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Clinical Biochemistry of Domestic Animals (Sixth Edition) - UMK ...

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700<br />

Chapter | 23 Vitamins<br />

Stellate cells<br />

Chylomicrons<br />

Vacuoles<br />

β-Carotene<br />

Retinyl esters<br />

Parenchymal Cells<br />

Retinol<br />

Retinal<br />

Retinoic Acid<br />

Oxidation<br />

Disposal<br />

Vacuoles<br />

Vacuoles<br />

Retinyl Esters<br />

β-Carotene<br />

Retinyl Esters<br />

β-Carotene<br />

Retinol<br />

Retinal<br />

Retinol Binding Protein<br />

Retinoic Acid<br />

Oxidation<br />

Disposal<br />

Retinol<br />

Retinal<br />

Retinol Binding Protein<br />

Retinoic Acid<br />

Oxidation<br />

Disposal<br />

Retinol Binding Protein<br />

+<br />

Transerythrin<br />

Retinol Binding Protein<br />

+<br />

Transerythrin<br />

Retinol Binding Protein<br />

Transerythrin<br />

Retinol Binding Protein<br />

Transerythrin<br />

Target Tissues<br />

FIGURE 23-5 Steps in vitamin A processing in liver Stellate and parenchymal cells. Retinoids and carotenoids are transported from the intestine in<br />

chylomicron particles and are cleared primarily by the liver. The stellate cell is designed to sequester lipid-like compounds until needed. Fluids in the<br />

liver sinusoids derived from blood and lymph bathe stellate cells. The stellate cells are in communication with liver parenchymal cells. As the body<br />

needs vitamin A, retinyl esters and β -carotene sequestered in lipid vacuoles are released and eventually converted to retinol. The next steps involve the<br />

binding <strong>of</strong> vitamin A to retinol-binding protein (RBP). When released into circulation, RBP exists as a complex not only with vitamin A but also with<br />

another protein, transthyretin, which binds thyroxin. The RBP and the transthyretin complex transport not only vitamin A but also thyroxins to targeted<br />

cells. The primary target cells for vitamin A are epithelial in nature (e.g., fetal epidermal cells, the cells <strong>of</strong> the gastrointestinal mucosa, reproductive<br />

tract, pulmonary secretory cells, and salivary gland).<br />

cells but are associated with specific binding proteins. The<br />

binding to and release from such proteins is rapid. Because<br />

the binding proteins are contiguously associated as a part<br />

<strong>of</strong> the cellular scaffolding, it is possible for given retinoid<br />

metabolites to move vectorially along given paths to specific<br />

locations in the cell.<br />

Regarding the retinoid metabolites, retinoic acid is the<br />

most important, serving as a ligand for nuclear receptors<br />

( Velazquez and Fernendez-Mejia, 2004 ; Velazquez et al.,<br />

2005 ). These receptors are a part <strong>of</strong> a family <strong>of</strong> transcription<br />

factors that include nuclear receptors that also interact<br />

with glucorticoids, thyroxin, and the so-called peroxisomal<br />

proliferation activator agonists or ligands. Retinoic acid<br />

influences the transcriptional regulation <strong>of</strong> at least 600<br />

known genes. Both excesses and deficiencies <strong>of</strong> vitamin A<br />

can markedly influence the expression.<br />

The catabolism <strong>of</strong> excess retinal may be initiated by<br />

one <strong>of</strong> several alcohol dehydrogenase isozymes with subsequent<br />

oxidation via peroxisomal enzymes. Microsomal<br />

enzymes (cytochrome P450 hydroxylases) are also<br />

involved. Examples <strong>of</strong> some <strong>of</strong> some <strong>of</strong> the events and<br />

products are given in Figure 23-6 . Important interactions<br />

involve agents that can induce cytochrome P450 hydroxylases<br />

(or monooxygenases). For example, phenobarbital<br />

can cause depletion <strong>of</strong> liver retinol by induction <strong>of</strong> a microsomal<br />

oxidase system that promotes retinoid oxidation.<br />

4 . Functions<br />

The major roles <strong>of</strong> vitamin A are in cellar differentiation,<br />

tissue growth, and vision. In vision, vitamin A, as a component<br />

<strong>of</strong> rhodopsin, facilitates the efficient transfer <strong>of</strong> energy

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