LMBRD1

Chr 6AR

LMBR1 domain containing 1

Also known as: C6orf209, LMBD1, MAHCF, NESI

The LMBRD1 protein functions as a lysosomal membrane chaperone that exports cobalamin (vitamin B12) from lysosomes to the cytosol by forming a complex with ABCD4 and MMACHC transporters. Mutations cause methylmalonic aciduria and homocystinuria (cblF and cblJ types), disorders of vitamin B12 metabolism that typically present in infancy with developmental delay, failure to thrive, and megaloblastic anemia. This condition follows autosomal recessive inheritance.

OMIMResearchSummary from RefSeq, OMIM, UniProt
LOFmechanismARLOEUF 0.933 OMIM phenotypes
Clinical SummaryLMBRD1
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Gene-Disease Validity (ClinGen)
methylmalonic aciduria and homocystinuria type cblF · ARDefinitive

Definitive — sufficient evidence for diagnostic panels

Population Constraint (gnomAD)
Low constraint (pLI 0.00) — loss-of-function variants are relatively tolerated in the population.

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Tolerant — LoF & missense variants common in population
LoF Constraint
0.93LOEUF
pLI 0.000
Z-score 1.88
OE 0.64 (0.460.93)
Tolerant

Typical tolerance to LoF variation

Missense Constraint
0.26Z-score
OE missense 0.96 (0.871.06)
272 obs / 284.2 exp
Tolerant

Mild missense constraint

Observed / Expected Ratios
LoF OE0.64 (0.460.93)
00.351.4
Missense OE0.96 (0.871.06)
00.61.4
Synonymous OE0.93
01.21.6
LoF obs/exp: 21 / 32.6Missense obs/exp: 272 / 284.2Syn Z: 0.56
Curated Mechanism (G2P)Gene2Phenotype (DDG2P) ↗
definitiveLMBRD1-related methylmalonic aciduria and homocystinuriaLOFAR

Predictions shown for reference only — model trained on dominant genes, not applicable to AR conditions.

DN
0.6357th %ile
GOF
0.7028th %ile
LOF
0.2970th %ile

The Badonyi & Marsh prediction model was trained exclusively on dominant disease genes. Predictions are not reliable for genes with autosomal recessive inheritance and are shown at reduced opacity for reference only.

Predictions from Badonyi M, Marsh JA. PLoS ONE. 2024;19(8):e0307312.

ClinVar Variant Classifications

0 submitted variants in ClinVar

Protein Context — Lollipop Plot

LMBRD1 · protein map & ClinVar variants

Showing all ClinVar variants across the protein. Search a specific variant to highlight its position.

3D Protein StructureAlphaFold

Clinical Trials

Active and recruiting trials from ClinicalTrials.gov

No active trials found for this gene.

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Clinical Literature
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