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ALG12 alpha-1,6-mannosyltransferase (ALG12) is an enzyme of the glycosyltransferase 22 family localized to the lumen-facing side of the endoplasmic reticulum (ER) membrane, where it adds the eighth mannose residue in an alpha-1,6 linkage to the growing lipid-linked oligosaccharide (LLO) precursor required for N-linked protein glycosylation[1][2][3]. Mutations in the ALG12 gene cause congenital disorder of glycosylation type Ig (ALG12-CDG), an autosomal recessive syndrome characterized by multiorgan involvement including intellectual disability, hypotonia, dysmorphic features, coagulation abnormalities, immunodeficiency, and urogenital anomalies in males due to improperly formed N-glycans[1][2]. No approved therapies exist; diagnosis relies on a combination of genetic, transferrin glyco-profile, and biochemical analyses[1][2][3]. The enzyme does not have known drug ligands or direct therapeutic targeting but serves as a crucial node in glycoprotein biosynthesis—its dysfunction reveals the essential nature of precise glycan elaboration in human physiology[1][2][3].
not applicable (no drugs currently target this enzyme)
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