2020
DOI: 10.1186/s12986-020-00445-z
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Serum choline is associated with hepatocellular carcinoma survival: a prospective cohort study

Abstract: Background: Higher choline and betaine levels have been linked to lower risk of liver cancer, whereas existing data in relation to hepatocellular carcinoma (HCC) prognosis are scarce. Our objective was to examine the associations of the serum choline and betaine with HCC survival. Methods: 866 newly diagnosed HCC patients were enrolled in the Guangdong Liver Cancer Cohort. Serum choline and betaine were assessed using high-performance liquid chromatography with online electro-spray ionization tandem mass spect… Show more

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Cited by 13 publications
(6 citation statements)
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“… 27 Choline is an essential nutrient in all cells to maintain the stability of cell membrane structure, 28 and higher plasma Choline levels were associated with better HCC survival rates. 29 Choline of HCC plasma was lower than liver cirrhosis and healthy control group, 11 which is consistent with our results. L-Pyroglutamic acid is also called 5-oxoproline, a synthetic substrate of glutathione (GSH); its reduction will weaken hepatic antioxidant capacity.…”
Section: Discussionsupporting
confidence: 90%
“… 27 Choline is an essential nutrient in all cells to maintain the stability of cell membrane structure, 28 and higher plasma Choline levels were associated with better HCC survival rates. 29 Choline of HCC plasma was lower than liver cirrhosis and healthy control group, 11 which is consistent with our results. L-Pyroglutamic acid is also called 5-oxoproline, a synthetic substrate of glutathione (GSH); its reduction will weaken hepatic antioxidant capacity.…”
Section: Discussionsupporting
confidence: 90%
“…Two large US cohort studies revealed positive associations of choline intake with all-cause and CVD mortality [ 14 ], but a prospective study of Japanese adults showed no such associations [ 15 ]. Reversely, a large prospective cohort study revealed that higher serum choline levels at diagnosis were associated with better hepatocellular carcinoma survival outcomes [ 16 ]. Hence, in this large, prospective, follow-up study of the CSPPT, we performed a nested case–control study to assess the prospective association between the baseline serum choline concentrations and all-cause mortality risk in adults with hypertension, and further evaluated whether the associations were modified by sociodemographic and clinical characteristics and lifestyle factors.…”
Section: Introductionmentioning
confidence: 99%
“…Amino acids are used for the synthesis of tissue proteins and hormones and serve as energy-producing substances in organisms [ 27 ]. Phosphatidylcholine is an significant component of cell membranes and plays an important role in cell signaling pathways [ 28 , 29 ]. Acetyl-CoA plays an essential role in glycolysis and fatty acid oxidation [ 30 ].…”
Section: Discussionmentioning
confidence: 99%