status modulates the induction of hepatic glycine N-methyltransferase and homocysteine metabolism in diabetic rats. Am J Physiol Endocrinol Metab 291: E1235-E1242, 2006. First published July 11, 2006 doi:10.1152/ajpendo.00237.2006.-A diabetic state induces the activity and abundance of glycine N-methyltransferase (GNMT), a key protein in the regulation of folate, methyl group, and homocysteine metabolism. Because the folate-dependent one-carbon pool is a source of methyl groups and 5-methyltetrahydrofolate allosterically inhibits GNMT, the aim of this study was to determine whether folate status has an impact on the interaction between diabetes and methyl group metabolism. Rats were fed a diet containing deficient (0 ppm), adequate (2 ppm), or supplemental (8 ppm) folate for 30 days, after which diabetes was initiated in one-half of the rats by streptozotocin treatment. The activities of GNMT, phosphatidylethanolamine Nmethyltransferase (PEMT), and betaine-homocysteine S-methyltransferase (BHMT) were increased about twofold in diabetic rat liver; folate deficiency resulted in the greatest elevation in GNMT activity. The abundance of GNMT protein and mRNA, as well as BHMT mRNA, was also elevated in diabetic rats. The marked hyperhomocysteinemia in folate-deficient rats was attenuated by streptozotocin, likely due in part to increased BHMT expression. These results indicate that a diabetic state profoundly modulates methyl group, choline, and homocysteine metabolism, and folate status may play a role in the extent of these alterations. Moreover, the upregulation of BHMT and PEMT may indicate an increased choline requirement in the diabetic rat.choline; phosphatidylethanolamine; betaine-homocysteine S-methyltransferase THE FOLATE-DEPENDENT ONE-CARBON POOL and methyl group metabolism are interrelated pathways that are critically important in optimal health, as perturbation of these metabolic processes is associated with a number of pathologies, including cardiovascular disease, cancer development, and birth defects ( Fig. 1) (26,43,46). The primary methyl group donor, S-adenosylmethionine (SAM), requires a constant supply of methyl groups from the diet and/or the one-carbon pool for numerous transmethylation reactions, such as the synthesis of phosphatidylcholine (PC) by the action of the liver-specific enzyme phosphatidylethanolamine N-methyltransferase (PEMT) (31). Therefore, it is essential to regulate the supply and utilization of methyl groups to optimize SAM-dependent transmethylation reactions, a function that is accomplished by the enzymatic activity of a key regulatory protein, glycine N-methyltransferase (GNMT). GNMT is an abundant protein in the liver, comprising ϳ1-3% of all hepatic cytosolic protein, and has also been identified in renal and pancreatic tissue (36, 61). GNMT optimizes the SAM/S-adenosylhomocysteine (SAH) ratio by catalyzing the conversion of SAM and glycine to SAH and sarcosine, respectively (5, 17). Because SAH is a potent inhibitor of methyltransferase activity (28), optimizing the SA...