Two major origins of circulating and urinary DMA in humans are known. (1) The cellular post-translational modification (PTM) of L-arginine (Arg) moieties in certain proteins to form the DMA-precursor asymmetric dimethylarginine (ADMA). (2) Food, notably fish and seafood, contains considerable amounts of phosphatidyl choline (PC), choline, TMAO and trimethylamine (TMA). The metabolism of all these substances leads to dimethylamine.
A widely used gas chromatography–mass spectrometry (GC–MS) method of using dimethylamine in human urine involves extractive derivatization with pentafluorobenzoyl chloride. Separate aqueous solutions of the hydrochloride salts of commercially available unlabeled dimethylamine (d0-DMA) and hexadeutero-dimethylamine are treated by extractive derivatization using pentafluorobenzoyl chloride (PFBzCl) as the derivatization reagent and toluene as the solvent using Na2CO3 as the catalyst. The DMA concentration in plasma and serum was of the oder of 3 μM in healthy humans. In humans suffering from chronic kidney diseases, the concentration was several times higher. The average DMA concentration in human urine can range between 100 and 1500 µM, corresponding to mean creatinine-corrected excretion rates of 10 to 80 μmol dimethylamine/mmol creatinine in adults and up to 400 μmol dimethylamine/mmol creatinine in children and adolescents.
GC–MS methods have been pivotal to gaining better understanding of DMA biology in health and disease. In humans, up to 90% of urinary DMA is considered as a measure of its endogenous synthesis from post-translational dimethylation of arginine residues in proteins. This post-translational modification can lead to asymmetrically demethylated arginine protein. When this is put through regular proteolysis, these proteins generate asymmetrical dimethylarginine (ADMA) that is finally hydrolyzed to and L-citrulline and dimethylamine, which is then readily excreted in the urine. In fishery, DMA and trimethylamine are treated as freshness indicators due to their enhanced production of microbiomal activity. In fact, high DMA amounts are found in canned fish.
While DMA can be beneficial, it is also considered the precursor of the cancerogenic N-nitroso-dimethylamine. Tsikas proposes that other non-volatile amines, such as histamine and agmatine, could be better suited as fish freshness. Additionally, according to him, trimethylamine N-oxide’s role in human health and disease is elusive. There is room for DMA research to be expanded further.
References
(1) Tsikas, D. Analysis, Biology and Significance of Dimethylamine, Trimethylamine and Trimethylamine N-Oxide in Humans and in the Marine Ecosystem. J. Chromatogr. B 2025, 1258, 124602. DOI: 10.1016/j.jchromb.2025.124602