“…Among the confirmed POGLUT1 biochemical targets, Drosophila Notch, mouse Notch1, mouse CRUMBS2, and Drosophila Eyes shut are shown to be functionally regulated by POGLUT1-mediated glycosylation (Acar et al, 2008;Fernandez-Valdivia et al, 2011;Leonardi et al, 2011;Haltom et al, 2014;Ramkumar et al, 2015). Moreover, there is evidence suggesting that mouse JAG1 might also be a biologically relevant target of POGLUT1, although further experiments are required to prove this (Thakurdas et al, 2016). Based on the severe decrease in Notch signaling and Notch1 cleavage in our patients' muscle, the dramatic decrease in the ability of POGLUT1 D233E to glycosylate Notch EGF repeats, and previous observations on the role of POGLUT1 and Notch receptor O-glucosylation in Notch signaling (Acar et al, 2008;Fernandez-Valdivia et al, 2011;Leonardi et al, 2011;Ma et al, 2011;Rana et al, 2011), we propose that the Notch receptors are the key target of POGLUT1 in the muscle.…”