raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:445038

3-methylglutaconic aciduria-neonatal cataract-neurologic involvement-congenital neutropenia syndrome

Synonyms: 3-methylglutaconic aciduria type 7 · MGA-neonatal cataract-neurologic involvement-congenital neutropenia syndrome · MGA7

Type
Disease
Group
Disorder
Inheritance
Autosomal recessive
Age of onset
Antenatal, Neonatal
Status
active

A rare organic aciduria characterized by increased urinary excretion of 3-methylglutaconic acid, variably associated with neutropenia (sometimes causing recurrent severe infections and potentially resulting in leukemia) and progressive neurologic manifestations, such as global developmental delay, intellectual disability, hypotonia, movement disorder, and seizures. Microcephaly, cataract, facial dysmorphism, growth retardation, endocrine abnormalities, and cardiomyopathy have also been reported. Brain imaging may show cerebral or cerebellar atrophy, or abnormalities of the basal ganglia.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
en3-methylglutaconic aciduria-neonatal cataract-neurologic involvement-congenital neutropenia syndrome3-methylglutaconic aciduria type 7 · MGA-neonatal cataract-neurologic involvement-congenital neutropenia syndrome · MGA7
frSyndrome de cataracte néonatale-atteinte neurologique-neutropénie congénitale-acidurie 3-méthylglutaconiqueAMG7 · Acidurie 3-méthylglutaconique type 7 · MGA7 · Syndrome de cataracte néonatale-atteinte neurologique-neutropénie congénitale-AMG · Syndrome de cataracte néonatale-atteinte neurologique-neutropénie congénitale-MGA
de3-Methylglutaconazidurie-Katarakt-neurologische Beteiligung-Neutropenie-Syndrom3-Methylglutaconazidurie Typ 7 · MGA-neonataler Katarakt-neurologische Beteiligung-kongenitale Neutropenie-Syndrom · MGA7
esSíndrome de aciduria 3-metilglutacónica-catarata neonatal-afectación neurológica-neutropenia congénitaAciduria 3-metilglutacónica tipo 7 · MGA7 · Síndrome MGA-catarata neonatal-afectación neurológica-neutropenia congénita
itSindrome aciduria 3 metilglutaconica-cataratta neonatale-interessamneto neurologico-neutropenia congenitaAciduria 3-metilglutaconica, tipo 7 · MGA7 · Sindrome MGA-cataratta neonatale-interessamneto neurologico-neutropenia congenita
nl3-methylglutaconacidurie - neonataal cataract - neurologische betrokkenheid - congenitale neutropenie-syndroom3-methylglutaconacidurie type 7 · MGA - neonataal cataract - neurologische betrokkenheid - congenitale neutropenie-syndroom · MGA7
ptSíndrome de acidúria 3-metilglutacónica-catarata neonatal-envolvimento neurológico-neutropenia congénitaAcidúria 3-metilglutacónica tipo 7 · MGA7 · Síndrome MGA-catarata neonatal-envolvimento neurológico-neutropenia congénita
plZespół kwasicy 3-metyloglutakonowej, zaćmy noworodkowej, zaburzeń neurologicznych oraz wrodzonej neutropeniiMGA7 · Zespół acydurii 3-metyloglutakonowej, zaćmy, zaburzeń neurologicznych i neutropenii
cs3-methylglutakonová acidurie, typ 7Syndrom zahrnující 3-methylglutakonovou acidurii, kataraktu, neurologickou poruchu a neutropenii · MGA7
ukСиндром 3-метилглутаконової ацидурії-неонатальної катаракти-неврологічних уражень-вродженої нейтропенії3-метилглутаконова ацидурія типу 7 · MGA7 · Синдром МГА - неонатальна катаракта - неврологічне ураження - вродженаї нейтропенія
zh3-甲基戊酸尿症7型3-甲基谷氨酸酸尿症-白内障-神经系统受累-中性粒细胞减少综合征
tr3-metilglutakonik asidüri tip 7MGA7 · 3-metilglutakonik asidüri-katarakt-nörolojik tutulum-nötropeni sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM616271Evalidated
OMIM619835BTNTvalidated
ICD-10E71.1NTBTattributedvalidated
ICD-115C50.E0NTBTattributedvalidated
MONDO14561Evalidated
UMLSC4225393Evalidated

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 (5):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
CLPBDisease-causing germline mutation(s) (loss of function) inAssessedHGNC:30664ENSG0000016212961625411q13.4ClpB family mitochondrial disaggregase25597511[PMID]_25597510[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families22 casesWorldwideCase(s)Validated25650066[PMID]_25597511[PMID]_25597510[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_25650066[PMID]_25597511[PMID]_25597510[PMID]

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

38 annotations · validated 2019-04-24
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:00035353-Methylglutaconic aciduriaDiagnostic criterion
HP:0000518CataractDiagnostic criterion
HP:0001875Decreased total neutrophil countDiagnostic criterion
HP:0000121Nephrocalcinosis
HP:0011451Primary microcephaly
HP:0000107Renal cyst
Frequent (79-30%)
HP:0002134Abnormal basal ganglia morphology
HP:0007256Abnormal pyramidal sign
HP:0002071Abnormality of extrapyramidal motor function
HP:0005528Bone marrow hypocellularity
HP:0001272Cerebellar atrophy
HP:0002059Cerebral atrophy
HP:0001266Choreoathetosis
HP:0002194Delayed gross motor development
HP:0002376Developmental regression
HP:0001298Encephalopathy
HP:0011968Feeding difficulties
HP:0001510Growth delay
HP:0001347Hyperreflexia
HP:0001252Hypotonia
HP:0002151Increased circulating lactate concentration
HP:0410256Infection associated neutropenia
HP:0001249Intellectual disability
HP:0001336Myoclonus
HP:0002179Opisthotonus
HP:0007153Progressive extrapyramidal movement disorder
HP:0001257Spasticity
Occasional (29-5%)
HP:0001638Cardiomyopathy
HP:0002910Elevated circulating hepatic transaminase concentration
HP:0001397Hepatic steatosis
HP:0001276Hypertonia
HP:0000821Hypothyroidism
HP:0001998Neonatal hypoglycemia
HP:0000639Nystagmus
HP:0000083Renal insufficiency
HP:0002878Respiratory failure
HP:0001250Seizure
Very rare (<4-1%)
HP:0002107Pneumothorax

Run the differential on the 6 obligate / very frequent terms

Annotation source: 25595726[PMID]_25597511[PMID]_25597510[PMID]

7

Sources for this card