ALG12

protein-coding

ALG12 alpha-1,6-mannosyltransferase, the group of Dolichyl D-mannosyl phosphate dependent mannosyltransferases

Gene summary

This gene encodes a member of the glycosyltransferase 22 family. The encoded protein catalyzes the addition of the eighth mannose residue in an alpha-1,6 linkage onto the dolichol-PP-oligosaccharide precursor (dolichol-PP-Man(7)GlcNAc(2)) required for protein glycosylation. Mutations in this gene have been associated with congenital disorder of glycosylation type Ig (CDG-Ig)characterized by abnormal N-glycosylation. [provided by RefSeq, Jul 2008]

MANE transcript

NM_024105.4

Inheritance

AR

ClinVar variants

P:48U:208B:203

Top phenotype

Congenital disorder of glycosylation, type Ig

gnomAD constraint

pLI —, LoF o/e 0.66

Max pathogenic AF

—

Genomic locus

chr22:49,900,229-49,918,438

External References & Databases

Transcript & Mutation Effects

hg38 • Region Span ~18.2 kb
Loading mutation effect viewer...

GenCC Phenotypes & Disease Associations

Curated gene-disease validity assertions and inheritance patterns

ALG12-congenital disorder of glycosylationDEFINITIVE

Inheritance Pattern: AR

Disease ID:MONDO:0011783

Submitter: ClinGen

*ALG12* was first reported in relation to autosomal recessive *ALG12*-congenital disorder of glycosylation (also known as congenital disorder of glycosylation type Ig) in 2002 (Chantret et. al., PMID 11983712). Common phenotypes include intellectual disability, hypotonia, dysmorphic features, coagulation abnormalities and genitourinary abnormalities. Twenty-two unique variants (missense, nonsense, frameshift and an in-frame indel) that have been reported in 14 individuals across 11 publications (PMIDs: 11983712, 12093361, 12217961, 15639192, 16435218, 17506107, 25019053, 31529350, 34092405, 34467644, 34602961) are included in this curation. Several variants were evaluated but not scored due to high allele frequency in gnomAD (PMID: 31743061), discordant phenotypes (PMIDs: 31481313, 32530140), or lack of supporting biochemical evidence (PMID: 33461977). The mechanism of pathogenicity is known to be loss-of-function. This gene-disease association is also supported by biochemical evidence. The protein encoded by *ALG12* is involved in the N-linked glycoprotein synthesis pathway; loss-of-function of different proteins in this pathway have been associated with intellectual disability (PMID: 23798010). In summary, there is definitive evidence to support the relationship between *ALG12* and autosomal recessive *ALG12*-congenital disorder of glycosylation. This has been repeatedly demonstrated in both the research and clinical diagnostic settings and has been upheld over time. This classification was approved by the ClinGen Intellectual Disability and Autism Gene Curation Expert Panel on February 15, 2023 (SOP Version 9).

ALG12-congenital disorder of glycosylationMODERATE

Inheritance Pattern: AR

Disease ID:MONDO:0011783

Submitter: Ambry Genetics

ALG12-congenital disorder of glycosylationDEFINITIVE

Inheritance Pattern: AR

Disease ID:MONDO:0011783

Submitter: G2P

ALG12-congenital disorder of glycosylationSUPPORTIVE

Inheritance Pattern: AR

Disease ID:MONDO:0011783

Submitter: Orphanet

ALG12-congenital disorder of glycosylationSTRONG

Inheritance Pattern: AR

Disease ID:MONDO:0011783

Submitter: PanelApp Australia

ALG12-congenital disorder of glycosylationSTRONG

Inheritance Pattern: AR

Disease ID:MONDO:0011783

Submitter: Labcorp Genetics (formerly Invitae)

Clinical Genomic Database (CGD)

Congenital disorder of glycosylation, type IgAR

Manifestation: Allergy/Immunology/Infectious; Biochemical; Cardiovascular; Craniofacial; Genitourinary; Hematologic; Musculoskeletal; Neurologic

Intervention: Allergy/Immunology/Infectious; Cardiovascular; Hematologic

Rationale: As the condition can include immunodeficiency and frequent infections, prophylaxis and early and aggressive treatment of infections may be beneficial; Awareness of coagulopathies may be beneficial in terms of medical management, especially in situations such as surgery; Individuals have been described with congenital heart anomalies, and awareness may enable early diagnosis and management

Comments: Hepatic-metabolized agents should be avoided

Refs: 11983712; 12217961; 17506107; 31481313Source: CGD (NHGRI)

ClinVar Associated Diseases & Phenotypes

Reported disease conditions connected to ALG12 variants in ClinVar

5 Conditions Cataloged
ALG12-congenital disorder of glycosylationTotal: 488
Inborn genetic diseasesTotal: 90
not providedTotal: 55
ALG12-related disorderTotal: 21
not specifiedTotal: 21

ClinVar Variants & Pathogenicity by Type

Statistics based on transcript NM_024105.4. Only rare variants are included.

We include only reliable ClinVar variants with their consequences to MANE Select, MANE Plus Clinical transcripts, or transcripts with TSL equal to 1. Click a count to filter the variants table below.

Slight differences between displayed counts and ClinVar may occur due to a different transcript/consequence chosen by our variant effect predictor, or because we classify Benign/Likely benign as Likely benign and Pathogenic/Likely pathogenic as Likely pathogenic.

EffectPLPVUSLBBSum
synonymous
4
clinvar
185
clinvar
1
clinvar
190
missense
1
clinvar
10
clinvar
201
clinvar
15
clinvar
2
clinvar
229
nonsense
9
clinvar
1
clinvar
10
start loss
0
frameshift
10
clinvar
7
clinvar
1
clinvar
18
splice donor/acceptor (+/-2bp)
10
clinvar
2
clinvar
12
Total20282082003459

Highest pathogenic variant AF is 0.00012332367

Loading ClinVar variants...

Transcript Catalog

Annotated transcript isoforms across RefSeq and Ensembl databases

Showing 4 of 40 transcripts
Transcript IDSourceProtein IDCoding ExonsMANE Status
NM_024105.4RefSeqNP_077010.19MANE Select
ENST00000330817.11EnsemblENSP00000333813.59MANE Select
ENST00000486602.1EnsemblENSP00000420630.14Standard
ENST00000492791.1EnsemblENSP00000417387.15Standard

Gene Ontology (GO) Annotations & Pathways

Biological processes, molecular functions, cellular components and pathways

Pathways ConsensusPathDB

  • N-Glycan biosynthesis - Homo sapiens (human)
  • Post-translational protein modification
  • Metabolism of proteins
  • Biosynthesis of the N-glycan precursor (dolichol lipid-linked oligosaccharide, LLO) and transfer to a nascent protein
  • Asparagine N-linked glycosylation

Biological Process

  • protein folding
  • protein N-linked glycosylation
  • dolichol-linked oligosaccharide biosynthetic process
  • mannosylation

Molecular Function

  • mannosyltransferase activity
  • dolichyl-pyrophosphate Man7GlcNAc2 alpha-1,6-mannosyltransferase activity
  • dol-P-Man:Man(7)GlcNAc(2)-PP-Dol alpha-1,6-mannosyltransferase activity

Cellular Component

  • endoplasmic reticulum
  • endoplasmic reticulum lumen
  • endoplasmic reticulum membrane
  • membrane
  • integral component of membrane

gnomAD Constraint

Source: gnomAD

Gene type
protein_coding
Transcript type
protein_coding
Transcript
ENST00000330817
Coding exons
9
Length
18230
Individuals with no LoFs
125677
Homozygous LoFs
0
Heterozygous LoFs
70
Defined
125747
p
0.000278
Z-ScoreObservedExpectedObserved/ExpectedMutation RateTotal Possible
Missense-0.1932952861.030.00001993077
Missense (PolyPhen)107107.610.994311246
Synonymous-1.871661381.200.00001071094
Loss of Function1.451421.20.6610.00000102234

Population LoF Frequency

PopulationCAFp-valueStatus
African0.000250.00025rare
Latino/Admixed American0.000640.00064rare
Ashkenazi Jewish0.000200.00020rare
East Asian0.000110.00011rare
Finnish0.000280.00028rare
European (Non-Finnish)0.000320.00027rare
South Asian0.0000980.000098rare
Other00.0absent

dbNSFP Gene Annotations

Source: dbNSFP

Function
FUNCTION: Adds the eighth mannose residue in an alpha-1,6 linkage onto the dolichol-PP-oligosaccharide precursor (dolichol-PP- Man(7)GlcNAc(2)) required for protein glycosylation.;

Recessive Scores

pRec
0.141

Intolerance Scores

LoFtool
0.420
RVIS EVS
-0.64
RVIS percentile EVS
16.68

Essentials

Essential (CRISPR)
N
Essential (CRISPR2)
S
Essential (gene trap)
N
Indispensability pred.
N
Indispensability score
0.352

Gene Damage Prediction

AllRecessiveDominant
MendelianMediumMediumMedium
Primary ImmunodeficiencyMediumMediumMedium
CancerMediumMediumMedium
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