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Genomics Precision Diagnostic > Metabolic Precision Panel > Congenital Disorders of Glycosylation Precision Panel

Congenital Disorders of Glycosylation 

Congenital Disorders of Glycosylation (CDG) are a group of rapidly expanding metabolic disorders that arise due to abnormal protein or lipid glycosylation. There are difficulties trying to diagnose them because they broadly affect many organs and functions, demonstrating a clinical heterogeneity. 
Overview
Indication
Clinical Utility
Genes & Diseases
Methodology
References

Overview

  • Congenital Disorders of Glycosylation (CDG) are a group of rapidly expanding metabolic disorders that arise due to abnormal protein or lipid glycosylation. There are difficulties trying to diagnose them because they broadly affect many organs and functions, demonstrating a clinical heterogeneity. These phenotypically diverse disorders present as clinical syndromes affecting multiple systems including the central nervous system, muscle function, transport, regulation, immunity, endocrine system, and coagulation. Over 150 different CDGs have been and those affecting N-glycosylation are the most common type.  

  • The Igenomix Congenital Disorders of Glycosylation Precision Panel can be used to make an accurate and directed diagnosis ultimately leading to a better management and prognosis of the disease. It provides a comprehensive analysis of the genes involved in this disease using next-generation sequencing (NGS) to fully understand the spectrum of relevant genes involved.  

Indication

  • The Igenomix Congenital Disorders of Glycosylation Precision Panel is indicated for those patients with a clinical suspicion or diagnosis with or without the following manifestations: 
    • Low muscle tone or floppiness 
    • Failure to thrive 
    • Gross developmental delay 
    • Liver disease 
    • Abnormal bleeding or blood clotting 
    • Misaligned or crossed eyes 
    • Seizures 
    • Stroke-like episodes 

Clinical Utility

The clinical utility of this panel is: 

  • The genetic and molecular confirmation for an accurate clinical diagnosis of a symptomatic patient.  
  • Early initiation of treatment with a multidisciplinary team in the form of nutritional therapy, transplantation, activated sugars, gene therapy and pharmacological chaperones. 
  • Risk assessment and genetic counselling of asymptomatic family members according to the mode of inheritance. 
  • Improvement of delineation of genotype-phenotype correlation given the clinical and genetically heterogenous profile of CDGs.  

Genes & Diseases

See all genes and diseases

GENE  

OMIM DISEASES  

INHERITANCE*  

% GENE COVERAGE (20X)  

HGMD**  

ALG1  

Congenital Disorder
 
Of Glycosylation  

AR  

100  

46 of 46  

ALG11  

Congenital Disorder 
Of Glycosylation  

AR  

99.91  

19 of 19  

ALG12  

Congenital Disorder
 
Of Glycosylation  

AR  

100  

17 of 17  

ALG13  

Epileptic Encephalopathy,
 Intellectual Disability
  

X,XR,XD,G  

99.62  

–  

ALG14  

Myasthenic Syndrome
 
With Glycosylation Defect  

AR  

99.99  

7 of 7  

ALG2  

Congenital Disorder Of
 Glycosylation, Myasthenic
 Syndrome
  

AR  

99.61  

7 of 7  

ALG3  

Congenital Disorder Of 
Glycosylation
  

AR  

99.2  

25 of 25  

ALG6  

Congenital Disorder Of
 Glycosylation  

AR  

99.91  

24 of 24  

ALG8  

Congenital Disorder Of
 Glycosylation, Polycystic 
Liver Disease
  

AD,AR  

99.5  

22 of 22  

ALG9  

Congenital Disorder Of
 Glycosylation, 
Polycystic Kidney Disease
  

AR  

99.99  

6 of 6  

ATP6AP2  

Congenital Disorder Of
 Glycosylation, Mental 
Retardation, 
Parkinsonism With
Spasticity
  

X,XR,G  

100  

–  

ATP6V0A2  

Cutis Laxa, Wrinkly Skin
Syndrome, Congenital
Disorder 
Of Glycosylation  

AR  

99.99  

55 of 55  

ATP6V1A  

Cutis Laxa, Epileptic 
Encephalopathy
  

AD,AR  

99.98  

9 of 9  

ATP6V1E1  

Cutis Laxa, Congenital
Disorder 
Of Glycosylation  

AR  

100  

2 of 2  

B4GALT1  

Congenital Disorder
 
Of Glycosylation  

AR  

99.97  

3 of 3  

CAD  

Epileptic Encephalopathy  

AR  

100  

12 of 12  

CCDC115  

Congenital Disorder 
Of Glycosylation  

AR  

100  

4 of 4  

COG1  

Congenital Disorder
 
Of Glycosylation  

AR  

99.91  

3 of 3  

COG2  

Congenital Disorder 
Of Glycosylation  

AR  

96.97  

4 of 4  

COG4  

Congenital Disorder
 
Of Glycosylation,
 Saul-Wilson Syndrome
  

AD,AR  

100  

5 of 5  

COG5  

Congenital Disorder 
Of Glycosylation  

AR  

100  

19 of 19  

COG6  

Congenital Disorder
 
Of Glycosylation, 
Shaheen Syndrome, 
Hypohidrosis-Enamel
Hypoplasia-Palmoplantar
Keratoderma-Intellectual
Disability Syndrome
  

AR  

100  

13 of 13  

COG7  

Congenital Disorder Of 
Glycosylation
  

AR  

99.94  

6 of 6  

COG8  

Congenital Disorder Of 
Glycosylation
  

AR  

100  

8 of 8  

CRPPA  

Limb-Girdle Muscular
Dystrophy, Walker-Warburg
Syndrome
  

AR  

97.69  

–  

DAG1  

Limb-Girdle Muscular
Dystrophy, Muscle-Eye-Brain
Disease, Walker-Warburg
Syndrome
  

AR  

99.98  

9 of 9  

DDOST  

Congenital Disorder Of 
Glycosylation
  

AR  

100  

2 of 2  

DOLK  

Congenital Disorder Of 
Glycosylation, Dilated 
Cardiomyopathy
  

AR  

99.98  

13 of 13  

DPAGT1  

Congenital Disorder Of
 Glycosylation, Myasthenic
 Syndrome
  

AR  

100  

41 of 41  

DPM1  

Congenital Disorder 
Of Glycosylation  

AR  

97.25  

9 of 9  

DPM2  

Congenital Disorder Of 
Glycosylation, 
Congenital Muscular
Dystrophy With
Intellectual
Disability And
Severe
Epilepsy
  

AR  

99.87  

2 of 2  

DPM3  

Congenital Disorder Of 
Glycosylation, 
Lind-Girdle Muscular
Dystrophy
  

AR  

100  

4 of 4  

FCSK  

Congenital Disorder
 
Of Glycosylation  

AR  

97.99  

–  

FKRP  

Limb-Girdle Muscular
Dystrophy, 
Muscle-Eye-Brain
Disease, 
Walker-Warburg Syndrome
  

AR  

99.9  

157 of 157  

FKTN  

Cardiomyopathy, 
Lind-Girdle Muscular
Dystrophy, Dilated 
Cardiomyopathy, 
Muscle-Eye-Brain
Disease, Walker-
Warburg Syndrome
  

AR  

98  

54 of 56  

FUT8  

Congenital Disorder 
Of Glycosylation  

AR  

99.73  

4 of 4  

GALNT2  

Congenital Disorder
 
Of Glycosylation  

AR  

99.7  

7 of 7  

GFPT1  

Myasthenic Syndrome,
 Limb-Girdle Muscular
Dystrophy
  

AR  

100  

57 of 57  

GMPPB  

Limb-Girdle Muscular 
Dystrophy, Myasthenic
 Syndrome, Muscle-Eye-
Brain Disease
  

AR  

99.95  

53 of 53  

LARGE1  

Limb-Girdle Muscular
 Dystrophy, Muscle-Eye-Brain
Disease, Walker-Warburg
Syndrome
  

AR  

100  

–  

MAGT1  

Congenital Disorder Of 
Glycosylation, 
Immunodeficiency,
 Neoplasia
  

X,XR,G  

100  

–  

MAN1B1  

Mental Retardation, 
Congenital Disorder 
Of Glycosylation  

AR  

99.97  

29 of 30  

MGAT2  

Congenital Disorder
 
Of Glycosylation  

AR  

97.19  

5 of 5  

MOGS  

Congenital Disorder 
Of Glycosylation  

AR  

100  

10 of 10  

MPDU1  

Congenital Disorder 
Of Glycosylation  

AR  

100  

7 of 7  

MPI  

Congenital Disorder
 
Of Glycosylation  

AR  

100  

20 of 20  

NGLY1  

Congenital Disorder Of 
Glycosylation, 
Alacrimia-Choreoathetosis-
Liver Dysfunction Syndrome
  

AR  

99.8  

28 of 28  

NUS1  

Congenital Disorder Of 
Glycosylation, Mental 
Retardation, 
Undetermined
 Early-Onset Epileptic
Encephalopathy
  

AD,AR  

99.62  

22 of 23  

PGM1  

Congenital Disorder 
Of Glycosylation  

AR  

99.96  

38 of 40  

PGM3  

Immunodeficiency  

AR  

99.99  

17 of 17  

PIGG  

Mental Retardation, 
Wolf-Hirschhorn 
Syndorme  

AR  

99.86  

6 of 6  

PIGL  

Zunich Neuroectodermal
Syndrome, Chime 
Syndrome, 
Hyperphosphatasia–
Intellectual
Disability Syndrome
  

AR  

86  

11 of 13  

PIGN  

Fryns Syndrome,
 Multiple Congenital 
Anomalies-Hypotonia-
Seizures Syndrome
  

AR  

93.97  

36 of 39  

PIGT  

Multiple Congenital
Anomalies-Hypotonia-
Seizures Syndrome,
 Hemoglobinuria
  

AD,AR  

100  

15 of 15  

PMM2  

Congenital Disorder 
Of Glycosylation  

AR  

100  

127 of 129  

POMGNT1  

Limb-Girdle Muscular
 Dystrophy,
 Retinitis Pigmentosa, 
Muscle-Eye-Brain Disease,
 Walker-Warburg Syndrome
  

AR  

99.91  

82 of 83  

POMK  

Limb-Girdle Muscular 
Dystrophy, 
Walker-Warburg
Syndrome
  

AR  

99.99  

8 of 8  

POMT1  

Limb-Girdle Muscular 
Dystrophy, Muscle-Eye-
Brain Disease, Walker-
Warburg Syndrome
  

AR  

100  

105 of 105  

POMT2  

Limb-Girdle Muscular 
Dystrophy, Muscle-Eye-
Brain Disease, Walker-
Warburg Syndrome
  

AR  

100  

74 of 74  

RFT1  

Congenital Disorder 
Of Glycosylation  

AR  

99.98  

18 of 18  

SLC35A1  

Congenital Disorder
 
Of Glycosylation  

AR  

100  

6 of 6  

SLC35A2  

Congenital Disorder
 
Of Glycosylation  

X,XD,G  

99.97  

–  

SLC35C1  

Congenital Disorder
 
Of Glycosylation  

AR  

99.73  

8 of 8  

SLC39A8  

Congenital Disorder 
Of Glycosylation  

AR  

99.89  

7 of 7  

SRD5A3  

Congenital Disorder 
Of Glycosylation, Kahrizi Syndrome  

AR  

100  

15 of 15  

SSR4  

Congenital Disorder 
Of Glycosylation  

X,XR,G  

100  

–  

STT3A  

Congenital Disorder
 
Of Glycosylation  

AR  

99.95  

4 of 4  

STT3B  

Congenital Disorder
 
Of Glycosylation  

AR  

98.71  

5 of 5  

TMEM165  

Congenital Disorder 
Of Glycosylation  

AR  

93.69  

4 of 5  

TMEM199  

Congenital Disorder 
Of Glycosylation  

AR  

100  

5 of 5  

 * Inheritance: AD: Autosomal Dominant; AR: Autosomal Recessive; X: X linked; XLR: X linked Recessive; Mi: Mitochondrial; Mu: Multifactorial 

** HGMD: Number of clinically relevant mutations according to HGMD 

Methodology

References

See scientific referrals

Ng, B. G., & Freeze, H. H. (2018). Perspectives on Glycosylation and Its Congenital Disorders. Trends in genetics : TIG, 34(6), 466–476. https://doi.org/10.1016/j.tig.2018.03.002 

Scott, K., Gadomski, T., Kozicz, T., & Morava, E. (2014). Congenital disorders of glycosylation: new defects and still counting. Journal of inherited metabolic disease, 37(4), 609–617. https://doi.org/10.1007/s10545-014-9720-9 

Verheijen, J., Tahata, S., Kozicz, T., Witters, P., & Morava, E. (2020). Therapeutic approaches in Congenital Disorders of Glycosylation (CDG) involving N-linked glycosylation: an update. Genetics in medicine : official journal of the American College of Medical Genetics, 22(2), 268–279. https://doi.org/10.1038/s41436-019-0647-2 

Bogdańska, A., & Tylki-Szymańska, A. (2020). Wrodzone zaburzenia glikozylacji białek – stale powiększająca się grupa chorób metabolicznych [Congenital disorders of glycosylation – constantly growing group of metabolic diseases]. Postepy biochemii, 66(3), 213–228. https://doi.org/10.18388/pb.2020_345 

Gilfix B. M. (2019). Congenital disorders of glycosylation and the challenge of rare diseases. Human mutation, 40(8), 1010–1012. https://doi.org/10.1002/humu.23829 

Jaeken J. (2013). Congenital disorders of glycosylation. Handbook of clinical neurology, 113, 1737–1743. https://doi.org/10.1016/B978-0-444-59565-2.00044-7 

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