Methylmalonic aciduria due to methylmalonyl-CoA mutase deficiency: genes and variants
Methylmalonic aciduria due to methylmalonyl-CoA mutase deficiency is linked to 1 analyzed protein (MMUT). 55 DNA variants are known to cause it; 68 more are uncertain, and 4 of those already look disease-causing on computable evidence.
Last updated 2026-09-30. Research information, not medical advice.
Genes linked to Methylmalonic aciduria due to methylmalonyl-CoA mutase deficiency
MMUT: Methylmalonyl-CoA mutase, mitochondrial
It converts methylmalonyl-CoA to succinyl-CoA in mitochondria using adenosylcobalamin as a cofactor. Biallelic loss-of-function variants cause isolated methylmalonic acidemia, which can lead to metabolic acidosis, hyperammonemia, neurologic injury, and chronic kidney disease.
55 disease-causing and 68 uncertain variants in MMUT are linked to Methylmalonic aciduria due to methylmalonyl-CoA mutase deficiency.
Known disease-causing variants in Methylmalonic aciduria due to methylmalonyl-CoA mutase deficiency
| Variant | Position | Protein part | Clinical label |
|---|---|---|---|
| MMUT N189I | 189 | Disease-causing (★★) | |
| MMUT G215S | 215 | Disease-causing (★★) | |
| MMUT G215C | 215 | Disease-causing (★★) | |
| MMUT S262N | 262 | Disease-causing (★★) | |
| MMUT R326K | 326 | Disease-causing (★★) | |
| MMUT R326G | 326 | Disease-causing (★★) | |
| MMUT L328F | 328 | Disease-causing (★★) | |
| MMUT T387P | 387 | Disease-causing (★★) | |
| MMUT L328P | 328 | Disease-causing (★★) | |
| MMUT R403Q | 403 | Disease-causing (★★) | |
| MMUT D625N | 625 | B12-binding | Disease-causing (★★) |
| MMUT G94R | 94 | Disease-causing (★★) | |
| MMUT F174S | 174 | Disease-causing (★★) | |
| MMUT N189K | 189 | Disease-causing (★★) | |
| MMUT A191T | 191 | Disease-causing (★★) | |
| MMUT P194L | 194 | Disease-causing (★★) | |
| MMUT T387I | 387 | Disease-causing (★★) | |
| MMUT P615L | 615 | B12-binding | Disease-causing (★★) |
| MMUT R616C | 616 | B12-binding | Disease-causing (★★) |
| MMUT Q624R | 624 | B12-binding | Disease-causing (★★) |
| MMUT H627R | 627 | B12-binding | Disease-causing (★★) |
| MMUT W105R | 105 | Disease-causing (★★) | |
| MMUT G284R | 284 | Disease-causing (★★) | |
| MMUT N388K | 388 | Disease-causing (★★) | |
| MMUT P424L | 424 | Disease-causing (★★) | |
| MMUT L736F | 736 | B12-binding | Disease-causing (★★) |
| MMUT Y429C | 429 | Disease-causing (★★) | |
| MMUT A676T | 676 | B12-binding | Disease-causing (★★) |
| MMUT M1T | 1 | Disease-causing (★★) | |
| MMUT T142A | 142 | Disease-causing (★★) | |
| MMUT R403G | 403 | Disease-causing (★) | |
| MMUT D625A | 625 | B12-binding | Disease-causing (★) |
| MMUT D625G | 625 | B12-binding | Disease-causing (★) |
| MMUT A320V | 320 | Disease-causing (★) | |
| MMUT L347R | 347 | Disease-causing (★) | |
| MMUT V666M | 666 | B12-binding | Disease-causing (★) |
| MMUT L618P | 618 | B12-binding | Disease-causing (★) |
| MMUT I705R | 705 | B12-binding | Disease-causing (★) |
| MMUT G133R | 133 | Disease-causing (★) | |
| MMUT T187S | 187 | Disease-causing (★) | |
| MMUT E276D | 276 | Disease-causing (★) | |
| MMUT G284E | 284 | Disease-causing (★) | |
| MMUT G426E | 426 | Disease-causing (★) | |
| MMUT N126K | 126 | Disease-causing (★) | |
| MMUT D139N | 139 | Disease-causing (★) | |
| MMUT G158V | 158 | Disease-causing (★) | |
| MMUT A269V | 269 | Disease-causing (★) | |
| MMUT G381V | 381 | Disease-causing (★) | |
| MMUT A552V | 552 | Disease-causing (★) | |
| MMUT A558V | 558 | Disease-causing (★) | |
| MMUT S262I | 262 | Disease-causing | |
| MMUT Q218E | 218 | Disease-causing | |
| MMUT Q218R | 218 | Disease-causing | |
| MMUT C560R | 560 | Disease-causing | |
| MMUT I298N | 298 | Disease-causing |
Uncertain variants in Methylmalonic aciduria due to methylmalonyl-CoA mutase deficiency that look disease-causing
| Variant | Position | Protein part | Clinical label | Evidence |
|---|---|---|---|---|
| MMUT T387K | 387 | Conflicting reports (★) | +7: 3 other pathogenic changes within 3 positions; T387P at the same position is pathogenic; seen in 1.4e-06 of gnomAD DNA copies; REVEL 0.946 | |
| MMUT N189S | 189 | Conflicting reports (★) | +6: 4 other pathogenic changes within 3 positions; N189K at the same position is pathogenic; REVEL 0.917 | |
| MMUT C560Y | 560 | Uncertain | +6: 2 other pathogenic changes within 3 positions; C560R at the same position is pathogenic; not seen in the gnomAD population database; AlphaMissense 0.97 | |
| MMUT P615R | 615 | B12-binding | Uncertain | +6: 3 other pathogenic changes within 3 positions; P615L at the same position is pathogenic; not seen in the gnomAD population database; AlphaMissense 0.99 |
Same protein, different disease
- Methylmalonic aciduria due to complete methylmalonyl-CoA mutase deficiency is also caused by MMUT variants; they fall partly in the same places as the Methylmalonic aciduria due to methylmalonyl-CoA mutase deficiency variants (53 disease-causing).
- Methylmalonic acidemia is also caused by MMUT variants; they fall partly in the same places as the Methylmalonic aciduria due to methylmalonyl-CoA mutase deficiency variants (32 disease-causing).
Diseases related to Methylmalonic aciduria due to methylmalonyl-CoA mutase deficiency
- Methylmalonic aciduria due to complete methylmalonyl-CoA mutase deficiency, also linked to MMUT
- Methylmalonic acidemia, also linked to MMUT
- Acute infantile liver failure due to synthesis defect of mtDNA-encoded proteins, also linked to MMUT
- Likely inborn error of metabolism, also linked to MMUT
Frequently asked questions
Which genes are linked to Methylmalonic aciduria due to methylmalonyl-CoA mutase deficiency?
In CATVariant, Methylmalonic aciduria due to methylmalonyl-CoA mutase deficiency is linked to 1 analyzed protein: MMUT (Methylmalonyl-CoA mutase, mitochondrial).
How many genetic variants are linked to Methylmalonic aciduria due to methylmalonyl-CoA mutase deficiency?
226 variants: 55 are classified as disease-causing (pathogenic or likely pathogenic) in ClinVar and 68 are of uncertain significance or have conflicting reports.
Which uncertain variants in Methylmalonic aciduria due to methylmalonyl-CoA mutase deficiency look disease-causing?
4 uncertain variants reach the likely-pathogenic range of the ACMG/AMP points scale on computable evidence, for example MMUT T387K, MMUT N189S, MMUT C560Y and MMUT P615R. These are leads for expert review, not diagnoses.
About this data
Variant–disease links come from ClinVar, Open Targets and UniProt, pooled from the latest public CATVariant analysis of each human protein. Evidence scores use the ACMG/AMP Bayesian points scale with computable criteria only (position among known disease variants, rarity in gnomAD, calibrated predictors, deep mutational scanning); there is no family or patient data, so they prioritise variants for expert review and never classify them.
Download every variant as CSV · Browse all diseases · Methods · About the Center