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Radiochemical Assessment of Glycogen Synthase Enzyme Activity in Animal Tissue
Published on: October 24, 2025
3-methyglutaconic aciduria in a Chinese patient with glycogen storage disease Ib
1Department of Chemical Pathology, The Chinese University of Hong Kong, Prince of Wales Hospital, N.T., Hong Kong, SAR. lklaw@mailserv.med.cuhk.edu.hk
Abstract:
We report elevated urinary excretion of 3-methylglutaconic (3MGC) and 3-methylglutaric acids (3MGR) in a patient with glycogen storage disease Ib. Combined excretion was 10-fold elevated in comparison to control during inadequate glucose maintenance, and still elevated following dietary improvement. 3MGC acid excretion correlated with plasma lactate and glucose. We speculate that imbalanced gluconeogenesis and de novo cholesterol synthesis result in secondarily increased 3MGC/3MGR production.
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