Mutations in the cytosolic enzyme phosphomannomutase 2 (PMM2), which catalyzes the conversion of mannose-6-phosphate to mannose-1-phosphate, cause the most common form of congenital disorders of glycosylation, termed CDG-Ia. It is an inherited multisystemic disease with severe neurological impairment. To study the pathophysiology of CDG-Ia and to investigate possible therapeutic approaches, we generated a mouse model for CDG-Ia by targeted disruption of the Pmm2 gene. Heterozygous mutant mice appeared normal in development, gross anatomy, and fertility. In contrast, embryos homozygous for the Pmm2-null allele were recovered in embryonic development at days 2.5 to 3.5. These results indicate that Pmm2 is essential for early development of mice. Mating experiments of heterozygous mice with wild-type mice could further show that transmission of the female Pmm2-null allele is impaired.The attachment of oligosaccharide moieties onto newly synthesized proteins presents one of the most widespread forms of co-and posttranslational modifications that are found in animals, plants, and bacteria. Glycoproteins are most abundant in extracellular fluids and matrices but are also found in subcellular organelles and in cellular membranes. The oligosaccharide moieties of glycoproteins affect their folding, their transport, and their biological activity and stability. The complex process of protein glycosylation requires more than a hundred glycosyltransferases, glycosidases, and transport proteins. Oligosaccharide moieties are connected to glycoproteins predominantly by either N-glycosidic linkages, in which glycans are linked to amino groups of asparagine side chains, or by Oglycosidic linkage, where the glycans are bound to hydroxyl groups of serine or threonine side chains (4).Inborn errors in protein glycosylation in man lead to congenital disorders of glycosylation (CDG), a rapidly growing group of (thus far) 18 monogenic inherited diseases that present most often with a severe neurological phenotype (9,16,17,29). CDG-Ia (OMIM 212065) represents by far the most widespread form of these diseases, affecting about 500 diagnosed patients worldwide. The multisystemic disease presents with hypotonia, psychomotor retardation, peripheral neuropathy, and cerebellar atrophy (8). CDG-Ia is caused by mutations in the gene encoding PMM2 (18, 28), the enzyme which catalyzes in the cytosol the conversion of mannose-6-phosphate to mannose-1-phosphate. Mannose-1-phosphate is further converted to GDP-mannose, the donor substrate for the addition of mannose residues in the biosynthesis of dolichollinked oligosaccharides in N glycosylation. The reduced activity of PMM2 in CDG-Ia patients leads to a decreased amount of GDP-mannose and dolichol-phosphate-mannose, which ends up in shortened lipid-linked oligosaccharides, leading to a reduced transfer of these oligosaccharides to nascent glycoproteins by the oligosaccharyl transferase complex (12). Although the glycosylation deficiency can efficiently be corrected in cultured skin fibroblasts from...