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Citicoline: A Superior Form of Choline?
Kamil Synoradzki1, Paweł Grieb2
1Department of Experimental Pharmacology, Mossakowski Medical Research Centre, Polish Academy of Sciences, 5 Pawinskiego Street, 02-106 Warsaw, Poland.
Citicoline, a source of choline, may offer safer and more effective cognitive benefits than traditional choline supplements. Research suggests it is less toxic and potentially reduces the risk of harmful byproducts like TMAO.
Area of Science:
- Nutritional Neuroscience
- Biochemistry
- Pharmacology
Background:
- Citicoline (cytidine-diphosphocholine) has been used as a prescription nootropic since the 1970s.
- The inner salt form of citicoline is now recognized as a food ingredient globally.
- In the EU, no specific health claims are authorized for citicoline, though choline, a component, has approved claims.
Purpose of the Study:
- To evaluate the applicability of authorized choline health claims to citicoline.
- To analyze toxicity data comparing citicoline and choline.
- To hypothesize on the metabolic fate of choline from citicoline versus other dietary sources.
Main Methods:
- Review of existing literature on citicoline and choline.
- Analysis of toxicity data on a molar mass basis.
- Hypothetical modeling of metabolic pathways involving citicoline and choline.
Main Results:
- The applicability of choline's health claims to citicoline is complex and requires further consideration.
- Citicoline demonstrates significantly lower toxicity compared to choline on a molar mass basis.
- It is hypothesized that citicoline's choline moiety is less likely to convert to trimethylamine (TMA) and TMAO.
Conclusions:
- Citicoline is a dietary source of choline and cytidine.
- Compared to other dietary choline sources, citicoline may be safer due to reduced TMAO formation.
- Citicoline presents a potentially safer and more efficacious alternative for cognitive enhancement applications compared to choline supplementation.
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