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Congenital disorders of glycosylation in hepatology: The example of polycystic liver disease
Open accessAbstract
Autosomal dominant polycystic liver disease (PCLD) is a rare progressive disorder characterized by an increased liver volume due to many (>20) fluid-filled cysts of biliary origin. Disease causing mutations in PRKCSH or SEC63 are found in approximately 25% of the PCLD patients. Both gene products function in the endoplasmic reticulum, however, the molecular mechanism behind cyst formation remains to be elucidated. As part of the translocon complex, SEC63 plays a role in protein import into the ER and is implicated in the export of unfolded proteins to the cytoplasm during ER-associated degradation (ERAD). PRKCSH codes for the beta-subunit of glucosidase II (hepatocystin), which cleaves two glucose residues of Glc(3)Man(9)GlcNAc(2) N-glycans on proteins. Hepatocystin is thereby directly involved in the protein folding process by regulating protein binding to calnexin/calreticulin in the ER. A separate group of genetic diseases affecting protein N-glycosylation in the ER is formed by the congenital disorders of glycosylation (CDG). In distinct subtypes of this autosomal recessive multisystem disease specific liver symptoms have been reported that overlap with PCLD. Recent research revealed novel insights in PCLD disease pathology such as the absence of hepatocystin from cyst epithelia indicating a two-hit model for PCLD cystogenesis. This opens the way to speculate about a recessive mechanism for PCLD pathophysiology and shared molecular pathways between CDG and PCLD. In this review we will discuss the clinical-genetic features of PCLD and CDG as well as their biochemical pathways with the aim to identify novel directions of research into cystogenesis.
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Unlike mutations in GIIβ associated with ADPLD, the phenotypic picture of mutations in GIIα is less clear, given its link to ADPKD.
“Unlike the mutations in GIIβ associated with ADPLD, the phenotypic picture of ones in GIIα is less clear, given its link to ADPKD [423,424].”
From GANAB and N-Glycans Substrates Are Relevant in Human Physiology, Polycystic Pathology and Multiple Sclerosis: A Review (2022) · cites this paper as [423]
ADPKD and ADPLD have been linked to pathogenic GII variants.
“Autosomal dominant polycystic kidney and liver disease (ADPKD and ADPLD, respectively) have been linked to pathogenic GII variants.”
From GANAB and N-Glycans Substrates Are Relevant in Human Physiology, Polycystic Pathology and Multiple Sclerosis: A Review (2022) · cites this paper as [423]
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Protein translocation across the eukaryotic endoplasmic reticulum and bacterial plasma membranes.
Rapoport, T. A. (2007) · Nature · doi:10.1038/nature06384 · Cited by 977
Protein quality control in the early secretory pathway
Anelli, T., & Sitia, R. (2008) · The EMBO Journal · doi:10.1038/sj.emboj.7601974 · Cited by 623
Mutations in PRKCSH cause isolated autosomal dominant polycystic liver disease
Li, A., Davila, S., Furu, L., Qian, Q., Tian, X., Kamath, P. S., King, B. F., Torres, V. E., & Somlo, S. (2003) · The American Journal of Human Genetics · doi:10.1086/368295 · Cited by 193
Extensive mutational analysis ofPRKCSH andSEC63 broadens the spectrum of polycystic liver disease
Waanders, E., te Morsche, R. H. M., de Man, R. A., Jansen, J. B. M. J., & Drenth, J. P. H. (2006) · Human Mutation · doi:10.1002/humu.9441 · Cited by 64 · cited 1×
“Because in a large percentage of the patients no mutation in PRKCSH or SEC63 can be identified, it is likely there is at least one more (yet unknown) gene involved in the development of PCLD [81].”
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Cited by
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“In fact, although ADPLD and ADPKD are two distinct genetic disorders, they share PLD as a major phenotypic feature.”
BackgroundInfluential
Metadata
- Authors
- Janssen, M. J., Waanders, E., Woudenberg, J., Lefeber, D. J., & Drenth, J. P. H.
- Affiliations
- Radboud University Medical Center (NL)
- Corresponding author
- Drenth, Joost P.H.
- Venue
- Journal of Hepatology
- Publisher
- Elsevier BV
- Published
- 2010-03
- Volume
- 52
- Issue
- 3
- Pages
- 432-440
- ISSN
- 0168-8278 (ISSN-L)
- OpenAlex
- W2147826970
- Cited by
- 54
- References
- 4
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 4 · 2023: 1 · 2022: 2 · 2021: 3 · 2020: 1 · 2019: 1 · 2018: 2 · 2017: 5 · 2016: 2 · 2015: 3 · 2014: 8 · 2013: 7 · 2012: 7
- FWCI
- 0.38
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Journal of Hepatology (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Radboud Repository (Radboud University) (submittedVersion)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetic and Kidney Cyst Diseases
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Biochemistry › Glycogen Storage Diseases and Myoclonus
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Glycosylation and Glycoproteins Research
- Keywords
- congenital disorders of glycosylation, autosomal dominant polycystic liver disease, PRKCSH, SEC63, glucosidase II, N-glycosylation, endoplasmic reticulum, ER-associated degradation, cyst formation, two-hit model, cyst epithelium, protein folding
- MeSH terms
- Calcium-Binding Proteins, Cysts, Glucosidases, Glycosylation, Humans, Liver Diseases, Membrane Proteins, RNA-Binding Proteins, Molecular Chaperones, Intracellular Signaling Peptides and Proteins
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