raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:2169

Methylcobalamin deficiency type cblE

Synonyms: Functional methionine synthase deficiency type cblE

Type
Clinical subtype
Group
Subtype of disorder
Inheritance
Autosomal recessive
Age of onset
Childhood
Status
active

This disease is described under Homocystinuria without methylmalonic aciduria

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enMethylcobalamin deficiency type cblEFunctional methionine synthase deficiency type cblE
frDéficit en méthylcobalamine type cblEDéficit fonctionnel en méthionine synthase type cblE
deMethylcobalamin-Mangel Typ cbl EMethionin-Synthase-Mangel Typ cblE, funktionaler
esDeficiencia de metilcobalamina tipo cbl EDeficiencia funcional de metionina sintasa tipo cblE
itDeficit di metilcobalamina, tipo cblEDeficit funzionale di metionina sintasi, tipo cblE
nlMethylcobalaminedeficiëntie type cblEFunctionele methioninesynthasedeficiëntie type cblE
ptDeficiência de metilcobalamina tipo cblEHomocistinúria por defeito na metilação tipo cblE
plNiedobór metylokobalaminy typu cblEFunkcjonalny Niedobór syntazy metioniny typu cblE
csDeficit methylkobalaminu, typ cbIEDeficit methioninsyntázy reduktázy, typ cblE
ukДефіцит метилкобаламіну, тип cblEФункціональна недостатність метіонінсинтетази типу cblE
zh甲基钴胺素缺陷,cblE型功能性蛋氨酸合成酶缺乏cbIE型
trMetilkobalamin eksikliği, cblE tipiFonksiyonel metiyonin sentaz eksikliği tip cblE
2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM236270Evalidated
ICD-10E72.1NTBTattributedvalidated
ICD-115C50.BNTBTindexvalidated
MONDO0009354Evalidated
MeSHC565510Evalidated
UMLSC1856057Evalidated

E exact · NTBT this ORPHAcode is narrower than the target · BTNT broader than the target · ND not decided.

3

Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (2):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
MTRRDisease-causing germline mutation(s) inAssessedHGNC:7473ENSG000001242756025685p15.315-methyltetrahydrofolate-homocysteine methyltransferase reductase20301503[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families27 casesWorldwideCase(s)ValidatedORPHANET
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET

Value is Orphadata's ValMoy: the mean estimate per 100 000 for prevalence and incidence, the number of cases or families for case reports.

6

HPO phenotypes

50 annotations · validated 2020-01-30
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0001263Global developmental delay
HP:0002160Hyperhomocystinemia
HP:0001980Megaloblastic bone marrow
Frequent (79-30%)
HP:0002500Abnormal cerebral white matter morphology
HP:0100022Abnormality of movement
HP:0002167Abnormality of speech or vocalization
HP:0000478Abnormality of the eye
HP:0012444Brain atrophy
HP:0002329Drowsiness
HP:0001508Failure to thrive
HP:0011968Feeding difficulties
HP:0003658Hypomethioninemia
HP:0001252Hypotonia
HP:0005518Increased mean corpuscular volume
HP:0001249Intellectual disability
HP:0001511Intrauterine growth retardation
HP:0007185Loss of consciousness
HP:0001972Macrocytic anemia
HP:0000252Microcephaly
HP:0008897Postnatal growth retardation
HP:0001250Seizure
HP:0011344Severe global developmental delay
HP:0002013Vomiting
Occasional (29-5%)
HP:0001626Abnormality of the cardiovascular system
HP:0001392Abnormality of the liver
HP:0000924Abnormality of the skeletal system
HP:0000708Atypical behavior
HP:0030084Clinodactyly
HP:0001875Decreased total neutrophil count
HP:0002625Deep venous thrombosis
HP:0012448Delayed myelination
HP:0001262Excessive daytime somnolence
HP:0100820Glomerulopathy
HP:0000365Hearing impairment
HP:0005575Hemolytic-uremic syndrome
HP:0000238Hydrocephalus
HP:0000822Hypertension
HP:0002365Hypoplasia of the brainstem
HP:0001254Lethargy
HP:0006895Lower limb hypertonia
HP:0000639Nystagmus
HP:0000939Osteoporosis
HP:0001876Pancytopenia
HP:0009830Peripheral neuropathy
HP:0002650Scoliosis
HP:0001159Syndactyly
HP:0001907Thromboembolism
HP:0002119Ventriculomegaly
HP:0000505Visual impairment
HP:0012704Widened subarachnoid space

Run the differential on the 3 obligate / very frequent terms

Annotation source: 9427140[PMID]_20301503[PMID]_15714522[PMID]_25526710[PMID]

7

Sources for this card