical types of phosphorylase b kinase deficiency have been described. The most common type is X-linked and affects the liver only; other types affect liver, muscle and liver, muscle or heart and have an autosomal recessive mode of inheritance, while in some types the mode of inheritance is not clear. Diagnosis based on the study of erythrocytes or leukocytes can be misleading due to the tissue specific nature of the enzyme, and liver or muscle biopsies may be required.

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Authors and Affiliations

  1. University Children’s Hospital ‘Het Wilhelmina Kinderziekenhuis’, Nieuwe Gracht 137, NL-3512 LK, Utrecht, The Netherlands

    I. E. T. van den Berg & R. Berger

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  1. I. E. T. van den Berg
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  2. R. Berger
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Editors and Affiliations

  1. Department of Clinical Biochemistry, Institute of Child Health, 30 Guildford Street, WC1N 1EH, London, UK

    R. A. Harkness

  2. Sheffield, UK

    R. J. Pollitt

  3. Manchester, UK

    G. M. Addison

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© 1990 SSIEM and Kluwer Academic Publishers

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van den Berg, I.E.T., Berger, R. (1990). Phosphorylase b Kinase Deficiency in Man: a Review. In: Harkness, R.A., Pollitt, R.J., Addison, G.M. (eds) Carbohydrate and Glycoprotein Metabolism; Maternal Phenylketonuria. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-2175-7_6

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  • DOI: https://doi.org/10.1007/978-94-009-2175-7_6

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-0-7923-8947-7

  • Online ISBN: 978-94-009-2175-7

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