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B4GALT1-CDG is a congenital disorder of glycosylation characterized by macrocephaly due to Dandy-Walker malformation, hydrocephaly, hypotonia, myopathy and coagulation anomalies. To date, only one case has been reported. The syndrome is associated with mutations in the GALT1 gene (localized to region q13 of chromosome 9) leading to a deficiency in the Golgi apparatus enzyme beta-1,4-galactosyl transferase.
Data assembled from 6 of 12 sources · Last updated Sep 20, 2026, 11:35 PM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
Common questions about B4GALT1-congenital disorder of glycosylation
Features include always present findings: Elevated creatine kinase (muscle enzyme) (elevated circulating creatine kinase concentration), Elevated circulating aspartate aminotransferase concentration, Myopathy, and Decreased muscle mass and others.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Muscles | 3 | Myopathy, Decreased muscle mass, Low muscle tone (hypotonia) |
Lab test results | 2 | Elevated creatine kinase (muscle enzyme) (elevated circulating creatine kinase concentration), Elevated circulating aspartate aminotransferase concentration |
Brain and nerves | 2 | Global developmental delay, Hydrocephalus |
Head and neck | 1 | Macrocephaly |
Age of onset: at birth.
B4GALT1 encodes beta-1,4-galactosyltransferase 1 (398 aa). Galactosyltransferase acting in the Golgi stacks. Highest expression in Cells Cultured fibroblasts (133.9 TPM) and Ovary (123.5 TPM).
B4GALT1-congenital disorder of glycosylation is associated with mutations in the B4GALT1 gene on chromosome 9.
The B4GALT1 protein participates in B4GALT1 R345Kfs*6, Association of ADAM and B4GALT1 With ZP3, and Defective B4GALT1 does not add Gal to N-glycan pathways.
B4GALT1 is classified as a druggable target (Druggable Genome, Enzyme, and External Side Of Plasma Membrane categories) with score 0.0.
Genetic testing for B4GALT1 is available. Testing is considered confirmatory for diagnosis.
Phenotype severity distribution: 11 always present features.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
No clinical trials have been registered for B4GALT1-congenital disorder of glycosylation.
5 publications have been identified in PubMed for B4GALT1-congenital disorder of glycosylation. Research spans Basic Science / Preclinical (60%), Review / Meta-Analysis (20%), and Case Report / Case Series (20%).
Ersoy M (2026). [PMID: 41334607](https://pubmed.ncbi.nlm.nih.gov/41334607/). *Clin Genet*. [Case Report / Case Series]
Gandoy-Fieiras N (2025). [PMID: 40993721](https://pubmed.ncbi.nlm.nih.gov/40993721/). *Orphanet J Rare Dis*. [Review / Meta-Analysis]
Wiertelak W (2025). [PMID: 40230451](https://pubmed.ncbi.nlm.nih.gov/40230451/). *Front Mol Biosci*. [Basic Science / Preclinical]
Mirabella F (2025). [PMID: 39859496](https://pubmed.ncbi.nlm.nih.gov/39859496/). *Int J Mol Sci*. [Basic Science / Preclinical]
Sou YS (2024). [PMID: 39079741](https://pubmed.ncbi.nlm.nih.gov/39079741/). *Life Sci Alliance*. [Basic Science / Preclinical]
AI-curated news mentioning B4GALT1-congenital disorder of glycosylation
Updated Jul 8, 2026
A new treatment for children aged 2 or older with sickle cell disease has been approved by the U.S. Food & Drug Administration. In a press release on Wednesday, the FDA announced it had approved Casgevy, the first gene therapy for children with sickle cell disease. (NewsNation) — A new treatment for children aged 2 or older with sickle cell disease has been approved by the Food & Drug Administration (FDA). In a Wednesday news release, the FDA announced it had approved Casgevy, the first gene therapy for children with the disease. “Casgevy is a gene therapy consisting of the patient’s own (autologous) hematopoietic (blood) stem cells, administered as a one-time single dose for intravenous infusion,” the release noted. “Pediatric patients as young as 2 years of age can now access a critical additional treatment option to treat these debilitating, life-threatening diseases,” Karim Mikhail, the acting director of the Center for Biologics Evaluation and Research, wrote. “These disorders carry a heavy burden for children and their families, affecting growth, development, and long-term health in profound ways,” Megha Kaushal, acting deputy director of the Office of Therapeutic Products in CBER, said in the release.