AGL Gene (Amylo-Alpha-1,6-Glucosidase, 4-Alpha-Glucanotransferase)

Glycogen Debranching Enzyme: Genetic Variants, Function, and Clinical Significance in Glycogen Storage Disease Type III

Gene Information Card

Symbol AGL
Full Name Amylo-alpha-1,6-glucosidase, 4-alpha-glucanotransferase
Gene Type Protein coding
Chromosomal Location 1p21.2
NCBI Gene ID 178 ncbi.nlm.nih.gov/gene/178
Ensembl ID ENSG00000162688
UniProt ID P35573
OMIM ID 610860
HGNC ID 341
Aliases GDE, glycogen debranching enzyme

Description

The AGL gene encodes the glycogen debranching enzyme (GDE), a bifunctional enzyme with amylo-1,6-glucosidase and 4-alpha-glucanotransferase activities. This enzyme is essential for glycogen degradation, cleaving alpha-1,6-glycosidic bonds at branch points. Mutations in AGL cause glycogen storage disease type III (GSD III, Cori disease), characterized by accumulation of abnormal glycogen (limit dextrin) in liver and muscle.

Disease Associations

Disease category Pathophysiological mechanism Genomic evidence
Glycogen storage disease type III (Cori disease) Loss-of-function mutations in AGL impair glycogen debranching, leading to accumulation of phosphorylase-limit dextrin in liver, muscle, and heart. Results in hypoglycemia, hepatomegaly, myopathy, and cardiomyopathy. ClinVar, OMIM
Glycogen storage disease type IIIa Mutations affecting both liver and muscle isoforms (most common form). ClinVar, OMIM
Glycogen storage disease type IIIb Mutations primarily affecting the liver isoform, sparing muscle. ClinVar, OMIM

Expression Profile

Tissue Expression
Tissue nTPM level
Liver 12.5 Medium
Skeletal muscle 8.3 Medium
Heart 6.1 Low
Kidney 4.2 Low
Brain 2.8 Low
Cell Line Expression
Cell Line nTPM Notes
HepG2 (liver) 15.2 High expression
RH-30 (muscle) 9.7 Medium expression
K-562 (bone marrow) 3.1 Low expression
Data source:Human Protein Atlas(proteinatlas.org)

Mutations & Variants

Hotspot Mutations
Variant Type Frequency Functional Description
c.2681+1G>A Splice donor Common in GSD IIIa Loss of function
c.4456delT Frameshift Reported in GSD IIIb Loss of function
p.Arg864* Nonsense Found in multiple populations Loss of function
c.1735+1G>T Splice donor Associated with severe phenotype Loss of function
Mutation functional classification

Loss of Function (LOF)

Most AGL mutations are loss-of-function, leading to deficient glycogen debranching enzyme activity and accumulation of limit dextrin.

Gain of Function (GOF)

No gain-of-function mutations reported for AGL.

Dominant Negative (DN)

No dominant-negative mutations reported; GSD III is autosomal recessive.

Gene Ontology (GO)

• Amylo-alpha-1 • 6-glucosidase activity (GO:0004133)
• 4-alpha-glucanotransferase activity (GO:0004134) • Glycogen debranching enzyme activity (GO:0004135)
• Glycogen catabolic process (GO:0005981) • Cytoplasm (GO:0005737)

Pathways

Glycogen degradation (Reactome: R-HSA-71387)
Metabolism of carbohydrates (Reactome: R-HSA-71387)

Protein Summary

The AGL protein (UniProt P35573) is a 1532-amino acid bifunctional enzyme that catalyzes two sequential reactions in glycogen degradation: (1) 4-alpha-glucanotransferase activity transfers a maltotriosyl unit from a branch to a nearby chain, and (2) amylo-1,6-glucosidase activity hydrolyzes the alpha-1,6-glycosidic bond at the branch point. The enzyme is expressed as multiple isoforms due to alternative splicing, with tissue-specific variants in liver and muscle. Deficiency leads to glycogen storage disease type III.

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Displaying Records 1 To 15 Of 40 Records
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