ALG12 is an ER-resident alpha-1,6-mannosyltransferase that catalyzes addition of the eighth mannose residue to the dolichyl-pyrophosphate-linked GlcNAc2Man7 intermediate during assembly of the N-linked glycan precursor (PMID:12217961). Catalytic necessity of this step was established by yeast complementation, where wild-type human ALG12 cDNA rescued the yeast alg12 growth defect while patient-derived missense mutants did not, and by detection of GlcNAc2Man7 accumulation on dolichyl-PP and nascent glycoproteins in patient cells (PMID:12217961). Loss of ALG12 activity defines a congenital disorder of glycosylation: patient cells accumulate truncated Man5-7-capped lipid-linked oligosaccharides with corresponding depletion of Man8-9 species, and the resulting defect manifests both as N-glycosylation site underoccupancy and as accumulation of aberrantly processed high-mannose and hybrid glycans on serum glycoproteins (PMID:31529350, PMID:34467644, PMID:39984963). ALG12 expression is responsive to ER stress, being upregulated through an ER stress response element in a bidirectional promoter it shares with CRELD2, consistent with ATF6-mediated control (PMID:21106106).