“…Other clinical findings in patients with cblG include decreased S-adenosylmethionine, lethargy, feeding difficulties, vomiting, abnormal tonus, mental retardation, failure to thrive, blindness, ataxia, delayed myelination, and megaloblastic anemia (Sarafoglou and Hoffman 2009). LMBRD1 is a lysosomal membrane protein thought to be involved in lysosomal export of cobalamin in which alteration leads to the cblF complementation class of the cobalamin metabolism disorders (Rutsch et al 2009(Rutsch et al , 2011Gailus et al 2010). Cells from cblF patients accumulate large amounts of free cobalamin within the lysosomes, but there is a deficiency of both cobalamin coenzyme derivatives and decreased activity of MMA mutase and methionine sythetase (reviewed in Watkins and Rosenblatt, 2011).…”