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Interactive pathways · FROM DR. PURSER’S TEACHING

Transsulfuration: from homocysteine to glutathione

See how homocysteine connects to cysteine and glutathione. Follow seven simple steps, explore the side routes, and tap a word or building block to learn more.

Based on teaching by Dan Purser, MD. How we prepare these guides

Updated Sep 23, 2026 · Educational reference

LEARN BY EXPLORING

Follow sulfur. Find the connections.

Start with the full picture. Choose a gene, nutrient or molecule to take a closer look, or follow the guided story toward glutathione.

THE WHOLE PICTURE

Explore the full chart.

Tap any name to explore its gene, nutrient or molecule. The green route follows glutathione building.

Interactive map
Genes & enzymesNutrientsMolecules
100%

Swipe sideways to look around. Scroll down to follow the chart.

Explore a pathway below, or tap any name on the chart to take a closer look.

About the names on this map

Some diagrams use different names for the same enzymes: MS is MTR, SAHH is AHCY, CSE is CTH, and GR is GSR. This map uses the names you’ll find in the lessons below. The taurine branch shows FMO1 at the hypotaurine step.

Arrows show connections between reactions. Nutrient helpers are shown beside the steps they support. Extra byproducts and several intermediate steps are left out to keep the overview readable.

Read about the cysteine and taurine routes in Reactome
STEP 1 / 7Pick a stop, or let the story guide you.
12 seconds per step · no autoplay

Step 1 of 7: Methionine.

MOLECULE · CONTAINS SULFUR

L-methionine

Made when homocysteine is remethylated.

START HEREMethionine
FOLLOW THE CONNECTIONHomocysteine

Through SAM and SAHA short view of several steps in the methylation cycle.

Connected reactions
MEET THE MOLECULE

Methionine

Verified 3D
3D · turn & exploreL-methionine — PubChem computed 3D conformerDrag horizontally to rotate, or use the turn buttons below. Use the named element buttons to highlight atoms. Hydrogen atoms are not drawn.
Find an atom

Heavy atoms only; hydrogen atoms are hidden.

About this model

A computed shape of an isolated molecule; it does not show the enzyme reaction in real time. View the PubChem record

See the complete pathway map All molecules, reactions & branches
01 METHIONINE CYCLE
Selected: L-methionineView the molecule & explanation
SAM → SAH

SIDE PATH · RECYCLE BACK TO METHIONINE

RESEARCH CONNECTION · NOT A CHEMICAL STEP
02 SULFUR ROUTE · TWO STEPS ↓
SIDE PATH · FROM CYSTEINE
03 BUILD GLUTATHIONE ↓
SIDE PATH · AROUND GLUTATHIONE
04 USE & RECYCLE ↓

Explore this map to learn the reactions. It cannot show your own pathway speed, diagnose a gene result, or choose a supplement dose.

STEP 1 OF 7 · Methionine cycle

Start with methionine

Your body uses methionine to help pass small chemical groups from one molecule to another.

What happens here?

Methionine is an amino acid, one of the building blocks found in protein. Your body gets it from food.

Using energy, cells turn methionine into SAM. SAM carries a methyl group and gives it to other molecules. This transfer is called methylation.

After that transfer, SAM becomes SAH. Another step connects SAH to homocysteine. Several reactions are shown together here. This is the lead-in to transsulfuration.

Why it matters

This cycle leads to homocysteine. It helps explain how methylation connects to the sulfur pathway.

Go a little deeper: the chemistry

Methionine is converted to SAM. After donating a methyl group, SAM becomes SAH; AHCY participates in the reversible reaction connecting SAH with homocysteine and adenosine. This is upstream context for transsulfuration, not the transsulfuration pathway itself.

A question to bring to your visit

How does this cycle connect with my homocysteine blood test?

Explore supplement options for this step
Explore Dr. Purser’s related teaching
1 of 7

This is an educational chart, not a reading of your genes or blood tests. A clinician can help interpret your own results.

THE TEACHING CONNECTION

Follow sulfur from homocysteine toward cysteine, then see how cysteine contributes to glutathione.

Two directions from homocysteine

Homocysteine has two main routes. It can be turned back into methionine, or its sulfur can move toward cysteine. The recycling route is called remethylation. The route toward cysteine is called transsulfuration.

Folate and B12 help with one recycling route. Betaine, which can come from choline, helps with another. CBS and CTH carry out the two core steps toward cysteine. These nutrients and enzymes work together, but they do different jobs.

How Dr. Purser connects the pathway

Dr. Purser connects this pathway to his teaching on homocysteine, genes and antioxidant support. He looks at gene findings alongside blood tests, nutrient results, symptoms, medicines and how a person responds.

There are several questions to consider: Is cysteine available? Can the cells make glutathione? How is it used and recycled? One test does not answer all of these questions.

Where the VARS Triad and MTHFR Daily fit

If you are exploring homocysteine or cytokines, Dr. Purser may discuss MTHFR Daily and the VARS Triad: VARS Glutathione, VARS SOD, and VARS Catalase. He gives glutathione a central place in his approach to antioxidant support.

A gene result alone cannot tell you that you need these products or that they will treat a condition. Review your current results, medicines, goals, and tolerance with your clinician before choosing a product or dose.

Reading the map alongside your results

A common SNP is a change at one spot in DNA. Finding one does not prove an enzyme is blocked, missing or working too fast. This map cannot measure your pathway or choose a dose.

Use the lessons to learn the terms. Then bring your original results and questions to your clinician. A lab result, an approved protocol and your final care plan are three different things.

Names you may see

Transsulfuration · Transsulphuration · Sulfur pathway · Cysteine synthesis · Glutathione synthesis · CBS pathway · CTH pathway