Methylmalonic aciduria
Definition
Biallelic pathogenic variants in the MUT gene lead to a complete (mut0) or partial (mut-) deficiency of methylmalonyl-CoA mutase, an enzyme involved in propionate metabolism. Enzyme deficiency causes accumulation of methylmalonic acid in blood/urine, metabolic acidosis, and recurrent ketoacidotic comas; the mut0 subtype has the most severe course.
Gene/region analyzed
MUT - Whole Gene
Method
Sequence analysis
Accepted sample types
EDTA blood, AF, CVS
Inheritance
Hereditary, autosomal recessive.