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R Other UGT polymorphisms (UGT1A6, UGT2B7, UGT2B15) affect metabolism of acetaminophen, NSAIDs, and androgens respectively

An implication of this allosteric regulation is that elevation of homocysteine in the blood, called hyperhomocysteinemia, stems from conditions in which the cell is no longer capable of coordination between the two pathways ( In contrast, but with ultimately the same result, impairment of transsulfuration will lead to increased intracellular SAM concentrations and consequent inhibition of MTHFR, which reduces the formation of 5-methyltetrahydrofolate for remethylation and inhibits recycling of homocysteine through its conversion to methionine ( While this SAM-mediated allosteric control system is present in many organs, especially the liver, its effect on the methylation cycle in the central nervous system (CNS) may be limited

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Ruscoe JE, Rosario LA, Wang T, Gate L, Arifoglu P, Wolf CR, Henderson CJ, Ronai Z and Tew KD