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TMEM165 Deficiency: Postnatal Changes in Glycosylation.

S Schulte Althoff1, M Grüneberg1, J Reunert1

  • 1Department of Pediatrics, University Children's Hospital Münster, Albert-Schweitzer-Campus 1, Gebäude A13, 48149, Münster, Germany.

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Summary
This summary is machine-generated.

This study details a patient with TMEM165-CDG, a rare genetic disorder. Researchers observed progressive changes in the patient's glycosylation patterns from birth, offering new insights into this multisystemic condition.

Keywords:
CDGCongenital disorders of glycosylationGlycosylationPostnatalTMEM165

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Area of Science:

  • Biochemistry
  • Genetics
  • Metabolic Disorders

Background:

  • Congenital disorders of glycosylation (CDG) are inherited metabolic diseases with multisystemic effects.
  • Mutations in single genes can lead to widespread protein glycosylation defects.
  • TMEM165-CDG is a rare form of CDG with significant clinical manifestations.

Purpose of the Study:

  • To describe a patient diagnosed with TMEM165-CDG.
  • To document the postnatal glycosylation changes in a patient with TMEM165-CDG.
  • To provide insights into the adaptational process of glycosylation in the early postnatal period.

Main Methods:

  • Prenatal diagnostics for TMEM165-CDG.
  • Observation of glycosylation patterns from birth.
  • Analysis of hypoglycosylation, reduced sialylation, and hypogalactosylation in postnatal weeks.

Main Results:

  • The patient presented with facial dysmorphism, nephrotic syndrome, cardiac defects, enlarged cerebral ventricles, feeding problems, and neurological involvement.
  • Pathological glycosylation patterns were evident from the first day of life.
  • Progressive changes in glycosylation, including reduced sialylation and hypogalactosylation, were observed over the first few postnatal weeks.

Conclusions:

  • This is the first report detailing postnatal glycosylation changes in TMEM165-CDG.
  • The findings highlight the dynamic nature of glycosylation in the early postnatal period for this condition.
  • Understanding these changes is crucial for managing TMEM165-CDG and similar multisystemic disorders.