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Glycogen storage disease due to muscle beta-enolase deficiency(GSD13)

MedGen UID:
442873
Concept ID:
C2752027
Disease or Syndrome
Synonyms: Enolase 3 deficiency; Enolase-beta deficiency; Glycogen storage disease type 13; Glycogen Storage Disease Type XIII; GSD XIII; GSD13
Modes of inheritance:
Autosomal recessive inheritance
MedGen UID:
141025
Concept ID:
C0441748
Intellectual Product
Source: Orphanet
A mode of inheritance that is observed for traits related to a gene encoded on one of the autosomes (i.e., the human chromosomes 1-22) in which a trait manifests in individuals with two pathogenic alleles, either homozygotes (two copies of the same mutant allele) or compound heterozygotes (whereby each copy of a gene has a distinct mutant allele).
 
Gene (location): ENO3 (17p13.2)
 
Monarch Initiative: MONDO:0013046
OMIM®: 612932
Orphanet: ORPHA99849

Definition

Muscle beta-enolase deficiency is a glycolysis disorder reported in one patient to date and characterized clinically by exercise intolerance and myalgia due to severe enolase deficiency in muscle. [from ORDO]

Clinical features

From HPO
Myalgia
MedGen UID:
68541
Concept ID:
C0231528
Sign or Symptom
Pain in muscle.
Exercise intolerance
MedGen UID:
603270
Concept ID:
C0424551
Finding
A functional motor deficit where individuals whose responses to the challenges of exercise fail to achieve levels considered normal for their age and gender.
Elevated circulating creatine kinase concentration
MedGen UID:
69128
Concept ID:
C0241005
Finding
An elevation of the level of the enzyme creatine kinase (also known as creatine phosphokinase (CK; EC 2.7.3.2) in the blood. CK levels can be elevated in a number of clinical disorders such as myocardial infarction, rhabdomyolysis, and muscular dystrophy.
Increased muscle glycogen content
MedGen UID:
409660
Concept ID:
C1968729
Finding
An increased amount of glycogen in muscle tissue.
Reduced muscle enolase activity
MedGen UID:
1841611
Concept ID:
C5826543
Finding
Diminished activity of the enzyme enolase in muscle tissue. The enzyme enolase catalyzes the interconversion of 2-phosphoglycerate and phosphoenolpyruvate. In adult human muscle, over 90% of enolase activity is accounted for by the beta-enolase subunit, the protein product of the ENO3 gene.

Recent clinical studies

Diagnosis

Toscano A, Musumeci O
Acta Myol 2007 Oct;26(2):105-7. PMID: 18421897Free PMC Article

Therapy

Scarlato G, Comi GP
Curr Opin Neurol 2002 Oct;15(5):533-8. doi: 10.1097/00019052-200210000-00003. PMID: 12351996

Clinical prediction guides

Scarlato G, Comi GP
Curr Opin Neurol 2002 Oct;15(5):533-8. doi: 10.1097/00019052-200210000-00003. PMID: 12351996

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