Role of Choline in Ocular Diseases

Int J Mol Sci. 2021 Apr 29;22(9):4733. doi: 10.3390/ijms22094733.

Abstract

Choline is essential for maintaining the structure and function of cells in humans. Choline plays an important role in eye health and disease. It is a precursor of acetylcholine, a neurotransmitter of the parasympathetic nervous system, and it is involved in the production and secretion of tears by the lacrimal glands. It also contributes to the stability of the cells and tears on the ocular surface and is involved in retinal development and differentiation. Choline deficiency is associated with retinal hemorrhage, glaucoma, and dry eye syndrome. Choline supplementation may be effective for treating these diseases.

Keywords: choline; diabetic retinopathy; dry eye syndrome; glaucoma; ocular disease; retina.

Publication types

  • Review

MeSH terms

  • Acetylcholine / biosynthesis
  • Acetylcholine / physiology
  • Animals
  • Choline / physiology*
  • Choline Deficiency / complications
  • Choline Deficiency / physiopathology
  • Diabetic Retinopathy / physiopathology
  • Dry Eye Syndromes / drug therapy
  • Dry Eye Syndromes / metabolism
  • Dry Eye Syndromes / physiopathology
  • Eye Diseases / etiology
  • Eye Diseases / metabolism*
  • Eye Diseases / physiopathology
  • Eye Pain / physiopathology
  • Glaucoma / physiopathology
  • Glycerylphosphorylcholine / therapeutic use
  • Humans
  • Lacrimal Apparatus / innervation
  • Lacrimal Apparatus / metabolism
  • Lens, Crystalline / metabolism
  • Nociception / physiology
  • Optic Nerve / metabolism
  • Parasympathetic Nervous System / physiopathology
  • Phosphatidylcholines / biosynthesis
  • Phospholipids / metabolism
  • Receptors, Nicotinic / physiology
  • Retina / growth & development
  • Retina / metabolism
  • Retinal Vessels / metabolism
  • Tears / metabolism

Substances

  • Phosphatidylcholines
  • Phospholipids
  • Receptors, Nicotinic
  • Glycerylphosphorylcholine
  • Choline
  • Acetylcholine