Skip to content

IEMbase 0610: SSR4-related congenital disorder of glycosylation

Scope

Field Value
IEMbase ID 610
Nosology 18.1.19.01
Gene SSR4
External IDs OMIM:300934; ORPHA:370927
Generated mapping CANDIDATE; ALG12_Congenital_Disorder_of_Glycosylation.yaml
Candidate DisMech targets None exact
Review date 2026-07-07

IEMbase phenotype signal

IEMbase represents SSR4-CDG as an X-linked congenital disorder of glycosylation with unknown treatability and no treatment rows. Biochemical rows include increased serum disialotransferrin and decreased serum tetrasialotransferrin in the neonatal period.

Clinical rows capture developmental delay, intellectual disability, failure to thrive, hypotonia, abnormal subcutaneous fat distribution, optional seizures, and optional skeletal malformations. Characteristic rows include facial dysmorphism, microcephaly, micrognathia, clinodactyly, strabismus, and optional hypospadias.

DisMech phenotype coverage

ALG12_Congenital_Disorder_of_Glycosylation.yaml is a false-positive CDG-class candidate. The local file models biallelic ALG12 mannosyltransferase deficiency and type I CDG biology, not X-linked SSR4/signal-sequence receptor subunit 4 disease.

No exact SSR4-CDG target was identified locally.

Concordance and completeness

Judgement: true local gap; reject ALG12-CDG as exact coverage.

The IEMbase record should seed a separate SSR4-CDG work item, with ALG12-CDG kept only as neighboring CDG context.

Curation actions

  • Create or identify an exact SSR4-CDG target before import.
  • Reject ALG12_Congenital_Disorder_of_Glycosylation.yaml as an exact mapping.
  • Preserve transferrin, X-linked inheritance, abnormal fat distribution, neurodevelopmental, dysmorphic, strabismus, skeletal, and genital prompts.