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

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708<br />

Chapter | 23 Vitamins<br />

Infection<br />

EH<br />

E<br />

E<br />

EH<br />

ROO•<br />

•OH<br />

OH<br />

•OOH<br />

Giu<br />

ROOH<br />

GSH<br />

NADP<br />

Glu-6P<br />

O 2<br />

O 2<br />

GSSG<br />

NADPH<br />

6p-Gluc<br />

ROH<br />

Drugs<br />

RH<br />

Superoxide<br />

H 2 O 2<br />

H 2 O 2 Dismutase<br />

H 2 O<br />

Glutathione reductase<br />

b-Oxidation<br />

Glutathione peroxidase<br />

Catalase<br />

Glucose 6-phosphate dehydrogenase<br />

H 2 O<br />

HMP<br />

Cytosol<br />

Lactate<br />

CELL MEMBRANE<br />

FIGURE 23-11 Vitamin E and antioxidant defense. A number <strong>of</strong> factors can influence the need for tocopherols in cells and subsequently their utilization<br />

at a cellular level. Vitamin E acts as the last line <strong>of</strong> defense for lipid oxidation, primarily residing in lipid membranes. Enzymes such as superoxide<br />

dismutases (catalyzes superoxide radicals to hydrogen peroxide), catalase (catalyzes hydrogen peroxide to water and oxygen), glutathione peroxidase<br />

(catalyzes lipid and hydrogen peroxides to water or hydroxy-fatty acids), and related systems for oxidant defense (generation <strong>of</strong> reductants, such as<br />

NADPH and reduced glutathione) also aid in providing additional oxidant defense. Without intracellular control <strong>of</strong> reactive oxygen species, such as<br />

hydrogen peroxide or hydroxide radicals, polyunsaturated lipids are targets for oxidation.<br />

Vitamin E enters cells by processes similar to those<br />

for LDL uptake (Aguie, 1995; Traber et al., 1993, 1994a,<br />

1994b, 1994c ). LDL membrane receptors, through receptor-mediated<br />

endocytosis, appear responsible for vitamin E<br />

uptake by scavenger receptor B type I and LDL receptors.<br />

Efflux from cells is less well understood but appears to be<br />

dependent on transporters in the ABCA1 transporter family<br />

(ATP-requiring transporters associated with cholesterol<br />

transport). Once in cells, vitamin E is incorporated into<br />

liquid membranes. About 40% <strong>of</strong> vitamin E is found in<br />

nuclear membranes; the remaining 60% is divided between<br />

lysosomal, mitochondrial and the outer cell wall membranes<br />

( Traber, 2007 ).<br />

3 . Requirements and Functions<br />

The nutritional status <strong>of</strong> vitamin E is <strong>of</strong>ten difficult to<br />

assess. A number <strong>of</strong> factors can influence the concentration<br />

<strong>of</strong> tocopherols in cells. As noted, vitamin E acts as<br />

the last line <strong>of</strong> defense for lipid oxidation, primarily residing<br />

in lipid membranes. Consequently, enzymes such as<br />

superoxide dismutases, catalase, glutathione peroxidase,<br />

and related systems for oxidant defense can moderate the<br />

absolute need for vitamin E ( Fig. 23-11 ). Further high<br />

dietary intakes <strong>of</strong> polyunsaturated dietary fats may increase<br />

the vitamin E requirement, because <strong>of</strong> their eventual deposition<br />

in cell membranes. Naturally occurring deficiencies<br />

<strong>of</strong> vitamin E occur in cats given human-grade canned<br />

tuna (which is not fortified with vitamin E). Deficiencies<br />

can also occur in cats given fish-based diets unless they<br />

are highly fortified with vitamin E. Proper handling <strong>of</strong> fish<br />

is essential to prevent the PUFA s in fish oil from readily<br />

oxidizing following their harvesting and processing. The<br />

requirement <strong>of</strong> most animals is on the order <strong>of</strong> 25 to 50 mg<br />

per kilogram dry diet or 4 to 8 mg per 1000 kcal or 4.2 MJ.<br />

At the cellular level, vitamin E deficiency promotes<br />

increased lipid peroxidation, making cells more vulnerable<br />

to oxidative injury. Fortunately clinical manifestations<br />

<strong>of</strong> chronic vitamin E deficiency are rare and are usually<br />

seen only when fat malabsorption is present. In these cases,<br />

the neuromuscular, vascular, and reproductive systems<br />

may be affected. Vitamin E deficiency signs include

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