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Pat No 6,747,009 of the formula I: wherein Z=CH 2 and Y=CH 2 , or Z=O and Y=C, Ri and R 2 are independently selected from the group consisting of H, linear or branched alkyl (1-25C), aralkyl (6-26C), cycloalkyl (6-25C), heterocycles (6-20C), ethers or polyethers (3-25C), and where Ri-R 2 together have 2-20C atoms and form a macrocycle with the remainder of formula I

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Though most tissues prefer to utilize the MS HCY to methionine conversion pathway, an alternative HCY metabolism rescue pathway exists for use when MS activity is blocked by insufficient 5MTHF and FMN cofactors

10.1074/jbc.m115.684969 20 GunaratnamS.MilletteM.McfarlandL