“…In humans, at least 204 missense AHCY variants are annotated in public databases 1 or reported in the literature. Twelve of these variants are linked with a rare autosomal recessive disorder in the methionine metabolism of hypermethioninemia (R49C, R49H, A50T, T57I, G71S, D86G, A89V, E108K, T112stop, Y143C, V217M, and Y328D), characterized by a deficiency of AHCY (OMIM: 180960) (Baric et al, 2004(Baric et al, , 2005Buist et al, 2006;Vugrek et al, 2009;Honzik et al, 2012;Stender et al, 2015;Strauss et al, 2015;Vivante et al, 2017;Bas et al, 2020;Grudzinska Pechhacker et al, 2020). Patients typically display severe hepatic, muscle, and cognitive dysfunction, including multiorgan failure followed by death soon after birth (Tehlivets et al, 2013;Stender et al, 2015;Judkins et al, 2018).…”