Process

Methylation

One of the most fundamental biochemical processes—transferring methyl groups (-CH₃) to regulate gene expression, neurotransmitters, detoxification, and cellular function.

Methylation cycle showing methionine, SAM-e, homocysteine, and connections to folate and transsulfuration
Billions
Reactions Per Second
200+
Methyltransferase Enzymes
SAM-e
Universal Methyl Donor
~40%
Have MTHFR Variants

🔄 The Methylation Cycle

The methylation cycle is an elegant system that continuously regenerates methyl donors. Here's how it works:

1️⃣

Methionine

Essential amino acid. Activated by MAT enzyme to become SAM-e.

2️⃣

SAM-e

Universal methyl donor. Donates -CH₃ to DNA, neurotransmitters, etc.

3️⃣

SAH → Homocysteine

After donating methyl, becomes SAH, then homocysteine.

4️⃣

Remethylation

MTR (B12 + methylfolate) or BHMT (betaine) recycles to methionine.

🎯 What Methylation Actually Does

Gene Expression

DNA methylation silences genes. Epigenetic control without changing DNA sequence.

Neurotransmitters

COMT methylates dopamine/norepinephrine for degradation. Histamine clearance.

Detoxification

Phase II conjugation. Methylation of arsenic, estrogens, and other compounds.

Cell Membranes

Phosphatidylcholine synthesis. Critical for liver, brain, and cell function.

Creatine Synthesis

Largest consumer of SAM-e. Supports muscle and brain energy.

Myelin Production

Nerve insulation requires methylation. Deficiency = neurological symptoms.

🧬 Key Methylation Nutrients

Folate (B9)

As methylfolate (5-MTHF)—the primary methyl donor entering the cycle.

B12 (Cobalamin)

As methylcobalamin—required by MTR to accept methyl from folate.

B6 (Pyridoxine)

Required for CBS enzyme in transsulfuration (homocysteine → cysteine).

B2 (Riboflavin)

MTHFR enzyme requires FAD (from B2). Often overlooked but critical.

Methionine

Essential amino acid from protein. Becomes SAM-e when activated.

Betaine (TMG)

Alternative methyl donor via BHMT. Backup pathway in liver and kidneys.

⚖️ Two Fates of Homocysteine

Homocysteine sits at a crucial metabolic crossroads. It can be remethylated back to methionine, or it can be diverted to make cysteine and glutathione:

Remethylation → Methionine

  • MTR pathway: Uses methylfolate + B12
  • BHMT pathway: Uses betaine (liver/kidney only)
  • • Regenerates methionine to continue the cycle
  • • Dominant when methyl groups are needed

Transsulfuration → Cysteine

  • CBS enzyme: Requires B6
  • • Irreversible—exits methylation cycle
  • • Produces cysteine → glutathione
  • • Activated when oxidative stress is high

The body dynamically shifts between these pathways based on need. SAM-e levels help regulate which pathway predominates.

🔻 Undermethylation

More common. Signs include:

  • • Elevated homocysteine
  • • Depression, low motivation
  • • Perfectionism, high achievement drive
  • • Seasonal allergies
  • • Low serotonin symptoms
  • • Good response to SAMe or methylfolate

Support: Methylfolate, methyl-B12, SAMe, methionine, betaine

🔺 Overmethylation

Less common. Signs include:

  • • Anxiety, panic attacks
  • • Sleep problems
  • • High pain tolerance
  • • Adverse reaction to folate/B12
  • • Food and chemical sensitivities
  • • Elevated histamine symptoms

Support: Niacin (methyl buffer), reduce methyl donors, support COMT

🧪 Homocysteine: The Methylation Marker

Homocysteine is the most accessible marker of methylation function. When methylation is impaired, homocysteine accumulates.

< 7
Optimal (μmol/L)
7-10
Acceptable
> 10
Elevated - Investigate

Elevated homocysteine is associated with cardiovascular disease, cognitive decline, and pregnancy complications. Usually responds well to B12, folate, and B6 optimization.

Methylation Discussion