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Transsulfuration pathway
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The transsulfuration pathway is a metabolic pathway involving the interconversion of and through the intermediate . Two transsulfurylation pathways are known: the forward and the reverse.

The forward pathway is present in several bacteria, such as and Bacillus subtilis, and involves the transfer of the thiol group from cysteine to homocysteine (methionine precursor with the S-methyl group), thanks to the γ-replacement of the acetyl or succinyl group of a with cysteine via its thiol group to form cystathionine (catalysed by cystathionine γ-synthase, which is encoded by metB in E. coli and metI in B. subtilis). Cystathionine is then cleaved by means of the β-elimination of the homocysteine portion of the molecule leaving behind an unstable , which is attacked by water to form and ammonia (catalysed by the metC-encoded cystathionine β-lyase). The production of homocysteine through transsulfuration allows the conversion of this intermediate to , through a methylation reaction carried out by methionine synthase.

The reverse pathway is present in several organisms, including humans, and involves the transfer of the thiol group from homocysteine to cysteine via a similar mechanism. In Klebsiella pneumoniae the cystathionine β-synthase is encoded by mtcB, while the γ-lyase is encoded by mtcC. Humans are for methionine, therefore it's considered to be an essential amino acid. However humans are for cysteine due to the reverse trans-sulfurylation pathway, meaning that cysteine is not considered to be an essential amino acid.

Mutations in the CBS pathway can cause a condition known as , an outcome of higher homocysteine levels (hyperhomocysteinemia).


Role of pyridoxal phosphate
All four transsulfuration enzymes require vitamin B6 in its active form (pyridoxal phosphate or PLP). Three of these enzymes (cystathionine γ-synthase excluded) are part of the Cys/Met metabolism PLP-dependent enzyme family (type I PLP enzymes).


Direct sulfurization
The direct sulfurylation pathways for the synthesis of cysteine or homocysteine proceeds via the replacement of the acetyl/succinyl group with free sulfide (via the cysK or cysM -encoded cysteine synthase. and the metZ or metY -encoded homocysteine synthase,

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