Retinol sources

Retinoids are alcohols and accordingly soluble in ethanol, isopropanol, and polyethylenglycol. Major sources of natural retinoids are animal fats, fish liver oil (retinylesters) and yellow and green vegetables (carotenoids). Ingested retinylesters (RE) are hydrolyzed to retinol by enteral hydrolases in the intestine. ROL and carotenoids are absorbed by intestinal mucosa cells. 

Vitamin Ai (retinol) is derived in mammals by oxidative metabolism of plant-derived dietary carotenoids in the liver, especially -carotene. Green vegetables and rich plant sources such as carrots help to provide us with adequate levels. Oxidative cleavage of the central double bond of -carotene provides two molecules of the aldehyde retinal, which is subsequently reduced to the alcohol retinol. Vitamin Ai is also found in a number of foodstuffs of animal origin, especially eggs and dairy products. Some structurally related compounds, including retinal, are also included in the A group of vitamins. 

Repeatedly it was shown that the semm retinol level and RBP level in prematures are significantly lower than that of neonates (Shah and Rajalekshmi, 1984). In the liver of prematures, significantly lower retinol levels can be foimd in comparison to neonates (Shensi et ah, 1985). Plasma values lower than 20 gg/dl are not rare in this case and they should be taken as an indicator of a relative vitamin A deficit. But a moderate vitamin A deficiency is not only a problem of countries with poor or inadequate food sources. 

Recently we published data that even in countries with excellent food sources and availability, insufficient vitamin A supply will occur (Schulz et ah, 2007). The aim of this trial was to analyze vitamin A and p-carotene status and investigate the contribution of nutrition to vitamin A and p-carotene supply in mother-infant pairs of multiparous births or births within short birth rates. Twenty-nine volimteers aged between 21 and 36 years were evaluated for 48 hours after delivery. In order to establish overall supply, retinol and p-carotene were determined in maternal plasma, cord blood, and colostrum via HPLC analysis. A food frequency protocol was obtained from all participants. Regardless of the high-to-moderate socioeconomic background, 27.6% of participants showed plasma retinol levels below 1.4 pmol/liter, which can be taken as borderline deficiency. In addition, 46.4% showed retinol intake <66% of RDA and 50.0% did not consume liver at all, although liver contributes as a main source for preformed retinol. Despite a high total carotenoid intake of 6.9 3.9mg/day, 20.7% of mothers showed plasma levels <0.5 pmol/liter p-carotene. 

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 animal foods, vitamin A is present in Uver, eggs, butter, cheese, milk, fish and meat. Fish Uver oil are the richest source of retinol. 

The major dietary sources of retinol are dairy products, eggs and liver, while important sources of /3-carotene are spinach and other dark-green leafy vegetables, deep orange fruits (apricots, cantaloupe) and vegetables (squash, carrots, sweet potatoes, pumpkin). The richest natural sources of vitamin A are fish liver oils, particularly halibut and shark. 

Other dairy products are also important sources of vitamin A (Appendix 6A). Whipping cream (39% fat) contains about 565 pg retinol and 265 fig carotene per 100 g. The level of vitamin A in cheese varies with the fat content (Appendix 6A). Camembert (23.7% fat) contains 230 pg retinol and 315 pg carotene per 100 g, while Cheddar (34.4% fat) contains 325 pg retinol and 225 pg carotene per 100 g. Whole-milk yogurt (3% fat unflavoured) contains roughly 28 pg retinol and 21 pg carotene per 100 g while the corresponding values for ice-cream (9.8% fat) are 115 and 195 pg per 100 g, respectively. 

The liver of meat animals is a rich source of vitamin A, for this organ is the body s main storage site of the vitamin. Fish liver oils, particularly halibut liver oil, are incredibly rich in the vitamin and are too potent to be consumed as foods. Typical food sources of vitamin A (in /ag retinol equivalents/100 g) are sheep and ox liver, 15,000 butter, 830 cheese, 320 eggs, 140 herring and... 

Several different quantification procedures for vitamin A have been described in the literature, some using retinol directly as a standard and some using retinyl acetate, which is converted to retinol by saponification. The latter approach is generally preferred, because crystalline all-trans-retinyl acetate is commercially available in high purity and is free from cis isomers. Commercial sources of retinol are oily preparations and are at best only about 70% pure. There are two ways of preparing a retinol standard from retinyl acetate. 

Vitamin A is an essential nutrient for humans and other vertebrates. Dietary sources of vitamin A are provided either by retinol esters, which are present in foods of animal origin and are hydrolyzed in the intestine to form retinol, or by plant carotenoids. More than 600 carotenoids have been identified in nature, of which 50 to 60 possess provitamin A properties and 10 have nutritional relevance (De Flora et al., 1999). 

Plants are the major source for dietary provitamin A. As mammals and humans cannot synthesize carotenoids, dietary provitamin A is obtained from plant sources that contain carotenoids having 2,6,6-trimethyl-l-cyclohexen-l-yl rings, such as P-carotene. More than 600 carotenoids have been identified in plants and algae, which together biosynthesize about 0.1 billion tons of carotenoids each year. However, only about ten carotenoids, including P-carotene, are nutritionally significant members of the provitamin A class that can be oxidatively metabolized to retinal in mammals and humans by such organs as the intestine, liver, and kidney and then reduced to retinol. 

Table II. Modification of 2-FA-induced mutagenesis in S. typhimurium TA98 by retinol utilizing carcinogen activation sources prepared from rats not treated with polychlorinated biphenyls...

Vitamin A, or retinol, is one of the major fat-soluble vitamins. It is present in many foods the best natural sources are liver, butter, margarine, egg yolk, carrots, spinach, and sweet potatoes. Vitamin A is the precursor of retinal, the essential component of the visual pigment rhodopsin. 

The vitamin A content of foods is often given in terms of the international unit (IU). One IU of vitamin A is defined as 0.3 tg of all-trans-retinol. The term retinol equivalent (RE) is used to convert all sources of vitamin A and carotenoids in the diet to a single unit. One RE is by definition 1 pg of all-trans retinol, 12 pg of P-carotene, or 24 pg of other (mixed) provitamin A carotenoids. The recommended dietary allowance for vitamin A ranges from 375 pg RE/day for infants to 1,000 RE/day for adults. 

Vitamin A is a fat-soluble vitamin. The RDA for vitamin A is 1-0 mg of retinol, or its equivalent. The international unit [lU) is used to compare the biological activities of various sources of vitamin A- One iU of vitamin A activity can be supplied by 0.3 pg of all-ffiflMS-relinol, 0.344 pg of all-trans-retinyl acetate, or 0,60 pg of all-frens-p-carotene. 

Generally, vitamin A serves three classes of functions (1) support of the differentiation of epithelial cells, (2) support of the viability of the reproductive system (fetal growth and vitality of the testes), and (3) utilization in the visual cycle. Dietary retinoic acid can support only the first function. Animals raised on diets containing retinoic acid as the only source of vitamin lose their ability to see in dim light and become sterile. In males, sperm production ceases. In females, fetuses are resorbed. Retinoic acid cannot be stored in the liver, as it lacks the hydroxyl group needed for attachment of the fatty acid. Retinyl esters, retinol, and retinal are interconvertible. Retinal can be oxidized to form retinoic acid. All three functions of vitamin A can be supported by dietary retinyl esters, retinol, or retinal. Although these forms can be converted to retinoic acid, retinoic acid apparently cannot be reduced to form retinal. These relationships are summarized in Figure 9.44. 

Vitamin A activity is expressed as USP units, international units (lU). retinol equivalents (RE), and arotene equivalents. The USP units and lU are equivalent. Each unit ex-pre.sses the activity of 0.3 /ug of all-/rans-retinol. Thus. I mg of all-/rufis-retinol has the activity of 3.333 unit.s. Other equivalents are li.sted in Table 26-3. One RE represents the biological activity of I /7g of all-rnin.t-relinol, 6 /ug of carotene. and 12 /rg of mixed dietary carotenoids. The RE i.s u.sed to convert all dietary sources of vitamin A into a single unit for easy comparison."... 

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