PMID- 33734437 OWN - NLM STAT- MEDLINE DCOM- 20220117 LR - 20221005 IS - 1573-2665 (Electronic) IS - 0141-8955 (Print) IS - 0141-8955 (Linking) VI - 44 IP - 4 DP - 2021 Jul TI - ALG13 X-linked intellectual disability: New variants, glycosylation analysis, and expanded phenotypes. PG - 1001-1012 LID - 10.1002/jimd.12378 [doi] AB - Pathogenic variants in ALG13 (ALG13 UDP-N-acetylglucosaminyltransferase subunit) cause an X-linked congenital disorder of glycosylation (ALG13-CDG) where individuals have variable clinical phenotypes that include developmental delay, intellectual disability, infantile spasms, and epileptic encephalopathy. Girls with a recurrent de novo c.3013C>T; p.(Asn107Ser) variant have normal transferrin glycosylation. Using a highly sensitive, semi-quantitative flow injection-electrospray ionization-quadrupole time-of-flight mass spectrometry (ESI-QTOF/MS) N-glycan assay, we report subtle abnormalities in N-glycans that normally account for <0.3% of the total plasma glycans that may increase up to 0.5% in females with the p.(Asn107Ser) variant. Among our 11 unrelated ALG13-CDG individuals, one male had abnormal serum transferrin glycosylation. We describe seven previously unreported subjects including three novel variants in ALG13 and report a milder neurodevelopmental course. We also summarize the molecular, biochemical, and clinical data for the 53 previously reported ALG13-CDG individuals. We provide evidence that ALG13 pathogenic variants may mildly alter N-linked protein glycosylation in both female and male subjects, but the underlying mechanism remains unclear. CI - (c) 2021 SSIEM. FAU - Alsharhan, Hind AU - Alsharhan H AUID- ORCID: 0000-0002-6433-0311 AD - Division of Human Genetics, Department of Pediatrics, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA. AD - Department of Pathology and Laboratory Medicine, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA. AD - Department of Pediatrics, Faculty of Medicine, Kuwait University, Kuwait City, Kuwait. FAU - He, Miao AU - He M AD - Department of Pathology and Laboratory Medicine, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA. FAU - Edmondson, Andrew C AU - Edmondson AC AD - Division of Human Genetics, Department of Pediatrics, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA. FAU - Daniel, Earnest J P AU - Daniel EJP AD - Department of Pathology and Laboratory Medicine, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA. FAU - Chen, Jie AU - Chen J AD - Department of Pathology and Laboratory Medicine, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA. FAU - Donald, Tyhiesia AU - Donald T AD - Pediatrics Ward, Grenada General Hospital, St. George's, Grenada. AD - Clinical Teaching Unit, St. George's University, St. George's, Grenada. FAU - Bakhtiari, Somayeh AU - Bakhtiari S AD - Pediatric Movement Disorders Program, Division of Pediatric Neurology, Barrow Neurological Institute, Phoenix Children's Hospital, Phoenix, Arizona, USA. AD - Departments of Child Health, Neurology, Cellular & Molecular Medicine and Program in Genetics, University of Arizona College of Medicine, Phoenix, Arizona, USA. FAU - Amor, David J AU - Amor DJ AD - Murdoch Children's Research Institute, Royal Children's Hospital, Melbourne, and Department of Pediatrics, University of Melbourne, Melbourne, Australia. FAU - Jones, Elizabeth A AU - Jones EA AD - Manchester Centre for Genomic Medicine, Saint Mary's Hospital, Manchester University NHS Foundation Trust, Manchester, UK. AD - Division of Evolution and Genomic Sciences, School of Biological Sciences, Faculty of Biology, Medicine and Health, University of Manchester, Manchester Academic Health Science Centre, Manchester, UK. FAU - Vassallo, Grace AU - Vassallo G AD - Department of Pediatric Neurology, Royal Manchester Children's Hospital, Manchester University Foundation Trust, Manchester, UK. FAU - Vincent, Marie AU - Vincent M AD - Service de genetique medicale, CHU de Nantes, Nantes, France. FAU - Cogne, Benjamin AU - Cogne B AD - Service de genetique medicale, CHU de Nantes, Nantes, France. FAU - Deb, Wallid AU - Deb W AD - Service de genetique medicale, CHU de Nantes, Nantes, France. FAU - Werners, Arend H AU - Werners AH AD - Department of Anatomy, Physiology and Pharmacology, St. George University School of Veterinary Medicine, St. George's, Grenada. FAU - Jin, Sheng C AU - Jin SC AD - Department of Genetics and Pediatrics, Washington University, St. Louis, Missouri, USA. FAU - Bilguvar, Kaya AU - Bilguvar K AD - Department of Genetics, Yale Center for Genome Analysis, Yale School of Medicine, New Haven, Connecticut, USA. FAU - Christodoulou, John AU - Christodoulou J AD - Brain and Mitochondrial Research Group, Murdoch Children's Research Institute, Royal Children's Hospital, Melbourne, and Department of Pediatrics, University of Melbourne, Melbourne, Australia. AD - Discipline of Child & Adolescent Health, Sydney Medical School, University of Sydney, Sydney, Australia. FAU - Webster, Richard I AU - Webster RI AD - Institute for Neuroscience and Muscle Research, The Children's Hospital at Westmead, Sydney, New South Wales, Australia. FAU - Yearwood, Katherine R AU - Yearwood KR AD - St. George's University, University Health Services, St. George's, Grenada. FAU - Ng, Bobby G AU - Ng BG AD - Human Genetics Program, Sanford Children's Health Research Center, Sanford Burnham Prebys Medical Discovery Institute, La Jolla, California, USA. FAU - Freeze, Hudson H AU - Freeze HH AD - Human Genetics Program, Sanford Children's Health Research Center, Sanford Burnham Prebys Medical Discovery Institute, La Jolla, California, USA. FAU - Kruer, Michael C AU - Kruer MC AD - Pediatric Movement Disorders Program, Division of Pediatric Neurology, Barrow Neurological Institute, Phoenix Children's Hospital, Phoenix, Arizona, USA. AD - Departments of Child Health, Neurology, Cellular & Molecular Medicine and Program in Genetics, University of Arizona College of Medicine, Phoenix, Arizona, USA. FAU - Li, Dong AU - Li D AD - Division of Human Genetics, Department of Pediatrics, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA. FAU - Raymond, Kimiyo M AU - Raymond KM AD - Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, Minnesota, USA. FAU - Bhoj, Elizabeth J AU - Bhoj EJ AD - Division of Human Genetics, Department of Pediatrics, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA. FAU - Sobering, Andrew K AU - Sobering AK AD - Department of Biochemistry, St. George's University School of Medicine, St. George's, Grenada. AD - Windward Islands Research and Education Foundation, True Blue, St. George's, Grenada. LA - eng GR - T32 GM008638/GM/NIGMS NIH HHS/United States GR - UL1 TR001863/TR/NCATS NIH HHS/United States GR - R00 HL143036/HL/NHLBI NIH HHS/United States GR - WT_/Wellcome Trust/United Kingdom GR - UM1 HG006504/HG/NHGRI NIH HHS/United States GR - U54 NS115198/NS/NINDS NIH HHS/United States GR - R01 DK099551/DK/NIDDK NIH HHS/United States GR - U24 HG008956/HG/NHGRI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20210326 PL - United States TA - J Inherit Metab Dis JT - Journal of inherited metabolic disease JID - 7910918 RN - 0 (Transferrin) RN - EC 2.4.1.- (ALG13 protein, human) RN - EC 2.4.1.- (N-Acetylglucosaminyltransferases) SB - IM MH - Congenital Disorders of Glycosylation/*genetics/physiopathology MH - Female MH - Genetic Variation MH - Glycosylation MH - Humans MH - Intellectual Disability/genetics/*physiopathology MH - Male MH - N-Acetylglucosaminyltransferases/*genetics MH - Phenotype MH - Transferrin/metabolism PMC - PMC8720508 MID - NIHMS1763418 OTO - NOTNLM OT - N-glycans OT - carbohydrate deficient transferrin OT - congenital disorders of glycosylation OT - epilepsy OT - exome sequencing OT - mass spectrometry COIS- CONFLICT OF INTEREST H. H. F. is a consultant for Cerecor, Inc. The other authors declare that they have no conflicts of interest. EDAT- 2021/03/19 06:00 MHDA- 2022/01/18 06:00 PMCR- 2022/01/02 CRDT- 2021/03/18 12:50 PHST- 2021/03/15 00:00 [revised] PHST- 2020/10/22 00:00 [received] PHST- 2021/03/17 00:00 [accepted] PHST- 2021/03/19 06:00 [pubmed] PHST- 2022/01/18 06:00 [medline] PHST- 2021/03/18 12:50 [entrez] PHST- 2022/01/02 00:00 [pmc-release] AID - 10.1002/jimd.12378 [doi] PST - ppublish SO - J Inherit Metab Dis. 2021 Jul;44(4):1001-1012. doi: 10.1002/jimd.12378. Epub 2021 Mar 26.