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Living with Methylmalonic acidemia due to transcobalamin receptor defect

A rare inherited condition with moderately raised methylmalonic acid, where most people have no symptoms.

Understanding Methylmalonic acidemia due to transcobalamin receptor defect

Methylmalonic acidemia due to transcobalamin receptor defect is a rare condition in which cells take up less vitamin B12 (cobalamin), raising methylmalonic acid in blood and urine.

People are usually without symptoms, but newborn screening shows raised levels of certain markers. Homocysteine may be normal or moderately raised. Blocked blood vessels in the retina leading to severe vision loss have been reported. It starts in newborns and infants.

Signs & symptoms

GARD doesn't list specific symptoms for this condition yet. Its summary says people are usually without symptoms.

  • Usually no symptoms
  • High methylmalonic acid in blood and urine
  • Blocked retina blood vessels (reported)

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include genetic specialists.

  3. Consider genetic testing

    Changes in CD320 are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

Care & treatment

Care team
Genetic specialists (geneticists)
Expert care
Ask about multidisciplinary care centers for rare conditions
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with Organic Acidemia Association
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Should we have CD320 genetic testing?
How often should eye health be checked?
Do I need any vitamin B12 monitoring?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Recessive
GenesCD320

Changes in the CD320 gene cause this condition. It is autosomal recessive, meaning a child inherits a changed copy of the gene from each parent.

GeneticInherited Metabolic

Also known as: cd320 methylmalonic acidemia; matr; methylmalonic acidemia caused by mutation in cd320; methylmalonic acidemia tcb1r type; methylmalonic acidemia, tcb1r type; methylmalonic acidemia, tcbir type

Patient organizations

Source: NIH GARD · Methylmalonic acidemia due to transcobalamin receptor defectGARD ID 16481 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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Perspectives from people navigating life with Methylmalonic acidemia due to transcobalamin receptor defect.

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