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Editorial
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Volume 328:801-802 March 18, 1993 Number 11
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Mixed Chimerism and Immunologic Tolerance

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Type IV glycogen storage disease results in progressive destruction of the liver and other vital organs, including the heart. This disease, caused by a deficiency of the branching enzyme {alpha}-1,4-glucan-1,4-glucan 6-transferase, results in the accumulation of a damaging amylopectin-like polysaccharide in these organs. In this issue of the Journal, Starzl et al.1 extend a previous report2 that liver transplantation in patients with type IV glycogen storage disease reduced the deposition of amylopectin in the heart. Furthermore, liver transplantation in a patient with Gaucher's disease resulted in the disappearance of the toxic glucocerebroside from involved tissue1.

The authors show that . . . [Full Text of this Article]

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