COG6-CDG: Novel variants and novel malformation
Lara Cirnigliaro1, Paolo Bianchi2, Luisa Sturiale3
1Child Neurology and Psychiatry Section, Department of Clinical and Experimental Medicine, University of Catania, Catania.
Birth Defects Research
|January 24, 2022
Summary
Conserved Oligomeric Golgi (COG) subunit deficiency causes protein glycosylation defects. This study identifies novel COG6 mutations in a patient with a rare recto-vaginal fistula, expanding the known COG6-CDG spectrum.
Area of Science:
- Genetics
- Biochemistry
- Developmental Biology
Background:
- Conserved Oligomeric Golgi (COG) subunit deficiencies (COG-CDG) cause N- and O-protein glycosylation defects.
- COG-CDG patients exhibit neurological, multisystemic, and malformation issues.
- COG6-CDG, caused by COG6 mutations, is rare, with only 18 cases previously reported.
Observation:
- A newborn female presented with facial dysmorphism, distal arthrogryposis, and a recto-vaginal fistula.
- Clinical features included developmental delay, corpus callosum dysgenesis, liver/gastrointestinal issues, hyperthermia, and early demise.
- Serum glycosylation analysis revealed significant Golgi disarrangement.
Findings:
- Two novel COG6 variants were identified: c.823delA (frameshift, premature stop) and c.1141_1143delCTC (in-frame deletion).
- The patient exhibited a congenital recto-vaginal fistula, a malformation not previously associated with COG6-CDG or other COG defects.
- These findings expand the genetic and phenotypic spectrum of COG6-CDG.
Implications:
- This report broadens the understanding of the genetic landscape of COG6-CDG.
- The identification of a recto-vaginal fistula expands the spectrum of malformations associated with COG defects.
- Further research into COG subunit functions is crucial for understanding glycosylation disorders.
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