Target intelligence / Profile preview

Homocysteine S-methyltransferase (HMT)

Target
HMT
Molecular classification
Enzyme, Transferase, Methyltransferase
01

Overview

Homocysteine S-methyltransferase enzymes catalyze the remethylation of homocysteine to methionine, a critical reaction in methionine and one-carbon metabolism[2][1][4]. Key forms include Betaine-homocysteine S-methyltransferase (BHMT), which uses betaine as a methyl donor primarily in the liver and kidney, and Methionine synthase (MTR), which uses methylcobalamin and 5-methyltetrahydrofolate as substrates and is present throughout various tissues[1][4][2]. These enzymes regulate homocysteine concentrations, and disruptions in their activities can lead to hyperhomocysteinemia, a recognized risk factor for cardiovascular disease, neural tube defects, and certain neuropsychiatric disorders[4]. BHMT and MTR have roles in metabolite repair and S-adenosylmethionine metabolism as well[2]. The broader term "homocysteine methyltransferase" encompasses more than one specific protein and should be mapped to the most relevant, well-characterized enzyme for structured data applications.

Other names
Betaine-homocysteine S-methyltransferaseMethionine synthaseHomocysteine methyltransferaseHomocysteine S-methyltransferaseBHMTMTR
02

Mechanism of action

Catalysis of methyl group transfer to homocysteine to form methionine (using methyl donors such as S-adenosylmethionine, S-methylmethionine, or betaine); Regulation of homocysteine and methionine metabolic cycles

03

Biological functions

Methionine biosynthesisHomocysteine methylationMethionine regenerationMetabolism of glycine, serine, threonineMetabolite repair
04

Disease associations

Cardiovascular disease (via hyperhomocysteinemia)Neural tube defectsNeuropsychiatric disorders (e.g., autism, schizophrenia)Vascular disease
05

Safety considerations

Elevated homocysteine due to deficiency or dysfunction associated with cardiovascular and neurological diseasePossible accumulation of toxic intermediates if enzyme function is impaired
06

Interacting drugs

Betaine (trimethylglycine)

3 more in the full profile.

07

Biomarkers

Homocysteine levels (plasma/serum)Methionine levelsDimethylglycineBetaine

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