Part I:--Homocysteine is metabolized through two pathways: Remethylation and trans-sulfuration .
A) Remethylation to methionine requires folate and
B12 as co enzymes while B) transsulfuation
requires pyridoxal -5
phosphate , the
B12 co enzyme for its conversion to cysteine .
Therefore in poor men and women simply F acid suppl won’t do as to normalize
the blood homocysteine level we must supplement B12 and B6 as well .But seldom this
is done in clinical practice . Pyrilong F
, A-Zcap, Becadexamin however contains Both F acid, B6 and Vit B6 .
What does F.
acid and B 12 do in the body in methyl donor process? These are principally methyl donors to any
molecules. It is a homologue of the
amino acid cysteine, differing by an additional methylene bridge (-CH2-). It is biosynthesized from methionine by the removal of its terminal Cε methyl group. In the body, homocysteine can be recycled into methionine or converted into cysteine with the aid of certain B-vitamins. Methionine is a
sulfur-containing amino acid which enters the body through dietary proteins, is
used in forming proteins in the body, and is the precursor (through the methionine cycle) of the
sulfur-containing amino acids homocysteine, cysteine, and taurine. The transsulfuration pathway connects methionine and
glutathione biosynthesis. In the methionine cycle, methionine forms
S-adenosylmethionine which serves as a methyl donor, generating S-adenosyl homocysteine.
This is converted to homocysteine, converted back
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