2003
DOI: 10.1016/s0021-9150(03)00010-8
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Investigations of a common genetic variant in betaine–homocysteine methyltransferase (BHMT) in coronary artery disease

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Cited by 77 publications
(58 citation statements)
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“…Both BHMT and MTRR are involved in maintaining cellular levels of methionine; BHMT catalyzes the re-methylation of homocysteine to methionine, predominantly in the liver and kidney (49), whereas MTRR activates MTR, which also catalyzes the re-methylation of homocysteine to methionine in various tissues. (50,51) and spina bifida (52) associated with Gln/Gln versus Arg/Arg at BHMT codon 239 have been suggested among three previous studies. However, another study observed no association with spina bifida (53), and Arg 239 Gln has not been associated with altered BHMT activity (51) or homocysteine levels (50).…”
Section: Resultsmentioning
confidence: 86%
“…Both BHMT and MTRR are involved in maintaining cellular levels of methionine; BHMT catalyzes the re-methylation of homocysteine to methionine, predominantly in the liver and kidney (49), whereas MTRR activates MTR, which also catalyzes the re-methylation of homocysteine to methionine in various tissues. (50,51) and spina bifida (52) associated with Gln/Gln versus Arg/Arg at BHMT codon 239 have been suggested among three previous studies. However, another study observed no association with spina bifida (53), and Arg 239 Gln has not been associated with altered BHMT activity (51) or homocysteine levels (50).…”
Section: Resultsmentioning
confidence: 86%
“…The decreased Km of the alloenzyme may be responsible for the increased efficiency of Hcy remethylation, which requires betaine as a methyl group donor, [32], reducing Hcy concentration. Furthermore, studies have suggested a protective role of the homozygous AA genotype against neural tube defects [33] and cardiovascular disease [34], suggesting that the BHMT 742 G allele may have a deleterious effect on Hcy metabolism. Supporting this hypothesis and consistent with our findings, the BHMT 742 AA genotype was associated with lower Hcy concentrations in a previous study [33].…”
Section: Discussionmentioning
confidence: 99%
“…In a normally functioning metabolic state, methionine produces homocysteine as an intermediate step before either transsulfuration via cystathionine into cysteine or remethylation to methionine [20]. This remethylation may be folate-dependent, or may use betaine, a metabolite of choline [21]. Methionine synthase, a vitamin B 12 -dependent enzyme, utilizes 5-methyltetrahydrofolate as the carbon donor for folate-dependent homocysteine remethylation; methionine synthase requires activation by methionine synthase reductase (MTRR).…”
mentioning
confidence: 99%
“…Betainehomocysteine methyltransferase (BHMT) utilizes betaine as the carbon donor. Therefore, the improper function of remethylation enzymes, due to mutation or to insufficient intake of relevant nutrients, may result in elevated homocysteine levels and contribute to thrombophilias, and possibly, placental abruption.This study focuses on variants in two of the enzymes responsible for the remethylation of homocysteine, MTRR 66A→G and BHMT 742G→A [21]. While BHMT, unlike MTRR, is not directly involved in the folate-dependent pathway, experiments have shown that homocysteine flux through the BHMT pathway is enhanced when folate-dependent remethylation is disrupted [22].…”
mentioning
confidence: 99%
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