PMID- 31701076 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20200929 IS - 2471-254X (Electronic) IS - 2471-254X (Linking) VI - 3 IP - 11 DP - 2019 Nov TI - Liver Glycogen Phosphorylase Deficiency Leads to Profibrogenic Phenotype in a Murine Model of Glycogen Storage Disease Type VI. PG - 1544-1555 LID - 10.1002/hep4.1426 [doi] AB - Mutations in the liver glycogen phosphorylase (Pygl) gene are associated with the diagnosis of glycogen storage disease type VI (GSD-VI). To understand the pathogenesis of GSD-VI, we generated a mouse model with Pygl deficiency (Pygl (-/-)). Pygl (-/-) mice exhibit hepatomegaly, excessive hepatic glycogen accumulation, and low hepatic free glucose along with lower fasting blood glucose levels and elevated blood ketone bodies. Hepatic glycogen accumulation in Pygl (-/-) mice increases with age. Masson's trichrome and picrosirius red staining revealed minimal to mild collagen deposition in periportal, subcapsular, and/or perisinusoidal areas in the livers of old Pygl (-/-) mice (>40 weeks). Consistently, immunohistochemical analysis showed the number of cells positive for alpha smooth muscle actin (alpha-SMA), a marker of activated hepatic stellate cells, was increased in the livers of old Pygl (-/-) mice compared with those of age-matched wild-type (WT) mice. Furthermore, old Pygl (-/-) mice had inflammatory infiltrates associated with hepatic vessels in their livers along with up-regulated hepatic messenger RNA levels of C-C chemokine ligand 5 (Ccl5/Rantes) and monocyte chemoattractant protein 1 (Mcp-1), indicating inflammation, while age-matched WT mice did not. Serum levels of aspartate aminotransferase and alanine aminotransferase were elevated in old Pygl (-/-) mice, indicating liver damage. Conclusion: Pygl deficiency results in progressive accumulation of hepatic glycogen with age and liver damage, inflammation, and collagen deposition, which can increase the risk of liver fibrosis. Collectively, the Pygl-deficient mouse recapitulates clinical features in patients with GSD-VI and provides a model to elucidate the mechanisms underlying hepatic complications associated with defective glycogen metabolism. CI - (c) 2019 The Authors. Hepatology Communications published by Wiley Periodicals, Inc., on behalf of the American Association for the Study of Liver Diseases. FAU - Wilson, Lane H AU - Wilson LH AD - Glycogen Storage Disease Program Department of Pediatrics University of Connecticut School of Medicine Farmington CT. FAU - Cho, Jun-Ho AU - Cho JH AD - Glycogen Storage Disease Program Department of Pediatrics University of Connecticut School of Medicine Farmington CT. FAU - Estrella, Ana AU - Estrella A AD - Glycogen Storage Disease Program Department of Pediatrics University of Connecticut School of Medicine Farmington CT. FAU - Smyth, Joan A AU - Smyth JA AD - Connecticut Veterinary Medical Diagnostic Laboratory Department of Pathobiology and Veterinary Science University of Connecticut Storrs CT. FAU - Wu, Rong AU - Wu R AD - Biostatistics Center Connecticut Convergence Institute for Translation in Regenerative Engineering University of Connecticut Health Center Farmington CT. FAU - Chengsupanimit, Tayoot AU - Chengsupanimit T AD - Glycogen Storage Disease Program University of Florida College of Medicine Gainesville FL. FAU - Brown, Laurie M AU - Brown LM AD - Glycogen Storage Disease Program University of Florida College of Medicine Gainesville FL. FAU - Weinstein, David A AU - Weinstein DA AD - Glycogen Storage Disease Program Department of Pediatrics University of Connecticut School of Medicine Farmington CT. AD - Glycogen Storage Disease Program Connecticut Children's Medical Center Hartford CT. FAU - Lee, Young Mok AU - Lee YM AUID- ORCID: 0000-0002-6304-8883 AD - Glycogen Storage Disease Program Department of Pediatrics University of Connecticut School of Medicine Farmington CT. LA - eng PT - Journal Article DEP - 20190924 PL - United States TA - Hepatol Commun JT - Hepatology communications JID - 101695860 PMC - PMC6824077 EDAT- 2019/11/09 06:00 MHDA- 2019/11/09 06:01 PMCR- 2019/09/24 CRDT- 2019/11/09 06:00 PHST- 2019/03/13 00:00 [received] PHST- 2019/08/27 00:00 [accepted] PHST- 2019/11/09 06:00 [entrez] PHST- 2019/11/09 06:00 [pubmed] PHST- 2019/11/09 06:01 [medline] PHST- 2019/09/24 00:00 [pmc-release] AID - HEP41426 [pii] AID - 10.1002/hep4.1426 [doi] PST - epublish SO - Hepatol Commun. 2019 Sep 24;3(11):1544-1555. doi: 10.1002/hep4.1426. eCollection 2019 Nov.