Target intelligence / Profile preview

Choline dehydrogenase (CHDH)

Target
CHDH
Molecular classification
Enzyme, Oxidoreductase (specifically, glucose-methanol-choline (GMC) oxidoreductase superfamily), Mitochondrial transmembrane protein
01

Overview

Choline dehydrogenase (CHDH) is a nuclear-encoded mitochondrial transmembrane enzyme that catalyzes the oxidation of choline to betaine aldehyde, a critical step in cellular methylation and choline metabolism[1][2][3][4]. The resulting betaine serves as a methyl donor for the conversion of homocysteine to methionine, influencing methylation reactions crucial for DNA, RNA, and protein modification[1]. CHDH is expressed predominantly in kidneys, but also in the liver, heart, spleen, and blood, and functions on both the inner and outer mitochondrial membranes[1]. It has a pivotal role not only in intermediary metabolism but also in regulation of mitochondrial quality control: upon mitochondrial depolarization, CHDH recruits autophagy adapters (SQSTM1/p62, LC3) and facilitates PARK2-mediated mitophagy[2]. Genetic variation in CHDH is associated with risk of metabolic disorders, cancer prognosis, male infertility, and other diseases where mitochondrial health and choline metabolism are critical[1][2]. As a result, CHDH is considered a promising target for disease biomarker development and potentially therapeutic intervention, though no direct pharmacological modulators are yet in clinical use[1][2][4].

Other names
Choline dehydrogenase, mitochondrialCHDHCDHCHDCholine oxidaseCholine-cytochrome c reductaseCholine:acceptor 1-oxidoreductaseCholine:(acceptor) oxidoreductase
02

Mechanism of action

Enzymatic oxidation of choline to betaine aldehyde and subsequent production of betaine (methyl donor for methionine synthesis); Recruitment of autophagy adapter proteins (SQSTM1/p62, LC3) to damaged mitochondria, stimulating mitophagy; Modulation of choline and methyl donor levels, impacting cell function and epigenetics.

03

Biological functions

Choline metabolism (conversion of choline to betaine aldehyde)Regulation of intracellular choline and choline-derived metabolitesMitochondrial autophagy (mitophagy) in response to mitochondrial damageMaintenance of mitochondrial integrity and ATP productionInfluence on sperm motility and reproductive healthEpigenetic methylation processes via betaine production
04

Disease associations

Cancer (breast, pancreatic, head and neck squamous cell carcinoma, clear cell renal cell carcinoma, gastric, hepatocellular)Psychiatric disordersMale infertilityTooth agenesisCholine deficiency diseaseMetabolic disorders (e.g., hyperhomocysteinemia)
05

Safety considerations

Potential rapid turnover of therapeutic choline by CHDH may limit efficacy or alter pharmacological effectsGenetic variants (SNPs) can alter choline requirements and metabolic riskDisruption of CHDH function can result in impaired mitochondrial function and associated physiological defects
06

Interacting drugs

Choline (therapeutic agent, subject to CHDH-mediated metabolism)

1 more in the full profile.

07

Biomarkers

Single nucleotide polymorphisms (SNPs) in CHDH associated with cancer prognosis, metabolic disease risk, and altered sperm parametersCHDH expression levels (especially in cancer and reproductive tissues)Measurement of choline/betaine metabolism as indirect biomarker

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