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International Journal for Vitamin and Nutrition Research, 6/1998


The Role of Carotenoids and Retinoids in Gap Junctional Communication

Wilhelm Stahl and Helmut Sies

Institut für Physiologische Chemie I, Heinrich-Heine-Universität Düsseldorf, P.O. Box 10 10 07, 40001 Düsseldorf, Germany

Summary

Induction of gap junctional communication (GJC) is discussed as one possible mechanism underlying the cancer-preventive properties of carotenoids. Structurally different carotenoids have different effects on this GJC pathway. Beta-carotene, echinenone, canthaxanthin, cryptoxanthin and 4-hydroxy-b-carotene efficiently induce GJC in murine fibroblasts. Decomposition products of canthaxanthin (e.g. 4-oxo-retinoic acid) enhance both GJC and expression of connexin 43 mRNA. Thus, the biological activity of canthaxanthin is due at least in part to formation of active decomposition products such as 4-oxo-retinoic acid. A number of other small molecules such as 1,25-dihydroxycholecalciferol or thyroid hormones serve as nuclear receptor ligands. Cholecalciferol, 3,3',5-triiodo-L-thyronine and L-thyroxine induce GJC to a similar extent as carotenoids or retinoic acid. Interactions between these signalling pathways may be involved in GJC regulation.

Keywords

Carotenoids, Retinoids, Gap junctions, Intercellular communication, Connexin

International Journal for Vitamin and Nutrition Research,
Band 68, 1998, Heft 6, © Verlag Hans Huber AG, Bern


Effect of Lutein on Beta-carotene Absorption and Cleavage

Henk van den Berg

TNO Nutrition and Food Research Institute, Zeist, Netherlands

Summary

Carotenoid interactions during absorption and in postabsorptive metabolism have been observed in both human and animal studies. We reviewed the mutual interactions reported between lutein and b-carotene and report new data on the postprandial b-carotene and retinyl ester response in the triglyceride-rich plasma lipoprotein (TRL) fraction in volunteers after a single test meal with b-carotene alone, or b-carotene combined with lutein or lycopene. Results indicate an inhibitory effect of lutein on b-carotene absorption, but apparently not on b-carotene cleavage. In a comparative study with two b-carotene/lutein ratios (2:1 and 1:2, respectively), this inhibitory effect of lutein was found to be most marked when lutein was the predominant carotenoid. In studies on plasma (serum) response also an inhibitory effect of b-carotene on lutein response was observed.

Keywords

b-Carotene, Lutein, Interactions, Absorption

International Journal for Vitamin and Nutrition Research,
Band 68, 1998, Heft 6, © Verlag Hans Huber AG, Bern


Potential of Vegetable Processing to Increase the Delivery of Carotenoids to Man

Karin H. van het Hof1, Christine Gärtner1, Clive E. West2,3 and Lilian B. M. Tijburg1

1 Unilever Research Vlaardingen, P. O. Box 114, 3130 AC Vlaardingen, Netherlands
2 Division of Human Nutrition and Epidemiology, Wageningen Agricultural University, Wageningen, Netherlands
3 Department of International Health, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA

Summary

It has been suggested that carotenoids contribute to the inverse association between vegetable consumption and risk for coronary heart disease and cancer. However, there are indications that the bioavailability of b-carotene from vegetables is less than previously thought. Therefore, it is of interest to explore whether the bioavailability of carotenoids from vegetables can be improved. We have reviewed data on the effect of vegetable processing on carotenoid bioavailability. Based on this analysis, we conclude that processing of vegetables by mechanical homogenization or heat treatment has the potential of increasing the bioavailability of carotenoids. Addition of fat during processing may also have an effect.

Keywords

Vegetables, Carotenoids, Bioavailability, Processing, Review

International Journal for Vitamin and Nutrition Research,
Band 68, 1998, Heft 6, © Verlag Hans Huber AG, Bern


Quantification of the "SLAMENGHI" Factors for Carotenoid Bioavailability and Bioconversion

Clive E. West and Jacqueline J. M. Castenmiller

Wageningen Agricultural University, Division of Human Nutrition and Epidemiology

Summary

The bioavailability of carotenoids is the fraction of ingested carotenoids utilized for normal physiological functions or storage, while bioconversion is the proportion of bioavailable carotenoid converted to retinol (vitamin A). Factors influencing carotenoid bioavailability and bioconversion have been incorporated in the mnemonic "SLAMENGHI": species of carotenoid; molecular linkage; amount of carotenoids consumed in a meal; matrix in which the carotenoid is incorporated; effectors of absorption and bioconversion; nutrient status of the host; genetic factors; host-related factors; and mathematical interactions. In this paper, an attempt is made to quantify the impact of the various SLAMENGHI factors on carotenoid bioavailability and bioconversion although many of the data available are not strictly comparable.

Keywords

Carotenoids, Bioavailability, Bioconversion, Absorption, Vitamin A, Retinol, Conversion factors, SLAMENGHI

International Journal for Vitamin and Nutrition Research,
Band 68, 1998, Heft 6, © Verlag Hans Huber AG, Bern


The Contribution of Various Foods to Intake of Vitamin A and Carotenoids in the Netherlands

R. Alexandra Goldbohm1, Henny A. M. Brants1, Karin F. A. M. Hulshof1 and Piet A. van den Brandt2

1 TNO Nutrition and Food Research Institute, Dept. of Consumer Research & Epidemiology, Zeist, Netherlands
2 Maastricht University, Dept. of Epidemiology, Maastricht, Netherlands

Summary

This study presents data on dietary intake of specific carotenoids in the Netherlands, based on a recently developed food composition database for carotenoids. Regularly eaten vegetables, the main dietary source of carotenoids, were sampled comprehensively and analysed with modern analytic methods. The database was complemented with data from recent literature and information from food manufacturers. In addition, data on intake of vitamin A are presented, which are based on the most recent update of the Dutch Food Composition Table. Intake of vitamin A was calculated for adult participants of the second Dutch National Food Consumption Survey in 1992, whereas intake of carotenoids was calculated for participants of the Dutch Cohort Study on diet and cancer, aged 55 to 69 in 1986. Mean intake of vitamin A amounted to 1.1 and 0.9 mg RE/day for men and women, respectively: the contributions of meat, fats and oils, vegetables and dairy products to total intake were 35%, 24%, 16%, and 16%, respectively. Mean intake of a-carotene, B-carotene and lutein plus zeaxanthin was 0.7, 3.0, and 2.5 mg/day respectively for both men and women, while mean intake of lycopene was 1.0 mg/day for men and 1.3 mg/day for women. The most important foods contributing to intake of B-carotene and lutein plus zeaxanthin were carrots (B-carotene only), spinach, endive and kale.

Keywords

Vitamin A, Retionl, Carotenoids, a-Carotene, B-Carotene, Lutein , Zeaxanthin, Lycopene

International Journal for Vitamin and Nutrition Research,
Band 68, 1998, Heft 6, © Verlag Hans Huber AG, Bern


Malaria is Associated with Reduced Serum Retinol Levels in Rural Zambian Children

Jeannine L. A. Hautvast1, Jules J. M. Tolboom1, Clive E. West2, Emmanuel M. Kafwembe3, Robert W. Sauerwein4 and Wija A. van Staveren2

1 Department of Paediatrics, University Hospital Nijmegen St Radboud, Nijmegen, Netherlands
2 Division of Human Nutrition and Epidemiology, Wageningen Agricultural University, Wageningen, Netherlands
3 Tropical Diseases Research Centre, Ndola, Zambia
4 Department of Medical Microbiology, University Hospital Nijmegen St Radboud, Nijmegen, Netherlands

Summary

Vitamin A deficiency increases the risk of illness, while infections impair vitamin A status. Malaria is highly prevalent in rural Zambia. We describe the relationship between malaria and vitamin A status. We examined dietary vitamin A intake, malaria parasitaemia and serum concentrations of retinol, C-reactive protein (CRP) and a1-acid glycoprotein (AGP) in 210 children under the age of 2. Vitamin A intake was low. Serum retinol was negatively correlated with malaria parasite count and to serum levels of CRP and AGP. Increased malaria parasite density resulted in raised CRP and AGP levels, which were negatively associated with serum retinol. We conclude that improvement of dietary vitamin A intake and prevention of infectious diseases, especially malaria, could alleviate vitamin A deficiency in this population.

Keywords

Malaria, Vitamin A, Preschool children, Zambia, Acute-phase proteins

International Journal for Vitamin and Nutrition Research,
Band 68, 1998, Heft 6, © Verlag Hans Huber AG, Bern


Impact of a Social Marketing Campaign Promoting Dark-green Leafy Vegetables and Eggs in Central Java, Indonesia

Saskia de Pee1, Martin W. Bloem1, Satoto2, Ray Yip3, Asmira Sukaton1, Roy Tjiong1, Roger Shrimpton4, Muhilal5 and Benny Kodyat6

1 Helen Keller International, Jakarta Pusat, Indonesia
2 Diponegoro University, Semarang, Indonesia
3 UNICEF, Jakarta, Indonesia
4 UNICEF, New York, USA
5 Nutrition Research and Development Centre, Bogor, Indonesia
6 Directorate of Community Nutrition, Ministry of Health, Jakarta, Indonesia

Summary

In order to work towards further reduction of vitamin A deficiency in central Java, Indonesia, a social marketing campaign promoting eggs and dark-green leafy vegetables was initiated in March 1996. The nutritional surveillance system (December 1995­December 1996) found the following. The campaign's messages were well noticed. Consumption of at least one egg in the past week increased from 80% to 92% in mothers and from 78% to 92% in children 12­36 months old. It increased in all socio-economic groups and was independent of ownership of chickens. Most eggs had been purchased. The quantity of vegetables prepared increased from 93 to 111 g/person daily and most was purchased. Vitamin A intake increased from 335 to 371 RE/d for mothers and from 130 to 160 RE/d for children. Serum retinol levels increased after the start of the campaign, and were related to egg consumption and vitamin A intake. Because 1. data were collected in such a way that respondents were not aware of the link between data collected and the campaign, and 2. vitamin A status increased and was related to increased consumption of eggs and vitamin A intake, we conclude that the social marketing campaign was successful.

Keywords

Social marketing, Vitamin A intake, Eggs, Dark-green leafy vegetables, Vitamin A status, Indonesia

International Journal for Vitamin and Nutrition Research,
Band 68, 1998, Heft 6, © Verlag Hans Huber AG, Bern


Antioxidant Effects of Carotenoids

Aalt Bast1, Guido R. M. M. Haenen1, Robin van den Berg1,2, Henk van den Berg2

1 Department of Pharmacology, Faculty of Medicine, University of Maastricht, Maastricht, Netherlands
2 TNO Nutrition and Food Research Institute, Zeist, Netherlands

Summary

Surprisingly, neither the precise pharmacological effect nor the toxicological profile is usually established for food components. Carotenoids are no exception in this regard. Only limited insight into the pharmacology and toxicology of carotenoids exists. It is known that the antioxidant action of carotenoids is determined by 1. electron transfer reactions and the stability of the antioxidant free radical, 2. the interplay with other antioxidants and 3. the reaction with active oxygen. Numerous metabolites of carotenoids are formed upon their action as an antioxidant. Most of these metabolites have an unknown biological activity. It is concluded that a severe lack of knowledge hampers adequate suggestions for human supplementation.

Keywords

Carotenoids, b-Carotene, Antioxidant, Free radical, Lutein, Lipid peroxidation

International Journal for Vitamin and Nutrition Research,
Band 68, 1998, Heft 6, © Verlag Hans Huber AG, Bern


Metabolism of Retinoic Acid: Implications for Development and Cancer

Edwin Sonneveld and Paul T. van der Saag

Hubrecht Laboratory, Netherlands Institute for Developmental Biology, Utrecht, Netherlands

Summary

Vitamin A derived retinoids, including all-trans retinoic acid (RA), play an important role in regulating cellular growth and differentiation. Biological activities of retinoids are mediated through interactions with two classes of nuclear receptors, RA receptors (RARs) and retinoid X receptors (RXRs). In addition, cellular retinoid-binding proteins (CRBPs and CRABPs) and RA-metabolizing enzymes may explain the pleiotropic effects of retinoids. Recently, a novel cytochrome P450 enzyme (CYP26) with specific RA 4-hydroxylase activity, which is rapidly induced by RA, has been cloned from man, mouse and zebra fish, fullfilling all requirements of an enzyme which could be of crucial importance in controlling steady-state levels of active retinoids in cells and target tissues, thus protecting against excessive exposure. Besides the putative role of this newly identified CYP26 in contributing to susceptibility of cancer cells to retinoids, the possible function of this gene in early embryonic development is discussed.

Keywords

Retinoic acid receptors, Retinoids, Metabolism, Cytochrome P450, CYP26, Development, Cancer

International Journal for Vitamin and Nutrition Research,
Band 68, 1998, Heft 6, © Verlag Hans Huber AG, Bern


Safety of Vitamin A: Recent Results

Ulf-W. Wiegand, Stefan Hartmann and Hans Hummler

F. Hoffmann-La Roche Ltd., 4070 Basel, Switzerland

Summary

A still unresolved public health concern is that excessive vitamin A intake, like vitamin A deficiency, possibly causes birth defects not only in animals but also in man. Due to the low incidence of possibly vitamin A-related malformations in man, available data cannot convincingly define the upper safe limit of periconceptional vitamin A intake. Direct human intervention studies are not feasible for ethical reasons. Therefore, a novel approach in addressing this issue was chosen by combining teratogenicity data from a validated animal model with data on systemic exposure to vitamin A and its major metabolites in female volunteers. In a study in pregnant women endogenous plasma concentrations of vitamin A metabolites during early pregnancy ranged from 0.26 to 7.72 ng/ml. Since they did not cause any foetal malformations, retinoid plasma levels in this range can be considered non-teratogenic. Results of a trial in non-pregnant women document that daily oral vitamin A supplements of 4000, 10000 and 30000 IU given for 3 weeks were in the range or slightly above the range of endogenous plasma levels seen in early pregnancy. Even after a 3-week treatment with 30000 IU/day, peak plasma levels of retinoic acid and isotretinoin were within or just slightly above the range of their physiological levels. In cynomolgus monkeys (average weight: 3­4 kg), a NOAEL (no observed adverse effect level) of 7500 IU per kg body weight and a LOAEL (lowest observed adverse effect level) for developmental toxicity of 20000 IU/kg was found. Considering these results in the cynomolgus monkey, a dose of 30000 IU/day should also be considered as non-teratogenic in man.

Keywords

Vitamin A, Physiological retinoids, Isotretinoin, Pregnancy, Safety limits

International Journal for Vitamin and Nutrition Research,
Band 68, 1998, Heft 6, © Verlag Hans Huber AG, Bern


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