Cysteine
Cysteine levels may be elevated
due to a CBS SNP that results in upregulation of the enzyme and increased
production of cystathionine and cysteine. Zinc is an important cofactor
downstream of cysteine in transsulfuration. Because of this, cysteine elevations
may also be seen in zinc insufficiency.
Vitamin B₁₂ may also be a
cofactor in peripheral cysteine utilization; therefore, functional
deficiencies of vitamin B₁₂ may contribute to higher levels.
Low dietary protein intake, GI
malabsorption, and maldigestion may contribute to lower amino acid levels.
Because vitamin B₆ is a cofactor
at multiple steps within the transsulfuration pathways, deficiency may
contribute to decreased cysteine by inhibiting or slowing the enzyme that
converts cystathionine to cysteine.
LOW CYSTEINE
•Vitamin B6 cofactor need for the
CBS and CTH enzymes
HIGH CYSTEINE
• CBS SNP
• Elevated SAM which directly
upregulates CBS enzyme
• High oxidative stress or inflammation
• Zinc cofactor need for GSS enzyme
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