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. 2023 Jun 28;62(7):2855–2872. doi: 10.1007/s00394-023-03186-w

Table 6.

SNPs associated with serum total choline-containing compounds (µmol/l)

Total N = 948 Allele frequency in BIS SNPs related to choline demanda Relative contribution (%)
β 95%CI p value
Methionine cycle in 1C pathway
 BHMT gene rs3733890 0.21
  0 8.3% (79) Reference
  1 40.7% (386) − 26.52 − 134.76, 81.73 0.631
  2 50.9% (483) 21.81 − 84.22, 127.85 0.686
 PEMT gene rs4646343b 0.68
  0 19.0% (180) Reference
  1 50.7% (481) 80.12 4.16, 156.08 0.039
  2 30.3% (287) 108.1 25.21, 190.98 0.011
 Additive model (0 to > 2)c 49.07 8.88, 89.26 0.017 0.81
 PEMT gene rs7946 0.26
  0 7.0% (66) Reference
  1 35.7% (338) − 18.86 − 135.53, 97.81 0.751
  2 57.4% (544) 33.44 − 79.54, 146.42 0.561
 CHDH rs9001 − 0.02
  0 1.1% (10) Reference
  1 15.7% (149) − 25.2 − 306.87, 256.47 0.861
  2 83.2% (789) 0.06 − 273.97, 274.09 1
 CHDH rs12676 − 0.06
  0 51.7% (490) Reference
  1 39.7% (376) 3.01 − 57.47, 63.49 0.922
  2 8.6% (82) − 4.37 − 110.25, 101.5 0.935
Folate cycle in 1C pathway
 MTHFR gene rs1801133 0.22
  0 46.5% (441) Reference
  1 42.2% (400) − 15.44 − 75.8, 44.91 0.616
  2 11.3% (107) − 79.47 − 175.95, 17.01 0.106
 MTR gene rs1805087 − 0.03
  0 65.4% (620) Reference
  1 30.9% (293) − 17.47 − 79.96, 45.02 0.583
  2 3.7% (35) 12.17 − 139.25, 163.59 0.875
 MTHFD1 rs2236225 − 0.05
  0 18.2% (173) Reference
  1 53.2% (504) 7.11 − 70.34, 84.57 0.857
  2 28.6% (271) 14.06 − 71.51, 99.62 0.747
CDP (cytidine diphosphate-choline) pathway
 CHKA gene rs10791957 0.41
  0 31.9% (302) Reference
  1 49.2% (466) 67.93 3.11, 132.75 0.04
  2 19.0% (180) 50.31 − 32.18, 132.8 0.232
 Additive model (0 to > 2)b 24.64 − 15.19, 64.47 0.225 0.36
Choline transport
 SLC44A1 gene rs7873987 0.15
  0 78.4% (743) Reference
  1 19.9% (189) − 43.75 − 115.94, 28.44 0.235
  2 1.7% (16) − 86.38 − 303.33, 130.57 0.435
 SLC44A1 gene rs3199966 0.28
  0 82.9% (786) Reference
  1 16.1% (153) − 67.2 − 144.99, 10.6 0.09
  2 0.9% (9) − 81.15 − 368.76, 206.45 0.58
Microbial metabolism of trimethylamine in the gut
 FMO3 rs2266782 0.06
  0 32.7% (310) Reference
  1 52.4% (497) 3.24 − 60.37, 66.85 0.92
  2 14.9% (141) − 40.57 − 129.18, 48.05 0.369

Relevant SNPs were also explored against dietary choline with no significance observed

BIS Barwon Infant Study; 1C one-carbon cycle; Genes: BHMT betaine-homocysteine S-methyltransferase; PEMT phosphatidylethanolamine N-methyltransferase; CHDH choline dehydrogenase; MTHFR methylenetetrahydrofolate reductase; MTR methionine synthase; MTHFD1 methylenetetrahydrofolate dehydrogenase 1; CHKA choline kinase alpha; SLC44A1 solute carrier family 44 member 1; FMO3 flavin monooxygenase isoform

aSerum total choline-containing compounds regression adjusted for gestational age at blood collection and child's sex and time interval between maternal serum collection and storage

Note: SNPs were coded as follows: (i) wild type allele (0) for dietary choline partitioning to CDP pathway (ii) wild type allele (2) for dietary choline partitioning to betaine

Interpretation of PEMT gene:

bβ = 93.52, estimated mean increase in serum choline-containing compounds is 93.52 µmol/l for children with heterozygous allele AC (1) compared to the homozygous reference allele AA (0) genotype

bβ = 111.4, estimated mean increase in serum choline-containing compounds is 111.4 µmol/l for children with homozygous allele CC (2) compared to the homozygous reference allele AA (0) genotype

cβ = 51.2, estimated mean increase in serum choline-containing compounds is 51.2 µmol/l for each C allele the child carries

p < 0.05 in bold