Review Article

Human Genetic Disorders and Knockout Mice Deficient in Glycosaminoglycan

Table 3

Biosynthetic enzymes of CS and DS chains.

Enzymes
(activity)
Coding genes
(synonym)
Chromosomal locationmRNA accession numberMIM numberHuman genetic disordersClinical featuresReferences for the human diseasesReferences for the knockout mice

Chondroitin synthase
(GalNAcT-II, CS-GlcAT-II)
CHSY1 15q26.3NM_014918605282
608183
Temtamy preaxial brachydactyly syndrome Syndromic recessive preaxial brachydactyly NeuropathyShort stature, limb malformation, hearing loss.[7780][81]
CHSY2
(CHSY3,  CSS3)
5q23.3NM_175856609963
CHSY3
(CHPF2, CSGLCA-T)
7q36.1NM_019015608037

Chondroitin-polymerizing factor
(GalNAcT-II, CS-GlcAT-II)
CHPF
(CSS2)
2q35NM_024536610405[81, 82]

Chondroitin N-acetylgalactosaminyltransferase
(GalNAcT-I, GalNAcT-II)
CSGALNACT1 8p21.3NM_018371Hereditary motor and sensory neuropathy Unknown type
Bell’s palsy
Intermittent postural tremor, reduction in compound muscle action potentials, acquired idiopathic generalized anhidrosis, hemifacial palsy.[83][81, 8486]
CSGALNACT2 10q11.21NM_018590[86]

Dermatan sulfate epimeraseDSE 6q22NM_013352615539
605942
Ehlers-Danlos syndrome musculocontractural type 2Characteristic facial features, congenital contractures of the thumbs and the feet, hypermobility of finger, elbow, and knee joints, atrophic scarring of the skin, and myopathy.[87][88, 89]
DSEL 18q22.1NM_032160611125Bipolar disorder
Depressive disorder
Diaphragmatic hernia
Microphthalmia
Alternating episodes of depression and mania or hypomania, and congenital malformation of the diaphragm.[9092][93]

Uranyl 2-O-sulfotransferaseUST 6q25.1NM_005715610752

Chondroitin 4-O-sulfotransferaseCHST11
(C4ST-1)
12qNM_018413610128[9496]
CHST12
(C4ST-2)
7p22NM_018641610129
CHST13
(C4ST-3)
3q21.3NM_152889610124

Dermatan 4-O-sulfotransferaseCHST14
(D4ST-1)
15q15.1NM_130468601776
608429
Ehlers-Danlos syndrome musculocontractural type 1
Adducted thumb-clubfoot syndrome
Craniofacial dysmorphism, multiple contractures, progressive joint and skin laxities, multisystem fragility-related manifestations, contractures of thumbs and feet, defects of heart, kidney and intestine.[97106][96, 107]

Chondroitin 6-O-sulfotransferaseCHST3
(C6ST-1)
10q22.1NM_004273143095
603799
Spondyloepiphyseal dysplasia with congenital joint dislocations Spondyloepiphyseal dysplasia Omani type Chondrodysplasia with multiple dislocations Humerospinal dysostosis
Larsen syndrome autosomal recessive type
Desbuquois syndrome
Short stature, severe kyphoscoliosis, osteoarthritis (elbow, wrist and knee), secondary dislocation of large joints, rhizomelia, fusion of carpal bones, mild brachydactyly, metacarpal shortening, ventricular septal defect, mitral and tricuspid defects, aortic regurgitations, deafness.[108113][114116]

N-Acetylgalactosamine-4-sulfate-
6-O-sulfotransferase
CHST15
(GalNAc4S-6ST)
10q26NM_015892608277[117]

—: not reported.
CSS: chondroitin sulfate synthase; DSEL: dermatan sulfate epimerase-like; CHST: carbohydrate sulfotransferase.