High liver glycogen in hereditary fructose intolerance

A case of hereditary fructose intolerance is reported in a girl aged 2 years at the time of her death. She had apparently progressed normally until the age of 14 months. At 19 months she was admitted to hospital with failure to thrive, hepatomegaly, and superficial infections. Investigations revealed hypoglycaemia, persistent acidosis, aminoaciduria, and a high liver glycogen level which suggested that she had glycogen storage disease. There was also some evidence of malabsorption. At necropsy the liver enzyme estimations showed that fructose 1-phosphate aldolase activity was absent and that fructose 1,6-diphosphate aldolase activity was reduced. Hereditary fructose intolerance and glycogen storage disease have been confused in the past on clinical grounds, but a high liver glycogen level has not previously been reported in hereditary fructose intolerance.

Metabolism of heat-damaged proteins in the rat. influence of heat damage on the excretion of amino acids and peptides in the urine

1. Freeze-dried cod muscle and casein were subjected to various conditions of heat treat-ment. Diets containing the different products, or the unheated materials, were given to a group of four adult male rats during successive 48 h periods, and urine was collected during the second 24 h of each 48 h period. A further collection of urine was made from the rats after they had been given protein isolated from heated skim-milk powder. The content and amino acid composition of the ‘peptide’ and ‘free amino acids’ in the urines were determined.

2. Heat damage to the cod-fillet protein increased the total urinary excretion of peptide-bound amino acids, from 18·6 to 48·8 µmol/rat.d. The composition of the peptide also changed, and in particular there was a marked increase in lysine, from 2·98 to 20·30 µmol %. Three amino acids - lysine, aspartic acid and glutamic acid - together comprised nearly 70 % of the total amino acid residues. There was a corresponding increase in urinary excretion of free amino acids, from 53·7 to I 14·4 µmol/rat.d. The combined losses of lysine in urinary peptide and free amino acids were 1·5 % of the total lysine ingested, as against 0·3 % for the unheated cod fillet.

3. The effects of similar heat treatment of casein on the composition of the urinary peptide and free amino acids were less marked. There was no increase in total urinary peptide excretion and there was a smaller increase in the lysine content of the peptide.

4. In urine of rats given protein isolated from heated skim-milk powder, the peptide hydro-lysate was rich in lysine and in furosine, which together comprised 41 mol % of the total amino acid composition. These compounds were presumably formed, together with a smaller quantity of pyridosine, from lysine-carbohydrate complex in the urine. It is probable that, as compared with free lysine, the lysine-carbohydrate complex was absorbed relatively in-efficiently from the rat intestine.

5. The findings are discussed in relation to the wider question of the metabolism of the ‚unavailable peptide’ that is released in the course of digestion of heat-damaged protein.