Apoptosis is an intrinsic cell program that causes unwanted or damaged cells to commit suicide. It is not well appreciated that nutrients can modulate this significant process. Choline is a nutrient that is crucial for the normal function of all cells, and its absence induces apoptosis. We examined whether p53 or p21(Waf/Cip1) were required for induction of apoptosis by choline deficiency in CWSV-1 rat hepatocytes immortalized with SV40 large T antigen. When grown in a defined, serum-free, choline-sufficient (70 mu M) medium, CWSV-1 cells failed to undergo apoptosis in response to gamma-irradiation, a well-known p53-dependent trigger of apoptosis. However, primary hepatocytes with an intact p53 gene expressed typical morphologic features of apoptosis and underwent G1 cell cycle arrest in response to gamma-irradiation. CWSV-1 cells continued to proliferate following gamma-irradiation, which is consistent with the loss of the G1 checkpoint response. These cells also failed to undergo apoptosis in response to cisplatin, whereas the p53-dependent primary hepatocytes underwent apoptosis in response to this drug. When maintained for 48 hours in choline-deficient (CD) medium (5 mu M choline), CWSV-1 cells exhibited terminal dUTP nucleotide DNA end-labeling assay (TUNEL)-positivity, a DNA ladder typical of internucleosomal DNA fragmentation, and classical cellular features of apoptosis. CD also induced apoptosis in Hep3B hepatocytes, a p53 deletion-mutant. Thus, it is reasonable to suggest that choline deficiency is capable of overcoming a block in the p53 pathway, activating an alternative apoptosis signaling pathway. (J. Nutr. Biochem. 9: 476-481, 1998). (C) Elsevier Science Inc. 1998.