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

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712<br />

Chapter | 23 Vitamins<br />

results in the strong acidity <strong>of</strong> ascorbic acid. Enediols<br />

are excellent reducing agents; the reaction usually occurs<br />

in a stepwise fashion with a semiquinone intermediate<br />

( Johnston et al., 2007 ).<br />

For ascorbic acid, this intermediate with monodehydroascorbic<br />

acid disproportionates to ascorbic acid, and dehydroascorbic<br />

acid. Dehydroascorbic acid is not as hydrophilic<br />

as ascorbic acid, because it exists in a deprotonated form.<br />

As such, dehydro <strong>of</strong> ascorbic acid can move easily across<br />

cell membranes. The dehydro form, however, is easily<br />

cleaved by alkali (e.g., to oxalic acid and threonic acid).<br />

c . Absorption, Tissue Distribution, and Metabolic<br />

Functions<br />

Dietary ascorbic acid is absorbed from the duodenum and<br />

proximal jejunum. Measurable amounts can also cross the<br />

membranes <strong>of</strong> the mouth and gastric mucosa. Although<br />

some controversy exists regarding the relationship between<br />

ascorbic acid intake and the intestinal absorption <strong>of</strong> ascorbic<br />

acid, most careful studies indicate that within the physiological<br />

ranges <strong>of</strong> intake (20 to 400 mg per kilogram <strong>of</strong><br />

dry food), 80% to 90% <strong>of</strong> the vitamin may be absorbed.<br />

With respect to tissue distribution, the highest concentration<br />

<strong>of</strong> ascorbic acid is found in the adrenal and pituitary<br />

glands followed by the liver, thymus, brain, and pancreas.<br />

In diabetic animals, the ascorbic acid content <strong>of</strong> tissue is<br />

<strong>of</strong>ten depressed, which suggests that factors responding to<br />

hyperglycemic states can compromise ascorbic acid status.<br />

This may be because dehydroascorbic acid uptake is facilitated<br />

by hexose transporters ( Johnston et al., 2007 ; Said,<br />

2004 ). Uptake <strong>of</strong> reduced ascorbic acid involves a specialized<br />

Na -dependent, carrier-mediated system; egress<br />

<strong>of</strong> ascorbic acid from enterocytes also utilizes a Na -<br />

dependent carrier system. Regarding cellular retention,<br />

ascorbic acid is maintained in cells by several mechanisms.<br />

Ascorbate reductases maintain L-ascorbic acid in<br />

the reduced form, which prevents passive leakage from<br />

the cell as dehydroascorbic acid. Significant amounts <strong>of</strong><br />

ascorbic acid, particularly in fish, may also exist as the<br />

2-sulfate derivative. In rats, about 5% <strong>of</strong> a labeled dose <strong>of</strong><br />

ascorbic acid is recovered in urine as 2-O-methyl ascorbic<br />

acid. Cellular modification <strong>of</strong> ascorbic acid is important for<br />

compartmentalization or modulation <strong>of</strong> functional ascorbic<br />

acid levels ( Johnston et al., 2007 ; Wilson 2005 ).<br />

In the neonate, glutathione is important to ascorbate<br />

recycling and regeneration ( Fig. 23-14 ). An argument<br />

can be made for a dietary need for ascorbic acid in some<br />

neonates <strong>of</strong> species not normally showing a requirement<br />

for ascorbate. For example, the levels <strong>of</strong> glutathione are<br />

relatively low in neonate rat and mouse tissue. Ascorbate<br />

is oxidized to dehydroascorbic acid, which is easily catabolized,<br />

thus the need for continual replacement.<br />

As a cellular reducing agent, ascorbic acid plays a<br />

number <strong>of</strong> important roles. It serves as a c<strong>of</strong>actor for<br />

mixed-function oxidations that result in the incorporation<br />

GLY<br />

GLUCySH<br />

γ-GLU-CySH<br />

Peroxides<br />

(2) GSH GSSG<br />

H 2 O 2<br />

Dehydroascorbate<br />

Degradation<br />

Products<br />

Reductase<br />

NADPH<br />

Glutaredoxin<br />

H 2 O 2<br />

Ascorbate<br />

FIGURE 23-14 Interaction between ascorbic acid and glutathione. The<br />

most important reductant in the cell is glutathione L-(-glutamyl-L-cysteineglycine,<br />

GSH), which is synthesized by a two-step reaction involving<br />

L-glutamyl cysteine synthetase and GSH synthetase. In addition to reducing<br />

equivalents derived from the pentose shunt or hexose monophosphate<br />

shunt pathway via NADPH, reduced ascorbic acid can transfer reducing<br />

equivalents to oxidized glutathione (GSSG) catalyzed by glutaredoxin.<br />

<strong>of</strong> molecular oxygen into various substrates. Examples<br />

include the hydroxylation <strong>of</strong> proline in collagen, elastin,<br />

C1q complement, and acetylcholine esterase. Hydroxylases<br />

(monooxygenases) and some P450-dependent hydroxylases<br />

that carry out the hydroxylation <strong>of</strong> steroids, drugs,<br />

and other xenobiotics utilize ascorbic acid as a reductant.<br />

Moreover, the hydroxylation steps in the biosynthesis <strong>of</strong><br />

carnitine, hydroxylation <strong>of</strong> tyrosine in the formation <strong>of</strong><br />

catecholamines, and hydroxylation <strong>of</strong> proline in collagen<br />

represent other important and essential catalytic functions<br />

<strong>of</strong> ascorbic acid. Most <strong>of</strong> the enzymes involved in these<br />

processes are metal-requiring enzymes in which ascorbic<br />

acid’s role is to maintain the metal (usually Cu or Fe) in its<br />

reduced state ( Johnston et al., 2007 ).<br />

d . Requirements and Toxicity<br />

Ascorbate is synthesized by most animals with the exception<br />

<strong>of</strong> primates, guinea pigs, some snakes, fruit-eating<br />

bats, birds (passerines), and salmonid fish. For these animals,<br />

impaired collagen synthesis is a principal feature<br />

<strong>of</strong> ascorbate deficiency. Scurvy is characterized by poor<br />

wound healing, impaired bone formation in higher animals,<br />

and kyphosis and scoliosis in fish ( Committee on Animal<br />

Nutrition, 2001a, 2001b ; Subcommittee on Laboratory<br />

Animal Nutrition, Board on Agriculture, National Research<br />

Council, 1995). Connective tissue lesions are primarily a<br />

result <strong>of</strong> underhydroxylated collagen (at specific prolyl and<br />

lysyl residues) being abnormally susceptible to degradation.<br />

In addition, the inability to deal with metabolic stress<br />

requiring normal adrenal gland function and the reduced

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