Severe Methylenetetrahydrofolate Reductase Deficiency, Methionine Synthase, and Nitrous Oxide — A Cautionary Tale

2003 ◽  
Vol 349 (1) ◽  
pp. 5-6 ◽  
Author(s):  
Richard W. Erbe ◽  
Robbert J. Salis
Author(s):  
Rowena G. Matthews ◽  
C. Lee Elmore

AbstractThere are now four genetic mouse models that induce hyperhomocyst(e)inemia by decreasing the activity of an enzyme involved in homocysteine metabolism: cystathionine β-synthase, methylenetetrahydrofolate reductase, methionine synthase and methionine synthase reductase. While each enzyme deficiency leads to murine hyperhomocyst(e)inemia, the accompanying metabolic profiles are significantly and often unexpectedly, different. Deficiencies in cystathionine β-synthase lead to elevated plasma methionine, while deficiencies of the remaining three enzymes lead to hypomethioninemia. The liver [S-adenosylmethionine]/[S-adenosylhomocysteine] ratio is decreased in mice lacking methylenetetrahydrofolate reductase or cystathionine β-synthase, but unexpectedly increased in mice with deficiencies in methionine synthase or methionine synthase reductase. Folate pool imbalances are observed in complete methylenetetrahydrofolate reductase deficiency, where methyltetra-hydrofolate is a minor component, and in methionine synthase reductase deficiency, where methyltetrahydrofolate is increased relative to wild-type mice. These differences illustrate the potential diversity among human patients with hyperhomocyst(e)inemia, and strengthen the argument that the pathologies associated with the dissimilar forms of the condition will require different treatments.Clin Chem Lab Med 2007;45:1700–3.


2013 ◽  
Vol 44 (02) ◽  
Author(s):  
C Thiels ◽  
K Weigt-Usinger ◽  
S Kölker ◽  
N Janzen ◽  
M Baumgartner ◽  
...  

1993 ◽  
Vol 45 (5) ◽  
pp. 572-576 ◽  
Author(s):  
J. C. Haworth ◽  
L. A. Dilling ◽  
R. A. H. Surtees ◽  
L. E. Seargeant ◽  
H. Lue-Shing ◽  
...  

2015 ◽  
Vol 37 (1) ◽  
pp. 168-170 ◽  
Author(s):  
Tatiana Munoz ◽  
Jinesh Patel ◽  
Ramses Badilla-Porras ◽  
Jonathan Kronick ◽  
Saadet Mercimek-Mahmutoglu

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