Finkelstein James D
Veterans Affairs Medical Center and George Washington University, Washington, DC 20016, USA.
Clin Chem Lab Med. 2007;45(12):1694-9. doi: 10.1515/CCLM.2007.341.
In mammalian liver, two intersecting pathways, remethylation and transsulfuration, compete for homocysteine that has been formed from methionine. Remethylation of homocysteine, employing either methyltetrahydrofolate or betaine as the methyl donor, forms a methionine cycle that functions to conserve methionine. In contrast, the transsulfuration sequence -- cystathionine synthase and cystathionase -- serves to irreversibly catabolize the homocysteine while synthesizing cysteine. The rate of homocysteine formation and its distribution between these two pathways are the sites for metabolic regulation and coordination. The mechanisms for regulation include both the tissue content and the kinetic properties of the component enzymes as well as the concentrations of their substrates and other metabolic effectors. Adenosylmethionine and adenosylhomocysteine are important regulatory metabolites and may use one or more mechanisms to affect the enzymes. Adenosylmethionine is a positive effector of its own synthesis, cystathionine synthase and glycine methyltransferase but impairs both homocysteine methylases. Thus, the concentration of adenosylmethionine may be self-regulatory in mammalian liver. By means of other enzymatic mechanisms, the hepatic concentration of adenosylhomocysteine, an index of homocysteine accumulation, is also self-regulated. These considerations pertain primarily to liver, which has the unique capacity to synthesize more adenosylmethionine in the presence of excess methionine. However, there are organ-specific patterns of methionine metabolism and its regulation. All tissues possess the methionine cycle with methyltetrahydrofolate as the methyl donor but only liver, kidney, pancreas, intestine and brain also contain the transsulfuration pathway. The limitation of adenosylmethionine concentrations may make adenosylhomocysteine a more significant metabolic regulator in extrahepatic tissues. However, estimates of regulatory changes based on determinations of the plasma concentrations of the two metabolites are of limited value and must be used with caution. In addition, the recent description of "cystathionine (CBS) domains" in proteins not involved with methionine metabolism raises the possibility that abnormal concentrations of the adenosyl metabolites may impact on other metabolic pathways.
在哺乳动物肝脏中,两条相互交叉的途径,即再甲基化和转硫作用,会竞争由蛋氨酸生成的同型半胱氨酸。利用甲基四氢叶酸或甜菜碱作为甲基供体,同型半胱氨酸的再甲基化形成了一个蛋氨酸循环,其作用是保存蛋氨酸。相比之下,转硫途径(胱硫醚合酶和胱硫醚酶)则在合成半胱氨酸的同时不可逆地分解同型半胱氨酸。同型半胱氨酸的生成速率及其在这两条途径之间的分配是代谢调节和协调的位点。调节机制包括组成酶的组织含量和动力学特性,以及它们底物和其他代谢效应物的浓度。腺苷甲硫氨酸和腺苷同型半胱氨酸是重要的调节性代谢物,可能通过一种或多种机制影响这些酶。腺苷甲硫氨酸是其自身合成、胱硫醚合酶和甘氨酸甲基转移酶的正效应物,但会损害两种同型半胱氨酸甲基化酶。因此,腺苷甲硫氨酸的浓度在哺乳动物肝脏中可能具有自我调节作用。通过其他酶促机制,作为同型半胱氨酸积累指标的腺苷同型半胱氨酸的肝脏浓度也会自我调节。这些考虑主要适用于肝脏,肝脏具有在蛋氨酸过量时合成更多腺苷甲硫氨酸的独特能力。然而,蛋氨酸代谢及其调节存在器官特异性模式。所有组织都拥有以甲基四氢叶酸作为甲基供体的蛋氨酸循环,但只有肝脏、肾脏、胰腺、肠道和大脑也含有转硫途径。腺苷甲硫氨酸浓度的限制可能使腺苷同型半胱氨酸在肝外组织中成为更重要的代谢调节物。然而,基于这两种代谢物血浆浓度测定来估计调节变化的价值有限,必须谨慎使用。此外,最近在与蛋氨酸代谢无关的蛋白质中发现了“胱硫醚(CBS)结构域”,这增加了腺苷代谢物异常浓度可能影响其他代谢途径的可能性。