Elevated serum concentrations of beta-glucuronide metabolites and 4-oxoretinol in lactating sows after treatment with vitamin A: a model for evaluating supplementation in lactating women

Am J Clin Nutr. 2005 Apr;81(4):851-8. doi: 10.1093/ajcn/81.4.851.

Abstract

Background: The effects of large doses of preformed vitamin A, such as those provided in supplementation programs for the prevention of deficiency, on total serum vitamin A have been inadequately investigated.

Objective: This study characterized the time course of serum vitamin A metabolites in lactating sows after single high doses of retinyl ester.

Design: Lactating sows were fitted with jugular catheters and subsequently fed either 1.05 or 2.1 mmol retinyl ester (n = 6/group) or a corn oil vehicle (n = 3). Blood was collected at baseline and at intervals to 48 h and analyzed by gradient HPLC for retinol, retinyl esters, and metabolites.

Results: The mean (+/-SD) total serum vitamin A concentration peaked at 1 h (3.69 +/- 4.0 mumol/L) and 2 h (7.70 +/- 6.8 mumol/L) in the low- and high-dose groups, respectively (P < 0.05). Retinyl esters accounted for most of the serum vitamin A in both groups at peak time points. Mean serum retinol concentrations changed little and accounted for most of the serum vitamin A at baseline (94% and 97% for the low- and high-dose groups, respectively) but for only 22% and 14% at peak times for the low- and high-dose groups, respectively. Postdosage increases were observed for total vitamin A and retinyl esters, 4-oxoretinol, retinoyl beta-glucuronide, and retinyl beta-glucuronide but not for retinoic acid.

Conclusions: Serum retinol concentration remains relatively static after a large dose of preformed vitamin A and therefore is not an appropriate measure of intervention efficacy. The increases in beta-glucuronide metabolites and 4-oxoretinol suggest a preventive role against a rise in retinoic acid and retinol.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Animals
  • Diterpenes
  • Female
  • Glucuronides / blood*
  • Lactation / drug effects
  • Lactation / metabolism*
  • Retinyl Esters
  • Swine
  • Vitamin A / analogs & derivatives*
  • Vitamin A / blood*
  • Vitamin A / metabolism*
  • Vitamin A / pharmacology

Substances

  • Diterpenes
  • Glucuronides
  • Retinyl Esters
  • Vitamin A
  • retinol acetate
  • 4-oxoretinol