Chylomicrons, carotene vitamin

In the enterocyte, provitamin A carotenoids are immediately converted to vitamin A esters. Carotenoids, vitamin A esters, and other lipophilic compounds are packaged into chylomicrons, which are secreted into lymph and then into the bloodstream. Chylomicrons are attacked by endothelial lipoprotein lipases in the bloodstream, leading to chylomicron remnants, which are taken up by the liver (van den Berg and others 2000). Carotenoids are exported from liver to various tissues by lipoproteins. Carotenes (such as (3-carotene and lycopene) are transported by low-density lipoproteins (LDL) and very low-density lipoproteins (VLDL), whereas xanthophylls (such as lutein, zeax-anthin, and (3-cryptoxanthin) are transported by high-density lipoproteins (HDL) and LDL (Furr and Clark 1997). 

In the body retinol can also be made from the vitamin precursor carotene. Vegetables like carrots, broccoli, spinach and sweet potatoes are rich sources of carotene. Conversion to retinol can take place in the intestine after which retinyl esters are formed by esterifying retinol to long chain fats. These are then absorbed into chylomicrons. Some of the absorbed vitamin A is transported by chylomicrons to extra-hepatic tissues but most goes to the liver where the vitamin is stored as retinyl palmitate in stellate cells. Vitamin A is released from the liver coupled to the retinol-binding protein in plasma. 

In the intestinal mucosal cells, /3-carotene is cleaved via an oxygenase (an enzyme that introduces molecular 02 into organic compounds) to frans-retinal (aldehyde form of trans-retinol, as shown in Table 6.2), which in turn is reduced to frans-retinol, vitamin Av Retinol is then esterified with a fatty acid, becomes incorporated into chylomicrons, and eventually enters the liver, where it is stored in the ester form until it is required elsewhere in the organism. The ester is then hydrolyzed, and vitamin Ax is transported to its target tissue bound to retinol-binding protein (RBP). Since RBP has a molecular weight of only 20,000 and would be easily cleared by the kidneys, it is associated in the bloodstream with another plasma protein, prealbumin. 

SD) in order to correspond with the known half-life of chylomicron retinyl esters (IS 10 min) in healthy adult men (Cortner et aL, 1987). Also, the model intestinal absorption of j8-carotene was constrained to be inside the range of two statistical deviations of 15 4.5% based on a j8-carotene balance study (Bowen et aL, 1993) in which 4.3 0.8 punol of a 28-jiunol dose of /3-carotene was absorbed in healthy subjects. Each of these constraints was achieved by including additional data points in the model. Finally, the irreversible loss of retinol from the model system was constrained to a minimum value of 0.7 pimol/day based on the rate of vitamin A depletion in humans (Sauberlich et aL, 1974). These additions to the model provided good statistical certainty on all model parameters, as the FSDs of the FTCs were <25% (see Table I). 

As shown in Figure 11.3, P-carotene and other pro-vitamin A carotenoids are cleaved in the intestinal mucosa by carotene dioxygenase, yielding retinaldehyde, which is reduced to retinol, esterified and secreted in chylomicrons together with esters formed from dietary retinol. 

The major forms of vitamin A (apart from carotene) are the esters of retinol with long chain fatty acids. Compared with the normal pattern of fatty acids in tissue lipids, they are a relatively select group and much more saturated. Palmitic acid predominates, together with smaller quantities of stearic and oleic acids. When the esters reach the lumen of the small intestine, they are almost completely hydrolysed, absorbed into the intestinal cells and reesterified. They are transported as components of the chylomicrons to the liver where they are stored almost entirely as retinyl palmitate, regardless of the composition of the dietary esters. Modification of dietary retinyl esters to such a specific fatty acid composition requires, as in the case of the cholesterol esters, specific hydrolytic and synthetic enzymes. These occur mainly in the liver, intestine and the retina of the eye. 

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