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.