(A) Intracellular folate and methionine metabolic pathways intersect at the methionine synthase reaction. MTRR supports this critical biochemical step. While folate interconversions and steps in the methionine cycle are shown explicitly, the other participating substrates are omitted except where they will be discussed. (B) Methionine synthase, which contains a cobalamin (B12) cofactor, catalyzes the methyl group transfer from methyltetrahydrofolate to cob(I)alamin producing methylcobalamin, and utilizes the methyl group to methylate homocysteine to form methionine. Approximately once in every thousand turnovers, the cob(I)alamin cofactor of methionine synthase becomes oxidized by molecular oxygen forming the inactive cob(II)alamin form. MTRR provides the electron that, along with transfer of a methyl group from AdoMet, returns methionine synthase to the active methylcobalamin form. DHF, dihydrofolate; THF, tetrahydrofolate; 5-CH3-THF, methyltetrahydrofolate; 10-CHO-THF, 10-formyltetrahydrofolate; 5-CHO-THF, 5-formyltetrahydrofolate; 5,10-CH+=THF, methenyltetrahydrofolate; 5,10-CH2=THF, methylenetetrahydrofolate; DMG, dimethylglycine; Sarc, sarcosine; Met, methionine; Hcy, homocysteine; AdoMet, S-adenosylmethionine; AdoHcy, S-adenosylhomocysteine; Gly, glycine; Ser, serine; Cob, cobalamin; CH3-Cob, methylcobalamin; MTHFR, methylenetetrahydrofolate reductase; MS, methionine synthase; MTRR, methionine synthase reductase; GNMT, glycine N-methyltransferase.