Health Functionalities of Betaine in Patients With Homocystinuria

Homocystinuria is a medical condition that can have widespread and harmful effects on multiple organ systems within the body. This disease is caused by a deficiency in one of the enzymes involved in the methionine metabolism pathway. One example would be a deficiency in cystathionine-β-synthase (CBS...

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Main Authors: Chelsea Truitt, Wouter D. Hoff, Ratnakar Deole
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-09-01
Series:Frontiers in Nutrition
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fnut.2021.690359/full
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author Chelsea Truitt
Wouter D. Hoff
Ratnakar Deole
author_facet Chelsea Truitt
Wouter D. Hoff
Ratnakar Deole
author_sort Chelsea Truitt
collection DOAJ
description Homocystinuria is a medical condition that can have widespread and harmful effects on multiple organ systems within the body. This disease is caused by a deficiency in one of the enzymes involved in the methionine metabolism pathway. One example would be a deficiency in cystathionine-β-synthase (CBS), which is seen in classical homocystinuria. A deficiency in CBS can lead to elevated levels of homocysteine (HCY) and possible depletion of methionine and/or cysteine. There are several different treatment options for patients with this condition, one of which is the administration of the drug betaine. Here we review the use of betaine to decrease these elevated levels of homocysteine back to within normal ranges. Published literature indicates that the use of this choline derivative is most beneficial to patients who are either not compliant with the recommended low methionine and low protein diet or wish to consume a less restricted diet.
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spelling doaj.art-4f09527eaf2946f5afc86638d1edafa42022-12-21T17:44:21ZengFrontiers Media S.A.Frontiers in Nutrition2296-861X2021-09-01810.3389/fnut.2021.690359690359Health Functionalities of Betaine in Patients With HomocystinuriaChelsea Truitt0Wouter D. Hoff1Ratnakar Deole2Department of Biochemistry and Microbiology, Oklahoma State University-Center for Health Sciences, Tulsa, OK, United StatesDepartment of Microbiology and Molecular Genetics, Oklahoma State University, Stillwater, OK, United StatesDepartment of Biochemistry and Microbiology, Oklahoma State University-Center for Health Sciences, Tulsa, OK, United StatesHomocystinuria is a medical condition that can have widespread and harmful effects on multiple organ systems within the body. This disease is caused by a deficiency in one of the enzymes involved in the methionine metabolism pathway. One example would be a deficiency in cystathionine-β-synthase (CBS), which is seen in classical homocystinuria. A deficiency in CBS can lead to elevated levels of homocysteine (HCY) and possible depletion of methionine and/or cysteine. There are several different treatment options for patients with this condition, one of which is the administration of the drug betaine. Here we review the use of betaine to decrease these elevated levels of homocysteine back to within normal ranges. Published literature indicates that the use of this choline derivative is most beneficial to patients who are either not compliant with the recommended low methionine and low protein diet or wish to consume a less restricted diet.https://www.frontiersin.org/articles/10.3389/fnut.2021.690359/fullhomocystinuriacystathionine-β-synthasehomocysteinebetainemetabolism
spellingShingle Chelsea Truitt
Wouter D. Hoff
Ratnakar Deole
Health Functionalities of Betaine in Patients With Homocystinuria
Frontiers in Nutrition
homocystinuria
cystathionine-β-synthase
homocysteine
betaine
metabolism
title Health Functionalities of Betaine in Patients With Homocystinuria
title_full Health Functionalities of Betaine in Patients With Homocystinuria
title_fullStr Health Functionalities of Betaine in Patients With Homocystinuria
title_full_unstemmed Health Functionalities of Betaine in Patients With Homocystinuria
title_short Health Functionalities of Betaine in Patients With Homocystinuria
title_sort health functionalities of betaine in patients with homocystinuria
topic homocystinuria
cystathionine-β-synthase
homocysteine
betaine
metabolism
url https://www.frontiersin.org/articles/10.3389/fnut.2021.690359/full
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