Molecular and clinical description of the first US patients with congenital disorder of glycosylation Ig.
In this report we describe the first two US patients with congenital disorder of glycosylation type Ig (CDG-Ig). Both patients presented with symptoms indicating CDG, including developmental delay, hypotonia and failure to thrive, and tested positive for deficient glycosylation of transferrin. Labeling of the patients' lipid-linked oligosaccharides suggested mutations in the hALG12 gene, encoding a mannosyltransferase. Both patients were shown to carry previously unpublished hALG12-mutations. Patient 1 has one allele with a deletion of G29, resulting in a premature stop codon, and another allele with an 824G>A mutation yielding an S275N amino acid change. Patient 2 carries two heterozygous mutations (688T>G and 931C>T), resulting in two amino acid exchanges, Y230D and R311C. An adenoviral vector expressing wild type hALG12 corrects the abnormal lipid-linked oligosaccharide pattern of the patients' cells. In addition to common CDG symptoms, these patients also presented with low IgG and genital hypoplasia, symptoms previously described in CDG-Ig patients. We therefore conclude that a combination of developmental delay, low IgG, and genital hypoplasia should prompt CDG testing.
Eklund
Erik A
EA
The Burnham Institute, Glycobiology and Carbohydrate Chemistry Program, La Jolla, CA 92037, USA.
Newell
John W
JW
Sun
Liangwu
L
Seo
Neung-Seon
NS
Alper
Gulay
G
Willert
Jessica
J
Freeze
Hudson H
HH
D000015:Abnormalities, Multiple / Q000473:pathology*; D000256:Adenoviridae; D002478:Cells, Cultured; D018981:Congenital Disorders of Glycosylation / Q000235:genetics* / Q000473:pathology; D017931:DNA Primers; D005816:Genetic Complementation Test; D005822:Genetic Vectors / Q000235:genetics; D006031:Glycosylation; D006801:Humans; D007074:Immunoglobulin G / Q000378:metabolism*; D007231:Infant, Newborn; D008297:Male; D008364:Mannosyltransferases / Q000235:genetics*; D020125:Mutation, Missense / Q000235:genetics; D009844:Oligosaccharides / Q000378:metabolism; D017434:Protein Structure, Tertiary; D020133:Reverse Transcriptase Polymerase Chain Reaction; D017422:Sequence Analysis, DNA; D014481:United States
D017931:DNA Primers; D007074:Immunoglobulin G; D009844:Oligosaccharides; D008364:Mannosyltransferases