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a Division of Medical
Genetics, Department of Medicine, McGill University Health Centre,
Montreal, Quebec, Canada, b Departments of Medicine,
Human Genetics, Pediatrics, and Biology, McGill University, Montreal,
Quebec, Canada
Correspondence to: Dr Watkins, Division of Medical Genetics, Room H5-63, Royal Victoria Hospital, 687 Pine Avenue W, Montreal, Quebec H3A 1A1, Canada, dwatkins{at}generation.net
Revised version received 24 February 2000;
Accepted for publication 8
March 2000
AIM
To investigate genetic
heterogeneity within the cblA class of
inborn error of cobalamin metabolism.
CONTEXT
The
cblA disorder is characterised by vitamin
B12 (cobalamin) responsive methylmalonic aciduria and deficient
synthesis of adenosylcobalamin, required for activity of the
mitochondrial enzyme methylmalonyl CoA mutase. The
cblA gene has not been identified or cloned.
We have previously described a patient with the clinical and
biochemical phenotype of the cblA disorder
whose fibroblasts complemented cells from patients with all known types
of inborn error of adenosylcobalamin synthesis, including
cblA.
METHODS
We have performed somatic
cell complementation analysis of the cblA
variant fibroblast line with a panel of 28 cblA lines. We have also performed detailed
complementation analysis on a panel of 10 cblA fibroblast lines, not including the
cblA variant line.
RESULTS
The
cblA variant line complemented all 28 cell
lines of the panel. There was evidence for interallelic complementation
among the 10 cblA lines used for detailed
complementation analysis; no cell line in this panel complemented all
other members.
CONCLUSIONS
These results strongly
suggest that the cblA variant represents a
novel complementation class, which we have designated
cblH and which represents a mutation at a
distinct gene. They also suggest that the
cblA gene encodes a protein that functions
as a multimer, allowing for extensive interallelic complementation.
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