Review Article

Mutations in Biosynthetic Enzymes for the Protein Linker Region of Chondroitin/Dermatan/Heparan Sulfate Cause Skeletal and Skin Dysplasias

Table 1

Biosynthetic enzymes of the GAG-linker region tetrasaccharide.

Enzymes
(activity)
Coding genesChromosomal locationMIM numberHuman genetic disorders
(GAG linkeropathies)
Amino acid changes in disordersReferences

Xylosyltransferase
(XylT)
XYLT1 16p12.3608124
615777
Desbuquois dysplasia type 2,
short stature syndrome
Pro93Alafs69; Arg147X; Arg481Trp; Arg598Cys; two mutations in splice site[22, 23]
XYLT2 17q21.33608125Spondyloocular syndrome with bone fragility, cataracts, and hearing defectsAla174Profs35; Val232Glyfs54[24]

4-Galactosyltransferase-I
(GalT-I)
B4GALT7 5q35.2-q35.3130070
604327
Ehlers-Danlos syndrome progeroid type 1,
Larsen of Reunion Island syndrome
Ala186Asp; Leu206Pro; Arg270Cys [2528]

3-Galactosyltransferase-II
(GalT-II)
B3GALT6 1p36.33271640
615349
615291
Ehlers-Danlos syndrome progeroid type 2,
spondyloepimetaphyseal dysplasia with joint laxity type 1
Met1?; Arg6Trp; Ser65Gly; Pro67Leu; Ala108Glyfs163;
Asp118Alafs160; Met139Ala141del; Asp156Asn; Arg197Alafs81; Asp207His; Gly217Ser; Arg232Cys; Cys300Ser; Ser309Thr
[2931]

3-Glucuronyltransferase-I
(GlcAT-I)
B3GAT3 11q12.3245600
606374
Larsen-like syndrome B3GAT3 type
Multiple joint dislocations, a short stature, craniofacial dysmorphism, and congenital heart defects
Pro140Leu; Arg277Gln[3234]