The critical role of phosphatidylcholine and phosphatidylethanolamine metabolism in health and disease
Open accessAbstract
Phosphatidylcholine (PC) and phosphatidylethanolamine (PE) are the most abundant phospholipids in all mammalian cell membranes. In the 1950s, Eugene Kennedy and co-workers performed groundbreaking research that established the general outline of many of the pathways of phospholipid biosynthesis. In recent years, the importance of phospholipid metabolism in regulating lipid, lipoprotein and whole-body energy metabolism has been demonstrated in numerous dietary studies and knockout animal models. The purpose of this review is to highlight the unappreciated impact of phospholipid metabolism on health and disease. Abnormally high, and abnormally low, cellular PC/PE molar ratios in various tissues can influence energy metabolism and have been linked to disease progression. For example, inhibition of hepatic PC synthesis impairs very low density lipoprotein secretion and changes in hepatic phospholipid composition have been linked to fatty liver disease and impaired liver regeneration after surgery. The relative abundance of PC and PE regulates the size and dynamics of lipid droplets. In mitochondria, changes in the PC/PE molar ratio affect energy production. We highlight data showing that changes in the PC and/or PE content of various tissues are implicated in metabolic disorders such as atherosclerosis, insulin resistance and obesity. This article is part of a Special Issue entitled: Membrane Lipid Therapy: Drugs Targeting Biomembranes edited by Pablo V. Escribá.
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PC was increased in LPL KD cells.
“Additionally, phosphatidylcholine (PC), which is known to alter the size and dynamics of LDs [43], and is a feature of reactive microglia [44], was increased in LPL KD cells (Figure 2E,J).”
From Lipoprotein Lipase Regulates Microglial Lipid Droplet Accumulation (2021) · cites this paper as [43]
PC alters the size and dynamics of LDs and is a feature of reactive microglia.
“Additionally, phosphatidylcholine (PC), which is known to alter the size and dynamics of LDs [43], and is a feature of reactive microglia [44], was increased in LPL KD cells (Figure 2E,J).”
From Lipoprotein Lipase Regulates Microglial Lipid Droplet Accumulation (2021) · cites this paper as [43]
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SREBPs: activators of the complete program of cholesterol and fatty acid synthesis in the liver
Horton, J. D., Goldstein, J. L., & Brown, M. S. (2002) · Journal of Clinical Investigation · doi:10.1172/jci0215593 · Cited by 4,092 · see citing works
Intestinal mucosal barrier function in health and disease
Turner, J. R. (2009) · Nature reviews. Immunology · doi:10.1038/nri2653 · Cited by 3,952 · see citing works
Mutations in <i>SDHD</i> , a Mitochondrial Complex II Gene, in Hereditary Paraganglioma
Baysal, B. E., Ferrell, R. E., Willett-Brozick, J. E., Lawrence, E. C., Myssiorek, D., Bosch, A., Mey, A. V. D., Taschner, P. E. M., Rubinstein, W. S., Myers, E. N., et al. (2000) · Science · doi:10.1126/science.287.5454.848 · Cited by 1,638 · see citing works
Yu, C., Chen, Y., Cline, G. W., Zhang, D., Zong, H., Wang, Y., Bergeron, R., Kim, J. K., Cushman, S. W., Cooney, G. J., et al. (2002) · Journal of Biological Chemistry · doi:10.1074/jbc.m200958200 · Cited by 1,561 · see citing works
Mitochondrial Dysfunction in Neurodegenerative Diseases
Johri, A., & Beal, M. F. (2012) · The Journal of Pharmacology and Experimental Therapeutics · doi:10.1124/jpet.112.192138 · Cited by 806 · see citing works
AMPK regulation of fatty acid metabolism and mitochondrial biogenesis: implications for obesity.
O’Neill, H. M., Holloway, G. P., & Steinberg, G. R. (2013) · Molecular and Cellular Endocrinology · doi:10.1016/j.mce.2012.06.019 · Cited by 364 · see citing works
Hashidate-Yoshida, T., Harayama, T., Hishikawa, D., Morimoto, R., Hamano, F., Tokuoka, S. M., Eto, M., Tamura-Nakano, M., Yanobu-Takanashi, R., Mukumoto, Y., et al. (2015) · eLife · doi:10.7554/elife.06328 · Cited by 270 · see citing works
The SREBP Pathway in Drosophila
Seegmiller, A. C., Dobrosotskaya, I., Goldstein, J. L., Ho, Y. K., Brown, M. S., & Rawson, R. B. (2002) · Developmental Cell · doi:10.1016/s1534-5807(01)00119-8 · Cited by 194 · see citing works
Fast, D. G., & Vance, D. E. (1995) · Biochimica et Biophysica Acta (BBA) - Lipids and Lipid Metabolism · doi:10.1016/0005-2760(95)00116-t · Cited by 77 · see citing works
Self-citation
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Research works printed but not linked: 12
- E. Kennedy, P., and Weiss, S., B., The function of cytidine coenzymes in the biosyn- thesis of phospholipides, J. Biol. Chem. 222 (1956) 193-214.
- A.L. Henneberry, G. Wistow, C.R. McMaster, Cloning, genomic organization, and characterization of a human cholinephosphotransferase [In Process Citation], J. Biol. Chem. 275 (2000) 29808-29815.
- D.R. Voelker, Phosphatidylserine translocation to the mitochondrion is an ATP-de- pendent process in permeabilized animal cells, Proc. Natl. Acad. Sci. U. S. A. 86 (1989) 9921-9925.
- D. Hishikawa, H. Shindou, S. Kobayashi, H. Nakanishi, R. Taguchi, T. Shimizu, Dis- covery of a lysophospholipid acyltransferase family essential for membrane asym- metry and diversity, Proc. Natl. Acad. Sci. U. S. A. 105 (2008) 2830-2835.
- L.L. Listenberger, X. Han, S.E. Lewis, S. Cases, R.V. Farese Jr., D.S. Ory, J.E. Schaffer, Triglyceride accumulation protects against fatty acid-induced lipotoxicity, Proc. Natl. Acad. Sci. U. S. A. 100 (2003) 3077-3082.
- A. Pol, S.P. Gross, R.G. Parton, Review: biogenesis of the multifunctional lipid drop- let: lipids, proteins, and sites, J. Cell Biol. 204 (2014) 635-646.
- R.L. Jacobs, Y. Zhao, D.P. Koonen, T. Sletten, B. Su, S. Lingrell, G. Cao, D.A. Peake, M.S. Kuo, S.D. Proctor, B.P. Kennedy, J.R. Dyck, D.E. Vance, Impaired de novo choline syn- thesis explains why phosphatidylethanolamine N-methyltransferase-deficient mice are protected from diet-induced obesity, J. Biol. Chem. 285 (2010) 22403-22413.
- N.K. Sharma, K.A. Langberg, A.K. Mondal, S.K. Das, Phospholipid biosynthesis genes and susceptibility to obesity: analysis of expression and polymorphisms, PLoS One 8 (2013), e65303.
- N.V. Dudkina, M. Kudryashev, H. Stahlberg, E.J. Boekema, Interaction of complexes I, III, and IV within the bovine respirasome by single particle cryoelectron tomog- raphy, Proc. Natl. Acad. Sci. U. S. A. 108 (2011) 15196-15200.
- D.W. Hailey, A.S. Rambold, P. Satpute-Krishnan, K. Mitra, R. Sougrat, P.K. Kim, J. Lippincott-Schwartz, Mitochondria supply membranes for autophagosome bio- genesis during starvation, Cell 141 (2010) 656-667.
- F. Payne, K. Lim, A. Girousse, R.J. Brown, N. Kory, A. Robbins, Y. Xue, A. Sleigh, E. Cochran, C. Adams, A. Dev Borman, D. Russel-Jones, P. Gorden, R.K. Semple, V. Saudek, S. O'Rahilly, T.C. Walther, I. Barroso, D.B. Savage, Mutations disrupting the Kennedy phosphatidylcholine pathway in humans with congenital lipodystrophy and fatty liver disease, Proc. Natl. Acad. Sci. U. S. A. 111 (2014) 8901-8906.
- J. Strakova, L. Demizieux, R.B. Campenot, D.E. Vance, J.E. Vance, Involvement of CTP:phosphocholine cytidylyltransferase-β2 in axonal phosphatidylcholine syn- thesis and branching of neurons, Biochim. Biophys. Acta 1811 (2011) 617-625.
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Loving, B. A., Tang, M., Neal, M. C., Gorkhali, S., Murphy, R., Eckel, R. H., & Bruce, K. D. (2021) · Cells · doi:10.3390/cells10020198 · Cited by 105 · see citing works
“We realize that the accumulation of LDs in microglia lacking LPL appears counterintuitive, since LPL is largely involved in the uptake of lipids.”
BackgroundInfluentialBurg, T., Rossaert, E., Moisse, M., Van Damme, P., & Van Den Bosch, L. (2021) · International Journal of Molecular Sciences · doi:10.3390/ijms222011224 · Cited by 50 · see citing works
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Sakuma, I., Gaspar, R. C., Nasiri, A. R., Dufour, S., Kahn, M., Zheng, J., LaMoia, T. E., Guerra, M. T., Taki, Y., Kawashima, Y., et al. (2025) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.2502978122 · Cited by 46 · see citing works
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Pantaleão, L. C., Inzani, I., Furse, S., Loche, E., Hufnagel, A., Ashmore, T., Blackmore, H. L., Jenkins, B., Carpenter, A. A. M., Wilczynska, A., et al. (2022) · eLife · doi:10.7554/elife.69078 · Cited by 19 · see citing works
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Lee, G., Lee, Y. C., Park, M., Kim, S. M., Park, J.-H., & Lee, D. H. (2026) · Diabetes & Metabolism Journal · doi:10.4093/dmj.2025.0120 · Cited by 2 · see citing works
- Authors
- van der Veen, J. N., Kennelly, J. P., Wan, S., Vance, J. E., Vance, D. E., & Jacobs, R. L.
- Affiliations
- University of Alberta (CA)
- Corresponding author
- Jacobs, René L.
- Venue
- Biochimica et Biophysica Acta (BBA) - Biomembranes
- Publisher
- Elsevier BV
- Published
- 2017-09
- Volume
- 1859
- Issue
- 9
- Pages
- 1558-1572
- ISSN
- 0005-2736 (ISSN-L)
- OpenAlex
- W2605431828
- Cited by
- 1,514
- References
- 9
- Citations by year
- 2026: 216 · 2025: 251 · 2024: 263 · 2023: 211 · 2022: 171 · 2021: 186 · 2020: 107 · 2019: 65 · 2018: 31 · 2017: 12 · 2014: 1
- FWCI
- 5.89
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Biochimica et Biophysica Acta (BBA) - Biomembranes (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Canadian Institutes of Health Research (MOP 5182, 133505)
- Natural Sciences and Engineering Research Council of Canada (MOP 03932)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Biochemistry › Lipid metabolism and biosynthesis
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › Cancer, Lipids, and Metabolism
- Health Sciences › Medicine › Surgery › Cholesterol and Lipid Metabolism
- Keywords
- phosphatidylcholine, phosphatidylethanolamine, phospholipid metabolism, phospholipid synthesis, energy metabolism, very low density lipoprotein secretion, hepatic steatosis, liver regeneration, lipid droplets, mitochondrial energy production, atherosclerosis, insulin resistance, obesity, membrane lipids
- MeSH terms
- Animals, Fatty Liver, Alcoholic, Humans, Intestinal Mucosa, Lipoproteins, VLDL, Liver, Liver Regeneration, Metabolic Diseases, Mitochondria, Phosphatidylcholines, Phosphatidylethanolamines, Muscle, Skeletal, Non-alcoholic Fatty Liver Disease
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