Bobby G. Ng, Gege Xu, Nandini Chandy, Joan Steyermark, Deepali N

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Biallelic Mutations in FUT8 Cause a Congenital Disorder of Glycosylation with Defective Fucosylation  Bobby G. Ng, Gege Xu, Nandini Chandy, Joan Steyermark, Deepali N. Shinde, Kelly Radtke, Kimiyo Raymond, Carlito B. Lebrilla, Ali AlAsmari, Sharon F. Suchy, Zöe Powis, Eissa Ali Faqeih, Susan A. Berry, David F. Kronn, Hudson H. Freeze  The American Journal of Human Genetics  Volume 102, Issue 1, Pages 188-195 (January 2018) DOI: 10.1016/j.ajhg.2017.12.009 Copyright © 2017 American Society of Human Genetics Terms and Conditions

Figure 1 Identification of FUT8 Pathogenic Variants in Three Unrelated Families (A) Schematic of the FUT8 dependent α1,6 fucosyltransferase enzymatic reaction creating a core fucose motif. (B) Pedigrees showing FUT8 pathogenic variants and segregation in families 0448, 0459, and 0464. (C) Schematic of Human FUT8 with the relative positions of each pathogenic variant on mRNA (GenBank: NM_178155.2) and protein level (Uniprot: Q9BYC5). The American Journal of Human Genetics 2018 102, 188-195DOI: (10.1016/j.ajhg.2017.12.009) Copyright © 2017 American Society of Human Genetics Terms and Conditions

Figure 2 Effect of FUT8 Pathogenic Variants on Protein Expression and mRNA Splicing (A) Western blot analysis of FUT8 protein in fibroblast from three controls, CDG-0448 and CDG-0459 showing loss of FUT8 protein expression. Two different monoclonal antibodies with separate epitopes were used to detect human FUT8 protein. The first monoclonal anti-FUT8 recognizes an epitope within amino acids 31–230 and was used at a 1:500 dilution and (Santa Cruz Biotechnology, sc-271244), while the second has an epitope within amino acids 276–575 and was used at a 1:2,000 dilution (Proteintech 66118-1-Ig). (B) Splicing analysis was performed using primers spanning exon 8 to exon 10 of FUT8 mRNA and determined that the c.1259+5G>T, found in CDG-0459, produced an abnormal transcript lacking exon 9. Two independent RNA preparations are shown for CDG-0459. The American Journal of Human Genetics 2018 102, 188-195DOI: (10.1016/j.ajhg.2017.12.009) Copyright © 2017 American Society of Human Genetics Terms and Conditions

Figure 3 Characterization of N-Glycans from Whole Serum using LC-MS LC-MS chromatograms for control, CDG-0448, CDG-0459, and CDG-0464 showing the loss of multiple core fucosylated N-glycans (green shade). Unlike the other two affected individuals, CDG-0464 also had an absence of non-fucosylated neutral glycans (orange shade), which is not due to the loss of FUT8. The American Journal of Human Genetics 2018 102, 188-195DOI: (10.1016/j.ajhg.2017.12.009) Copyright © 2017 American Society of Human Genetics Terms and Conditions

Figure 4 Characterization of N-Glycans from Primary Fibroblasts using LC-MS and Flow Cytometry LC-MS chromatograms for Control, CDG-0448, and CDG-0459 showing the loss of multiple fucosylated N-glycans (green shade). The control used, GM-05381, is representative of three different control lines (GM-00038, GM-03348, GM-05381). The American Journal of Human Genetics 2018 102, 188-195DOI: (10.1016/j.ajhg.2017.12.009) Copyright © 2017 American Society of Human Genetics Terms and Conditions

Figure 5 Lectin Analysis of Cell Surface Core Fucosylated N-Glycans (A) Flow cytometry was used to evaluate the cell surface binding of FITC-LcH (Lens culinaris agglutinin) in the two affected individuals and in a representative control culture and showed reduced lectin staining in both affected individuals. (B) Flow cytometry analysis of cell surface FITC-PSA (Pisum sativum agglutinin) in the two affected individuals and in a representative control culture and showed reduced lectin staining in both affected individuals. GM-03348 is representative of three different control lines (GM-00038, GM-03348, GM-05381). The American Journal of Human Genetics 2018 102, 188-195DOI: (10.1016/j.ajhg.2017.12.009) Copyright © 2017 American Society of Human Genetics Terms and Conditions