PMID- 26376956 OWN - NLM STAT- MEDLINE DCOM- 20161011 LR - 20181109 IS - 1472-8206 (Electronic) IS - 0767-3981 (Linking) VI - 29 IP - 6 DP - 2015 Dec TI - Homocysteine excess: delineating the possible mechanism of neurotoxicity and depression. PG - 522-8 LID - 10.1111/fcp.12145 [doi] AB - Homocysteine (Hcy) is a nonproteogenic sulfur containing amino acid derived from dietary methionine through demethylation. Homocysteine can be re-methylated to methionine [precursor of S-adenosylmethionine (SAM)] via the re-methylation or 5-methyltetrahydrofolate pathway or undergoes transsulfuration to form cysteine by the action of metabolic enzymes and cofactors. Impaired metabolism due to genetic alteration in metabolic enzymes (methionine synthase, methyltetrahydrofolate reductase (MTHFR), cystathionine beta-synthase (CbetaS), and cystathionine-gamma-lyase (CgammaL) or deficiency in cofactors (vitamin B6 , B12 , folate) may lead to acquired metabolic anomaly known as hyperhomocysteinemia. Hcy excess decreases the S-adenosylmethionine (SAM)-dependent synthesis of catecholamines, viz. dopamine, norepinephrine, epinephrine, and noncatecholamine, viz. serotonin (5-HT), due to genetic alteration in key enzyme MTHFR in the homocysteine metabolism pathway that leads to depression. Thus, hyperhomocysteinemia (HHcy)-induced SAM level is influenced by the single nucleotide polymorphism (SNP) MTHFR C677T. Furthermore, HHcy leads to production of precarious neurotoxic product homocysteic acid (HCA) and cysteine sulfinic acid (CSA) which acts as an N-methyl-D-aspartate (NMDA) receptor agonist and has neurotoxic effects on dopaminergic neurons. In the current review, an attempt has been made to discuss the neurotoxic effects of HHcy in the pathogenesis of depression. CI - (c) 2015 Societe Francaise de Pharmacologie et de Therapeutique. FAU - Bhatia, Pankaj AU - Bhatia P AD - CNS Research Laboratory, Pharmacology Division, Department of Pharmaceutical Sciences and Drug Research, Faculty of Medicine, Punjabi university, Patiala, 147002, Punjab, India. FAU - Singh, Nirmal AU - Singh N AD - Pharmacology Division, Department of Pharmaceutical Sciences and Drug Research, Faculty of Medicine, Punjabi university, Patiala, 147002, Punjab, India. LA - eng PT - Journal Article PT - Review DEP - 20150917 PL - England TA - Fundam Clin Pharmacol JT - Fundamental & clinical pharmacology JID - 8710411 RN - 0LVT1QZ0BA (Homocysteine) RN - 1001-13-4 (homocysteic acid) RN - 7LP2MPO46S (S-Adenosylmethionine) RN - K848JZ4886 (Cysteine) RN - UZY4HYK4ZX (cysteine sulfinic acid) SB - IM MH - Cysteine/analogs & derivatives/metabolism MH - Depression/*etiology/*metabolism MH - Homocysteine/analogs & derivatives/*metabolism MH - Humans MH - Hyperhomocysteinemia/*metabolism MH - Neurotoxicity Syndromes/*etiology/*metabolism MH - S-Adenosylmethionine/metabolism OTO - NOTNLM OT - depression OT - genetic alteration OT - homocysteine OT - neurotoxicity OT - neurotransmitters EDAT- 2015/09/18 06:00 MHDA- 2016/10/12 06:00 CRDT- 2015/09/18 06:00 PHST- 2015/03/03 00:00 [received] PHST- 2015/07/06 00:00 [revised] PHST- 2015/08/18 00:00 [accepted] PHST- 2015/09/18 06:00 [entrez] PHST- 2015/09/18 06:00 [pubmed] PHST- 2016/10/12 06:00 [medline] AID - 10.1111/fcp.12145 [doi] PST - ppublish SO - Fundam Clin Pharmacol. 2015 Dec;29(6):522-8. doi: 10.1111/fcp.12145. Epub 2015 Sep 17.