Gene
PMM2
phosphomannomutase 2
- HGNC 9115↗(opens in a new tab)
- Ensembl gene ENSG00000140650↗(opens in a new tab)
- NCBI Gene 5373↗(opens in a new tab)
Summary
- Cytogenetic location
- 16p13.2
- Coordinates
- Chromosome 16: 8,797,839–8,849,325 (GRCh38)
- Exons
- 8 exons across 51.5 kb
- Protein
- 246 amino acids
- Inheritance
- Autosomal recessive
- Also known as
- CDGS, CDG1a, PMI, PMI1
- Previous symbols
- CDG1
- MANE Select transcript
- ENST00000268261.9NM_000303.3
- Locus type
- gene with protein product
- Very high
- Confident
- Low
- Very low
Reference genomeGRCh38hg38
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Congenital Disorders of Glycosylation
- PMM2-CDG (Phosphomannomutase 2 Deficiency)Autosomal recessive
The most common congenital disorder of glycosylation, caused by variants in PMM2, with developmental delay, poor balance from cerebellar underdevelopment, abnormal fat distribution and liver and clotting problems.
- ClinGen rates the link definitive
- 5 GenCC submitters rate it definitive or strong
What knowing changes
Diagnosis guides monitoring for clotting, liver, hormone and eye problems; acetazolamide is being studied for the cerebellar symptoms.
- Congenital Disorders of Glycosylation (CDG)
One of 98 genes linked to it
A large group of inherited conditions in which sugar chains (glycans) are not correctly built or attached to proteins and lipids, often affecting the brain, liver, blood clotting, growth and many other body systems. Most are autosomal recessive, but some are X-linked or autosomal dominant.
- ClinGen rates the link definitive
- 6 GenCC submitters rate it definitive or strong
Hyperinsulinism
- Hyperinsulinemic hypoglycemia with polycystic kidney diseaseAutosomal recessive
Hyperinsulinaemic hypoglycaemia with enlarged polycystic kidneys, caused by a PMM2 promoter variant.
- ClinGen rates the link moderate
- 1 GenCC submitter rates it definitive or strong
Inheritance
- Autosomal recessive
- It takes a changed copy from each parent. With one, you are a carrier and usually unaffected; when both parents are carriers, each child has a one-in-four chance of inheriting two.
How PMM2 is laid out
- Coding sequence
- Untranslated region
- Intron
- Direction of transcription
- Known disease-causing sites
- Stretches short reads find hard
Exons of the gene's MANE Select transcript (release v1.5), from NCBI and EMBL-EBI, on the GRCh38 reference genome.
Chromosome bands from UCSC's GRCh38 ideogram (2022-10-29).
Nearby genes from Ensembl release 116, on GRCh38.
Exons make up 2.3 kb of the gene's 51.5 kb; 741 of those bases code for the protein.
How a genome test reads PMM2
188
positions in PMM2 where ClinVar classes a change as pathogenic or likely pathogenic
None of them falls in a region short reads find hard.
A whole genome covers all 51.5 kb of PMM2, introns included, not only the 2.3 kb of exons.
Genes linked to the same conditions
- A4GALTalpha 1,4-galactosyltransferase (P1PK blood group)Shares 1 condition
- ALG1ALG1 chitobiosyldiphosphodolichol beta-mannosyltransferaseShares 1 condition
- ALG11ALG11 alpha-1,2-mannosyltransferaseShares 1 condition
- ALG12ALG12 alpha-1,6-mannosyltransferaseShares 1 condition
- ALG13ALG13 UDP-N-acetylglucosaminyltransferase subunitShares 1 condition
- ALG14ALG14 UDP-N-acetylglucosaminyltransferase subunitShares 1 condition
- ALG2ALG2 alpha-1,3/1,6-mannosyltransferaseShares 1 condition
- ALG3ALG3 alpha-1,3- mannosyltransferaseShares 1 condition
- ALG6ALG6 alpha-1,3-glucosyltransferaseShares 1 condition
- ALG8ALG8 alpha-1,3-glucosyltransferaseShares 1 condition
- ALG9ALG9 alpha-1,2-mannosyltransferaseShares 1 condition
- ATP6AP1ATPase H+ transporting accessory protein 1Shares 1 condition
Traits linked to PMM2
The Human Phenotype Ontology lists these as features of the rare conditions PMM2 can cause. Each trait's page lists the other genes linked to it.
Abnormality of the nervous system
- Ataxia
- Global developmental delay
- Small cerebellum
- Absent reflexes
- Cerebellar vermis hypoplasia
- Decreased reflex response
- Degeneration of cerebellum
- Delayed myelination
Show 14 more traits
- Delayed speech and language development
- Difficulty articulating speech
- Dilated fourth ventricle
- Epilepsy
- Generalized-onset seizure
- Increased reflexes
- Intention tremor
- Lack of coordination of movement
- Tremor
- Abnormality of coordination
- Intellectual disability
- Peripheral neuropathy
- Olivopontocerebellar hypoplasia
- Peripheral nerve disease
Abnormality of blood and blood-forming tissues
- Reduced antithrombin III activity
- Reduced factor IX activity
- Reduced factor XI activity
- Bleeding within the skull
- Blood clot in a deep vein
- Impaired neutrophil chemotaxis
- Increased number of platelets in blood
- Prolonged partial thromboplastin time
Show 1 more trait
Abnormality of the digestive system
- Hepatic fibrosis
- Enlarged liver
- Feeding difficulties
- Villous atrophy
- Vomiting
- Abnormal liver parenchyma morphology
- Diarrhea
- Fat in feces
Show 1 more trait
Abnormality of the eye
- Cross-eyed
- Esodeviation
- Inward turning cross eyed
- Wide-set eyes
- Close sighted
- Clouding of the lens of the eye
- Photoreceptor layer loss on macular OCT
- Rod-cone dystrophy
Show 1 more trait
Abnormality of the genitourinary system
- Cystic kidney disease
- Abnormal renal tubule morphology
- Absent ovary
- Decreased testicular size
- Hyperplastic labia majora
- Multiple kidney cysts
- Nephrotic syndrome
- Early menopause
Show 1 more trait
External links
Gene records
Transcript
Protein
Where this comes from
- HGNC: the gene's symbol, name, other symbols and location.
- MANE Select v1.5, from NCBI and EMBL-EBI: the transcript, its exons and coding sequence.
- GenCC and ClinGen, released 2026-10-16: which conditions the gene is linked to, and how strongly.
- The ACMG secondary findings list, SF v3.2.
- ClinVar and the GIAB stratifications: known disease-causing sites, and the regions short reads find hard.
- The Human Phenotype Ontology, release 2026-09-01: the traits linked to the gene. Find out more at hpo.jax.org.
- Data release 2026.10.16-c6eea6bf.
Cite this page
Dante Labs. (n.d.). PMM2 gene: phosphomannomutase 2. Retrieved 17 October 2026, from https://dantelabs.com/genes/pmm2
Dante Labs. PMM2 gene: phosphomannomutase 2 [Internet]. [cited 17 October 2026]. Available from: https://dantelabs.com/genes/pmm2
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