Trimethylglycine

Trimethylglycine (also commonly known as TMG, is an organic compound described by the formula (CH3)3N+CH2CO2H. Trimethylglycine was originally named betaine after its discovery in sugar beets (Beta vulgaris) in the 19th century. This small N-trimethylated amino acid exists as the zwitterion (CH3)3N+CH2CO2- at neutral pH. This substance is often called ‘‘glycine betaine’’ to distinguish it from other betaines that are widely distributed in biology.  Betaine hydrochloride is merely glycine betaine with a chloride counterion and is usually the first crystallised form obtained after extraction from beets. Glycine betaine is a byproduct of the sugar industry.

TMG is related to choline (trimethylaminoethanol) has been reduced from a terminal carboxylic acid to a hydroxyl group. Transfer of a methyl group from TMG give dimethylglycine. Alkylated derivates of trimethylglycine have use as quaternary ammonium zwitterionic surfactants.

Functions
Betaine has three known functions in mammals. It is an organic osmolyte that accumulates in renal medullary cells and some other tissues to balance extracellular hypertonicity. Secondly, it also acts like a chaperone to stabilise protein structure under denaturing conditions. Finally, it serves as a methyl donor in the betaine homocysteine methyltransferase (BHMT) reaction which converts homocysteine to methionine.

Therapeutic uses
Trimethylglycine is used to treat high homocysteine levels. Kilmer S. McCully, MD, theorised that cholesterol and clogged arteries were symptoms rather than causes of heart disease and proposed homocysteine as a more likely culprit. If it were not for his work, homocysteine would not have been thought harmful and so supplements to lower homocysteine would not have been thought necessary.

Betaine hydrochloride ("betaine HCl") is the chloride salt of TMG. Used as a digestive aid, the hydrochloride is particularly helpful for persons with insufficient acid production in the stomach. Betaine HCl has an acidic taste whereas anhydrous TMG ("anhydrous betaine") tastes sweet with a metallic aftertaste and is usually produced from sugar beets (as is betaine hydrochloride). Both are active as methyl donors, as 'betaine' is retained in both forms. Betaine HCl (hydrochloride) has a chloride counterion, and is otherwise identical, chemically, to TMG.

After giving off a methyl group TMG becomes dimethylglycine (DMG), a naturally formed feedback inhibitor of Betaine homocysteine methyltransferase, although it is a methyl donor in its own right. DMG has no significant therapeutic benefit, however it has been identified as having possible use in autistic children. TMG is used by the ton in livestock farming, paired with lysine to increase "carcass yield," to help increase muscle mass. It is also used in salmon farming to relieve osmotic pressure in cells as the animals make the switch from freshwater to saltwater.

Laboratory studies have shown promise for TMG in the treatment of nonalcoholic steatohepatitis.

Biochemical mechanisms
TMG functions very closely with choline, folic acid, vitamin B12 and S-adenosyl methionine SAMe. All of these compounds function as methyl donors. They carry and donate methyl functional groups to facilitate necessary chemical processes. The donation of methyl groups is important to proper liver function, cellular replication, and detoxification reactions. TMG also plays a role in the manufacture of carnitine and serves to protect the kidneys from damage.

Trimethylglycine / betaine donates a methyl group to convert homocysteine to methionine in a reaction catalysed by BHMT (Betaine Homocysteine Methyltransferase, E.C. 2.1.1.5, a zinc metalloenzyme). Methionine is then converted to SAMe by Methionine Adenosyl Transferase (MAT) using magnesium and adenosine triphosphate as co-factors.

Uses in molecular biology
Trimethylglycine is an adjuvant of the Polymerase Chain Reaction (PCR) and of all DNA polymerisation based assays such as DNA sequencing. By an unknown function it aids in the prevention of secondary structures in the DNA molecules and prevents the problems associated with the amplification and sequencing of GC rich regions. Trimethylglycine makes Guanosine and Cytidine (Strong binders) behave with thermodynamics similar to those of Thymidine and Adenosine (Weak Binders). It is best used at a final concentration of 1M.