Fat Soluble Vitamins Flashcards
Retinal
important for vision
gets converted into 11-cis-retinal and then rhodopsin
beta-carotene (50%) converted into retinal in small intestine
Retinol
required for reproduction, utilized in testes/ovaries
can be made from retinal or retinyl esters in the liver
All trans retinoic acid
required for gene activation, growth, differentiation and maintenance of epithelial tissue (GI, lungs, cornea, e.g.)
made from retinol
Vitamin A absorption
70-90% retinyl esters 20-50% beta-carotene (iron needed for beta-carotene monooxygenase) increased by cooking/processing decreased by fiber, esp pectin
Vitamin A target tissues
70-75% to: bone marrow muscle lungs kidneys adipose (stores 15-20%) the rest goes to the liver (stored as retinyl palmitate in stellate cells)
Vitamin A functions
vision - rhodopsin
gene transcription - regulates growth of epithelium, bones, teeth (all trans retinoic acid); reproductive health (retinol)
RBC production
immune function
Retinoic acid
GENE TRANSCRIPTION
regulates enzymes re:cell growth, differentiation, apoptosis
- incr gap jct protein connexin
- supports differentiation of keratinocytes, immune cells, and stem cells
Vitamin A DRI
females - 700 mcg/2333 IU
males - 900 mcg/3000 IU
Vitamin A testing
serum retinol
serum RBP
Vitamin A deficiency
primary = decr intake; secondary = lipid malabsorption
conjunctival xerosis (bitot's spots) excess keratinization incr susceptibility to infx night blindness delayed growth
Vitamin A toxicity
> 25,000 IU/day liver damage - hepatocyte hyperplasia and hypertrophy - elevated liver enzymes N/V, HA bone/joint pain incr risk of birth defects SE - skin yellowing (carotenoids - no risk of toxicity)
Vitamin A food sources:
retinol/retinyl esters
liver butter eggs fortified dairy fish - sardines, tuna, herring fortified cereal grains
Vitamin A food sources:
Beta-carotene
dandelion greens spinach collard, kale turnip greens pumpkin winter squash sweet potato carrot raw cantaloupe
Vitamin D active form
calcitriol
1,25-dihydroxycholecalciferol
Vitamin D metabolism
7-dehydrocholesterol converted by UVB light to
cholecalciferol (D3) converted by liver to
25-hydroxycholecalciferol converted by kidneys to
1,25-dihydroxycholecalciferol