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同型半胱氨酸血症不伴甲基丙二酸尿症

Homocystinuria without methylmalonic aciduria

定义 英文原文(暂无中文)

Homocystinuria without methylmalonic aciduria is an inborn error of vitamin B12 (cobalamin) metabolism characterized by megaloblastic anemia, encephalopathy and, sometimes, developmental delay, and associated with homocystinuria and hyperhomocysteinemia. There are three types of homocystinuria without methylmalonic aciduria; cblE, cblG and cblD-variant 1 (cblDv1).

别名

功能性甲硫氨酸合成缺乏症

基本事实

遗传方式
常染色体隐性
发病年龄
各年龄段
患病率
<1 / 1 000 000

相关基因 3来自下位疾病

Orphanet 未在本条目上直接标注致病基因。下表由本组所属的下位疾病汇总而来,「来源条目」列给出基因实际标注在哪一个 ORPHA 条目上。

基因名称来源条目
MMADHCmetabolism of cobalamin associated DORPHA:308380
MTR5-methyltetrahydrofolate-homocysteine methyltransferaseORPHA:2170
MTRR5-methyltetrahydrofolate-homocysteine methyltransferase reductaseORPHA:2169

临床表型 31

极常见 99–80%1

  • 高胱氨酸尿症 HP:0002156

常见 79–30%15

  • 大脑皮层萎缩 HP:0002120
  • 困倦 HP:0002329
  • 脑病 HP:0001298
  • 发育迟滞 HP:0001508
  • 喂养困难 HP:0011968
  • 全面发育迟缓 HP:0001263
  • 高同型半胱氨酸血症 HP:0002160
  • 肌张力减退 HP:0001252
  • 智力障碍 HP:0001249
  • 大细胞性贫血 HP:0001972
  • 眼球震颤 HP:0000639
  • 精神病 HP:0000709
  • 视网膜病变 HP:0000488
  • 癫痫发作 HP:0001250
  • 斜视 HP:0000486

偶见 29–5%11

  • 共济失调 HP:0001251
  • 非典型行为 HP:0000708
  • 脑萎缩 HP:0012444
  • 痴呆 HP:0000726
  • 生长延迟 HP:0001510
  • 低甲硫氨酸血症 HP:0003658
  • 昏睡 HP:0001254
  • 意识下降 HP:0004372
  • 视力下降 HP:0007663
  • 视觉障碍 HP:0000505
  • 呕吐 HP:0002013

罕见 <4–1%3

  • 溶血性尿毒症综合征 HP:0005575
  • 婴儿痉挛 HP:0012469
  • 视神经萎缩 HP:0000648

排除 0%1

  • 甲基丙二酸血症 HP:0002912

近两年的全球研究 182L2

2024/08 起在 Europe PMC 检索所得,按发表时间倒序显示最近 20 篇。本病的检索词较宽泛,命中数可能偏高,请以标题为准。标题未译成中文——自动翻译需要接入 LLM 服务,尚未引入。

  • 2026-07开放获取
    Benzbromarone as a Novel Candidate for Preventing Alzheimer's Disease: Evidence From Real-World Data Screening and in Vitro Validation
    Clinical and translational science · DOI · Europe PMC
  • 2026-07系统综述
    First Revision of the Guidelines for the Diagnosis and Management of Remethylation Disorders
    Journal of inherited metabolic disease · DOI · Europe PMC
  • 2026-06开放获取
    Methotrexate Toxicity in a Patient With Renal Failure Despite a Normal Methotrexate Concentration: A Case Report and Literature Review
    Clinical case reports · DOI · Europe PMC
  • 2026-06病例报告开放获取
    Middle cerebral artery fenestration presenting with cerebral ischemia: a case report and review of the literature
    Frontiers in medicine · DOI · Europe PMC
  • 2026-06综述开放获取
    Metabolic Reprogramming-Driven Cardiovascular Immune Damage: From Glyco-Lipotoxicity and Epigenetic Memory to Multidimensional Cross-Organ Communication Networks
    International journal of molecular sciences
  • 2026-05
    Dietary sulfur amino acids enhance anti-tumor immunity in colon cancer via an NKT cell-XCL1-cDC1 circuit
    Immunity · 被引 2 · DOI · Europe PMC
  • 2026-05综述病例报告开放获取
    A child with cobalamin C deficiency caused by complex heterozygous variation of c.567dupT and c.80A &gt; G complicated with pulmonary arterial hypertension and hydrocephalus: A case report and literature review
    Medicine · DOI · Europe PMC
  • 2026-05开放获取
    Nutrition Outcomes and Interventions in Older People in Africa: A Systematic Umbrella and Scoping Review
    Nutrition reviews · DOI · Europe PMC
  • 2026-04开放获取
    In search of a mouse model of Spaceflight Associated Neuro-ocular Syndrome using one-carbon genetics
    Scientific reports · DOI · Europe PMC
  • 2026-04开放获取
    Differentiating Alzheimer's disease and vascular dementia via combined OCT and OCT‑angiography analysis
    Scientific reports · DOI · Europe PMC
  • 2026-03开放获取
    Is elevated serum homocysteine in isolated ischemic cranial nerve palsies a predictor of stroke?
    World journal of methodology · DOI · Europe PMC
  • 2026-03开放获取
    AP39 alleviates HHCY-induced myocardial remodeling by regulating FUNDC1-mediated mitochondrial dynamics via S-sulfhydration of NEDD8/CUL4B
    Frontiers in pharmacology · DOI · Europe PMC
  • 2026-03荟萃分析系统综述开放获取
    Complex Effects of B-Vitamin Combinations on Cardiovascular Diseases: A Systematic Review and Meta-Analysis of Randomized Controlled Trials over Three Decades
    Nutrients · DOI · Europe PMC
  • 2026-03开放获取
    Serum proteomics reveals biomarkers for diagnosis, stratification, and mechanistic insights into cerebral microbleeds
    Frontiers in aging neuroscience · DOI · Europe PMC
  • 2026-03综述开放获取
    Real-World Experience With Givosiran in Acute Porphyrias: A Narrative Review and a Novel Hypothesis
    Cureus · DOI · Europe PMC
  • 2026-03开放获取
    Two Years of Expanded Newborn Screening in Russia: High-Throughput Detection of Inherited Metabolic Disorders by Tandem Mass Spectrometry with Next-Generation Sequencing Confirmation
    International journal of neonatal screening · DOI · Europe PMC
  • 2026-03开放获取
    Safety and Efficacy of Carotid Stenting Without Embolic Protection Device in Delayed Window Period: Experience From A Tertiary Care Center
    Annals of Indian Academy of Neurology · DOI · Europe PMC
  • 2026-02综述开放获取
    Arterial Thrombosis in Severe Ulcerative Colitis: A Case-Based Narrative Review of Current Evidence
    Biomedicines · DOI · Europe PMC
  • 2026-02开放获取
    Familial Cases of Legg–Calvé–Perthes Disease—Hemostatic and Molecular Markers
    International journal of molecular sciences
  • 2026-02开放获取
    Homocysteine is a risk factor for reduced ejection fraction in children with myocarditis: a single-center study
    Frontiers in pediatrics · DOI · Europe PMC

外部标识与链接

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本页数据来源

  • 疾病定义、同义词、基因、表型、流行病学:Orphanet(CC BY 4.0)
  • 中文病名:Orphanet 中文包,冻结于 2020-06-01
  • 表型中文标签:HPO 简体中文翻译(CHPO 上游成果)