Abbreviations: HA epitope: HA (Influenza Hemaglutinin) epitop Anti-HA antibodies: HA-tagged UDP-galactose transporter (UGT1 or UGT2, wild type protein sequence or protein sequence with introduced patient’s mutation G266V) was visualized using HRP-conjugated anti-HA antibodies. GM130: Golgi apparatus marker; GM130 is part of a cis-Golgi matrix and has a role in maintaining cis-Golgi structure (Nakamura et al 1995). Calnexin: Endoplasmatic reticulum marker; integral protein and chaperone of the endoplasmatic reticulum GLSII: (Griffonia simplicifolia lectin II); lectin specific for terminal N-acetylglucosamine MALI: (Maackia amurensis lectin I); lectin specific for terminal galactose and alpha 2,3-sialic acid-galactose VVL: (Vicia villosa lectin): recognize terminal N-acetylgalactosamine residues Online Supplementary material Description of semi-quantitative RT-PCR CHO-Lec8 cells, stably transfected with pVitro1 plasmid containing UGT1 and UGT2 sequences in wt and G266V versions, respectively (two clones per construct) were grown to confluence in 6-well plates. Total RNA from each well was isolated using RNeasy Mini Kit, using cytoplasmic protocol designed for mammalian cell lines, with additional DNase treatment, as described in manufacturer’s protocol (QIAGEN). 4 µg of high purity RNA was used as a template for cDNA synthesis using Superscript III reverse transcriptase (Invitrogen) and Oligo(dT)15 primer. The cDNA was used in semi-quantative PCR, using primers for amplification of ~410 bp sequence from UGT-pVitro1 construct (forward GenomicF primer 5’-ccattcgcctctttggcttc-3’ and reverse Vitro1-R primer 5’-cgtcatgctccgctacg-3’) and 434 bp DNA coding a part of Slc35A3 transporter (forward NGT434F primer 5’-gcactccaaagaactttcaactg-3’ and reverse NGT434R primer 5’-ctattacaaggatggctccaag-3’), used as the internal control. PCR was performed using REDTaq Mix (Sigma) for 30 cycles in standard conditions. The PCR products were analysed in 1.5% agarose gel with ethidium bromide. Details of Fig. 3a: MDCK-RCAr cells were stably transfected with modified pVitro1 plasmids, cultured and treated with antibodies as described in materials and methods. UDPgalactose transporter (UGT1 or UGT2, wild type protein sequence or protein sequence with introduced patient’s mutation G266V) was visualized using anti-HA antibodies (Cy3; green). Endoplasmic reticulum and Golgi apparatus were stained with antibodies raised against specific markers (Cy5; red). Cell nuclei were counterstained with Hoechst 33342 dye. Details of Fig. 3b: Phenotypic correction of N-glycans was determined using GSLII (lectin specific for terminal N-acetylglucosamine) and MALI (lectin specific for terminal galactose and alpha 2,3-sialic acid-galactose). Phenotypic correction of O-glycans was determined using VVL lectin, recognising terminal N-acetylgalactosamine residues. Supplemental Fig. 1: Electroencephalography: shows mixed theta wave patterns and hypsarrythmia Supplemental Fig. 2: SDS-Page after immunodetection of transferrin (0 transferrin with no oligosaccharide chain, 1 transferrin with one oligosaccharide chain, 2 transferrin with two oligosaccharide chains) Supplemental Fig. 3a: Patient: ESI-TOF mass spectrometry of transferrin Supplemental Fig. 3b: Control: ESI-TOF mass spectrometry of transferrin Supplemental Fig. 3c: Patient: ESI-MS data 6 months upon galactose supplementation shows improvement of glycosylation Supplemental Fig. 4: Mutation analysis-gDNA and cDNA top: gDNA contains the SLC35A2 mutation (Exon 4 c.797G>T; G/G homozygosity) bottom: SLC35A2 mutation c.797 G>T in patient's cDNA isolated from fibroblasts shows wild type (bld-blood; fb-fibroblast; control-wild type). Both alleles are visible in patient-bld gDNA (top). However, sequence at cDNA level demonstrates that due to skewed xinactivation only the mutant allele (red circle) is expressed in patient's blood cells, while the normal allele (black circle) is expressed in the fibroblast sample. Supplemental Figure 5: Galactose treatment of CHO-Lec8 cells: A: Phenotypic correction of O-glycans was determined using VVL lectin, recognising terminal N-acetylgalactosamine residues. B: Phenotypic correction of N-glycans after galactose treatment was determined using GSLII lectin, specific for terminal Nacetylglucosamine. C: The HA-tagged proteins were quantified using an HA-antibody. D: Coomassie Brilliant Blue (CBB) gel staining was performed as a loading control. Supplemental Figure 6: RT-PCR of UGT RT-PCR of UGT stably overexpressed in CHO-Lec8 cells (upper panel). RT-PCR of endogenous transporter Slc35A3 (NGT) was used as a positive control. Asterix indicate clones used in lectin staining after galactose supplementation. Supplemental Materials 1: Used cell types for functional assay of UDP-Galactose transporter MDCK cells: Madin - Darby canine kidney cells; MDCK cells exhibit different distribution of both splice variants (UGT1 and UGT2) MDCK-RCAr cells: ricin-resistant mutant of the MDCK cell line; is deficient in galactose linked to macromolecules because of a lower UDP-Gal transport rate into the Golgi apparatus (Olczak and Guillen 2006) CHO cells: Chinese hamster ovary cells CHO-Lec8 cells: Chinese hamster ovary mutants. They are defective in transporting one of the nucleotide sugars into the Golgi. Lec8 represents a glycosylation mutant (Stanley 1989). Supplemental Table 1: Primer sequences Supplemental Table 1: Primer used for sequencing and for expression analysis. primer name primer sequence in 5'-3'-direction genomic SLC35A2 Ex 1for (13U) CTGTAGGGATGGTGGGTAGG SLC35A2 Ex 1rev (13R) TGCACACACACACACACACA SLC35A2 Ex 2for (13U) ATCCTCGCAGTTCTTTTGGA SLC35A2 Ex 2rev (13R) ACTCCTACAGCCCACACAGG SLC35A2 Ex 3for (13U) ACGGATGGCTGATTCTTTTG SLC35A2 Ex 3rev (13R) CACCCCCAATTTTCACAGAC SLC35A2 Ex 4for (13U) CAGGGTCAGCCCTCAGTG SLC35A2 Ex 4rev (13R) GACTTGGGTCCTGCAGATG SLC35A2 Ex 5for (13U) CAAATGTCAGGATATCCAATGC SLC35A2 Ex 5rev (13R) AGCTGAGGTGGGTCATGAGA SLC35A2 Ex 1for1 (13U) GGATAAGGCGGGTCTAGTGA SLC35A2 Ex 1rev1 (13R) TCTCCCCCTTCTTCAGTGAG cDNA SLC35A2 part I for (13U) AGCTTTTAGGAGCGGAGGAG SLC35A2 part I rev (13R) TGAGCTGCCTTTGAGGATCT SLC35A2 part II for (13U) CTCCGTGCTCATGCTGAAT SLC35A2 part II rev (13R) GAGGTGGGTCATGAGAGAGC