Rare & Orphan Lab · DeCure for X

DeCure for Congenital disorder of glycosylation, type 2v

DeCure's autonomous Rare AI scientist is researching a drug-repurposing hypothesis for congenital disorder of glycosylation, type 2v — screening already-approved drugs against its 1-gene Open Targets disease module to publish open-access research. Research is fast; the path to publication is funded in milestone stages.

Disease module1 genesLead labRare & Orphan
All cures
Rare & OrphanDOID:0051050$DeCureRare

The disease map

Disease moduleCongenital disorder of glycosylation, type 2v maps to a 1-gene Open Targets module — the target space DeCure's AI scientist screens approved drugs against.
DeCure.ai methodSignature reversal (LINCS) plus network proximity (STRING) rank already-approved drugs likely to perturb this module — the same engine that produces DeCure.ai's repurposing hypotheses.
Repurposing thesisScreening approved medicines against this disease module, then publishing the evidence for the strongest candidate. Known pharmacology and human exposure data make the first question sharper — they do not establish safety or efficacy in a new indication.

Research record

01
ResearchComing soon
Candidate research + dossier — target rationale, drug-repurposing thesis and evidence pack.proof: Published dossier + on-chain hash
02
ValidationComing soon
In-vitro biological validation at a contract research org (CRO).proof: CRO contract + in-vitro report
03
Peer review & paperComing soon
Peer-reviewed paper published open-access (preprint + journal).proof: DOI + open-access link + on-chain hash

Current lead

No approved-drug candidate for congenital disorder of glycosylation, type 2v is corroborated in the literature DeepSearch retrieved. Some conditions are managed with non-pharmacological care — a device, surgery or physical therapy — rather than a medicine; that may be the case here, or the literature we found may simply be too sparse yet to support a drug-repurposing angle.

What the evidence adds up to

The 2004 review notes that by that year twenty congenital disorders of glycosylation had been reported, with roughly one new disease identified per year since 1980. The fourth new CDG described was caused by a defect in an endoplasmic reticulum–Golgi shuttle protein that carries multiple glycosyltransferases and nucleotide-sugar transporters. The review recommends that CDG be considered in any child with an unexplained clinical syndrome, as disorders of nearly all organs and systems have been reported.

A 2022 textbook chapter defines congenital disorders of glycosylation as inherited human diseases caused by defects in glycan biosynthesis and metabolism. It states that the term CDG is now widely used as an equivalent of inherited disorders of glycosylation, and notes that disorders caused by somatic mutations and those affecting lysosomal degradation of glycans are covered separately.

The 2024 overview states that while identification and diagnosis of CDG have progressed rapidly, available treatment options are still quite limited. It says that mostly clinicians can only manage disease symptoms rather than address the underlying cause. The paper reports that recent years have brought remarkable advances in treatment approaches for some CDG, with innovative therapies targeting both the root cause and resulting manifestations transitioning from research to practical application. No specific drug, survival data, response rates, or sample sizes are given in any of the three abstracts.

What is still missing for congenital disorder of glycosylation type 2v specifically: no clinical trial data, no patient stratification, no funding for targeted therapy development, and no evidence that any treatment has been tested in this subtype.

Evidence

Retrieved by DeepSearch across 234,678,978 indexed works and resolved on OpenAlex — ranked by citations, including the results that did not work.

Current Opinion in Pediatrics · 2004 · 99 citations

Congenital disorders of glycosylation: a booming chapter of pediatrics

AbstractPURPOSE OF REVIEW: The detection and identification of new congenital disorders of glycosylation continues at a rapid pace. Sine June 2003, four new congenital disorders of glycosylation have been reported, making a total of 20 diseases (on average nearly 1 disease per year since the first report in 1980; 12 of these congenital disorders of glycosylation were identified in the past 6 years). RECENT FINDINGS: Three of these newly discovered CDG are caused by defects in early steps of dolichol-linked oligosaccharide biosynthesis. Affected patients have a neurologic or a multisystem disease. The fourth new CDG is a completely new CDG type caused by a defect in an endoplasmic reticulum-Golgi shuttle protein carrying multiple glycosyltransferases and nucleotide-sugar transporters. SUMMARY: Disorders of nearly all organs and systems have been reported and continue to be reported in congenital disorders of glycosylation. Therefore, it is strongly recommended that congenital disorders of glycosylation be considered in any child with an unexplained clinical syndrome.

https://doi.org/10.1097/01.mop.0000133636.56790.4a
Radboud Repository (Radboud University) · 2022 · 14 citations

Congenital Disorders of Glycosylation

AbstractThis chapter discusses inherited human diseases that are caused by defects in glycan biosynthesis and metabolism (congenital disorders of glycosylation, CDGs). Representative examples are described of genetic defects in the major glycan families and what lessons we can learn from them about glycobiology. Among genetic disorders of glycosylation, those caused by somatic mutations are described in Chapter 46. Disorders affecting the lysosomal degradation of glycans are described in Chapter 44. Although the term “congenital disorders” by definition include those caused by nongenetic, unfavorable in utero conditions, the term “congenital disorders of glycosylation (CDG)” is now widely used as an equivalent of inherited disorders of glycosylation.

https://doi.org/10.1101/glycobiology.4e.45
Molecular Genetics and Metabolism · 2024 · 12 citations · open access

Treatment of congenital disorders of glycosylation: An overview

AbstractWhile the identification and diagnosis of congenital disorders of glycosylation (CDG) have rapidly progressed, the available treatment options are still quite limited. Mostly, we are only able to manage the disease symptoms rather than to address the underlying cause. However, recent years have brought about remarkable advances in treatment approaches for some CDG. Innovative therapies, targeting both the root cause and resulting manifestations, have transitioned from the research stage to practical application. The present paper aims to provide a detailed overview of these exciting developments and the rising concepts that are used to treat these ultra-rare diseases.

https://doi.org/10.1016/j.ymgme.2024.108567
Pediatric Dermatology · 2005 · 11 citations

Cutaneous Findings in Congenital Disorders of Glycosylation: The Hanging Fat Sign

AbstractThe congenital disorders of glycosylation are a group of rare metabolic disorders with predominantly neurologic findings. Some variants of this disorder also exhibit cutaneous manifestations. We report a patient with a congenital disorder of glycosylation type Ia, the most common form, with emphasis on the cutaneous findings of this type, and summarize the cutaneous findings in the other forms of the disorder.

https://doi.org/10.1111/j.1525-1470.2005.00117.x

Disease module: DeepOracle (Open Targets). Structures: RDKit from PubChem SMILES. Literature: retrieved by DeepSearch across 234,678,978 indexed works (targeted per-candidate search), resolved on OpenAlex.

DeCure is a research and publication project, not medical advice and not a treatment. "DeCure for X" describes a research goal, not a claim that a cure exists. Backing a cure is a contribution to fund the research — it is not an investment, and confers no yield, royalty, equity or IP ownership. Papers are published open-access by the DeCure.ai DAO.