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Related Experiment Videos

CDG-Id in two siblings with partially different phenotypes.

Christian Kranz1, Liangwu Sun, Erik A Eklund

  • 1Glycobiology and Carbohydrate Chemistry Program, The Burnham Institute for Medical Research, 10901 N. Torrey Pines Road, La Jolla, CA 92037, USA.

American Journal of Medical Genetics. Part A
|June 7, 2007
PubMed
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Congenital disorder of glycosylation (CDG) type Id, caused by ALG3 gene mutations, leads to severe developmental delays and failure to thrive. Correcting the ALG3 gene defect in patients offers therapeutic potential for this rare genetic disorder.

Area of Science:

  • Biochemistry
  • Genetics
  • Pediatrics

Background:

  • Congenital disorders of glycosylation (CDG) are a group of rare inherited metabolic diseases.
  • CDG type Id is specifically linked to defects in the ALG3 gene, crucial for N-glycan synthesis.

Observation:

  • Two siblings presented with severe global developmental delay, failure to thrive, seizures, microcephaly, axial hypotonia, and disaccharidase deficiency.
  • Clinical manifestations varied, with one sibling experiencing more severe digestive issues and the other more pronounced neurological impairment.

Findings:

  • Both siblings were compound heterozygous for a novel mutation and a known mutation in the ALG3 gene.
  • These mutations resulted in the synthesis of a severely truncated oligosaccharide precursor for N-glycans.

Related Experiment Videos

  • Functional studies demonstrated that introducing a normal ALG3 cDNA corrected the observed defect.
  • Implications:

    • This study highlights the critical role of the ALG3 gene in normal development and glycosylation.
    • Congenital disorder of glycosylation (CDG) type Id should be considered in the differential diagnosis of infants presenting with severe seizures and failure to thrive.
    • Gene therapy targeting the ALG3 gene holds promise for treating CDG type Id.