Vitamin E Flashcards
what forms of vitamin E are in the diet?
- alpha-tocopherol (oils and nuts)
- gamma-tocopherol (soybean and corn oil)
food form of vit E
free tocopherol AND
esterified tocotrienols
vit E food source
bran/germ of grains, nuts, and palm oil
do pregnant and lactating women need additional vit E?
no
what happens when you reach the UL for vit E?
increased bleeding and GI distress
vit E interferes with absorption and metabolism of __, which is necessary for clotting
vit E interferes with absorption and metabolism of vit K, which is necessary for clotting
excess vit E in diet can cause __
excess vit E in diet can cause bleeding
how is vit E metabolized before absorption in enterocyte
it is a lipid SO
bile salts required for emulsification, solubilization, and spontaneous packaging into the micelle
__ is the only form of vit E that is actively maintained in the human body
alpha-tocopherol is the only form of vit E that is actively maintained in the human body
__ is the form of vit E found in the largest quantity in blood and tissues
alpha-tocopherol is the form of vit E found in the largest quantity in blood and tissues
how is vitamin E absorbed into the enterocyte?
- primarily in jejunum by passive diffusion
the rate of vit E absorption is
highly variable (10-80%)
factors that interfere with intestinal absorption of vit E
- retinoids
- plant sterols
- EPA
- alcohol
- dietary fiber
2 methods of vit E absoprtion into enterocyte
- passive diffusion
- NPC1L1, SR-B1, CD36
vit E passive diffusion requires __ for emulsification, solubilization, and __ formation
vit E passive diffusion requires bile salts for emulsification, solubilization, and micelle formation
micelles carrying vit E __ into enterocyte
micelles carrying vit E passively diffuse into enterocyte
other receptors that play a role in vit E absorption
NPC1L1
SR-B1
CD36
how is vitamin E absorbed in the enterocyte?
after absorption, vit E is packaged into __ and released into __
after absorption, vit E is packaged into chylomicrons and released into lymph
fate of vit E packed into chylomicrons
- after absorption, vit E packed into chylomicrons and released into lymph
- vit E delivered to extra-hepatic tissues as LPL degrades lipoprotein
- vit E in chylomicron remnant reaches liver
how does enterocyte excrete vit E?
exocytosis (bc it is packaged into chylomicrons)
fate of vit E that reaches liver (from chylomicron remnant)
alpha-TTP selectively transports alpha-tocopherol into liver lipoproteins (mainly VLDL)
- excess alpha-tocopherols transferred to HDL
alpha-tocopherol transfer protein transfers
alpha-tocopherol into liver-secreted plasma lipoproteins
why does the liver only accept alpha-tocopherol form of vit E
bc alpha-TTP
excess vit E is __
excess vit E is secreted into bile
most alpha-tocopherol is incorporated into
VLDL
excess alpha-tocopherol is secreted into
bile
90% of vit E is stored in __ of __
90% of vit E is stored in lipid droplets of adipocytes
changes in adipose tissue cause problems with
vit E homeostasis
alpha-TTP is expressed highly in __ and at lower levels in (4)
alpha-TTP is expressed highly in liver and at lower levels in brain, kidney, lung, and spleen
plasma levels: alpha-tocopherol is __ more elevated than __
plasma levels: alpha-tocopherol is 10x more elevated than gamma-tocopherol
mutated or deleted alpha-TTP causes __ and __
mutated or deleted alpha-TTP causes ataxia and AVED (vit E deficiency)
what does vit E do as an antioxidant?
quenches free radicals and absorbs energy of free radicals
unlike carotenes, vit E reamins a __ radical
unlike carotenes, vit E reamins a low-energy radical
alpha-tocopherol has __ properties
alpha-tocopherol has antioxidant properties
vit C recycles alpha-tocopherol by __
vit C recycles alpha-tocopherol by accepting alpha-tocopherol radical’s electron
regeneration of vit E steps
- vit E accepts alpha-tocopherol radical’s electron
- vit C –> ascorbate radical (harmless radical)
- glutathione reduces ascorbate radical to reconstitute vit C
- NADPH oxidizes reduced glutathione
since alpha-tocopherol is an antioxidant, it is found more in tissue with higher rates of __, such as __ and __
since alpha-tocopherol is an antioxidant, it is found more in tissue with higher rates of oxygen metabolism, such as brain and lung
2 main functions of vit E in target tissues
- antioxidant
- regulatory (non-oxidant) functions
__ is necessary for recycling of alpha-tocopherol
vit C is necessary for recycling of alpha-tocopherol
2 regulatory (non-oxidant) functions of vit E
- regulation of gene expression
- cell signaling (PKC, Akt, tyrosine kinases, phosphatases)
what form of vit E is excreted in urine?
conjugated form with glucouronic acid
main organ responsible for vit metabolism and excretion
liver
process for urinary excretion of vit E
- alpha-tocopherol oxidized into alpha-CEHC
- alpha-CEHC conjugated with glucouronic acid
- excreted in urine
vit E assessment
- mainly blood analyses
symptoms of vit E toxicity
inhibited platelet aggregation
easy bruising and bleeding
risks of vit E deficiency
atherosclerosis
heart attack
cancer
populations at risk for vit E deficiency
- preemies
- genetic abnormalities (AVED, apolipoproteinemia B)
- fat malabsorption syndromes (cholestasis, cystic fibrosis, pancreatic insuffiency)
- total parenteral nutrition
alpha-tocopherol inhibits oxidation of __ which decreases prevalence of __
alpha-tocopherol inhibits oxidation of LDL-cholesterol which decreases prevalence of atherosclerosis
vit E has __ function that quenches __ and protects from __
vit E has antioxidant function that quenches free radicals and protects from cancer
vit E can help prevent formation of __ that can lead to heart attack or venous thromboembolism
vit E can help prevent formation of blood clots that can lead to heart attack or venous thromboembolism
vit E may prevent formation of __ formed in stomach
vit E may prevent formation of carcinogenic nitrosamines formed in stomach
4 properties of alpha-tocopherol in disease
- alpha-tocopherol inhibits oxidation of LDL-cholesterol (decreased atherosclerosis)
- vit E as an antioxidant prevents cancer development
- vit E prevents blood clots (could lead to heart attack or venous thromboembolism)
- vit E blocks formation of carcinogenic nitrosamines formed in stomach
HOPE study
long term had increased risk of CVD
vit E and cancer risk study
increased risk of prostate cancer with vit E treatment