A homocistinúria sem acidúria metilmalônica é um erro inato do metabolismo da vitamina B12 (cobalamina) caracterizado por anemia megaloblástica, encefalopatia e, às vezes, atraso no desenvolvimento, e associado à homocistinúria e hiperhomocisteinemia. Existem três tipos de homocistinúria sem acidúria metilmalônica; cblE, cblG e cblD-variante 1 (cblDv1).
Introdução
O que você precisa saber de cara
A homocistinúria sem acidúria metilmalônica é um erro inato do metabolismo da vitamina B12 (cobalamina) caracterizado por anemia megaloblástica, encefalopatia e, às vezes, atraso no desenvolvimento, e associado à homocistinúria e hiperhomocisteinemia. Existem três tipos de homocistinúria sem acidúria metilmalônica; cblE, cblG e cblD-variante 1 (cblDv1).
Escala de raridade
<1/50kMuito rara
1/20kRara
1/10kPouco freq.
1/5kIncomum
1/2k
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Sinais e sintomas
O que aparece no corpo e com que frequência cada sintoma acontece
Partes do corpo afetadas
+ 25 sintomas em outras categorias
Características mais comuns
Os sintomas variam de pessoa para pessoa. Abaixo estão as 93 características clínicas mais associadas, ordenadas por frequência.
Linha do tempo da pesquisa
Triagem neonatal (Teste do Pezinho)
A triagem neonatal permite diagnóstico precoce e início imediato do tratamento.
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Genética e causas
O que está alterado no DNA e como passa nas famílias
Genes associados
3 genes identificados com associação a esta condição. Padrão de herança: Autosomal recessive.
Catalyzes the transfer of a methyl group from methylcob(III)alamin (MeCbl) to homocysteine, yielding enzyme-bound cob(I)alamin and methionine in the cytosol (PubMed:16769880, PubMed:17288554, PubMed:27771510). MeCbl is an active form of cobalamin (vitamin B12) used as a cofactor for methionine biosynthesis. Cob(I)alamin form is regenerated to MeCbl by a transfer of a methyl group from 5-methyltetrahydrofolate (PubMed:16769880, PubMed:17288554, PubMed:27771510). The processing of cobalamin in the
Cytoplasm
Homocystinuria-megaloblastic anemia, cblG type
An autosomal recessive inborn error of metabolism resulting from defects in the cobalamin-dependent pathway that converts homocysteine to methionine. It causes delayed psychomotor development, megaloblastic anemia, homocystinuria, and hypomethioninemia.
Involved in cobalamin metabolism and trafficking (PubMed:18385497, PubMed:23415655, PubMed:24722857, PubMed:26364851). Plays a role in regulating the biosynthesis and the proportion of two coenzymes, methylcob(III)alamin (MeCbl) and 5'-deoxyadenosylcobalamin (AdoCbl) (PubMed:18385497, PubMed:23415655, PubMed:24722857). Promotes oxidation of cob(II)alamin bound to MMACHC (PubMed:26364851). The processing of cobalamin in the cytosol occurs in a multiprotein complex composed of at least MMACHC, MMA
CytoplasmMitochondrion
Methylmalonic aciduria and homocystinuria, cblD type
An autosomal recessive disorder of cobalamin metabolism characterized by decreased levels of the coenzymes adenosylcobalamin (AdoCbl) and methylcobalamin (MeCbl). Clinical features include developmental delay, hyotonia, intellectual disability, seizures, and megaloblastic anemia. Laboratory studies show methylmalonic aciduria and homocystinuria.
Key enzyme in methionine and folate homeostasis responsible for the reactivation of methionine synthase (MTR/MS) activity by catalyzing the reductive methylation of MTR-bound cob(II)alamin (PubMed:17892308). Cobalamin (vitamin B12) forms a complex with MTR to serve as an intermediary in methyl transfer reactions that cycles between MTR-bound methylcob(III)alamin and MTR bound-cob(I)alamin forms, and occasional oxidative escape of the cob(I)alamin intermediate during the catalytic cycle leads to
Cytoplasm
Homocystinuria-megaloblastic anemia, cblE type
An autosomal recessive inborn error of metabolism resulting from defects in the cobalamin-dependent pathway that converts homocysteine to methionine. It causes delayed psychomotor development, megaloblastic anemia, homocystinuria, and hypomethioninemia. Cells from patients with HMAE fail to incorporate methyltetrahydrofolate into methionine in whole cells, but cell extracts show normal methionine synthase activity in the presence of a reducing agent.
Variantes genéticas (ClinVar)
590 variantes patogênicas registradas no ClinVar.
Classificação de variantes (ClinVar)
Distribuição de 1 variantes classificadas pelo ClinVar.
Vias biológicas (Reactome)
7 vias biológicas associadas aos genes desta condição.
Diagnóstico
Os sinais que médicos procuram e os exames que confirmam
Tratamento e manejo
Remédios, cuidados de apoio e o que precisa acompanhar
Onde tratar no SUS
Hospitais de referência no Brasil e o protocolo oficial do SUS (PCDT)
🇧🇷 Atendimento SUS — Homocistinúria sem acidúria metilmalônica
Centros de Referência SUS
21 centros habilitados pelo SUS para Homocistinúria sem acidúria metilmalônica
Centros para Homocistinúria sem acidúria metilmalônica
Detalhes dos centros
Hospital Universitário Prof. Edgard Santos (HUPES)
R. Dr. Augusto Viana, s/n - Canela, Salvador - BA, 40110-060 · CNES 0003808
Serviço de Referência
Hospital de Apoio de Brasília (HAB)
AENW 3 Lote A Setor Noroeste - Plano Piloto, Brasília - DF, 70684-831 · CNES 0010456
Serviço de Referência
Hospital Estadual Infantil e Maternidade Alzir Bernardino Alves (HIABA)
Av. Min. Salgado Filho, 918 - Soteco, Vila Velha - ES, 29106-010 · CNES 6631207
Serviço de Referência
Hospital das Clínicas da UFG
Rua 235 QD. 68 Lote Área, Nº 285, s/nº - Setor Leste Universitário, Goiânia - GO, 74605-050 · CNES 2338424
Serviço de Referência
Hospital das Clínicas da UFMG
Av. Prof. Alfredo Balena, 110 - Santa Efigênia, Belo Horizonte - MG, 30130-100 · CNES 2280167
Serviço de Referência
NUPAD / Faculdade de Medicina UFMG
Av. Prof. Alfredo Balena, 189 - 5 andar - Centro, Belo Horizonte - MG, 30130-100 · CNES 2183226
Serviço de Referência
Hospital Universitário João de Barros Barreto
R. dos Mundurucus, 4487 - Guamá, Belém - PA, 66073-000 · CNES 2337878
Serviço de Referência
Hospital de Clínicas da Universidade Federal de Pernambuco
Av. Prof. Moraes Rego, 1235 - Cidade Universitária, Recife - PE, 50670-901 · CNES 2561492
Atenção Especializada
Instituto de Medicina Integral Prof. Fernando Figueira (IMIP)
R. dos Coelhos, 300 - Boa Vista, Recife - PE, 50070-902 · CNES 0000647
Serviço de Referência
Hospital de Clínicas da UFPR
R. Gen. Carneiro, 181 - Alto da Glória, Curitiba - PR, 80060-900 · CNES 2364980
Serviço de Referência
Hospital Universitário Pedro Ernesto (HUPE-UERJ)
Blvd. 28 de Setembro, 77 - Vila Isabel, Rio de Janeiro - RJ, 20551-030 · CNES 2280221
Serviço de Referência
Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira (IFF/Fiocruz)
Av. Rui Barbosa, 716 - Flamengo, Rio de Janeiro - RJ, 22250-020 · CNES 2269988
Serviço de Referência
Hospital Universitário Onofre Lopes (HUOL)
Av. Nilo Peçanha, 620 - Petrópolis, Natal - RN, 59012-300 · CNES 2408570
Atenção Especializada
Hospital São Lucas da PUCRS
Av. Ipiranga, 6690 - Jardim Botânico, Porto Alegre - RS, 90610-000 · CNES 2232928
Serviço de Referência
Hospital de Clínicas de Porto Alegre (HCPA)
Rua Ramiro Barcelos, 2350 Bloco A - Av. Protásio Alves, 211 - Bloco B e C - Santa Cecília, Porto Alegre - RS, 90035-903 · CNES 2237601
Serviço de Referência
Hospital Universitário da UFSC (HU-UFSC)
R. Profa. Maria Flora Pausewang - Trindade, Florianópolis - SC, 88036-800 · CNES 2560356
Serviço de Referência
Hospital das Clínicas da FMUSP
R. Dr. Ovídio Pires de Campos, 225 - Cerqueira César, São Paulo - SP, 05403-010 · CNES 2077485
Serviço de Referência
Hospital de Clínicas da UNICAMP
R. Vital Brasil, 251 - Cidade Universitária, Campinas - SP, 13083-888 · CNES 2748223
Serviço de Referência
Hospital de Clínicas de Ribeirão Preto (HCRP-USP)
R. Ten. Catão Roxo, 3900 - Vila Monte Alegre, Ribeirão Preto - SP, 14015-010 · CNES 2082187
Serviço de Referência
Instituto da Criança e do Adolescente (ICr-HCFMUSP)
Av. Dr. Enéas Carvalho de Aguiar, 647 - Cerqueira César, São Paulo - SP, 05403-000 · CNES 2081695
Serviço de Referência
UNIFESP / Hospital São Paulo
R. Napoleão de Barros, 715 - Vila Clementino, São Paulo - SP, 04024-002 · CNES 2688689
Serviço de Referência
Dados de DATASUS/CNES, SBGM, ABNeuro e Ministério da Saúde. Sempre confirme a disponibilidade diretamente com o estabelecimento.
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Publicações mais relevantes
Underrecognized need for early detection of inborn errors of metabolism in China: A population-based study of 14.31 million residents (2012-2023).
Inborn errors of metabolism (IEMs) are a major subgroup of rare diseases, comprising over 1000 genetic disorders that disrupt essential biochemical pathways. Globally, they cause an estimated 23,500 childhood deaths annually. Despite diagnostic advances indicating a cumulative incidence of ∼1 in 800 births, population-based data from China remain scarce. We conducted a population-based study of 14.31 million permanent residents in the Great Beijing Area (2012-2023) using the municipal disease registry. Rare diseases were identified using ICD-10 codes mapped to the 2018 and 2023 National Rare Disease Catalog, from which 13 classified as IEMs were included in this study. Age-standardized incidence rates (ASIRs) were calculated, and disease patterns were compared with international newborn screening (NBS) data. Of 12,371 rare disease diagnoses, 314 (2.5 %) were IEMs. The ASIR was 0.180 per 100,000 person-years (95 % CI: 0.031-0.565) in 2012 and remained stable at 0.159 (95 % CI: 0.023-0.532) in 2023. Early-onset cases (<1 year) comprised 41.7 %. The mean diagnostic age was 11.0 years, with a median of 1.0 year. Methylmalonic acidemia without homocystinuria (40.8 %), phenylketonuria (29.9 %), and Fabry disease (6.7 %) were most common; males accounted for 60.5 % of cases. Although the prevalence of certain IEMs was broadly consistent with global data, the markedly low ASIR suggests substantial underdiagnosis of IEMs in China. This first large-scale, population-based study of IEMs in China reveals underestimation of true disease burden. Expanding and standardizing NBS coverage, broadening genetic testing, implementing mandatory screening, and integrating long-term care into health systems are urgent policy priorities.
Nutritional management of metabolic disorders in neonates and infants in Saudi Arabia: consensus recommendations.
Inborn errors of metabolism (IEM) are inherited disorders affecting metabolism which can result in intellectual disability, cognitive impairment or death if left untreated. Nutritional management plays a major role in ensuring adequate growth, nutritional status and development, reducing levels of toxic metabolites, preventing deficiencies and avoiding catabolism in infants with IEM. The aim of this consensus is to provide recommendations for nutritional management of metabolic diseases in neonates and infants in Saudi Arabia, where a high frequency of IEM has been reported.Consensus generation was performed using the Delphi method. Six metabolic dietitians from five hospitals across KSA formed the expert panel. Two face-to face meetings and one virtual meeting were conducted to generate consensus statements. Voting was conducted anonymously on SurveyMonkey to determine the level of agreement with each recommendation.The expert panel reached consensus on 105 recommendations relating to the nutritional management of metabolic disorders, focusing on PA, MMA, GA1, PKU, MSUD, VLCAD, and HCU.These recommendations will facilitate more consistent management of metabolic patients across Saudi Arabia and strive to highlight ongoing challenges faced by dietitians, patients, and caregivers. Future work should focus on outcomes associated with dietary management strategies in Saudi Arabia.
[A case of cblF type methylmalonic aciduria and homocystinuria].
患儿,男,1岁7个月,以反复发热、呼吸道感染起病,全身皮肤色黑,血液酯酰肉碱谱显示血液游离肉碱30.84 μmol/L,丙酰肉碱5.34 μmol/L,丙酰肉碱/游离肉碱0.96,丙酰肉碱/乙酰肉碱0.45,均升高,尿液甲基丙二酸和血同型半胱氨酸升高。患儿LMDRD1基因存在c.829C>T(p.Arg227Ter)和c.1156C>T(p.Arg368Ter)复合杂合变异,分别来源于父母,确诊为cblF 型甲基丙二酸尿症。患儿经口服甲钴胺、叶酸、左卡尼汀治疗后,病情逐渐好转,随访5个月后患儿血同型半胱氨酸降至17.67 μmol/L,尿液甲基丙二酸浓度降至基准值2.24倍,肺炎治愈。.
Analysis of hydroxocobalamin dosage in patients with CblC deficiency.
cblC deficiency is the most common organic acidemia in China. Hydroxocobalamin (OHCbl) is the main important therapeutic approach, while no approved protocols on its dosage during stable periods exist. This study aims to analyze OHCbl dosage and explore its influencing factors, providing reference for the option of OHCbl dosage. A total of 730 patients with cblC deficiency during stable periods were enrolled. Univariate analysis and multiple linear regression analysis were used to investigate the correlation between OHCbl dosage and tandem mass spectrometry (MS/MS)-based newborn screening (NBS), disease onset as well as MMACHC gene mutation. Univariate analysis revealed no significant difference in OHCbl dosage between whether patients were diagnosed by MS/MS-based NBS or not, while significant differences were found based on disease onset and the presence of c.482G > A variant. Multiple linear regression analysis further identified disease onset and the c.482G > A variant as independent factors influencing OHCbl dosage. The median OHCbl dosage during stable periods was 1.18 mg/kg/week, with 0.31 mg/kg/week in patients with the c.482G > A variant and 1.37 mg/kg/week in those without. However, in patients carrying the c.482G > A variant, there was no significant difference in the OHCbl dosage between those with and without disease onset, while in patients without the c.482G > A variant, those with disease onset had a higher OHCbl dosage compared to those without. The study demonstrated the independent influencing factors of OHCbl dosage in patients with cblC deficiency and put forward corresponding reference for the option of OHCbl dosage.
Clinical and molecular spectrum of patients with methylmalonic acidemia and homocysteinemia complicated by cardiovascular manifestations.
To investigate the clinical characteristics, treatment response, and prognosis of patients with methylmalonic acidemia (MMA) and homocysteinemia complicated by cardiovascular manifestations and to raise awareness regarding MMA and homocysteinemia. A total of 16 children diagnosed with MMA and homocysteinemia with cardiovascular manifestations who were admitted to the Department of Pediatrics of the Second Hospital of Hebei Medical University from June 2018 to October 2024 were retrospectively analyzed. All 16 patients had varying degrees of neurological manifestations, and all had cardiovascular manifestations, 3 patients were diagnosed with MMA and homocysteinemia by newborn screening and received conventional treatment, the remaining 13 patients had nausea, vomiting, anemia, recurrent pneumonitis, respiratory distress, and lethargy as their first symptoms. Cardiovascular complications were found between the ages of 2 months and 12 years, with 9 patients having pulmonary hypertension, 7 having hypertension, and 5 having non-compaction of ventricular myocardium. Fourteen of these cases were confirmed to have CblC-type methylmalonic acidemia caused by mutations in the MMACHC gene by genetic testing. The most common mutations were c.80A > G (p.Q27R) (8 cases) and c.609G > A (p.W203X) (8 cases). Cardiovascular manifestation is uncommon in patients with MMA and homocysteinemia, but it is usually critical cause of death. When unexplained pulmonary hypertension or hypertension occurs, MMA and homocysteinemia should be suspected, especially when accompanied by manifestations of other systems.
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Case Report: Dilated cardiomyopathy as the initial presentation in an adult with late-onset CblC defect.
Frontiers in cardiovascular medicineIncidence of Organic Acid Disorders in 13 Million Chinese Newborns: A Systematic Review and Meta-Analysis.
International journal of neonatal screeningCobalamin J Disorder in a Teenage Boy with Recurrent Abdominal Pain Attacks: A Case Report and Literature Review.
Molecular syndromologyUnderrecognized need for early detection of inborn errors of metabolism in China: A population-based study of 14.31 million residents (2012-2023).
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Frontiers in radiology[A case of cblF type methylmalonic aciduria and homocystinuria].
Zhonghua er ke za zhi = Chinese journal of pediatricsAnalysis of hydroxocobalamin dosage in patients with CblC deficiency.
Orphanet journal of rare diseasesClinical and molecular spectrum of patients with methylmalonic acidemia and homocysteinemia complicated by cardiovascular manifestations.
Orphanet journal of rare diseasesRetinal Changes in Early-Onset cblC Methylmalonic Acidemia Identified Through Expanded Newborn Screening: Highlights from a Case Study and Literature Review.
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JIMD reports[Remethylation disorders: about two cases].
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NeurologyMouse models to study the pathophysiology of combined methylmalonic acidemia and homocystinuria, cblC type.
Developmental biologyDevelopment of infantile tremor syndrome after initiation of hydroxycobalamin treatment in an infant with a late diagnosis of cobalamin C disorder.
JIMD reportsVariable phenotypes and outcomes associated with the MMACHC c.609G>A homologous mutation: long term follow-up in a large cohort of cases.
Orphanet journal of rare diseasesMutation analysis, treatment and prenatal diagnosis of Chinese cases of methylmalonic acidemia.
Scientific reportsThe human B12 trafficking protein CblC processes nitrocobalamin.
The Journal of biological chemistryPulmonary hypertension in late-onset Methylmalonic Aciduria and Homocystinemia: a case report.
BMC pediatricsInborn errors of metabolism detectable by tandem mass spectrometry in Beijing.
Journal of pediatric endocrinology & metabolism : JPEMBrain Circuit Alterations and Cognitive Disability in Late-Onset Cobalamin D Disorder.
Journal of clinical medicineLate-onset cobalamin C disease presenting with acute progressive polyneuropathy.
Muscle & nerveRapid screening of MMACHC gene mutations by high-resolution melting curve analysis.
Molecular genetics & genomic medicineThe vitamin B12 processing enzyme, mmachc, is essential for zebrafish survival, growth and retinal morphology.
Human molecular geneticsCobalamin c deficiency associated with antifactor h antibody-associated hemolytic uremic syndrome in a young adult.
BMC nephrologyHigh-dose hydroxocobalamin achieves biochemical correction and improvement of neuropsychiatric deficits in adults with late onset cobalamin C deficiency.
JIMD reportsGeneration of a Human iPSC line (SDQLCHi021-A) from a patient with methylmalonic acidemia cblC type carrying compound heterozygous mutations in MMAHC gene.
Stem cell researchThe correlation between the evolution of bilateral basal ganglia hemorrhage using MR imaging and neurological damage recovery in an infant with methylmalonic aciduria.
Brain & developmentMethylmalonic Acidemia Complicated by Homocystinuria Diseases: a Report of Three Cases.
Advances in therapyNoninvasive prenatal diagnosis of cobalamin C (cblC) deficiency through target region sequencing of cell-free DNA in maternal plasma.
Prenatal diagnosisIsolated subacute combined degeneration in late-onset cobalamin C deficiency in children: Two case reports and literature review.
MedicineParenteral hydroxocobalamin dose intensification in five patients with different types of early onset intracellular cobalamin defects: Clinical and biochemical responses.
JIMD reportsProspective evaluation of pregnancy outcome in an Italian woman with late-onset combined homocystinuria and methylmalonic aciduria.
BMC pregnancy and childbirthHyperhomocysteinemia: a trigger for complement-mediated TMA?
Acta clinica BelgicaMutation spectrum of MMACHC in Chinese pediatric patients with cobalamin C disease: A case series and literature review.
European journal of medical geneticsDo not Miss Rare and Treatable Cause of Early-Onset Hemolytic Uremic Syndrome: Cobalamin C Deficiency.
NephronClinical feature and outcome of late-onset cobalamin C disease patients with neuropsychiatric presentations: a Chinese case series.
Neuropsychiatric disease and treatmentThe Value of 1H-MRS and MRI in Combined Methylmalonic Aciduria and Homocystinuria.
Journal of computer assisted tomographyMolecular genetic characterization of cblC defects in 126 pedigrees and prenatal genetic diagnosis of pedigrees with combined methylmalonic aciduria and homocystinuria.
BMC medical geneticsFavorable course of previously undiagnosed Methylmalonic Aciduria with Homocystinuria (cblC type) presenting with pulmonary hypertension and aHUS in a young child: a case report.
Italian journal of pediatricsCobalamin D Deficiency Identified Through Newborn Screening.
JIMD reportsImproving the diagnosis of cobalamin and related defects by genomic analysis, plus functional and structural assessment of novel variants.
Orphanet journal of rare diseasesPulmonary embolism in a child with combined methylmalonic acidemia and homocystinuria.
Pediatric investigationDiversity in the incidence and spectrum of organic acidemias, fatty acid oxidation disorders, and amino acid disorders in Asian countries: Selective screening vs. expanded newborn screening.
Molecular genetics and metabolism reportsMethylmalonic acidemia: Current status and research priorities.
Intractable & rare diseases researchTranscellular transport of cobalamin in aortic endothelial cells.
FASEB journal : official publication of the Federation of American Societies for Experimental BiologyExpanded Newborn Screening for Inborn Errors of Metabolism and Genetic Characteristics in a Chinese Population.
Frontiers in geneticsWhole-exome Sequencing Helps the Diagnosis and Treatment in Children with Neurodevelopmental Delay Accompanied Unexplained Dyspnea.
Scientific reportsHemolytic uremic syndrome with dual caution in an infant: cobalamin C defect and complement dysregulation successfully treated with eculizumab.
Pediatric nephrology (Berlin, Germany)Late-onset cobalamin C deficiency Chinese sibling patients with neuropsychiatric presentations.
Metabolic brain diseaseSerial Magnetic Resonance Imaging Changes in a Patient With Late-Onset Cobalamin C Disease With a Misdiagnosis of Metachromatic Leukodystrophy.
JAMA neurologyAtypical adult-onset methylmalonic acidemia and homocystinuria presenting as hemolytic uremic syndrome.
CEN case reportsIdentification of ABC transporters acting in vitamin B12 metabolism in Caenorhabditis elegans.
Molecular genetics and metabolismSkin lesions in a patient with Cobalamin C disease in poor metabolic control.
Journal of inherited metabolic diseaseDiagnosis of cobalamin C deficiency with renal abnormality from onset in a Chinese child by next generation sequencing: A case report.
Experimental and therapeutic medicineEffects of medical food leucine content in the management of methylmalonic and propionic acidemias.
Current opinion in clinical nutrition and metabolic careMutation of the MMADHC gene in adult-onset cobalamin D deficiency: A report of 2 potentially treatable cases.
NeurologiaQuantitative Assessment of Microstructural Changes of the Retina in Infants With Congenital Zika Syndrome.
JAMA ophthalmologyThrombotic microangiopathy and breastfeeding: where is the link? Questions.
Pediatric nephrology (Berlin, Germany)Milder clinical and biochemical phenotypes associated with the c.482G>A (p.Arg161Gln) pathogenic variant in cobalamin C disease: Implications for management and screening.
Molecular genetics and metabolismCobalamin disorder CblC presenting with hemolytic uremic syndrome and pulmonary hypertension.
NefrologiaClinical or ATPase domain mutations in ABCD4 disrupt the interaction between the vitamin B12-trafficking proteins ABCD4 and LMBD1.
The Journal of biological chemistryOptical coherence tomography morphology and evolution in cblC disease-related maculopathy in a case series of very young patients.
Acta ophthalmologicaX-Linked Cobalamin Disorder (HCFC1) Mimicking Nonketotic Hyperglycinemia With Increased Both Cerebrospinal Fluid Glycine and Methylmalonic Acid.
Pediatric neurologyCombined methylmalonic acidemia and homocysteinemia presenting predominantly with late-onset diffuse lung disease: a case series of four patients.
Orphanet journal of rare diseasesNeuropsychological implications of Cobalamin C (CblC) disease in Hispanic children detected through newborn screening.
Applied neuropsychology. ChildSpectrum of ocular manifestations in cobalamin C and cobalamin A types of methylmalonic acidemia.
Ophthalmic geneticsTargeted exome sequencing for the identification of complementation groups in methylmalonic aciduria: A south Indian experience.
Clinical biochemistryRenal thrombotic microangiopathy in patients with cblC defect: review of an under-recognized entity.
Pediatric nephrology (Berlin, Germany)The remarkable S. Harvey Mudd - A reminiscence.
Molecular genetics and metabolismREVERSIBLE CLINICAL AND MAGNETIC RESONANCE IMAGING FINDINGS IN LATE-ONSET COBALAMIN C DEFECT.
Genetic counseling (Geneva, Switzerland)Ophthalmic Manifestations and Long-Term Visual Outcomes in Patients with Cobalamin C Deficiency.
OphthalmologyCOBALAMIN C DEFICIENCY WITH INFANTILE SPASM AND CUTANEOUS FINDINGS: A UNIQUE CASE.
Genetic counseling (Geneva, Switzerland)Cobalamin C Deficiency-Associated Pigmentary Retinopathy.
JAMA ophthalmologyCobalamin C Deficiency Shows a Rapidly Progressing Maculopathy With Severe Photoreceptor and Ganglion Cell Loss.
Investigative ophthalmology & visual scienceClinical presentation, gene analysis and outcomes in young patients with early-treated combined methylmalonic acidemia and homocysteinemia (cblC type) in Shandong province, China.
Brain & developmentGenetic analysis of four cases of methylmalonic aciduria and homocystinuria, cblC type#.
International journal of clinical and experimental pathologyHeptadecanoylcarnitine (C17) a novel candidate biomarker for newborn screening of propionic and methylmalonic acidemias.
Clinica chimica acta; international journal of clinical chemistryStructure of Human B12 Trafficking Protein CblD Reveals Molecular Mimicry and Identifies a New Subfamily of Nitro-FMN Reductases.
The Journal of biological chemistry[Relationship of genotypes with clinical phenotypes and outcomes in children with cobalamin C type combined methylmalonic aciduria and homocystinuria].
Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatricsMMACHC gene mutation in familial hypogonadism with neurological symptoms.
GeneClinical characteristics of hemolytic uremic syndrome secondary to cobalamin C disorder in Chinese children.
World journal of pediatrics : WJPPrenatal diagnosis using genetic sequencing and identification of a novel mutation in MMACHC.
BMC medical genetics[Combined methylmalonic acidemia and homocystinuria; a case report].
Nutricion hospitalariaCobalamin C Disease Missed by Newborn Screening in a Patient with Low Carnitine Level.
JIMD reportsOcular disease in the cobalamin C defect: a review of the literature and a suggested framework for clinical surveillance.
Molecular genetics and metabolismPredictors of survival in children with methymalonic acidemia with homocystinuria in Beijing, China: a prospective cohort study.
Indian pediatricsTargeted metabolomics in the expanded newborn screening for inborn errors of metabolism.
Molecular bioSystemsWhole Exome Sequencing Identifies an Adult-Onset Case of Methylmalonic Aciduria and Homocystinuria Type C (cblC) with Non-Syndromic Bull's Eye Maculopathy.
Ophthalmic genetics[A case of late-onset cobalamin C disease (methylmalonic aciduria and homocystinuria, cobalamin C type)].
Rinsho shinkeigaku = Clinical neurologyThe proteome of cblC defect: in vivo elucidation of altered cellular pathways in humans.
Journal of inherited metabolic diseaseAssociações
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Referências e fontes
Bases de dados externas citadas neste artigo
Publicações científicas
Artigos indexados no PubMed ligados a esta doença no grafo RarasNet — título, periódico e PMID direto da fonte, sem intermediação de IA.
- Underrecognized need for early detection of inborn errors of metabolism in China: A population-based study of 14.31 million residents (2012-2023).
- Nutritional management of metabolic disorders in neonates and infants in Saudi Arabia: consensus recommendations.
- [A case of cblF type methylmalonic aciduria and homocystinuria].
- Analysis of hydroxocobalamin dosage in patients with CblC deficiency.
- Clinical and molecular spectrum of patients with methylmalonic acidemia and homocysteinemia complicated by cardiovascular manifestations.
- Data accuracy in the European Cystic Fibrosis Society Patient Registry: results of an on-site data validation project.
- Pulmonary features and stage of disease in adult patients with hyper-IgE syndrome: a single-centre clinical study and literature review.
- Safety of beta-blocker discontinuation after acute coronary syndromes with preserved or mildly reduced left ventricular ejection fraction: a target trial emulation from a real-world cohort.
- Health Disparities among adults cared for at an urban cystic fibrosis program.
- Deliberate paradigm shift in research in rare neurodevelopmental disorders.
Bases de dados e fontes oficiais
Identificadores e referências canônicas usadas para montar este verbete.
- ORPHA:622(Orphanet)
- MONDO:0018964(MONDO)
- GARD:16537(GARD (NIH))
- Variantes catalogadas(ClinVar)
- Busca completa no PubMed(PubMed)
- Q56014237(Wikidata)
Dados compilados pelo RarasNet a partir de fontes abertas (Orphanet, OMIM, MONDO, PubMed/EuropePMC, ClinicalTrials.gov, DATASUS, PCDT/MS). Este conteúdo é informativo e não substitui avaliação médica.
Conteúdo mantido por Agente Raras · Médicos e pesquisadores podem colaborar
