Congenital Disorder of Glycosylation, Type 1b

Definition

The MPI gene encodes phosphomannose isomerase, which converts fructose-6-phosphate to mannose-6-phosphate; this step plays a role in feeding the mannose pool required for N-glycosylation. Unlike PMM2-CDG, MPI-CDG does not show neurological involvement; it is characterized by protein-losing enteropathy, hepatic fibrosis, hypoglycemia, and coagulation disorders, and can be effectively treated with oral mannose supplementation.

Gene/region examined

MPI - Exon 1, MPI - Exon 2, MPI - Exon 3, MPI - Exon 4, MPI - Exon 5, MPI - Exon 6, MPI - Exon 7, MPI - Exon 8

Method

Sequence analysis

Accepted sample types

EDTA blood, AF, CVS

Inheritance

Inherited, autosomal recessive.

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