“…However, one might expect that the mechanistic basis of each disorder is completely unique because MMACHC is an enzyme in the cobalamin pathway (Hannibal et al, 2009) and HCFC1 is a transcriptional co-factor that regulates nearly 5000 different genes (Michaud et al, 2013, p. 1). In order to determine the distinct mechanisms regulating each phenotype, researchers have performed elegant functional analyses which have provided evidence that some phenotypes might be related, while others are likely completely unique (Gérard et al, 2015a, p. 1; Jolly et al, 2015, p. 1; Quintana et al, 2014, p. 1). These animal model studies substantiate clinical findings that demonstrate that a single treatment does not necessarily alleviate all phenotypes (Weisfeld-Adams et al, 2013).…”