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Department of Nutrition, School of Public Health, School of Medicine, University of North Carolina, Chapel Hill, NC 27599-7400
3To whom correspondence should be addressed. E-mail: steven_zeisel{at}unc.edu.
| ABSTRACT |
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50 mmol of methyl groups per day; 60% of them are derived from choline. Transmethylation metabolic pathways closely interconnect choline, methionine, methyltetrahydrofolate (methyl-THF) and vitamins B-6 and B-12. The pathways intersect at the formation of methionine from homocysteine. Perturbing the metabolism of one of these pathways results in compensatory changes in the others. For example, methionine can be formed from homocysteine using methyl groups from methyl-THF, or using methyl groups from betaine that are derived from choline. Similarly, methyl-THF can be formed from one-carbon units derived from serine or from the methyl groups of choline via dimethylglycine, and choline can be synthesized de novo using methyl groups derived from methionine (via SAM). When animals and humans are deprived of choline, they use more methyl-THF to remethylate homocysteine in the liver and increase dietary folate requirements. Conversely, when they are deprived of folate, they use more methyl groups from choline, increasing the dietary requirement for choline. The availability of transgenic and knockout mice has made possible additional studies that demonstrate the interrelationship of these methyl sources. In summary, as we consider dietary requirements and possible effects on DNA methylation, it is important to realize that methionine, methyl-THF and choline can be fungible sources of methyl groups, and the design of our studies should reflect this.
KEY WORDS: methyl group DNA methylation choline folate methionine diet
| METHYL GROUPS PLAY A KEY ROLE IN GENE EXPRESSION |
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| DIET AND METHYL METABOLISM |
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10 mmol of methyl/d), one-carbon metabolism via methylfolate (
510 mmol of methyl/d), and from choline [
30 mmoles methyl/d (11
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Perturbing the metabolism of one of the methyl donors reveals the intermingling of these metabolic pathways. Total hepatic folate content decreased by 3140% after 2 wk on a choline-deficient diet in rats (14
,15
). This effect was reversible by refeeding choline. Rats fed diets deficient in both methionine and choline for 5 wk had hepatic folate concentrations that were 50% of those in controls (16
). Tetrahydrofolate deficiency, induced by treatment with methotrexate (17
21
) or induced by dietary folate deficiency (22
), resulted in diminished hepatic total choline, with the greatest decrease occurring in hepatic phosphocholine concentrations. During choline deficiency, hepatic SAM concentrations also decreased by as much as 50% (23
26
). In rats, choline deficiency doubled plasma homocysteine levels (27
).
The interrelationships between choline, methionine and folate are apparent when knockout mice are studied. Methylenetetrahydrofolate reductase (EC 1.5.1.20) knockout mice, which have impaired availability of methyl groups from methyltetrahydrofolate (methyl-THF), deplete choline and betaine so as to maintain homocysteine remethylation (Zeisel, S. H., unpublished data). Methionine adenosyltransferase knockout mice, which have impaired formation of SAM, activate the gene expressing betaine:homocysteine methyltransferase and have increased dietary choline requirements (13
). Further, cystathionine beta-synthase (EC 4.2.1.22) knockout mice, which accumulate homocysteine and must convert it to methionine to remove it, deplete choline and betaine pools in liver (Zeisel, S. H., unpublished data). Liver and kidney are the major tissues in which betaine:homocysteine methyltransferases is expressed (28
); therefore, for other tissues to use choline-derived methyl groups, they must be exported from these organs.
| DIET AND DNA METHYLATION |
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Folate deficiency also is associated with perturbed DNA methylation. DNA is hypomethylated in brains of rats fed a folate-deficient diet (38
) or treated with methotrexate (7
). A decrease in folic acid intake, and the subsequent DNA hypomethylation, may be involved in human gastric carcinogenesis (39
). Postmenopausal women with modest dietary folate deficiency were observed to have hypomethylation of lymphocyte DNA (40
). In healthy human females, both cervical tissue folate and serum folate levels were significantly correlated to cervical tissue DNA methylation (41
). Thus, dietary status for choline and for folate can influence global DNA methylation.
| DISCUSSION |
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Alterations in DNA methylation, with resulting changes in gene expression, can have important consequences for embryogenesis (1
,42
) and might explain our laboratorys observation that dietary choline availability during pregnancy influences the development of brain in the fetus via choline-mediated alterations in the birth, migration and death of cells in the hippocampus and septum (43
,44
). Diet-related changes in DNA methylation also may contribute to carcinogenesis that occurs in livers of methyl-deficient rats and mice (4
,30
,45
).
Although we do not know whether there are significant numbers of humans who are choline deficient, there are many humans who are folate deficient (11
), and 1530% of the population may have increased dietary methyl requirements due to polymorphisms in genes involved in methyl metabolism (46
). Therefore, it is likely that differences in DNA methylation, and resulting changes in gene expression, are due to dietary variations in humans. This promising new area of investigation promises to enhance our understanding of how nutrition modulates the milieu in which biochemical and genetic mechanisms operate.
| FOOTNOTES |
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2 Supported by National Institutes of Health (grants DK55865 and AG09525). Support for this work was also provided by a grant from National Institutes of Health to the UNC Clinical Nutrition Research Unit (DK56350, ES10126). ![]()
4 Abbreviations used: c-fos, c-fos proto-oncogene; c-Ha-ras, c-Ha-ras proto-oncogene; c-myc, c-myc oncogene; CpG, cytosine guanine; Dnmt1, Dnmt2, Dnmt3, DNA methyltranferases; MAT1A, methionine adenosyltransferase 1A gene; MBD, methyl-CpG-binding domain protein; MeCP1, methyl-CpG-binding protein 1; MeCP2, methyl-CpG-binding protein 2; methyl-THF, methyltetrahydrofolate; mRNA, messenger RNA; raf, raf oncogene; SAM, (S)-adenosylmethionine; THF, tetrahydrofolate; tRNA, transfer RNA. ![]()
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