Genetic Rescue of Pathogenic O-GlcNAc Dyshomeostasis Associated with Microcephaly and Motor Deficits
Florence Authier1, Iria Esperon-Abril1, Kévin-Sébastien Coquelin1
1Section for Neurobiology and DANDRITE, Department of Molecular Biology and Genetics, Aarhus University, 8000 Aarhus, Denmark.
Eneuro
|May 28, 2026
Summary
Missense variants in O-GlcNAc transferase (OGT) cause OGT congenital disorder of glycosylation (OGT-CDG), leading to intellectual disability. Inhibiting O-GlcNAcase (OGA) partially restored O-GlcNAc homeostasis in a mouse model, suggesting a potential therapeutic strategy.
Area of Science:
- Biochemistry
- Neuroscience
- Genetics
Background:
- O-GlcNAc transferase (OGT) mutations cause OGT congenital disorder of glycosylation (OGT-CDG), a neurodevelopmental disorder.
- O-GlcNAc dyshomeostasis is a key feature of OGT-CDG, impacting brain development and function.
- Inhibition of O-GlcNAcase (OGA) is a potential therapeutic strategy for OGT-CDG.
Purpose of the Study:
- To develop and characterize a mouse model for OGT-CDG.
- To investigate OGA as a therapeutic target for OGT-CDG.
- To assess the utility of blood as a biomarker for OGT-CDG interventions.
Main Methods:
- Generated an OGT-CDG mouse line exhibiting microcephaly, motor deficits, and O-GlcNAc dyshomeostasis.
- Crossed OGT-CDG mice with mice carrying catalytically inactive OGA to genetically explore OGA inhibition.
- Measured Ogt/Oga mRNA ratio in brain and blood to assess O-GlcNAc homeostasis.
Main Results:
- The OGT-CDG mouse model recapitulated key features of human OGT-CDG, including neurodevelopmental defects.
- Genetic inhibition of OGA partially restored O-GlcNAc homeostasis in the brain and blood of OGT-CDG mice.
- The Ogt/Oga mRNA ratio served as a measurable indicator of O-GlcNAc homeostasis modulation.
Conclusions:
- OGA inhibition is a promising strategy for modulating enzymatic imbalance in OGT-CDG.
- The developed mouse model provides a valuable platform for studying OGT-CDG pathogenesis and testing therapies.
- Blood O-GlcNAc homeostasis can be monitored to evaluate the efficacy of OGT-CDG interventions.


