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Alpha-1,2-mannosyltransferase ALG9 (ALG9) is an endoplasmic reticulum membrane enzyme critical for N-linked glycosylation of proteins. It catalyzes the addition of mannose residues to lipid-linked oligosaccharides, which are precursors necessary for proper protein folding and cellular quality control. Mutations in ALG9 cause congenital disorders of glycosylation type IL (CDG-IL), associated with multi-organ dysfunction, and have recently been linked to polycystic kidney and liver diseases. The enzyme’s activity is fundamental for glycoprotein biosynthesis, and its absence or dysfunction leads to defective N-glycosylation, accumulated misfolded proteins, and pathological organ morphology. ALG9 is essential and currently no therapeutics target its function directly, though genetic diagnosis informs patient care in relevant syndromes.
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