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PIGA-congenital disorder of glycosylation (PIGA-CDG, also known as phosphatidylinositol-glycan class A protein deficiency or Multiple Congenital Anomalies-Hypotonia-Seizures Syndrome 2). It belongs to a group of disorders called Glycosylphosphatidylinositol (GPI-) anchor defects.
PIGA-CDG is an extremely rare genetic disorder impacting children from birth. The symptoms of PIGA-CDG are wide-ranging in both scope and severity. Not all children with PIGA-CDG may exhibit all symptoms and some children will exhibit additional symptoms. Children with PIGA-CDG often have global developmental delays, seizures (e.g., infantile spasms, myoclonic), respiratory complications, muscle tone abnormalities (hypotonia, hypertonia, dystonia), cortical visual impairment (CVI), gastrointestinal issues (e.g., slow motility), sleep disorders, difficulty swallowing leading to aspiration, delayed myelination (which can be seen on MRIs). There are close to 100 individuals with PIGA-CDG published in the medical literature.
PIGA-CDG is usually diagnosed through genetic blood tests, either as part of an epilepsy panel or through whole exome sequencing. PIGA-CDG can also be identified by testing for the presence of GPI-anchored proteins on the surface of granulocytes (a subset of white blood cells). This can be tested by a method called flow cytometry in the patient’s blood.
Patients have been found all over the world, so the mutation does not appear to be concentrated in any given area or confined to certain ethnicities. However, only males have been found to show symptoms of the PIGA mutation because the mutation is X-linked (located on the X chromosome).
To date, there are no known specific treatment options for PIGA-CDG, though a PIGA-CDG gene therapy treatment is currently under investigation in early pre-clinical research studies. Most current treatments are aimed at symptom management. In some patients, seizures are treatable with antiepileptic medication, but in many, epilepsy is difficult to treat and some patients have severe neonatal onset epileptic encephalopathy. Moreover, many children with PIGA-CDG end up requiring a feeding tube to help reduce the chance of aspiration due to swallowing issues and muscle tone abnormalities. Those diagnosed with PIGA-CDG often have a lower life expectancy, with many patients passing away early in life due to respiratory complications brought on by the mutation.
The Frontiers in Congenital Disorders of Glycosylation Consortium (FCDGC) is part of the Rare Diseases Clinical Research Network (RDCRN), which is funded by the National Institutes of Health (NIH) and led by the National Center for Advancing Translational Sciences (NCATS) through its Division of Rare Diseases Research Innovation (DRDRI). FCDGC is funded under grant number U54NS115198 as a collaboration between NCATS, the National Institute of Neurological Disorders and Stroke (NINDS), the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), and the Office of Dietary Supplements (ODS). This website is hosted by the network’s Data Management and Coordinating Center at Cincinnati Children’s Hospital Medical Center, which is funded by NCATS and NINDS under grant number TR002818. 


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If you’ve come here by way of the fundraising campaign (https://secure.givelively.org/donate/cdg-care/help-us-fund-a-cure-for-piga-cdg), thank you and welcome! This campaign was born from a lot of different things…
In addition to the fundraising campaign, we’re so excited to announce the launch of Emmett’s Legacy Fund, an annual fund designed to provide funding for
Featured on CDG Care’s website: CDG Care has awarded approximately $60,000 to the Abigail Wexner Research Institute (AWRI) at Nationwide Children’s Hospital in Columbus, Ohio
Check out our new whiteboard video (sponsored by us and created by Youreka Science) overviewing PIGA-CDG.
Featured in CDG Care’s November 2018 Newsletter (Volume 6): CDG CARE and researchers from Osaka University in Japan are furthering their partnership to find effective
The Chow Lab (in the Department of Human Genetics at the University of Utah School of Medicine) is working on modeling PIGA mutations using fly
PIGA-CDG.org was created to help parents, caregivers and medical professionals learn more about this rare genetic mutation, and as a place to share different experiences and challenges when dealing with this disorder.
Questions? Comments? Want to say hello? Leave us a message here . We’d love to hear from you.

From Wikipedia, the free encyclopedia
Pendulous Integrating Gyroscopic Accelerometer, an inertial guidance instrument
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A PIGA ( Pendulous Integrating Gyroscopic Accelerometer ) is a type of accelerometer that can measure acceleration and simultaneously integrates this acceleration against time to produce a speed measure as well. The PIGA's main use is in Inertial Navigation Systems (INS) for guidance of aircraft and most particularly for ballistic missile guidance. It is valued for its extremely high sensitivity and accuracy in conjunction with operation over a wide acceleration range. The PIGA is still considered the premier instrument for strategic grade missile guidance, though systems based on MEMS technology are attractive for lower performance requirements.

The sensing element of a PIGA is a pendulous mass, free to pivot by being mounted on a bearing. A spinning gyroscope is attached such that it would restrain the pendulum against "falling" in the direction of acceleration. The pendulous mass and its attached gyroscope are themselves mounted on a pedestal that can be rotated by an electric torque motor. The rotational axis of this pedestal is mutually orthogonal to the spin axis of the gyroscope as well as the axis that the pendulum is free to move in. The axis of rotation of this pedestal is also in the direction of the measured acceleration.

The position of the pendulum is sensed by precision electrical contacts or by optical or electromagnetic means. Should acceleration displace the pendulum arm from its null position the sensing mechanism will operate the torque motor and rotate the pedestal such that the property of gyroscopic precession restores the pendulum to its null position. The rate of rotation of the pedestal gives the acceleration while the total number of rotations of the shaft gives the speed, hence the term "integrating" in the PIGA acronym. A further level of integration of shaft rotations by either electronic means or by mechanical means, such as a Ball-and-disk integrator , can record the displacement or distance traveled, this latter mechanical method being used by early guidance systems prior to the availability of suitable digital computers.

In most implementations of the PIGA the gyroscope itself is cantilevered on the end of the pendulum arm to act as the pendulous mass itself. Up to three such instruments may be required for each dimension of an INS with the three accelerometers mounted orthogonally generally on a platform stabilized gyroscopically within a system of gimbals.

A critical requirement for accuracy is low static friction ( stiction ) in the bearings of the pendulum; this is achieved by various means ranging from double ball bearing with a superimposed oscillatory motion to dither the bearing above its threshold or through the use of gaseous or fluid bearings or by the alternative method of floating the gyroscope in a fluid and restraining the residual mass by jewel bearings or electromagnetic means. Although this later method still has the viscous friction of the fluid this is linear and has no threshold and has the advantage of having minimal static friction. Another aspect is the accurate control of the gyroscope's rotational rate.

The PIGA was based on an accelerometer developed by Dr. Fritz Mueller , then of the Kreiselgeraete Company, for the LEV-3 and experimental SG-66 guidance system of the Nazi era German V2 (EMW A4) ballistic missile and was known among the German rocket scientists as the MMIA "Mueller Mechanical Integrating Accelerometer". This system used precision electrical contacts to actuate the torque motor and achieved an accuracy of 1 part in 1000 to 1 part per 10000 known in technical parlance as a scale error of 1000 to 100. This was equivalent to about 600 m of accuracy over the V2 1500 m/s speed and 320 km flight. Since the number of shaft rotations represented speed, a Cam Switch was used to initiate missile
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