1. Department of Human Development and Genetics, New York State Institute for Basic Research in Mental Retardation, Staten Island, N.Y. 10314 U.S.A.;2. Department of Pediatrics, Mount Sinai School of Medicine of the City University of New York, New York, N.Y. 10029 U.S.A.
Abstract:
The metabolic response of patients with homocystinuria due to cystathionine synthase deficiency to oral loads of homocysteine indicates: that even severely affected patients with homocystinuria have pools of cystine in their tissues; that control of sulfur amino acid metabolism favors increased concentrations of methionine rather than homocystine in the plasma; and that even patients who apparently are not B-6-responsive respond differently to the loads of homocysteine when challenged during B-6-treatment compared with their response before B-6 treatment. Loading tests with homocysteine indicate that B-6 treatment be of some benefit even in individuals who do not have an obvious biochemical response to such therapy.