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Impaired glucose homeostasis, neutrophil trafficking and function in mice lacking the glucose-6-phosphate transporter.

Abstract
Glycogen storage disease type Ib (GSD-Ib) is caused by a deficiency in the glucose-6-phosphate transporter (G6PT). In addition to disrupted glucose homeostasis, GSD-Ib patients have unexplained and unexpected defects in neutrophil respiratory burst, chemotaxis and calcium flux, in response to the bacterial peptide f-Met-Leu-Phe, as well as intermittent neutropenia. We generated a G6PT knockout (G6PT-/-) mouse that mimics all known defects of the human disorder and used the model to further our understanding of the pathogenesis of GSD-Ib. We demonstrate that the neutropenia is caused directly by the loss of G6PT activity; that chemotaxis and calcium flux, induced by the chemokines KC and macrophage inflammatory protein-2, are defective in G6PT-/- neutrophils; and that local production of these chemokines and the resultant neutrophil trafficking in vivo are depressed in G6PT-/- ascites during an inflammatory response. The bone and spleen of G6PT-/- mice are developmentally delayed and accompanied by marked hypocellularity of the bone marrow, elevation of myeloid progenitor cell frequencies in both organs and a corresponding dramatic increase in granulocyte colony stimulating factor levels in both GSD-Ib mice and humans. So, in addition to transient neutropenia, a sustained defect in neutrophil trafficking due to both the resistance of neutrophils to chemotactic factors, and reduced local production of neutrophil-specific chemokines at sites of inflammation, may underlie the myeloid deficiency in GSD-Ib. These findings demonstrate that G6PT is not just a G6P transport protein but also an important immunomodulatory protein whose activities need to be addressed in treating the myeloid complications in GSD-Ib patients.
AuthorsLi-Yuan Chen, Jeng-Jer Shieh, Baochuan Lin, Chi-Jiunn Pan, Ji-Liang Gao, Philip M Murphy, Thomas F Roe, Shimon Moses, Jerrold M Ward, Eric J Lee, Heiner Westphal, Brian C Mansfield, Janice Yang Chou
JournalHuman molecular genetics (Hum Mol Genet) Vol. 12 Issue 19 Pg. 2547-58 (Oct 01 2003) ISSN: 0964-6906 [Print] England
PMID12925567 (Publication Type: Journal Article)
Chemical References
  • Antiporters
  • Chemokines
  • Monosaccharide Transport Proteins
  • SLC37A4 protein, human
  • Slc37a4 protein, mouse
  • glucose 6-phosphate(transporter)
  • Glucose
  • Calcium
Topics
  • Animals
  • Antiporters (deficiency)
  • Calcium (metabolism)
  • Chemokines (metabolism)
  • Chemotaxis, Leukocyte
  • Disease Models, Animal
  • Genes, Recessive
  • Genetic Variation
  • Glucose (metabolism)
  • Glycogen Storage Disease Type I (etiology, pathology)
  • Homeostasis
  • Kidney (pathology)
  • Kinetics
  • Liver (pathology)
  • Mice
  • Mice, Knockout
  • Monosaccharide Transport Proteins (deficiency)
  • Neutropenia (etiology, physiopathology)
  • Neutrophils (metabolism)
  • Respiratory Burst
  • Restriction Mapping
  • Time Factors

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