PMID- 29532755 OWN - NLM STAT- MEDLINE DCOM- 20191028 LR - 20191028 IS - 1875-533X (Electronic) IS - 0929-8673 (Linking) VI - 26 IP - 16 DP - 2019 TI - Homocysteine and Hyperhomocysteinaemia. PG - 2948-2961 LID - 10.2174/0929867325666180313105949 [doi] AB - Homocysteine (Hcy) is a thiol group containing the amino acid, which naturally occurs in all humans. Hcy is degraded in the body through two metabolic pathways, while a minor part is excreted through kidneys. The chemical reactions that are necessary for degradation of Hcy require the presence of folic acid, vitamins B6 and B12. Consequently, the level of the total Hcy in the serum is influenced by the presence or absence of these vitamins. An elevated level of the Hcy, hyperhomocysteinemia (HHcy) and homocystinuria is connected with occlusive artery disease, especially in the brain, the heart, and the kidney, in addition to venous thrombosis, chronic renal failure, megaloblastic anemia, osteoporosis, depression, Alzheimer's disease, pregnancy problems, and others. Elevated Hcy levels are connected with various pathologies both in adult and child population. Causes of HHcy include genetic mutations and enzyme deficiencies in 5, 10-methylenetetrahydrofolate reductase (MTHFR) methionine synthase (MS), and cystathionine beta-synthase (CbetaS). HHcy can be caused by deficiencies in the folate, vitamin B12 and to a lesser extent, deficiency in B6 vitamin what influences methionine metabolism. Additionally, HHcy can be caused by the rich diet and renal impairment. This review presents literature data from recent research related to Hcy metabolism and the etiology of the Hcy blood level disorder. In addition, we also described various pathological mechanisms induced by hereditary disturbances or nutritional influences and their association with HHcy induced pathology in adults and children and treatment of these metabolic disorders. CI - Copyright(c) Bentham Science Publishers; For any queries, please email at epub@benthamscience.net. FAU - Zaric, Bozidarka L AU - Zaric BL AD - Institute of nuclear science Vinca, University of Belgrade, Laboratory of Radiobiology and Molecular Genetics, Belgrade, Serbia. FAU - Obradovic, Milan AU - Obradovic M AD - Institute of nuclear science Vinca, University of Belgrade, Laboratory of Radiobiology and Molecular Genetics, Belgrade, Serbia. FAU - Bajic, Vladan AU - Bajic V AD - Institute of nuclear science Vinca, University of Belgrade, Laboratory of Radiobiology and Molecular Genetics, Belgrade, Serbia. FAU - Haidara, Mohamed A AU - Haidara MA AD - Department of Physiology, College of Medicine, King Khalid University, Abha, Saudi Arabia. FAU - Jovanovic, Milos AU - Jovanovic M AD - Faculty of Biology, University of Belgrade, Institute of physiology and biochemistry, Belgrade, Serbia. FAU - Isenovic, Esma R AU - Isenovic ER AD - Institute of nuclear science Vinca, University of Belgrade, Laboratory of Radiobiology and Molecular Genetics, Belgrade, Serbia. LA - eng PT - Journal Article PT - Review PL - United Arab Emirates TA - Curr Med Chem JT - Current medicinal chemistry JID - 9440157 RN - 0LVT1QZ0BA (Homocysteine) RN - 8059-24-3 (Vitamin B 6) RN - 935E97BOY8 (Folic Acid) RN - EC 1.5.1.20 (Methylenetetrahydrofolate Reductase (NADPH2)) RN - EC 2.1.1.13 (5-Methyltetrahydrofolate-Homocysteine S-Methyltransferase) RN - EC 4.2.1.22 (Cystathionine beta-Synthase) RN - P6YC3EG204 (Vitamin B 12) SB - IM MH - 5-Methyltetrahydrofolate-Homocysteine S-Methyltransferase/deficiency/genetics MH - Animals MH - Avitaminosis MH - Cystathionine beta-Synthase/deficiency/genetics MH - Folic Acid/therapeutic use MH - Homocysteine/*metabolism MH - Humans MH - Hyperhomocysteinemia/drug therapy/*etiology/genetics MH - Methylenetetrahydrofolate Reductase (NADPH2)/deficiency/genetics MH - Vitamin B 12/therapeutic use MH - Vitamin B 6/therapeutic use OTO - NOTNLM OT - Homocysteine OT - cardiovascular diseases OT - disturbance of homocysteine metabolism OT - homocysteine metabolism OT - hyperhomocysteinemia OT - nutritional deficiencies. EDAT- 2018/03/14 06:00 MHDA- 2019/10/29 06:00 CRDT- 2018/03/14 06:00 PHST- 2017/09/04 00:00 [received] PHST- 2018/01/03 00:00 [revised] PHST- 2018/03/05 00:00 [accepted] PHST- 2018/03/14 06:00 [pubmed] PHST- 2019/10/29 06:00 [medline] PHST- 2018/03/14 06:00 [entrez] AID - CMC-EPUB-89062 [pii] AID - 10.2174/0929867325666180313105949 [doi] PST - ppublish SO - Curr Med Chem. 2019;26(16):2948-2961. doi: 10.2174/0929867325666180313105949.