Human Molecular Genetics Advance Access published online on March 1, 2007
Human Molecular Genetics, doi:10.1093/hmg/ddm028
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COG8 deficiency causes new Congenital Disorder of Glycosylation type IIh
1 Burnham Institute for Medical Research, La Jolla, California 92037, USA 2 Princeton University, Department of Molecular Biology, Princeton, New Jersey 08544, USA 3 University of Arkansas for Medical Sciences, Little Rock, Arkansas 72205, USA 4 Highland Park Professional Building, Kalispell, Montana 59901, USA 5 Boston University School of Medicine, Boston, Massachusetts 02118-2526, USA 6 Institute of Molecular & Cell Biology, 61 Biopolis Drive, Singapore 138671, Singapore
* Corresponding author Hudson H. Freeze, Glycobiology and Carbohydrate Chemistry Program, Burnham Institute for Medical Research, 10901 N. Torrey Pines Rd, La Jolla, CA 92037, phone: 858-646-3142, fax: 858-713-6281, E-mail: hudson{at}burnham.org
Received February 9, 2007; Revised February 12, 2007; Accepted February 12, 2007
We describe a new Type II congenital disorder of glycosylation (CDG-II) caused by mutations in the Conserved Oligomeric Golgi (COG) complex gene, COG8. The patient has severe psychomotor retardation, seizures, failure to thrive, and intolerance to wheat and dairy products. Analysis of serum transferrin and total serum N-glycans showed normal addition of one sialic acid, but severe deficiency in subsequent sialylation of mostly normal N-glycans. Patient fibroblasts were deficient in sialylation of both N- and O-glycans, and also showed slower brefeldin A (BFA) - induced disruption of the Golgi matrix, reminiscent of COG7-deficient cells. Patient fibroblasts completely lacked COG8 protein and had reduced levels and/or mislocalization of several other COG proteins. The patient had two COG8 mutations which severely truncated the protein and destabilized the COG complex. The first, IVS3 + 1G > A, altered the conserved splicing site of intron 3, and the second deleted two nucleotides (1687-1688 del TT) in exon 5, truncating the last 47 amino acids. Lentiviral-mediated complementation with normal COG8 corrected mislocalization of other COG proteins, normalized sialylation, and restored normal BFA-induced Golgi disruption. We propose to call this new disorder CDG-IIh or CDG-II/COG8.
Present address: Erik A. Eklund: Lund University, Department for Cell and Molecular Biology, BMC C13, 221 84 Lund, Sweden
Present address: Yoshiaki Miura: Hokkaido University, Sapporo, Japan
¶ These authors contributed equally
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