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The precise prevalence of GSDVI is unknown. At least eleven instances have been reported in the medical literature, though this condition is more likely to be underdiagnosed as a result of it can be troublesome to detect in youngsters with mild symptoms or adults with no signs. GSDVI is extra common within the Old Older Mennonite population, with an estimated incidence of 1 in 1,000 individuals. Mutations within the PYGL gene trigger GSDVI. The PYGL gene provides directions for making an enzyme referred to as liver glycogen phosphorylase. This enzyme is found solely in liver cells, where it breaks down glycogen into a sort of sugar called glucose-1-phosphate. Additional steps convert glucose-1-phosphate into glucose, a simple sugar that's the principle energy supply for most cells in the body. PYGL gene mutations stop liver glycogen phosphorylase from breaking down glycogen effectively. Because liver cells can't break down glycogen into glucose, people with GSDVI can have hypoglycemia and should use fats for energy, leading to ketosis.
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