GLT8D1 is a UDP-dependent galactosyltransferase that transfers galactose from UDP-galactose onto N-acetylgalactosamine through a retaining catalytic mechanism, adopting a GT-A fold and depending on Mn2+ and UDP nucleotides for stability (PMID:38066107). Its enzymatic activity is central to its cellular functions: in glioblastoma, GLT8D1 activity promotes tumor cell migration, with cytoskeleton- and intracellular transport-associated proteins recovered as candidate substrates (PMID:35198895). Under hypoxia, HIF-1α induces GLT8D1, which N-glycosylates and directly binds the stem cell marker CD133 to prevent its endosomal-lysosomal degradation, sustaining Wnt/β-catenin signaling and glioma stem cell self-renewal; GLT8D1 depletion triggers G2/M arrest and apoptosis (PMID:35301431). In neural stem cells, loss of GLT8D1 drives proliferation, impairs differentiation, and alters neuronal morphology and synaptic transmission (PMID:29483533). ALS-associated mutations R92C and G78W map to the substrate-binding site, impair enzyme activity, and confer cytotoxicity and motor deficits, linking GLT8D1 to amyotrophic lateral sclerosis (PMID:30811981).