Congenital disorders of glycosylation

Gene: A4GALT

No list

A4GALT (alpha 1,4-galactosyltransferase (P blood group))
EnsemblGeneIds (GRCh38): ENSG00000128274
EnsemblGeneIds (GRCh37): ENSG00000128274
OMIM: 607922, Gene2Phenotype
A4GALT is in 1 panel

1 review

Ida Ertmanska (Genomics England Curator)

LoF variants in this gene lead to a rare 'P-Null' blood type (absence of P and Pk blood group antigens). The phenotype is usually spontaneous abortions and significant haemolytic complications upon transfusion of incompatible blood (PMID: 27612185 Li et al., 2017). While the mechanism is indeed a Congenital disorders of glycosylation (impaired Gb3/CD77 synthase activity), testing for a rare blood group antigen does not fit into the scope of the panel.
Created: 15 Oct 2025, 1:40 p.m. | Last Modified: 15 Oct 2025, 1:43 p.m.
Panel Version: 7.8

Mode of inheritance
BIALLELIC, autosomal or pseudoautosomal

Phenotypes
[Blood group, P1Pk system, p phenotype], OMIM:111400

Publications

Details

Mode of Inheritance
BIALLELIC, autosomal or pseudoautosomal
Sources
  • Expert Review Removed
  • ClinGen
Phenotypes
  • [Blood group, P1Pk system, p phenotype], OMIM:111400
Tags
curated_removed
OMIM
607922
Clinvar variants
Variants in A4GALT
Penetrance
None
Publications
Panels with this gene

History Filter Activity

15 Oct 2025, Gel status: 0

Entity classified by Genomics England curator

Achchuthan Shanmugasundram (Genomics England Curator)

Gene: a4galt has been removed from the panel.

15 Oct 2025, Gel status: 0

Added Tag

Achchuthan Shanmugasundram (Genomics England Curator)

Tag curated_removed tag was added to gene: A4GALT.

15 Oct 2025, Gel status: 0

Set Phenotypes

Achchuthan Shanmugasundram (Genomics England Curator)

Phenotypes for gene: A4GALT were changed from congenital disorder of glycosylation, MONDO:0015286 to [Blood group, P1Pk system, p phenotype], OMIM:111400

15 Oct 2025, Gel status: 0

Set publications

Achchuthan Shanmugasundram (Genomics England Curator)

Publications for gene: A4GALT were set to 12823750,15142124; 10747952; 10993874; 11896312; 27612185

14 Oct 2025, Gel status: 0

Created, Added New Source, Set mode of inheritance, Set publications, Set Phenotypes

Ida Ertmanska (Genomics England Curator)

gene: A4GALT was added gene: A4GALT was added to Congenital disorders of glycosylation. Sources: ClinGen Mode of inheritance for gene: A4GALT was set to BIALLELIC, autosomal or pseudoautosomal Publications for gene: A4GALT were set to 12823750,15142124; 10747952; 10993874; 11896312; 27612185 Phenotypes for gene: A4GALT were set to congenital disorder of glycosylation, MONDO:0015286 Review for gene: A4GALT was set to GREEN