raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:79328

ALG9-CDG

Synonyms: CDG syndrome type IL · CDG-IL · CDG1L · Carbohydrate deficient glycoprotein syndrome type IL · Congenital disorder of glycosylation type 1L · Mannosyltransferase 7-9 deficiency

Type
Disease
Group
Disorder
Inheritance
Autosomal recessive
Age of onset
Antenatal, Infancy, Neonatal
Status
active

A rare form of congenital disorders of N-linked glycosylation characterized by progressive microcephaly, hypotonia, developmental delay, drug-resistant infantile epilepsy, and hepatomegaly. Additional features that may be observed include failure to thrive, pericardial effusion, renal cysts, skeletal dysplasia, facial dysmorphism (frontal bossing, hypertelorism, depressed nasal bridge, low-seated ears, large mouth) and hydrops fetalis. The disease is caused by loss-of-function mutations in the gene <i>ALG9</i> (11q23).

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enALG9-CDGCDG syndrome type IL · CDG-IL · CDG1L · Carbohydrate deficient glycoprotein syndrome type IL · Congenital disorder of glycosylation type 1L · Mannosyltransferase 7-9 deficiency
frALG9-CDGAnomalie congénitale de la glycosylation type 1L · Anomalie congénitale de la glycosylation type IL · CDG-IL · CDG1L · Déficit en mannosyltransférase 7-9 · Syndrome CDG type IL · Syndrome des glycoprotéines déficientes en hydrates de carbone type IL
deALG9-CDGCDG-Syndrom Typ Il · CDG1L · Kohlenhydrat-defizientes Glykoprotein-Syndrom IL · Kongenitaler Defekt der Glycoproteinbiosynthese Typ IL · Mannosyltransferase 7-9-Mangel · CDG-Il
esALG9-CDGCDG-IL · CDG1L · Deficiencia de manosiltransferasa 7-9 · Síndrome CDG tipo IL · Síndrome de glicoproteínas deficientes en carbohidratos tipo IL · Trastorno congénito de la glicosilación tipo 1L
itALG9-CDGCDG-IL · CDG1L · Deficit di mannosiltransferasi 7-9 · Disturbo congenito della glicosilazione, tipo 1L · Disturbo congenito della glicosilazione, tipo IL · Sidrome CDG, tipo IL · Sindrome delle glicoproteine carenti in carboidrati, tipo IL
nlALG9-CDGCongenitale glycosylatiestoornis type 1l · Congenitale glycosylatiestoornis type IL · Koolhydraatdeficiënt glycoproteïne-syndroom type IL · Mannosyltransferase-7-9-deficiëntie · CDG-IL · CDG-syndroom type IL · CDG1L · Congenitale defecten van de glycosylering type 1L · Congenitale defecten van de glycosylering type IL
ptALG9-CDGCDG-IL · CDG1L · Deficiência de manosiltransferase 7-9 · Doença congénita da glicosilação tipo 1L · Síndrome CDG tipo IL · Síndrome de glicoproteína deficiente em carbohidratos tipo IL
plALG9-CDGCDG1L · CDG-IL · Zespół CDG typu IL · Niedobór mannozylotransferazy 7-9 · Wrodzone zaburzenie glikozylacji typu 1L · Zespół obniżonej glikozylacji glikoprotein typu 1L
csALG9-CDGCDG syndrom, typ IL · CDG-IL · CDG1L · Carbohydrate deficient glycoprotein syndrom type IL · Vrozená porucha glykosylace, typ 1L · Vrozená porucha glykosylace, typ IL · Deficit mannosyltransferázy 7-9 · Syndrom s deficitem karbohydrátového glykoproteinu typ IL
ukALG9-CDGВуглеводно-дефіцитний глікопротеїновий синдром типу IL · Синдром CDG, тип IL · CDG1L · CDG-IL · Вроджене порушення глікозилювання типу 1L · Дефіцит маннозилтрансферази 7-9
zh先天性糖基化障碍ALG9突变型碳水化合物缺乏糖蛋白综合征IL型
trALG9-CDGCDG1L · CDG-IL · CDG sendromu tipi IL · Mannosiltransferaz 7-9 eksikliği · Tip 1L glikosilasyonun doğumsal bozukluğu · Karbonhidrat eksikliği olan glikoprotein sendromu tip IL

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM263210BTNTvalidated
OMIM608776Evalidated
ICD-10E77.8NTBTattributedvalidated
ICD-115C54.0NTBTindexvalidated
MONDO0012117Evalidated
MeSHC535750Evalidated
UMLSC2931006Evalidated
GARD9839Evalidated

E exact · NTBT this ORPHAcode is narrower than the target · BTNT broader than the target · ND not decided.

3

Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (4):

No children.

Codes that Orphanet moved or referred to this one:

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
ALG9Disease-causing germline mutation(s) (loss of function) inAssessedHGNC:15672ENSG0000008684860694111q23.1ALG9 alpha-1,2-mannosyltransferase20301507[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families12 casesWorldwideCase(s)Validated26453364[PMID]_28122681[PMID]_28932688[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_28122681[PMID]_28932688[PMID]

Value is Orphadata's ValMoy: the mean estimate per 100 000 for prevalence and incidence, the number of cases or families for case reports.

6

HPO phenotypes

86 annotations · validated 2021-09-20
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0001263Global developmental delay
HP:0001249Intellectual disability
HP:0001250Seizure
Frequent (79-30%)
HP:0001627Abnormal heart morphology
HP:0002240Hepatomegaly
HP:0001252Hypotonia
HP:0003186Inverted nipples
HP:0001698Pericardial effusion
HP:0000253Progressive microcephaly
HP:0002652Skeletal dysplasia
Occasional (29-5%)
HP:0011849Abnormal bone ossification
HP:0011103Abnormal left ventricular outflow tract morphology
HP:0002101Abnormal lung lobation
HP:0008776Abnormal renal artery morphology
HP:0007385Aplasia cutis congenita of scalp
HP:0002099Asthma
HP:0001631Atrial septal defect
HP:0000813Bicornuate uterus
HP:0000193Bifid uvula
HP:0000248Brachycephaly
HP:0100865Broad ischia
HP:0001272Cerebellar atrophy
HP:0002059Cerebral atrophy
HP:0000444Convex nasal ridge
HP:0001558Decreased fetal movement
HP:0000270Delayed cranial suture closure
HP:0012448Delayed myelination
HP:0005280Depressed nasal bridge
HP:0002014Diarrhea
HP:0000105Enlarged kidney
HP:0000565Esotropia
HP:0003015Flared metaphysis
HP:0002007Frontal bossing
HP:0002020Gastroesophageal reflux
HP:0001407Hepatic cysts
HP:0001234Hitchhiker thumb
HP:0000126Hydronephrosis
HP:0001789Hydrops fetalis
HP:0001347Hyperreflexia
HP:0000316Hypertelorism
HP:0000998Hypertrichosis
HP:0005343Hypoplasia of the bladder
HP:0009004Hypoplasia of the musculature
HP:0008724Hypoplasia of the ovary
HP:0002557Hypoplastic nipples
HP:0030215Inappropriate crying
HP:0000737Irritability
HP:0002265Large fleshy ears
HP:0009125Lipodystrophy
HP:0000343Long philtrum
HP:0010763Low insertion of columella
HP:0002162Low posterior hairline
HP:0000369Low-set ears
HP:0002061Lower limb spasticity
HP:0000347Micrognathia
HP:0000308Microretrognathia
HP:0003375Narrow greater sciatic notch
HP:0001562Oligohydramnios
HP:0001539Omphalocele
HP:0001405Periportal fibrosis
HP:0000358Posteriorly rotated ears
HP:0005487Prominent metopic ridge
HP:0000520Proptosis
HP:0002089Pulmonary hypoplasia
HP:0008905Rhizomelia
HP:0005133Right ventricular dilatation
HP:0000586Shallow orbits
HP:0003026Short long bone
HP:0000470Short neck
HP:0003196Short nose
HP:0000319Smooth philtrum
HP:0001762Talipes equinovarus
HP:0000506Telecanthus
HP:0000474Thickened nuchal skin fold
HP:0000219Thin upper lip vermilion
HP:0000473Torticollis
HP:0005180Tricuspid regurgitation
HP:0009487Ulnar deviation of the hand
HP:0000430Underdeveloped nasal alae
HP:0032464Ureteral hypoplasia
HP:0001629Ventricular septal defect
HP:0011473Villous atrophy
HP:0002013Vomiting
HP:0000260Wide anterior fontanel
HP:0000154Wide mouth
HP:0012704Widened subarachnoid space

Run the differential on the 3 obligate / very frequent terms

Annotation source: 28484880[PMID]_28932688[PMID]_20301507[PMID]

7

Sources for this card