“…Methyl-donor deficiency is not only associated with liver disease but also with neurodegenerative diseases ABBREVIATIONS: 4-HNE, 4-hydroxynonenal; AADD, amino acid-defined diet; AC, acylcarnitine; AD, Alzheimer's disease; ALT, alanine aminotransferase; BHMT, betaine-Hcy S-methyltransferase; Cbs, cystathionineb-synthase; Cpt1, carnitine palmitoyltransferase 1; EPM, elevated plus maze; FC, free carnitine; Fgf21, fibroblast growth factor 21; Hcy, homocysteine; H&E, hematoxylin and eosin; lysoPC a, lysophosphatidylcholine acyl; MCD, methionine-choline deficient; MCD+B, betaine-supplemented MCD; MWM, Morris water maze; NAFLD, nonalcoholic fatty liver disease; NASH, nonalcoholic steatohepatitis; NOR, novel object recognition; PC, phosphatidylcholine; PC aa, diacyl PC; PC ae, acyl-alkyl PC; PE, phosphatidylethanolamine; PEMT, PE N-methyltransferase; Pgc1a, peroxisome proliferator-activated receptor-g coactivator; PL, phospholipid; PLC, palmitoylcarnitine; Ppara, peroxisome proliferator-activated receptor a; SAH, S-adenosyl-Hcy; SAM, S-adenosyl-methionine; SD, Sprague-Dawley; SM, sphingomyelin; SM(OH), hydroxySM; tHcy, total Hcy; VLDL, very low density lipoprotein (5,6). Impairment of methylation metabolism in older humans, as indicated by elevated plasma total homocysteine (tHcy), is a prevalent risk factor for stroke, mild cognitive impairment, Alzheimer's disease (AD), and dementia in general (7).…”