Kemme Lisa, Grüneberg Marianne, Reunert Janine, Rust Stephan, Park Julien, Westermann Cordula, Wada Yoshinao, Schwartz Oliver, Marquardt Thorsten
University Children's Hospital Münster Muenster Germany.
Department of Clinical Sciences, Neurosciences Umeå University Umeå Sweden.
JIMD Rep. 2021 Mar 20;60(1):42-55. doi: 10.1002/jmd2.12213. eCollection 2021 Jul.
MAN1B1-CDG is a multisystem disorder caused by mutations in , encoding the endoplasmic reticulum mannosyl-oligosaccharide alpha-1,2-mannnosidase. A defect leads to dysfunction within the degradation of misfolded glycoproteins. We present two additional patients with MAN1B1-CDG and a resulting defect in endoplasmic reticulum-associated protein degradation. One patient (P2) is carrying the previously undescribed p.E663K mutation. A therapeutic trial in patient 1 (P1) using disulfiram with the rationale to generate an attenuation of translation and thus a balanced, restored ER glycoprotein synthesis failed. No improvement of the transferrin glycosylation profile was seen.
MAN1B1-CDG是一种多系统疾病,由编码内质网甘露糖寡糖α-1,2-甘露糖苷酶的基因突变引起。缺陷导致错误折叠糖蛋白降解功能障碍。我们报告另外两名患有MAN1B1-CDG且内质网相关蛋白降解存在缺陷的患者。一名患者(P2)携带此前未描述的p.E663K突变。对患者1(P1)使用双硫仑进行治疗试验,其原理是减少翻译从而平衡、恢复内质网糖蛋白合成,但未成功。转铁蛋白糖基化谱未见改善。