HW
Lecture #22: Glycogen MetabolismPg. 464 (Study Exercises 1, 2, 5) see back of book for answer to Problems 9 and 10 and explanation for #10 below:
AND
10). A sample of glycogen from a patient with liver disease is incubated with Pi, normal glycogen phosphorylase, and normal debranching enzyme. The ratio of G1P to glucose formed in this reaction mixture is 100 (where 10 is normal). What is the patients most probable enzymatic deficiency?
The book (and many students’ answers) read: "The deficiency is in branching enzyme (Type IV glycogen storage disease). The high ratio of G1P to glucose indicates abnormally long chains of alpha (1-4) linked residues with few alpha (1-6) linked branch points (the normal ratio is 10).
Does this make sense? A good explanation is as follows:
Glycogen phosphorylase releases a glucose unit only if it is at least 5 units away from a branch point.
Glycogen (n units) + Pi à Glycogen (n-1 units) + G1P
The high ratio of G1P/glucose suggests that the main chain of glycogen has few branches. This means it can be "phosphorylysed" readily (generating lots of G1P), without having to wait around for the debranching enzyme to do its job. A deficiency in branching enzyme results in long unbranched chains. So, a high G1P/glucose ratio is consistent with a deficiency in branching enzyme. Interestingly liver dysfunction resulting from this disease may be caused by a "foreign body" immune reaction to the abnormal glycogen. Victims rarely survive past the age of 4 years because of liver dysfunction (pg. 448).