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Publication : Characterization of liver GSD IX γ2 pathophysiology in a novel Phkg2<sup>-/-</sup> mouse model.

First Author  Gibson RA Year  2021
Journal  Mol Genet Metab Volume  133
Issue  3 Pages  269-276
PubMed ID  34083142 Mgi Jnum  J:322722
Mgi Id  MGI:7259924 Doi  10.1016/j.ymgme.2021.05.008
Citation  Gibson RA, et al. (2021) Characterization of liver GSD IX gamma2 pathophysiology in a novel Phkg2(-/-) mouse model. Mol Genet Metab 133(3):269-276
abstractText  INTRODUCTION: Liver Glycogen Storage Disease IX is a rare metabolic disorder of glycogen metabolism caused by deficiency of the phosphorylase kinase enzyme (PhK). Variants in the PHKG2 gene, encoding the liver-specific catalytic gamma2 subunit of PhK, are associated with a liver GSD IX subtype known as PHKG2 GSD IX or GSD IX gamma2. There is emerging evidence that patients with GSD IX gamma2 can develop severe and progressive liver disease, yet research regarding the disease has been minimal to date. Here we characterize the first mouse model of liver GSD IX gamma2. METHODS: A Phkg2(-/-) mouse model was generated via targeted removal of the Phkg2 gene. Knockout (Phkg2(-/-), KO) and wild type (Phkg2(+/+), WT) mice up to 3 months of age were compared for morphology, Phkg2 transcription, PhK enzyme activity, glycogen content, histology, serum liver markers, and urinary glucose tetrasaccharide Glcalpha1-6Glcalpha1-4Glcalpha1-4Glc (Glc4). RESULTS: When compared to WT controls, KO mice demonstrated significantly decreased liver PhK enzyme activity, increased liver: body weight ratio, and increased glycogen in the liver, with no glycogen accumulation observed in the brain, quadricep, kidney, and heart. KO mice demonstrated elevated liver blood markers as well as elevated urine Glc4, a commonly used biomarker for glycogen storage disease. KO mice demonstrated features of liver structural damage. Hematoxylin & Eosin and Masson's Trichrome stained KO mice liver histology slides revealed characteristic GSD hepatocyte architectural changes and early liver fibrosis, as have been reported in liver GSD patients. DISCUSSION: This study provides the first evidence of a mouse model that recapitulates the liver-specific pathology of patients with GSD IX gamma2. The model will provide the first platform for further study of disease progression in GSD IX gamma2 as well as for the evaluation of novel therapeutics.
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