PC 1The abbreviations used are: PC, phosphatidylcholine; CCT, also known as CT, CTP:phosphocholine cytidylyltransferase; CSF-1, colony-stimulating factor 1; DSPC, disaturated phosphatidylcholine; G3PCT, CTP:glycerol-3-phosphate cytidylyltransferase; GroPCho, glycerol-3-phosphocholine; HDL, high density lipoprotein; LDL, low density lipoprotein; NLS, nuclear localization sequence; NTE, neuropathy target esterase; PEMT, phosphatidylethanolamine N-methyltransferase; PE, phosphatidylethanolamine; PI, phosphatidylinositol; VLDL, very low density lipoprotein. is the most abundant phospholipid in eukaryotic membranes whereas few prokaryotes contain PC. PC is synthesized in eukaryotes by two routes: the CDP-choline pathway (1Kent C. Biochim. Biophys. Acta. 1997; 1348: 79-90Crossref PubMed Scopus (182) Google Scholar) and PE methylation (2Vance J.E. Vance D.E. Biochem. Cell Biol. 2004; 82: 113-128Crossref PubMed Scopus (247) Google Scholar). PE methylation is the most important contributor to PC formation in Saccharomyces cerevisiae (3Carman G.M. Henry S.A. Prog. Lipid Res. 1999; 38: 361-399Crossref PubMed Scopus (251) Google Scholar). In contrast, mammalian cells and tissues predominantly use the CDP-choline pathway (2Vance J.E. Vance D.E. Biochem. Cell Biol. 2004; 82: 113-128Crossref PubMed Scopus (247) Google Scholar, 4Jackowski S. Rehg J.E. Zhang Y-M. Wang J. Miller K. Jackson P. Karim M.A. Mol. Cell. Biol. 2004; 24: 4720-4733Crossref PubMed Scopus (45) Google Scholar). PC is the major phospholipid in plant extraplastid membranes, and the CDP-choline pathway operates in Brassica napus (5Nishida I. Swinhoe R. Slabas A.R. Murata N. Plant Mol. Biol. 1996; 31: 205-211Crossref PubMed Google Scholar), Arabidopsis thaliana (6Choi S.B. Lee K.W. Cho S.H. Mol. Cell. 1997; 7: 58-63Google Scholar, 7Inatsugi R. Nakamura M. Nishida I. Plant Cell Physiol. 2002; 43: 1342-1350Crossref PubMed Google Scholar), and Pisum sativum (8Jones P.L. Willey D.L. Gacesa P. Harwood J.L. Plant Mol. Biol. 1998; 37: 179-185Crossref PubMed Scopus (9) Google Scholar). PC is present in select prokaryotes, including Treponema denticola, whose genome encodes a fusion protein containing both choline kinase and CCT activities (9Kent C. Gee P. Lee S.Y. Bian X. Fenno J.C. Mol. Microbiol. 2004; 51: 471-481Crossref PubMed Scopus (29) Google Scholar). On the other hand, Sinorhizobium meliloti produces PC by the condensation of choline and CDP-diacylglycerol catalyzed by the novel PC synthase (10Sohlenkamp C. Lopez-Lara I.M. Geiger O. Prog. Lipid Res. 2003; 42: 115-162Crossref PubMed Scopus (202) Google Scholar). The CCTs in bacteria do not resemble any of the other known CCTs (11Campbell H.A. Kent C. Biochim. Biophys. Acta. 2001; 1534: 85-95Crossref PubMed Scopus (19) Google Scholar, 12Kwak B.Y. Zhang Y-M. Yun M. Heath R.J. Rock C.O. Jackowski S. Park H.W. J. Biol. Chem. 2002; 277: 4343-4350Abstract Full Text Full Text PDF PubMed Scopus (37) Google Scholar, 13Rock C.O. Heath R.J. Park H-W. Jackowski S. J. Bacteriol. 2001; 183: 4927-4931Crossref PubMed Scopus (27) Google Scholar). There are three steps in the CDP-choline pathway. Choline is an essential nutrient in mammals and is transported into the cell and phosphorylated by choline kinase. CCT catalyzes the condensation of CTP and phosphocholine to form CDP-choline, which in turn donates the phosphocholine moiety to diacylglycerol to form PC. CCT mediates the rate-limiting step in this pathway (1Kent C. Biochim. Biophys. Acta. 1997; 1348: 79-90Crossref PubMed Scopus (182) Google Scholar) and is unique in that its enzymatic activity is regulated by association with membrane structures (14Cornell R.B. Northwood I.C. Trends Biochem. Sci. 2000; 25: 441-447Abstract Full Text Full Text PDF PubMed Scopus (174) Google Scholar, 15Johnson J.E. Cornell R.B. Mol. Membr. Biol. 1999; 16: 217-235Crossref PubMed Scopus (222) Google Scholar). A current model posits that bilayer curvature elastic stress is sensed by CCT and governs the degree of membrane association, thus providing a mechanism for both positive and negative regulation of activity (16Attard G.S. Templer R.H. Smith W.S. Hunt A.N. Jackowski S. Proc. Natl. Acad. Sci. U. S. A. 2000; 97: 9032-9036Crossref PubMed Google Scholar, 17Davies S.M. Epand R.M. Kraayenhof R. Cornell R.B. Biochemistry. 2001; 40: 10522-10531Crossref PubMed Scopus (106) Google Scholar). The PEMT is the only enzyme in the alternative pathway, and it performs all three of the methylation steps. The significance of PE methylation to PC production is controlled by the expression of PEMT, which is high in liver and testis (4Jackowski S. Rehg J.E. Zhang Y-M. Wang J. Miller K. Jackson P. Karim M.A. Mol. Cell. Biol. 2004; 24: 4720-4733Crossref PubMed Scopus (45) Google Scholar, 18Jacobs R.L. Devlin C. Tabas I. Vance D.E. J. Biol. Chem. 2004; 279: 47402-47410Abstract Full Text Full Text PDF PubMed Scopus (126) Google Scholar). The goal of this minireview is to highlight recent progress in understanding the regulation of CCT expression and a growing appreciation of its role in cell biology and organ function. The regulatory biochemistry of CCT is discussed in several recent reviews (1Kent C. Biochim. Biophys. Acta. 1997; 1348: 79-90Crossref PubMed Scopus (182) Google Scholar, 2Vance J.E. Vance D.E. Biochem. Cell Biol. 2004; 82: 113-128Crossref PubMed Scopus (247) Google Scholar, 14Cornell R.B. Northwood I.C. Trends Biochem. Sci. 2000; 25: 441-447Abstract Full Text Full Text PDF PubMed Scopus (174) Google Scholar, 15Johnson J.E. Cornell R.B. Mol. Membr. Biol. 1999; 16: 217-235Crossref PubMed Scopus (222) Google Scholar, 19Lykidis A. Jackowski S. Prog. Nucleic Acids Res. Mol. Biol. 2000; 65: 361-393Crossref Google Scholar, 20Jackowski S. Baburina I. Templer R.H. Leatherbarrow R. Probing and Modeling Membranes and Proteins. Royal Society of Chemistry, London, UK2002: 163-176Google Scholar, 21Jackowski S. Haldar D. Das S.K. Glycerolipid Metabolizing Enzymes. Research Signpost, Trivandrum, India2002: 109-124Google Scholar, 22Clement J.M. Kent C. Biochem. Biophys. Res. Commun. 1999; 257: 643-650Crossref PubMed Scopus (53) Google Scholar). The mammalian CCT proteins are divided into four functional domains. The N-terminal domains are distinct and either contain a nuclear localization signal (CCTα) or not (CCTβ). The catalytic domain contains two motifs, HXGH and of the P. C. PubMed Scopus Google Scholar), which are in CTP Cornell R.B. Biochemistry. 1996; PubMed Scopus (27) Google Scholar, Kent C. Biochemistry. 2003; 42: PubMed Scopus Google Scholar). A the CTP is in phosphocholine Kent C. Biochemistry. 2003; 42: PubMed Scopus Google Scholar). CCT is a H.A. Kent C. J. Biol. Chem. 1999; Full Text Full Text PDF PubMed Scopus Google Scholar, M. Smith J.L. Zhang D. Cornell R.B. J. Biol. Chem. 2004; 279: Full Text Full Text PDF PubMed Scopus Google Scholar). The high of the a role for in the catalytic mechanism of the CCT protein S. Kent C. J. Biol. Chem. 2003; Full Text Full Text PDF PubMed Scopus Google Scholar, S.Y. S. Kent C. Biol. 2001; PubMed Scopus Google Scholar, S. H.A. Kent C. J. Biol. Chem. 2001; Full Text Full Text PDF PubMed Google Scholar, Park S. Kent C. 1999; 7: Full Text Full Text PDF Scopus Google Scholar). in the CCTs and J.M. Kent C. Biochem. Biophys. Res. Commun. 1999; 257: 643-650Crossref PubMed Scopus (53) Google Scholar, Biochim. Acta. 2004; PubMed Scopus Google Scholar) a major role in the and regulation of the enzyme (1Kent C. Biochim. Biophys. Acta. 1997; 1348: 79-90Crossref PubMed Scopus (182) Google Scholar, 14Cornell R.B. Northwood I.C. Trends Biochem. Sci. 2000; 25: 441-447Abstract Full Text Full Text PDF PubMed Scopus (174) Google Scholar, 15Johnson J.E. Cornell R.B. Mol. Membr. Biol. 1999; 16: 217-235Crossref PubMed Scopus (222) Google Scholar, 19Lykidis A. Jackowski S. Prog. Nucleic Acids Res. Mol. Biol. 2000; 65: 361-393Crossref Google Scholar, Biochim. Acta. 2004; PubMed Scopus Google Scholar). The or domain with both and and is the of the protein that to the bilayer curvature elastic stress (6Choi S.B. Lee K.W. Cho S.H. Mol. Cell. 1997; 7: 58-63Google Scholar, 14Cornell R.B. Northwood I.C. Trends Biochem. Sci. 2000; 25: 441-447Abstract Full Text Full Text PDF PubMed Scopus (174) Google Scholar, M. Smith J.L. Zhang D. Cornell R.B. J. Biol. Chem. 2004; 279: Full Text Full Text PDF PubMed Scopus Google Scholar, J.E. M. R. Cornell R.B. J. Biol. Chem. 2003; Full Text Full Text PDF PubMed Scopus Google Scholar, S. J.E. Cornell R.B. Biochemistry. 2003; 42: PubMed Scopus Google Scholar). of the in an enzyme that catalytic activity high CTP to regulation H.A. Kent C. J. Biol. Chem. 1999; Full Text Full Text PDF PubMed Scopus Google Scholar, A. Jackson P. Jackowski S. Biochemistry. 2001; 40: PubMed Scopus Google Scholar). The or the domain in mammalian the enzyme in to the domain is A. Jackson P. Jackowski S. Biochemistry. 2001; 40: PubMed Scopus Google Scholar). The CCTs of eukaryotes do not a domain to the domain are J.M. Kent C. Biochem. Biophys. Res. Commun. 1999; 257: 643-650Crossref PubMed Scopus (53) Google Scholar). of CCTs S. cerevisiae J.E. S. Cornell R.B. Biochem. J. PubMed Scopus (45) Google Scholar, Park Kent C. 2001; PubMed Scopus Google Scholar), Biochem. J. 1997; PubMed Scopus Google Scholar), and Kent C. Biochim. Biophys. Acta. 2001; PubMed Scopus Google Scholar). is of a that with membrane and the protein with catalytic The mammalian CCTs are phosphorylated of the domain (1Kent C. Biochim. Biophys. Acta. 1997; 1348: 79-90Crossref PubMed Scopus (182) Google Scholar). CCT to select Cornell R.B. Biochemistry. 1997; PubMed Scopus Google Scholar) and activity Cornell R.B. Biochemistry. 1997; PubMed Scopus Google Scholar, R.B. R.J. M.A. Biochem. J. PubMed Google Scholar). of CCT membrane association in or cells or in localization not a and the of CCT activity in with the that is a mechanism for M. C. J. Biol. Chem. 1996; Full Text Full Text PDF PubMed Scopus Google Scholar, M. PubMed Scopus Google Scholar) to the enzyme activity in to membrane The CCT protein is two distinct in and encodes the Tabas I. J. Biol. Chem. 1997; Full Text Full Text PDF PubMed Scopus Google Scholar, M.A. Jackson P. Jackowski S. Biochim. Biophys. Acta. 2003; PubMed Scopus Google Scholar), and encodes the and M.A. Jackson P. Jackowski S. Biochim. Biophys. Acta. 2003; PubMed Scopus Google Scholar, A. Baburina I. Jackowski S. J. Biol. Chem. 1999; Full Text Full Text PDF PubMed Scopus Google Scholar, A. Jackowski S. J. Biol. 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Chem. 1999; Full Text Full Text PDF PubMed Scopus Google Scholar) that nuclear CCT in PC nuclear is also of as a for a to an PC as the membrane with I.C. Cornell R.B. J. Biol. Chem. 1999; Full Text Full Text PDF PubMed Scopus Google Scholar), or of membrane to of PC Miller Mol. Cell. Biol. 2002; PubMed Scopus Google Scholar). are and are not The of protein is the with R. M. J. Physiol. 2004; PubMed Scopus Google Scholar) in cells and tissues R. I. Wang J. M. J. Biol. Chem. 2001; Full Text Full Text PDF PubMed Scopus Google Scholar, I. R. J. Wang J. M. J. Cell Mol. Biol. 2002; PubMed Scopus Google Scholar), which a high for PC or that the CCT in Cell that the pathway regulated by CCT a role in providing PC for cell the of a cell CCT activity Proc. Natl. Acad. Sci. U. S. A. PubMed Scopus Google Scholar, M. Proc. Natl. Acad. Sci. U. S. A. PubMed Google Scholar). The to PC by the PEMT this CCT Vance D.E. J. Biol. 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