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Phosphomannomutase 2 (PMM2) is an enzyme that plays a crucial role in a metabolic process called N-glycosylation. This process is essential for the proper synthesis of proteins and lipids within the cytoplasm and endoplasmic reticulum of cells.1

A defect in the PMM2 enzyme leads to the most common form of congenital disorder of glycosylation (CDG), known as CDG type I. CDG is a group of rare diseases that can affect multiple organs, particularly the brain. Symptoms of CDG type I can include low muscle tone, severe developmental delays, seizures, stroke-like episodes, and liver disease. Currently, there is no effective therapy for CDG, although some rare types may respond to mannose treatment.1

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