Molecular Genetics and Metabolism Reports (Dec 2020)

L-Fucose treatment of FUT8-CDG

  • Julien H. Park,
  • Janine Reunert,
  • Miao He,
  • Robert G. Mealer,
  • Maxence Noel,
  • Yoshinao Wada,
  • Marianne Grüneberg,
  • Judit Horváth,
  • Richard D. Cummings,
  • Oliver Schwartz,
  • Thorsten Marquardt

Journal volume & issue
Vol. 25
p. 100680

Abstract

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FUT8-CDG is a severe multisystem disorder caused by mutations in FUT8, encoding the α-1,6-fucosyltransferase. We report on dizygotic twins with FUT8-CDG presenting with dysmorphisms, failure to thrive, and respiratory abnormalities. Due to the severe phenotype, oral L-fucose supplementation was started. Glycosylation analysis using mass spectrometry indicated a limited response to fucose therapy while the clinical presentation stabilized. Further research is needed to assess the concept of substrate supplementation in FUT8-CDG.

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