Glycosylation disorders – April 14 2009 › ~glycobiology › CCRC course (Hennet).pdf ·...
Transcript of Glycosylation disorders – April 14 2009 › ~glycobiology › CCRC course (Hennet).pdf ·...
CCRC Course on Glycobiology
Glycosylation disorders – April 14 2009
Presentation ................................................................................... page 2
Summary table ............................................................................... page 46
Proposal for new nomenclature ..................................................... page 49
Mutations in lipid-linked oligosaccharide biosynthesis ................... page 51
Thierry Hennet, PhD University of Zürich Institute of Physiology Winterthurerstrasse 190 CH-8057 Zürich [email protected]
CCRC course on Glycobiology
Glycosylation disorders
Thierry Hennet, University of Zürich
Glycosylation disorders
Primary glycosylation disorders
Mutations in glycosylation genes
Secondary glycosylation disorders
Galactosemia
Fructosemia
Alcool abuse
Intoxication
Astragalus lentiginosus
Defects in specific glycosylation classesCongenital muscular dystrophiesEhlers-Danlos (progeroid form)Multiple hereditary exostosesFamilial tumoral calcinosisSpondylocostal dysostosisInfantile-onset symptomatic epilepsy syndromePeters Plus SyndromeAutosomal dominant polycystic liver diseaseParoxysmal nocturnal hemoglobinuriaCongenital disorders of glycosylation-I
Defects across glycosylation classesHereditary inclusion body myopathyCOG deficiencyCongenital disorders of glycosylation-IIc and -IId
Golgi stack
Glycosyltransferase reaction
NDP-sugar + Acceptor NDP + Acceptor-sugar
NDP-sugar
NDP-sugar
AcceptorNDP
Acceptor-sugar
NMP
NMP
Pi
H+
Mn2+Nature Genetics 40, 32 - 34 (2008)
Biosynthesis of nucleotide-sugars
Gal-1-P
UDP-Gal
Glc-1-P
Glc-6-P
DolP-Glc
UDP-Glc
Fru-6-P GlcNAc-6-P
GlcNAc-1-P
UDP-GlcNAc
ManNAc
ManNAc-6-P
Sia-9-P
Sia
CMP-Sia
Man-6-P
Man-1-P
GDP-Man
DolP-Man
Fuc-1-P
GDP-Fuc
Gal Fru GlcNAc Man FucGlc
UDP-GlcA
UDP-Xyl
UGD
GMDS
GFAT
GNE
Hereditary inclusion body myopathy andsialuria
N CUDP-GlcNAc 2-epimerase domain
ManNAc kinase domain
GNE:
adult-onset muscular weaknessaffects mainly leg muscles (without quadriceps)origin and constitution of vacuoles unknown
Hereditary inclusion body myopathy
accumulation and excretion of free sialic acidhepatosplenomegalyfrequent upper respiratory infections in infancy
Sialuria
N-glycans O-glycans C-glycans
GAG GPIanchor
Glycolipids Cytoplasmic/nuclearglycans
N S/T S/T S/T W
Cer CerPI S/TS
S/T Hyl
Glycoconjugate classes in vertebrates
αβ
β
α β α β α
ββ βα
α
α
α
ββ
β
β
β
β
α α
O-GalNAc and mucins
Dense "sugar coating“ considerable water-holding capacity resistant to proteolysis (important in maintaining mucosal barriers).
Mucins are secreted as massive aggregates with MW of roughly 1 to 10 mio Da.
S/T S/T S/T
ppGalNAcT defect
S/TppGalNAcT3
Mutations in ppGalNAcT3 cause familial tumoral calcinosisTopaz et al. (2004) Nat. Genet. 36, 579 – 581
FGF23 glycosylation
FGF23
FGF-Receptor 1c
subtilisin-like proproteinconvertase (SPC)
ppGalNAcT3
RHTR
Vitamin D
7-Dehydroxycholesterol Previtamin D3
Vitamin D3Skin
25(OH)D3
Vitamin D
1,25(OH)2D3
Vitamin D-25-hydroxylase
HO
1α-hydroxylase
UV light(290-315 nm)
heat
diet
PlacentaKeratinocytesMacrophages
low Ca2+
low PO43+
PTHProlactinGrowth hormoneCalcitoninhCSHigh Ca2+,
high PO43+
FGF23T3, T4
Stimulates intestinal Ca2+ absorptionInhibits PTH secretionStimulates RANK-L formation in osteoblastsActivates macrophagesDecreases renin secretionIncreases insulin secretion
N-glycans O-glycans C-glycans
GAG GPIanchor
Glycolipids Cytoplasmic/nuclearglycans
N S/T S/T S/T W
Cer CerPI S/TS
S/T Hyl
Glycoconjugate classes in vertebrates
αβ
β
α β α β α
ββ βα
α
α
α
ββ
β
β
β
β
α α
Diseases of O-mannosylation
• Walker-Warburg syndrome • “Muscle-Eye-Brain” disease• Fukuyama muscular dystrophy
Congenital Muscular Dystrophies (CMD)„Cobblestone“ Lissencephalies
α
γ δ εα ββ
Laminin 2
Sarcoglycan
F-Actin
Synthrophins
Dystrobrevin
Muskelmembran
Extrazelluläre Matrix
α
γ δ εα ββ
Laminin 2Dystroglycan
Dystrophin
Muscle membrane
Extracellular Matrix
O-GalNAc chains
O-Man chains
Dystroglycan defects
• Walker-Warburg syndrome • “Muscle-Eye-Brain” disease• Fukuyama muscular dystrophy
POMT1POMGnT1FukutinFukutin-related protein (FRP)Large
POMT1/POMT2
POMGnT1
Fukutin
LARGE
FKRP
Walker Warburg
Muscle eye brain
FCMD
MDC1D
MDC1C
Limb girdle MD
CMD +MR
Extent of residual α-DG glycosylation likely to be important
Severity
For recent genotype/phenotype correlation studySee Godfrey et al. Brain 130:2725-2735 (2007)
Gene/phenotype relationships
N-glycans O-glycans C-glycans
GAG GPIanchor
Glycolipids Cytoplasmic/nuclearglycans
N S/T S/T S/T W
Cer CerPI S/TS
S/T Hyl
Glycoconjugate classes in vertebrates
αβ
β
α β α β α
ββ βα
α
α
α
ββ
β
β
β
β
α α
P P
FGF2 FGF2
FGF2
HGF
ProteoglycanFGF2-Receptor
Diseases of glycosylation: exostoses
EXT1 (chr 8q24)EXT2 (chr 11p12)EXT3 (chr 19p)
B4GALT7 (chr 5q32)
00FGF18
FGF2
BMPs
Normal Exostoses
Endochondral ossification
N-glycans O-glycans C-glycans
GAG GPIanchor
Glycolipids Cytoplasmic/nuclearglycans
N S/T S/T S/T W
Cer CerPI S/TS
S/T Hyl
Glycoconjugate classes in vertebrates
αβ
β
α β α β α
ββ βα
α
α
α
ββ
β
β
β
β
α α
Enzymes of O-fucosylation/glucosylation
S/T
6 β4GalT
3 β3GlcNAcT
3 ST3GalT
1 β3GlcT 2 OFUT
lunatic fringeradical fringemanic fringe
S/T
XylT genes notcloned yet
1 OGLCT
Peters Plus syndrome
Figure 2 from Oberstein et al.
Peters Plus syndrome is caused by mutations in B3GALTL, a putative glycosyltransferase.Oberstein et al. (2006) Am J Hum Genet, 79:562-566
Birth weight below 3rd percentile, psychomotor retardation, hypertelorism, short limbs, short hands, eye anterior chamber defect
Diseases of O-fucosylation
Mutations in DLL3 (ligand of Notch) also causes spondylocostal dysostosis in humans (OMIM 602768)
Hes7
Lunatic fringe disruption causes spondylocostal dysostosis in the mouse and in humans (OMIM 609813).See: Evrard Y.A. et al. (1998) Nature 394, 377 – 381
N-glycans O-glycans C-glycans
GAG GPIanchor
Glycolipids Cytoplasmic/nuclearglycans
N S/T S/T S/T W
Cer CerPI S/TS
S/T Hyl
Glycoconjugate classes in vertebrates
αβ
β
α β α β α
ββ βα
α
α
α
ββ
β
β
β
β
α α
failure to thrivepsychomotor retardationhypotoniacerebellum hypoplasiaataxiahormonal disordersepilepsystrabismuscoagulation disorderstissue fibrosis
CDG
Congenital disorders of glycosylation
Serum transferrin isoelectric focusing (IEF)
AsnAsn
MM M
GG
G G GGG
S SGS
MM M
GG
G G GGG
S SGS
CDG-IICDG-I
N
N N N
N
ER
Golgi
N-Glycosylation
=G
== M =dolichol
glucosemannoseGlcNAc
Lumen
PG
Cytoplasm UDP-
N-linked glycosylation: the ER pathway
GP P
G UDP
M
M
P
PM
GDP- GDPM
PP
GDP
CTP CDPUMPUDP
UDP
UDP
MM
MM
M
MM
M
M
GDP
M
MMM
M
GDP-M
MMM
MM
M
MMM
MM
M
MMM
MMM
M
MMM
MMM
M M
MMM
MMM
MM
M
MMM
MMM
MM
GG
M
MMM
MMM
MM
G
GG
M
MMM
MMM
MM
G
SEC59 DPM1 ALG5ALG7
ALG1
OST
ALG2
ALG11
ALG11 RFT1ALG3
ALG9ALG12
ALG9ALG6
ALG8ALG10
G
M
MMM
MMM
MM
G
G
ALG13ALG14
0 15 30 45 60 75 (min)
3252
2439
1626
813
0
0 15 30 45 60 75 (min)
1200
900
600
300
0
0 15 30 45 60 75 (min)
366
275
184
93
0
(dpm)
(dpm)
(dpm)
Marker
CDG-Ic Patient
Control cells
M5M8
G3M9
G3M9
M9
G
M
MMM
MM M
MM
G
G
M
MMM
MM M
MM
Lipid-linked oligosaccharides (LLO)
=G
== M =dolichol
glucosemannoseGlcNAc
SEC59
Lumen
DPM1 ALG5
PG
Cytoplasm
ALG7
ALG1
UDP-
OST
GP P
G UDP
M
M
P
PM
GDP- GDPM
PP
GDP
CTP CDPUMPUDP
UDP
UDP
ALG2
MM
MM
M
ALG11
MM
M
M
GDP
M
MMM
M
GDP-M
ALG11
MMM
MM
M
MMM
MM
RFT1ALG3
M
MMM
MMM
ALG9
M
MMM
MMM
M M
MMM
MMM
MM
ALG12ALG9
M
MMM
MMM
MM
ALG6
GG
M
MMM
MMM
MM
G
GG
M
MMM
MMM
MM
G
ALG8ALG10
G
M
MMM
MMM
MM
G
G
Glycosylation defect in CDG-Ic
ALG13ALG14
ScAlg6: MAIGKRLLVNKPAEESFYASPMYDFLYPFRPVGNQWLPEYIIFVCAVILRCTIGLGPYSG HsAlg6: --------------------------------MEKWYLMTVVVLIGLTVRWTVSLNSYSG
ScAlg6: KGSPPLYGDFEAQRHWMEITQHLPLSKWYWY----DLQYWGLDYPPLTAFHSYLLGLIGS HsAlg6: AGKPPMFGDYEAQRHWQEITFNLPVKQWYFNSSDNNLQYWGLDYPPLTAYHSLLCAYVAK
ScAlg6: FFNPSWFALEKSRGFESPDNGLKTYMRSTVIISDILFYFPAVIYFTKWLGRYRNQSPIGQ HsAlg6: FINPDWIALHTSRGYES--QAHKLFMRTTVLIADLLIYIPAVVLYCCCLKEISTKKKIAN H ScAlg6: SIAASAILFQPSLMLIDHGHFQYNSVMLGLTAYAINNLLDEYYAMAAVCFVLSICFKQMA HsAlg6: ---ALCILLYPGLILIDYGHFQYNSVSLGFALWGVLGISCDCDLLGSLAFCLAINYKQME I ScAlg6: LYYAPIFFAYLLSRSLLFPKFNIARLTVIAFATLATFAIIFAPLYFLGGGLKNIHQCIHR HsAlg6: LYHALPFFCFLLGKCFKKGLKGKGFVLLVKLACIVVASFVLCWLPFFTE-REQTLQVLRR E ScAlg6: IFPFARGIFEDKVANFWCVTNVFVKYKERFTIQQLQLYSLIATVIGFLPAMIMTLLHPKK HsAlg6: LFPVDRGLFEDKVANIWCSFNVFLKIKDILPRHIQLIMSFCFTFLSLLPACIKLILQPSS ∆ S R ScAlg6: HLLPYVLIACSMSFFLFSFQVHEKTILIPLLPITLLYSSTDWNVLSLVSWINNVALFTLW HsAlg6: KGFKFTLVSCALSFFLFSFQVHEKSILLVSLPVCLVLS----EIPFMSTWFLLVSTFSML V ScAlg6: PLLKKDGLHLQYAVSFLLSNWLIGNFSFITPRFLPKSLTPGPSISSINSDYRRRSLLPYN HsAlg6: PLLLKDELLMPSVVTTMAFFIACVTSFSIFEKTSEEELQLKSFSISVRKYLPCFTFLSRI
ScAlg6: VVWKSFIIGTYIAMGFYHFLDQFVAPPSKYPDLWVLLNCAVGFICFSIFWLWSYYKIFTS HsAlg6: IQYLFLIS--VITMVLLTLMTVTLDPPQKLPDLFSVLVCFVSCLNFLFFLVYFNIIIMWD ∆ P ScAlg6: GS--KSMKDL- HsAlg6: SKSGRNQKKIS
ALG6 protein alignment
wildtype Hefe
YEp352
ScALG6
HsALG6
HsALG6[A333V]
HsALG6[F304S]
HsALG6[S478P]
HsALG6[F304S][S478P]
alg6wbp1-2 +
ALG6 complementation: growth phenotype
YeastHumans
PPCDG-Ic patient alg6 Strain
Identification of mutationsin ALG6 gene of CDG Patients
human ALG6 gene
functional analysis of mutationsin yeasts
ALG6 glucosyltransferasedeficiency
normal yeasts
alg6 yeasts
alg6 yeasts + human ALG6 gene
alg6 yeasts + ALG6 gene from CDG patients
N
OST
OST defect in non-syndromic mental retardation
G
M
MMM
MMM
MM
G
G
G
M
MMM
MMM
MM
G
G
endoplasmicreticulum
OST3/6
“Diseases” of Golgi N-glycosylation
N
CDG-IIa (GnT2)
CDG-IId (B4GALT1)
CDG-IIc (FUCT1)
FUT3/6 deficiency
GnT2 defect in CDG-IIa
GDG-IIa patients Mgat2-null mice
Failure to thrive Runted, low postnatal survival
Facial dysmorphy Facial dysmorphy
Osteopenia Osteopenia
psychomotor retardation Defective locomotor activity
Epilepsy Tremors and seizures
Blood coagulaopathy Blood coagulopathy
Testicular atrophy Testicular atrophy
Splenomegaly Splenomegaly
Susceptibility to infections glomerulonephritis
Branching defects
N
∆GnT1: embryonic lethality
∆GnT2: peri-natal lethality (CDG-IIa)
∆GnT3: no phenotype found so far
∆GnT4: type 2 diabetes
∆GnT5: T-cell hyperreactivity,endocytosis of membranereceptors
M1V
N
C
frameshift(stop AA34)
C9YF11C
G15R, G15EG15A
T18S
P20S
Ex skip
L32R
L35X
Q37H
V44AV44F
K51R
frameshift(stop AA58)
Ex skip
Y64CD65Y
V67MV67G
P69S
Y76CEx skip
E93A
N101K
C103FL104V
Y106C
A108Vframeshift(stop AA126)
P113L
G117R
F119LI120T
R123XR123Q
V129M
frameshift(stop AA152)
P131A
I132TI132NI132F
frameshift(stop AA152)
E139K
R141H / R141C
F144L D148N
frameshift(stop AA151)
I153T
E151G F157S
R162W
F172VG176V
G175RQ177H
F183SD185G D188G
frameshift (stop AA199)
C192G
R194XH195R
E197A
F206T, F206LF207SG208A
G214SEx skip
del ex8ins 41AA
N216I / N216SD217E
H218L
D223ED223N
T226S
G228 CG228R
Y229S
V231M A233T
R238G / R238P
T237RT237M
R239WC241S
L243P
R21GQ22X
G42R
G57R
PMM2
A selection pressure for glycosylation defects?
Carrier frequency of 1 in 70!
Diagnose
A
B
AB
O
Anti-BSerum
Anti-ASerum
Anti-AAnti-BSerum
GalFuc
GlcNAc
Gal
GalFuc
GlcNAc
GalFuc
GlcNAc
GalNAc
O A B
The ABO-System:
Glycan polymorphisms: ABO blood groups
Loss of α1-3 GalT in Old-World primates
GlcNAc
Gal
R
GlcNAc
Gal
R
Gal
α1-3 GalT
Loss of CMP-Neu5Ac hydroxylase in humans
Norovirus
CBC News – Canada Friday, January 19, 2007
Saskatoon's Royal University Hospital, the city's biggest, was closed to visitors Friday after an outbreak of Norwalk virus. More than 40 patients and staff have fallen ill with the norovirus infection. Managers are trying to contain the outbreak.The virus is easily spread on surfaces and through the air. Symptoms include severe stomach cramps, vomiting and diarrhea. The illness is rarely fatal, but it can be a serious health concern for seniors and babies.
Caliciviridae family38 nm diameterSimple structure (single capsid protein, non-enveloped)7.5 kb genome (single stranded, positive sensed RNA)
B enzymeA enzyme
FUT3
FUT2FUT3
Norovirus binding specificity
Gal
GlcNAc
β
Fuc
Gal
GlcNAc
β
α Gal
GlcNAc
β
Fuc
α
Lea H
Gal
GlcNAc
β
Fuc
α
Fuc
α
Leb
GalNAc
Gal
GlcNAc
β
Fuc
α
α
Gal
GlcNAc
β
Fuc
α
α
Gal
Fuc
α
GalNAc
Gal
GlcNAc
β
Fuc
α
α
Gal
GlcNAc
β
Fuc
α
α
Gal
Fuc
α
FUT3
A B
A Leb B Leb
FUT3
BoxerVA207OIF
VA387 PiVGrV MxVNorwalk HawaiC59 MOHBUDS SMV
Lewis binding group
A/B binding group
Blood group binding pattern
Huang, P.W. et al. (2005) J. Virol. 79:6714-22
The Red Queen effect
"Well, in our country," said Alice, still panting a little, "you'd generally get to somewhere else — if you run very fast for a long time, as we've been doing.„
"A slow sort of country!" said the Queen. "Now, here, you see, it takes all the running you can do, to keep in the same place. If you want to get somewhere else, you must run at least twice as fast as that!"
Lewis Carroll, Through the Looking-Glass
Table I. Diseases of glycosylation
Name Gene defect Activity OMIM
N-glycosylation
CDG-Ia PMM2 phosphomannomutase (Man-6-P Man-1-P) 212065
CDG-Ib PMI phosphomannose isomerase
(Fru-6-P Man-6-P)
602579
CDG-Ic ALG6 α1-3 glucosyltransferase 603147
CDG-Id ALG3 α1-3 mannosyltransferase 601110
CDG-If MPDU1 unknown 609180
CDG-Ig ALG12 α1-6 mannosyltransferase 607143
CDG-Ih ALG8 α1-3 glucosyltransferase 608104
CDG-Ii ALG2 α1-3 mannosyltransferase 607905
CDG-Ij DPAGT1 N-acetylglucosamine-1-phosphate transferase 608093
CDG-Ik ALG1 β1-4 mannosyltransferase 608540
CDG-IL ALG9 α1-2 mannosyltransferase 608776
CDG-In RFT1 lipid-linked oligosaccharide flipping 612015
“CDG-Io” TUSC3/OST3 oligosaccharyltransferase 601385
“CDG-Ip” IAP/OST6 oligosaccharyltransferase -
CDG-IIa MGAT2 β1-2 N-acetylglucosaminyltransferase 212066
CDG-IIb GLS1 α1-2 glucosidase 606056
O-GalNAc glycosylation
Familial tumoral
calcinosis
GALNT3 polypeptide N-acetylgalactosaminyl-
transferase
211900
Tn syndrome COSMC β1-3 galactosyltransferase chaperone 300622
O-Man glycosylation
Walker-Warburg
syndrome
POMT1 and
POMT2
protein O-mannosyltransferase 236670
Muscle-Eye-Brain
disease
POMGNT1 β1-2 N-acetylglucosaminyltransferase 253280
Fukuyama congenital
muscular dystrophy
FKTN unknown 253800
MDC1C FKRP unknown 606612
limb-girdle muscular
dystrophy
FKRP unknown 607155
MDC1D LARGE unknown 608840
O-Fuc glycosylation
Spondylocostal
dysostosis
LFNG β1-3 N-acetylglucosaminyltransferase 277300
Peters-Plus syndrome B3GALTL β1-3 glucosyltransferase 261540
GAG chains
Ehlers-Danlos syndrome
(progeroid form)
XGPT1 xylose β1-4 galactosyltransferase 130070
hereditary Multiple
exostoses-I
EXT1 proteoglycan β1-4 glucuronyl/α1-4 N-
acetylglucosaminyl-transferase
133700
hereditary Multiple
exostoses-II
EXT2 proteoglycan β1-4 glucuronyl/α1-4 N-
acetylglucosaminyl-transferase
133701
Schneckenbecken
dysplasia
SLC35D1 solute carrier family 35 (UDP-glucuronic
acid/UDP-N-acetylgalactosamine dual
transporter), member D1
610804
Glycosphinglolipids and GPI anchor
Amish infantile epilepsy
syndrome
ST3GAL5 α2-3 sialyltransferase (GM3 synthase) 609056
Paroxysmal nocturnal
hemoglobinuria
PIGA glycosylphosphatidylinositol (GPI)
N-acetylglucosaminyltransferase
311770
Multiple classes of glycosylation
CDG-Ie DPM1 dolichol-phosphate-mannose synthase
(GDP-Man Dol-P-Man)
608799
“CDG-Iq” DPM2 dolichol-phosphate-mannose synthase
(GDP-Man Dol-P-Man)
603564
“CDG-Ir” DPM3 dolichol-phosphate-mannose synthase
(GDP-Man Dol-P-Man)
605951
CDG-IIc SLC35C1 import of GDP-Fuc into Golgi and export of
GMP
266265
CDG-IId B4GALT1 β1-4 galactosyltransferase 607091
CDG-IIf SLC35A1 import of CMP-Sia into Golgi 603585
Hereditary inclusion
body myopathy
GNE UDP-N-acetylglucosamine 2-epimerase 600737
CDG-Im DK1 dolichol kinase 610768
“CDG-Is” pending dolichol reductrase unpublished
Trafficking disorders
CDG-IIe COG7 vesicular trafficking 608779
CDG-IIg COG1 vesicular trafficking 611209
CDG-IIh COG8 vesicular trafficking 611182
CDG-IIi COG4 vesicular trafficking unpublished
CDG-IIj COG5 vesicular trafficking unpublished
Autosomal recessive
cutis laxa
ATPV0A2 H+/ATPase, pH regulation in Golgi 219200
CDG nomenclature: time for a change! Jaak Jaeken1,2, Thierry Hennet3 , Gert Matthijs4, Hudson Freeze5
2Center for Metabolic Disease, Katholieke Universiteit Leuven, BE-3000 Leuven, Belgium 3Institute of Physiology, University of Zürich, CH-8057 Zürich, Switzerland 4Center for Human Genetics, Katholieke Universiteit Leuven, BE-3000 Leuven, Belgium 5Sanford Children’s Health Research Center, Burnham Institute of Research, La Jolla, CA 92037, USA 1To whom correspondence should be addressed: Tel: +32 16 343820; Fax: +32 16 343842; e-mail: jaak [email protected] Congenital disorders of glycosylation (CDG) are a rapidly growing disease family with nearly 40 diseases reported since its first clinical description in 1980 (1). The large majority of these are diseases of protein hypoglycosylation, but in recent years several defects in lipid glycosylation have also been identified (2,3). Most protein glycosylation disorders are due to defects in the N-glycosylation pathway, the remaining ones affecting the O-glycosylation disorders or combined N- and O-glycosylation pathways. No defects in C-glycosylation have been detected yet. The first described CDG patients were shown to have an abnormal serum transferrin (Tf) isoelectrofocusing (IEF) pattern with increases in the di- and asialotransferrin fractions (4 ). They were found to have deficient phosphomannomutase (PMM) activity (5) and mutations in the PMM2 gene (6). PMM deficient patients were designated as CDG-Ia. Subsequently, a patient was discovered with a serum Tf IEF pattern characterized by increases not only of the even (2 and 0) but also of the uneven (3 and 1) sialoTf bands (7). Since these patterns were qualitatively different, we called the latter a type 2 pattern as opposed to the type 1 pattern seen in PMM deficiency. In the patient with the type 2 pattern, a deficiency was demonstrated to be in a Golgi glycosyltransferase, namely N-acetylglucosaminyltransferase II (8). This disease was labelled CDG-IIa. New patients were classified as CDG-I or CDG-II according to the Tf IEF pattern, and each new defect took the next letter of the alphabet.
We presently count 14 CDG-I diseases (CDG-Ia up to CDG-In), and 8 CDG-II diseases (CDG-IIa up to CDG-IIh). Since this nomenclature is based on the Tf IEF pattern, it relates only to N-glycosylation diseases associated with deficient sialylation. Gradually it became clear that CDG-I defects were limited to defects in pre-ER or ER proteins whereas CDG-II defects were caused by defects in Golgi or Golgi-associated proteins. However, some of these disorders also show abnormal O-glycosylation such as the COG defects (review in 9) and the V-ATPase defect in cutis laxa type II (10). Also, it appeared that a patient with an alpha-glucosidase-II deficiency in the ER had a normal Tf IEF pattern (11). Still this patient was labeled as CDG-IIb, which is an inconsistency of this classification. For this reason and for a number of other reasons explained elsewhere (12 ), we strongly suggest that this
nomenclature should be discontinued in favour of a transparent designation of glycosylation disorders and that it be applied to new and established types of CDG. We propose using only the official gene name, with the option of adding CDG in parentheses after the gene name (list of approved gene names at http://www.genenames.org). A classification of the known types of CDG, along with the traditional and new nomenclature, is shown in the Table (12).
References
1. Jaeken J, Vanderschueren-Lodeweyckx M, Casaer P, et al. Familial psychomotor retardation with markedly fluctuating serum prolactin, FSH and GH levels, partial TBG deficiency, increased serum arylsulfatase A and increased CSF protein: a new syndrome? Pediatr Res 1980; 14: 179
2. Freeze HH. Genetic defects in the human glycome. Nat Rev Genet 2006; 7: 537-551 3. Jaeken J, Matthijs G. Congenital disorders of glycosylation: a rapidly expanding
disease family. Annu Rev Genomics Hum Genet 2007; 8: 261-278 4. Jaeken J, van Eijk HG, van der Heul C, Corbeel L, Eeckels R, Eggermont E. Sialic
acid-deficient serum and cerebrospinal fluid transferrin in a newly recognized genetic syndrome. Clin Chim Acta 1984; 144: 245-247
5. Van Schaftingen E, Jaeken J. Phosphomannomutase deficiency is a cause of carbohydrate-deficient glycoprotein syndrome type I. FEBS Lett 1995; 377: 318-320
6. Matthijs G, Schollen E, Pardon E, et al. Mutations in PMM2, a phosphomannomutase gene on chromosome 16p13, in carbohydrate-deficient glycoprotein type I syndrome (Jaeken syndrome). Nat Genet 1997; 16: 88-92. Erratum in Nat Genet 1997; 16: 316
7. Ramaekers VT, Stibler H, Kint J, Jaeken J. A new variant of the carbohydrate deficiënt glycoproteins syndrome. J Inherit Metab Dis 1991; 14: 385-388
8. Jaeken J, Schachter H, Carchon H, De Cock P, Coddeville B, Spik G. Carbohydrate deficiënt glycoprotein syndrome type II: a deficiency in Golgi localised N-acetylglucosaminyltransferase II. Arch Dis Child 1994; 71: 123-127
9. Zeevaert R, Foulquier F, Jaeken J, Matthijs G. Deficiencies in subunits of the Conserved Oligomeric Golgi complex define a novel group of Congenital Disorders of Glycosylation. Mol Genet Metab 2008; 93: 15-21
10. Kornak U, Reynders E, Dimopoulou A, et al. Impaired glycosylation and cutis laxa caused by mutations in the vesicular H+-ATPase subunit ATP6V0A2. Nat Genet 2008; 40: 32-34
11. De Praeter CM, Gerwig GJ, Bause E, et al. A novel disorder caused by defective biosynthesis of N-linked oligosaccharides due to glucosidase I deficiency. Am J Hum Genet 2000; 66: 1744-1756
12. Jaeken J, Hennet T, Freeze H, Matthijs G. About nomenclature of Congenital Disorders of Glycosylation (CDG). J Inherit Metab Dis 2008 Oct 24 (Epub ahead of print)
M1V
N
C
frameshift(stop AA34)
C9YF11C
G15R, G15EG15A
T18S
P20S
Ex skip
L32R
L35X
Q37H
V44AV44F
K51R
frameshift(stop AA58)
Ex skip
Y64CD65Y
V67MV67G
P69S
Y76CEx skip
E93A
N101K
C103FL104V
Y106C
A108Vframeshift(stop AA126)
P113L
G117R
F119LI120T
R123XR123Q
V129M
frameshift(stop AA152)
P131A
I132TI132NI132F
frameshift(stop AA152)
E139K
R141H / R141C
F144L D148N
frameshift(stop AA151)
I153T
E151G F157S
R162W
F172VG176V
G175RQ177H
F183SD185G D188G
frameshift (stop AA199)
C192G
R194XH195R
E197A
F206T, F206LF207SG208A
G214SEx skip
del ex8ins 41AA
N216I / N216SD217E
H218L
D223ED223N
T226S
G228 CG228R
Y229S
V231M A233T
R238G / R238P
T237RT237M
R239WC241S
L243P
R21GQ22X
G42R
G57R
PMM2 (phosphomannomutase)
cytosol
N
M51T
frameshift(stop AA62)
frameshift(stop AA157)
S102L
Y129C
D131N I140T
M138T
R152Q
E156K
R219Q
G250S
Y255C
R295H
I398T
C
R418HR418C
splicing
PMI (phosphomannose isomerase)
cytosol
N
C
C99S
Y441S
DOLK (Dol kinase)
cytosol
ER lumen
N C
Splicing(c.162-8 G>A)
Y170C
I297F
ALG7 (GlcNAc-1-phosphate transferase)
cytosol
ER lumen
ALG1 (β1-4 mannosyltransferase)
N
C
S258L
Ex skip
Q342P
G145D
S150R
D249E
R438W
M377V
L396X
cytosol
ER lumen
N
CK131N
frameshift(stop AA372)
ALG2 (α1-3 mannosyltransferase)
cytosol
ER lumen
C
N
R67C
K152E
E298K
I296K, I296R
RFT1 (Dol-PP-GlcNAc2Man5 flipping)
cytosol
ER lumen
DPM1
NC
DPM2 DPM3
NC
N
C
R92G
frameshift(stop AA154)
splicing
N169S
frameshift(stop AA212)
S248P
DPM (Dol-P-Man synthase)
cytosol
ER lumen
N C
G73E
M1T
L74S
L119P
frameshift(stop AA211)
MPDU1 (unknown function)
cytosol
ER lumen
N
C
P39L
Splicing
W71R
Y88H
G118D
M157K
R171Q
R266C
R266C
ALG3 (α1-3 mannosyltransferase)
cytosol
ER lumen
N
C
Y287C
E530K
ALG9 (α1-2 mannosyltransferase)
cytosol
ER lumen
N
C
T67M
frameshift(stop AA19)
A81T
G101R
F142V
R146Q
L158P
Y230D
S275N
R311C
Y414X
ALG12 (α1-6 mannosyltransferase)
cytosol
ER lumen
N
C
R113H
Y57X
S170I
G227E
∆I299
S308R
A333V∆L444
S478P
splicing
R18Q
splicing
splicing ∆C303
ALG6 (α1-3 glucosyltransferase)
cytosol
ER lumen
N
C
T47P
frameshift(stop AA134)
splicing P69L
frameshift(stop AA155)
N222S
splicing
splicing
G275D
R364X
ALG8 (α1-3 glucosyltransferase)
cytosol
ER lumen