“…If untreated, metabolic crisis can result in lethal multi-organ failure, underlining the importance of improving the knowledge about disease pathology (Hörster et al, 2007;Matsui, Mahoney, & Rosenberg, 1983). To date, about 140 cblA patients harboring 41 different mutations in MMAA have been published (Ampola, Mahoney, Nakamura, & Tanaka, 1975;Dempsey-Nunez et al, 2012;Dobson et al, 2002b;Gravel, Mahoney, Ruddle, and Rosenberg, 1975;Hörster et al, 2007;Lerner-Ellis et al, 2004;Martínez et al, 2005;Matsui et al, 1983;Merinero et al, 2008;Nizon et al, 2013;Rosenberg, Lilljeqvist, and Hsia, 1968;Vatanavicharn et al, 2012;Yang et al, 2004). The nonsense mutation c.433C>T (p.Arg145*), resulting in a premature stop-codon, accounts for the majority of pathogenic alleles (Lerner-Ellis et al, 2004).…”