Evidence map›Paper›PMID 36840817›Full record

Trial reportEuropean journal of nutrition2023

Different choline supplement metabolism in adults using deuterium labelling.

Katrin A Böckmann, Axel R Franz, Anna Shunova, Michaela Minarski, Cornelia Wiechers, Christian F Poets, Wolfgang Bernhard

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in European journal of nutrition, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.7field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 11 citations in OpenAlex.

  1. Trial
  2. Review
  3. Review
  4. Review
  5. Article
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  9. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Katrin A BöckmannDepartment of Neonatology, Faculty of Medicine, Eberhard Karls University, Calwer Straße 7, 72076, Tübingen, Germany. katrin.boeckmann@med.uni-tuebingen.de.ORCID http://orcid.org/0000-0002-2839-3585
Axel R FranzDepartment of Neonatology, Faculty of Medicine, Eberhard Karls University, Calwer Straße 7, 72076, Tübingen, Germany.
Anna ShunovaDepartment of Neonatology, Faculty of Medicine, Eberhard Karls University, Calwer Straße 7, 72076, Tübingen, Germany.
Michaela MinarskiDepartment of Neonatology, Faculty of Medicine, Eberhard Karls University, Calwer Straße 7, 72076, Tübingen, Germany.
Cornelia WiechersDepartment of Neonatology, Faculty of Medicine, Eberhard Karls University, Calwer Straße 7, 72076, Tübingen, Germany.
Christian F PoetsDepartment of Neonatology, Faculty of Medicine, Eberhard Karls University, Calwer Straße 7, 72076, Tübingen, Germany.
Wolfgang BernhardDepartment of Neonatology, Faculty of Medicine, Eberhard Karls University, Calwer Straße 7, 72076, Tübingen, Germany.
University of Tübingen · DE

Funding

Ministry of Economy of the State of Baden-Württemberg AsphyxDx, Az. 35-4223.10/17
6 · The paper itself

Abstract

backgroundCholine deficiency leads to pathologies particularly of the liver, brain and lung. Adequate supply is important for preterm infants and patients with cystic fibrosis. We analysed the assimilation of four different enterally administered deuterium-labelled (D9-) choline supplements in adults.

methodsProspective randomised cross-over study (11/2020-1/2022) in six healthy men, receiving four single doses of 2.7 mg/kg D9-choline equivalent each in the form of D9-choline chloride, D9-phosphorylcholine, D9-alpha-glycerophosphocholine (D9-GPC) or D9-1-palmitoyl-2-oleoyl-glycero-3-phosphoryl-choline (D9-POPC), in randomised order 6 weeks apart. Plasma was obtained at baseline (t = - 0.1 h) and at 0.5 h to 7d after intake. Concentrations of D9-choline and its D9-labelled metabolites were analysed by tandem mass spectrometry. Results are shown as median and interquartile range.

resultsMaximum D9-choline and D9-betaine concentrations were reached latest after D9-POPC administration versus other components. D9-POPC and D9-phosphorylcholine resulted in lower D9-trimethylamine (D9-TMAO) formation. The AUCs (0-7d) of plasma D9-PC concentration showed highest values after administration of D9-POPC. D9-POPC appeared in plasma after fatty acid remodelling, predominantly as D9-1-palmitoyl-2-linoleyl-PC (D9-PLPC), confirming cleavage to 1-palmitoyl-lyso-D9-PC and re-acylation with linoleic acid as the most prominent alimentary unsaturated fatty acid.

conclusionThere was a delayed increase in plasma D9-choline and D9-betaine after D9-POPC administration, with no differences in AUC over time. D9-POPC resulted in a higher AUC of D9-PC and virtually absent D9-TMAO levels. D9-POPC is remodelled according to enterocytic fatty acid availability. D9-POPC seems best suited as choline supplement to increase plasma PC concentrations, with PC as a carrier of choline and targeted fatty acid supply as required by organs. This study was registered at Deutsches Register Klinischer Studien (DRKS) (German Register for Clinical Studies), DRKS00020498, 22.01.2020. STUDY REGISTRATION: This study was registered at Deutsches Register Klinischer Studien (DRKS) (German Register for Clinical Studies), DRKS00020498.

Indexed as

BetainePhosphorylcholineAdultCholineCross-Over StudiesDeuteriumFatty AcidsHumansInfantInfant, NewbornInfant, PrematureMaleMethylaminesPhosphatidylcholinesProspective StudiesBetaineCholineDeuteriumFatty AcidsMethylaminesPhosphatidylcholinesPhosphorylcholinetrimethyloxamineD9-betaineD9-cholineD9-glycerophosphocholineD9-phosphatidylcholine remodellingD9-phosphocholineTrimethylamine oxide

Identifiers

PMID36840817
PMCPMC10195734
OpenAlexW4321996806

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.