Novel SLC37A4 Mutations in Korean Patients With Glycogen Storage Disease lb

Abstract

Background: Molecular techniques are fundamental for establishing an accurate diagnosis and therapeutic approach of glycogen storage diseases (GSDs). We aimed to evaluate SLC37A4 mutation spectrum in Korean GSD lb patients. Methods: Nine Korean patients from eight unrelated families with GSD lb were included. SLC37A4 mutations were detected in all patients with direct sequencing using a PCR method and/or whole-exome sequencing. A comprehensive review of previously reported SLC37A4 mutations was also conducted. Results: Nine different pathogenic SLC37A4 mutations were identified in the nine patients with GSD lb. Among them, four novel mutations were identified: c.148G > A (pGly50Arg), c.320G > A (p.Trp107*), c.412T > C (p.Trp138Arg), and c.818G > A (p.Gly273Asp). The most common mutation type was missense mutations (66.7%, 6/9), followed by nonsense mutations (22.2%, 2/9) and small deletion mutations (11.1%, 1/9). The most common mutation identified in the Korean population was c.443C > T (p.A1a148Val), which comprised 39.9% (7/18) of all tested alleles. This mutation has not been reported in GSD lb patients in other ethnic populations. Conclusions: This study expands knowledge of the SLC37A4 mutation spectrum in Korean patients with GSD lb.