In mammals, methionine metabolism occurs mainly in the liver via methionine adenosyltransferase‐catalyzed conversion to S‐adenosylmethionine. Of the two genes that encode methionine adenosyltransferase(MAT1A and MAT2A), MAT1A is mainly expressed in adult liver whereas MAT2A is expressed in all extrahepatic tissues. Mice lacking MAT1A have reduced hepatic S‐adenosylmethionine content and hyperplasia and spontaneously develop nonalcoholic steatohepatitis. In this study, we examined whether chronic hepatic Sadenosylmethionine deficiency generates oxidative stress and predisposes to injury and malignant transformation. Differential gene expression in MAT1A knockout mice was analyzed following the criteria of the Gene Ontology Consortium. Susceptibility of MAT1A knockout mice to CCl4‐induced hepatotoxicity and malignant transformation was determined in 3‐ and 18month‐old mice, respectively. Analysis of gene expression profiles revealed an abnormal expression of genes involved in the metabolism of lipids and carbohydrates in MAT1A knockout mice, a situation that is reminiscent of that found in diabetes, obesity, and other conditions associated with nonalcoholic steatohepatitis. This aberrant expression of metabolic genes in the knockout mice was associated with hyperglycemia, increased hepatic CYP2E1 and UCP2 expression and triglyceride levels, and reduced hepatic glutathione content. The knockout animals have increased lipid peroxidation and enhanced sensitivity to CCl4‐induced liver damage, which was largely due to increased CYP2E1 expression because diallyl sulfide, an inhibitor of CYP2E1, prevented CCl4‐induced liver injury. Hepatocellular carcinoma developed in more than half of the knockout mice by 18 months of age. Taken together, our findings define a critical role for S‐adenosylmethionine in maintaining normal hepatic function and tumorigenesis of the liver.

Significance: Cystathionine β-synthase (CBS), the pivotal enzyme of the transsulfuration pathway, regulates flux through the pathway to yield compounds, such as cysteine, glutathione, taurine, and H ₂ S, that control cellular redox status and signaling. Our crystal structure of an engineered human CBS construct bound to S -adenosylmethionine (AdoMet) reveals the unique binding site of the allosteric activator and the architecture of the human CBS enzyme in its activated conformation. Together with the basal conformation that we reported earlier, these structures unravel the molecular mechanism of human CBS activation by AdoMet. Current knowledge will allow for modeling of numerous pathogenic mutations causing inherited homocystinuria and for design of compounds modulating CBS activity.

Significance: Cystathionine β-synthase (CBS), the pivotal enzyme of the transsulfuration pathway, regulates the flux through the pathway to yield compounds such as cysteine, glutathione, taurine, and H ₂ S that control the cellular redox status and signaling. Our crystal structures of the full-length wild-type and D444N mutant human CBS enzymes show a unique arrangement of the regulatory CBS motifs, thus making it possible to infer how the enzyme is stimulated by its allosteric activator S-adenosyl-L-methionine and how native tetramers are formed. The structure will allow modeling of numerous mutations causing inherited homocystinuria and the design of compounds modulating CBS activity.