Pediatr. praxi. 2021;22(2):155-158

Cholin jako esenciální živina a jeho význam v těhotenství

MUDr. Simona Mlezivová, prof. MUDr. Pavel Calda, CSc.
Centrum fetální medicíny, Gynekologicko‑porodnická klinika 1. lékařské fakulty Univerzity Karlovy a Všeobecné fakultní nemocnice v Praze

Během těhotenství a kojení se podobně jako u dalších esenciálních živin zvyšuje poptávka po cholinu. Zároveň se předpokládá, že cholin je důležitý pro neurologický vývoj plodu a novorozence. Cholin je esenciální součástí buněčných membrán. Je to ve vodě rozpustná látka nezbytná pro metabolismus metylové skupiny, syntézu neurotransmiterů, strukturální integritu a signální funkce buněčných membrán. Jako prekurzor neurotransmiteru acetylcholinu může ovlivňovat kognitivní funkce a vývoj mozku. Přímý vztah mezi kognitivními funkcemi dítěte a hladinou cholinu u plodu v děloze byl prokázán ve studiích na zvířatech, ale není dostatečně prokázán u lidí.

Keywords: cholin, těhotenství, prekoncepce, esenciální živiny.

Published: April 29, 2021  Show citation

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Mlezivová S, Calda P. Cholin jako esenciální živina a jeho význam v těhotenství. Pediatr. praxi. 2021;22(2):155-158.
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References

  1. Greenberg JA, Bell SJ, Guan Y, Yu Y-H. Folic Acid supplementation and pregnancy: more than just neural tube defect prevention. Rev Obstet Gynecol. 2011; 4(2): 52-59.
  2. Zeisel SH. Choline: Critical Role During Fetal Development and Dietary Requirements in Adults. Annu Rev Nutr. 2006; 26: 229-250, doi: 10.1146/ annurev.nutr.26.061505.111156. Go to original source... Go to PubMed...
  3. Nazki FH, Sameer AS, Ganaie BA. Folate: Metabolism, genes, polymorphisms and the associated diseases. Gene. 2014; 533(1): 11-20. Go to original source... Go to PubMed...
  4. Masih SP, Plumptre L, Ly A, Berger H, Lausman AY, Croxford R, et al. Pregnant Canadian Women Achieve Recommended Intakes of One-Carbon Nutrients through Prenatal Supplementation but the Supplement Composition, Including Choline. Requires Reconsideration. J Nutr. 2015; 145(8): 1824-1834, doi: 10.3945/jn.115.211300. Go to original source... Go to PubMed...
  5. Leermakers ETM, Moreira EM, Kiefte-De Jong JC, Darweesh SKL, Visser T, Voortman T, et al. Effects of choline on health across the life course: a systematic review. Nutr Rev. 2015; 73(8): 500-522, doi: 10.1093/nutrit/nuv010. Go to original source... Go to PubMed...
  6. Gaskins AJ, Rich-Edwards JW, Hauser R, Williams PL, Gillman MW, Ginsburg ES, et al. Maternal prepregnancy folate intake and risk of spontaneous abortion and stillbirth. Obstet Gynecol. 2014; 124(1): 23-31. doi: 10.1097/ AOG.0000000000000343. Go to original source... Go to PubMed...
  7. Zeisel SH. Nutrition in pregnancy: The argument for including a source of choline. Int J Womens Health. 2013; 5: 193-199, doi: 10.2147/IJWH.S36610. Go to original source... Go to PubMed...
  8. Ueland PM, Holm PI, Hustad S. Betaine: A key modulator of one-carbon metabolism and homocysteine status. Clin Chem Lab Med. 2005; 43(10): 1069-1075. doi: 10.1515/CCLM.2005.187. Go to original source... Go to PubMed...
  9. Michel V, Yuan Z, Ramsubir S, Bakovic M. Choline Transport for Phospholipid Synthesis. Exp Biol Med. 2006; 231(5): 490-504. doi: 10.1177/153537020623100503. Go to original source... Go to PubMed...
  10. Sarter M, Parikh V. Choline transporters, cholinergic transmission and cognition. Nat Rev Neurosci. 2005; 6(1): 48-56. doi: 10.1038/nrn1588. Go to original source... Go to PubMed...
  11. Jiang X, Bar HY, Yan J, Jones S, Brannon PM, West AA, et al. A higher maternal choline intake among third-trimester pregnant women lowers placental and circulating concentrations of the antiangiogenic factor fms-like tyrosine kinase1 (sFLT1). FASEB J. 2013; 27(3): 1245-1253. doi: 10.1096/fj.12-221648. Go to original source... Go to PubMed...
  12. Cho E, Willett WC, Colditz GA, Fuchs CS, Wu K, Chan AT, et al. Dietary choline and betaine and the risk of distal colorectal adenoma in women. J Natl Cancer Inst. 2007; 99(16): 1224-1231. doi: 10.1093/jnci/djm082. Go to original source... Go to PubMed...
  13. Zeisel SH. Choline: Human Requirements and Effects on Human Performance. In: Institute of Medicine (US) Committee on Military Nutrition Research, Marriott BM, eds. Food Components to Enhance Performance. Washington (DC): National Academies Press; 1994.
  14. Yao Z, Vance DE. Reduction in VLDL, but not HDL, in plasma of rats deficient in choline. Biochem Cell Biol. 1990; 68(2): 552-558. doi: 10.1139/o90-079. Go to original source... Go to PubMed...
  15. Da Costa K-A, Badea M, Fischer LM, Zeisel SH. Elevated serum creatine phosphokinase in choline- deficient humans: mechanistic studies in C2C12 mouse myoblasts. Am J Clin Nutr. 2004; 80(1): 163-170. doi: 10.1093/ajcn/80.1.163. Go to original source... Go to PubMed...
  16. Rees WD, Wilson FA, Maloney CA. Sulfur Amino Acid Metabolism in Pregnancy: The Impact of Methionine in the Maternal Diet. J Nutr. 2006; 136(6): 1701S-1705S. doi: 10.1093/ jn/136.6.1701S. Go to original source... Go to PubMed...
  17. Buchman AL, Awal M, Jenden D, Roch M, Kang SH. The effect of lecithin supplementation on plasma choline concentrations during a marathon. J Am Coll Nutr. 2000; 19(6): 768-770. doi: 10.1080/07315724.2000.10718076. Go to original source... Go to PubMed...
  18. Zeisel SH, Da Costa KA, Franklin PD, Alexander EA, Lamont JT, Sheard NF, et al. Choline, an essential nutrient for humans. FASEB J. 1991; 5(7): 2093-2098, doi: 10.1096/fasebj.5.7.2010061. Go to original source... Go to PubMed...
  19. Romano KA, Vivas EI, Amador-Noguez D, Rey FE. Intestinal microbiota composition modulates choline bioavailability from diet and accumulation of the proatherogenic metabolite trimethylamine- N-oxide. MBio. 2015; 6(2): e02481-14. doi: 10.1128/mBio.02481-14. Go to original source... Go to PubMed...
  20. Zeisel SH, Warrier M. Trimethylamine N-Oxide, the Microbiome, and Heart and Kidney Disease. Annu Rev Nutr. 2017; 37(1): 157-181. doi: 10.1146/annurev-nutr-071816-064732. Go to original source... Go to PubMed...
  21. Wang Y, Surzenko N, Friday WB, Zeisel SH. Maternal dietary intake of choline in mice regulates development of the cerebral cortex in the offspring. FASEB J. 2016; 30(4): 1566-1578. doi: 10.1096/fj.15-282426. Go to original source... Go to PubMed...
  22. Tang WHW, Wang Z, Levison BS, Koeth RA, Britt EB, Fu X, et al. Intestinal Microbial Metabolism of Phosphatidylcholine and Cardiovascular Risk. N Engl J Med. 2013; 368(17): 1575-1584, doi: 10.1056/NEJMoa1109400. Go to original source... Go to PubMed...
  23. Bae S, Ulrich CM, Neuhouser ML, Malysheva O, Bailey LB, Xiao L, et al. Plasma choline metabolites and colorectal cancer risk in the women's health initiative observational study. Cancer Res. 2014; 74(24): 7442-7452. doi: 10.1158/0008- 5472.CAN-14-1835. Go to original source... Go to PubMed...
  24. Resseguie M, Song J, Niculescu MD, Costa K-A, Randall TA, Zeisel SH. Phosphatidylethanolamine N-methyltransferase (PEMT) gene expression is induced by estrogen in human and mouse primary hepatocytes. FASEB J. 2007; 21(10): 2622-2632, doi: 10.1096/fj.07-8227com. Go to original source... Go to PubMed...
  25. Fischer LM, da Costa K-A, Kwock L, Galanko J, Zeisel SH. Dietary choline requirements of women: effects of estrogen and genetic variation. Am J Clin Nutr. 2010; 92(5): 1113-1119. doi: 10.3945/ajcn.2010.30064. Go to original source... Go to PubMed...
  26. da Silva RP, Kelly KB, Lewis ED, Leonard KA, Goruk S, Curtis JM, et al. Choline deficiency impairs intestinal lipid metabolism in the lactating rat. J Nutr Biochem. 2015; 26(10): 1077-1083. doi: 10.1016/j.jnutbio.2015.04.015. Go to original source... Go to PubMed...
  27. Zeisel SH, Mar MH, Zhou Z, da Costa KA. Pregnancy and lactation are associated with diminished concentrations of choline and its metabolites in rat liver. J Nutr. 1995; 125(12): 3049-3054, doi: 10.1093/jn/125.12.3049. Go to original source... Go to PubMed...
  28. Kim YI, Miller JW, Da Costa KA, Nadeau M, Smith D, Selhub J, et al. Severe folate deficiency causes secondary depletion of choline and phosphocholine in rat liver. J Nutr. 1994; 124(11): 2197-2203, doi: 10.1093/jn/124.11.2197 Go to original source... Go to PubMed...
  29. Abratte CM, Wang W, Li R, Moriarty DJ, Caudill MA. Folate intake and the MTHFR C677T genotype influence choline status in young Mexican American women. J Nutr Biochem. 2008; 19(3): 158-165. doi: 10.1016/j.jnutbio.2007.02.004. Go to original source... Go to PubMed...
  30. Saffery R, Novakovic B. Epigenetics as the mediator of fetal programming of adult onset disease: what is the evidence? Acta Obstet Gynecol Scand. 2014; 93(11): 1090-1098. doi: 10.1111/ aogs.12431. Go to original source... Go to PubMed...
  31. Langley-Evans SC, Bellinger L, McMullen S. Animal models of programming: early life influences on appetite and feeding behaviour. Matern Child Nutr. 2005; 1(3): 142-148. doi: 10.1111/j. 1740-8709.2005.00015.x Go to original source... Go to PubMed...
  32. Wilkins JF. Genomic imprinting and methylation: Epigenetic canalization and conflict. Trends Genet. 2005; 21(6)356-365. doi: 10.1016/j. tig.2005.04.005. Go to original source... Go to PubMed...
  33. Další literatura na www.actualgyn.com nebo na vyžádání u autorů.
  34. Cropley JE, Dang THY, Martin DIK, Suter CM. The penetrance of an epigenetic trait in mice is progressively yet reversibly increased by selection and environment. Proc Biol Sci. 2012 Jun 22;279(1737):2347-53, doi: 10.1098/rspb.2011.2646 Go to original source... Go to PubMed...
  35. Cropley JE, Suter CM, Beckman KB, Martin DIK. Germ-line epigenetic modification of the murine Avy allele by nutritional supplementation. Proc Natl Acad Sci U S A. 2006 Nov 14;103(46):17308- 12, doi: 10.1073/pnas.0607090103 Go to original source... Go to PubMed...
  36. Dolinoy DC. The agouti mouse model: an epigenetic biosensor for nutritional and environmental alterations on the fetal epigenome. Nutr Rev. 2008;66(Suppl 1):S7-11, doi: 10.1111/j.1753-4887.2008.00056.x Go to original source... Go to PubMed...
  37. Maloney CA, Hay SM, Rees WD. Folate deficiency during pregnancy impacts on methyl metabolism without affecting global DNA methylation in the rat fetus. Br J Nutr. 2007 Jun;97(6):1090-8, doi: 10.1017/S0007114507670834 Go to original source... Go to PubMed...
  38. Chmurzynska A, Mlodzik MA, Radziejewska A, Szwengiel A, Malinowska AM, Nowacka-Woszuk J. Caloric restriction can affect one-carbon metabolism during pregnancy in the rat: A transgenerational model. Biochimie. 2018 Sep;152:181-7, doi: 10.1016/j.biochi.2018.07.00 Go to original source... Go to PubMed...
  39. Nowacka-Woszuk J, Szczerbal I, Malinowska AM, Chmurzynska A. Transgenerational effects of prenatal restricted diet on gene expression and histone modifications in the rat. PLoS One. 2018 Feb 23;13(2):e0193464, doi: 10.1371/journal.pone.0193464 Go to original source... Go to PubMed...
  40. Devés R, Krupka RM. The binding and translocation steps in transport as related to substrate structure. A study of the choline carrier of erythrocytes. BBA - Biomembr. 1979 Nov 2;557(2):469- 85, doi: 10.1016/0005-2736(79)90344-4 Go to original source... Go to PubMed...
  41. Caldenhove S, Borghans LGJM, Blokland A, Sambeth A. Role of acetylcholine and serotonin in novelty processing using an oddball paradigm. Behav Brain Res. 2017 Jul 28;331:199-204, doi: 10.1016/j.bbr.2017.05.031 Go to original source... Go to PubMed...
  42. Batool Z, Sadir S, Liaquat L, Tabassum S, Madiha S, Rafiq S, et al. Repeated administration of almonds increases brain acetylcholine levels and enhances memory function in healthy rats while attenuates memory deficits in animal model of amnesia. Brain Res Bull. 2016 Jan;120:63-74, doi: 10.1016/j.brainresbull.2015.11.001 Go to original source... Go to PubMed...
  43. Apparsundaram S, Ferguson SM, George AL, Blakely RD. Molecular cloning of a human, hemicholinium- 3-sensitive choline transporter. Biochem Biophys Res Commun. 2000 Oct 5;276(3):862-7, doi: 10.1006/bbrc.2000.3561 Go to original source... Go to PubMed...
  44. Ferguson SM, Bazalakova M, Savchenko V, Tapia JC, Wright J, Blakely RD. Lethal impairment of cholinergic neurotransmission in hemicholinium- 3-sensitive choline transporter knockout mice. Proc Natl Acad Sci U S A. 2004 Jun 8;101(23):8762-7, doi: 10.1073/pnas.0401667101 Go to original source... Go to PubMed...
  45. Bauché S, O'Regan S, Azuma Y, Laffargue F, Mc- Macken G, Sternberg D, et al. Impaired Presynaptic High-Affinity Choline Transporter Causes a Congenital Myasthenic Syndrome with Episodic Apnea. Am J Hum Genet. 2016 Sep 1;99(3):753- 61, doi: 10.1016/j.ajhg.2016.06.033 Go to original source... Go to PubMed...
  46. Schara U, Lochmüller H. Therapeutic Strategies in Congenital Myasthenic Syndromes. Neurotherapeutics. 2008 Oct;5(4):542-7, doi: 10.1016/j.nurt.2008.07.003 Go to original source... Go to PubMed...
  47. Eymard B, Stojkovic T, Sternberg D, Richard P, Nicole S, Fournier E, et al. Syndromes myasthéniques congénitaux: difficultés diagnostiques, évolution et pronostic, thérapeutique L'expérience du réseau national >. Revue Neurologique. 2013 Feb;169(Suppl 1):S45-55, doi: 10.1016/S0035-3787(13)70060-2 Go to original source... Go to PubMed...
  48. Keller M, Chance P. Inherited Peripheral Neuropathy. Semin Neurol. 1999;19(4):353-62, doi: 10.1055/s-2008-1040850 Go to original source... Go to PubMed...
  49. Barwick KES, Wright J, Al-Turki S, McEntagart MM, Nair A, Chioza B, et al. Defective presynaptic choline transport underlies hereditary motor neuropathy. Am J Hum Genet. 2012 Dec 7;91(6):1103-7, doi: 10.1016/j.ajhg.2012.09.019 Go to original source... Go to PubMed...
  50. Sweiry JH, Yudilevich DL. Characterization of choline transport at maternal and fetal interfaces of the perfused guinea-pig placenta. J Physiol. 1985 Sep;366(1):251-66, doi: 10.1113/jphysiol. 1985.sp015795 Go to original source... Go to PubMed...
  51. Jarosz M. Normy żywienia dla populacji Polski redakcja naukowa. www.izz.waw.pl/en/normy -zwienia, cited May 30, 2020
  52. Scientific Opinion on Dietary Reference Values for folate. EFSA J. 2014 Nov;12(11):3893, doi: 10.2903/j.efsa.2014.3893 Go to original source...
  53. Patterson KY, Bhagwat SA, Williams JR, Howe JC, et al. USDA Database for the Choline Content of Common Foods. 2008, www.ars.usda.gov/ARSUserFiles/80400525/data/choline/choln02.pdf
  54. Zeisel SH, da Costa K-A. Choline: an essential nutrient for public health. Nutr Rev. 2009 Nov;67(11):615-23, doi: 10.1111/j.1753-4887.2009.00246.x Go to original source... Go to PubMed...
  55. Vennemann FBC, Ioannidou S, Valsta LM, Dumas C, Ocké MC, Mensink GBM, et al. Dietary intake and food sources of choline in European populations. Br J Nutr. 2015;114(12):2046-55, doi: 10.1017/S0007114515003700 Go to original source... Go to PubMed...
  56. Scazzone C, Bono A, Tornese F, Arsena R, Schillaci R, Butera D, et al. Correlation between low folate levels and hyperhomocysteinemia, but not with vitamin B12 in hypertensive patients. Ann Clin Lab Sci. 2014;44(3):286-90
  57. Zeisel SH. Advisory Board: The importance of choline during pregnancy and breastfeeding: choline key roles in pregnancy. Interview. 2019




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