Skip to content

IEMbase 0361: PIGM-related glycosylphosphatidylinositol deficiency

Scope

Field Value
IEMbase ID 361
Nosology 18.3.00.12
Gene PIGM
External IDs OMIM:610293; ORPHA:83639
Generated mapping UNMAPPED; low candidate MHC_Class_II_Deficiency.yaml
Candidate DisMech targets No exact local target identified
Review date 2026-07-07

IEMbase phenotype signal

IEMbase represents PIGM-CDG/glycosylphosphatidylinositol deficiency, an autosomal recessive phosphatidylinositolglycan class M disorder. Characteristic rows include absence seizures, hepatic vein thrombosis, and portal vein thrombosis.

Additional clinical rows include developmental delay, prominent skin veins, and cerebral thrombosis. The biochemical row is flow cytometry of GPI markers. IEMbase lists sodium phenylbutyrate as a treatment.

DisMech phenotype coverage

The low MHC class II deficiency candidate is a false neighbor and should be rejected. Local MHC class II deficiency is an immune transcription/antigen presentation disorder involving CIITA/RFX genes; it does not cover PIGM, GPI anchor biosynthesis, thrombosis, or GPI-marker flow cytometry.

No exact PIGM-CDG DisMech disease file was identified. Any local inherited GPI deficiency family context would be pathway context only and should not be used as a disease-level mapping unless it explicitly covers PIGM.

Concordance and completeness

Judgement: true local gap; reject the generated MHC class II deficiency candidate.

IEMbase supplies a distinctive PIGM-CDG signal: PIGM identity, autosomal recessive inheritance, absence seizures, developmental delay, venous thromboses in hepatic, portal, and cerebral sites, prominent skin veins, diagnostic flow-cytometry GPI marker testing, and sodium phenylbutyrate treatment.

Curation actions

  • Do not map this record to MHC_Class_II_Deficiency.yaml.
  • Create or prioritize a future PIGM-CDG/GPI anchor biosynthesis target if this disease enters active DisMech curation.
  • Treat sodium phenylbutyrate, thrombosis, prominent skin veins, and flow-cytometry GPI markers as high-value enrichment prompts for future source-backed curation.