The Interplay Between Dietary Choline and Cardiometabolic Disorders : A Review of Current Evidence

© 2024. The Author(s)..

PURPOSE OF REVIEW: Choline is an essential nutrient for human health and cellular homeostasis as it is necessary for the synthesis of lipid cell membranes, lipoproteins, and the synthesis of the neurotransmitter acetylcholine. The aim of this review is to analyze the beneficial effects of choline and its significance in cellular metabolism and various inflammatory pathways, such as the inflammasome. We will discuss the significance of dietary choline in cardiometabolic disorders, such as non-alcoholic fatty liver disease (NAFLD), cardiovascular disease (CVD), and chronic kidney disease (CKD) as well as in cognitive function and associated neuropsychiatric disorders.

RECENT FINDINGS: Choline deficiency has been related to the development of NAFLD and cognitive disability in the offspring as well as in adulthood. In sharp contrast, excess dietary intake of choline mediated via the increased production of trimethylamine by the gut microbiota and increased trimethylamine-N-oxide (TMAO) levels has been related to atherosclerosis in most studies. In this context, CVD and CKD through the accumulation of TMAO, p-Cresyl-sulfate (pCS), and indoxyl-sulfate (IS) in serum may be the result of the interplay between excess dietary choline, the increased production of TMAO by the gut microbiota, and the resulting activation of inflammatory responses and fibrosis. A balanced diet, with no excess nor any deficiency in dietary choline, is of outmost importance regarding the prevention of cardiometabolic disorders as well as cognitive function. Large-scale studies with the use of next-generation probiotics, especially Akkermansia muciniphila and Faecalibacterium prausnitzii, should further examine their therapeutic potential in this context.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - year:2024

Enthalten in:

Current nutrition reports - (2024) vom: 01. März

Sprache:

Englisch

Beteiligte Personen:

Vallianou, Natalia G [VerfasserIn]
Kounatidis, Dimitris [VerfasserIn]
Psallida, Sotiria [VerfasserIn]
Panagopoulos, Fotis [VerfasserIn]
Stratigou, Theodora [VerfasserIn]
Geladari, Eleni [VerfasserIn]
Karampela, Irene [VerfasserIn]
Tsilingiris, Dimitrios [VerfasserIn]
Dalamaga, Maria [VerfasserIn]

Links:

Volltext

Themen:

Alzheimer’s disease
Cardiovascular disease
Choline
Chronic kidney disease
Cognition
Diet
Gut microbiota
Journal Article
Non-alcoholic fatty liver disease
Review

Anmerkungen:

Date Revised 01.03.2024

published: Print-Electronic

Citation Status Publisher

doi:

10.1007/s13668-024-00521-3

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM369171829