CIMAH
MCID: CMB083
MIFTS: 28

Combined Immunodeficiency and Megaloblastic Anemia with or Without Hyperhomocysteinemia (CIMAH)

Categories: Genetic diseases, Immune diseases, Mental diseases, Metabolic diseases, Neuronal diseases

Aliases & Classifications for Combined Immunodeficiency and Megaloblastic Anemia with or...

MalaCards integrated aliases for Combined Immunodeficiency and Megaloblastic Anemia with or Without Hyperhomocysteinemia:

Name: Combined Immunodeficiency and Megaloblastic Anemia with or Without Hyperhomocysteinemia 56 73 29 6
Cimah 56 73
Methylenetetrahydrofolate Dehydrogenase 1 Deficiency 56

Characteristics:

OMIM:

56
Inheritance:
autosomal recessive

Miscellaneous:
variable clinical presentation
patients respond to folinic acid supplementation


HPO:

31
combined immunodeficiency and megaloblastic anemia with or without hyperhomocysteinemia:
Inheritance autosomal recessive inheritance


Classifications:



Summaries for Combined Immunodeficiency and Megaloblastic Anemia with or...

OMIM : 56 Combined immunodeficiency and megaloblastic anemia with or without hyperhomocysteinemia is an inborn error of folate metabolism due to deficiency of methylenetetrahydrofolate dehydrogenase-1. Manifestations may include hemolytic uremic syndrome, macrocytosis, epilepsy, hearing loss, retinopathy, mild mental retardation, lymphopenia involving all subsets, and low T-cell receptor excision circles. Folinic acid supplementation is an effective treatment (summary by Ramakrishnan et al., 2016). (617780)

MalaCards based summary : Combined Immunodeficiency and Megaloblastic Anemia with or Without Hyperhomocysteinemia, also known as cimah, is related to autoimmune disease and hemolytic uremic syndrome, atypical 1. An important gene associated with Combined Immunodeficiency and Megaloblastic Anemia with or Without Hyperhomocysteinemia is MTHFD1 (Methylenetetrahydrofolate Dehydrogenase, Cyclohydrolase And Formyltetrahydrofolate Synthetase 1). Affiliated tissues include t cells, liver and nk cells, and related phenotypes are autoimmunity and hearing impairment

UniProtKB/Swiss-Prot : 73 Combined immunodeficiency and megaloblastic anemia with or without hyperhomocysteinemia: An autosomal recessive disorder due to an inborn error of folate metabolism. Variable clinical manifestations include hemolytic uremic syndrome, macrocytosis, epilepsy, hearing loss, retinopathy, mild mental retardation, and lymphopenia.

Related Diseases for Combined Immunodeficiency and Megaloblastic Anemia with or...

Diseases related to Combined Immunodeficiency and Megaloblastic Anemia with or Without Hyperhomocysteinemia via text searches within MalaCards or GeneCards Suite gene sharing:

# Related Disease Score Top Affiliating Genes
1 autoimmune disease 10.0
2 hemolytic uremic syndrome, atypical 1 10.0
3 homocysteinemia 10.0
4 hemolytic-uremic syndrome 10.0
5 megaloblastic anemia 10.0
6 severe combined immunodeficiency 10.0

Graphical network of the top 20 diseases related to Combined Immunodeficiency and Megaloblastic Anemia with or Without Hyperhomocysteinemia:



Diseases related to Combined Immunodeficiency and Megaloblastic Anemia with or Without Hyperhomocysteinemia

Symptoms & Phenotypes for Combined Immunodeficiency and Megaloblastic Anemia with or...

Human phenotypes related to Combined Immunodeficiency and Megaloblastic Anemia with or Without Hyperhomocysteinemia:

31 (show all 16)
# Description HPO Frequency HPO Source Accession
1 autoimmunity 31 very rare (1%) HP:0002960
2 hearing impairment 31 HP:0000365
3 vomiting 31 HP:0002013
4 intellectual disability, mild 31 HP:0001256
5 lymphopenia 31 HP:0001888
6 recurrent pneumonia 31 HP:0006532
7 eczema 31 HP:0000964
8 pancytopenia 31 HP:0001876
9 septic arthritis 31 HP:0003095
10 severe combined immunodeficiency 31 HP:0004430
11 megaloblastic anemia 31 HP:0001889
12 thrombocytosis 31 HP:0001894
13 asthenia 31 HP:0025406
14 seizure 31 HP:0001250
15 decreased circulating antibody level 31 HP:0004313
16 decreased methylcobalamin 31 HP:0003223

Symptoms via clinical synopsis from OMIM:

56
Abdomen Gastrointestinal:
vomiting

Skin Nails Hair Skin:
eczema

Skeletal:
septic arthritis

Laboratory Abnormalities:
decreased methylcobalamin
normal serum cobalamin

Abdomen Liver:
liver fibrosis

Head And Neck Ears:
hearing loss, mild (in 1 patient)

Genitourinary Kidneys:
atypical hemolytic uremic syndrome

Hematology:
lymphopenia
pancytopenia
macrocytic anemia
megaloblastic anemia
thrombocytosis
more
Immunology:
recurrent infections
hypogammaglobulinemia
autoimmune disease (in some patients)
low nk cells
low t cells
more
Neurologic Behavioral Psychiatric Manifestations:
asthenia

Respiratory:
recurrent pulmonary infections

Neurologic Central Nervous System:
seizures (in 1 patient)
mental retardation, mild (in 1 patient)

Genitourinary External Genitalia Female:
moniliasis

Metabolic Features:
hyperhomocysteinemia (in some patients)

Clinical features from OMIM:

617780

Drugs & Therapeutics for Combined Immunodeficiency and Megaloblastic Anemia with or...

Search Clinical Trials , NIH Clinical Center for Combined Immunodeficiency and Megaloblastic Anemia with or Without Hyperhomocysteinemia

Genetic Tests for Combined Immunodeficiency and Megaloblastic Anemia with or...

Genetic tests related to Combined Immunodeficiency and Megaloblastic Anemia with or Without Hyperhomocysteinemia:

# Genetic test Affiliating Genes
1 Combined Immunodeficiency and Megaloblastic Anemia with or Without Hyperhomocysteinemia 29 MTHFD1

Anatomical Context for Combined Immunodeficiency and Megaloblastic Anemia with or...

MalaCards organs/tissues related to Combined Immunodeficiency and Megaloblastic Anemia with or Without Hyperhomocysteinemia:

40
T Cells, Liver, Nk Cells, B Cells

Publications for Combined Immunodeficiency and Megaloblastic Anemia with or...

Articles related to Combined Immunodeficiency and Megaloblastic Anemia with or Without Hyperhomocysteinemia:

# Title Authors PMID Year
1
Precision Molecular Diagnosis Defines Specific Therapy in Combined Immunodeficiency with Megaloblastic Anemia Secondary to MTHFD1 Deficiency. 6 56
27707659 2016
2
Characterization and review of MTHFD1 deficiency: four new patients, cellular delineation and response to folic and folinic acid treatment. 56 6
25633902 2015
3
Novel inborn error of folate metabolism: identification by exome capture and sequencing of mutations in the MTHFD1 gene in a single proband. 6 56
21813566 2011
4
Severe combined immunodeficiency resulting from mutations in MTHFD1. 56
23296427 2013
5
Channeling efficiency in the bifunctional methylenetetrahydrofolate dehydrogenase/cyclohydrolase domain: the effects of site-directed mutagenesis of NADP binding residues. 6
11004530 2000
6
Biochemical analysis of patients with mutations in MTHFD1 and a diagnosis of methylenetetrahydrofolate dehydrogenase 1 deficiency. 61
32414565 2020
7
Immunodeficiency and inborn disorders of vitamin B12 and folate metabolism. 61
32412981 2020

Variations for Combined Immunodeficiency and Megaloblastic Anemia with or...

ClinVar genetic disease variations for Combined Immunodeficiency and Megaloblastic Anemia with or Without Hyperhomocysteinemia:

6 ‎‎ ‎‎ ‎‎ ‎‎ ‎‎ ‎‎ ‎‎ ‎‎
# Gene Name Type Significance ClinVarId dbSNP ID GRCh37 Pos GRCh38 Pos
1 MTHFD1 NM_005956.4(MTHFD1):c.727+1G>ASNV Pathogenic 446302 rs781065280 14:64886644-64886644 14:64419926-64419926
2 MTHFD1 NM_005956.4(MTHFD1):c.1674G>A (p.Thr558=)SNV Pathogenic 446305 rs1456143398 14:64905890-64905890 14:64439172-64439172
3 MTHFD1 NM_005956.4(MTHFD1):c.673G>T (p.Glu225Ter)SNV Pathogenic 446307 rs760889414 14:64886589-64886589 14:64419871-64419871
4 MTHFD1 NG_012450.1:g.(45534_?)_(?_47555)deldeletion Pathogenic 446308
5 MTHFD1 NM_005956.4(MTHFD1):c.152T>C (p.Leu51Pro)SNV Likely pathogenic 446309 rs1555336810 14:64877833-64877833 14:64411115-64411115
6 MTHFD1 NM_005956.4(MTHFD1):c.146C>T (p.Ser49Phe)SNV Likely pathogenic 446306 rs370444838 14:64877827-64877827 14:64411109-64411109
7 MTHFD1 NM_005956.4(MTHFD1):c.517C>T (p.Arg173Cys)SNV Likely pathogenic 446303 rs141210410 14:64884644-64884644 14:64417926-64417926
8 MTHFD1 NM_005956.4(MTHFD1):c.806C>T (p.Thr269Ile)SNV Likely pathogenic 446304 rs1555337681 14:64891600-64891600 14:64424882-64424882

UniProtKB/Swiss-Prot genetic disease variations for Combined Immunodeficiency and Megaloblastic Anemia with or Without Hyperhomocysteinemia:

73
# Symbol AA change Variation ID SNP ID
1 MTHFD1 p.Ser49Phe VAR_074075 rs370444838
2 MTHFD1 p.Arg173Cys VAR_074076 rs141210410
3 MTHFD1 p.Thr269Ile VAR_074077 rs155533768
4 MTHFD1 p.Leu51Pro VAR_080873 rs155533681

Expression for Combined Immunodeficiency and Megaloblastic Anemia with or...

Search GEO for disease gene expression data for Combined Immunodeficiency and Megaloblastic Anemia with or Without Hyperhomocysteinemia.

Pathways for Combined Immunodeficiency and Megaloblastic Anemia with or...

GO Terms for Combined Immunodeficiency and Megaloblastic Anemia with or...

Sources for Combined Immunodeficiency and Megaloblastic Anemia with or...

3 CDC
7 CNVD
9 Cosmic
10 dbSNP
11 DGIdb
17 EFO
18 ExPASy
19 FMA
28 GO
29 GTR
30 HMDB
31 HPO
32 ICD10
33 ICD10 via Orphanet
34 ICD9CM
35 IUPHAR
36 KEGG
37 LifeMap
39 LOVD
41 MedGen
43 MeSH
44 MESH via Orphanet
45 MGI
48 NCI
49 NCIt
50 NDF-RT
53 NINDS
54 Novoseek
56 OMIM
57 OMIM via Orphanet
61 PubMed
63 QIAGEN
68 SNOMED-CT via HPO
69 TGDB
70 Tocris
71 UMLS
72 UMLS via Orphanet
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