Metabolites

Cystathionine

Intermediate in transsulfuration pathway; formed from homocysteine and serine by CBS enzyme.

Cystathionine pathway diagram

Cystathionine is a key intermediate in the transsulfuration pathway that converts homocysteine to cysteine. It is formed when cystathionine beta-synthase (CBS) combines homocysteine with serine in a B6-dependent reaction. Cystathionine is then cleaved by cystathionine gamma-lyase (CSE/CTH), also B6-dependent, to produce cysteine, alpha-ketobutyrate, and ammonia.

This pathway is irreversible and represents the major route for homocysteine disposal when methionine is abundant. Cystathionine levels are very low in normal plasma because it is rapidly converted to cysteine. Elevated cystathionine indicates either CBS overactivity or CSE deficiency.

The transsulfuration pathway also produces hydrogen sulfide (H2S), an important signaling molecule.

Metabolic Connections

Cystathionine connects to 12 other pathways.

Cystathionine Discussion