Skip to main content

Table 1 Studies on therapy and PMM2-CDG disease modeling with intervention

From: Unsuccessful intravenous D-mannose treatment in PMM2-CDG

Description

Subject

Mutation

Outcome

Reference

Continuous infusion of D-mannose (0.8 g/kg/day), for 5 months during the first year of life

Human

c.422G > A (p.Arg141His) and c.691G > A (p.Val231Met).

Unsuccessful

This study

Oral acetazolamide dosages from 6.8 to 16.7 mg/kg per day were well tolerated. Treatment lasted 6-months, followed by a randomized 5-week withdrawal phase.

Human

24 subjects with various mutations

Clinical improvement of cerebellar syndrome

Ann Neurol. 2019;85:740–51.

Five children with PMM2-CDG, received enteral supplementation with d-mannose 100 mg/kg every 3 h for 9 d.

Humans

F119 L/R141H

R141H/unknown

Unsuccessful

Acta Paediatr. 1998;87:884–8.

Continuous infusion of mannose 5.7 g/kg/day, for 3 weeks, within first year of life. Stable serum mannose levels up to 2.0 mmol/L were maintained. No signs of liver or renal toxicity.

Humans

Not reported

Unsuccessful

Acta Paediatr. 1997;86:1138–40.

Oral doses of 0.17 g

(1.0 mmol) mannose/kg body weight every 3.5 h, for 6 months. Patient was 12 months old at start of treatment.

Human

Phe119Leu/ Arg141His

Unsuccessful

Eur J Pediatr. 1998;157:605–6.

Cultured fibroblasts, 0.25 mmol/L D-mannose added to the culture medium

Human fibroblasts

Not reported

N-linked glycosylation restored to normal

J Clin Invest. 1996;97:1478–87.

Cultured fibroblasts, 1 mmol/L D-mannose added to the culture medium

Human fibroblasts

Not reported

Recovery of GDP-Mannose pools

Glycobiology. 2000;10:829–35.

Cultured fibroblasts, 1 mmol/L D-mannose added to the culture medium

In addition, glucose reduction from 5 mmol/L to 0.5 mmol/L improved D-mannose uptake and restoral of N-glycosylation

Human fibroblasts

Not reported

N-linked glycosylation restored to normal

Glycoconj J. 1998;15:499–505.

Cultured fibroblasts, 0.25 mmol/L D-mannose added to the culture medium

Human fibroblasts

Not reported

N-linked glycosylation restored to normal

Biochem Mol Med. 1997;61:161–7.

Treatment of female mice with 9 mg

mannose per mL drinking water, 1 week before mating

Mice

Pmm2 R137H/F118 L embryos

Successful

Nat Med. 2011;18:71–3.

Treatment of female mice with 9 mg

mannose per mL drinking water, 1 week before mating

Mice

Pmm2 F115 L embryos

Successful

Hum Mol Genet. 2016;25:2182–93.