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Thematic Review| Volume 49, ISSUE 7, P1377-1387, July 2008

Thematic Review Series: Glycerolipids. Phosphatidylserine and phosphatidylethanolamine in mammalian cells: two metabolically related aminophospholipids

Open AccessPublished:January 19, 2008DOI:https://doi.org/10.1194/jlr.R700020-JLR200
      Phosphatidylserine (PS) and phosphatidylethanolamine (PE) are two aminophospholipids whose metabolism is interrelated. Both phospholipids are components of mammalian cell membranes and play important roles in biological processes such as apoptosis and cell signaling. PS is synthesized in mammalian cells by base-exchange reactions in which polar head groups of preexisting phospholipids are replaced by serine. PS synthase activity resides primarily on mitochondria-associated membranes and is encoded by two distinct genes. Studies in mice in which each gene has been individually disrupted are beginning to elucidate the importance of these two synthases for biological functions in intact animals. PE is made in mammalian cells by two completely independent major pathways. In one pathway, PS is converted into PE by the mitochondrial enzyme PS decarboxylase. In addition, PE is made via the CDP-ethanolamine pathway, in which the final reaction occurs on the endoplasmic reticulum and nuclear envelope. The relative importance of these two pathways of PE synthesis has been investigated in knockout mice. Elimination of either pathway is embryonically lethal, despite the normal activity of the other pathway. PE can also be generated from a base-exchange reaction and by the acylation of lyso-PE. Cellular levels of PS and PE are tightly regulated by the implementation of multiple compensatory mechanisms.

      BIOLOGICAL FUNCTIONS OF PHOSPHATIDYLSERINE AND PHOSPHATIDYLETHANOLAMINE IN MAMMALIAN CELLS

      Mammalian cell membranes contain >1,000 different phospholipids. This large mixture of phospholipid species is primarily the result of the distinct fatty acyl chains esterified to the sn-1 and sn-2 positions of the glycerol backbone as well as the different polar head groups attached to the sn-3 position of the glycerol backbone. The amounts of the various phospholipids in a membrane define the fluidity of the membrane and, consequently, the functions of the embedded proteins. Phosphatidylcholine is the most abundant phospholipid in mammalian cell membranes, constituting 40–50% of total phospholipids. The second most abundant mammalian membrane phospholipid is phosphatidylethanolamine (PE), which constitutes 20–50% of total phospholipids. In the brain, ∼45% of total phospholipids are PE, whereas in the liver, only ∼20% of total phospholipids are PE. Phosphatidylserine (PS) is a quantitatively minor membrane phospholipid that makes up 2–10% of total phospholipids. The metabolic interrelationships among PS, PE, and phosphatidylcholine are depicted in Fig. 1. Additional relatively minor mammalian membrane phospholipids include phosphatidylinositol, sphingomyelin, and the mitochondria-specific phospholipid, cardiolipin.
      Figure thumbnail gr1
      Fig. 1The metabolism of phosphatidylserine (PS) and phosphatidylethanolamine (PE) in mammalian cells. PS is made in elements of the endoplasmic reticulum (ER) by two base-exchange enzymes, PS synthase-1 (PSS1) and PS synthase-2 (PSS2), that exchange the choline (Cho) and ethanolamine (Etn) head groups of phosphatidylcholine (PC) and PE, respectively, for serine (Ser). In the CDP-ethanolamine pathway for PE synthesis, ethanolamine is phosphorylated by ethanolamine kinase (EK) to produce phosphoethanolamine, which is subsequently converted to CDP-ethanolamine by the action of CTP:phosphoethanolamine cytidylyltransferase (ET). In the final step of this pathway, CDP-ethanolamine combines with 1,2-diacylglycerol in a reaction catalyzed by CDP-ethanolamine:1,2-diacylglycerol ethanolaminephosphotransferase (EPT), an enzyme of the ER and nuclear envelope. Another major PE biosynthetic pathway occurs only in mitochondria and uses phosphatidylserine decarboxylase (PSD), which decarboxylates PS to PE. PE can also be produced from lyso-PE, in a reaction most likely catalyzed by an acyl-CoA-dependent acyltransferase (LPEAT).
      Different types of mammalian cells and tissues have characteristic phospholipid compositions. For example, the brain is enriched in the two aminophospholipids PE and PS compared with other tissues. In the brain, and particularly in the retina (
      • Ford D.A.
      • Monda J.K.
      • Brush R.S.
      • Anderson R.E.
      • Richards M.J.
      • Fliesler S.J.
      Lipidomic analysis of the retina in a rat model of Smith-Lemli-Opitz syndrome: alterations in docosahexaenoic acid content of phospholipid molecular species.
      ), the acyl chains of PS are highly enriched in docosahexaenoic acid (22:6n-3) (
      • Hayashi H.
      • Igbavboa U.
      • Hamanaka H.
      • Kobayashi M.
      • Fujita S.C.
      • Gibson Wood, and K. Yanagisawa W.
      Cholesterol is increased in the exofacial leaflet of synaptic plasma membranes of human apolipoprotein E4 knock-in mice.
      ,
      • Hicks A.M.
      • DeLong C.J.
      • Thomas M.J.
      • Samuel M.
      • Cui Z.
      Unique molecular signatures of glycerophospholipid species in different rat tissues analyzed by tandem mass spectrometry.
      ,
      • Kim H.Y.
      Novel metabolism of docosahexaenoic acid in neural cells.
      ). In human gray matter, 22:6n-3 accounts for >36% of the fatty acyl species of PS (
      • Garcia M.C.
      • Ward G.
      • Ma Y-C.
      • Salem N.
      • Kim H-Y.
      Effect of docosahexaenoic acid on the synthesis of phosphatidylserine in rat brain microsomes and C6 glioma cells.
      ,
      • Hamilton L.
      • Greiner R.
      • Salem Jr., N.
      • Kim H.Y.
      n-3 fatty acid deficiency decreases phosphatidylserine accumulation selectively in neuronal tissues.
      ,
      • Kim H.Y.
      • Bigelow J.
      • Kevala J.H.
      Substrate preference in phosphatidylserine biosynthesis for docosahexaenoic acid containing species.
      ). Because 22:6n-3 appears to be essential for the normal development and functioning of the nervous system (
      • Hamilton L.
      • Greiner R.
      • Salem Jr., N.
      • Kim H.Y.
      n-3 fatty acid deficiency decreases phosphatidylserine accumulation selectively in neuronal tissues.
      ,
      • Suzuki S.
      • Yamatoya H.
      • Sakai M.
      • Kataoka A.
      • Furushiro M.
      • Kudo S.
      Oral administration of soybean lecithin transphosphatidylated phosphatidylserine improves memory impairment in aged rats.
      ,
      • Piccotti L.
      • Marchetti C.
      • Migliorati G.
      • Roberti R.
      • Corazzi L.
      Exogenous phospholipids specifically affect transmembrane potential of brain mitochondria and cytochrome c release.
      ,
      • Mozzi R.
      • Buratta S.
      • Goracci G.
      Metabolism and functions of phosphatidylserine in mammalian brain.
      ,
      • DeMar Jr., J.C.
      • Ma K.
      • Bell J.M.
      • Rapoport S.I.
      Half-lives of docosahexaenoic acid in rat brain phospholipids are prolonged by 15 weeks of nutritional deprivation of n-3 polyunsaturated fatty acids.
      ), it is likely that PS plays an important role in the nervous system and in vision (reviewed in Ref.
      • Kim H.Y.
      Novel metabolism of docosahexaenoic acid in neural cells.
      ).
      The different organelles within mammalian cells also have distinct phospholipid compositions. In mitochondria, particularly in the inner membrane, the PE content is significantly higher than in other organelles. Not only do different organelle membranes have different phospholipid contents, but the two leaflets of the membrane bilayer also have distinct phospholipid compositions. For example, in the plasma membrane, PS and PE are asymmetrically distributed across the bilayer such that the great majority (>80%) of these aminophospholipids are normally confined to the inner leaflet, whereas phosphatidylcholine and sphingomyelin are enriched on the outer leaflet.
      Phospholipids were, for many years, thought to play primarily structural roles in biological membranes. A large number of recent studies have revealed, however, that these lipids mediate important regulatory functions in cells, partly because of their ability to be converted into key lipid second messengers such as diacylglycerol, inositol-1,4,5-trisphosphate (
      • Berridge M.J.
      • Irvine R.F.
      Inositol trisphosphate, a novel second messenger in cellular signal transduction.
      ,
      • Nishizuka Y
      Studies and perspectives of protein kinase C.
      ), lyso-phosphatidic acid, and arachidonic acid. PS and PE are metabolically related, as depicted in Fig. 1.
      PS is an important precursor of mitochondrial PE, which is produced by the mitochondrial enzyme phosphatidylserine decarboxylase (PSD) (see below) (
      • Borkenhagen L.F.
      • Kennedy E.P.
      • Fielding L.
      Enzymatic formation and decarboxylation of phosphatidylserine.
      ). As noted above, in the plasma membrane of mammalian cells PS normally resides almost entirely on the inner leaflet of the bilayer. In the past decade, PS has become a major focus of interest because during the early phases of apoptosis PS becomes externalized on the outside of cells. The surface exposure of PS is believed to be one of the recognition signals by which apoptotic cells are removed by phagocytes (
      • Fadok V.A.
      • Voelker D.R.
      • Campbell P.A.
      • Cohen J.J.
      • Bratton D.L.
      • Henson P.M.
      Exposure of phosphatidylserine on the surface of apoptotic lymphocytes triggers specific recognition and removal by macrophages.
      ,
      • Fadok V.A.
      • de Cathelineau, D. L. Daleke, P. M. Henson, and D. L. Bratton A
      Loss of phospholipid asymmetry and surface exposure of phosphatidylserine is required for phagocytosis of apoptotic cells by macrophages and fibroblasts.
      ,
      • Balasubramanian K.
      • Mirnikjoo B.
      • Schroit A.J.
      Regulated externalization of phosphatidylserine at the cell surface: implications for apoptosis.
      ), although the identity of a PS receptor on macrophages remains controversial (
      • Scott R.S.
      • McMahon E.J.
      • Pop S.M.
      • Reap E.A.
      • Caricchio R.
      • Cohen P.L.
      • Earp H.S.
      • Matsushima G.K.
      Phagocytosis and clearance of apoptotic cells is mediated by MER.
      ,
      • Li M.O.
      • Sarkisian M.R.
      • Mehal W.Z.
      • Rakic P.
      • Flavell R.A.
      Phosphatidylserine receptor is required for clearance of apoptotic cells.
      ,
      • Williamson P.
      • Schlegel R.A.
      Hide and seek: the secret identity of the phosphatidylserine receptor.
      ,
      • Elliott J.I.
      • Surprenant A.
      • Marelli-Berg F.M.
      • Cooper J.C.
      • Cassady-Cain R.L.
      • Wooding C.
      • Linton K.
      • Alexander D.R.
      • Higgins C.F.
      Membrane phosphatidylserine distribution as a non-apoptotic signalling mechanism in lymphocytes.
      ,
      • Miyanishi M.
      • Tada K.
      • Koike M.
      • Uchiyama Y.
      • Kitamura T.
      • Nagata S.
      Identification of Tim4 as a phosphatidylserine receptor.
      ,
      • Park D.
      • Tosello-Trampont A.C.
      • Elliott M.R.
      • Lu M.
      • Haney L.B.
      • Ma Z.
      • Klibanov A.L.
      • Mandell J.W.
      • Ravichandran K.S.
      BAI1 is an engulfment receptor for apoptotic cells upstream of the ELMO/Dock180/Rac module.
      ). The asymmetric transbilayer distribution of PS in the plasma membrane of mammalian cells is thought to be established and maintained by a continuous unidirectional transbilayer movement of PS from the external surface to the cytosolic surface of the plasma membrane. This process requires ATP, but the aminophospholipid translocase that mediates the “flipping” of PS has not been unambiguously identified. The properties of this protein indicate that it is a member of the P-type ATPase family of transporters that is activated by PS (
      • Daleke D.L.
      Phospholipid flippases.
      ). Bidirectional phospholipid transporters called scramblases are also located on the plasma membrane, and these proteins can randomize the distribution of PS and other lipids across the bilayer. The scramblases are activated by calcium and do not require ATP for activity (
      • Zhou Q.
      • Zhao J.
      • Stout J.G.
      • Luhm R.A.
      • Wiedmer T.
      • Sims P.J.
      Molecular cloning of human plasma membrane phospholipid scramblase: a protein mediating transbilayer movement of plasma membrane phospholipids.
      ). Thus, the exposure of PS on the outside of cells undergoing apoptosis is likely to be promoted by reduced activity of the aminophospholipid translocase combined with increased scramblase activity. The induction of PS exposure on cell surfaces is not restricted to apoptotic cells. For example, the exposure of PS on the surface of activated platelets initiates the blood-clotting cascade (
      • Balasubramanian K.
      • Mirnikjoo B.
      • Schroit A.J.
      Regulated externalization of phosphatidylserine at the cell surface: implications for apoptosis.
      ,
      • Bevers E.
      • Comfurius P.
      • van Rijn, H. Hemker, and R. Zwaal J.
      Generation of prothrombin-converting activity and the exposure of phosphatidylserine at the outer surface of platelets.
      ,
      • Schroit A.J.
      • Zwaal R.F.A.
      Transbilayer movement of phospholipids in red cell and platelet membranes.
      ,
      • Zwaal R.F.
      • Comfurius P.
      • Bevers E.M.
      Scott syndrome, a bleeding disorder caused by defective scrambling of membrane phospholipids.
      ), as the proteolytic activity of the factor VIIa-tissue factor complex requires very high local concentrations of PS (
      • Shaw A.W.
      • Pureza V.S.
      • Sligar S.G.
      • Morrissey J.H.
      The local phospholipid environment modulates the activation of blood clotting.
      ). Moreover, PS becomes exposed on the outside of sperm during their maturation (
      • Gadella B.M.
      • Harrison R.A.
      The capacitating agent bicarbonate induces protein kinase A-dependent changes in phospholipid transbilayer behavior in the sperm plasma membrane.
      ,
      • Flesch F.M.
      • Brouwers J.F.
      • Nievelstein P.F.
      • Verkleij A.J.
      • M. van Golde, B. Colenbrander, and B. M. Gadella L.
      Bicarbonate stimulated phospholipid scrambling induces cholesterol redistribution and enables cholesterol depletion in the sperm plasma membrane.
      ).
      Another function of PS is as a cofactor that activates several key signaling proteins, including protein kinase C (
      • Nishizuka Y
      Intracellular signaling by hydrolysis of phospholipids and activation of protein kinase C.
      ,
      • Bittova L.
      • Stahelin R.V.
      • Cho W.
      Roles of ionic residues of the C1 domain in protein kinase C-alpha activation and the origin of phosphatidylserine specificity.
      ), neutral sphingomyelinase (
      • Tomiuk S.
      • Zumbansen M.
      • Stoffel W.
      Characterization and subcellular localization of murine and human magnesium-dependent neutral sphingomyelinase.
      ), and cRaf1 protein kinase (
      • Nagai Y.
      • Aoki J.
      • Sato T.
      • Amano K.
      • Matsuda Y.
      • Arai H.
      • Inoue K.
      An alternative splicing form of phosphatidylserine-specific phospholipase A1 that exhibits lysophosphatidylserine-specific lysophospholipase activity in humans.
      ), as well as Na+/K+ ATPase (
      • Nagai Y.
      • Aoki J.
      • Sato T.
      • Amano K.
      • Matsuda Y.
      • Arai H.
      • Inoue K.
      An alternative splicing form of phosphatidylserine-specific phospholipase A1 that exhibits lysophosphatidylserine-specific lysophospholipase activity in humans.
      ) and dynamin-1 (
      • Powell K.A.
      • Valova V.A.
      • Malladi C.S.
      • Jensen O.N.
      • Larsen M.R.
      • Robinson P.J.
      Phosphorylation of dynamin I on Ser-795 by protein kinase C blocks its association with phospholipids.
      ). Intriguingly, a highly specific interaction of PS with some Hsp70 heat shock proteins induces the formation of ion channels in the plasma membrane (
      • Arispe N.
      • Doh M.
      • Simakova O.
      • Kurganov B.
      • De Maio A
      Hsc70 and Hsp70 interact with phosphatidylserine on the surface of PC12 cells resulting in a decrease of viability.
      ). Furthermore, a recent report has shown that PS can direct proteins that are moderately positively charged to membranes of the endocytic pathway (
      • Yeung T.
      • Gilbert G.E.
      • Shi J.
      • Silvius J.
      • Kapus A.
      • Grinstein S.
      Membrane phosphatidylserine regulates surface charge and protein localization.
      ).
      PE also performs numerous biological roles beyond serving a structural role in membranes. For example, PE metabolism in the heart appears to be important, because the asymmetrical transbilayer distribution of PE in sarcolemmal membranes is altered during ischemia, leading to sarcolemmal disruption (
      • Post J.A.
      • Bijvelt J.J.
      • Verkleij A.J.
      Phosphatidylethanolamine and sarcolemmal damage during ischemia or metabolic inhibition of heart myocytes.
      ). PE might also play a role in hepatic lipoprotein secretion, because nascent, intracellular very low density lipoproteins that move through the secretory pathway are highly enriched in PE compared with the lipoproteins that are secreted from hepatocytes (
      • Hamilton R.L.
      • Fielding P.E.
      Nascent very low density lipoproteins from rat hepatocytic Golgi fractions are enriched in phosphatidylethanolamine.
      ,
      • Agren J.J.
      • Kurvinen J.P.
      • Kuksis A.
      Isolation of very low density lipoprotein phospholipids enriched in ethanolamine phospholipids from rats injected with Triton WR 1339.
      ). In addition, PE is required for contractile ring disassembly at the cleavage furrow of mammalian cells during cytokinesis (
      • Emoto K.
      • Toyamasorimachi N.
      • Karasuyama H.
      • Inoue K.
      • Umeda M.
      Exposure of phosphatidylethanolamine on the surface of apoptotic cells.
      ). In the yeast Saccharomyces cerevisiae, it has been demonstrated that the delivery of cytoplasmic proteins to the vacuole depends on PE and that the starvation-inducible autophagy protein, Atg8p, binds covalently to PE (
      • Nebauer R.
      • Rosenberger S.
      • Daum G.
      Phosphatidylethanolamine, a limiting factor of autophagy in yeast strains bearing a defect in the carboxypeptidase Y pathway of vacuolar targeting.
      ). A role for PE in membrane fusion and fission events has been recognized for many years (
      • Cullis P.R.
      • de Kruijff, M. Hope, A. J. Verkleij, R. Nayar, S. B. Farren, C. Tildock, T. D. Madden, and M. B. Bally B.
      Structural properties of lipids and their functional role in biological membranes.
      ,
      • Verkleij A.J.
      • Leunissen-Bijvelt J.
      • de Kruijff, M. Hope, and P. R. Cullis B.
      Non-bilayer structures in membrane fusion.
      ). Some of the biological properties of PE, such as its role in membrane fusion/fission, might be related to the ability of PE to form hexagonal II phases in membranes (reviewed in Ref.
      • Dowhan W.
      • Bogdanov M.
      Functional roles of lipids in membranes.
      ). PE is also the donor of the ethanolamine moiety of the glycosylphosphatidylinositol anchors of many cell surface signaling proteins (
      • Menon A.K.
      • Stevens V.L.
      Phosphatidylethanolamine is the donor of the ethanolamine residue linking a glycosylphosphatidylinositol anchor to protein.
      ) and is a precursor of anandamide [N-arachidonoylethanolamine (
      • Jin X.H.
      • Okamoto Y.
      • Morishita J.
      • Tsuboi K.
      • Tonai T.
      • Ueda N.
      Discovery and characterization of a Ca2+-independent phosphatidylethanolamine N-acyltransferase generating the anandamide precursor and its congeners.
      )], which is a ligand for cannabinoid receptors in the brain (
      • Devane W.A.
      • Hanus L.
      • Breuer A.
      • Pertwee R.G.
      • Stevenson L.A.
      • Griffin G.
      • Gibson D.
      • Mandelbaum A.
      • Etinger A.
      • Mechoulam R.
      Isolation and structure of a brain constituent that binds to the cannabinoid receptor.
      ).

      PS SYNTHESIS

      In mammalian cells, PS is synthesized by a calcium-dependent reaction (
      • Hübscher H.G.
      • Dils R.R.
      • Pover W.F.R.
      Studies on the biosynthesis of phosphatidylserine.
      ) in which the polar head group of an existing phospholipid (i.e., the choline moiety of phosphatidylcholine or the ethanolamine moiety of PE) is replaced by l-serine (Fig. 1). In prokaryotes and yeast, PS is made by a completely different pathway in which CDP-diacylglycerol reacts with serine (
      • Kanfer J.N.
      • Kennedy E.P.
      Metabolism and function of bacterial lipids. II. Biosynthesis of lipids in Escherichia coli.
      ,
      • Nikawa J-i.
      • Yamashita S.
      Characterization of phosphatidylserine synthase from Saccharomyces cerevisiae and a mutant defective in the enzyme.
      ,
      • Letts V.A.
      • Klig L.S.
      • Bae-Lee M.
      • Carman G.M.
      • Henry S.A.
      Isolation of the yeast structural gene for the membrane-associated enzyme phosphatidylserine synthase.
      ). The CDP-diacylglycerol pathway for PS synthesis has not been detected in mammalian cells, although, interestingly, plants use both the base-exchange pathway and the CDP-diacylglycerol pathway to make PS (
      • E Delhaize
      • M. Hebb, K. D. Richards, J-M. Lin, P. R. Ryan, and R. C. Gardner D.
      Cloning and expression of a wheat (Triticum aestivum L.) phosphatidylserine synthase cDNA. Overexpression in plants alters the composition of phospholipids.
      ).

      Two mammalian PS synthases

      Mammalian cells express two distinct serine-exchange activities. The first indication that two mammalian PS synthase genes existed was the partial purification of a rat brain enzymatic activity that synthesized PS by a serine-exchange reaction with PE but not with phosphatidylcholine (
      • Suzuki T.T.
      • Kanfer J.N.
      Purification and properties of an ethanolamine-serine base exchange enzyme of rat brain microsomes.
      ). An epitope-tagged version of this protein has now been purified to near homogeneity (
      • Kuge O.
      • Hasegawa K.
      • Ohsawa T.
      • Saito K.
      • Nishijima M.
      Purification and characterization of Chinese hamster phosphatidylserine synthase 2.
      ). The existence of two mammalian Pss genes was confirmed when mutant Chinese hamster ovary (CHO) cells, which had the capacity to synthesize PS from PE but not from phosphatidylcholine, were generated in the laboratories of Nishijima (PSA-3 cells) (
      • Kuge O.
      • Nishijima M.
      • Akamatsu Y.
      Isolation of a somatic cell mutant defective in phosphatidylserine biosynthesis.
      ) and Voelker (M9.1.1 cells) (
      • Voelker D.R.
      • Frazier J.L.
      Isolation and characterization of a Chinese hamster ovary cell line requiring ethanolamine or phosphatidylserine for growth and exhibiting defective phosphatidylserine synthase activity.
      ). The defective choline-exchange activity was called PS synthase-1, and the residual serine-exchange activity, which uses PE as substrate, was named PS synthase-2. Radiolabeling experiments and in vitro enzyme assays in PS synthase-1-deficient CHO cells revealed that the rate of PS synthesis was 35–55% lower than that in parental cells, and the mass of both PS and PE was reduced correspondingly (
      • Kuge O.
      • Nishijima M.
      • Akamatsu Y.
      Isolation of a somatic cell mutant defective in phosphatidylserine biosynthesis.
      ,
      • Voelker D.R.
      • Frazier J.L.
      Isolation and characterization of a Chinese hamster ovary cell line requiring ethanolamine or phosphatidylserine for growth and exhibiting defective phosphatidylserine synthase activity.
      ). The growth of cells that lacked PS synthase-1 was severely impaired in the absence of supplementation with PS, PE, or ethanolamine. Thus, mammalian cells express PS synthase-1 activity that synthesizes PS from PC. The second serine-exchange activity, PS synthase-2, is encoded by a distinct gene and catalyzes the exchange of serine with PE to make PS (Fig. 1). cDNAs encoding PS synthase-1 and PS synthase-2 from hamster (
      • Kuge O.
      • Nishijima M.
      • Akamatsu Y.
      A Chinese hamster cDNA encoding a protein essential for phosphatidylserine synthase I activity.
      ,
      • Kuge O.
      • Saito K.
      • Nishijima M.
      Cloning of a Chinese hamster ovary (CHO) cDNA encoding phosphatidylserine synthase (PSS) II, overexpression of which suppresses the phosphatidylserine biosynthetic defect of a PSS I-lacking mutant of CHO-K1 cells.
      ) and mouse liver (
      • Stone S.J.
      • Cui Z.
      • Vance J.E.
      Cloning and expression of mouse liver phosphatidylserine synthase-1 cDNA: overexpression in rat hepatoma cells inhibits the CDP-ethanolamine pathway for phosphatidylethanolamine biosynthesis.
      ,
      • Stone S.J.
      • Vance J.E.
      Cloning and expression of murine liver phosphatidylserine synthase (PSS)-2: differential regulation of phospholipid metabolism by PSS1 and PSS2.
      ) were cloned. The murine and human PS synthase-1 genes reside on chromosomes 13 and 8, respectively. When PS synthase-2 activity was overexpressed in CHO cells, the ethanolamine-exchange activity was increased by 10-fold, whereas the choline-exchange activity remained unchanged (
      • Kuge O.
      • Saito K.
      • Nishijima M.
      Cloning of a Chinese hamster ovary (CHO) cDNA encoding phosphatidylserine synthase (PSS) II, overexpression of which suppresses the phosphatidylserine biosynthetic defect of a PSS I-lacking mutant of CHO-K1 cells.
      ), supporting the view that PS synthase-2 catalyzes ethanolamine but not choline exchange. Additional evidence that the putative PS synthase-1 cDNA encodes PS synthase-1 was obtained when choline-exchange activity was eliminated by the immunoprecipitation of cell lysates with an antibody raised against a C-terminal peptide corresponding to the predicted PS synthase-1 sequence (
      • Saito K.
      • Kuge O.
      • Akamatsu Y.
      • Nishijima M.
      Immunochemical identification of the pssA gene product as phosphatidylserine synthase I of Chinese hamster ovary cells.
      ). In other experiments, overexpression of PS synthase-2 in PS synthase-1-deficient cells eliminated the requirement for exogenously added PS (
      • Stone S.J.
      • Vance J.E.
      Cloning and expression of murine liver phosphatidylserine synthase (PSS)-2: differential regulation of phospholipid metabolism by PSS1 and PSS2.
      ), indicating that PS synthase-2 can substitute for PS synthase-1 in CHO cells. Cells lacking PS synthase-1 activity (i.e., PSA-3 cells) were further mutagenized, resulting in the production of a mutant cell line in which PS synthase-2 mRNA was reduced by 80%. Consequently, the total PS synthase activity of these cells was ∼95% lower than that in parental cells. These doubly mutated cells were viable only when supplied with an exogenous source of PS (
      • Kuge O.
      • Saito K.
      • Nishijima M.
      Cloning of a Chinese hamster ovary (CHO) cDNA encoding phosphatidylserine synthase (PSS) II, overexpression of which suppresses the phosphatidylserine biosynthetic defect of a PSS I-lacking mutant of CHO-K1 cells.
      ).
      A fundamental question arising from the discovery of two PS synthase genes is: why do mammalian cells possess two different PS synthases? Do these synthases perform distinct functions in cells or does the duplication confer merely a backup mechanism? Many examples are known in mammalian cells in which either the same or a similar enzymatic reaction for the synthesis of a specific phospholipid is encoded by distinct genes, or more than one biosynthetic pathway exists for a single phospholipid (
      • Vance J.E.
      Eukaryotic lipid-biosynthetic enzymes: the same but not the same.
      ). The tissue distribution of the mRNAs encoding the two PS synthases is different, suggesting that each PS synthase might have a specific function. Whereas PS synthase-1 is expressed ubiquitously throughout mouse tissues and is particularly abundant in the kidney, liver, and brain, the mRNA encoding PS synthase-2 is most highly expressed in the testis, with much lower levels of expression in other tissues such as brain and heart (
      • Stone S.J.
      • Vance J.E.
      Cloning and expression of murine liver phosphatidylserine synthase (PSS)-2: differential regulation of phospholipid metabolism by PSS1 and PSS2.
      ,
      • Sturbois-Balcerzak B.
      • Stone S.J.
      • Sreenivas A.
      • Vance J.E.
      Structure and expression of the murine phosphatidylserine synthase-1 gene.
      ,
      • Bergo M.O.
      • Gavino B.J.
      • Steenbergen R.
      • Sturbois B.
      • Parlow A.F.
      • Sanan D.A.
      • Skarnes W.C.
      • Vance J.E.
      • Young S.G.
      Defining the importance of phosphatidylserine synthase 2 (Ptdss2) in mice.
      ). In addition, there are several indications that the two PS synthases differentially regulate phospholipid metabolism. For example, overexpression of PS synthase-1 activity in hepatoma cells increased the rate of incorporation of [3H]serine into PS, consistent with the idea that the amount of PS synthase-1 is rate-limiting for PS synthesis (
      • Stone S.J.
      • Cui Z.
      • Vance J.E.
      Cloning and expression of mouse liver phosphatidylserine synthase-1 cDNA: overexpression in rat hepatoma cells inhibits the CDP-ethanolamine pathway for phosphatidylethanolamine biosynthesis.
      ). Nevertheless, the cellular content of PS and PE was not increased. The cells were apparently able to compensate for the increased rate of PS synthesis by enhancing the conversion of PS to PE via PSD and by reducing the formation of PE from the CDP-ethanolamine pathway (Fig. 1) (
      • Stone S.J.
      • Cui Z.
      • Vance J.E.
      Cloning and expression of mouse liver phosphatidylserine synthase-1 cDNA: overexpression in rat hepatoma cells inhibits the CDP-ethanolamine pathway for phosphatidylethanolamine biosynthesis.
      ). In contrast, an equivalent level of overexpression of PS synthase-2 activity in hepatoma cells did not increase the rate of incorporation of [3H]serine into PS or the conversion of PS to PE, nor did it decrease the rate of synthesis of PE from CDP-ethanolamine (
      • Stone S.J.
      • Vance J.E.
      Cloning and expression of murine liver phosphatidylserine synthase (PSS)-2: differential regulation of phospholipid metabolism by PSS1 and PSS2.
      ). One potential explanation for the different responses of PS synthesis to the increased expression of PS synthase-1 and -2 is that the amount of PS synthase-1 is rate-limiting for PS synthesis, whereas PS synthase-2 is normally present in excess of its requirement for maintaining normal PS levels. Consequently, increased expression of PS synthase-2 would not be expected to increase the rate of PS synthesis. These studies clearly demonstrate that mammalian cells have the ability to implement compensatory mechanisms to ensure that constant, optimum levels of PE and PS are maintained.

      PS and apoptosis

      PS exposure on the cell surface is an early event in apoptosis. The PS that is externalized during apoptosis originates from a pool of newly synthesized PS (
      • Aussel C.
      • Pelassy C.
      • Breittmayer J.P.
      CD95 (Fas/APO-1) induces an increased phosphatidylserine synthesis that preceded its externalization during programmed cell death.
      ,
      • Yu A.Y.
      • Byers D.M.
      • Ridgway N.D.
      • McMaster C.R.
      • Cook H.W.
      Preferential externalization of newly synthesized phosphatidylserine in apoptotic U937 cells is dependent on caspase-mediated pathways.
      ). The rate of PS synthesis has been reported to be increased by ∼2-fold during apoptosis (
      • Yu A.Y.
      • Byers D.M.
      • Ridgway N.D.
      • McMaster C.R.
      • Cook H.W.
      Preferential externalization of newly synthesized phosphatidylserine in apoptotic U937 cells is dependent on caspase-mediated pathways.
      ,
      • Yu A.
      • McMaster C.R.
      • Byers D.M.
      • Ridgway N.D.
      • Cook H.W.
      Stimulation of phosphatidylserine biosynthesis and facilitation of UV-induced apoptosis in Chinese hamster ovary cells over-expressing phospholipid scramblase 1.
      ), although there is no direct evidence that PS externalization is required for the initiation of apoptosis. However, overexpression of either PS synthase-1 or PS synthase-2 in CHO cells reduced the number of cells undergoing apoptosis in response to ultraviolet irradiation (
      • Yu A.
      • McMaster C.R.
      • Byers D.M.
      • Ridgway N.D.
      • Cook H.W.
      Resistance to UV-induced apoptosis in Chinese-hamster ovary cells overexpressing phosphatidylserine synthases.
      ), suggesting that the synthesis of PS might protect against apoptosis. When Neuro2a (neuron-like) cells were incubated with docosahexaenoic acid (22:6n-3), the PS content of the cells increased and the number of apoptotic cells was reduced concomitantly (
      • Kim H.Y.
      • Akbar M.
      • Lau A.
      • Edsall L.
      Inhibition of neuronal apoptosis by docosahexaenoic acid (22:6n-3). Role of phosphatidylserine in antiapoptotic effect.
      ). The mechanism by which survival was promoted is that an increased PS content of the cells increased the translocation of Raf-1 (a kinase that is involved in apoptosis) (
      • Salomoni P.
      • Wasik M.A.
      • Riedel R.F.
      • Reiss K.
      • Choi J.K.
      • Skorski T.
      • Calabretta B.
      Expression of constitutively active Raf-1 in the mitochondria restores antiapoptotic and leukemogenic potential of a transformation-deficient BCR/ABL mutant.
      ,
      • Neshat M.S.
      • Raitano A.B.
      • Wang H.G.
      • Reed J.C.
      • Sawyers C.L.
      The survival function of the Bcr-Abl oncogene is mediated by Bad-dependent and -independent pathways: roles for phosphatidylinositol 3-kinase and Raf.
      ) to membranes. In other experiments, the requirement of PS synthase-1 and PS synthase-2 to provide the pool of PS that is externalized during apoptosis was investigated in CHO cell mutants that lacked either PS synthase-1 (
      • Voelker D.R.
      • Frazier J.L.
      Isolation and characterization of a Chinese hamster ovary cell line requiring ethanolamine or phosphatidylserine for growth and exhibiting defective phosphatidylserine synthase activity.
      ,
      • Kuge O.
      • Nishijima M.
      • Akamatsu Y.
      Phosphatidylserine biosynthesis in cultured Chinese hamster ovary cells. II. Isolation and characterization of phosphatidylserine auxotrophs.
      ) or PS synthase-2 (
      • Saito K.
      • Nishijima M.
      • Kuge O.
      Genetic evidence that phosphatidylserine synthase II catalyzes the conversion of phosphatidylethanolamine to phosphatidylserine in Chinese hamster ovary cells.
      ) or that were deficient in both PS synthases (i.e., contained only 5% of normal serine-exchange activity) (
      • Saito K.
      • Nishijima M.
      • Kuge O.
      Genetic evidence that phosphatidylserine synthase II catalyzes the conversion of phosphatidylethanolamine to phosphatidylserine in Chinese hamster ovary cells.
      ). In all of these cell lines, the externalization of PS occurred normally upon the induction of apoptosis with staurosporine (
      • Grandmaison P.A.
      • Nanowski T.S.
      • Vance J.E.
      Externalization of phosphatidylserine during apoptosis does not specifically require either isoform of phosphatidylserine synthase.
      ), implying that only very low rates of PS synthesis are required for the progression of apoptosis and the accompanying exposure of PS on the cell surface. In addition, the studies demonstrated that the PS that is externalized is not derived specifically from either isoform of PS synthase.

      Other properties of PS synthases

      The predicted amino acid sequences of the two PS synthases are ∼30% identical (
      • Kuge O.
      • Nishijima M.
      • Akamatsu Y.
      A Chinese hamster cDNA encoding a protein essential for phosphatidylserine synthase I activity.
      ,
      • Kuge O.
      • Saito K.
      • Nishijima M.
      Cloning of a Chinese hamster ovary (CHO) cDNA encoding phosphatidylserine synthase (PSS) II, overexpression of which suppresses the phosphatidylserine biosynthetic defect of a PSS I-lacking mutant of CHO-K1 cells.
      ,
      • Stone S.J.
      • Cui Z.
      • Vance J.E.
      Cloning and expression of mouse liver phosphatidylserine synthase-1 cDNA: overexpression in rat hepatoma cells inhibits the CDP-ethanolamine pathway for phosphatidylethanolamine biosynthesis.
      ,
      • Stone S.J.
      • Vance J.E.
      Cloning and expression of murine liver phosphatidylserine synthase (PSS)-2: differential regulation of phospholipid metabolism by PSS1 and PSS2.
      ) but, not surprisingly, in light of the distinct reactions catalyzed, are completely different from those of the PS synthases of bacteria and yeast. Little is known about the amino acid residues required for PS synthase activity. However, the individual replacement of 66 polar amino acids of PS synthase-1 with alanines revealed that several amino acids distributed throughout the protein are required for maximum protein stability/activity. Moreover, these studies showed that the binding of l-serine to the enzyme requires asparagine-209 (
      • Ohsawa T.
      • Nishijima M.
      • Kuge O.
      Functional analysis of Chinese hamster phosphatidylserine synthase 1 through systematic alanine mutagenesis.
      ). Both PS synthase proteins are predicted to contain multiple membrane-spanning domains (
      • Stone S.J.
      • Cui Z.
      • Vance J.E.
      Cloning and expression of mouse liver phosphatidylserine synthase-1 cDNA: overexpression in rat hepatoma cells inhibits the CDP-ethanolamine pathway for phosphatidylethanolamine biosynthesis.
      ,
      • Saito K.
      • Nishijima M.
      • Kuge O.
      Genetic evidence that phosphatidylserine synthase II catalyzes the conversion of phosphatidylethanolamine to phosphatidylserine in Chinese hamster ovary cells.
      ), consistent with the finding that serine-exchange activity is present on microsomal membranes (
      • Saito K.
      • Kuge O.
      • Akamatsu Y.
      • Nishijima M.
      Immunochemical identification of the pssA gene product as phosphatidylserine synthase I of Chinese hamster ovary cells.
      ,
      • van Golde L.M.G.
      • Raben J.
      • Batenburg J.J.
      • Fleischer B.
      • Zambrano F.
      • Fleischer S.
      Biosynthesis of lipids in Golgi complex and other subcellular fractions from rat liver.
      ,
      • Jelsema C.J.
      • Morré D.J.
      Distribution of phospholipid biosynthetic enzymes among cell components of rat liver.
      ,
      • Vance J.E.
      • Vance D.E.
      Does rat liver Golgi have the capacity to synthesize phospholipids for lipoprotein secretion?.
      ,
      • Vance J.E.
      Phospholipid synthesis in a membrane fraction associated with mitochondria.
      ). Surprisingly, however, both PS synthase proteins are largely absent from the bulk of the endoplasmic reticulum (ER) but are restricted to a domain of the ER called “mitochondria-associated membranes” (MAMs) (
      • Stone S.J.
      • Vance J.E.
      Phosphatidylserine synthase-1 and -2 are localized to mitochondria-associated membranes.
      ). MAMs constitute a subdomain of the ER that comes into transient contact with mitochondrial outer membranes (
      • Vance J.E.
      Phospholipid synthesis in a membrane fraction associated with mitochondria.
      ) and mediates the import of PS into mitochondria (Fig. 2) (
      • Vance J.E.
      Phospholipid synthesis in a membrane fraction associated with mitochondria.
      ,
      • Stone S.J.
      • Vance J.E.
      Phosphatidylserine synthase-1 and -2 are localized to mitochondria-associated membranes.
      ,
      • Shiao Y-J.
      • Balcerzak B.
      • Vance J.E.
      A mitochondrial membrane protein is required for translocation of phosphatidylserine from mitochondria-associated membranes to mitochondria.
      ,
      • Voelker D.R.
      Lipid assembly into cell membranes.
      ,
      • Holthuis J.C.
      • Levine T.P.
      Lipid traffic: floppy drives and a superhighway.
      ). PS synthase activity is enriched by ∼4-fold in MAMs compared with the bulk of the ER (
      • Vance J.E.
      Phospholipid synthesis in a membrane fraction associated with mitochondria.
      ,
      • Stone S.J.
      • Vance J.E.
      Phosphatidylserine synthase-1 and -2 are localized to mitochondria-associated membranes.
      ,
      • Shiao Y-J.
      • Lupo G.
      • Vance J.E.
      Evidence that phosphatidylserine is imported into mitochondria via a mitochondria-associated membrane and that the majority of mitochondrial phosphatidylethanolamine is derived from decarboxylation of phosphatidylserine.
      ). MAMs have been isolated from several types of mammalian cells (
      • Vance J.E.
      Phospholipid synthesis in a membrane fraction associated with mitochondria.
      ,
      • Shiao Y-J.
      • Lupo G.
      • Vance J.E.
      Evidence that phosphatidylserine is imported into mitochondria via a mitochondria-associated membrane and that the majority of mitochondrial phosphatidylethanolamine is derived from decarboxylation of phosphatidylserine.
      ,
      • Ardail D.
      • Lerme F.
      • Louisot P.
      Involvement of contact sites in phosphatidylserine import into liver mitochondria.
      ,
      • Loewen C.J.
      • Levine T.P.
      A highly conserved binding site in vesicle-associated membrane protein-associated protein (VAP) for the FFAT motif of lipid-binding proteins.
      ,
      • Simmen T.
      • Aslan J.E.
      • Blagoveshchenskaya A.D.
      • Thomas L.
      • Wan L.
      • Xiang Y.
      • Feliciangeli S.F.
      • Hung C.H.
      • Crump C.M.
      • Thomas G.
      PACS-2 controls endoplasmic reticulum-mitochondria communication and Bid-mediated apoptosis.
      ) as well as yeast (
      • Simbeni R.
      • Pon L.
      • Zinser E.
      • Paltauf F.
      • Daum G.
      Mitochondrial membrane contact sites of yeast. Characterization of lipid components and possible involvement in intramitochondrial translocation of phospholipids.
      ,
      • Schumacher M.M.
      • Choi J.Y.
      • Voelker D.R.
      Phosphatidylserine transport to the mitochondria is regulated by ubiquitination.
      ). A specific marker protein for MAMs in primary hepatocytes is phosphatidylethanolamine N-methyltransferase-2 (
      • Stone S.J.
      • Vance J.E.
      Phosphatidylserine synthase-1 and -2 are localized to mitochondria-associated membranes.
      ,
      • Cui Z.
      • Vance J.E.
      • Chen M.H.
      • Voelker D.R.
      • Vance D.E.
      Cloning and expression of a novel phosphatidylethanolamine N-methyltransferase.
      ). Increasing evidence indicates that the juxtaposition of MAMs with mitochondria also regulates the exchange of calcium between these two organelles (
      • R Rizzuto
      • Pinton, W. Carrington, F. S. Fay, K. E. Fogarty, L. M. Lifshitz, R. A. Tuft, and T. Pozzan P.
      Close contacts with the endoplasmic reticulum as determinants of mitochondrial Ca2+ responses.
      ,
      • Filippin L.
      • Magalhaes P.J.
      • Di Benedetto, M. Colella, and T. Pozzan G.
      Stable interactions between mitochondria and endoplasmic reticulum allow rapid accumulation of calcium in a subpopulation of mitochondria.
      ,
      • Registre M.
      • Goetz J.G.
      • St P.
      • Pierre H
      • Pang M
      • Lagace M
      • Bouvier P
      • Le U.
      • Nabi I.R.
      The gene product of the gp78/AMFR ubiquitin E3 ligase cDNA is selectively recognized by the 3F3A antibody within a subdomain of the endoplasmic reticulum.
      ,
      • R Rizzuto
      • Pozzan T.
      Microdomains of intracellular Ca2+: molecular determinants and functional consequences.
      ,
      • Csordas G.
      • Renken C.
      • Varnai P.
      • Walter L.
      • Weaver D.
      • Buttle K.F.
      • Balla T.
      • Mannella C.A.
      • Hajnoczky G.
      Structural and functional features and significance of the physical linkage between ER and mitochondria.
      ).
      Figure thumbnail gr2
      Fig. 2A model for the import of PS into mitochondria for decarboxylation to PE in mammalian cells. PS is synthesized primarily in mitochondria-associated membranes (MAMs), a specialized domain of the ER, via two base-exchange enzymes (1), PS synthase-1 and PS synthase-2. These synthases use phosphatidylcholine (PC) and PE, respectively, as substrates. Newly made PS is imported into mitochondria (MITO) to the site of PSD on the outer aspect of mitochondrial inner membranes (3) via a transient interaction between MAMs and mitochondria. PE is also likely to be made in MAMs from lyso-PE via a putative acyl-CoA-dependent acyltransferase (2), and the resulting PE is subsequently imported into mitochondria.
      Little is known about the mechanisms that regulate PS synthesis in mammalian cells. Surprisingly, no information is available on the transcriptional regulation of expression of either PS synthase gene (Pss). Some early experiments suggest that in rat brain, PS synthesis is regulated by protein kinase C-mediated phosphorylation (
      • Kanfer J.N.
      • McCartney D.
      • Hattori H.
      Regulation of the choline, ethanolamine and serine base exchange enzyme activities of rat brain microsomes by phosphorylation and dephosphorylation.
      ). An elegant feedback mechanism for regulating PS synthesis was described in CHO cells, in which an increased cellular content of PS reduced the rate of PS synthesis, as measured by the incorporation of 32Pi into PS (
      • Nishijima M.
      • Kuge O.
      • Akamatsu Y.
      Phosphatidylserine biosynthesis in cultured Chinese hamster ovary cells. I. Inhibition of de novo phosphatidylserine biosynthesis by exogenous phosphatidylserine and its efficient incorporation.
      ). A mutant CHO cell line was subsequently isolated in which the rate of PS synthesis, and the amount of PS, were 2.5-fold higher than in parental CHO cells, and the rate of PS synthesis was not attenuated by PS (
      • Hasegawa K.
      • Kuge O.
      • Nishijima M.
      • Akamatsu Y.
      Isolation and characterization of a Chinese hamster ovary cell mutant with altered regulation of phosphatidylserine biosynthesis.
      ). These data suggest that the capacity for end product inhibition of PS synthesis had been eliminated in the mutant cells. Point mutations were subsequently identified in PS synthase-1 (arginine-95) (
      • Kuge O.
      • Hasegawa K.
      • Ohsawa T.
      • Saito K.
      • Nishijima M.
      Purification and characterization of Chinese hamster phosphatidylserine synthase 2.
      ,
      • Kuge O.
      • Hasegawa K.
      • Saito K.
      • Nishijima M.
      Control of phosphatidylserine biosynthesis through phosphatidylserine-mediated inhibition of phosphatidylserine synthase I in Chinese hamster ovary cells.
      ) and PS synthase-2 (arginine-97) (
      • Kuge O.
      • Saito K.
      • Nishijima M.
      Control of phosphatidylserine synthase II activity in Chinese hamster ovary cells.
      ) that conferred resistance to the feedback inhibition of PS synthesis. It is likely that PS inhibits the serine-exchange activity of PS synthase-1 and PS synthase-2 by acting directly on the protein (
      • Kuge O.
      • Hasegawa K.
      • Ohsawa T.
      • Saito K.
      • Nishijima M.
      Purification and characterization of Chinese hamster phosphatidylserine synthase 2.
      ).

      PS synthase knockout mice

      A powerful tool for understanding the function of specific genes in whole mammals is the generation of knockout mice. To examine the physiological requirement for PS synthase-2, Pss2−/− mice were produced. These mice appeared to be outwardly normal (
      • Bergo M.O.
      • Gavino B.J.
      • Steenbergen R.
      • Sturbois B.
      • Parlow A.F.
      • Sanan D.A.
      • Skarnes W.C.
      • Vance J.E.
      • Young S.G.
      Defining the importance of phosphatidylserine synthase 2 (Ptdss2) in mice.
      ), demonstrating that PS synthase-2 is not essential for mouse development or viability. Female Pss2−/− mice were fertile, but in Pss2−/− males testis size was smaller than in Pss2+/+ littermates. Approximately 10% of the Pss2−/− male mice were infertile, with atrophied testes and spermatic ducts lacking spermatocytes. Consistent with a defect in the function of Sertoli cells, the main type of cells in the testis that express PS synthase-2, the level of follicle-stimulating hormone in the plasma of male Pss2−/− mice was higher than in Pss2+/+ mice. Although cases of male infertility in humans have not been attributed to defects in the PS synthase-2 gene, it is possible that mutations in this gene might be responsible for some male subfertility. Despite a marked reduction in total PS synthase activity in all PS synthase-2-deficient mouse tissues, the amounts of PS and PE were normal. Hepatocytes from Pss2−/− mice are apparently able to maintain PS levels by increasing the activity, but not the mRNA, of PS synthase-1 and by concomitantly attenuating the rate of PS degradation (
      • Steenbergen R.
      • Nanowski T.S.
      • Nelson R.
      • Young S.G.
      • Vance J.E.
      Phospholipid homeostasis in phosphatidylserine synthase-2-deficient mice.
      ). Viable mice lacking PS synthase-1 have also now been generated and exhibit no obvious phenotype; male and female Pss1−/− mice are fertile (D. Arikketh and J. E. Vance, unpublished data).

      PE SYNTHESIS

      Mammalian cells use two major pathways for PE biosynthesis: the CDP-ethanolamine pathway and the PS decarboxylation pathway (Figs. 1, 2). PE can also be made by a base-exchange reaction catalyzed by PS synthase-2, although this source of PE is generally considered to be quantitatively insignificant (
      • Sundler R.
      • Akesson B.
      • Nilsson A.
      Quantitative role of base exchange in phosphatidylethanolamine synthesis in isolated rat hepatocytes.
      ). In addition, lyso-PE can be acylated to PE by a lyso-PE acyltransferase activity (Figs. 1, 2) (
      • Stein Y.
      • Stein O.
      Metabolism of labeled lysolecithin, lysophosphatidyl ethanolamine and lecithin in the rat.
      ). In yeast, this acyltransferase activity is highly enriched in MAMs and has been attributed to the acyl-CoA-dependent acyltransferase Ale1p (
      • Riekhof W.R.
      • Voelker D.R.
      Uptake and utilization of lyso-phosphatidylethanolamine by Saccharomyces cerevisiae.
      ,
      • Riekhof W.R.
      • Wu J.
      • Gijon M.A.
      • Zarini S.
      • Murphy R.C.
      • R. Voelker D.
      Lysophosphatidylcholine metabolism in Saccharomyces cerevisiae: the role of P-type ATPases in transport and a broad specificity acyltransferase in acylation.
      ,
      • Riekhof W.R.
      • Wu J.
      • Jones J.L.
      • Voelker D.R.
      Identification and characterization of the major lysophosphatidylethanolamine acyltransferase in Saccharomyces cerevisiae.
      ). Although the mammalian ortholog of Ale1 has not yet been identified, a family of uncharacterized related genes is present in mammals (
      • Riekhof W.R.
      • Wu J.
      • Gijon M.A.
      • Zarini S.
      • Murphy R.C.
      • R. Voelker D.
      Lysophosphatidylcholine metabolism in Saccharomyces cerevisiae: the role of P-type ATPases in transport and a broad specificity acyltransferase in acylation.
      ,
      • Riekhof W.R.
      • Wu J.
      • Jones J.L.
      • Voelker D.R.
      Identification and characterization of the major lysophosphatidylethanolamine acyltransferase in Saccharomyces cerevisiae.
      ). The relative contribution of the PE biosynthetic pathways to cellular PE content has not been firmly established, but it appears to depend on the cell type. In rat liver/hepatocytes and hamster heart, the CDP-ethanolamine pathway has been reported to produce the majority of PE (
      • Zelinski T.A.
      • Choy P.C.
      Phosphatidylethanolamine biosynthesis in isolated hamster heart.
      ,
      • Lundberg G.A.
      • Jergil B.
      • Sundler R.
      Subcellular localization and enzymatic properties of rat liver phosphatidylinositol-4-phosphate kinase.
      ,
      • Tijburg L.B.
      • Geelen M.J.
      • M. Van Golde L.
      Biosynthesis of phosphatidylethanolamine via the CDP-ethanolamine route is an important pathway in isolated rat hepatocytes.
      ,
      • Bleijerveld O.B.
      • Brouwers J.F.
      • Vaandrager A.B.
      • Helms J.B.
      • Houweling M.
      The CDP-ethanolamine pathway and phosphatidylserine decarboxylation generate different phosphatidylethanolamine molecular species.
      ). In contrast, in many types of cultured cells, >80% of PE is apparently made from the decarboxylation of PS via PSD, even when ethanolamine is provided in the culture medium as a substrate for the CDP-ethanolamine pathway (
      • Kuge O.
      • Nishijima M.
      • Akamatsu Y.
      Phosphatidylserine biosynthesis in cultured Chinese hamster ovary cells. II. Isolation and characterization of phosphatidylserine auxotrophs.
      ,
      • Voelker D.R.
      Phosphatidylserine functions as the major precursor of phosphatidylethanolamine in cultured BHK-21 cells.
      ,
      • Miller M.A.
      • Kent C.
      Characterization of the pathways for phosphatidylethanolamine biosynthesis in Chinese hamster ovary mutant and parental cell lines.
      ). It should be noted, however, that in all studies in which the relative contribution of these two pathways has been evaluated the pool of the immediate precursor of PE was assumed to be homogenously labeled from a radioactive precursor; this assumption is not necessarily valid (
      • Bjerve K.S.
      The biosynthesis of phosphatidylserine and phosphatidylethanolamine from L-[3-14C]serine in isolated rat hepatocytes.
      ). All molecular species of PE can be made from both pathways in hepatoma cells and CHO cells, although the CDP-ethanolamine pathway preferentially synthesizes PE containing monounsaturated or diunsaturated acyl chains at the sn-2 position, whereas the PSD pathway preferentially makes PE containing polyunsaturated acyl chains at the sn-2 position (
      • Bleijerveld O.B.
      • Brouwers J.F.
      • Vaandrager A.B.
      • Helms J.B.
      • Houweling M.
      The CDP-ethanolamine pathway and phosphatidylserine decarboxylation generate different phosphatidylethanolamine molecular species.
      ).

      The CDP-ethanolamine pathway

      Ethanolamine is a required precursor of PE synthesis via this pathway. Ethanolamine is required for the growth and survival of some cell types, such as hepatocytes (
      • Sasaki H.
      • Kume H.
      • Nemoto A.
      • Narisawa S.
      • Takahashi N.
      Ethanolamine modulates the rate of rat hepatocyte proliferation in vitro and in vivo.
      ), keratinocytes (
      • Kano-Sueoka T.
      • Errick J.E.
      • King D.
      • Walsh L.A.
      Phosphatidylethanolamine synthesis in ethanolamine-responsive and nonresponsive cells in culture.
      ), and mammary carcinoma cells (
      • Kano-Sueoka T.
      • Cohen D.M.
      • Yamaizumi Z.
      • Nishimura S.
      • Mori M.
      • Fujiki H.
      Phosphoethanolamine as a growth factor of a mammary carcinoma cell line of rat.
      ), although this requirement is not necessarily related to the biosynthesis of PE via the CDP-ethanolamine pathway. Plants, but not mammalian cells, produce ethanolamine via a direct decarboxylation of serine (
      • Rontein D.
      • Rhodes D.
      • Hanson A.D.
      Evidence from engineering that decarboxylation of free serine is the major source of ethanolamine moieties in plants.
      ). Consequently, ethanolamine that is used for PE synthesis in animals must be provided from dietary sources. In addition, small amounts of ethanolamine are produced from the degradation of sphingolipids via the action of sphingosine phosphate lyase (
      • Zhou J.
      • Saba J.D.
      Identification of the first mammalian sphingosine phosphate lyase gene and its functional expression in yeast.
      ,
      • Van Veldhoven P.P.
      • Gijsbers S.
      • Mannaerts G.P.
      • Vermeesch J.R.
      • Brys V.
      Human sphingosine-1-phosphate lyase: cDNA cloning, functional expression studies and mapping to chromosome 10q22(1).
      ). The CDP-ethanolamine pathway for PE synthesis was elucidated by Kennedy and Weiss in 1956 (
      • Kennedy E.P.
      • Weiss S.B.
      The function of cytidine coenzymes in the biosynthesis of phospholipides.
      ) and parallels the CDP-choline pathway for phosphatidylcholine synthesis. Mammalian genes encoding the three enzymes of the CDP-ethanolamine pathway have been identified (reviewed in Ref.
      • Vance J.E.
      The molecular and cell biology of phosphatidylserine and phosphatidylethanolamine.
      ).
      The first reaction of the CDP-ethanolamine pathway is catalyzed by the cytosolic enzyme ethanolamine kinase (Fig. 1) (
      • Lykidis A.
      • Wang J.
      • Karim M.A.
      • Jackowski S.
      Overexpression of a mammalian ethanolamine-specific kinase accelerates the CDP-ethanolamine pathway.
      ). One isoform of ethanolamine kinase phosphorylates both ethanolamine and choline. In addition, a cDNA encoding a human ethanolamine kinase that lacks significant choline kinase activity has also been cloned (
      • Lykidis A.
      • Wang J.
      • Karim M.A.
      • Jackowski S.
      Overexpression of a mammalian ethanolamine-specific kinase accelerates the CDP-ethanolamine pathway.
      ). Mice lacking the ethanolamine-specific kinase have been generated (
      • Tian Y.
      • Jackson P.
      • Gunter C.
      • Wang J.
      • Rock C.O.
      • Jackowski S.
      Placental thrombosis and spontaneous fetal death in mice deficient in ethanolamine kinase 2.
      ). In these mice, the PE content of the liver was not decreased but litter size was reduced and ∼20% of the pups died perinatally. Thus, it appears that the dual specificity ethanolamine/choline kinase is able, at least partially, to substitute for the ethanolamine-specific kinase in these knockout mice.
      The rate-limiting reaction of the CDP-ethanolamine pathway for PE synthesis is catalyzed by another cytosolic enzyme, CTP:phosphoethanolamine cytidylyltransferase (the product of the Pcyt2 gene in mice), which converts phosphoethanolamine into CDP-ethanolamine (Fig. 1) (
      • Sundler R.
      • Akesson B.
      Biosynthesis of phosphatidylethanolamines and phosphatidylcholines from ethanolamine and choline in rat liver.
      ,
      • Tijburg L.B.
      • Houweling M.
      • Geelen J.H.
      • M. van Golde L.
      Stimulation of phosphatidylethanolamine synthesis in isolated rat hepatocytes by phorbol 12-myristate 13-aceate.
      ,
      • Nakashima A.
      • Hosaka K.
      • Nikawa J-I.
      Cloning of a human cDNA for CTP-phosphoethanolamine cytidylyltransferase by complementation in vivo of a yeast mutant.
      ,
      • Poloumienko A.
      • Cote A.
      • Quee A-T.
      • Zhu L.
      • Bakovic M.
      Genomic organization and differential splicing of the mouse and human Pcyt2 genes.
      ). Under some metabolic conditions, however, the reaction catalyzed by ethanolamine kinase has been reported to be rate-limiting for PE synthesis (
      • Lykidis A.
      • Wang J.
      • Karim M.A.
      • Jackowski S.
      Overexpression of a mammalian ethanolamine-specific kinase accelerates the CDP-ethanolamine pathway.
      ). The Pcyt2 mRNA is most highly expressed in liver, heart, and skeletal muscle. In contrast to CTP:phosphocholine cytidylyltransferase, which is encoded by two genes and exists in four isoforms in the mouse (
      • Lykidis A.
      • Murti K.G.
      • Jackowski S.
      Cloning and characterization of a second human CTP:phosphocholine cytidylyltransferase.
      ,
      • Karim M.
      • Jackson P.
      • Jackowski S.
      Gene structure, expression and identification of a new CTP:phosphocholine cytidylyltransferase beta isoform.
      ), the cytidylyltransferase of the CDP-ethanolamine pathway is encoded by only a single gene that has extensive regions of homology to the corresponding enzyme of the CDP-choline pathway. One difference between the cytidylyltransferases that participate in phosphatidylcholine and PE synthesis is that CTP:phosphoethanolamine cytidylyltransferase contains two copies of the putative catalytic domain, whereas CTP:phosphocholine cytidylyltransferase contains only a single copy of this motif (
      • Nakashima A.
      • Hosaka K.
      • Nikawa J-I.
      Cloning of a human cDNA for CTP-phosphoethanolamine cytidylyltransferase by complementation in vivo of a yeast mutant.
      ). Moreover, unlike CTP:phosphocholine cytidylyltransferase, the activity of CTP:phosphoethanolamine cytidylyltransferase does not reside in the nucleus and is not regulated by reversible translocation between a soluble form and a membrane-associated form (reviewed in Ref.
      • Vance D.E.
      Phosphatidylcholine metabolism: masochistic enzymology, metabolic regulation, and lipoprotein assembly.
      ). Mice lacking CTP:phosphoethanolamine cytidylyltransferase do not survive during development, although Pcyt2+/− mice appear outwardly normal (
      • Fullerton M.D.
      • Hakimuddin F.
      • Bakovic M.
      Developmental and metabolic effects of disruption of the mouse CTP:phosphoethanolamine cytidylyltransferase gene (Pcyt2).
      ). Thus, although Pcyt2−/− mice likely express normal levels of PSD, the PS decarboxylation pathway for PE synthesis cannot substitute for a complete deficiency of the CDP-ethanolamine pathway.
      The final step of the CDP-ethanolamine pathway, in which CDP-ethanolamine reacts with diacylglycerol, is catalyzed by an integral membrane protein of the ER and nuclear envelope, CDP-ethanolamine:diacylglycerol ethanolaminephosphotransferase (
      • Henneberry A.L.
      • McMaster C.R.
      Cloning and expression of a human choline/ethanolaminephosphotransferase: synthesis of phosphatidylcholine and phosphatidyethanolamine.
      ,
      • Henneberry A.L.
      • Wistow G.
      • McMaster C.R.
      Cloning, genomic organization, and characterization of a human cholinephosphotransferase.
      ) (Fig. 1). A human cDNA encoding both choline- and ethanolamine-phosphotransferase activity has been isolated (
      • Henneberry A.L.
      • McMaster C.R.
      Cloning and expression of a human choline/ethanolaminephosphotransferase: synthesis of phosphatidylcholine and phosphatidyethanolamine.
      ,
      • Henneberry A.L.
      • Wistow G.
      • McMaster C.R.
      Cloning, genomic organization, and characterization of a human cholinephosphotransferase.
      ). The corresponding mRNA is ubiquitously expressed in all human tissues examined, and the enzymatic activity resides primarily in the ER (
      • Vance J.E.
      • Vance D.E.
      Does rat liver Golgi have the capacity to synthesize phospholipids for lipoprotein secretion?.
      ,
      • Henneberry A.L.
      • Wright M.M.
      • McMaster C.R.
      The major sites of cellular phospholipid synthesis and molecular determinants of fatty acid and lipid head group specificity.
      ). A related human cDNA with 60% sequence identity to the dual specificity choline/ethanolamine phosphotransferase was also cloned, but this cDNA appears to encode a protein that exhibits only cholinephosphotransferase activity (
      • Henneberry A.L.
      • Wistow G.
      • McMaster C.R.
      Cloning, genomic organization, and characterization of a human cholinephosphotransferase.
      ). Thus, until recently, it was widely assumed that the dual specificity choline/ethanolamine phosphotransferase provided all of the mammalian ethanolaminephosphotransferase activity. However, this conclusion is probably not valid, because another cDNA that encodes a human CDP-ethanolamine-specific phosphotransferase activity was isolated recently (
      • Horibata Y.
      • Hirabayashi Y.
      Identification and characterization of human ethanolaminephosphotransferase1.
      ). The mRNA encoding this protein is widely expressed in human tissues, including the cerebellum in the brain. Expression of the corresponding cDNA in Escherichia coli demonstrated that the gene product uses CDP-ethanolamine to produce PE.

      The PS decarboxylation pathway

      In contrast to PE synthesis from CDP-ethanolamine, the final step of which occurs on ER membranes, the production of PE via the decarboxylation pathway is restricted to mitochondria. Thus, at least two spatially separated pools of PE might exist: one made in the ER, the other made in mitochondria. The mammalian PSD protein is located on the external leaflet of mitochondrial inner membranes (
      • Percy A.K.
      • Moore J.F.
      • Carson M.A.
      • Waechter C.J.
      Characterization of brain phosphatidylserine decarboxylase: localization in the mitochondrial inner membrane.
      ,
      • Zborowski J.
      • Dygas A.
      • Wojtczak L.
      Phosphatidylserine decarboxylase is located on the external side of the inner mitochondrial membrane.
      ). PSD is a member of a small family of decarboxylases that contain an unusual pyruvoyl prosthetic group (
      • Snell E.E.
      Pyruvate-containing enzymes.
      ). The catalytically active form of PSD is produced by an autocatalytic proteolysis reaction in which a precursor protein is cleaved between a glycine and a serine residue within a LGST motif to generate two subunits (
      • Li Q-X.
      • Dowhan W.
      Structural characterization of Escherichia coli phosphatidylserine decarboxylase.
      ); the serine is converted into a pyruvoyl moiety at the N terminus of the resulting α subunit. Complementation experiments in a mutant CHO cell line lacking PSD activity identified a cDNA encoding PSD (
      • Kuge O.
      • Nishijima M.
      • Akamatsu Y.
      A cloned gene encoding phosphatidylserine decarboxylase complements the phosphatidylserine biosynthetic defect of a Chinese hamster ovary cell mutant.
      ). In contrast to mammalian cells, in which all PSD activity appears to originate from a single gene, two PSD genes are expressed in yeast. Thus, yeast contains two distinct PSD proteins with no sequence similarity, each exhibiting PSD activity (
      • Trotter P.J.
      • Pedretti J.
      • Yates R.
      • Voelker D.R.
      Phosphatidylserine decarboxylase 2 of Saccharomyces cerevisiae. Cloning and mapping of the gene, heterologous expression and creation of the null allele.
      ,
      • Trotter P.J.
      • Voelker D.R.
      Identification of a non-mitochondrial phosphatidylserine decarboxylase activity (PSD2) in the yeast Saccharomyces cerevisiae.
      ). One of the yeast isoforms, Psd1p, is restricted to the mitochondria, like the mammalian PSD, whereas the other isoform, Psd2, is located in the Golgi/vacuole.
      The PS that is used as the substrate for PSD is produced in the ER and MAMs (Fig. 2). The rate-limiting step in the conversion of PS to PE is the transport of newly synthesized PS to the site of PSD in mitochondria (
      • Voelker D.R.
      Phosphatidylserine translocation to the mitochondrion is an ATP-dependent process in permeabilized animal cells.
      ). This transfer requires, first, the movement of newly made PS to the mitochondrial outer membrane, followed by transbilayer movement across the mitochondrial outer membrane, and, finally, transfer to the active site of PSD on the outer leaflet of mitochondrial inner membranes. Although the mechanisms of these translocations of PS have not been defined unequivocally, one likely possibility, for which there is some evidence, is that the transfer of PS from MAMs to mitochondrial outer membranes occurs via transient membrane contact sites (Fig. 2) (
      • Vance J.E.
      Phospholipid synthesis in a membrane fraction associated with mitochondria.
      ,
      • Shiao Y-J.
      • Lupo G.
      • Vance J.E.
      Evidence that phosphatidylserine is imported into mitochondria via a mitochondria-associated membrane and that the majority of mitochondrial phosphatidylethanolamine is derived from decarboxylation of phosphatidylserine.
      ,
      • Vance J.E.
      Newly made phosphatidylserine and phosphatidylethanolamine are preferentially translocated between rat liver mitochondria and endoplasmic reticulum.
      ). The transfer of PS between outer and inner mitochondrial membranes might also occur via membrane contact sites (
      • Ardail D.
      • Lerme F.
      • Louisot P.
      Involvement of contact sites in phosphatidylserine import into liver mitochondria.
      ,
      • Voelker D.R.
      Adriamycin disrupts phosphatidylserine import into the mitochondria of permeabilized CHO-K1 cells.
      ). A mutant CHO cell line has been isolated that has a defect in one of the steps involved in the transfer of PS to the site of PSD (
      • Emoto K.
      • Kuge O.
      • Nishijima M.
      • Umeda M.
      Isolation of a Chinese hamster ovary cell mutant defective in intramitochondrial transport of phosphatidylserine.
      ), but to date the gene involved has not been identified. In yeast, a ubiquitin ligase, Met30p (
      • Schumacher M.M.
      • Choi J.Y.
      • Voelker D.R.
      Phosphatidylserine transport to the mitochondria is regulated by ubiquitination.
      ), is required for the import of newly synthesized PS into mitochondria for decarboxylation (reviewed in Ref.
      • Choi J.Y.
      • Riekhof W.R.
      • Wu W.I.
      • Voelker D.R.
      Macromolecular assemblies regulate nonvesicular phosphatidylserine traffic in yeast.
      ). The precise role of Met30p in this process is not entirely clear, but the ubiquitination of proteins is known to regulate multiple membrane trafficking events in addition to its role in protein degradation (
      • Hicke L
      Protein regulation by monoubiquitin.
      ).
      Compared with other organelle membranes, the mitochondrial inner membrane is enriched in PE. Almost all PE in mitochondria appears to be made in situ in mitochondria, whereas very little PE is imported from the ER (
      • Shiao Y-J.
      • Lupo G.
      • Vance J.E.
      Evidence that phosphatidylserine is imported into mitochondria via a mitochondria-associated membrane and that the majority of mitochondrial phosphatidylethanolamine is derived from decarboxylation of phosphatidylserine.
      ). PSD-deficient mice do not survive beyond embryonic day 9, indicating that production of PE from the PSD pathway is essential for mouse development (
      • Steenbergen R.
      • Nanowski T.S.
      • Beigneux A.
      • Kulinski A.
      • Young S.G.
      • Vance J.E.
      Disruption of the phosphatidylserine decarboxylase gene in mice causes embryonic lethality and mitochondrial defects.
      ). In Psd−/− embryonic fibroblasts, the mitochondria are fragmented and aberrantly shaped, consistent with a defect in mitochondrial fusion. It is likely that elimination of PSD reduces the mitochondrial content of PE, resulting in mitochondrial abnormalities and embryonic lethality. In contrast, Psd+/− mice appear normal (
      • Steenbergen R.
      • Nanowski T.S.
      • Beigneux A.
      • Kulinski A.
      • Young S.G.
      • Vance J.E.
      Disruption of the phosphatidylserine decarboxylase gene in mice causes embryonic lethality and mitochondrial defects.
      ); their mitochondria exhibit normal morphology, and the PE content of the liver and other tissues of Psd+/− mice is normal. The amount and activity of the CTP:phosphoethanolamine cytidylyltransferase are increased in these mice, presumably in an attempt to compensate for the lack of PSD. Even when additional ethanolamine is provided in the diet of pregnant female mice, the CDP-ethanolamine pathway cannot substitute for PSD during mouse development. It is possible that supplementation of Psd−/− cells with lyso-PE rather than ethanolamine would restore normal mitochondrial function, because lyso-PE is far more effective than ethanolamine in preventing mitochondrial defects in PSD-deficient yeast (
      • Riekhof W.R.
      • Voelker D.R.
      Uptake and utilization of lyso-phosphatidylethanolamine by Saccharomyces cerevisiae.
      ). In the yeast S. cerevisiae, PE is an essential phospholipid (
      • Birner R.
      • Burgermeister M.
      • Schneiter R.
      • Daum G.
      Roles of phosphatidylethanolamine and of its several biosynthetic pathways in Saccharomyces cerevisiae.
      ). PE made at nonmitochondrial sites via the CDP-ethanolamine pathway or by Psd2 in the Golgi/vacuole does not fully satisfy the mitochondrial requirement for PE made by the mitochondrial PSD, Psd1 (
      • Riekhof W.R.
      • Voelker D.R.
      Uptake and utilization of lyso-phosphatidylethanolamine by Saccharomyces cerevisiae.
      ). The observations in Psd−/− mice and Pcyt2−/− mice indicate that the CDP-ethanolamine and PSD pathways for PE biosynthesis are each essential for mouse development. Alternatively, it is possible that both pathways together are required to maintain a threshold level of PE.
      In certain cell types (e.g., inflammatory cells, neurons, and tumor cells), up to 70% of the “PE” pool contains an ether linkage, rather than an acyl linkage, at the sn-1 position. The ether lipids that contain a vinyl group (a 1′ cis double bond) are called plasmalogens. The biosynthesis of ethanolamine plasmalogen occurs by an unusual series of reactions, some of which occur on peroxisomes and others on the ER (reviewed in Ref.
      • Nagan N.
      • Zoeller R.A.
      Plasmalogens: biosynthesis and functions.
      ). This biosynthetic pathway includes a unique reaction in which an acyl group at the sn-1 position of acyl-dihydroxyacetone phosphate is replaced with an alkyl group. Whether or not plasmalogen synthesis uses precursors from both the CDP-ethanolamine pathway and the PSD pathway is unclear. When radiolabeled serine or ethanolamine was injected into rats, the CDP-ethanolamine pathway was used by heart, liver, and kidney for the synthesis of both PE and ethanolamine plasmalogen, whereas the PSD pathway was used solely for PE, but not plasmalogen, synthesis (
      • Arthur G.
      • Page L.
      Synthesis of phosphatidylethanolamine and ethanolamine plasmalogen by the CDP-ethanolamine and decarboxylase pathways in rat heart, kidney and liver.
      ). In contrast, serine served as a precursor of the ethanolamine head group of both PE and ethanolamine plasmalogen in cultured C6 glioma cells (
      • Xu Z.L.
      • Byers D.M.
      • Palmer F.B.
      • Spence M.W.
      • Cook H.W.
      Serine utilization as a precursor of phosphatidylserine and alkenyl(plasmenyl)-alkyl-, and acylethanolamine phosphoglycerides in cultured glioma cells.
      ).
      The regulation of PSD activity, either at the level of gene expression or by posttranslational mechanisms, has not been reported.

      CONCLUSION

      New information on PS and PE has elevated these two phospholipids from obscurity to prominence in biology and revealed that these two aminophospholipids play key roles in many biochemical and physiological processes in mammalian cells. The generation of mouse models in which the genes of the PS and PE biosynthetic pathways have been disrupted has significantly contributed to our understanding of the metabolic interrelationships between these two phospholipids. Knockout mice in which genes of the CDP-ethanolamine and PSD pathways have been individually disrupted have provided support for the idea that pools of phospholipids can be compartmentalized on the basis of their biosynthetic origin. Moreover, several recent studies have established that the homeostasis of PS and PE in mammalian cells is rigorously maintained by the implementation of compensatory mechanisms.

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