FB2026_03 , released September 17, 2026
Human Disease Model Report: glycogen storage disease IXa
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General Information
Name
glycogen storage disease IXa
FlyBase ID
FBhh0001650
Disease Ontology Term
Parent Disease
Overview

This report describes glycogen storage disease IXa. The human gene implicated is PHKA2, hich encodes the alpha-2 subunit of hepatic phosphorylase kinase. There is one high-scoring fly ortholog, Dmel\Phka, for which multiple genetic reagents, including classical alleles, RNAi-targeting constructs, and alleles caused by insertional mutagenesis have been generated.

The human gene PHKA2 has not been introduced into flies.

Null Dmel\Phka mutants exhibit larger and denser larval fat deposits and greater bouyancy than do control larvae. Null mutants exhibit elevated mitochondrial function around larval neuromuscular junctions.

[updated Aug. 2026 by FlyBase; FBrf0222196]

Disease Summary Information
Disease Summary: glycogen storage disease IXa
OMIM report

[GLYCOGEN STORAGE DISEASE IXa1; GSD9A1](https://omim.org/entry/306000)

Human gene(s) implicated

[PHOSPHORYLASE KINASE, LIVER, ALPHA-2 SUBUNIT; PHKA2](https://omim.org/entry/300798)

Symptoms and phenotype

Glycogen storage disease type IX (GSD9) is a metabolic disorder resulting from a deficiency of hepatic phosphorylase kinase, a hexadecameric enzyme comprising 4 copies each of 4 unique subunits encoded by 4 different genes: alpha (PHKA2), beta (PHKB), gamma (PHKG2), and delta (CALM1). Mutations within the PHKA2, PHKB, and PHKG2 genes result in GSD9A, GSD9B (MIM:261750), and GSD9C (MIM:613027), respectively. GSD IXa is an X-linked recessive disorder, whereas the others are autosomal recessive.

GSD IXa has been further divided into types IXa1 (GSD9A1), with no PHK activity in liver or erythrocytes, and IXa2 (GSD9A2), with no PHK in liver, but normal activity in erythrocytes. The clinical presentation of both subtypes is the same, and both are caused by mutations in the PHKA2 gene. However, mutations that result in IXa2 are either missense or small in-frame deletions or insertions enabling residual enzyme expression in erythrocytes (Keating et al., 1985, pubmed:3859203; Hendrickx et al., 1994, pubmed:7959740; Beauchamp et al., 2007, pubmed:17689125).

Glycogen storage disease IXa is one of the mildest of the glycogenoses of man. Clinical symptoms include hepatomegaly, growth retardation, elevation of glutamate-pyruvate transaminase and glutamate-oxaloacetate transaminase, hypercholesterolemia, hypertriglyceridemia, and fasting hyperketosis These clinical and biochemical abnormalities gradually disappear with age, and most adult patients are asymptomatic (Schimke et al., 1973, pubmed:4518931; Willems et al., 1990, pubmed:2303074). [from MIM:306000; 2026.08.05]

Genetics

Glycogen storage disease type IXa (GSD9A1) and type IXa2 (GSD9A2) are caused by mutation in the PHKA2 gene, which encodes the alpha-2 subunit of hepatic phosphorylase kinase, on chromosome Xp22. [from MIM:306000; 2026.08.05]

Cellular phenotype and pathology
Molecular information

The PHKA2 gene encodes the alpha subunit of hepatic phosphorylase kinase. Hepatic phosphorylase kinase is a hexadecameric enzyme comprising 4 copies each of 4 unique subunits encoded by 4 different genes: alpha (PHKA2), beta (PHKB, MIM:172490), gamma (PHKG2, (MIM:172471)), and delta. The delta subunit can be encoded by 3 different genes (CALM1, MIM:114180; CALM2, MIM:114182; or CALM3, MIM:114183). The PHKA1 (MIM:311870) and PHKG1 (MIM:172470) genes encode the alpha and gamma subunits, respectively, of muscle phosphorylase kinase; the beta subunit is the same in both isoforms. The gamma subunits contain the active site of the enzyme, whereas the alpha and beta subunits have regulatory functions controlled by phosphorylation. The delta subunit, which encodes calmodulin, mediates the dependence of the enzyme on calcium concentration (Beauchamp et al., 2007, pubmed:17689125). [from MIM:300798; 2026.08.05]

External links
Disease synonyms
glycogen storage disease IXa1
glycogen storage disease IXa2
glycogen storage disease VIII, formerly
GSD8, formerly
GSD9A1
GSD9A2
GSDIXa2, included
GSD VIII, formerly
liver glycogenosis, X-linked, type I
LIVER GLYCOGENOSIS, X-LINKED, TYPE II, included
XLG1
XLG2, included
Ortholog Information
Human gene(s) in FlyBase
    Human gene (HGNC)
    D. melanogaster ortholog (based on DIOPT)
    Comments on ortholog(s)

    One to one (1 human to 1 Drosophila); PHKA2 has one high-scoring Drosophila ortholog, Phka.

    Other mammalian ortholog(s) used
      D. melanogaster Gene Information (1)
      Molecular function (GO)
      Cellular component (GO)
      Gene Groups / Pathways
        Comments on ortholog(s)

        High-scoring ortholog of human PHKA1 and PHKA2 (1 Drosophila to 2 human).

        Orthologs and Alignments from DRSC
        DIOPT - DRSC Integrative Ortholog Prediction Tool - Click the link below to search for orthologs in Humans
        Other Genes Used: Viral, Bacterial, Synthetic (0)
          Summary of Physical Interactions (9 groups)
          protein-protein
          Interacting group
          Assay
          References
          experimental knowledge based
          experimental knowledge based
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          experimental knowledge based
          Alleles Reported to Model Human Disease (Disease Ontology) (0 alleles)
          Alleles Representing Disease-Implicated Variants
          Genetic Tools, Stocks and Reagents
          Sources of Stocks
          Contact lab of origin for a reagent not available from a public stock center.
          Bloomington Stock Center Disease Page
          Related mammalian, viral, bacterial, or synthetic transgenes
          Allele
          Transgene
          Publicly Available Stocks
          Selected Drosophila transgenes
          Allele
          Transgene
          Publicly Available Stocks
          RNAi constructs available
          Allele
          Transgene
          Publicly Available Stocks
          Selected Drosophila classical alleles
          Allele
          Allele class
          Mutagen
          Publicly Available Stocks
          References (4)