Retinyl esters hepatic metabolism

Vitamin A is readily absorbed from the intestine as retinyl esters. Peak serum levels are reached 4 h after ingestion of a therapeutic dose. The vitamin is distributed to the general circulation via the lymph and thoracic ducts. Ninety percent of vitamin A is stored in the liver, from which it is mobilized as the free alcohol, retinol. Ninety-five percent is carried bound to plasma proteins, the retinol-binding protein. Vitamin A undergoes hepatic metabolism as a first-order process. Vitamin A is excreted via the feces and urine. Beta carotene is converted to retinol in the wall of the small intestine. Retinol can be converted into retinoic acid and excreted into the bile and feces. The elimination half-life is 9 h. 

More than 90% of the body s supply of vitamin A is stored in the liver. The hepatic parenchymal cells are involved in its uptake, storage, and metabolism. Retinyl esters are transferred to hepatic fat-storing cells (also called Ito cells or lipocytes) from the parenchymal cells. The capacity of these fat-storing cells may determine when vitamin A toxicosis becomes symptomatic. During the development of hepatic fibrosis (e.g., in alcoholic liver disease), vitamin A stores in Ito cells disappear and the cells differentiate to myofibroblasts. These cells appear to be the ones responsible for the increased collagen synthesis seen in fibrotic and cirrhotic livers. 

Though chylomicrons and VLDLs are both substrates for LPL, the processing of the end-products of their metabolism is quite different. Chylomicron remnants recirculate until about 80% of their original TG content has been removed. These remnants retain almost the whole of their content of CE and retinyl ester. Excess surface molecules (mainly apo C proteins, cholesterol, and phospholipids) are transferred from the remnants, either spontaneously or by the activity of phospholipid transfer protein, mainly to HDLs. The chylomicron remnants, with apo E as the major ligand, are cleared quantitatively by hepatic receptors of the LDL receptor family. 

Much information is available about the metabolism of chylomicron cholesteryl esters taken up by the liver in association with the chylomicron remnant. This information may be relevant to the issue of chylomicron retinyl ester metabolism in the liver, about which much less direct information is on hand. Hepatic uptake of chylomicron cholesteryl esters occurs without hydrolysis of the cholesteryl esters (Goodman, 1965 (Juarfordt and Goodman, 1967 Stein et al., 1969). In studies with chylomicrons containing doubly labeled cholesteryl esters injected intravenously into rats, Quarfordt and Goodman (1967) observed that 80-90% of the chylomicron cholesteryl esters were removed by the liver without hydrolysis. In the liver, the newly absorbed cholesteryl esters underwent slow but extensive hydrolysis, to the extent of about 60% after 1 h and about 85-90% after 3.5 h. Subsequent to hydrolysis, most of the labeled free cholesterol slowly left the liver and was extensively redistributed in die body. Thus, 24 h later, only 20-28% of the labeled cholesterol found in the entire animal body was present in the liver. Since newly absorbed retinol, which is retained in the liver, is only mobilized slowly (see below), it is clear that following ester hydrolysis the hepatic metabolism of chylomicron cholesterol and retinol diverge in a major way. 

Hydrolysis of retinyl esters occurs in the liver both during the hepatic uptake of dietary vitamin A and during the mobilization of retinol from its stores in the liver. The hydrolysis of chylomicron retinyl esters that occurs during hepatic uptake has been discussed above. In addition, retinyl ester hydrolysis must precede the mobilization of retinol from hepatic stores of retinyl ester since retinol is mobilized in the form of the unesterified alcohol (retinol) bound to RBP. Accordingly, it is clear that the enzymatic hydrolysis of retinyl esters in liver represents an important process in the overall metabolism of retinol in the body. 

Hydrolysis of retinyl acetate by highly purified carboxylesterase from liver of several species (pig, ox, man) was reported by Bertram and Krisch (1969). The purified enzyme did not hydrolyze long-chain fatty acid esters of retinol. These findings suggested that previously observed hydrolysis of retinyl acetate by crude liver preparations was due to nonspecific esterases of little or no physiological relevance to hepatic retinyl ester metabolism. 

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