Metabolites

S-Adenosylhomocysteine (SAH)

Product of SAMe after methyl group donation; must be rapidly converted to homocysteine to prevent methylation inhibition.

S-Adenosylhomocysteine (SAH) pathway diagram

S-Adenosylhomocysteine (SAH) is the immediate product formed when S-adenosylmethionine (SAMe) donates its methyl group to an acceptor molecule. SAH is a potent competitive inhibitor of most methyltransferase enzymes, meaning it must be rapidly removed to allow continued methylation reactions.

The enzyme SAHH (S-adenosylhomocysteine hydrolase) cleaves SAH into homocysteine and adenosine. The SAMe:SAH ratio is considered a key indicator of cellular methylation capacity - a low ratio indicates methylation stress. Elevated SAH levels are associated with cardiovascular disease, neurological disorders, and impaired detoxification.

Anything that slows homocysteine clearance (B12, folate, B6 deficiency) can cause SAH accumulation.

Metabolic Connections

S-Adenosylhomocysteine (SAH) connects to 8 other pathways.

S-Adenosylhomocysteine (SAH) Discussion