Phosphatidylcholine is a major component of very low density lipoproteins (VLDLs) secreted by the liver. Hepatic phosphatidylcholine is synthesized from choline via the CDP-choline pathway and from the phosphatidylethanolamine N-methyltransferase pathway. Elimination of the methyltransferase in male mice reduces hepatic VLDL secretion. Our objective was to determine whether inhibition of the CDP-choline pathway for phosphatidylcholine synthesis (by restricting the supply of choline) also impaired VLDL secretion. In mice fed a choline-deficient (CD), compared with a cholinesupplemented, diet for 21 days, the amounts of plasma apolipoproteins (apo) B100 and B48 were reduced and the liver triacylglycerol content was increased. Hepatocytes were isolated from male mice that had been fed the CD diet for 3 or 21 days, and the cells were incubated with or without choline. The secretion of apoB100 and B48 from CD hepatocytes was not reduced, and triacylglycerol secretion was only modestly decreased, compared with that from cells supplemented with choline. Remarkably, in light of widely held assumptions, the rate of phosphatidylcholine synthesis from the CDPcholine pathway was not decreased in CD hepatocytes. Rather, there was a trend toward increased phosphatidylcholine synthesis that might be explained by enhanced CTP:phosphocholine cytidylyltransferase activity. Although the concentration of phosphocholine in CD hepatocytes was reduced, the size of the phosphocholine pool remained well above the K m for the cytidylyltransferase. Moreover, the amount and activity of the cytidylyltransferase and methyltransferase were increased. The reduction in plasma apoB in mice deprived of dietary choline cannot, therefore, be attributed to decreased apoB secretion.In 1998, choline was classified as an essential nutrient for humans and a minimum dietary intake was recommended (53). Choline is ubiquitously present in animals and plants and is essential for survival and normal growth of cultured cells (1-4). Choline also appears to be an essential nutrient for humans (5, 6). Upon consumption of a choline-deficient (CD) 1 diet for 3 weeks, humans develop incipient liver dysfunction, particularly when adequate levels of methionine and folate are also lacking (5). In addition, choline has been proposed to play an important function in brain development (7, 8), probably because in cholinergic neurons choline is a precursor of the neurotransmitter acetylcholine (6, 9). Choline is also a precursor of the abundant membrane phospholipids phosphatidylcholine (PC), sphingomyelin, and choline plasmalogens in eukaryotic cells. In all nucleated eukaryotic cells, PC is synthesized from choline via the CDP-choline pathway (10). In the liver, an additional PC biosynthetic pathway, the phosphatidylethanolamine N-methyltransferase (PEMT) pathway (11, 12), which utilizes S-adenosylmethionine, generates ϳ30% of hepatic PC (13-15).Choline deprivation has been widely reported to be an effective tool for specifically inhibiting the CDP-choline pathway for PC...