PMM2-CDG, formerly known as
congenital disorder of glycosylation-Ia (CDG-Ia), is caused by mutations in the gene encoding
phosphomannomutase 2 (PMM2). This disease is the most frequent form of inherited CDG-diseases affecting
protein N-glycosylation in human.
PMM2-CDG is a multisystemic disease with severe psychomotor and
mental retardation. In order to study the pathophysiology of
PMM2-CDG in a human cell culture model, we generated induced pluripotent stem cells (iPSCs) from fibroblasts of a PMM2-CDG-patient (PMM2-iPSCs). Expression of pluripotency factors andin vitrodifferentiation into cell types of the three germ layers was unaffected in the analyzed clone PMM2-iPSC-C3 compared with nondiseased human pluripotent stem cells (hPSCs), revealing no broader influence of the PMM2 mutation on pluripotency in cell culture. Analysis of gene expression by deep-sequencing did not show obvious differences in the transcriptome between PMM2-iPSC-C3 and nondiseased hPSCs. By multiplexed capillary gel electrophoresis coupled to
laser induced fluorescence detection (xCGE-LIF) we could show that PMM2-iPSC-C3 exhibit the common hPSC N-glycosylation pattern with high-
mannose-type N-
glycans as the predominant species. However,
phosphomannomutase activity of PMM2-iPSC-C3 was 27% compared with control hPSCs and
lectin staining revealed an overall reduced protein glycosylation. In addition, quantitative assessment of N-glycosylation by xCGE-LIF showed an up to 40% reduction of high-
mannose-type N-
glycans in PMM2-iPSC-C3, which was in concordance to the observed reduction of the Glc3Man9GlcNAc2
lipid-linked
oligosaccharide compared with control hPSCs. Thus we could model the
PMM2-CDG disease phenotype of hypoglycosylation with patient derived iPSCsin vitro Knock-down ofPMM2by
shRNA in PMM2-iPSC-C3 led to a residual activity of 5% and to a further reduction of the level of N-glycosylation. Taken together we have developed human stem cell-based cell culture models with stepwise reduced levels of N-glycosylation now enabling to study the role of N-glycosylation during early human development.