A balance of glucose uptake and secretion are important for life. Glucose
if the main fuel for the brain and red blood cells. When an organism is
not feeding (that is, when the individual is fasting) the body needs to
be able to synthesize glucose from glycogen or other non-carbohydrate sources.
F 1,6-BPase is essential to the conversion of these reserves to glucose.
The inhibition of F 1,6-BPase in mammals results in reduced levels of serum
glucose in the fasting state. Hence, F 1,6-BPase is a target for the development
of drugs in the treatment of non-insulin dependent diabetes, which afflicts
over 15 million people in the United States (7).
Inheritance
of F 1,6-BPase deficiency is autosomal recessive. The incidence is unknown.
The disorder results in fasting hypoglycemia, ketosis, and acidosis and
can be fatal in newborns. Febrile illness can trigger later episodes. The
enzymatic block leads to accumulation of gluconeogenic precursors--certain
amino acids, lactic acid, and ketoacids. Symptoms can be relieved by oral
glucose, or IV glucose if hypoglycemia is severe. Tolerance to fasting
generally improves with age (9). |
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