Adipose tissue vitamin

Niacin (vitamin B3) has broad applications in the treatment of lipid disorders when used at higher doses than those used as a nutritional supplement. Niacin inhibits fatty acid release from adipose tissue and inhibits fatty acid and triglyceride production in liver cells. This results in an increased intracellular degradation of apolipoprotein B, and in turn, a reduction in the number of VLDL particles secreted (Fig. 9-4). The lower VLDL levels and the lower triglyceride content in these particles leads to an overall reduction in LDL cholesterol as well as a decrease in the number of small, dense LDL particles. Niacin also reduces the uptake of HDL-apolipoprotein A1 particles and increases uptake of cholesterol esters by the liver, thus improving the efficiency of reverse cholesterol transport between HDL particles and vascular tissue (Fig. 9-4). Niacin is indicated for patients with elevated triglycerides, low HDL cholesterol, and elevated LDL cholesterol.3... 

Mechanism of Action An antioxidant that prevents oxidation of vitamins A and C, protects fatty acids from aff ack by free radicals, and protects RBCs from hemolysis by oxidizing agents. Therapeutic Effect Prevents and treats vitamin E deficiency. Pharmacokinetics Variably absorbed from the GI tract (requires bile salts, dietary fat, and normal pancreatic function). Primarily concentrated in adipose tissue. Metabolized in the liver. Primarily eliminated by biliary system. 

The liver appears to be the principal organ for clearance. Excess vitamin D is stored in adipose tissue. The metabolic clearance of calcitriol in humans indicates a rapid turnover, with a terminal half-life measured in hours. Several of the l,25(OH)2D analogs are bound poorly by the vitamin D-binding protein. As a result, their clearance is very rapid, with a... 

Vitamins are chemically unrelated organic compounds that cannot be synthesized by humans and, therefore, must must be supplied by the diet. Nine vitamins (folic acid, cobalamin, ascorbic acid, pyridoxine, thiamine, niacin, riboflavin, biotin, and pantothenic acid) are classified as water-soluble, whereas four vitamins (vitamins A, D, K, and E) are termed fat-soluble (Figure 28.1). Vitamins are required to perform specific cellular functions, for example, many of the water-soluble vitamins are precursors of coenzymes for the enzymes of intermediary metabolism. In contrast to the water-soluble vitamins, only one fat soluble vitamin (vitamin K) has a coenzyme function. These vitamins are released, absorbed, and transported with the fat of the diet. They are not readily excreted in the urine, and significant quantities are stored in Die liver and adipose tissue. In fact, consumption of vitamins A and D in exoess of the recommended dietary allowances can lead to accumulation of toxic quantities of these compounds. 

Storage in body Substantial primarily in liver, adipose tissue not found in all tissues Little or no storage (except vitamin B12 and possibly thiamin)... 

Endogenous protein-bound biotin (water-soluble B vitamin). High amounts of biotin are found in adrenal, liver, and kidney. Lesser amounts are found in the Gl tract, lung, spleen, pancreas, brain, mammary gland, adipose tissue, lymphoid tissue, and cells grown in culture media containing biotin as a nutrient. Use a biotin block or chose another non-biotin based staining system. 115-121... 

Body fats are the main store of energy in the body 1 g will give 38 kJ of energy when burned. Some foods, like fatty meats, contain these compounds. Fat is stored in adipose tissues in the cells under the skin. It acts as a protective layer or insulator as well as a supplier of energy. It is synthesized in the body mainly from foods rich in carbohydrates. Fats also dissolve the fat-soluble vitamins A and D. 

Although the major storage of vitamin A is in the liver (50% to 80% of the total body content), adipose tissue may contain 15% to 20% of total body vitamin A. Much of this is taken up from chylomicrons retinyl esters are hydrolyzed... 

Unlike the other fat-soluble vitamins, there is litde or no storage of vitamin D in the liver, except in oily fish. In human liver, concentrations of vitamin D do not exceed about 25 nmol per kg. Significant amounts may be present in adipose tissue, but this is not really storage of the vitamin, because it is released into the circulation as adipose tissue is catabolized, rather than in response to demand for the vitamin. The main storage of the vitamin seems to be as plasma calcidiol, which has a half-life of the order of 3 weeks (Holick, 1990). In temperate climates, there is a considerable seasonal variation, with plasma concentrations at the end of winter as low as half those seen at the end of summer (see Table 3.2). The major route of vitamin D excretion is in the bile, with less than 5% as a variety of water-soluble conjugates in urine. Calcitroic acid (see Figure 3.3) is the major product of calcitriol metabolism but, in addition, there are a number of other hydroxylated and oxidized metabolites. 

Hypercalcemia persists for many months after the cessation of excessive intakes of vitamin D, because of the accumulation of the vitamin in adipose tissue and its slow release into the circulation. The introduction of calcitriol and 1 a -hydroxycalcidiol for the treatment of such conditions as hypoparathyroidism, renal osteodystrophy, hypophosphatemic osteomalacia, and vitamin D-dependent rickets has meant that hypercalcemia is less of a problem than when high doses of vitamin D were used in the treatment of these conditions. Because calcitriol has a short half-life in the circulation, the resultant hypercalcemia is of shorter duration than after cholecalciferol, and adjustment of the dose is easier. 

The major site of vitamin E storage is in adipose tissue. 

The term vitamin E refers to two groups of compounds, the tocophenols and the tocotrienols. The structures of these compounds appear in Figure 9.90. All forms of the vitamin contain two parts, a "head" and a "tail." The head consists of an aromatic ring structure, called chroman or chromanol, and is the site of antioxidant action. The tail of tocopherols is a phytyl group, while the tail of tocotrienols is a polyisoprenoid group. The tail of vitamin K setv es to anchor the vitamin in lipid membranes, in the lipids of adipose tissue, and in the lipid surface and core of the lipoproteins. 

Although adipose tissue contains high levels of vitamin E, the tissue might not be considered to function efficiently as a storage site of the vitamin. Studies with animals have demonstrated that a deficiency in vitamin E results in the rapid depletion of the vitamin in plasma and various organs of the body with little effect on that in adipose tissue. In contrast, a dietary deficiency in vitamin A results in the maintenance of the plasma concentration at the expense of the vitamin A stored in the liver... 

FIGURE 9.93 Effect of 8-week vitamin E-deficient diet on levels of vitamin F. in plasma (A), liver ( ), adipose tissue (O), and heart [C. (Redrawn with permisaion fncuti Machlin ef a ., 1979.)... 

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