Hydrogen sulfide (H 2 S) has been observed in relatively high concentrations in the mammalian brain and has been shown to act as a neuromodulator. However, there is confusion in the literature regarding the actual source of H 2 S production. Reactions catalyzed by the cystathionine -synthase enzyme (CBS) are one possible source for the production of H 2 S. Here we show that the CBS enzyme can efficiently produce H 2 S via a -replacement reaction in which cysteine is condensed with homocysteine to form cystathionine and H 2 S. The production of H 2 S by this reaction is at least 50 times more efficient than that produced by hydrolysis of cysteine alone via -elimination. Kinetic studies demonstrate that the K m and K cat for cysteine is 3-fold higher and 2-fold lower, respectively, than that for serine. Consistent with these data, in vitro reconstitution studies show that at physiologically relevant concentrations of serine, homocysteine, and cysteine, about 5% of the cystathionine formed is from cysteine. We also show that AdoMet stimulates this H 2 S producing reaction but that there is no evidence for stimulation by calcium and calmodulin as reported previously. In summary, these results confirm the ability of CBS to produce H 2 S, but show in contrast to prior reports that the major mechanism is via -replacement and not cysteine hydrolysis. In addition, these studies provide a biochemical explanation for the previously inexplicable homocysteinelowering effects of N-acetylcysteine treatments in humans.Recently, there has been increased interest in endogenously produced hydrogen sulfide (H 2 S) as a physiologically important molecule. Relatively high concentrations of H 2 S have been observed in the brains of rats, humans, and cows (1-3). At physiological concentrations it has been shown that H 2 S enhances N-methyl-D-asparate receptor-mediated response and can modify long term potentiation (4 -6). H 2 S also inhibits smooth muscle cell proliferation via the mitogen-activated protein kinase pathway and protects neurons against oxidative stress (7). H 2 S also appears to have an effect on the cardiovascular system, acting as a vasorelaxant by increasing potassium-ATP channel currents (8). Taken together, these observations suggest that endogenously produced H 2 S is an important regulatory molecule in humans.How is endogenous H 2 S produced? Potential sources are alternative reactions catalyzed by the enzyme cystathionine -synthase (CBS) 1 (6). The normal cellular function of CBS is to catalyze the condensation of serine with homocysteine to form cystathionine and water, a key reaction in the transsulfuration pathway. CBS uses pyridoxal phosphate (PLP) as a co-factor and is a member of the -family or fold type II of PLP containing enzymes. Enzymes in this family characteristically have the ability to catalyze -replacement and -elimination reactions from a variety of different substrates (9).There are two potential mechanisms through which CBS could produce H 2 S. First, CBS could catalyze the production o...