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Table 1 Pathogenic variants identified in the MMACHC/PRDX1 genes of epi-cblC patients

From: PRDX1 gene-related epi-cblC disease is a common type of inborn error of cobalamin metabolism with mono- or bi-allelic MMACHC epimutations

Pt

Italian origin

Diagnosis (age)

Variant 1

Origin of variant 1

Variant 2

Origin of variant 2

Epimutation in MMACHC

Age at epi-cblC molecular diagnosis

Onset

1

Central

C/B

(10 d)

MMACHC:c.271dupA p.(Arg91Lysfs*14)

Paternal

PRDX1:c.515-1G > T

Maternal

Het

10 y

Early

2

Central

NBS

(6 d)

MMACHC:c.666C > A p.(Tyr222*)

Paternal

PRDX1:c.515-1G > T

Maternal

Het

8 y

Early

3

Southern

C/B

(16 d)

MMACHC:c.271dupA p.(Arg91Lysfs*14)

Paternal

PRDX1:c.515-1G > T

Maternal

Het

11 y

Early

4a

Southern

C/B

(2 m)

MMACHC:c.666C > A p.(Tyr222*)

Maternal

PRDX1:c.515-1G > T

Paternal

Het

ND

Early

5

Northern

C/B

(2 m)

MMACHC:c.331C > T p.(Arg111*)

Paternal

PRDX1:c.515-1G > T

Maternal

Het

10 y

Early

6

Northern

C/B

(6 m)

MMACHC:c.481C > T p.(Arg161*)

Paternal

PRDX1:c.515-1G > T

Maternal

Het

6 y

Early

7

Southern

NBS

(1 m)

MMACHC:c.271dupA p.(Arg91Lysfs*14)

Paternal

PRDX1:c.515-1G > T

Maternal

Het

7 y

Early

8

Southern

C/B

(1 m)

MMACHC:c.271dupA p.(Arg91Lysfs*14)

Maternal

PRDX1:c.515-1G > T

Paternal

Het

18 y

Early

9

Northern

NBS

(4 d)

MMACHC:c.271dupA p.(Arg91Lysfs*14)

Maternal

PRDX1:c.515-1G > T

Paternal

Hetb

2 y

Early

10

Northern

C/B

(63 y)

MMACHC:c.617G > A p.(Arg206Gln)

ND

PRDX1:c.515-1G > T

ND

Het

75 y

Late

11

Central

NBS

(4 d)

PRDX1:c.515-1G > T

Paternal

PRDX1:c.515-1G > T

Maternal

Hom

7 y

Early

  1. C/B, diagnosis of methylmalonic aciduria and homocystinuria performed after a clinical/biochemical assessment; d, days; m, months; het, heterozygous; hom, homozygous; NBS, diagnosis of methylmalonic aciduria and homocystinuria performed by expanded newborn screening; ND, not determined; y, years
  2. aWe identified the same genotype of Pt 4 in an abortion specimen of this family. Such foetus was biochemically affected
  3. bMethylation analysis of this patient has been previously reported by Gueant et al. [6]