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S-adenosylmethionine (SAM) !

SAM is the body's main methyl-group donor: it methylates DNA, neurotransmitters, phospholipids and creatine.

Updated 2026-11-01

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Key facts

  • It is made from methionine + ATP (methionine adenosyltransferase); the ATP loses all three phosphates.
  • Its methyl sits on a positively charged sulphur (sulphonium), so it is easily transferred.
  • After giving the methyl, S-adenosylhomocysteine remains and is hydrolysed to homocysteine.
  • Examples: noradrenaline → adrenaline, guanidinoacetate → creatine, phosphatidylethanolamine → phosphatidylcholine and DNA methylation.
  • It activates cystathionine β-synthase and inhibits MTHFR: when methionine is plentiful, homocysteine goes to cysteine.
Also called
SAM, AdoMet
Formula
C₁₅H₂₂N₆O₅S
PubChem
CID 34755

Structure

  • It joins the adenosine of ATP to the sulphur of methionine; the sulphur is left with three bonds and a positive charge.

Clinical notes

  • In B12 deficiency SAM falls and myelin methylation fails: subacute combined degeneration of the spinal cord.
  • DNA methylation by SAM regulates genes (epigenetics) and is altered in many tumours.

Pathways

Test yourself

Think of the answer, then tap the question to see it.

Which two molecules make SAM?

Methionine and ATP; the enzyme moves the adenosine onto the sulphur and releases all three phosphates.

What is left after SAM gives up its methyl?

S-adenosylhomocysteine, which is hydrolysed to adenosine and homocysteine.

Which enzyme does SAM activate to send homocysteine to cysteine?

Cystathionine β-synthase; at the same time SAM slows MTHFR, which would supply methyls for remethylation.

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Molecules are shown in their neutral form, as the databases deposit them; in the cell the acids and phosphates are ionised.

Educational information, not medical advice. For any symptom, see a health professional.

Sources: S-Adenosylmethionine (CID 34755) (PubChem, NCBI, 2026) · Public domain; Sulfur amino acid metabolism (Reactome, 2026); Textbook of Biochemistry for Medical Students, 6th ed. (Jaypee Brothers Medical Publishers (Vasudevan DM, Sreekumari S, Vaidyanathan K), 2011).

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