ALG2

Chr 9AR

ALG2 alpha-1,3/1,6-mannosyltransferase

Also known as: CDG1I, CDGIi, CMS14, CMSTA3, NET38, hALPG2

The protein functions as an alpha 1,3 mannosyltransferase in the endoplasmic reticulum, catalyzing the addition of mannose residues to dolichol-linked oligosaccharide precursors during N-linked glycosylation. Biallelic mutations cause congenital disorder of glycosylation type Ii and congenital myasthenic syndrome type 14 with tubular aggregates, both inherited in an autosomal recessive pattern. The pathogenic mechanism involves dominant-negative effects that disrupt normal protein glycosylation.

OMIMResearchSummary from RefSeq, OMIM, UniProt, Mechanism
LOFmechanismARLOEUF 1.182 OMIM phenotypes
Clinical SummaryALG2
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Gene-Disease Validity (ClinGen)
ALG2-congenital disorder of glycosylation · ARStrong

Strong evidence — appropriate for clinical testing

Population Constraint (gnomAD)
Low constraint (pLI 0.00) — loss-of-function variants are relatively tolerated in the population.

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Tolerant — LoF & missense variants common in population
LoF Constraint
1.18LOEUF
pLI 0.000
Z-score 1.13
OE 0.65 (0.381.18)
Tolerant

Highly tolerant — LoF variants common in population

Missense Constraint
-0.08Z-score
OE missense 1.01 (0.911.13)
230 obs / 226.7 exp
Tolerant

Tolerant to missense variation

Observed / Expected Ratios
LoF OE0.65 (0.381.18)
00.351.4
Missense OE1.01 (0.911.13)
00.61.4
Synonymous OE1.27
01.21.6
LoF obs/exp: 8 / 12.3Missense obs/exp: 230 / 226.7Syn Z: -2.15
Curated Mechanism (G2P)Gene2Phenotype (DDG2P) ↗
strongALG2-related congenital disorder of glycosylationLOFAR

Predictions shown for reference only — model trained on dominant genes, not applicable to AR conditions.

DN
0.6842th %ile
GOF
0.5954th %ile
LOF
0.2774th %ile

The Badonyi & Marsh prediction model was trained exclusively on dominant disease genes. Predictions are not reliable for genes with autosomal recessive inheritance and are shown at reduced opacity for reference only.

Predictions from Badonyi M, Marsh JA. PLoS ONE. 2024;19(8):e0307312.

ClinVar Variant Classifications

0 submitted variants in ClinVar

Protein Context — Lollipop Plot

ALG2 · protein map & ClinVar variants

Showing all ClinVar variants across the protein. Search a specific variant to highlight its position.

3D Protein StructureAlphaFold

Clinical Trials

Active and recruiting trials from ClinicalTrials.gov

No active trials found for this gene.

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Clinical Literature
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