nih-gov/www.ncbi.nlm.nih.gov/omim/607568

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- *607568 - METABOLISM OF COBALAMIN ASSOCIATED B; MMAB
- OMIM
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<span class="h4">*607568</span>
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<strong>Table of Contents</strong>
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<a href="#title"><strong>Title</strong></a>
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<a href="#geneMap"><strong>Gene-Phenotype Relationships</strong></a>
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<a href="#text"><strong>Text</strong></a>
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<a href="#description">Description</a>
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<a href="#cloning">Cloning and Expression</a>
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<a href="#geneFunction">Gene Function</a>
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<a href="#geneStructure">Gene Structure</a>
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<a href="#mapping">Mapping</a>
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<a href="#molecularGenetics">Molecular Genetics</a>
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<a href="#allelicVariants"><strong>Allelic Variants</strong></a>
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<a href="#mimProteinLinksFold" id="mimProteinLinksToggle" class="collapsed mimSingletonTriangleToggle" role="button" data-toggle="collapse" data-parent="#mimExternalLinksAccordion">
<span id="mimProteinLinksToggleTriangle" class="small mimSingletonTriangle" style="color: #337CB5">&#9658;</span> Protein
</a>
</span>
</span>
</div>
<div id="mimProteinLinksFold" class="panel-collapse collapse mimLinksFold" role="tabpanel">
<div class="panel-body small mim-panel-body">
<div><a href="https://hprd.org/summary?hprd_id=07398&isoform_id=07398_1&isoform_name=Isoform_1" class="mim-tip-hint" title="The Human Protein Reference Database; manually extracted and visually depicted information on human proteins." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'HPRD', 'domain': 'hprd.org'})">HPRD</a></div>
<div><a href="https://www.proteinatlas.org/search/MMAB" class="mim-tip-hint" title="The Human Protein Atlas contains information for a large majority of all human protein-coding genes regarding the expression and localization of the corresponding proteins based on both RNA and protein data." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'HumanProteinAtlas', 'domain': 'proteinatlas.org'})">Human Protein Atlas</a></div>
<div><a href="https://www.ncbi.nlm.nih.gov/protein/15080110,16418349,26284726,38258221,119618275,127802458,189069152,194379708,239740430,767974046,767974050,2217288817,2462531676,2462531678,2462531680" class="mim-tip-hint" title="NCBI protein data." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'NCBI Protein', 'domain': 'ncbi.nlm.nih.gov'})">NCBI Protein</a></div>
<div><a href="https://www.uniprot.org/uniprotkb/Q96EY8" class="mim-tip-hint" title="Comprehensive protein sequence and functional information, including supporting data." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'UniProt', 'domain': 'uniprot.org'})">UniProt</a></div>
</div>
</div>
</div>
<div class="panel panel-default" style="margin-top: 0px; border-radius: 0px">
<div class="panel-heading mim-panel-heading" role="tab" id="mimGeneInfo">
<span class="panel-title">
<span class="small">
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<div id="mimGeneInfoLinksToggleTriangle" class="small mimSingletonTriangle" style="color: #337CB5; display: table-cell;">&#9658;</div>
&nbsp;
<div style="display: table-cell;">Gene Info</div>
</div>
</a>
</span>
</span>
</div>
<div id="mimGeneInfoLinksFold" class="panel-collapse collapse mimLinksFold" role="tabpanel">
<div class="panel-body small mim-panel-body">
<div><a href="http://biogps.org/#goto=genereport&id=326625" class="mim-tip-hint" title="The Gene Portal Hub; customizable portal of gene and protein function information." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'BioGPS', 'domain': 'biogps.org'})">BioGPS</a></div>
<div><a href="https://www.ensembl.org/Homo_sapiens/Gene/Summary?db=core;g=ENSG00000139428;t=ENST00000545712" class="mim-tip-hint" title="Orthologs, paralogs, regulatory regions, and splice variants." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'Ensembl', 'domain': 'ensembl.org'})">Ensembl</a></div>
<div><a href="https://www.genecards.org/cgi-bin/carddisp.pl?gene=MMAB" class="mim-tip-hint" title="The Human Genome Compendium; web-based cards integrating automatically mined information on human genes." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'GeneCards', 'domain': 'genecards.org'})">GeneCards</a></div>
<div><a href="http://amigo.geneontology.org/amigo/search/annotation?q=MMAB" class="mim-tip-hint" title="Terms, defined using controlled vocabulary, representing gene product properties (biologic process, cellular component, molecular function) across species." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'GeneOntology', 'domain': 'amigo.geneontology.org'})">Gene Ontology</a></div>
<div><a href="https://www.genome.jp/dbget-bin/www_bget?hsa+326625" class="mim-tip-hint" title="Kyoto Encyclopedia of Genes and Genomes; diagrams of signaling pathways." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'KEGG', 'domain': 'genome.jp'})">KEGG</a></div>
<dd><a href="http://v1.marrvel.org/search/gene/MMAB" class="mim-tip-hint" title="Model organism Aggregated Resources for Rare Variant ExpLoration." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'MARRVEL', 'domain': 'marrvel.org'})">MARRVEL</a></dd>
<dd><a href="https://monarchinitiative.org/NCBIGene:326625" class="mim-tip-hint" title="Monarch Initiative." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'Monarch', 'domain': 'monarchinitiative.org'})">Monarch</a></dd>
<div><a href="https://www.ncbi.nlm.nih.gov/gene/326625" class="mim-tip-hint" title="Gene-specific map, sequence, expression, structure, function, citation, and homology data." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'NCBI Gene', 'domain': 'ncbi.nlm.nih.gov'})">NCBI Gene</a></div>
<div><a href="https://genome.ucsc.edu/cgi-bin/hgGene?db=hg38&hgg_chrom=chr12&hgg_gene=ENST00000545712.7&hgg_start=109553715&hgg_end=109573504&hgg_type=knownGene" class="mim-tip-hint" title="UCSC Genome Bioinformatics; gene-specific structure and function information with links to other databases." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'UCSC', 'domain': 'genome.ucsc.edu'})">UCSC</a></div>
</div>
</div>
</div>
<div class="panel panel-default" style="margin-top: 0px; border-radius: 0px">
<div class="panel-heading mim-panel-heading" role="tab" id="mimClinicalResources">
<span class="panel-title">
<span class="small">
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<div id="mimClinicalResourcesLinksToggleTriangle" class="small mimSingletonTriangle" style="color: #337CB5; display: table-cell;">&#9658;</div>
&nbsp;
<div style="display: table-cell;">Clinical Resources</div>
</div>
</a>
</span>
</span>
</div>
<div id="mimClinicalResourcesLinksFold" class="panel-collapse collapse mimLinksFold" role="tabpanel" aria-labelledby="clinicalResources">
<div class="panel-body small mim-panel-body">
<div><a href="https://search.clinicalgenome.org/kb/gene-dosage/HGNC:19331" class="mim-tip-hint" title="A ClinGen curated resource of genes and regions of the genome that are dosage sensitive and should be targeted on a cytogenomic array." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'ClinGen Dosage', 'domain': 'dosage.clinicalgenome.org'})">ClinGen Dosage</a></div>
<div><a href="https://search.clinicalgenome.org/kb/genes/HGNC:19331" class="mim-tip-hint" title="A ClinGen curated resource of ratings for the strength of evidence supporting or refuting the clinical validity of the claim(s) that variation in a particular gene causes disease." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'ClinGen Validity', 'domain': 'search.clinicalgenome.org'})">ClinGen Validity</a></div>
<div><a href="https://medlineplus.gov/genetics/gene/mmab" class="mim-tip-hint" title="Consumer-friendly information about the effects of genetic variation on human health." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'MedlinePlus Genetics', 'domain': 'medlineplus.gov'})">MedlinePlus Genetics</a></div>
<div><a href="https://www.ncbi.nlm.nih.gov/gtr/all/tests/?term=607568[mim]" class="mim-tip-hint" title="Genetic Testing Registry." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'GTR', 'domain': 'ncbi.nlm.nih.gov'})">GTR</a></div>
</div>
</div>
</div>
<div class="panel panel-default" style="margin-top: 0px; border-radius: 0px">
<div class="panel-heading mim-panel-heading" role="tab" id="mimVariation">
<span class="panel-title">
<span class="small">
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<span id="mimVariationLinksToggleTriangle" class="small mimSingletonTriangle" style="color: #337CB5">&#9660;</span> Variation
</a>
</span>
</span>
</div>
<div id="mimVariationLinksFold" class="panel-collapse collapse in mimLinksFold" role="tabpanel">
<div class="panel-body small mim-panel-body">
<div><a href="https://www.ncbi.nlm.nih.gov/clinvar?term=607568[MIM]" class="mim-tip-hint" title="ClinVar aggregates information about sequence variation and its relationship to human health." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'ClinVar', 'domain': 'ncbi.nlm.nih.gov'})">ClinVar</a></div>
<div><a href="https://gnomad.broadinstitute.org/gene/ENSG00000139428" class="mim-tip-hint" title="The Genome Aggregation Database (gnomAD), Broad Institute." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'gnomAD', 'domain': 'gnomad.broadinstitute.org'})">gnomAD</a></div>
<div><a href="https://www.ebi.ac.uk/gwas/search?query=MMAB" class="mim-tip-hint" title="GWAS Catalog; NHGRI-EBI Catalog of published genome-wide association studies." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'GWAS Catalog', 'domain': 'gwascatalog.org'})">GWAS Catalog&nbsp;</a></div>
<div><a href="https://www.gwascentral.org/search?q=MMAB" class="mim-tip-hint" title="GWAS Central; summary level genotype-to-phenotype information from genetic association studies." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'GWAS Central', 'domain': 'gwascentral.org'})">GWAS Central&nbsp;</a></div>
<div><a href="http://www.hgmd.cf.ac.uk/ac/gene.php?gene=MMAB" class="mim-tip-hint" title="Human Gene Mutation Database; published mutations causing or associated with human inherited disease; disease-associated/functional polymorphisms." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'HGMD', 'domain': 'hgmd.cf.ac.uk'})">HGMD</a></div>
<div><a href="http://databases.lovd.nl/genomed/home.php?select_db=MMAB" class="mim-tip-hint" title="A gene-specific database of variation." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'Locus Specific DB', 'domain': 'locus-specific-db.org'})">Locus Specific DBs</a></div>
<div><a href="https://evs.gs.washington.edu/EVS/PopStatsServlet?searchBy=Gene+Hugo&target=MMAB&upstreamSize=0&downstreamSize=0&x=0&y=0" class="mim-tip-hint" title="National Heart, Lung, and Blood Institute Exome Variant Server." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'NHLBI EVS', 'domain': 'evs.gs.washington.edu'})">NHLBI EVS</a></div>
<div><a href="https://www.pharmgkb.org/gene/PA134864025" class="mim-tip-hint" title="Pharmacogenomics Knowledge Base; curated and annotated information regarding the effects of human genetic variations on drug response." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PharmGKB', 'domain': 'pharmgkb.org'})">PharmGKB</a></div>
</div>
</div>
</div>
<div class="panel panel-default" style="margin-top: 0px; border-radius: 0px">
<div class="panel-heading mim-panel-heading" role="tab" id="mimAnimalModels">
<span class="panel-title">
<span class="small">
<a href="#mimAnimalModelsLinksFold" id="mimAnimalModelsLinksToggle" class="collapsed mimSingletonTriangleToggle" role="button" data-toggle="collapse" data-parent="#mimExternalLinksAccordion">
<div style="display: table-row">
<div id="mimAnimalModelsLinksToggleTriangle" class="small mimSingletonTriangle" style="color: #337CB5; display: table-cell;">&#9658;</div>
&nbsp;
<div style="display: table-cell;">Animal Models</div>
</div>
</a>
</span>
</span>
</div>
<div id="mimAnimalModelsLinksFold" class="panel-collapse collapse mimLinksFold" role="tabpanel">
<div class="panel-body small mim-panel-body">
<div><a href="https://www.alliancegenome.org/gene/HGNC:19331" class="mim-tip-hint" title="Search Across Species; explore model organism and human comparative genomics." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'Alliance Genome', 'domain': 'alliancegenome.org'})">Alliance Genome</a></div>
<div><a href="https://www.mousephenotype.org/data/genes/MGI:1924947" class="mim-tip-hint" title="International Mouse Phenotyping Consortium." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'IMPC', 'domain': 'knockoutmouse.org'})">IMPC</a></div>
<div><a href="http://v1.marrvel.org/search/gene/MMAB#HomologGenesPanel" class="mim-tip-hint" title="Model organism Aggregated Resources for Rare Variant ExpLoration." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'MARRVEL', 'domain': 'marrvel.org'})">MARRVEL</a></div>
<div><a href="http://www.informatics.jax.org/marker/MGI:1924947" class="mim-tip-hint" title="Mouse Genome Informatics; international database resource for the laboratory mouse, including integrated genetic, genomic, and biological data." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'MGI Mouse Gene', 'domain': 'informatics.jax.org'})">MGI Mouse Gene</a></div>
<div><a href="https://www.mmrrc.org/catalog/StrainCatalogSearchForm.php?search_query=" class="mim-tip-hint" title="Mutant Mouse Resource & Research Centers." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'MMRRC', 'domain': 'mmrrc.org'})">MMRRC</a></div>
<div><a href="https://www.ncbi.nlm.nih.gov/gene/326625/ortholog/" class="mim-tip-hint" title="Orthologous genes at NCBI." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'NCBI Orthologs', 'domain': 'ncbi.nlm.nih.gov'})">NCBI Orthologs</a></div>
<div><a href="https://www.orthodb.org/?ncbi=326625" class="mim-tip-hint" title="Hierarchical catalogue of orthologs." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'OrthoDB', 'domain': 'orthodb.org'})">OrthoDB</a></div>
<div><a href="https://wormbase.org/db/gene/gene?name=WBGene00016144;class=Gene" class="mim-tip-hint" title="Database of the biology and genome of Caenorhabditis elegans and related nematodes." target="_blank" onclick="gtag('event', 'mim_outbound', {'name'{'name': 'Wormbase Gene', 'domain': 'wormbase.org'})">Wormbase Gene</a></div>
<div><a href="https://zfin.org/ZDB-GENE-060526-232" class="mim-tip-hint" title="The Zebrafish Model Organism Database." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'ZFin', 'domain': 'zfin.org'})">ZFin</a></div>
</div>
</div>
</div>
<div class="panel panel-default" style="margin-top: 0px; border-radius: 0px">
<div class="panel-heading mim-panel-heading" role="tab" id="mimCellularPathways">
<span class="panel-title">
<span class="small">
<a href="#mimCellularPathwaysLinksFold" id="mimCellularPathwaysLinksToggle" class="collapsed mimSingletonTriangleToggle" role="button" data-toggle="collapse" data-parent="#mimExternalLinksAccordion">
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<div id="mimCellularPathwaysLinksToggleTriangle" class="small mimSingletonTriangle" style="color: #337CB5; display: table-cell;">&#9658;</div>
&nbsp;
<div style="display: table-cell;">Cellular Pathways</div>
</div>
</a>
</span>
</span>
</div>
<div id="mimCellularPathwaysLinksFold" class="panel-collapse collapse mimLinksFold" role="tabpanel">
<div class="panel-body small mim-panel-body">
<div><a href="https://www.genome.jp/dbget-bin/get_linkdb?-t+pathway+hsa:326625" class="mim-tip-hint" title="Kyoto Encyclopedia of Genes and Genomes; diagrams of signaling pathways." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'KEGG', 'domain': 'genome.jp'})">KEGG</a></div>
<div><a href="https://reactome.org/content/query?q=MMAB&species=Homo+sapiens&types=Reaction&types=Pathway&cluster=true" class="definition" title="Protein-specific information in the context of relevant cellular pathways." target="_blank" onclick="gtag('event', 'mim_outbound', {{'name': 'Reactome', 'domain': 'reactome.org'}})">Reactome</a></div>
</div>
</div>
</div>
</div>
</div>
</div>
<span>
<span class="mim-tip-bottom" qtip_title="<strong>Looking for this gene or this phenotype in other resources?</strong>" qtip_text="Select a related resource from the dropdown menu and click for a targeted link to information directly relevant.">
&nbsp;
</span>
</span>
</div>
<div class="col-lg-8 col-lg-pull-2 col-md-8 col-md-pull-2 col-sm-8 col-sm-pull-2 col-xs-12">
<div>
<a id="title" class="mim-anchor"></a>
<div>
<a id="number" class="mim-anchor"></a>
<div class="text-right">
&nbsp;
</div>
<div>
<span class="h3">
<span class="mim-font mim-tip-hint" title="Gene description">
<span class="text-danger"><strong>*</strong></span>
607568
</span>
</span>
</div>
</div>
<div>
<a id="preferredTitle" class="mim-anchor"></a>
<h3>
<span class="mim-font">
METABOLISM OF COBALAMIN ASSOCIATED B; MMAB
</span>
</h3>
</div>
<div>
<br />
</div>
<div>
<a id="alternativeTitles" class="mim-anchor"></a>
<div>
<p>
<span class="mim-font">
<em>Alternative titles; symbols</em>
</span>
</p>
</div>
<div>
<h4>
<span class="mim-font">
MMAB GENE<br />
COB(I)ALAMIN ADENOSYLTRANSFERASE
</span>
</h4>
</div>
</div>
<div>
<br />
</div>
</div>
<div>
<a id="approvedGeneSymbols" class="mim-anchor"></a>
<p>
<span class="mim-text-font">
<strong><em>HGNC Approved Gene Symbol: <a href="https://www.genenames.org/tools/search/#!/genes?query=MMAB" class="mim-tip-hint" title="HUGO Gene Nomenclature Committee." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'HGNC', 'domain': 'genenames.org'})">MMAB</a></em></strong>
</span>
</p>
</div>
<div>
<a id="cytogeneticLocation" class="mim-anchor"></a>
<p>
<span class="mim-text-font">
<strong>
<em>
Cytogenetic location: <a href="/geneMap/12/791?start=-3&limit=10&highlight=791">12q24.11</a>
&nbsp;
Genomic coordinates <span class="small">(GRCh38)</span> : <a href="https://genome.ucsc.edu/cgi-bin/hgTracks?db=hg38&position=chr12:109553715-109573504&dgv=pack&knownGene=pack&omimGene=pack" class="mim-tip-hint" title="UCSC Genome Browser; reference sequences and working draft assemblies for a large collection of genomes." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'UCSC Genome Browser', 'domain': 'genome.ucsc.edu'})">12:109,553,715-109,573,504</a> </span>
</em>
</strong>
<a href="https://www.ncbi.nlm.nih.gov/" target="_blank" class="small"> (from NCBI) </a>
</span>
</p>
</div>
<div>
<br />
</div>
<div>
<a id="geneMap" class="mim-anchor"></a>
<div style="margin-bottom: 10px;">
<span class="h4 mim-font">
<strong>Gene-Phenotype Relationships</strong>
</span>
</div>
<div>
<table class="table table-bordered table-condensed table-hover small mim-table-padding">
<thead>
<tr class="active">
<th>
Location
</th>
<th>
Phenotype
</th>
<th>
Phenotype <br /> MIM number
</th>
<th>
Inheritance
</th>
<th>
Phenotype <br /> mapping key
</th>
</tr>
</thead>
<tbody>
<tr>
<td rowspan="1">
<span class="mim-font">
<a href="/geneMap/12/791?start=-3&limit=10&highlight=791">
12q24.11
</a>
</span>
</td>
<td>
<span class="mim-font">
Methylmalonic aciduria, vitamin B12-responsive, cblB type
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/251110"> 251110 </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal recessive">AR</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known">3</abbr>
</span>
</td>
</tr>
</tbody>
</table>
</div>
</div>
<div>
<div class="btn-group">
<button type="button" class="btn btn-success dropdown-toggle" data-toggle="dropdown" aria-haspopup="true" aria-expanded="false">
PheneGene Graphics <span class="caret"></span>
</button>
<ul class="dropdown-menu" style="width: 17em;">
<li><a href="/graph/linear/607568" target="_blank" onclick="gtag('event', 'mim_graph', {'destination': 'Linear'})"> Linear </a></li>
<li><a href="/graph/radial/607568" target="_blank" onclick="gtag('event', 'mim_graph', {'destination': 'Radial'})"> Radial </a></li>
</ul>
</div>
<span class="glyphicon glyphicon-question-sign mim-tip-hint" title="OMIM PheneGene graphics depict relationships between phenotypes, groups of related phenotypes (Phenotypic Series), and genes.<br /><a href='/static/omim/pdf/OMIM_Graphics.pdf' target='_blank'>A quick reference overview and guide (PDF)</a>"></span>
</div>
<div>
<br />
</div>
<div>
<a id="text" class="mim-anchor"></a>
<h4>
<span class="mim-font">
<span class="mim-tip-floating" qtip_title="<strong>Looking For More References?</strong>" qtip_text="Click the 'reference plus' icon &lt;span class='glyphicon glyphicon-plus-sign'&gt;&lt;/span&gt at the end of each OMIM text paragraph to see more references related to the content of the preceding paragraph.">
<strong>TEXT</strong>
</span>
</span>
</h4>
<div>
<a id="description" class="mim-anchor"></a>
<h4 href="#mimDescriptionFold" id="mimDescriptionToggle" class="mimTriangleToggle" style="cursor: pointer;" data-toggle="collapse">
<span id="mimDescriptionToggleTriangle" class="small mimTextToggleTriangle">&#9660;</span>
<span class="mim-font">
<strong>Description</strong>
</span>
</h4>
</div>
<div id="mimDescriptionFold" class="collapse in ">
<span class="mim-text-font">
<p>The MMAB gene encodes cob(I)alamin adenosyltransferase (<a href="https://enzyme.expasy.org/EC/2.5.1.17" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'EC\', \'domain\': \'expasy.org\'})">EC 2.5.1.17</a>), which catalyzes the final step in the synthesis of the cofactor adenosylcobalamin (AdoCbl). AdoCbl is a vitamin B12-containing coenzyme for methylmalonyl-CoA mutase (MUT; <a href="/entry/609058">609058</a>) (summary by <a href="#6" class="mim-tip-reference" title="Jorge-Finnigan, A., Aguado, C., Sanchez-Alcudia, R., Abia, D., Richard, E., Merinero, B., Gamez, A., Banerjee, R., Desviat, L. R., Ugarte, M., Perez, B. &lt;strong&gt;Functional and structural analysis of five mutations identified in methylmalonic aciduria cblB type.&lt;/strong&gt; Hum. Mutat. 31: 1033-1042, 2010.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/20556797/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;20556797&lt;/a&gt;, &lt;a href=&quot;https://www.ncbi.nlm.nih.gov/pmc/?term=20556797[PMID]&amp;report=imagesdocsum&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed Image&#x27;, &#x27;domain&#x27;: &#x27;ncbi.nlm.nih.gov&#x27;})&quot;&gt;images&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1002/humu.21307&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="20556797">Jorge-Finnigan et al., 2010</a>). <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=20556797" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p>
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<a id="cloning" class="mim-anchor"></a>
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<strong>Cloning and Expression</strong>
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<p><a href="#3" class="mim-tip-reference" title="Dobson, C. M., Wai, T., Leclerc, D., Kadir, H., Narang, M., Lerner-Ellis, J. P., Hudson, T. J., Rosenblatt, D. S., Gravel, R. A. &lt;strong&gt;Identification of the gene responsible for the cblB complementation group of vitamin B12-dependent methylmalonic aciduria.&lt;/strong&gt; Hum. Molec. Genet. 11: 3361-3369, 2002.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/12471062/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;12471062&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1093/hmg/11.26.3361&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="12471062">Dobson et al. (2002)</a> identified MMAB within a bacterial operon containing MCM and, using the bacterial sequence, identified ESTs and assembled a full-length human MMAB cDNA. The deduced 250-amino acid protein has a calculated molecular mass of 27.3 kD. MMAB shares 88% sequence identity with mouse Mmu. Northern blot analysis revealed expression of a 1.1-kb transcript, with highest expression in liver and skeletal muscle. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=12471062" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p>
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<a id="geneFunction" class="mim-anchor"></a>
<h4 href="#mimGeneFunctionFold" id="mimGeneFunctionToggle" class="mimTriangleToggle" style="cursor: pointer;" data-toggle="collapse">
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<strong>Gene Function</strong>
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<p>MMAB has 45% similarity to PduO, a cob(I)alamin adenosyltransferase, in Salmonella enterica (<a href="#5" class="mim-tip-reference" title="Johnson, C. L. V., Pechonick, E., Park, S. D., Havemann, G. D., Leal, N. A., Bobik, T. A. &lt;strong&gt;Functional genomic, biochemical, and genetic characterization of the Salmonella pduO gene, an ATP:cob(I)alamin adenosyltransferase gene.&lt;/strong&gt; J. Bacteriol. 183: 1577-1584, 2001.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/11160088/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;11160088&lt;/a&gt;, &lt;a href=&quot;https://www.ncbi.nlm.nih.gov/pmc/?term=11160088[PMID]&amp;report=imagesdocsum&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed Image&#x27;, &#x27;domain&#x27;: &#x27;ncbi.nlm.nih.gov&#x27;})&quot;&gt;images&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1128/JB.183.5.1577-1584.2001&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="11160088">Johnson et al., 2001</a>). <a href="#3" class="mim-tip-reference" title="Dobson, C. M., Wai, T., Leclerc, D., Kadir, H., Narang, M., Lerner-Ellis, J. P., Hudson, T. J., Rosenblatt, D. S., Gravel, R. A. &lt;strong&gt;Identification of the gene responsible for the cblB complementation group of vitamin B12-dependent methylmalonic aciduria.&lt;/strong&gt; Hum. Molec. Genet. 11: 3361-3369, 2002.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/12471062/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;12471062&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1093/hmg/11.26.3361&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="12471062">Dobson et al. (2002)</a> demonstrated that fibroblasts from 6 MMA patients from the cblB complementation group had levels of adenosyl-Cbl that were more than 13% that of control cells, as measured by uptake of radioactive OH-Cbl. Missense mutations in conserved amino acid residues of MMAB, as well as splice mutations in the gene among cblB group patients, added further evidence that the MMAB gene product functions as a cobalamin adenosyltransferase. <a href="https://pubmed.ncbi.nlm.nih.gov/?term=11160088+12471062" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p><p><a href="#4" class="mim-tip-reference" title="Forny, P., Plessl, T., Frei, C., Burer, C., Froese, D. S., Baumgartner, M. R. &lt;strong&gt;Spectrum and characterization of bi-allelic variants in MMAB causing cblB-type methylmalonic aciduria.&lt;/strong&gt; Hum. Genet. 141: 1253-1267, 2022.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/34796408/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;34796408&lt;/a&gt;, &lt;a href=&quot;https://www.ncbi.nlm.nih.gov/pmc/?term=34796408[PMID]&amp;report=imagesdocsum&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed Image&#x27;, &#x27;domain&#x27;: &#x27;ncbi.nlm.nih.gov&#x27;})&quot;&gt;images&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1007/s00439-021-02398-6&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="34796408">Forny et al. (2022)</a> demonstrated that release of adenosylcobalamin from MMAB was activated by ATP and was favored in the presence of the MMUT protein. The authors also showed that adenosylcobalamin was not identified free in solution after release from MMAB, but instead bound to MMUT, suggesting a direct transfer. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=34796408" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p>
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<a id="geneStructure" class="mim-anchor"></a>
<h4 href="#mimGeneStructureFold" id="mimGeneStructureToggle" class="mimTriangleToggle" style="cursor: pointer;" data-toggle="collapse">
<span id="mimGeneStructureToggleTriangle" class="small mimTextToggleTriangle">&#9660;</span>
<span class="mim-font">
<strong>Gene Structure</strong>
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<p><a href="#3" class="mim-tip-reference" title="Dobson, C. M., Wai, T., Leclerc, D., Kadir, H., Narang, M., Lerner-Ellis, J. P., Hudson, T. J., Rosenblatt, D. S., Gravel, R. A. &lt;strong&gt;Identification of the gene responsible for the cblB complementation group of vitamin B12-dependent methylmalonic aciduria.&lt;/strong&gt; Hum. Molec. Genet. 11: 3361-3369, 2002.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/12471062/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;12471062&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1093/hmg/11.26.3361&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="12471062">Dobson et al. (2002)</a> determined that the MMAB gene consists of 9 exons extending over 18.87 kb. Exon 9 ends at 2 alternative polyadenylation sites, and the intron-exon junctions are conserved between man and mouse. MMAB has a predicted leader sequence and signal cleavage site consistent with localization to the mitochondria. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=12471062" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p>
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<a id="mapping" class="mim-anchor"></a>
<h4 href="#mimMappingFold" id="mimMappingToggle" class="mimTriangleToggle" style="cursor: pointer;" data-toggle="collapse">
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<strong>Mapping</strong>
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<p>By linkage analysis, <a href="#3" class="mim-tip-reference" title="Dobson, C. M., Wai, T., Leclerc, D., Kadir, H., Narang, M., Lerner-Ellis, J. P., Hudson, T. J., Rosenblatt, D. S., Gravel, R. A. &lt;strong&gt;Identification of the gene responsible for the cblB complementation group of vitamin B12-dependent methylmalonic aciduria.&lt;/strong&gt; Hum. Molec. Genet. 11: 3361-3369, 2002.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/12471062/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;12471062&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1093/hmg/11.26.3361&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="12471062">Dobson et al. (2002)</a> mapped the MMAB gene to chromosome 12q24. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=12471062" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p>
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<a id="molecularGenetics" class="mim-anchor"></a>
<h4 href="#mimMolecularGeneticsFold" id="mimMolecularGeneticsToggle" class="mimTriangleToggle" style="cursor: pointer;" data-toggle="collapse">
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<strong>Molecular Genetics</strong>
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<p><a href="#3" class="mim-tip-reference" title="Dobson, C. M., Wai, T., Leclerc, D., Kadir, H., Narang, M., Lerner-Ellis, J. P., Hudson, T. J., Rosenblatt, D. S., Gravel, R. A. &lt;strong&gt;Identification of the gene responsible for the cblB complementation group of vitamin B12-dependent methylmalonic aciduria.&lt;/strong&gt; Hum. Molec. Genet. 11: 3361-3369, 2002.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/12471062/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;12471062&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1093/hmg/11.26.3361&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="12471062">Dobson et al. (2002)</a> analyzed fibroblast cell lines from 6 patients with methylmalonic aciduria of the complementation type cblB patients and identified 6 mutations in the MMAB gene. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=12471062" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p><p>In 4 patients, including 2 sibs, with MMA type cblB, <a href="#6" class="mim-tip-reference" title="Jorge-Finnigan, A., Aguado, C., Sanchez-Alcudia, R., Abia, D., Richard, E., Merinero, B., Gamez, A., Banerjee, R., Desviat, L. R., Ugarte, M., Perez, B. &lt;strong&gt;Functional and structural analysis of five mutations identified in methylmalonic aciduria cblB type.&lt;/strong&gt; Hum. Mutat. 31: 1033-1042, 2010.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/20556797/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;20556797&lt;/a&gt;, &lt;a href=&quot;https://www.ncbi.nlm.nih.gov/pmc/?term=20556797[PMID]&amp;report=imagesdocsum&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed Image&#x27;, &#x27;domain&#x27;: &#x27;ncbi.nlm.nih.gov&#x27;})&quot;&gt;images&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1002/humu.21307&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="20556797">Jorge-Finnigan et al. (2010)</a> identified 5 different mutations in the MMAB gene (<a href="#0004">607568.0004</a>-<a href="#0008">607568.0008</a>). Two of the mutations were missense and demonstrated in vitro to have decreased stability and decreased enzymatic activity compared to wildtype; the 3 other mutations were demonstrated to cause splice site defects in patient cells. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=20556797" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p><p>In 2 sibs with MMA type cblB, <a href="#2" class="mim-tip-reference" title="Brasil, S., Richard, E., Jorge-Finnigan, A., Leal, F., Merinero, B., Banerjee, R., Desviat, L. R., Ugarte, M., Perez, B. &lt;strong&gt;Methylmalonic aciduria cblB type: characterization of two novel mutations and mitochondrial dysfunction studies.&lt;/strong&gt; Clin. Genet. 87: 576-581, 2015.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/24813872/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;24813872&lt;/a&gt;, &lt;a href=&quot;https://www.ncbi.nlm.nih.gov/pmc/?term=24813872[PMID]&amp;report=imagesdocsum&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed Image&#x27;, &#x27;domain&#x27;: &#x27;ncbi.nlm.nih.gov&#x27;})&quot;&gt;images&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1111/cge.12426&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="24813872">Brasil et al. (2015)</a> identified compound heterozygous mutations in the MMAB gene (<a href="#0009">607568.0009</a>-<a href="#0010">607568.0010</a>). The patients were asymptomatic and identified through newborn screening. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=24813872" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p><p>In an Icelandic infant who died with severe heart failure and MMA type cblB, <a href="#1" class="mim-tip-reference" title="Agnarsdottir, D., Sigurjonsdottir, V. K., Emilsdottir, A. R., Petersen, E., Sigfusson, G., Rognvaldsson, I., Franzson, L., Vernon, H., Bjornsson, H. T. &lt;strong&gt;Early cardiomyopathy without severe metabolic dysregulation in a patient with cblB-type methylmalonic acidemia.&lt;/strong&gt; Molec. Genet. Genomic Med. 10: e1971, 2022.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/35712814/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;35712814&lt;/a&gt;, &lt;a href=&quot;https://www.ncbi.nlm.nih.gov/pmc/?term=35712814[PMID]&amp;report=imagesdocsum&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed Image&#x27;, &#x27;domain&#x27;: &#x27;ncbi.nlm.nih.gov&#x27;})&quot;&gt;images&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1002/mgg3.1971&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="35712814">Agnarsdottir et al. (2022)</a> identified homozygosity for the Icelandic founder mutation R191W (<a href="#0006">607568.0006</a>). <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=35712814" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p><p><a href="#4" class="mim-tip-reference" title="Forny, P., Plessl, T., Frei, C., Burer, C., Froese, D. S., Baumgartner, M. R. &lt;strong&gt;Spectrum and characterization of bi-allelic variants in MMAB causing cblB-type methylmalonic aciduria.&lt;/strong&gt; Hum. Genet. 141: 1253-1267, 2022.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/34796408/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;34796408&lt;/a&gt;, &lt;a href=&quot;https://www.ncbi.nlm.nih.gov/pmc/?term=34796408[PMID]&amp;report=imagesdocsum&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed Image&#x27;, &#x27;domain&#x27;: &#x27;ncbi.nlm.nih.gov&#x27;})&quot;&gt;images&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1007/s00439-021-02398-6&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="34796408">Forny et al. (2022)</a> identified 33 individual mutations in the MMAB gene in 97 patients with MMA type cblB, including 16 novel mutations. Missense mutations were the most common mutation type, and the most frequent missense mutations were R186W (<a href="#0001">607568.0001</a>), identified in 57 alleles, and R191W (<a href="#0006">607568.0006</a>), identified in 19 alleles. Q234X was the most common truncating mutation, identified in 14 alleles. Most of the mutations affected the C-terminal half of the protein, with a hotspot in exon 7. This hotspot, corresponding to residues 173-195, contributes to the binding sites of cobalamin and ATP. Functional studies were performed in fibroblasts from 76 patients and responsiveness to cobalamin, as measured by a propionate incorporation assay, was identified in association with the Q234X mutation. The R286W and R191W mutations showed no clear cobalamin response. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=34796408" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p>
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<a id="allelicVariants" class="mim-anchor"></a>
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<span id="mimAllelicVariantsToggleTriangle" class="small mimTextToggleTriangle">&#9660;</span>
<strong>ALLELIC VARIANTS (<a href="/help/faq#1_4"></strong>
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<strong>10 Selected Examples</a>):</strong>
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<a href="/allelicVariants/607568" class="btn btn-default" role="button"> Table View </a>
&nbsp;&nbsp;<a href="https://www.ncbi.nlm.nih.gov/clinvar?term=607568[MIM]" class="btn btn-default mim-tip-hint" role="button" title="ClinVar aggregates information about sequence variation and its relationship to human health." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'ClinVar', 'domain': 'ncbi.nlm.nih.gov'})">ClinVar</a>
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<strong>.0001&nbsp;METHYLMALONIC ACIDURIA, cblB TYPE</strong>
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MMAB, ARG186TRP
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<div class="btn-group"> <button type="button" class="btn btn-default btn-xs dropdown-toggle mim-font" data-toggle="dropdown"><span class="text-primary">&#x25cf;</span> rs28941784 <span class="caret"></span></button> <ul class="dropdown-menu"> <li><a href="https://www.ensembl.org/Homo_sapiens/Variation/Summary?v=rs28941784;toggle_HGVS_names=open" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'dbSNP', 'domain': 'ensembl.org'})">Ensembl</a></li> <li><a href="https://gnomad.broadinstitute.org/variant/rs28941784?dataset=gnomad_r2_1" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'dbSNP', 'domain': 'gnomad.broadinstitute.org'})" style="padding-left: 8px;"><span class="text-primary">&#x25cf;</span> gnomAD</a></li> <li><a href="https://www.ncbi.nlm.nih.gov/snp/?term=rs28941784" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'dbSNP', 'domain': 'www.ncbi.nlm.nih.gov'})">NCBI</a></li> <li><a href="https://genome.ucsc.edu/cgi-bin/hgTracks?org=Human&db=hg38&clinvar=pack&omimAvSnp=pack&position=rs28941784" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'dbSNP', 'domain': 'genome.ucsc.edu'})">UCSC</a></li> </ul> </div>
<span class="mim-text-font">
<a href="https://www.ncbi.nlm.nih.gov/clinvar?term=RCV000003241 OR RCV000186017 OR RCV000296390 OR RCV002512694 OR RCV003398428" target="_blank" class="btn btn-default btn-xs mim-tip-hint" title="RCV000003241, RCV000186017, RCV000296390, RCV002512694, RCV003398428" onclick="gtag('event', 'mim_outbound', {'name': 'ClinVar', 'domain': 'ncbi.nlm.nih.gov'})">RCV000003241...</a>
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<p>Among 6 MMA patients with methylmalonic aciduria of the cblB type (<a href="/entry/251110">251110</a>), <a href="#3" class="mim-tip-reference" title="Dobson, C. M., Wai, T., Leclerc, D., Kadir, H., Narang, M., Lerner-Ellis, J. P., Hudson, T. J., Rosenblatt, D. S., Gravel, R. A. &lt;strong&gt;Identification of the gene responsible for the cblB complementation group of vitamin B12-dependent methylmalonic aciduria.&lt;/strong&gt; Hum. Molec. Genet. 11: 3361-3369, 2002.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/12471062/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;12471062&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1093/hmg/11.26.3361&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="12471062">Dobson et al. (2002)</a> determined that 2 were homozygous for a 556C-T transition in the MMAB gene, which was predicted to result in an arg186-to-trp (R186W) substitution. In vitro uptake assays determined the adenosyl-Cbl levels in fibroblasts of these patients to be more than 4% of control cells. Three other patients were compound heterozygotes who each carried 1 of these mutant alleles. The allele frequency among 120 control cell lines was 1 of 60. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=12471062" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p>
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<strong>.0002&nbsp;METHYLMALONIC ACIDURIA, cblB TYPE</strong>
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MMAB, IVS3, G-A, -1
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<div class="btn-group"> <button type="button" class="btn btn-default btn-xs dropdown-toggle mim-font" data-toggle="dropdown"><span class="text-primary">&#x25cf;</span> rs199971687 <span class="caret"></span></button> <ul class="dropdown-menu"> <li><a href="https://www.ensembl.org/Homo_sapiens/Variation/Summary?v=rs199971687;toggle_HGVS_names=open" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'dbSNP', 'domain': 'ensembl.org'})">Ensembl</a></li> <li><a href="https://gnomad.broadinstitute.org/variant/rs199971687?dataset=gnomad_r2_1" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'dbSNP', 'domain': 'gnomad.broadinstitute.org'})" style="padding-left: 8px;"><span class="text-primary">&#x25cf;</span> gnomAD</a></li> <li><a href="https://www.ncbi.nlm.nih.gov/snp/?term=rs199971687" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'dbSNP', 'domain': 'www.ncbi.nlm.nih.gov'})">NCBI</a></li> <li><a href="https://genome.ucsc.edu/cgi-bin/hgTracks?org=Human&db=hg38&clinvar=pack&omimAvSnp=pack&position=rs199971687" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'dbSNP', 'domain': 'genome.ucsc.edu'})">UCSC</a></li> </ul> </div>
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<a href="https://www.ncbi.nlm.nih.gov/clinvar?term=RCV000203348 OR RCV000727663 OR RCV001194232" target="_blank" class="btn btn-default btn-xs mim-tip-hint" title="RCV000203348, RCV000727663, RCV001194232" onclick="gtag('event', 'mim_outbound', {'name': 'ClinVar', 'domain': 'ncbi.nlm.nih.gov'})">RCV000203348...</a>
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<p><a href="#3" class="mim-tip-reference" title="Dobson, C. M., Wai, T., Leclerc, D., Kadir, H., Narang, M., Lerner-Ellis, J. P., Hudson, T. J., Rosenblatt, D. S., Gravel, R. A. &lt;strong&gt;Identification of the gene responsible for the cblB complementation group of vitamin B12-dependent methylmalonic aciduria.&lt;/strong&gt; Hum. Molec. Genet. 11: 3361-3369, 2002.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/12471062/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;12471062&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1093/hmg/11.26.3361&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="12471062">Dobson et al. (2002)</a> described a Caucasian infant with methylmalonic aciduria of the cblB type (<a href="/entry/251110">251110</a>) who was a compound heterozygote for the R186W mutation (<a href="#0001">607568.0001</a>) as well as a transition in the splice acceptor site of exon 3 of MMAB (IVS3 G-1A). An vitro uptake assay determined the adenosyl-Cbl level in fibroblasts of this patient to be more than 13% of control cells. The splice mutation was not found among 194 control alleles. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=12471062" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p>
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<a id="0003" class="mim-anchor"></a>
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<strong>.0003&nbsp;METHYLMALONIC ACIDURIA, cblB TYPE</strong>
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MMAB, 5-BP DEL, NT572
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<div class="btn-group"> <button type="button" class="btn btn-default btn-xs dropdown-toggle mim-font" data-toggle="dropdown">rs1555274497 <span class="caret"></span></button> <ul class="dropdown-menu"> <li><a href="https://www.ensembl.org/Homo_sapiens/Variation/Summary?v=rs1555274497;toggle_HGVS_names=open" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'dbSNP', 'domain': 'ensembl.org'})">Ensembl</a></li> <li><a href="https://www.ncbi.nlm.nih.gov/snp/?term=rs1555274497" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'dbSNP', 'domain': 'www.ncbi.nlm.nih.gov'})">NCBI</a></li> <li><a href="https://genome.ucsc.edu/cgi-bin/hgTracks?org=Human&db=hg38&clinvar=pack&omimAvSnp=pack&position=rs1555274497" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'dbSNP', 'domain': 'genome.ucsc.edu'})">UCSC</a></li> </ul> </div>
<span class="mim-text-font">
<a href="https://www.ncbi.nlm.nih.gov/clinvar?term=RCV000003243" target="_blank" class="btn btn-default btn-xs mim-tip-hint" title="RCV000003243" onclick="gtag('event', 'mim_outbound', {'name': 'ClinVar', 'domain': 'ncbi.nlm.nih.gov'})">RCV000003243</a>
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<p><a href="#3" class="mim-tip-reference" title="Dobson, C. M., Wai, T., Leclerc, D., Kadir, H., Narang, M., Lerner-Ellis, J. P., Hudson, T. J., Rosenblatt, D. S., Gravel, R. A. &lt;strong&gt;Identification of the gene responsible for the cblB complementation group of vitamin B12-dependent methylmalonic aciduria.&lt;/strong&gt; Hum. Molec. Genet. 11: 3361-3369, 2002.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/12471062/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;12471062&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1093/hmg/11.26.3361&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="12471062">Dobson et al. (2002)</a> described a Caucasian infant with methylmalonic aciduria of the cblB type (<a href="/entry/251110">251110</a>) who was a compound heterozygote for the R186W mutation (<a href="#0001">607568.0001</a>) as well as a 5-bp deletion in exon 2. The mutation disrupts the reading frame after arg-190, leading to a premature termination codon. An vitro uptake assay determined the adenosyl-Cbl level in fibroblasts of this patient to be less than 1% of control cells. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=12471062" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p>
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<a id="0004" class="mim-anchor"></a>
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<strong>.0004&nbsp;METHYLMALONIC ACIDURIA, cblB TYPE</strong>
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MMAB, ILE96THR
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<div class="btn-group"> <button type="button" class="btn btn-default btn-xs dropdown-toggle mim-font" data-toggle="dropdown">rs864309509 <span class="caret"></span></button> <ul class="dropdown-menu"> <li><a href="https://www.ensembl.org/Homo_sapiens/Variation/Summary?v=rs864309509;toggle_HGVS_names=open" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'dbSNP', 'domain': 'ensembl.org'})">Ensembl</a></li> <li><a href="https://www.ncbi.nlm.nih.gov/snp/?term=rs864309509" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'dbSNP', 'domain': 'www.ncbi.nlm.nih.gov'})">NCBI</a></li> <li><a href="https://genome.ucsc.edu/cgi-bin/hgTracks?org=Human&db=hg38&clinvar=pack&omimAvSnp=pack&position=rs864309509" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'dbSNP', 'domain': 'genome.ucsc.edu'})">UCSC</a></li> </ul> </div>
<span class="mim-text-font">
<a href="https://www.ncbi.nlm.nih.gov/clinvar?term=RCV000202588" target="_blank" class="btn btn-default btn-xs mim-tip-hint" title="RCV000202588" onclick="gtag('event', 'mim_outbound', {'name': 'ClinVar', 'domain': 'ncbi.nlm.nih.gov'})">RCV000202588</a>
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<p>In 3 patients, including 2 sibs, with methylmalonic aciduria of the cblB type (<a href="/entry/251110">251110</a>), <a href="#6" class="mim-tip-reference" title="Jorge-Finnigan, A., Aguado, C., Sanchez-Alcudia, R., Abia, D., Richard, E., Merinero, B., Gamez, A., Banerjee, R., Desviat, L. R., Ugarte, M., Perez, B. &lt;strong&gt;Functional and structural analysis of five mutations identified in methylmalonic aciduria cblB type.&lt;/strong&gt; Hum. Mutat. 31: 1033-1042, 2010.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/20556797/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;20556797&lt;/a&gt;, &lt;a href=&quot;https://www.ncbi.nlm.nih.gov/pmc/?term=20556797[PMID]&amp;report=imagesdocsum&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed Image&#x27;, &#x27;domain&#x27;: &#x27;ncbi.nlm.nih.gov&#x27;})&quot;&gt;images&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1002/humu.21307&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="20556797">Jorge-Finnigan et al. (2010)</a> identified compound heterozygous mutations in the MMAB gene: all 3 patients carried a heterozygous c.287T-C transition (c.287T-C, NM_052845.3), resulting in an ile96-to-thr (I96T) substitution, on 1 allele. On the other allele, the 2 sibs carried a c.584G-A transition (<a href="#0005">607568.0005</a>) affecting the last nucleotide of exon 7. Analysis of patient fibroblasts and minigene constructs showed that the c.584G-A mutation resulted in the skipping of exon 7 and premature termination (Ser174fs), although a smaller amount of the correctly spliced transcript (R195H) was observed. One sib had onset at age 4 years and died at age 4 years, whereas the other was diagnosed at age 3 months and was asymptomatic at age 5 years. The third patient carried a heterozygous c.571C-T transition on the other allele, resulting in an arg191-to-trp (R191W; <a href="#0006">607568.0006</a>) substitution. In vitro functional expression studies in E. coli showed that the I96T mutant protein had a decreased half-life and reduced protein expression compared to wildtype, as well as reduced enzymatic activity (about 60-65% compared to wildtype), but no significant differences in kinetic parameters. The R191W mutant protein was also highly unstable and showed reduced protein expression, as well as decreased enzymatic activity (about 52% of wildtype). <a href="#6" class="mim-tip-reference" title="Jorge-Finnigan, A., Aguado, C., Sanchez-Alcudia, R., Abia, D., Richard, E., Merinero, B., Gamez, A., Banerjee, R., Desviat, L. R., Ugarte, M., Perez, B. &lt;strong&gt;Functional and structural analysis of five mutations identified in methylmalonic aciduria cblB type.&lt;/strong&gt; Hum. Mutat. 31: 1033-1042, 2010.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/20556797/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;20556797&lt;/a&gt;, &lt;a href=&quot;https://www.ncbi.nlm.nih.gov/pmc/?term=20556797[PMID]&amp;report=imagesdocsum&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed Image&#x27;, &#x27;domain&#x27;: &#x27;ncbi.nlm.nih.gov&#x27;})&quot;&gt;images&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1002/humu.21307&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="20556797">Jorge-Finnigan et al. (2010)</a> suggested that the I96T and R191W mutations may result in abnormal protein folding. By flow cytometry, <a href="#2" class="mim-tip-reference" title="Brasil, S., Richard, E., Jorge-Finnigan, A., Leal, F., Merinero, B., Banerjee, R., Desviat, L. R., Ugarte, M., Perez, B. &lt;strong&gt;Methylmalonic aciduria cblB type: characterization of two novel mutations and mitochondrial dysfunction studies.&lt;/strong&gt; Clin. Genet. 87: 576-581, 2015.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/24813872/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;24813872&lt;/a&gt;, &lt;a href=&quot;https://www.ncbi.nlm.nih.gov/pmc/?term=24813872[PMID]&amp;report=imagesdocsum&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed Image&#x27;, &#x27;domain&#x27;: &#x27;ncbi.nlm.nih.gov&#x27;})&quot;&gt;images&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1111/cge.12426&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="24813872">Brasil et al. (2015)</a> found increased levels of reactive oxygen species (ROS) in cells derived from the sibs reported by <a href="#6" class="mim-tip-reference" title="Jorge-Finnigan, A., Aguado, C., Sanchez-Alcudia, R., Abia, D., Richard, E., Merinero, B., Gamez, A., Banerjee, R., Desviat, L. R., Ugarte, M., Perez, B. &lt;strong&gt;Functional and structural analysis of five mutations identified in methylmalonic aciduria cblB type.&lt;/strong&gt; Hum. Mutat. 31: 1033-1042, 2010.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/20556797/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;20556797&lt;/a&gt;, &lt;a href=&quot;https://www.ncbi.nlm.nih.gov/pmc/?term=20556797[PMID]&amp;report=imagesdocsum&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed Image&#x27;, &#x27;domain&#x27;: &#x27;ncbi.nlm.nih.gov&#x27;})&quot;&gt;images&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1002/humu.21307&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="20556797">Jorge-Finnigan et al. (2010)</a>, with higher levels in the sib who died compared to the living sib. Patient fibroblasts also showed decreased oxygen consumption rate and mitochondrial abnormalities, including marked fission, reduced numbers of mitochondria, smaller mitochondria, lack of cristae, rarefaction of the matrix, and grain-like inclusions. <a href="https://pubmed.ncbi.nlm.nih.gov/?term=24813872+20556797" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p>
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<strong>.0005&nbsp;METHYLMALONIC ACIDURIA, cblB TYPE</strong>
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MMAB, SER174FS
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<div class="btn-group"> <button type="button" class="btn btn-default btn-xs dropdown-toggle mim-font" data-toggle="dropdown"><span class="text-primary">&#x25cf;</span> rs756195708 <span class="caret"></span></button> <ul class="dropdown-menu"> <li><a href="https://www.ensembl.org/Homo_sapiens/Variation/Summary?v=rs756195708;toggle_HGVS_names=open" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'dbSNP', 'domain': 'ensembl.org'})">Ensembl</a></li> <li><a href="https://gnomad.broadinstitute.org/variant/rs756195708?dataset=gnomad_r2_1" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'dbSNP', 'domain': 'gnomad.broadinstitute.org'})" style="padding-left: 8px;"><span class="text-primary">&#x25cf;</span> gnomAD</a></li> <li><a href="https://www.ncbi.nlm.nih.gov/snp/?term=rs756195708" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'dbSNP', 'domain': 'www.ncbi.nlm.nih.gov'})">NCBI</a></li> <li><a href="https://genome.ucsc.edu/cgi-bin/hgTracks?org=Human&db=hg38&clinvar=pack&omimAvSnp=pack&position=rs756195708" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'dbSNP', 'domain': 'genome.ucsc.edu'})">UCSC</a></li> </ul> </div>
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<a href="https://www.ncbi.nlm.nih.gov/clinvar?term=RCV000202574 OR RCV000780426" target="_blank" class="btn btn-default btn-xs mim-tip-hint" title="RCV000202574, RCV000780426" onclick="gtag('event', 'mim_outbound', {'name': 'ClinVar', 'domain': 'ncbi.nlm.nih.gov'})">RCV000202574...</a>
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<p>For discussion of the c.584G-A transition (c.584G-A, NM_052845.3) in the MMAB gene, resulting in a splice site alteration, skipping of exon 7, and premature termination (Ser174fs), that was found in compound heterozygous state in 2 sibs with methylmalonic aciduria of the cblB type (<a href="/entry/251110">251110</a>) by <a href="#6" class="mim-tip-reference" title="Jorge-Finnigan, A., Aguado, C., Sanchez-Alcudia, R., Abia, D., Richard, E., Merinero, B., Gamez, A., Banerjee, R., Desviat, L. R., Ugarte, M., Perez, B. &lt;strong&gt;Functional and structural analysis of five mutations identified in methylmalonic aciduria cblB type.&lt;/strong&gt; Hum. Mutat. 31: 1033-1042, 2010.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/20556797/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;20556797&lt;/a&gt;, &lt;a href=&quot;https://www.ncbi.nlm.nih.gov/pmc/?term=20556797[PMID]&amp;report=imagesdocsum&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed Image&#x27;, &#x27;domain&#x27;: &#x27;ncbi.nlm.nih.gov&#x27;})&quot;&gt;images&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1002/humu.21307&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="20556797">Jorge-Finnigan et al. (2010)</a>, see <a href="#0004">607568.0004</a>. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=20556797" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p>
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<strong>.0006&nbsp;METHYLMALONIC ACIDURIA, cblB TYPE</strong>
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MMAB, ARG191TRP
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<div class="btn-group"> <button type="button" class="btn btn-default btn-xs dropdown-toggle mim-font" data-toggle="dropdown"><span class="text-primary">&#x25cf;</span> rs376128990 <span class="caret"></span></button> <ul class="dropdown-menu"> <li><a href="https://www.ensembl.org/Homo_sapiens/Variation/Summary?v=rs376128990;toggle_HGVS_names=open" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'dbSNP', 'domain': 'ensembl.org'})">Ensembl</a></li> <li><a href="https://gnomad.broadinstitute.org/variant/rs376128990?dataset=gnomad_r2_1" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'dbSNP', 'domain': 'gnomad.broadinstitute.org'})" style="padding-left: 8px;"><span class="text-primary">&#x25cf;</span> gnomAD</a></li> <li><a href="https://www.ncbi.nlm.nih.gov/snp/?term=rs376128990" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'dbSNP', 'domain': 'www.ncbi.nlm.nih.gov'})">NCBI</a></li> <li><a href="https://genome.ucsc.edu/cgi-bin/hgTracks?org=Human&db=hg38&clinvar=pack&omimAvSnp=pack&position=rs376128990" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'dbSNP', 'domain': 'genome.ucsc.edu'})">UCSC</a></li> </ul> </div>
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<a href="https://www.ncbi.nlm.nih.gov/clinvar?term=RCV000202597 OR RCV000414492 OR RCV002515492" target="_blank" class="btn btn-default btn-xs mim-tip-hint" title="RCV000202597, RCV000414492, RCV002515492" onclick="gtag('event', 'mim_outbound', {'name': 'ClinVar', 'domain': 'ncbi.nlm.nih.gov'})">RCV000202597...</a>
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<p>For discussion of the c.571C-T transition (c.571C-T, NM_052845.3) in the MMAB gene, resulting in an arg191-to-trp (R191W) substitution, that was found in compound heterozygous state in a patient with methylmalonic aciduria of the cblB type (<a href="/entry/251110">251110</a>) by <a href="#6" class="mim-tip-reference" title="Jorge-Finnigan, A., Aguado, C., Sanchez-Alcudia, R., Abia, D., Richard, E., Merinero, B., Gamez, A., Banerjee, R., Desviat, L. R., Ugarte, M., Perez, B. &lt;strong&gt;Functional and structural analysis of five mutations identified in methylmalonic aciduria cblB type.&lt;/strong&gt; Hum. Mutat. 31: 1033-1042, 2010.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/20556797/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;20556797&lt;/a&gt;, &lt;a href=&quot;https://www.ncbi.nlm.nih.gov/pmc/?term=20556797[PMID]&amp;report=imagesdocsum&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed Image&#x27;, &#x27;domain&#x27;: &#x27;ncbi.nlm.nih.gov&#x27;})&quot;&gt;images&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1002/humu.21307&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="20556797">Jorge-Finnigan et al. (2010)</a>, see <a href="#0004">607568.0004</a>. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=20556797" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p><p>In an Icelandic infant who died with severe dilated cardiomyopathy and MMA type cblB, <a href="#1" class="mim-tip-reference" title="Agnarsdottir, D., Sigurjonsdottir, V. K., Emilsdottir, A. R., Petersen, E., Sigfusson, G., Rognvaldsson, I., Franzson, L., Vernon, H., Bjornsson, H. T. &lt;strong&gt;Early cardiomyopathy without severe metabolic dysregulation in a patient with cblB-type methylmalonic acidemia.&lt;/strong&gt; Molec. Genet. Genomic Med. 10: e1971, 2022.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/35712814/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;35712814&lt;/a&gt;, &lt;a href=&quot;https://www.ncbi.nlm.nih.gov/pmc/?term=35712814[PMID]&amp;report=imagesdocsum&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed Image&#x27;, &#x27;domain&#x27;: &#x27;ncbi.nlm.nih.gov&#x27;})&quot;&gt;images&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1002/mgg3.1971&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="35712814">Agnarsdottir et al. (2022)</a> identified homozygosity for the R191W mutation, which they stated is an Icelandic founder mutation with a frequency of 1 in 270 Icelanders. The proband's unaffected parents were heterozygous for the mutation. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=35712814" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p>
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<strong>.0007&nbsp;METHYLMALONIC ACIDURIA, cblB TYPE</strong>
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MMAB, IVS4AS, G-C, -1
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<div class="btn-group"> <button type="button" class="btn btn-default btn-xs dropdown-toggle mim-font" data-toggle="dropdown"><span class="text-primary">&#x25cf;</span> rs864309510 <span class="caret"></span></button> <ul class="dropdown-menu"> <li><a href="https://www.ensembl.org/Homo_sapiens/Variation/Summary?v=rs864309510;toggle_HGVS_names=open" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'dbSNP', 'domain': 'ensembl.org'})">Ensembl</a></li> <li><a href="https://gnomad.broadinstitute.org/variant/rs864309510?dataset=gnomad_r2_1" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'dbSNP', 'domain': 'gnomad.broadinstitute.org'})" style="padding-left: 8px;"><span class="text-primary">&#x25cf;</span> gnomAD</a></li> <li><a href="https://www.ncbi.nlm.nih.gov/snp/?term=rs864309510" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'dbSNP', 'domain': 'www.ncbi.nlm.nih.gov'})">NCBI</a></li> <li><a href="https://genome.ucsc.edu/cgi-bin/hgTracks?org=Human&db=hg38&clinvar=pack&omimAvSnp=pack&position=rs864309510" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'dbSNP', 'domain': 'genome.ucsc.edu'})">UCSC</a></li> </ul> </div>
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<a href="https://www.ncbi.nlm.nih.gov/clinvar?term=RCV000202577 OR RCV004812307" target="_blank" class="btn btn-default btn-xs mim-tip-hint" title="RCV000202577, RCV004812307" onclick="gtag('event', 'mim_outbound', {'name': 'ClinVar', 'domain': 'ncbi.nlm.nih.gov'})">RCV000202577...</a>
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<p>In a patient (P4) with methylmalonic aciduria of the cblB type (<a href="/entry/251110">251110</a>), <a href="#6" class="mim-tip-reference" title="Jorge-Finnigan, A., Aguado, C., Sanchez-Alcudia, R., Abia, D., Richard, E., Merinero, B., Gamez, A., Banerjee, R., Desviat, L. R., Ugarte, M., Perez, B. &lt;strong&gt;Functional and structural analysis of five mutations identified in methylmalonic aciduria cblB type.&lt;/strong&gt; Hum. Mutat. 31: 1033-1042, 2010.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/20556797/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;20556797&lt;/a&gt;, &lt;a href=&quot;https://www.ncbi.nlm.nih.gov/pmc/?term=20556797[PMID]&amp;report=imagesdocsum&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed Image&#x27;, &#x27;domain&#x27;: &#x27;ncbi.nlm.nih.gov&#x27;})&quot;&gt;images&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1002/humu.21307&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="20556797">Jorge-Finnigan et al. (2010)</a> identified compound heterozygous mutations in the MMAB gene: a G-to-C transversion (c.349-1G-C, NM_052845.3) in intron 4, resulting in a splice site mutation and in-frame deletion of the first 6 nucleotides of exon 5 (Ile117_Gln118del), and a c.290G-A transition (<a href="#0008">607568.0008</a>) in the last nucleotide of exon 3, resulting in the skipping of exon 3 (Gly66fs). The splicing defects were confirmed in patient fibroblasts and minigene assays. The patient had neonatal onset of the disorder, but was asymptomatic at age 12 years. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=20556797" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p>
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<a id="0008" class="mim-anchor"></a>
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<strong>.0008&nbsp;METHYLMALONIC ACIDURIA, cblB TYPE</strong>
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MMAB, 290G-A
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<div class="btn-group"> <button type="button" class="btn btn-default btn-xs dropdown-toggle mim-font" data-toggle="dropdown">rs864309511 <span class="caret"></span></button> <ul class="dropdown-menu"> <li><a href="https://www.ensembl.org/Homo_sapiens/Variation/Summary?v=rs864309511;toggle_HGVS_names=open" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'dbSNP', 'domain': 'ensembl.org'})">Ensembl</a></li> <li><a href="https://www.ncbi.nlm.nih.gov/snp/?term=rs864309511" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'dbSNP', 'domain': 'www.ncbi.nlm.nih.gov'})">NCBI</a></li> <li><a href="https://genome.ucsc.edu/cgi-bin/hgTracks?org=Human&db=hg38&clinvar=pack&omimAvSnp=pack&position=rs864309511" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'dbSNP', 'domain': 'genome.ucsc.edu'})">UCSC</a></li> </ul> </div>
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<a href="https://www.ncbi.nlm.nih.gov/clinvar?term=RCV000202589" target="_blank" class="btn btn-default btn-xs mim-tip-hint" title="RCV000202589" onclick="gtag('event', 'mim_outbound', {'name': 'ClinVar', 'domain': 'ncbi.nlm.nih.gov'})">RCV000202589</a>
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<p>For discussion of the c.290G-A transition (c.290G-A, NM_052845.3) at the last nucleotide of exon 3 of the MMAB gene, resulting in the skipping of exon 3 (Gly66fs), that was found in compound heterozygous state in a patient with methylmalonic aciduria of the cblB type (<a href="/entry/251110">251110</a>), by <a href="#6" class="mim-tip-reference" title="Jorge-Finnigan, A., Aguado, C., Sanchez-Alcudia, R., Abia, D., Richard, E., Merinero, B., Gamez, A., Banerjee, R., Desviat, L. R., Ugarte, M., Perez, B. &lt;strong&gt;Functional and structural analysis of five mutations identified in methylmalonic aciduria cblB type.&lt;/strong&gt; Hum. Mutat. 31: 1033-1042, 2010.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/20556797/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;20556797&lt;/a&gt;, &lt;a href=&quot;https://www.ncbi.nlm.nih.gov/pmc/?term=20556797[PMID]&amp;report=imagesdocsum&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed Image&#x27;, &#x27;domain&#x27;: &#x27;ncbi.nlm.nih.gov&#x27;})&quot;&gt;images&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1002/humu.21307&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="20556797">Jorge-Finnigan et al. (2010)</a>, see <a href="#0007">607568.0007</a>. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=20556797" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p>
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<strong>.0009&nbsp;METHYLMALONIC ACIDURIA, cblB TYPE</strong>
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<div class="btn-group"> <button type="button" class="btn btn-default btn-xs dropdown-toggle mim-font" data-toggle="dropdown"><span class="text-primary">&#x25cf;</span> rs752866643 <span class="caret"></span></button> <ul class="dropdown-menu"> <li><a href="https://www.ensembl.org/Homo_sapiens/Variation/Summary?v=rs752866643;toggle_HGVS_names=open" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'dbSNP', 'domain': 'ensembl.org'})">Ensembl</a></li> <li><a href="https://gnomad.broadinstitute.org/variant/rs752866643?dataset=gnomad_r2_1" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'dbSNP', 'domain': 'gnomad.broadinstitute.org'})" style="padding-left: 8px;"><span class="text-primary">&#x25cf;</span> gnomAD</a></li> <li><a href="https://www.ncbi.nlm.nih.gov/snp/?term=rs752866643" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'dbSNP', 'domain': 'www.ncbi.nlm.nih.gov'})">NCBI</a></li> <li><a href="https://genome.ucsc.edu/cgi-bin/hgTracks?org=Human&db=hg38&clinvar=pack&omimAvSnp=pack&position=rs752866643" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'dbSNP', 'domain': 'genome.ucsc.edu'})">UCSC</a></li> </ul> </div>
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<a href="https://www.ncbi.nlm.nih.gov/clinvar?term=RCV000202581 OR RCV001804941" target="_blank" class="btn btn-default btn-xs mim-tip-hint" title="RCV000202581, RCV001804941" onclick="gtag('event', 'mim_outbound', {'name': 'ClinVar', 'domain': 'ncbi.nlm.nih.gov'})">RCV000202581...</a>
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<p>In 2 asymptomatic sibs with methylmalonic aciduria of the cblB type (<a href="/entry/251110">251110</a>), <a href="#2" class="mim-tip-reference" title="Brasil, S., Richard, E., Jorge-Finnigan, A., Leal, F., Merinero, B., Banerjee, R., Desviat, L. R., Ugarte, M., Perez, B. &lt;strong&gt;Methylmalonic aciduria cblB type: characterization of two novel mutations and mitochondrial dysfunction studies.&lt;/strong&gt; Clin. Genet. 87: 576-581, 2015.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/24813872/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;24813872&lt;/a&gt;, &lt;a href=&quot;https://www.ncbi.nlm.nih.gov/pmc/?term=24813872[PMID]&amp;report=imagesdocsum&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed Image&#x27;, &#x27;domain&#x27;: &#x27;ncbi.nlm.nih.gov&#x27;})&quot;&gt;images&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1111/cge.12426&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="24813872">Brasil et al. (2015)</a> identified compound heterozygous mutations in exon 7 of the MMAB gene: a c.548A-T transversion (c.548A-T, NM_052845.3), resulting in a his183-to-leu (H183L) substitution, and a 3-bp in-frame duplication (c.568_570dup; <a href="#0010">607568.0010</a>), resulting in the duplication of residue arg190. Each unaffected parent was heterozygous for 1 of the mutations, which were not found in the Exome Variant Server database. In vitro functional expression studies in E. coli extracts showed that the H183L mutant had a decreased half-life (about 50% of wildtype) and an overall 75-fold reduction in ATP:cob(I)alamin adenosyltransferase (ATR) activity compared to wildtype, although kinetic data were similar to wildtype. The arg190dup mutant protein was highly unstable and could not be examined under any conditions. Flow cytometry showed increased levels of reactive oxygen species (ROXS) in patient cells, with higher levels in 1 sib compared to the other. Patient fibroblasts also showed decreased oxygen consumption rate and mitochondrial abnormalities, including marked fission, reduced numbers of mitochondria, decreased mitochondrial size, lack of cristae, rarefaction of the matrix, and grain-like inclusions. The patients were detected by newborn screening. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=24813872" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p>
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<strong>.0010&nbsp;METHYLMALONIC ACIDURIA, cblB TYPE</strong>
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MMAB, 3-BP DUP, NT568
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<div class="btn-group"> <button type="button" class="btn btn-default btn-xs dropdown-toggle mim-font" data-toggle="dropdown">rs864309512 <span class="caret"></span></button> <ul class="dropdown-menu"> <li><a href="https://www.ensembl.org/Homo_sapiens/Variation/Summary?v=rs864309512;toggle_HGVS_names=open" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'dbSNP', 'domain': 'ensembl.org'})">Ensembl</a></li> <li><a href="https://www.ncbi.nlm.nih.gov/snp/?term=rs864309512" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'dbSNP', 'domain': 'www.ncbi.nlm.nih.gov'})">NCBI</a></li> <li><a href="https://genome.ucsc.edu/cgi-bin/hgTracks?org=Human&db=hg38&clinvar=pack&omimAvSnp=pack&position=rs864309512" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'dbSNP', 'domain': 'genome.ucsc.edu'})">UCSC</a></li> </ul> </div>
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<a href="https://www.ncbi.nlm.nih.gov/clinvar?term=RCV000202602 OR RCV002509298" target="_blank" class="btn btn-default btn-xs mim-tip-hint" title="RCV000202602, RCV002509298" onclick="gtag('event', 'mim_outbound', {'name': 'ClinVar', 'domain': 'ncbi.nlm.nih.gov'})">RCV000202602...</a>
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<p>For discussion of the 3-bp in-frame duplication (c.568_570dup, NM_052845.3) in the MMAB gene, resulting in the duplication of residue arg190, that was found in compound heterozygous state in 2 sibs with methylmalonic aciduria of the cblB type (<a href="/entry/251110">251110</a>) by <a href="#2" class="mim-tip-reference" title="Brasil, S., Richard, E., Jorge-Finnigan, A., Leal, F., Merinero, B., Banerjee, R., Desviat, L. R., Ugarte, M., Perez, B. &lt;strong&gt;Methylmalonic aciduria cblB type: characterization of two novel mutations and mitochondrial dysfunction studies.&lt;/strong&gt; Clin. Genet. 87: 576-581, 2015.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/24813872/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;24813872&lt;/a&gt;, &lt;a href=&quot;https://www.ncbi.nlm.nih.gov/pmc/?term=24813872[PMID]&amp;report=imagesdocsum&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed Image&#x27;, &#x27;domain&#x27;: &#x27;ncbi.nlm.nih.gov&#x27;})&quot;&gt;images&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1111/cge.12426&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="24813872">Brasil et al. (2015)</a>, see <a href="#0009">607568.0009</a>. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=24813872" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p>
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<strong>REFERENCES</strong>
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<a id="Agnarsdottir2022" class="mim-anchor"></a>
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Agnarsdottir, D., Sigurjonsdottir, V. K., Emilsdottir, A. R., Petersen, E., Sigfusson, G., Rognvaldsson, I., Franzson, L., Vernon, H., Bjornsson, H. T.
<strong>Early cardiomyopathy without severe metabolic dysregulation in a patient with cblB-type methylmalonic acidemia.</strong>
Molec. Genet. Genomic Med. 10: e1971, 2022.
[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/35712814/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">35712814</a>, <a href="https://www.ncbi.nlm.nih.gov/pmc/?term=35712814[PMID]&report=imagesdocsum" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Image', 'domain': 'ncbi.nlm.nih.gov'})">images</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=35712814" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
[<a href="https://doi.org/10.1002/mgg3.1971" target="_blank">Full Text</a>]
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<a id="Brasil2015" class="mim-anchor"></a>
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Brasil, S., Richard, E., Jorge-Finnigan, A., Leal, F., Merinero, B., Banerjee, R., Desviat, L. R., Ugarte, M., Perez, B.
<strong>Methylmalonic aciduria cblB type: characterization of two novel mutations and mitochondrial dysfunction studies.</strong>
Clin. Genet. 87: 576-581, 2015.
[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/24813872/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">24813872</a>, <a href="https://www.ncbi.nlm.nih.gov/pmc/?term=24813872[PMID]&report=imagesdocsum" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Image', 'domain': 'ncbi.nlm.nih.gov'})">images</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=24813872" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
[<a href="https://doi.org/10.1111/cge.12426" target="_blank">Full Text</a>]
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<a id="Dobson2002" class="mim-anchor"></a>
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Dobson, C. M., Wai, T., Leclerc, D., Kadir, H., Narang, M., Lerner-Ellis, J. P., Hudson, T. J., Rosenblatt, D. S., Gravel, R. A.
<strong>Identification of the gene responsible for the cblB complementation group of vitamin B12-dependent methylmalonic aciduria.</strong>
Hum. Molec. Genet. 11: 3361-3369, 2002.
[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/12471062/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">12471062</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=12471062" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
[<a href="https://doi.org/10.1093/hmg/11.26.3361" target="_blank">Full Text</a>]
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<a id="Forny2022" class="mim-anchor"></a>
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Forny, P., Plessl, T., Frei, C., Burer, C., Froese, D. S., Baumgartner, M. R.
<strong>Spectrum and characterization of bi-allelic variants in MMAB causing cblB-type methylmalonic aciduria.</strong>
Hum. Genet. 141: 1253-1267, 2022.
[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/34796408/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">34796408</a>, <a href="https://www.ncbi.nlm.nih.gov/pmc/?term=34796408[PMID]&report=imagesdocsum" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Image', 'domain': 'ncbi.nlm.nih.gov'})">images</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=34796408" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
[<a href="https://doi.org/10.1007/s00439-021-02398-6" target="_blank">Full Text</a>]
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<a id="Johnson2001" class="mim-anchor"></a>
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Johnson, C. L. V., Pechonick, E., Park, S. D., Havemann, G. D., Leal, N. A., Bobik, T. A.
<strong>Functional genomic, biochemical, and genetic characterization of the Salmonella pduO gene, an ATP:cob(I)alamin adenosyltransferase gene.</strong>
J. Bacteriol. 183: 1577-1584, 2001.
[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/11160088/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">11160088</a>, <a href="https://www.ncbi.nlm.nih.gov/pmc/?term=11160088[PMID]&report=imagesdocsum" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Image', 'domain': 'ncbi.nlm.nih.gov'})">images</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=11160088" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
[<a href="https://doi.org/10.1128/JB.183.5.1577-1584.2001" target="_blank">Full Text</a>]
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<a id="Jorge-Finnigan2010" class="mim-anchor"></a>
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Jorge-Finnigan, A., Aguado, C., Sanchez-Alcudia, R., Abia, D., Richard, E., Merinero, B., Gamez, A., Banerjee, R., Desviat, L. R., Ugarte, M., Perez, B.
<strong>Functional and structural analysis of five mutations identified in methylmalonic aciduria cblB type.</strong>
Hum. Mutat. 31: 1033-1042, 2010.
[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/20556797/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">20556797</a>, <a href="https://www.ncbi.nlm.nih.gov/pmc/?term=20556797[PMID]&report=imagesdocsum" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Image', 'domain': 'ncbi.nlm.nih.gov'})">images</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=20556797" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
[<a href="https://doi.org/10.1002/humu.21307" target="_blank">Full Text</a>]
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Marla J. F. O'Neill - updated : 10/24/2023
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Hilary J. Vernon - updated : 08/26/2022<br>Cassandra L. Kniffin - updated : 12/7/2015
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George E. Tiller : 2/20/2003
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carol : 10/25/2023
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carol : 10/24/2023<br>carol : 08/29/2022<br>carol : 08/26/2022<br>carol : 03/09/2021<br>carol : 12/30/2015<br>alopez : 12/16/2015<br>ckniffin : 12/7/2015<br>carol : 12/10/2004<br>ckniffin : 12/6/2004<br>carol : 2/21/2003<br>cwells : 2/20/2003<br>cwells : 2/20/2003
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<strong>*</strong> 607568
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METABOLISM OF COBALAMIN ASSOCIATED B; MMAB
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<em>Alternative titles; symbols</em>
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MMAB GENE<br />
COB(I)ALAMIN ADENOSYLTRANSFERASE
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<strong><em>HGNC Approved Gene Symbol: MMAB</em></strong>
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<strong>
<em>
Cytogenetic location: 12q24.11
&nbsp;
Genomic coordinates <span class="small">(GRCh38)</span> : 12:109,553,715-109,573,504 </span>
</em>
</strong>
<span class="small">(from NCBI)</span>
</span>
</p>
</div>
<div>
<br />
</div>
<div>
<h4>
<span class="mim-font">
<strong>Gene-Phenotype Relationships</strong>
</span>
</h4>
<div>
<table class="table table-bordered table-condensed small mim-table-padding">
<thead>
<tr class="active">
<th>
Location
</th>
<th>
Phenotype
</th>
<th>
Phenotype <br /> MIM number
</th>
<th>
Inheritance
</th>
<th>
Phenotype <br /> mapping key
</th>
</tr>
</thead>
<tbody>
<tr>
<td rowspan="1">
<span class="mim-font">
12q24.11
</span>
</td>
<td>
<span class="mim-font">
Methylmalonic aciduria, vitamin B12-responsive, cblB type
</span>
</td>
<td>
<span class="mim-font">
251110
</span>
</td>
<td>
<span class="mim-font">
Autosomal recessive
</span>
</td>
<td>
<span class="mim-font">
3
</span>
</td>
</tr>
</tbody>
</table>
</div>
</div>
<div>
<br />
</div>
<div>
<h4>
<span class="mim-font">
<strong>TEXT</strong>
</span>
</h4>
<div>
<h4>
<span class="mim-font">
<strong>Description</strong>
</span>
</h4>
</div>
<span class="mim-text-font">
<p>The MMAB gene encodes cob(I)alamin adenosyltransferase (EC 2.5.1.17), which catalyzes the final step in the synthesis of the cofactor adenosylcobalamin (AdoCbl). AdoCbl is a vitamin B12-containing coenzyme for methylmalonyl-CoA mutase (MUT; 609058) (summary by Jorge-Finnigan et al., 2010). </p>
</span>
<div>
<br />
</div>
<div>
<h4>
<span class="mim-font">
<strong>Cloning and Expression</strong>
</span>
</h4>
</div>
<span class="mim-text-font">
<p>Dobson et al. (2002) identified MMAB within a bacterial operon containing MCM and, using the bacterial sequence, identified ESTs and assembled a full-length human MMAB cDNA. The deduced 250-amino acid protein has a calculated molecular mass of 27.3 kD. MMAB shares 88% sequence identity with mouse Mmu. Northern blot analysis revealed expression of a 1.1-kb transcript, with highest expression in liver and skeletal muscle. </p>
</span>
<div>
<br />
</div>
<div>
<h4>
<span class="mim-font">
<strong>Gene Function</strong>
</span>
</h4>
</div>
<span class="mim-text-font">
<p>MMAB has 45% similarity to PduO, a cob(I)alamin adenosyltransferase, in Salmonella enterica (Johnson et al., 2001). Dobson et al. (2002) demonstrated that fibroblasts from 6 MMA patients from the cblB complementation group had levels of adenosyl-Cbl that were more than 13% that of control cells, as measured by uptake of radioactive OH-Cbl. Missense mutations in conserved amino acid residues of MMAB, as well as splice mutations in the gene among cblB group patients, added further evidence that the MMAB gene product functions as a cobalamin adenosyltransferase. </p><p>Forny et al. (2022) demonstrated that release of adenosylcobalamin from MMAB was activated by ATP and was favored in the presence of the MMUT protein. The authors also showed that adenosylcobalamin was not identified free in solution after release from MMAB, but instead bound to MMUT, suggesting a direct transfer. </p>
</span>
<div>
<br />
</div>
<div>
<h4>
<span class="mim-font">
<strong>Gene Structure</strong>
</span>
</h4>
</div>
<span class="mim-text-font">
<p>Dobson et al. (2002) determined that the MMAB gene consists of 9 exons extending over 18.87 kb. Exon 9 ends at 2 alternative polyadenylation sites, and the intron-exon junctions are conserved between man and mouse. MMAB has a predicted leader sequence and signal cleavage site consistent with localization to the mitochondria. </p>
</span>
<div>
<br />
</div>
<div>
<h4>
<span class="mim-font">
<strong>Mapping</strong>
</span>
</h4>
</div>
<span class="mim-text-font">
<p>By linkage analysis, Dobson et al. (2002) mapped the MMAB gene to chromosome 12q24. </p>
</span>
<div>
<br />
</div>
<div>
<h4>
<span class="mim-font">
<strong>Molecular Genetics</strong>
</span>
</h4>
</div>
<span class="mim-text-font">
<p>Dobson et al. (2002) analyzed fibroblast cell lines from 6 patients with methylmalonic aciduria of the complementation type cblB patients and identified 6 mutations in the MMAB gene. </p><p>In 4 patients, including 2 sibs, with MMA type cblB, Jorge-Finnigan et al. (2010) identified 5 different mutations in the MMAB gene (607568.0004-607568.0008). Two of the mutations were missense and demonstrated in vitro to have decreased stability and decreased enzymatic activity compared to wildtype; the 3 other mutations were demonstrated to cause splice site defects in patient cells. </p><p>In 2 sibs with MMA type cblB, Brasil et al. (2015) identified compound heterozygous mutations in the MMAB gene (607568.0009-607568.0010). The patients were asymptomatic and identified through newborn screening. </p><p>In an Icelandic infant who died with severe heart failure and MMA type cblB, Agnarsdottir et al. (2022) identified homozygosity for the Icelandic founder mutation R191W (607568.0006). </p><p>Forny et al. (2022) identified 33 individual mutations in the MMAB gene in 97 patients with MMA type cblB, including 16 novel mutations. Missense mutations were the most common mutation type, and the most frequent missense mutations were R186W (607568.0001), identified in 57 alleles, and R191W (607568.0006), identified in 19 alleles. Q234X was the most common truncating mutation, identified in 14 alleles. Most of the mutations affected the C-terminal half of the protein, with a hotspot in exon 7. This hotspot, corresponding to residues 173-195, contributes to the binding sites of cobalamin and ATP. Functional studies were performed in fibroblasts from 76 patients and responsiveness to cobalamin, as measured by a propionate incorporation assay, was identified in association with the Q234X mutation. The R286W and R191W mutations showed no clear cobalamin response. </p>
</span>
<div>
<br />
</div>
</div>
<div>
<h4>
<span class="mim-font">
<strong>ALLELIC VARIANTS</strong>
</span>
<strong>10 Selected Examples):</strong>
</span>
</h4>
<div>
<p />
</div>
<div>
<div>
<h4>
<span class="mim-font">
<strong>.0001 &nbsp; METHYLMALONIC ACIDURIA, cblB TYPE</strong>
</span>
</h4>
</div>
<div>
<span class="mim-text-font">
MMAB, ARG186TRP
<br />
SNP: rs28941784,
gnomAD: rs28941784,
ClinVar: RCV000003241, RCV000186017, RCV000296390, RCV002512694, RCV003398428
</span>
</div>
<div>
<span class="mim-text-font">
<p>Among 6 MMA patients with methylmalonic aciduria of the cblB type (251110), Dobson et al. (2002) determined that 2 were homozygous for a 556C-T transition in the MMAB gene, which was predicted to result in an arg186-to-trp (R186W) substitution. In vitro uptake assays determined the adenosyl-Cbl levels in fibroblasts of these patients to be more than 4% of control cells. Three other patients were compound heterozygotes who each carried 1 of these mutant alleles. The allele frequency among 120 control cell lines was 1 of 60. </p>
</span>
</div>
<div>
<br />
</div>
</div>
<div>
<div>
<h4>
<span class="mim-font">
<strong>.0002 &nbsp; METHYLMALONIC ACIDURIA, cblB TYPE</strong>
</span>
</h4>
</div>
<div>
<span class="mim-text-font">
MMAB, IVS3, G-A, -1
<br />
SNP: rs199971687,
gnomAD: rs199971687,
ClinVar: RCV000203348, RCV000727663, RCV001194232
</span>
</div>
<div>
<span class="mim-text-font">
<p>Dobson et al. (2002) described a Caucasian infant with methylmalonic aciduria of the cblB type (251110) who was a compound heterozygote for the R186W mutation (607568.0001) as well as a transition in the splice acceptor site of exon 3 of MMAB (IVS3 G-1A). An vitro uptake assay determined the adenosyl-Cbl level in fibroblasts of this patient to be more than 13% of control cells. The splice mutation was not found among 194 control alleles. </p>
</span>
</div>
<div>
<br />
</div>
</div>
<div>
<div>
<h4>
<span class="mim-font">
<strong>.0003 &nbsp; METHYLMALONIC ACIDURIA, cblB TYPE</strong>
</span>
</h4>
</div>
<div>
<span class="mim-text-font">
MMAB, 5-BP DEL, NT572
<br />
SNP: rs1555274497,
ClinVar: RCV000003243
</span>
</div>
<div>
<span class="mim-text-font">
<p>Dobson et al. (2002) described a Caucasian infant with methylmalonic aciduria of the cblB type (251110) who was a compound heterozygote for the R186W mutation (607568.0001) as well as a 5-bp deletion in exon 2. The mutation disrupts the reading frame after arg-190, leading to a premature termination codon. An vitro uptake assay determined the adenosyl-Cbl level in fibroblasts of this patient to be less than 1% of control cells. </p>
</span>
</div>
<div>
<br />
</div>
</div>
<div>
<div>
<h4>
<span class="mim-font">
<strong>.0004 &nbsp; METHYLMALONIC ACIDURIA, cblB TYPE</strong>
</span>
</h4>
</div>
<div>
<span class="mim-text-font">
MMAB, ILE96THR
<br />
SNP: rs864309509,
ClinVar: RCV000202588
</span>
</div>
<div>
<span class="mim-text-font">
<p>In 3 patients, including 2 sibs, with methylmalonic aciduria of the cblB type (251110), Jorge-Finnigan et al. (2010) identified compound heterozygous mutations in the MMAB gene: all 3 patients carried a heterozygous c.287T-C transition (c.287T-C, NM_052845.3), resulting in an ile96-to-thr (I96T) substitution, on 1 allele. On the other allele, the 2 sibs carried a c.584G-A transition (607568.0005) affecting the last nucleotide of exon 7. Analysis of patient fibroblasts and minigene constructs showed that the c.584G-A mutation resulted in the skipping of exon 7 and premature termination (Ser174fs), although a smaller amount of the correctly spliced transcript (R195H) was observed. One sib had onset at age 4 years and died at age 4 years, whereas the other was diagnosed at age 3 months and was asymptomatic at age 5 years. The third patient carried a heterozygous c.571C-T transition on the other allele, resulting in an arg191-to-trp (R191W; 607568.0006) substitution. In vitro functional expression studies in E. coli showed that the I96T mutant protein had a decreased half-life and reduced protein expression compared to wildtype, as well as reduced enzymatic activity (about 60-65% compared to wildtype), but no significant differences in kinetic parameters. The R191W mutant protein was also highly unstable and showed reduced protein expression, as well as decreased enzymatic activity (about 52% of wildtype). Jorge-Finnigan et al. (2010) suggested that the I96T and R191W mutations may result in abnormal protein folding. By flow cytometry, Brasil et al. (2015) found increased levels of reactive oxygen species (ROS) in cells derived from the sibs reported by Jorge-Finnigan et al. (2010), with higher levels in the sib who died compared to the living sib. Patient fibroblasts also showed decreased oxygen consumption rate and mitochondrial abnormalities, including marked fission, reduced numbers of mitochondria, smaller mitochondria, lack of cristae, rarefaction of the matrix, and grain-like inclusions. </p>
</span>
</div>
<div>
<br />
</div>
</div>
<div>
<div>
<h4>
<span class="mim-font">
<strong>.0005 &nbsp; METHYLMALONIC ACIDURIA, cblB TYPE</strong>
</span>
</h4>
</div>
<div>
<span class="mim-text-font">
MMAB, SER174FS
<br />
SNP: rs756195708,
gnomAD: rs756195708,
ClinVar: RCV000202574, RCV000780426
</span>
</div>
<div>
<span class="mim-text-font">
<p>For discussion of the c.584G-A transition (c.584G-A, NM_052845.3) in the MMAB gene, resulting in a splice site alteration, skipping of exon 7, and premature termination (Ser174fs), that was found in compound heterozygous state in 2 sibs with methylmalonic aciduria of the cblB type (251110) by Jorge-Finnigan et al. (2010), see 607568.0004. </p>
</span>
</div>
<div>
<br />
</div>
</div>
<div>
<div>
<h4>
<span class="mim-font">
<strong>.0006 &nbsp; METHYLMALONIC ACIDURIA, cblB TYPE</strong>
</span>
</h4>
</div>
<div>
<span class="mim-text-font">
MMAB, ARG191TRP
<br />
SNP: rs376128990,
gnomAD: rs376128990,
ClinVar: RCV000202597, RCV000414492, RCV002515492
</span>
</div>
<div>
<span class="mim-text-font">
<p>For discussion of the c.571C-T transition (c.571C-T, NM_052845.3) in the MMAB gene, resulting in an arg191-to-trp (R191W) substitution, that was found in compound heterozygous state in a patient with methylmalonic aciduria of the cblB type (251110) by Jorge-Finnigan et al. (2010), see 607568.0004. </p><p>In an Icelandic infant who died with severe dilated cardiomyopathy and MMA type cblB, Agnarsdottir et al. (2022) identified homozygosity for the R191W mutation, which they stated is an Icelandic founder mutation with a frequency of 1 in 270 Icelanders. The proband's unaffected parents were heterozygous for the mutation. </p>
</span>
</div>
<div>
<br />
</div>
</div>
<div>
<div>
<h4>
<span class="mim-font">
<strong>.0007 &nbsp; METHYLMALONIC ACIDURIA, cblB TYPE</strong>
</span>
</h4>
</div>
<div>
<span class="mim-text-font">
MMAB, IVS4AS, G-C, -1
<br />
SNP: rs864309510,
gnomAD: rs864309510,
ClinVar: RCV000202577, RCV004812307
</span>
</div>
<div>
<span class="mim-text-font">
<p>In a patient (P4) with methylmalonic aciduria of the cblB type (251110), Jorge-Finnigan et al. (2010) identified compound heterozygous mutations in the MMAB gene: a G-to-C transversion (c.349-1G-C, NM_052845.3) in intron 4, resulting in a splice site mutation and in-frame deletion of the first 6 nucleotides of exon 5 (Ile117_Gln118del), and a c.290G-A transition (607568.0008) in the last nucleotide of exon 3, resulting in the skipping of exon 3 (Gly66fs). The splicing defects were confirmed in patient fibroblasts and minigene assays. The patient had neonatal onset of the disorder, but was asymptomatic at age 12 years. </p>
</span>
</div>
<div>
<br />
</div>
</div>
<div>
<div>
<h4>
<span class="mim-font">
<strong>.0008 &nbsp; METHYLMALONIC ACIDURIA, cblB TYPE</strong>
</span>
</h4>
</div>
<div>
<span class="mim-text-font">
MMAB, 290G-A
<br />
SNP: rs864309511,
ClinVar: RCV000202589
</span>
</div>
<div>
<span class="mim-text-font">
<p>For discussion of the c.290G-A transition (c.290G-A, NM_052845.3) at the last nucleotide of exon 3 of the MMAB gene, resulting in the skipping of exon 3 (Gly66fs), that was found in compound heterozygous state in a patient with methylmalonic aciduria of the cblB type (251110), by Jorge-Finnigan et al. (2010), see 607568.0007. </p>
</span>
</div>
<div>
<br />
</div>
</div>
<div>
<div>
<h4>
<span class="mim-font">
<strong>.0009 &nbsp; METHYLMALONIC ACIDURIA, cblB TYPE</strong>
</span>
</h4>
</div>
<div>
<span class="mim-text-font">
MMAB, HIS183LEU
<br />
SNP: rs752866643,
gnomAD: rs752866643,
ClinVar: RCV000202581, RCV001804941
</span>
</div>
<div>
<span class="mim-text-font">
<p>In 2 asymptomatic sibs with methylmalonic aciduria of the cblB type (251110), Brasil et al. (2015) identified compound heterozygous mutations in exon 7 of the MMAB gene: a c.548A-T transversion (c.548A-T, NM_052845.3), resulting in a his183-to-leu (H183L) substitution, and a 3-bp in-frame duplication (c.568_570dup; 607568.0010), resulting in the duplication of residue arg190. Each unaffected parent was heterozygous for 1 of the mutations, which were not found in the Exome Variant Server database. In vitro functional expression studies in E. coli extracts showed that the H183L mutant had a decreased half-life (about 50% of wildtype) and an overall 75-fold reduction in ATP:cob(I)alamin adenosyltransferase (ATR) activity compared to wildtype, although kinetic data were similar to wildtype. The arg190dup mutant protein was highly unstable and could not be examined under any conditions. Flow cytometry showed increased levels of reactive oxygen species (ROXS) in patient cells, with higher levels in 1 sib compared to the other. Patient fibroblasts also showed decreased oxygen consumption rate and mitochondrial abnormalities, including marked fission, reduced numbers of mitochondria, decreased mitochondrial size, lack of cristae, rarefaction of the matrix, and grain-like inclusions. The patients were detected by newborn screening. </p>
</span>
</div>
<div>
<br />
</div>
</div>
<div>
<div>
<h4>
<span class="mim-font">
<strong>.0010 &nbsp; METHYLMALONIC ACIDURIA, cblB TYPE</strong>
</span>
</h4>
</div>
<div>
<span class="mim-text-font">
MMAB, 3-BP DUP, NT568
<br />
SNP: rs864309512,
ClinVar: RCV000202602, RCV002509298
</span>
</div>
<div>
<span class="mim-text-font">
<p>For discussion of the 3-bp in-frame duplication (c.568_570dup, NM_052845.3) in the MMAB gene, resulting in the duplication of residue arg190, that was found in compound heterozygous state in 2 sibs with methylmalonic aciduria of the cblB type (251110) by Brasil et al. (2015), see 607568.0009. </p>
</span>
</div>
<div>
<br />
</div>
</div>
</div>
<div>
<h4>
<span class="mim-font">
<strong>REFERENCES</strong>
</span>
</h4>
<div>
<p />
</div>
<div>
<ol>
<li>
<p class="mim-text-font">
Agnarsdottir, D., Sigurjonsdottir, V. K., Emilsdottir, A. R., Petersen, E., Sigfusson, G., Rognvaldsson, I., Franzson, L., Vernon, H., Bjornsson, H. T.
<strong>Early cardiomyopathy without severe metabolic dysregulation in a patient with cblB-type methylmalonic acidemia.</strong>
Molec. Genet. Genomic Med. 10: e1971, 2022.
[PubMed: 35712814]
[Full Text: https://doi.org/10.1002/mgg3.1971]
</p>
</li>
<li>
<p class="mim-text-font">
Brasil, S., Richard, E., Jorge-Finnigan, A., Leal, F., Merinero, B., Banerjee, R., Desviat, L. R., Ugarte, M., Perez, B.
<strong>Methylmalonic aciduria cblB type: characterization of two novel mutations and mitochondrial dysfunction studies.</strong>
Clin. Genet. 87: 576-581, 2015.
[PubMed: 24813872]
[Full Text: https://doi.org/10.1111/cge.12426]
</p>
</li>
<li>
<p class="mim-text-font">
Dobson, C. M., Wai, T., Leclerc, D., Kadir, H., Narang, M., Lerner-Ellis, J. P., Hudson, T. J., Rosenblatt, D. S., Gravel, R. A.
<strong>Identification of the gene responsible for the cblB complementation group of vitamin B12-dependent methylmalonic aciduria.</strong>
Hum. Molec. Genet. 11: 3361-3369, 2002.
[PubMed: 12471062]
[Full Text: https://doi.org/10.1093/hmg/11.26.3361]
</p>
</li>
<li>
<p class="mim-text-font">
Forny, P., Plessl, T., Frei, C., Burer, C., Froese, D. S., Baumgartner, M. R.
<strong>Spectrum and characterization of bi-allelic variants in MMAB causing cblB-type methylmalonic aciduria.</strong>
Hum. Genet. 141: 1253-1267, 2022.
[PubMed: 34796408]
[Full Text: https://doi.org/10.1007/s00439-021-02398-6]
</p>
</li>
<li>
<p class="mim-text-font">
Johnson, C. L. V., Pechonick, E., Park, S. D., Havemann, G. D., Leal, N. A., Bobik, T. A.
<strong>Functional genomic, biochemical, and genetic characterization of the Salmonella pduO gene, an ATP:cob(I)alamin adenosyltransferase gene.</strong>
J. Bacteriol. 183: 1577-1584, 2001.
[PubMed: 11160088]
[Full Text: https://doi.org/10.1128/JB.183.5.1577-1584.2001]
</p>
</li>
<li>
<p class="mim-text-font">
Jorge-Finnigan, A., Aguado, C., Sanchez-Alcudia, R., Abia, D., Richard, E., Merinero, B., Gamez, A., Banerjee, R., Desviat, L. R., Ugarte, M., Perez, B.
<strong>Functional and structural analysis of five mutations identified in methylmalonic aciduria cblB type.</strong>
Hum. Mutat. 31: 1033-1042, 2010.
[PubMed: 20556797]
[Full Text: https://doi.org/10.1002/humu.21307]
</p>
</li>
</ol>
<div>
<br />
</div>
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Contributors:
</span>
</div>
<div class="col-lg-6 col-md-6 col-sm-6 col-xs-6">
<span class="mim-text-font">
Marla J. F. O&#x27;Neill - updated : 10/24/2023<br>Hilary J. Vernon - updated : 08/26/2022<br>Cassandra L. Kniffin - updated : 12/7/2015
</span>
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<div class="col-lg-1 col-md-1 col-sm-2 col-xs-2">
<span class="text-nowrap mim-text-font">
Creation Date:
</span>
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<div class="col-lg-6 col-md-6 col-sm-6 col-xs-6">
<span class="mim-text-font">
George E. Tiller : 2/20/2003
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carol : 10/25/2023<br>carol : 10/24/2023<br>carol : 08/29/2022<br>carol : 08/26/2022<br>carol : 03/09/2021<br>carol : 12/30/2015<br>alopez : 12/16/2015<br>ckniffin : 12/7/2015<br>carol : 12/10/2004<br>ckniffin : 12/6/2004<br>carol : 2/21/2003<br>cwells : 2/20/2003<br>cwells : 2/20/2003
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Printed: March 5, 2025
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