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Metabolic Diseases of Muscle

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Metabolic Diseases of Muscle
Phosphorylase Deficiency
Acid Maltase Deficiency
Phosphofructokinase Deficiency
Debrancher Enzyme Deficiency
Mitochondrial Myopathy
Carnitine Deficiency
Carnitine Palmityl Transferase Deficiency
Phosphoglycerate Kinase Deficiency
Phosphoglycerate Mutase Deficiency
Lactate Dehydrogenase Deficiency
Myoadenylate Deaminase Deficiency

 

Phosphorylase Deficiency
(McArdle's Disease)

Usual Age of Onset
Childhood to adolescence

Disease Characteristics
Muscle cramps often occur after exercise. Intense
exercise can cause muscle destruction and possible
damage to kidneys.

Reducing strenuous exercise can lessen severity.

Inheritance
Autosomal recessive, or caused by the contribution of a defective gene from each parent.

Phosphorylase deficiency occurs because of a genetic
defect in the phosphorylase enzyme, which affects the breakdown of glycogen, the stored form of glucose (sugar).

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Acid Maltase Deficiency
(Pompe's Disease)

Usual Age of Onset
Infancy to adulthood

Disease Characteristics
For infants, disease is generalized and severe with heart,
liver, and tongue enlargement common. Adult form involves weakness of upper arms, legs, trunk, and respiratory
muscles.

Progression varies.

Inheritance
Autosomal recessive, or by the contribution of a
defective gene from each parent.

Acid maltase deficiency is caused by a defect in the gene
for the acid maltase enzyme (also known as acid alpha-gluocosidase), which affects the storage and breakdown of glycogen.

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Phosphofructokinase Deficiency
(Tarui's Disease)

Usual Age of Onset
Childhood to adulthood

Disease Characteristics
Muscle fatigue which upon exercise can lead to severe
cramps, nausea, vomiting, muscle damage, and
discoloration of urine.

Progression varies.

Inheritance
Autosomal recessive, or disease develops by the
contribution of a defective gene from each parent.

Phosphofructokinase deficiency is caused by a genetic
defect in the phosphofructokinase enzyme, which affects the storage and breakdown of glucose.

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Debrancher Enzyme Deficiency
(Cori's or Forbes' Disease)

Usual Age of Onset
Early childhood to adulthood

Disease Characteristics
Generalized weakness and muscle wasting. Heart
involvement and enlarged liver may occur with infantile form. Episodes of low blood sugar are common.

Variable progression. Muscle symptoms may be delayed
until teens or adulthood.

Inheritance
Autosomal recessive, or disease develops by the
contribution of a defective gene from each parent.

Debrancher enzyme deficiency occurs because a genetic defect in the debrancher enzyme, which affects the
breakdown of glycogen, the stored form of glucose (sugar).

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Mitochondrial Myopathy

Usual Age of Onset
Early childhood to adulthood

Disease Characteristics
Generalized muscle weakness with droopy eyelids and
inability to walk. Brain is often involved, with seizures,
deafness, loss of balance and vision, and retardation
common.

Progression and severity vary widely.

Inheritance
Varies according to disease.

Mitochondrial myopathy is caused by defects in genes that produce proteins that process food into energy inside cells;
the protein affected determines which of the mitochondrial diseases is present.

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Carnitine Deficiency

Usual Age of Onset
Early childhood

Disease Characteristics
Varied weakness of shoulder, hip, face, and neck muscles.

Progression varies and carnitine supplementation
can be effective.

Inheritance
Autosomal recessive, or disease develops by the contribution of a defective gene from each parent.

Either a defect in a gene for a protein that brings carnitine
into the cell; or a deficiency of carnitine secondary to other metabolic diseases causes carnitine deficiency.

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Carnitine Palmityl Transferase Deficiency

Usual Age of Onset
Young adulthood

Disease Characteristics
Inability to sustain moderate prolonged exercise. Prolonged exercise and/or fasting can cause severe muscle destruction with urine discoloration and kidney damage.

Severity varies.

Inheritance
Autosomal recessive, or disease develops by the
contribution of a defective gene from each parent.

A genetic defect in the carnitine palmityl transferase enzyme, which affects the breakdown of free fatty acids causes
carnitine palmityl transferase deficiency.

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Phosphoglycerate Kinase Deficiency

Usual Age of Onset
Childhood to adolescence

Disease Characteristics
Muscle pain and weakness, with muscle damage and urine discoloration possible after vigorous exercise. Severity
varies.

Inheritance
X-linked recessive.

Phosphoglycerate kinase deficiency is caused by a genetic defect in the phosphoglycerate kinase enzyme, which affects the processing of carbohydrates for fuel.

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Phosphoglycerate Mutase Deficiency

Usual Age of Onset
Childhood to adulthood

Disease Characteristics
Muscular pain, cramps, muscle damage and urine
discoloration possible following intense exercise of brief duration.

Severity varies.

Inheritance
Autosomal recessive, or caused by the contribution of a defective gene from each parent.

Phosphoglycerate mutase deficiency occurs when there is a genetic defect in the phosphoglycerate mutase enzyme,
which affects the processing of carbohydrates for fuel.

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Lactate Dehydrogenase Deficiency
 

Usual Age of Onset
Childhood to adolescence

Disease Characteristics
Intolerance of intense exercise with muscle damage and
urine discoloration possible following strenuous physical activity.

Severity of disorder varies.

Inheritance
Autosomal recessive, or by the contribution of a defective
gene from each parent.

Lactate dehydrogenase deficiency is caused by a genetic defect in the lactate dehydogenase enzyme, which affects the processing of carbohydrates.

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Myoadenylate Deaminase Deficiency

Usual Age of Onset
Early adulthood to middle age

Disease Characteristics
Muscle fatigue and weakness during and after exertion, with muscle soreness or cramping.

Condition is nonprogressive and severity varies.

Inheritance
Autosomal recessive, or disease develops by the contribution of a defective gene from each parent.

Myoadenylate deaminase deficiency is caused by a genetic defect in the myoadenylate deaminase enzyme, which affects the cell's ability to recycle ATP.

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Neuromuscular Diseases included in MDA's Programs
Muscular Dystrophies
Motor Neuron Diseases
Inflammatory Myopathies
Diseases of Neuromuscular Junction
Diseases of Peripheral Nerves
Metabolic Diseases of Muscle
Myopathies Due to Endocrine Abnormalities
Other Myopathies

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