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Hypermethioninemia with deficiency of S-adenosylhomocysteine hydrolase

MedGen UID:
462408
Concept ID:
C3151058
Disease or Syndrome
Synonym: Hypermethioninemia with s-adenosylhomocysteine hydrolase deficiency
SNOMED CT: S-adenosylhomocysteine hydrolase deficiency (724040000); Deficiency of S-adenosylhomocysteine hydrolase (724040000)
Modes of inheritance:
Autosomal recessive inheritance
MedGen UID:
141025
Concept ID:
C0441748
Intellectual Product
Source: Orphanet
A mode of inheritance that is observed for traits related to a gene encoded on one of the autosomes (i.e., the human chromosomes 1-22) in which a trait manifests in individuals with two pathogenic alleles, either homozygotes (two copies of the same mutant allele) or compound heterozygotes (whereby each copy of a gene has a distinct mutant allele).
 
Gene (location): AHCY (20q11.22)
 
Monarch Initiative: MONDO:0013404
OMIM®: 613752
Orphanet: ORPHA88618

Definition

Hypermethioninemia is an excess of a particular protein building block (amino acid), called methionine, in the blood. This condition can occur when methionine is not broken down (metabolized) properly in the body.

Hypermethioninemia can occur with other metabolic disorders, such as homocystinuria, tyrosinemia, and galactosemia, which also involve the faulty breakdown of particular molecules. It can also result from liver disease or excessive dietary intake of methionine from consuming large amounts of protein or a methionine-enriched infant formula. The condition is called primary hypermethioninemia when it is not associated with other metabolic disorders or excess methionine in the diet.

People with hypermethioninemia often do not show any symptoms. Some individuals with hypermethioninemia exhibit intellectual disability and other neurological problems; delays in motor skills such as standing or walking; sluggishness; muscle weakness; liver problems; unusual facial features; and their breath, sweat, or urine may have a smell resembling boiled cabbage. [from MedlinePlus Genetics]

Clinical features

From HPO
Cardiomyopathy
MedGen UID:
209232
Concept ID:
C0878544
Disease or Syndrome
A myocardial disorder in which the heart muscle is structurally and functionally abnormal, in the absence of coronary artery disease, hypertension, valvular disease and congenital heart disease sufficient to cause the observed myocardial abnormality.
Failure to thrive
MedGen UID:
746019
Concept ID:
C2315100
Disease or Syndrome
Failure to thrive (FTT) refers to a child whose physical growth is substantially below the norm.
Global developmental delay
MedGen UID:
107838
Concept ID:
C0557874
Finding
A delay in the achievement of motor or mental milestones in the domains of development of a child, including motor skills, speech and language, cognitive skills, and social and emotional skills. This term should only be used to describe children younger than five years of age.
Motor delay
MedGen UID:
381392
Concept ID:
C1854301
Finding
A type of Developmental delay characterized by a delay in acquiring motor skills.
Intellectual disability
MedGen UID:
811461
Concept ID:
C3714756
Mental or Behavioral Dysfunction
Subnormal intellectual functioning which originates during the developmental period. Intellectual disability, previously referred to as mental retardation, has been defined as an IQ score below 70.
Hypermethioninemia
MedGen UID:
887708
Concept ID:
C4048705
Disease or Syndrome
An increased concentration of methionine in the blood.
Abnormality of the dentition
MedGen UID:
78084
Concept ID:
C0262444
Finding
Any abnormality of the teeth.
Abnormal facial shape
MedGen UID:
98409
Concept ID:
C0424503
Finding
An abnormal morphology (form) of the face or its components.

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVHypermethioninemia with deficiency of S-adenosylhomocysteine hydrolase
Follow this link to review classifications for Hypermethioninemia with deficiency of S-adenosylhomocysteine hydrolase in Orphanet.

Professional guidelines

PubMed

Park I, Bublil EM, Glavin F, Majtan T
Nutrients 2020 Sep 22;12(9) doi: 10.3390/nu12092895. PMID: 32971905Free PMC Article
Zhang Z, Wang Y, Ma D, Cheng W, Sun Y, Jiang T
J Pediatr Endocrinol Metab 2020 Jan 28;33(1):47-52. doi: 10.1515/jpem-2019-0285. PMID: 31851615
Barić I, Staufner C, Augoustides-Savvopoulou P, Chien YH, Dobbelaere D, Grünert SC, Opladen T, Petković Ramadža D, Rakić B, Wedell A, Blom HJ
J Inherit Metab Dis 2017 Jan;40(1):5-20. Epub 2016 Sep 26 doi: 10.1007/s10545-016-9972-7. PMID: 27671891Free PMC Article

Curated

American College of Medical Genetics and Genomics, Newborn Screening ACT Sheet, Elevated Methionine +/- Elevated Homocysteine, Homocystinuria (Cystathionine beta-synthase deficiency), 2021

American College of Medical Genetics and Genomics, Algorithm, Elevated Methionine +/- Elevated Homocysteine, 2021

Recent clinical studies

Etiology

Dai X, Liu S, Cheng L, Huang T, Guo H, Wang D, Xia M, Ling W, Xiao Y
Circ Res 2022 May 13;130(10):1565-1582. Epub 2022 Apr 12 doi: 10.1161/CIRCRESAHA.121.320251. PMID: 35410483
Becker PH, Demir Z, Mozer Glassberg Y, Sevin C, Habes D, Imbard A, Mussini C, Rozenfeld Bar Lev M, Davit-Spraul A, Benoist JF, Thérond P, Slama A, Jacquemin E, Gonzales E, Gaignard P
Mol Genet Metab 2021 Jan;132(1):38-43. Epub 2020 Nov 28 doi: 10.1016/j.ymgme.2020.11.007. PMID: 33309011
Zhang Z, Wang Y, Ma D, Cheng W, Sun Y, Jiang T
J Pediatr Endocrinol Metab 2020 Jan 28;33(1):47-52. doi: 10.1515/jpem-2019-0285. PMID: 31851615
Chien YH, Abdenur JE, Baronio F, Bannick AA, Corrales F, Couce M, Donner MG, Ficicioglu C, Freehauf C, Frithiof D, Gotway G, Hirabayashi K, Hofstede F, Hoganson G, Hwu WL, James P, Kim S, Korman SH, Lachmann R, Levy H, Lindner M, Lykopoulou L, Mayatepek E, Muntau A, Okano Y, Raymond K, Rubio-Gozalbo E, Scholl-Bürgi S, Schulze A, Singh R, Stabler S, Stuy M, Thomas J, Wagner C, Wilson WG, Wortmann S, Yamamoto S, Pao M, Blom HJ
Orphanet J Rare Dis 2015 Aug 20;10:99. doi: 10.1186/s13023-015-0321-y. PMID: 26289392Free PMC Article
Furujo M, Kinoshita M, Nagao M, Kubo T
Mol Genet Metab 2012 Nov;107(3):253-6. Epub 2012 Aug 11 doi: 10.1016/j.ymgme.2012.08.002. PMID: 22951388

Diagnosis

Becker PH, Demir Z, Mozer Glassberg Y, Sevin C, Habes D, Imbard A, Mussini C, Rozenfeld Bar Lev M, Davit-Spraul A, Benoist JF, Thérond P, Slama A, Jacquemin E, Gonzales E, Gaignard P
Mol Genet Metab 2021 Jan;132(1):38-43. Epub 2020 Nov 28 doi: 10.1016/j.ymgme.2020.11.007. PMID: 33309011
Zhang Z, Wang Y, Ma D, Cheng W, Sun Y, Jiang T
J Pediatr Endocrinol Metab 2020 Jan 28;33(1):47-52. doi: 10.1515/jpem-2019-0285. PMID: 31851615
Barić I, Staufner C, Augoustides-Savvopoulou P, Chien YH, Dobbelaere D, Grünert SC, Opladen T, Petković Ramadža D, Rakić B, Wedell A, Blom HJ
J Inherit Metab Dis 2017 Jan;40(1):5-20. Epub 2016 Sep 26 doi: 10.1007/s10545-016-9972-7. PMID: 27671891Free PMC Article
Mudd SH
Am J Med Genet C Semin Med Genet 2011 Feb 15;157C(1):3-32. Epub 2011 Feb 9 doi: 10.1002/ajmg.c.30293. PMID: 21308989
Mudd SH, Levy HL, Tangerman A, Boujet C, Buist N, Davidson-Mundt A, Hudgins L, Oyanagi K, Nagao M, Wilson WG
Am J Hum Genet 1995 Oct;57(4):882-92. PMID: 7573050Free PMC Article

Therapy

Imbard A, Toumazi A, Magréault S, Garcia-Segarra N, Schlemmer D, Kaguelidou F, Perronneau I, Haignere J, de Baulny HO, Kuster A, Feillet F, Alberti C, Guilmin-Crépon S, Benoist JF, Schiff M
Orphanet J Rare Dis 2022 Nov 14;17(1):417. doi: 10.1186/s13023-022-02567-4. PMID: 36376887Free PMC Article
Park I, Bublil EM, Glavin F, Majtan T
Nutrients 2020 Sep 22;12(9) doi: 10.3390/nu12092895. PMID: 32971905Free PMC Article
Motzek A, Knežević J, Switzeny OJ, Cooper A, Barić I, Beluzić R, Strauss KA, Puffenberger EG, Mudd SH, Vugrek O, Zechner U
PLoS One 2016;11(3):e0151261. Epub 2016 Mar 14 doi: 10.1371/journal.pone.0151261. PMID: 26974671Free PMC Article
Furujo M, Kinoshita M, Nagao M, Kubo T
Mol Genet Metab 2012 Nov;107(3):253-6. Epub 2012 Aug 11 doi: 10.1016/j.ymgme.2012.08.002. PMID: 22951388
Stefanello FM, Matté C, Pederzolli CD, Kolling J, Mescka CP, Lamers ML, de Assis AM, Perry ML, dos Santos MF, Dutra-Filho CS, Wyse AT
Biochimie 2009 Aug;91(8):961-8. Epub 2009 May 7 doi: 10.1016/j.biochi.2009.04.018. PMID: 19426780

Prognosis

Becker PH, Demir Z, Mozer Glassberg Y, Sevin C, Habes D, Imbard A, Mussini C, Rozenfeld Bar Lev M, Davit-Spraul A, Benoist JF, Thérond P, Slama A, Jacquemin E, Gonzales E, Gaignard P
Mol Genet Metab 2021 Jan;132(1):38-43. Epub 2020 Nov 28 doi: 10.1016/j.ymgme.2020.11.007. PMID: 33309011
Chien YH, Abdenur JE, Baronio F, Bannick AA, Corrales F, Couce M, Donner MG, Ficicioglu C, Freehauf C, Frithiof D, Gotway G, Hirabayashi K, Hofstede F, Hoganson G, Hwu WL, James P, Kim S, Korman SH, Lachmann R, Levy H, Lindner M, Lykopoulou L, Mayatepek E, Muntau A, Okano Y, Raymond K, Rubio-Gozalbo E, Scholl-Bürgi S, Schulze A, Singh R, Stabler S, Stuy M, Thomas J, Wagner C, Wilson WG, Wortmann S, Yamamoto S, Pao M, Blom HJ
Orphanet J Rare Dis 2015 Aug 20;10:99. doi: 10.1186/s13023-015-0321-y. PMID: 26289392Free PMC Article
Couce ML, Bóveda MD, García-Jimémez C, Balmaseda E, Vives I, Castiñeiras DE, Fernández-Marmiesse A, Fraga JM, Mudd SH, Corrales FJ
Mol Genet Metab 2013 Nov;110(3):218-21. Epub 2013 Aug 14 doi: 10.1016/j.ymgme.2013.08.003. PMID: 23993429
Chamberlin ME, Ubagai T, Mudd SH, Wilson WG, Leonard JV, Chou JY
J Clin Invest 1996 Aug 15;98(4):1021-7. doi: 10.1172/JCI118862. PMID: 8770875Free PMC Article
Mudd SH, Levy HL, Tangerman A, Boujet C, Buist N, Davidson-Mundt A, Hudgins L, Oyanagi K, Nagao M, Wilson WG
Am J Hum Genet 1995 Oct;57(4):882-92. PMID: 7573050Free PMC Article

Clinical prediction guides

Motzek A, Knežević J, Switzeny OJ, Cooper A, Barić I, Beluzić R, Strauss KA, Puffenberger EG, Mudd SH, Vugrek O, Zechner U
PLoS One 2016;11(3):e0151261. Epub 2016 Mar 14 doi: 10.1371/journal.pone.0151261. PMID: 26974671Free PMC Article
Chien YH, Abdenur JE, Baronio F, Bannick AA, Corrales F, Couce M, Donner MG, Ficicioglu C, Freehauf C, Frithiof D, Gotway G, Hirabayashi K, Hofstede F, Hoganson G, Hwu WL, James P, Kim S, Korman SH, Lachmann R, Levy H, Lindner M, Lykopoulou L, Mayatepek E, Muntau A, Okano Y, Raymond K, Rubio-Gozalbo E, Scholl-Bürgi S, Schulze A, Singh R, Stabler S, Stuy M, Thomas J, Wagner C, Wilson WG, Wortmann S, Yamamoto S, Pao M, Blom HJ
Orphanet J Rare Dis 2015 Aug 20;10:99. doi: 10.1186/s13023-015-0321-y. PMID: 26289392Free PMC Article
Stefanello FM, Matté C, Pederzolli CD, Kolling J, Mescka CP, Lamers ML, de Assis AM, Perry ML, dos Santos MF, Dutra-Filho CS, Wyse AT
Biochimie 2009 Aug;91(8):961-8. Epub 2009 May 7 doi: 10.1016/j.biochi.2009.04.018. PMID: 19426780
Chien YH, Chiang SC, Huang A, Hwu WL
Early Hum Dev 2005 Jun;81(6):529-33. Epub 2004 Dec 19 doi: 10.1016/j.earlhumdev.2004.11.005. PMID: 15935930
Mudd SH, Levy HL, Tangerman A, Boujet C, Buist N, Davidson-Mundt A, Hudgins L, Oyanagi K, Nagao M, Wilson WG
Am J Hum Genet 1995 Oct;57(4):882-92. PMID: 7573050Free PMC Article

Supplemental Content

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    Clinical resources

    Practice guidelines

    • PubMed
      See practice and clinical guidelines in PubMed. The search results may include broader topics and may not capture all published guidelines. See the FAQ for details.
    • Bookshelf
      See practice and clinical guidelines in NCBI Bookshelf. The search results may include broader topics and may not capture all published guidelines. See the FAQ for details.

    Curated

    • ACMG ACT, 2021
      American College of Medical Genetics and Genomics, Newborn Screening ACT Sheet, Elevated Methionine +/- Elevated Homocysteine, Homocystinuria (Cystathionine beta-synthase deficiency), 2021
    • ACMG Algorithm, 2021
      American College of Medical Genetics and Genomics, Algorithm, Elevated Methionine +/- Elevated Homocysteine, 2021

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