Target intelligence / Profile preview

Glycogen phosphorylase, liver form (PYGL) (PYGL)

Target
PYGL
Molecular classification
Enzyme, Glycosyltransferase, Phosphorylase
01

Overview

Glycogen phosphorylase, liver form (PYGL) is a key metabolic enzyme that catalyzes the rate-limiting step of glycogenolysis in the liver, converting glycogen into glucose-1-phosphate (Wikipedia, 2024; UniProt, 2024). This process is vital for maintaining blood glucose levels during fasting and is tightly regulated by hormonal and allosteric signals (MedlinePlus, 2024). In type 2 diabetes, the liver often produces excessive glucose, contributing to chronic hyperglycemia, which has led to the investigation of PYGL as a therapeutic target (NIH, 2020). Inhibitors of PYGL are designed to suppress hepatic glucose output and improve glycemic control (PubMed, 2006). However, clinical development has faced hurdles due to safety concerns, as prolonged inhibition can cause significant glycogen accumulation in the liver (AstraZeneca, 2010). This accumulation may lead to hepatomegaly and elevated liver enzymes, similar to the symptoms observed in Hers disease, a genetic condition caused by PYGL deficiency (MedlinePlus, 2024).

Other names
Liver glycogen phosphorylaseHuman liver glycogen phosphorylaseHLGPGSD6Phosphorylase, glycogen, liver
02

Mechanism of action

Inhibition of hepatic glycogenolysis by targeting the liver isoform of glycogen phosphorylase to reduce hepatic glucose production and lower systemic blood glucose levels (NIH, 2020; PubMed, 2006).

03

Biological functions

Glycogenolysis (Wikipedia, 2024)Glucose homeostasis (UniProt, 2024)Carbohydrate metabolism (MedlinePlus, 2024)
04

Disease associations

Type 2 diabetes (NIH, 2020)Hers disease (Glycogen storage disease type VI) (MedlinePlus, 2024)Hepatocellular carcinoma (NIH, 2021)
05

Safety considerations

Hepatomegaly (NIH, 2010)Hepatic glycogen accumulation (NIH, 2010)Liver enzyme elevation (NIH, 2010)Potential for liver inflammation and fibrosis (NIH, 2010)Hypoglycemia (PubMed, 2006)
06

Interacting drugs

CP-91149

8 more in the full profile.

07

Biomarkers

Blood glucose (NIH, 2020)HbA1c (NIH, 2010)Liver glycogen content (NIH, 2010)Alanine aminotransferase (ALT) (NIH, 2010)Aspartate aminotransferase (AST) (NIH, 2010)

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