Methylcobalamin deficiency type cblDv1
General Information (adopted from Orphanet):
Synonyms, Signs: |
METHYLMALONIC ACIDEMIA, cblH TYPE, FORMERLY METHYLMALONIC ACIDURIA, cblD TYPE, VARIANT 2, INCLUDED METHYLMALONIC ACIDURIA, cblH TYPE, FORMERLY Functional methionine synthase deficiency type cblDv1 METHYLMALONIC ACIDEMIA AND HOMOCYSTINURIA, cblD TYPE HOMOCYSTINURIA, cblD TYPE, VARIANT 1, INCLUDED |
Number of Symptoms | 26 |
OrphanetNr: | 308380 |
OMIM Id: |
277410
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ICD-10: |
E72.1 |
UMLs: |
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MeSH: |
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MedDRA: |
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Snomed: |
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Prevalence, inheritance and age of onset:
Prevalence: | No data available. |
Inheritance: |
Autosomal recessive inheritance [Omim] |
Age of onset: |
Infantile onset [Omim] |
Disease classification (adopted from Orphanet):
Parent Diseases: |
Homocystinuria without methylmalonic aciduria
-Rare genetic disease -Rare hematologic disease -Rare neurologic disease |
Symptom Information:
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(HPO:0012120) | Methylmalonic aciduria | 20 / 7739 | ||||
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(HPO:0002156) | Homocystinuria | 12 / 7739 | ||||
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(HPO:0000639) | Nystagmus | 555 / 7739 | ||||
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(HPO:0001249) | Intellectual disability | 1089 / 7739 | ||||
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(HPO:0001250) | Seizures | 1245 / 7739 | ||||
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(HPO:0002497) | Spastic ataxia | 13 / 7739 | ||||
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(HPO:0001332) | Dystonia | 197 / 7739 | ||||
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(HPO:0001263) | Global developmental delay | 853 / 7739 | ||||
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(HPO:0001254) | Lethargy | 104 / 7739 | ||||
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(HPO:0001889) | Megaloblastic anemia | 28 / 7739 | ||||
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(HPO:0005518) | Erythrocyte macrocytosis | 13 / 7739 | ||||
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(HPO:0003658) | Hypomethioninemia | 6 / 7739 | ||||
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(HPO:0003145) | Decreased adenosylcobalamin | 10 / 7739 | ||||
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(HPO:0002912) | Methylmalonic acidemia | 14 / 7739 | ||||
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(HPO:0003524) | Decreased methionine synthase activity | 9 / 7739 | ||||
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(HPO:0003210) | Decreased methylmalonyl-CoA mutase activity | 7 / 7739 | ||||
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(HPO:0002160) | Hyperhomocystinemia | 10 / 7739 | ||||
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(HPO:0003223) | Decreased methylcobalamin | 11 / 7739 | ||||
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(HPO:0008947) | Infantile muscular hypotonia | 482 / 7739 | ||||
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(HPO:0010547) | Muscle flaccidity | 466 / 7739 | ||||
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(HPO:0001252) | Muscular hypotonia | 990 / 7739 | ||||
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(HPO:0001324) | Muscle weakness | 859 / 7739 | ||||
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(HPO:0003593) | Infantile onset | 249 / 7739 | ||||
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(HPO:0002120) | Cerebral cortical atrophy | 187 / 7739 | ||||
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(OMIM) | Normal or mildly reduced serum cobalamin | 3 / 7739 | ||||
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(HPO:0000007) | Autosomal recessive inheritance | 2538 / 7739 |
Associated genes:
ClinVar (via SNiPA)
Gene symbol | Variation | Clinical significance | Reference |
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Additional Information:
Description: (OMIM) |
Combined methylmalonic aciduria (MMA) and homocystinuria is a genetically heterogeneous disorder of cobalamin (cbl; vitamin B12) metabolism. The defect causes decreased levels of the coenzymes adenosylcobalamin (AdoCbl) and methylcobalamin (MeCbl), which results in decreased activity of the respective ... |
Clinical Description OMIM |
- CblD Combined Homocystinuria and Methylmalonic Aciduria Goodman et al. (1970) reported 2 brothers, from a consanguineous family, with combined homocystinuria and methylmalonic aciduria. The older sib presented with developmental delay and neurologic abnormalities at age ... |
Genotype-Phenotype Correlations OMIM |
Stucki et al. (2012) studied the effect of various MMADHC constructs on protein function in cell lines. For example, mutant alleles associated with the cblD-homocystinuria (HC) phenotype were unable to rescue MeCbl synthesis, whereas mutant alleles associated with ... |
Molecular genetics OMIM |
Coelho et al. (2008) identified biallelic mutations in the C2ORF25 gene in cblD patients with homocystinuria (611934.0001-611934.0003), methylmalonic aciduria (611934.0004-611934.0006), and combined homocystinuria and methylmalonic aciduria (611934.0007-611934.0009). Five of the patients had previously been reported by Goodman et ... |