“…If choline is utilized as a carbon source, however, the presence of a betaine aldehyde dehydrogenase may be advantageous, given that the Km for betaine aldehyde of known betaine aldehyde dehydrogenases is 17-to 28-fold lower (22,29,31,34) than the Km of choline oxidase (8.7 mM [19]). As well, betaine aldehyde dehydrogenase activity can generate NADH or NADPH (22,29,31,34), which may serve in vivo as a source of reductant or be used for ATP synthesis, whereas choline oxidase, which uses 02 as the primary electron acceptor (20,33,49), does not provide this advantage.…”