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Companion Animals: Choline

Deficiency

The most common signs of choline deficiency in a number of species include poor growth, fatty livers, perosis, hemorrhagic tissue (particularly in kidneys and certain joints), and hypertension. In general, severity of clinical signs in animal species is influenced by other dietary factors, including methionine, vitamin B12, folic acid and dietary fat. When feed intake and consequently growth are depressed by choline deficiency, severity of choline deficiency is then reduced.

Research information is very limited on detection methods to determine choline status of animals. Often the best indicator of status or need for choline is observation of pathology attributable to choline deficiency (e.g., fatty livers) for particular species, as well as beneficial performance responses when diets are supplemented with the vitamin. Tissue levels of choline or its functional metabolites can be determined to evaluate choline status. There is evidence of a reduction of acetylcholine in brains, kidneys and intestines of rats deprived of choline six days after weaning. Choline administered to rats either by injection or by diet causes a dose-related increase in brain acetylcholine (Kuksis and Mookerjea, 1984). Studies on the mechanism of liver fat accumulation have suggested that this is related to a lack of lecithin synthesis. With a choline deficiency, the hepatic phosphatidylcholine:phosphatidylethanolamine ratio is reduced, and is thus a means of evaluating choline status.

For dogs, liver function test as measured by delayed bromsulfalein elimination could be the basis of determining choline status (McKibbin et al., 1944; 1945). Plasma phosphatase activity and blood prothrombin times (impaired vitamin K function) were also elevated in the choline-deficient puppies (NRC, 1985). For cats, hypoalbuminemia (abnormally low level of albumin in the blood plasma) was reported by Mansur Guerios and Hoxter (1962), but was not found by Schaeffer et al. (1982).

A. Deficiency in Dogs

Dogs were important in the early history of determining the nutritional significance of choline. Following the discovery of insulin in 1922 by Banting and Best, it was observed that fatty degeneration of the liver associated with insulin deprivation in dogs could be corrected by feeding either raw pancreas or lecithin. In 1932 choline was discovered to be the active component of pure lecithin previously shown to prevent fatty liver's "lipotropic effect" in rats (Best et al., 1934). Betaine, considered to be only a methyl donor, was found to have a similar lipotropic effect in dogs and rats.

Dutra and McKibbin (1945) described the pathology of "uncomplicated" choline deficiency in young puppies. They reported decreased growth and degeneration and fatty infiltration of the liver, causing impaired liver function. There were atrophic changes of the thymus. Choline-deficient dogs with fatty livers show an increased rate of hepatic phospholipid synthesis following choline supplementation (NRC, 1985).

B. Deficiency in Cats

Kittens deficient in choline have decreased food intake and growth rate and increased lipid content of the liver (Carvalho da Silva et al., 1959b; Anderson et al., 1979; Schaeffer et al., 1982).

 

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