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Homocysteine, folic acid and vitamin B12 in relation to pre- and postnatal health aspects

The steps of the TCA cycle are as follows: (1) citrate synthase facilitates the condensation of oxaloacetate and acetyl-CoA to form citrate, (2) the enzyme aconitase then converts citrate to isocitrate, (3) isocitrate is further oxidatively decarboxylated by isocitrate dehydrogenase (IDH), (4) the resulting compound -ketoglutarate (-KG) is transformed into succinyl-CoA, (5) succinyl-CoA is then further converted to succinate by succinyl-CoA synthetase, (6) the succinate dehydrogenase (SDH) complex catalyzes the oxidation of succinate to fumarate, (7) fumarate is hydrated to malate by fumarate hydratase (FH), and finally (8) malate is then oxidized to oxaloacetate by malate dehydrogenaseinitiating the cycle once again [6] (Fig

However, as the disease progresses, drug intervention or even liver transplantation are required

46 Huang, T., Li, K., Asimi, S., Chen, Q