Preferred Label : Congenital disorder of glycosylation, type ib;
Symbol : CDG1B;
CISMeF acronym : CDG1B;
Type : Phenotype, molecular basis known;
Alternative titles and symbols : CDGIb; Cdg ib; Mannosephosphate isomerase deficiency; Saguenay-lac saint-jean syndrome; Protein-losing enteropathy-hepatic fibrosis syndrome; Cdg, gastrointestinal type; Mpi deficiency; Slsj syndrome;
Description : Congenital disorders of glycosylation (CDGs) are a genetically heterogeneous group
of autosomal recessive disorders caused by enzymatic defects in the synthesis and
processing of asparagine (N)-linked glycans or oligosaccharides on glycoproteins.
Type I CDGs comprise defects in the assembly of the dolichol lipid-linked oligosaccharide
(LLO) chain and its transfer to the nascent protein. These disorders can be identified
by a characteristic abnormal isoelectric focusing profile of plasma transferrin (Leroy,
2006). For a discussion of the classification of CDGs, see CDG1A (212065). CDG Ib
is clinically distinct from most other CDGs by the lack of significant central nervous
system involvement. The predominant symptoms are chronic diarrhea with failure to
thrive and protein-losing enteropathy with coagulopathy. Some patients develop hepatic
fibrosis. CDG Ib is also different from other CDGs in that it can be treated effectively
with oral mannose supplementation, but can be fatal if untreated (Marquardt and Denecke,
2003). Thus, CDG Ib should be considered in the differential diagnosis of patients
with unexplained hypoglycemia, chronic diarrhea, liver disease, or coagulopathy in
order to allow early diagnosis and effective therapy (Vuillaumier-Barrot et al., 2002)
Freeze and Aebi (1999) reviewed CDG Ib and CDG Ic (603147).;
Inheritance : Autosomal recessive;
Molecular basis : Caused by mutations in the mannosephosphate isomerase gene (MPI, 154550.0001);
Laboratory abnormalities : Abnormal isoelectric focusing of serum transferrin, type I pattern; Phosphomannose isomerase deficiency in leukocytes, fibroblasts, or liver; Hypoalbuminemia;
Prefixed ID : #602579;
Origin ID : 602579;
UMLS CUI : C1865145;
Currated CISMeF NLP mapping
DO Cross reference
Genes related to phenotype
HPO term(s)
ORDO concept(s)
See also inter- (CISMeF)
Semantic type(s)
UMLS correspondences (same concept)