The metabolism of homocysteine: pathways and regulation

Eur J Pediatr. 1998 Apr:157 Suppl 2:S40-4. doi: 10.1007/pl00014300.

Abstract

Two pathways, the methionine cycle and transsulfuration, account for virtually all methionine metabolism in mammals. Every tissue possesses the methionine cycle. Therefore, each can synthesize AdoMet, employ it for transmethylation, hydrolyze AdoHcy, and remethylate homocysteine. Transsulfuration, which occurs only in liver, kidney, small intestine and pancreas, is the means for catabolizing homocysteine. Liver has a unique isoenzyme of MAT that allows the utilization of excess methionine for the continued synthesis of AdoMet. Metabolic regulation is based on the distribution of available homocysteine between remethylation and conversion to cystathionine. The tissue content of the enzymes and their inherent kinetic properties provide the basis for the regulatory mechanism. The effector properties of the metabolites AdoMet, AdoHcy and methylTHF are of particular relevance.

Publication types

  • Review

MeSH terms

  • Animals
  • Homocysteine / biosynthesis
  • Homocysteine / blood
  • Homocysteine / metabolism*
  • Humans
  • Hydrolysis
  • Methionine / metabolism
  • Methylation
  • S-Adenosylmethionine / metabolism

Substances

  • Homocysteine
  • S-Adenosylmethionine
  • Methionine