Clinical and Molecular Features of Patients With Congenital Disorders of Glycosylation in Japan

ABSTRACT Congenital disorders of glycosylation (CDG) are a heterogeneous group of diseases caused by defects in various steps of the glycosylation pathway. There are over 200 known human glycosylation‐related disorders. Many of these defects lead to multisystemic manifestations, commonly involving t...

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Main Authors: Nobuhiko Okamoto, Machiko Kadoya, Yoshinao Wada
Format: Article
Language:English
Published: Wiley 2025-05-01
Series:JIMD Reports
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Online Access:https://doi.org/10.1002/jmd2.70011
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author Nobuhiko Okamoto
Machiko Kadoya
Yoshinao Wada
author_facet Nobuhiko Okamoto
Machiko Kadoya
Yoshinao Wada
author_sort Nobuhiko Okamoto
collection DOAJ
description ABSTRACT Congenital disorders of glycosylation (CDG) are a heterogeneous group of diseases caused by defects in various steps of the glycosylation pathway. There are over 200 known human glycosylation‐related disorders. Many of these defects lead to multisystemic manifestations, commonly involving the central nervous system, with symptoms ranging from mild to severe. The phenotypic presentation of CDG can vary significantly. Identifying altered protein glycosylation is crucial for accurate diagnosis. Our research institute has contributed to the CDG diagnostic support center in Japan, developing new analytical techniques utilizing mass spectrometry. These techniques allow for the identification of defects in N‐glycosylation, O‐glycosylation, and combined glycosylation pathways. Advances in genetic analysis, including whole exome sequencing, have revealed that certain types of CDG are more prevalent than previously recognized. We have contributed to the molecular diagnosis of 66 CDG patients in Japan. Although PMM2‐CDG is the most common form of CDG, it was only detected in 17% of the patients in the present study, suggesting that its incidence is much lower in Japan compared to European countries. We also conducted a comprehensive review of case reports of CDG in Japan, further describing the clinical and molecular spectrum of the disease in this population.
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spelling doaj-art-a6a48cbbdc2a48508c9a6aaeae7a90002025-08-20T02:38:09ZengWileyJIMD Reports2192-83122025-05-01663n/an/a10.1002/jmd2.70011Clinical and Molecular Features of Patients With Congenital Disorders of Glycosylation in JapanNobuhiko Okamoto0Machiko Kadoya1Yoshinao Wada2Department of Medical Genetics Osaka Women's and Children's Hospital Izumi JapanDepartment of Molecular Medicine Research Institute, Osaka Women's and Children's Hospital Izumi JapanDepartment of Molecular Medicine Research Institute, Osaka Women's and Children's Hospital Izumi JapanABSTRACT Congenital disorders of glycosylation (CDG) are a heterogeneous group of diseases caused by defects in various steps of the glycosylation pathway. There are over 200 known human glycosylation‐related disorders. Many of these defects lead to multisystemic manifestations, commonly involving the central nervous system, with symptoms ranging from mild to severe. The phenotypic presentation of CDG can vary significantly. Identifying altered protein glycosylation is crucial for accurate diagnosis. Our research institute has contributed to the CDG diagnostic support center in Japan, developing new analytical techniques utilizing mass spectrometry. These techniques allow for the identification of defects in N‐glycosylation, O‐glycosylation, and combined glycosylation pathways. Advances in genetic analysis, including whole exome sequencing, have revealed that certain types of CDG are more prevalent than previously recognized. We have contributed to the molecular diagnosis of 66 CDG patients in Japan. Although PMM2‐CDG is the most common form of CDG, it was only detected in 17% of the patients in the present study, suggesting that its incidence is much lower in Japan compared to European countries. We also conducted a comprehensive review of case reports of CDG in Japan, further describing the clinical and molecular spectrum of the disease in this population.https://doi.org/10.1002/jmd2.70011ATP6V0A2‐CDGNGLY1‐CDDGPMM2‐CDGSLC35A2‐CDG
spellingShingle Nobuhiko Okamoto
Machiko Kadoya
Yoshinao Wada
Clinical and Molecular Features of Patients With Congenital Disorders of Glycosylation in Japan
JIMD Reports
ATP6V0A2‐CDG
NGLY1‐CDDG
PMM2‐CDG
SLC35A2‐CDG
title Clinical and Molecular Features of Patients With Congenital Disorders of Glycosylation in Japan
title_full Clinical and Molecular Features of Patients With Congenital Disorders of Glycosylation in Japan
title_fullStr Clinical and Molecular Features of Patients With Congenital Disorders of Glycosylation in Japan
title_full_unstemmed Clinical and Molecular Features of Patients With Congenital Disorders of Glycosylation in Japan
title_short Clinical and Molecular Features of Patients With Congenital Disorders of Glycosylation in Japan
title_sort clinical and molecular features of patients with congenital disorders of glycosylation in japan
topic ATP6V0A2‐CDG
NGLY1‐CDDG
PMM2‐CDG
SLC35A2‐CDG
url https://doi.org/10.1002/jmd2.70011
work_keys_str_mv AT nobuhikookamoto clinicalandmolecularfeaturesofpatientswithcongenitaldisordersofglycosylationinjapan
AT machikokadoya clinicalandmolecularfeaturesofpatientswithcongenitaldisordersofglycosylationinjapan
AT yoshinaowada clinicalandmolecularfeaturesofpatientswithcongenitaldisordersofglycosylationinjapan