GMPPB

GDP-Mannose Pyrophosphorylase B

Gene Information Card

Symbol GMPPB
Full Name GDP-mannose pyrophosphorylase B
Gene Type Protein coding
Chromosomal Location 3p21.31
NCBI Gene ID 29925 ncbi.nlm.nih.gov/gene/29925
Ensembl ID ENSG00000173540
UniProt ID Q9Y5P6
OMIM ID 615320
HGNC ID 22932
Aliases MDDGA14, MDDGB14, MDDGC14

Description

The GMPPB gene encodes the beta subunit of GDP-mannose pyrophosphorylase, an enzyme that catalyzes the conversion of mannose-1-phosphate and GTP to GDP-mannose. GDP-mannose is a key sugar donor for the glycosylation of proteins, including alpha-dystroglycan. Mutations in GMPPB impair protein O-mannosylation, leading to a spectrum of congenital muscular dystrophies and limb-girdle muscular dystrophies collectively known as dystroglycanopathies.

Disease Associations

Disease category Pathophysiological mechanism Genomic evidence
Muscular dystrophy-dystroglycanopathy (congenital with brain and eye anomalies) type A14 (MDDGA14) Loss-of-function mutations reduce GDP-mannose production, disrupting alpha-dystroglycan glycosylation and causing severe neurodevelopmental defects. OMIM #615350
Muscular dystrophy-dystroglycanopathy (congenital without mental retardation) type B14 (MDDGB14) Hypomorphic GMPPB variants lead to partial glycosylation defects, resulting in milder congenital muscular dystrophy without significant brain involvement. OMIM #615351
Muscular dystrophy-dystroglycanopathy (limb-girdle) type C14 (MDDGC14) Mild missense mutations cause late-onset limb-girdle muscular dystrophy with elevated creatine kinase and reduced alpha-dystroglycan glycosylation. OMIM #615352
Walker-Warburg syndrome Severe biallelic GMPPB mutations can present with cobblestone lissencephaly, hydrocephalus, and eye anomalies. ClinVar

Expression Profile

Tissue Expression
Tissue nTPM level
Skeletal muscle 12.5 Medium
Heart 10.8 Medium
Brain 8.2 Medium
Liver 6.1 Low
Kidney 7.4 Low
Cell Line Expression
Cell Line nTPM Notes
Skeletal muscle myoblasts 14.3 High expression
Cardiomyocytes 11.2 Medium expression
Astrocytes 9.5 Medium expression
HepG2 5.8 Low expression
Data source:Human Protein Atlas(proteinatlas.org)

Mutations & Variants

Hotspot Mutations
Variant Type Frequency Functional Description
c.79G>C (p.Asp27His) Missense Common in MDDGC14 Reduces enzyme activity; impairs GDP-mannose synthesis
c.860G>A (p.Arg287Gln) Missense Recurrent in MDDGB14 Partial loss of function; milder phenotype
c.1000G>A (p.Gly334Arg) Missense Rare Severe reduction in GDP-mannose production; associated with MDDGA14
c.1A>G (p.Met1Val) Start loss Rare Complete loss of translation; severe congenital phenotype
Mutation functional classification

Loss of Function (LOF)

Most GMPPB mutations are loss-of-function, reducing GDP-mannose pyrophosphorylase activity and impairing alpha-dystroglycan glycosylation.

Gain of Function (GOF)

No gain-of-function mutations reported.

Dominant Negative (DN)

No dominant-negative mutations reported; all pathogenic variants are recessive.

Pathways

GDP-mannose biosynthesis (Reactome: R-HSA-446219)
O-linked glycosylation of alpha-dystroglycan (Reactome: R-HSA-5173105)

Protein Summary

GMPPB encodes the beta subunit of GDP-mannose pyrophosphorylase (GMPP), a heterodimeric enzyme that catalyzes the reversible conversion of mannose-1-phosphate and GTP to GDP-mannose and pyrophosphate. The beta subunit is essential for enzyme stability and activity. GDP-mannose is a critical substrate for the synthesis of dolichol-phosphate-mannose and for the O-mannosylation of alpha-dystroglycan, a key component of the dystrophin-glycoprotein complex. Defects in GMPPB lead to hypoglycosylation of alpha-dystroglycan, causing reduced binding to extracellular matrix ligands and resulting in muscular dystrophy with or without brain and eye involvement.

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