Neurochem. Int. Vol. 22, No. 3, pp. 293-300, 1993 0197-0186/93 $6.00+0.00
Printed in Great Britain.All rights reserved Copyright © 1993PergamonPress Ltd
FREE CHOLINE AND CHOLINE METABOLITES IN RAT
BRAIN AND BODY FLUIDS: SENSITIVE
DETERMINATION AND IMPLICATIONS FOR CHOLINE
SUPPLY TO THE BRAIN
JOCHEN KLEIN,* RONALD GONZALEZ, t ANDREA KOPPEN and
KONRAD LOFFELHOLZ
Department of Pharmacology, University of Mainz, Obere Zahlbacher Str. 67, W-6500 Mainz,
Germany
(Received 25 June 1992 ; accepted 14 August 1992)
Al~traet--In the central nervous system, choline is an essential precursor of choline-containing phos-
pholipids in neurons and glial cells and of acetylcholine in cholinergic neurons. In order to study choline
transport and metabolism in the brain, we developed a comprehensive methodical procedure for the
analysis of choline and its major metabolites which involves a separation step, selective hydrolysis and
subsequent determination of free choline by HPLC and electrochemical detection. In the present paper, we
report the levels of choline, acetylcholine, phosphocholine, glycerophosphocholine and choline-containing
phospholipids in brain tissue, cerebrospinal fluid and blood plasma of the untreated rat. The levels of free
choline in blood plasma (11.4 #M), CSF (6.7 #M) and brain intracellular space (64.0 pM) were sufficiently
similar to be compatible with an exchange of choline between these compartments. In contrast, the
intracellular levels of glycerophosphocholine (1.15 mM) and phosphocholine (0.59 mM) in the brain were
considerably higher than their CSF concentrations of 2.83 and 1.70/~M, respectively. In blood plasma,
glycerophosphocholine was present in a concentration of 4.58 #M while phosphocholine levels were very
low or absent (< 0.1 #M). The levels of phosphatidylcholine and lyso-phosphatidylcholine were high in
blood plasma (1267 and 268 #M) but very low in cerebrospinal fluid (< 10 pM). We concluded that the
transport of free choline is the only likely mechanism which contributes to the supply of choline to the
brain under physiological conditions.
Choline is an important nutrient in man (Zeisel, 1981 ;
Zeisel et al., 1991) and serves as a precursor of both
acetylcholine and major choline-containing mem-
brane phospholipids such as phosphatidylcholine and
sphingomyelin. The current interest in the choline
metabolism of the central nervous system stems
largely from the fact that important diseases such as the
senile dementia of the Alzheimer type are associated
with cellular degeneration and central cholinergic dys-
functions (Bartus et al., 1982; Coyle et al., 1983).
Therefore, the analysis of choline metabolism in the
central nervous system is of major importance due to
the close interrelationship of phospholipid metab-
*To whom correspondence should be addressed.
tRecipient of a DAAD fellowship; on leave from the Dept.
of Pharmacology, School of Medicine, Universidad de
Costa Rica, San Jose, Costa Rica.
~Abbreviations: CSF, cerebrospinal fluid; GPCh, glycero-
phosphocholine; (lyso-) PtdCh, (lyso-) phosphatidyl-
choline.
olism, choline availability and the synthesis of acetyl-
choline (Blusztajn and Wurtman, 1983 ; Tucek, 1988 ;
Klein et al., 1992). Therapeutic approaches for senile
dementia utilizing choline or one of its precur-
sors have been tested or are under investigation
(Hollander et al., 1986; Kumar and Calache, 1991).
As the brain synthesizes choline at very low rates
(Bremer and Greenberg, 1961; Crews et al., 1981),
the supply of choline to the brain must predominantly
occur via transport from the arterial blood. Several
studies reported on the transport of free choline from
arterial blood into the brain (Diamond, 1971 ; Dross
and Kewitz, 1972 ; Freeman et al., 1975 ; Cornford et
al., 1978). In addition, some authors claimed that a
transport of lipid-bound choline at the blood-brain
barrier may contribute to the maintenance of brain
choline homeostasis (Illingworth and Portman, 1972 ;
Mann and Bennett, 1979). The physiological rel-
evance of the transfer of lipid-bound choline was,
however, disputed (Pardridge et al., 1979). To our
knowledge, no data have been reported on the poss-
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