Abstract
Lafora disease is a juvenile-onset, fatal epilepsy that is characterized by the formation of Lafora bodies in many tissues, including skeletal muscle, heart, and neurons. Lafora bodies are insoluble deposits that contain polyglucosan, a poorly branched form of glycogen, and associated proteins. Evidence is mounting that Lafora bodies either cause or contribute to the pathology of the disease. It is a genetic disease caused by mutation in one of two genes, EPM2A and EPM2B, which encode, respectively, a phosphatase called laforin and an E3 ubiquitin ligase called malin. Laforin is a phosphatase of the atypical dual specificity phosphatase subfamily that, in vitro and in vivo, removes phosphate monoesters from glycogen. Normal glycogen contains trace amounts of phosphate introduced as a minor side reaction by the synthetic enzyme, glycogen synthase. In laforin knockout mice, glycogen becomes hyperphosphorylated and, as the mice age, acquires structural abnormalities and the tendency to come out of solution, consistent with Lafora body formation. Mutation of malin or laforin results in similar symptoms in patients and malin and laforin knockout mice exhibit phenotypic similarity in terms of neurological defects and abnormal glycogen metabolism, including hyperphosphorylation and Lafora body formation.
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Abbreviations
- AGL:
-
Glycogen debranching enzyme and gene
- AMPK:
-
AMP-activated protein kinase
- CBM:
-
Carbohydrate-binding module
- GAA:
-
Lysosomal α-glucosidase and gene
- GABARAP:
-
Gamma aminobutyric acid receptor-associated protein
- GABARAPL1:
-
GABARAP-like 1
- GL:
-
Product of PPP1R3B gene
- GSD:
-
Glycogen storage disease
- GSK-3:
-
Glycogen synthase kinase 3
- mTOR:
-
Mammalian target of rapamycin
- PAS:
-
Periodic acid-Schiff
- PTEN:
-
Phosphatase and tensin homolog
- PTG:
-
Protein targeting-to-glycogen product of the PPP1R3C gene
- R6:
-
Product of the PPP1R3D gene
- SEX4:
-
Starch excess 4
- Stbd1:
-
Starch-binding domain-containing protein 1 also called genethonin 1
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Acknowledgments
Research from the authors’ laboratories was supported by NIH grants R37 DK27221, R01 NS056454, and R21 HL108301.
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Roach, P.J., DePaoli-Roach, A.A. (2013). Glycogen Metabolism and Lafora Disease. In: Bence, K. (eds) Protein Tyrosine Phosphatase Control of Metabolism. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-7855-3_13
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