Chemical structures of the choline species and the regulation of choline metabolism. Blue ovals and grey ovals represent the intermediates and enzymes in the pathway. Blue arrows indicate the CDP-choline pathway towards the anabolic synthesis of PtdCho, whereas the arrows in orange indicate the catabolic pathway of PtdCho. Abbreviations: CCT, cytidine choline transferase; CDP-cytidine diphosphate choline; CHPT1, diacylglycerol choline phosphotransferase 1; DAG, diacylglycerol; HIF, hypoxia-inducible factor; FA, fatty acid; GPC, glycerophoshocholine; Lyso-PLA1, lysophospholipase A1; PC-PLC, phosphotidylcholine-specific phospholipase C; PA, phosphatidic acid; PC-PLD, phos-photidylcholine-specific phospholipase D; CTP, choline phosphotransferase; PCho, phosphocholine; PtdCho, phosphotidylcholine.