B4GALT2

Chr 1

beta-1,4-galactosyltransferase 2

Also known as: B4Gal-T2, B4Gal-T3, beta4Gal-T2

This gene encodes beta-1,4-galactosyltransferase 2, a Golgi membrane enzyme that synthesizes N-acetyllactosamine in glycolipids and glycoproteins and is responsible for producing complex-type N-linked oligosaccharides. Mutations in B4GALT2 cause autosomal recessive congenital disorder of glycosylation type IId, characterized by developmental delay, intellectual disability, and dysmorphic features. The gene shows moderate constraint against loss-of-function variants (LOEUF 0.59), suggesting some tolerance to protein disruption.

OMIMResearchSummary from RefSeq, UniProt
DNmechanismLOEUF 0.59
Clinical SummaryB4GALT2
Population Constraint (gnomAD)
Constrained for loss-of-function variants (OE-LoF 0.26) despite low pLI — interpret in context.

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Moderate LoF intolerance
LoF Constraint
0.59LOEUF
pLI 0.198
Z-score 2.70
OE 0.26 (0.130.59)
Moderately constrained

More LoF-intolerant than ~75% of genes

Missense Constraint
1.88Z-score
OE missense 0.68 (0.610.77)
194 obs / 283.2 exp
Tolerant

Mild missense constraint

Observed / Expected Ratios
LoF OE0.26 (0.130.59)
00.351.4
Missense OE0.68 (0.610.77)
00.61.4
Synonymous OE1.04
01.21.6
LoF obs/exp: 4 / 15.5Missense obs/exp: 194 / 283.2Syn Z: -0.32
DN
0.6258th %ile
GOF
0.5955th %ile
LOF
0.3939th %ile

The highest-scoring mechanism for this gene is dominant-negative.

DNprediction above median

Note: In-silico variant effect predictors (SIFT, PolyPhen, REVEL, CADD) may underestimate pathogenicity of missense variants in genes with GOF or DN mechanisms. Consider functional evidence and clinical context.

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

ClinVar Variant Classifications

0 submitted variants in ClinVar

Protein Context — Lollipop Plot

B4GALT2 · 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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