Nutritional support in glycogen storage diseases: evolution of treatment and unresolved contradictions
- Authors: Surkov A.N.1,2, Baranov A.A.1,3, Arakelyan A.L.1,3, Bessonov E.E.1,3, Zhurkova N.V.1,3, Labash D.A.2, Ivardava M.I.1,2
-
Affiliations:
- Petrovsky Russian Scientific Center of Surgery
- Pirogov Russian National Research Medical University
- Sechenov First Moscow State Medical University
- Issue: Vol 78, No 4 (2023)
- Pages: 348-355
- Section: PEDIATRICS: CURRENT ISSUES
- URL: https://vestnikramn.spr-journal.ru/jour/article/view/11605
- DOI: https://doi.org/10.15690/vramn11605
- ID: 11605
Cite item
Abstract
Hepatic forms of glycogen storage diseases (GSD) are a group of diseases in which abnormal accumulation or cleavage of glycogen leads to potentially life-threatening hypoglycemic conditions and metabolic disorders. The use of specialized diet therapy with the addition of raw corn starch has significantly improved the results of GSD treatment, turning a pathology previously considered fatal into a condition in which people can feel satisfactory with proper care. Despite many years of research, there is no consensus on the optimal dietary treatment of GSD. This article describes the evolution of dietary therapy of hepatic forms of GSD (types 0, I, III, VI, IX and XI), presents historical and modern approaches to the prevention of hypoglycemia and related complications.
Keywords
Full Text
About the authors
Andrej N. Surkov
Petrovsky Russian Scientific Center of Surgery; Pirogov Russian National Research Medical University
Author for correspondence.
Email: surkov@gastrockb.ru
ORCID iD: 0000-0002-3697-4283
SPIN-code: 4363-0200
MD, PhD
Russian Federation, 2 Abrikosovsky lane, 119991, Moscow; 1, st. Ostrovityanova, 117997 MoscowAleksandr A. Baranov
Petrovsky Russian Scientific Center of Surgery; Sechenov First Moscow State Medical University
Email: baranov@pediatr-russia.ru
ORCID iD: 0000-0003-3987-8112
SPIN-code: 3570-1806
MD, PhD, Professor, Academician of the RAS
Russian Federation, 2 Abrikosovsky lane, 119991, Moscow; 8 bldn 2, Trubetskaya str., 119992, MoscowAnna L. Arakelyan
Petrovsky Russian Scientific Center of Surgery; Sechenov First Moscow State Medical University
Email: a.silonyan@mail.ru
ORCID iD: 0000-0002-6837-9753
SPIN-code: 4218-7060
MD
Russian Federation, 2 Abrikosovsky lane, 119991, Moscow; 8 bldn 2, Trubetskaya str., 119992, MoscowEvgenij E. Bessonov
Petrovsky Russian Scientific Center of Surgery; Sechenov First Moscow State Medical University
Email: bessonov@gastrockb.ru
ORCID iD: 0000-0001-5549-857X
SPIN-code: 2463-1374
MD
Russian Federation, 2 Abrikosovsky lane, 119991, Moscow; 8 bldn 2, Trubetskaya str., 119992, MoscowNatal'ya V. Zhurkova
Petrovsky Russian Scientific Center of Surgery; Sechenov First Moscow State Medical University
Email: n1972z@yandex.ru
ORCID iD: 0000-0001-6614-6115
SPIN-code: 4768-6310
MD, PhD
Russian Federation, 2 Abrikosovsky lane, 119991, Moscow; 8 bldn 2, Trubetskaya str., 119992, MoscowDiana A. Labash
Pirogov Russian National Research Medical University
Email: desyunya@mail.ru
ORCID iD: 0009-0009-8508-5245
MD
Russian Federation, 1, st. Ostrovityanova, 117997 MoscowMarika I. Ivardava
Petrovsky Russian Scientific Center of Surgery; Pirogov Russian National Research Medical University
Email: makussa@mail.ru
ORCID iD: 0000-0002-4669-9510
SPIN-code: 4865-4688
MD, PhD
Russian Federation, 2 Abrikosovsky lane, 119991, Moscow; 1, st. Ostrovityanova, 117997 MoscowReferences
- von Gierke E. Hepato-nephromegalia glykogenica. Beitr Path Anat. 1929;82:497–513.
- Online Mendelian Inheritance in Man (OMIM). Baltimore, MD: McKusick-Nathans Institute of Genetic Medicine, Johns Hopkins University (Baltimore, MD); August 2019. Available online: https://omim.org. Accessed on August 30, 2023.
- Ross KM, Ferrecchia IA, Dahlberg KR, et al. Dietary Management of the Glycogen Storage Diseases: Evolution of Treatment and Ongoing Controversies. Adv Nutr. 2020; 11(2):439–446. doi: https://doi.org/10.1093/advances/nmz092
- Сурков А.Н. Гликогеновая болезнь у детей: современные представления (часть I) // Вопросы современной педиатрии. — 2012. — Т. 11. — № 2. — С. 30–42. — doi: https://doi.org/10.15690/vsp.v11i2.208 [Surkov AN. Glycogenosis in children: modern aspects (part I). Voprosy sovremennoi pediatrii — Current Pediatrics. 2012;11(2):30–42. (In Russ).] doi: https://doi.org/10.15690/vsp.v11i2.208
- Баранов А.А., Намазова-Баранова Л.С., Сурков А.Н. и др. Ведение детей с гликогеновой болезнью (нозологические формы с поражением печени). Современные клинические рекомендации // Педиатрическая фармакология. — 2020. — Т. 17. — № 4. — С. 303–317. doi: https://doi.org/10.15690/pf.v17i4.2159 [Baranov AA, Namazova-Baranova LS, Surkov AN, et al. Management of Children with Glycogen Storage Disease (Liver Involvement Forms). Best Practice Guidelines. Pediatricheskaya farmakologiya — Pediatric pharmacology. 2020;17(4):303–317. (In Russ).] doi: https://doi.org/10.15690/pf.v17i4.2159
- Sentner CP, Hoogeveen IJ, Weinstein DA, et al. Glycogen storage disease type III: diagnosis, genotype, management, clinical course and outcome. J Inherit Metab Dis. 2016;39(5):697–704. doi: https://doi.org/10.1007/s10545-016-9932-2
- Kishnani PS, Austin SL, Arn P, et al. Glycogen storage disease type III diagnosis and management guidelines. Genet Med. 2010;12(7): 446–463. doi: https://doi.org/10.1097/GIM.0b013e3181e655b6
- Labrador E, Weinstein DA. Glycogen storage disease type VI. In: Gene Reviews [Internet]. Adam MP, Pagon RA, Wallace SE, et al., eds. Seattle, WA: University of Washington, National Center for Biotechnology Information; 2009.
- Bali DS, Goldstein JL, Fredrickson K, et al. Variability of disease spectrum in children with liver phosphorylase kinase deficiency caused by mutations in the PHKG2 gene. Mol Genet Metab. 2014;111(3):309–313. doi: https://doi.org/10.1016/j.ymgme.2013.12.008
- Tsilianidis LA, Fiske LM, Siegel S, et al. Aggressive therapy improves cirrhosis in glycogen storage disease type IX. Mol Genet Metab. 2013;109(2):179–182. doi: https://doi.org/10.1016/j.ymgme.2013.03.009
- Баранов А.А., Намазова-Баранова Л.С., Сурков А.Н. и др. Гликогеновая болезнь у детей: учебное пособие. М.: — ПедиатрЪ; 2012. — 128 с. [Baranov AA, Namazova-Baranova LS, Surkov AN, et al. Glikogenovaya bolezn’ u detei: Study guide. Moscow, Pediatr; 2012. 128 p. (In Russ).]
- Weinstein DA, Correia CE, Saunders AC, Wolfsdorf J. Hepatic glycogen synthase deficiency: an infrequently recognized cause of ketotic hypoglycemia. Mol Genet Metab. 2005;87(4):284–288. doi: https://doi.org/10.1016/j.ymgme.2005.10.006
- Santer R, Steinmann B, Schaub J. Fanconi–Bickel syndrome — a congenital defect of facilitative glucose transport. Curr Mol Med. 2002;2(2):213–227. doi: https://doi.org/10.2174/1566524024605743
- Сурков А.Н., Черников В.В., Силонян А.Л. Качество жизни как критерий оценки состояния здоровья детей с болезнями накопления гликогена // Педиатрия. Журнал имени Г.Н. Сперанского. — 2019. — Т. 98. — № 6. — С. 220–227. [Surkov AN, Chernikov VV, Silonyan AL. Quality of life as a criterion for assessing the health status of children with glycogen storage diseases. Pediatria. Journal n.a. G.N. Speransky. 2019;98(6):220–227. (In Russ).]
- Сурков А.Н., Черников В.В., Баранов А.А. и др. Результаты оценки качества жизни детей с печеночной формой гликогеновой болезни // Педиатрическая фармакология. — 2013. — Т. 10. — № 4. — С. 90–94. — doi: https://doi.org/10.15690/pf.v10i4.759 [Surkov AN, Chernikov VV, Baranov AA, et al. Results of Life Quality Evaluation in Children with Hepatic Variant of Glycogen Disease. Pediatricheskaya farmakologiya — Pediatric pharmacology. 2013;10(4):90–94. (In Russ).] doi: https://doi.org/10.15690/pf.v10i4.759
- Himwich HE, Baker Z, Fazekas JF. Respiratory metabolism of infant brain. Am J Physiol. 1939;125:601–606.
- Schwartz R, Ashmore J, Renold AE. Galactose tolerance in glycogen storage disease. Pediatr. 1957;19(4 Pt 1):585–595.
- Derks TGJ, Nemeth A, Adrian K, et al. Hepatic glycogen storage diseases: toward one global collaborative network. J Inborn Errors Metab Screen. 2017;5(5):1–4. doi: https://doi.org/10.1177/2326409817733009
- Sexton AW, Marchioro TL, Waddell WR. Liver deglycogenation after portacaval transposition. Surg Forum. 1964;15:120–122.
- Starzl TE, Marchioro TL, Sexton AW, et al. The effect of portacaval transposition on carbohydrate metabolism: experimental and clinical observations. Surgery. 1965;57:687–697.
- Riddell AG, Davies RP, Clark AD. Portacaval transposition in the treatment of glycogen storage disease. Lancet. 1966;2(7474):1146. doi: https://doi.org/10.1016/s0140-6736(66)90470-3
- Starzl TE, Brown BI, Blanchard H, Brettschneider L. Portal diversion in glycogen storage disease. Surgery. 1969;65(3):504–506.
- Folkman J, Philippart A, Tze WJ, Crigler J. Portacaval shunt for glycogen storage disease: value of prolonged intravenous hyperalimentation before surgery. Surgery. 1972;72(2):306–314.
- Greene HL, Slonim AE, OʼNeill JA Jr, Burr IM. Continuous nocturnal intragastric feeding for management of type I glycogen storage disease. N Engl J Med. 1976;294(8):1125–1129. doi: https://doi.org/10.1056/NEJM197602192940805
- Burr IM, OʼNeill JA, Karzon DT, et al. Comparison of the effects of total parenteral nutrition compared to portacaval shunt on a patient with type I glycogen storage disease. J Pediatr. 1974;85(6):792–795. doi: https://doi.org/10.1016/s0022-3476(74)80342-2
- Bier DM, Leake RD, Haymond MW, et al. Measurement of “true” glucose production rates in infancy and childhood with 6,6-dideuteroglucose. Diabetes. 1977;26(11):1016–1023. doi: https://doi.org/10.2337/diab.26.11.1016
- Fernandes J, Leonard JV, Moses SW, et al. Glycogen storage disease: recommendations for treatment. Eur J Pediatr. 1988;147(3): 226–228. doi: https://doi.org/10.1007/BF00442683
- Derks TGJ, Martens DH, Sentner CP, et al. Dietary treatment of glycogen storage disease type Ia: uncooked cornstarch and/or continuous nocturnal gastric drip-feeding? Mol Genet Metab. 2013;109(1):1–2. doi: https://doi.org/10.1016/j.ymgme.2013.02.005
- Phillips A. More questions: 10 years later from glycogen storage disease patient support groups in Europe. Eur J Pediatr. 2002; 161(Suppl 1):102–105. doi: https://doi.org/10.1007/BF02680005
- Ross KM, Brown LM, Corrado MM, et al. Safety and efficacy of chronic extended release cornstarch therapy for glycogen storage disease type I. JIMD Rep. 2015;26:85–90. doi: https://doi.org/10.1007/8904_2015_488
- Chen YT, Cornblath M, Sidbury JB. Cornstarch therapy in type I glycogen storage disease. N Engl J Med. 1984;310(3):171–175. doi: https://doi.org/10.1056/NEJM198401193100306
- Crigler JF, Folkman JI. Glycogen storage disease: new approaches to therapy. Ciba Found Symp. 1978;(55):331–351. doi: https://doi.org/10.1002/9780470720363.ch17
- Rake J, Visser G, Labrune P, et al. Guidelines for management of glycogen storage disease type I — European Study on Glycogen Storage Disease Type I (ESGSD I). Eur J Pediatr. 2002;161(Suppl 1): 112–119. doi: https://doi.org/10.1007/s00431-002-1016-7
- Wolfsdorf JI, Plotkin RA, Laffel LM, Crigler JF Jr. Continuous glucose for treatment of patient with type 1 glycogen-storage disease: comparison of the effects of dextrose and uncooked cornstarch on biochemical variables. Am J Clin Nutr. 1990;52(6):1043–1050. doi: https://doi.org/10.1093/ajcn/52.6.1043
- Kishnani PS, Boney A, Chen YT. Nutritional deficiencies in a patient with glycogen storage disease type Ib. J Inherit Metab Dis. 1999;22(7):795–801. doi: https://doi.org/10.1023/a:1005549823146
- Colonetti K, Bento dos Santos B, Nalin T, et al. Hepatic glycogen storage diseases are associated to microbial dysbiosis. PLoS One. 2019;14(4):e0214582. doi: https://doi.org/10.1371/journal.pone.0214582
- Weinstein DA, Wolfsdorf JI. Effect of continuous glucose therapy with uncooked cornstarch on the long-term clinical course of type Ia glycogen storage disease. Eur J Pediatr. 2002;161 Suppl 1: S35–S39. doi: https://doi.org/10.1007/s00431-002-1000-2
- Wolfsdorf JI, Holm IA, Weinstein DA. Glycogen storage diseases: phenotypic, genetic, and biochemical characteristics and therapy. Endocrinol Metab Clin North Am. 1999;28(4):801–823. doi: https://doi.org/10.1016/s0889-8529(05)70103-1
- Weinstein DA, Koeberl DD, Wolfsdorf JI. Inborn errors of metabolism: type I glycogen storage disease. In: National Organization of Rare Diseases Guide to Rare Disorders. Gruson ES, ed. Philadelphia, PA: Lippincott Williams & Wilkins; 2003. pp. 450–451.
- Heller S, Worona L, Consuelo A. Nutritional therapy for glycogen storage diseases. J Pediatr Gastroenterol Nutr. 2008;47(Suppl. 1): 15–21. doi: https://doi.org/10.1097/MPG.0b013e3181818ea5
- Kishnani PS, Austin SL, Abdenur JE, et al. Diagnosis and management of glycogen storage disease type I: a practice guideline of the American College of Medical Genetics and Genomics. Genet Med. 2014;16(11):e1. doi: https://doi.org/10.1038/gim.2014.128
- Correia CE, Bhattacharya K, Lee PJ, et al. Use of modified cornstarch therapy to extend fasting in glycogen storage disease types Ia and Ib. Am J Clin Nutr. 2008;88(5):1272–1276. doi: https://doi.org/10.3945/ajcn.2008.26352
- Rousseau-Nepton I, Huot C, Laforte D, et al. Sleep and quality of life of patients with glycogen storage disease on standard and modified uncooked cornstarch. Mol Genet Metab. 2018;123(3): 326–330. doi: https://doi.org/10.1016/j.ymgme.2017.09.003
- Ross KM, Brown LM, Corrado MM, et al. Safety and efficacy of long-term use of extended release cornstarch therapy for glycogen storage disease types 0, III, VI, and IX. J Nutri Thera. 2015;4(4): 137–142. doi: https://doi.org/10.6000/1929-5634.2015.04.04.5
- Bhattacharya K, Orton RC, Qi X, et al. A novel starch for the treatment of glycogen storage diseases. J Inherit Metab Dis. 2007; 30(3):350–357. doi: https://doi.org/10.1007/s10545-007-0479-0
- Bhattacharya K. Investigation and management of the hepatic glycogen storage diseases. Transl Pediatr. 2015;4(3):240–248. doi: https://doi.org/10.3978/j.issn.2224-4336.2015.04.07
- Luat AF, Coyle L, Kamat D. The ketogenic diet: a practical guide for pediatricians. Pediatr Ann. 2016;45(12):e446–e450. doi: https://doi.org/10.3928/19382359-20161109-01
- Derks TGJ, van Rijn M. Lipids in hepatic glycogen storage diseases: pathophysiology, monitoring of dietary management and future directions. J Inherit Metab Dis. 2015;38(3):537–543. doi: https://doi.org/10.1007/s10545-015-9811-2
- Ontko JA, Johns ML. Evaluation of malonyl-CoA in the regulation of long-chain fatty acid oxidation in the liver. Evidence for an unidentified regulatory component of the system. Biochem J. 1980; 192(3):959–962. doi: https://doi.org/10.1042/bj1920959
- Valayannopoulos V, Bajolle F, Arnoux JB, et al. Successful treatment of severe cardiomyopathy in glycogen storage disease type III with d,l-3-hydroxybutyrate, ketogenic and high-protein diet. Pediatr Res. 2011;70(6):638–641. doi: https://doi.org/10.1203/PDR.0b013e318232154f
- Sentner CP, Caliskan K, Vletter WB, Smit GP. Heart failure due to severe hypertrophic cardiomyopathy reversed by low calorie, high protein dietary adjustments in a glycogen storage disease type IIIa patient. JIMD Rep. 2012;5:13–16. doi: https://doi.org/10.1007/8904_2011_111
- Fernandes J, Huijing F. Branching enzyme-deficiency glycogenosis: studies in therapy. Arch Dis Child. 1968;43(229):347–352. doi: https://doi.org/10.1136/adc.43.229.347
- Leonard JV, Frances DE, Dunger DB. The dietary management of hepatic glycogen storage disease. Proc Nutr Soc. 1979;38(3): 321–324. doi: https://doi.org/10.1079/pns19790055
- Slonim AE, Coleman RA, Moses WS. Myopathy and growth failure in debrancher enzyme deficiency: improvement with high-protein nocturnal enteral therapy. J Pediatr. 1984;105(6):906–911. doi: https://doi.org/10.1016/s0022-3476(84)80075-x
- Okechuku GO, Shoemaker LR, Dambska M, et al. Tight metabolic control plus ACE inhibitor therapy improves GSD I nephropathy. J Inherit Metab Dis. 2017;40(5):703–708. doi: https://doi.org/10.1007/s10545-017-0054-2
- Kishnani PS, Goldstein J, Austin SL, et al. Diagnosis and management of glycogen storage diseases type VI and IX: a clinical practice resource of the American College of Medical Genetics and Genomics (ACMG). Genet Med. 2019;21(4):772–789. doi: https://doi.org/10.1038/s41436-018-0364-2
- Gupta N, Nambam B, Weinstein DA. Late diagnosis of Fanconi–Bickel syndrome: challenges with the diagnosis and literature review. J Inborn Errors Metab Screen. 2016;4(6):1–6. doi: https://doi.org/10.1177/2326409816679430
- Minarich LA, Silverstein J. Vitamin D update: shining light on the debate. Contemp Pediatr. 2011;28(3):46–55.
- Melis D, Minopoli G, Balivo F, et al. Vitamin E improves clinical outcome of patients affected by glycogen storage disease type Ib. JIMD Rep. 2016;25:39-45. doi: https://doi.org/10.1007/8904_2015_461
- Dambska M, Labrador EB, Kuo CL, Weinstein DA. Prevention of complications in glycogen storage disease type Ia with optimization of metabolic control. Pediatr Diabetes. 2017;18(5):327–331. doi: https://doi.org/10.1111/pedi.12540