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Glycogen Synthesis
   Glycogen synthase
   Glycogen branching enzyme
GS ~ BE
↑GS Or ↓BE
↑GS Or ↓BE
Adult
                     Polyglucosan
Lafora Disease ↑GS   Body Disease
                     ↓BE
GS   ~   BE
GS ~ BE
PTG


     PP1




GS
PTG -/-               Laforin -/-




            X




     PTG -/- Laforin -/-
0.3
           LKO
0.25       DKO

 0.2


0.15


 0.1


0.05


  0    1
GS   ~   BE
PTG -/-                  Malin -/-




            X




     PTG -/- Malin -/-
Adult
                 Polyglucosan
Lafora Disease   Body Disease
Glycogen synthase
Glycogen synthase
Adult
Polyglucosan
Body Disease
GS ~ BE
PTG -/-             GBE1 -/-




           X




     PTG -/- GBE1 -/-
Small molecule
                 Glycogen synthase
siRNA
Amylase +/+           GBE1 -/-




              X




    Amylase +/+ GBE1 -/-
Summary
Experiment I: GBE-/- x        Experiment II: GBE-/- x          Experiment III: Introducing
  PTG-/-                        Amylase +/+                      amylase (or other) across
                                                                 the blood brain barrier

  Will prove whether            Will prove whether
                                introducing amylase into       This experiment would be
  downregulating GS             neurons clears                   the way to actually apply
  STOPS and PREVENTS            polyglucosans and cures          the previous experiment,
  APBD.                         APBD.                            and introduce amylase
                                                                 into the brain and
                                                                 neurons and eliminate
  Will focus subsequent         Will focus subsequent work       polyglucosan bodies.
  work on finding a small       on finding a way to
  molecule that interferes      introduce amylase into the
  with and slows GS             brain, ONLY ONCE.
                                Single introduction should
  activity.                     clear polyglucosans
                                accumulated for 50 years
                                and thus allow freedom
  Polyglucosan                  from disease for the next 50
  accumulation is probably      years.
  a NET accumulation, i.e.
  the difference between
  their production and
  elimination. Potentially,
  stopping production could
  result in natural gradual
  elimination, and cure.

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Glycogen Synthesis

  • 1.
  • 2.
  • 3.
  • 4.
  • 5.
  • 6. Glycogen Synthesis Glycogen synthase Glycogen branching enzyme
  • 7.
  • 9.
  • 12.
  • 13. Adult Polyglucosan Lafora Disease ↑GS Body Disease ↓BE
  • 14. GS ~ BE
  • 16. PTG PP1 GS
  • 17. PTG -/- Laforin -/- X PTG -/- Laforin -/-
  • 18. 0.3 LKO 0.25 DKO 0.2 0.15 0.1 0.05 0 1
  • 19.
  • 20.
  • 21.
  • 22.
  • 23.
  • 24.
  • 25.
  • 26. GS ~ BE
  • 27.
  • 28. PTG -/- Malin -/- X PTG -/- Malin -/-
  • 29.
  • 30. Adult Polyglucosan Lafora Disease Body Disease
  • 35. PTG -/- GBE1 -/- X PTG -/- GBE1 -/-
  • 36. Small molecule Glycogen synthase siRNA
  • 37.
  • 38.
  • 39.
  • 40.
  • 41. Amylase +/+ GBE1 -/- X Amylase +/+ GBE1 -/-
  • 42.
  • 43.
  • 44.
  • 45. Summary Experiment I: GBE-/- x Experiment II: GBE-/- x Experiment III: Introducing PTG-/- Amylase +/+ amylase (or other) across the blood brain barrier Will prove whether Will prove whether introducing amylase into This experiment would be downregulating GS neurons clears the way to actually apply STOPS and PREVENTS polyglucosans and cures the previous experiment, APBD. APBD. and introduce amylase into the brain and neurons and eliminate Will focus subsequent Will focus subsequent work polyglucosan bodies. work on finding a small on finding a way to molecule that interferes introduce amylase into the with and slows GS brain, ONLY ONCE. Single introduction should activity. clear polyglucosans accumulated for 50 years and thus allow freedom Polyglucosan from disease for the next 50 accumulation is probably years. a NET accumulation, i.e. the difference between their production and elimination. Potentially, stopping production could result in natural gradual elimination, and cure.