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Choline

Background

  • Choline is an essential nutrient related to the water-soluble B-complex vitamins, folate, pyridoxine, and B12, and to the essential amino acid, methionine. It is synthesized in the body as well as consumed in the diet. The largest dietary source of choline is egg yolk. Choline can also be found in high amounts in liver, peanuts, fish, milk, brewer's yeast, wheat germ, soy beans, bottle gourd fruit, fenugreek leaves, shepherd's purse herb, Brazil nuts, dandelion flowers, poppy seeds, mung beans and other beans, and a variety of meats and vegetables, including cabbage and cauliflower.
  • Choline is a major building block of lecithin. Choline is a precursor to acetylcholine, a chemical used to transfer nerve impulses. Therefore, choline is believed to have neurological effects.
  • Choline is a product of the breakdown of the muscle relaxantsuccinylcholine, which is used extensively in anesthesia. Theoretically, choline may exhibit similar muscle relaxing effects.
  • Choline is a constituent of phosphatidylcholine (PC), which is a component of cell walls and membranes. It is involved in fat and cholesterol metabolism and transport. In this form, choline aids in fat metabolism and transport away from the liver.
  • Pure choline is rarely used because of its undesirable side effects of fishy odor. Therefore, lecithin or purified phosphatidylcholine is more commonly used.

References

  • Blusztajn JK. Choline, a vital amine. Science 1998;281(5378):794-795.
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  • Buchman AL, Ament ME, Sohel M, et al. Choline deficiency causes reversible hepatic abnormalities in patients receiving parenteral nutrition: proof of a human choline requirement: a placebo-controlled trial. JPEN J Parenter Enteral Nutr 2001;25(5):260-268.
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  • Canty DJ, Zeisel SH. Lecithin and choline in human health and disease. Nutr Rev 1994;52(10):327-339.
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  • Carlson SE, Montalto MB, Ponder DL, et al. Lower incidence of necrotizing enterocolitis in infants fed a preterm formula with egg phospholipids. Pediatr Res 1998;44(4):491-498.
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  • Cohen BM, Renshaw PF, Stoll AL, et al. Decreased brain choline uptake in older adults. An in vivo proton magnetic resonance spectroscopy study. JAMA 1995;274(11):902-907.
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  • Dechent P, Pouwels PJ, Frahm J. Neither short-term nor long-term administration of oral choline alters metabolite concentrations in human brain. Biol Psychiatry 1999;46(3):406-411.
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  • Food and Nutrition Board IoM. Dietary Reference Intakes for Thiamin, Riboflavin, Niacin, Vitamin B6, Folate, Vitamin B12, Pantothenic Acid, Biotin, and Choline. 1998.
  • Hirsch MJ, Growdon JH, Wurtman RJ. Relations between dietary choline or lecithin intake, serum choline levels, and various metabolic indices. Metabolism 1978;27(8):953-960.
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  • Kidd PM. Phosphatidylcholine, a superior protectant against liver damage. Altern Med Rev 1996;1:258-274.
  • Knuchel F. [Double-blind study in patients with alcoholic toxic fatty liver. Effect of essential phospholipids on enzyme behavior and lipid composition of the serum]. Med Welt 1979;30(11):411-416.
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  • Little A, Levy R, Chuaqui-Kidd P, et al. A double-blind, placebo controlled trial of high-dose lecithin in Alzheimer's disease. J Neurol Neurosurg Psychiatry 1985;48(8):736-742.
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  • McNamara JO, Carwile S, Hope V, et al. Effects of oral choline on human complex partial seizures. Neurology 1980;30(12):1334-1336.
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  • Mohs RC, Davis KL. Choline chloride effects on memory: correlation with the effects of physostigmine. Psychiatry Res 1980;2(2):149-156.
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  • Wurtman RJ, Hefti F, Melamed E. Precursor control of neurotransmitter synthesis. Pharmacol Rev 1980;32(4):315-335.
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  • Zeisel SH, Blusztajn JK. Choline and human nutrition. Annu Rev Nutr 1994;14:269-296.
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Disclaimer: This tool is intended for informational purposes only, and should not be interpreted as specific medical advice. Patients should consult with a qualified healthcare provider before making decisions about therapies and/or health conditions.