Normal function · from ai-gene-review (P35520, commit 79fe13b38970) · AI-generated, not KB evidence

Cystathionine beta-synthase (CBS) is a PLP- and heme-containing enzyme (EC 4.2.1.22) that catalyzes the first and rate-limiting step of the transsulfuration pathway, condensing L-serine with L-homocysteine to form cystathionine. CBS is unique among PLP-dependent enzymes in also binding a b-type heme cofactor that functions as a redox sensor. The enzyme is allosterically activated by S-adenosyl-L-methionine (SAM) binding to its C-terminal regulatory domain containing tandem CBS (Bateman) motifs. CBS forms filamentous assemblies that are allosterically tunable by SAM. Alternative reactions can generate H2S through condensation of cysteine with homocysteine. CBS deficiency causes classical homocystinuria, characterized by hyperhomocysteinemia with multi-system manifestations including vascular, ocular, skeletal, and neurological complications.

Primary enzymatic function catalyzing condensation of L-serine and L-homocysteine to form cystathionine, the first and rate-limiting step of transsulfuration.
molecular function: cystathionine beta-synthase activity · directly involved in: transsulfuration; L-homocysteine catabolic process · locations: cytosol
Heme-binding function essential for proper folding, PLP binding, and redox regulation of CBS activity.
molecular function: heme binding · directly involved in: transsulfuration · locations: cytosol
Allosteric regulation by SAM binding to C-terminal regulatory domain, increasing activity 2-3 fold and modulating oligomeric state.
molecular function: S-adenosyl-L-methionine binding · directly involved in: transsulfuration · locations: cytosol
In the knowledge base · computed from kb/ at build time

Disorders

Relationship is the entry's genetic[].relationship_type. untyped means the entry has a genetic record for the gene but does not type it; its free-text association is shown instead.

DisorderRelationshipWhere the gene appears
Homocystinuria untyped
mechanism: CBS molecular function deficiency
Inborn Disorder of Methionine Cycle and Sulfur Amino Acid Metabolism untyped
mechanism: CBS Transsulfuration Block
subtype: CBS deficiency
ClinGen gene–disease validity · snapshot 2026-10-03 · matched to entries by MONDO

An entry matches when ClinGen's MONDO disease is the entry's own disease term, a subtype term, or an exact-match mapping. An amber status marks an entry ClinGen supports the gene for (Definitive, Strong or Moderate) whose own record does not type it. A Limited, Disputed or Refuted tier on such an entry is not a gap.

ClinGen diseaseMOIClassificationdismech entry
classic homocystinuria MONDO:0009352 AR Definitive
2019-04-12

Identity from HGNC (snapshot 2026-10-01). Page layers are described in the gene pages documentation.