Hostname: page-component-cd9895bd7-p9bg8 Total loading time: 0 Render date: 2024-12-18T19:08:15.147Z Has data issue: false hasContentIssue false

Stable isotope dilution techniques for assessing vitamin A status and bioefficacy of provitamin A carotenoids in humans

Published online by Cambridge University Press:  02 January 2007

Harold C Furr*
Affiliation:
Craft Technologies, 4344 Frank Price Church Road, Wilson, NC 27893, USA
Michael H Green
Affiliation:
Department of Nutritional Sciences, Pennsylvania State University, University Park, PA, USA
Marjorie Haskell
Affiliation:
Department of Nutrition, University of California, Davis, CA, USA
Najat Mokhtar
Affiliation:
International Atomic Energy Agency, Vienna, Austria
Penelope Nestel
Affiliation:
HarvestPlus, International Food Policy Research Institute, Washington, DC, USA
Sam Newton
Affiliation:
Kintampo Health Research Center, Kintampo, Ghana
Judy D Ribaya-Mercado
Affiliation:
Jean Mayer US Department of Agriculture Human Nutrition Research Center at Tufts University, Boston, MA, USA
Guangwen Tang
Affiliation:
Jean Mayer US Department of Agriculture Human Nutrition Research Center at Tufts University, Boston, MA, USA
Sherry Tanumihardjo
Affiliation:
Department of Nutritional Sciences, University of Wisconsin, Madison, WI, USA
Emorn Wasantwisut
Affiliation:
The Institute of Nutrition, Mahidol University, Salaya, Thailand
*
*Corresponding author: Email [email protected]
Rights & Permissions [Opens in a new window]

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

Vitamin A deficiency is a major global public health problem. Among the variety of techniques that are available for assessing human vitamin A status, evaluating the provitamin A nutritional values of foodstuffs and estimating human vitamin A requirements, isotope dilution provides the most accurate estimates. Although the relative expense of isotope dilution restricts its applications, it has an important function as the standard of reference for other techniques. Mathematical modelling plays an indispensable role in the interpretation of isotope dilution data. This review summarises recent applications of stable isotope methodology to determine human vitamin A status, estimate human vitamin A requirements, and calculate the bioconversion and bioefficacy of food carotenoids.

Type
Research Article
Copyright
Copyright © The Authors 2005

References

1West, KP Jr. Extent of vitamin A deficiency among preschool children and women of reproductive age. Journal of Nutrition 2002; 132(Suppl.): 2857S–66S.CrossRefGoogle ScholarPubMed
2van Agtmaal, EJ, Amedee-Manesme, O, Carlier, C, Flores, H, Furr, HC, Keenum, D, et al. A Brief Guide to Current Methods of Assessing Vitamin A Status. Washington, DC: International Life Sciences Institute, 1993; 136.Google Scholar
3Tanumihardjo, SA. Assessing vitamin A status: past, present and future. Journal of Nutrition 2004; 134(Suppl.): 290S–3S.CrossRefGoogle ScholarPubMed
4Rietz, P, Vuilleumier, JP, Weber, F, Wiss, O. Determination of the vitamin A body pool of rats by an isotopic dilution method. Experientia 1973; 29: 168–70.Google Scholar
5Rietz, P, Wiss, O, Weber, F. Metabolism of vitamin A and the determination of vitamin A status. Vitamins and Hormones 1974; 32: 237–49.CrossRefGoogle ScholarPubMed
6Hughes, DR, Rietz, P, Vetter, W, Pitt, GAJ. A method for the estimation of the vitamin A status of rats. International Journal for Vitamin and Nutrition Research 1976; 46: 231–4.Google Scholar
7Bausch, J, Rietz, P. Method for the assessment of vitamin A liver stores. Acta Vitaminologica et Enzymologica 1977; 31: 99112.Google ScholarPubMed
8Shipley, RA, Clark, RE. Tracer Methods for In Vivo Kinetics. New York: Academic Press, 1972; 4564.CrossRefGoogle Scholar
9Furr, HC, Amedee-Manesme, O, Clifford, AJ, Bergen, HR 3rd, Jones, AD, Anderson, DP, et al. Vitamin A concentrations in liver determined by isotope dilution assay with tetradeuterated vitamin A and by biopsy in generally healthy adult humans. American Journal of Clinical Nutrition 1989; 49: 713–6.CrossRefGoogle ScholarPubMed
10Haskell, MJ, Handelman, GJ, Peerson, JM, Jones, AD, Rabbi, MA, Awal, MA, et al. Assessment of vitamin A status by the deuterated-retinol-dilution technique and comparison with hepatic vitamin A concentration in Bangladeshi surgical patients. American Journal of Clinical Nutrition 1997; 66: 6774.Google Scholar
11Haskell, MJ, Mazumder, RN, Peerson, JM, Jones, AD, Wahed, MA, Mahalanabis, D et al. Use of the deuterated-retinol-dilution technique to assess total-body vitamin A stores of adult volunteers consuming different amounts of vitamin A. American Journal of Clinical Nutrition 1999; 70: 874–80.CrossRefGoogle ScholarPubMed
12Raica, N, Scott, J, Lowry, L, Sauberlich, HE. Vitamin A concentration in human tissues collected from five areas in the United States. American Journal of Clinical Nutrition 1972; 25: 291–6.Google ScholarPubMed
13Olson, JA. Recommended dietary intakes (RDI) of vitamin A in humans. American Journal of Clinical Nutrition 1987; 45: 704–16.CrossRefGoogle ScholarPubMed
14Olson, JA. Serum levels of vitamin A and carotenoids as reflectors of nutritional status. Journal of the National Cancer Institute 1984; 73: 1439–44.Google Scholar
15Olson, JA. Should RDA values be tailored to meet the needs of their users?. Journal of Nutrition 1987; 117: 220–2.Google Scholar
16Haskell, MJ, Lembcke, JL, Salazar, M, Green, MH, Peerson, JM, Brown, KH. Population-based plasma kinetics of an oral dose of [2H4]retinyl acetate among preschool-aged, Peruvian children. American Journal of Clinical Nutrition 2003; 77: 681–6.Google Scholar
17Tang, G, Gu, X, Hu, S, Xu, Q, Qin, J, Dolnikowski, GG, et al. Green and yellow vegetables can maintain body stores of vitamin A in Chinese children. American Journal of Clinical Nutrition 1999; 70: 1069–76.Google Scholar
18Tang, G, Qin, J, Hao, LY, Yin, SA, Russell, RM. Use of a short-term isotope-dilution method for determining the vitamin A status of children. American Journal of Clinical Nutrition 2002; 76: 413–8.CrossRefGoogle ScholarPubMed
19Ribaya-Mercado, JD, Solomons, NW, Medrano, Y, Bulux, J, Dolnikowski, GG, Russell, RM, et al. Use of the deuterated-retinol-dilution technique to monitor vitamin A status of Nicaraguan schoolchildren 1 y after initiation of the Nicaraguan national program of sugar fortification with vitamin A. American Journal of Clinical Nutrition 2004; 80: 1291–8.Google Scholar
20Ribaya-Mercado, JD, Solomons, NW. Deuterated-retinol-dilution approach for longitudinal monitoring of health and nutritional interventions involving vitamin A. Sight and Life Newsletter 2003; (2): 34.Google Scholar
21Haskell, MJ, Islam, MA, Handelman, GJ, Peerson, JM, Jones, AD, Wahed, MA, et al. Plasma kinetics of an oral dose of [2H4]retinyl acetate in human subjects with estimated low or high total body stores of vitamin A. American Journal of Clinical Nutrition 1998; 68: 90–5.Google Scholar
22Ribaya-Mercado, JD, Mazariegos, M, Tang, G, Romero-Abal, ME, Mena, I, Solomons, NW, et al. Assessment of total body stores of vitamin A in Guatemalan elderly by the deuterated-retinol-dilution method. American Journal of Clinical Nutrition. 1999; 69: 278–84.CrossRefGoogle ScholarPubMed
23Ribaya-Mercado, JD, Solon, FS, Dallal, GE, Solomons, NW, Fermin, LS, Mazariegos, M, et al. Quantitative assessment of total body stores of vitamin A in adults with the use of a 3-d deuterated-retinol-dilution procedure. American Journal of Clinical Nutrition 2003; 77: 694–9.Google Scholar
24Ribaya-Mercado, JD, Solon, FS, Fermin, LS, Perfecto, CS, Solon, JA, Dolnikowski, GG, et al. Dietary vitamin A intakes of Filipino elders with adequate or low liver vitamin A concentrations as assessed by the deuterated-retinol-dilution method: implications for dietary requirements. American Journal of Clinical Nutrition 2004; 79: 633–41.CrossRefGoogle ScholarPubMed
25Hoppner, K, Phillips, WEJ, Erdody, P, Murray, TK, Perrin, DE. Vitamin A reserves of Canadians. Canadian Medical Association Journal 1969; 101: 84–6.Google ScholarPubMed
26Adams, WR, Green, MH. Prediction of liver vitamin A in rats by an oral isotope dilution technique. Journal of Nutrition 1994; 124: 1265–70.Google Scholar
27Ribaya-Mercado, JD, Solon, FS, Solon, MA, Cabal-Barza, MA, Perfecto, CS, Tang, G, et al. Bioconversion of plant carotenoids to vitamin A in Filipino school-aged children varies inversely with vitamin A status. American Journal of Clinical Nutrition. 2000; 72: 455–65.CrossRefGoogle ScholarPubMed
28West, CE, Castenmiller, JJ. Quantification of the ‘SLAMENGHI’ factors for carotenoid bioavailability and bioconversion. International Journal for Vitamin and Nutrition Research 1998; 68: 371–7.Google ScholarPubMed
29Tanumihardjo, SA. Factors influencing the conversion of carotenoids to retinol: bioavailability to bioconversion to bioefficacy. International Journal for Vitamin and Nutrition Research 2002; 72: 40–5.Google Scholar
30Russell, RM, Ross, AC, Trumbo, PR, West, KP. Retinol equivalency ratio of β-carotene. Journal of Nutrition 2003; 133: 2915–6.Google Scholar
31West, CE, Eilander, A, van Lieshout, M. Reply to Russell et al. Journal of Nutrition 2003; 133: 2917.Google Scholar
32Grusak, M. Intrinsic stable isotope labeling of plants for nutritional investigations in humans. Journal of Nutritional Biochemistry 1997; 8: 164–71.Google Scholar
33Haskell, MJ, Jamil, KM, Hassan, F, Peerson, JM, Hossain, MI, Fuchs, GJ, et al. Daily consumption of Indian spinach (Basella alba) or sweet potatoes has a positive impact on total body vitamin A stores of Bangladeshi men. American Journal of Clinical Nutrition 2004; 80: 705–14.CrossRefGoogle ScholarPubMed
34Parker, RS, Swanson, JE, You, CS, Edwards, AJ, Huang, T. Bioavailability of carotenoids in human subjects. Proceedings of the Nutrition Society 1999; 58: 155–62.CrossRefGoogle ScholarPubMed
35Tang, G, Qin, J, Dolnikowski, GG, Russell, RM, Grusak, M. Vitamin A value of spinach and carrots as assessed using a stable isotope reference method. FASEB Journal 2004; 18: A157.Google Scholar
36McEvoy, FA, Lynn, WS. Chloroplast membrane proteins. II. Solubilization of the lipophilic components. Journal of Biological Chemistry 1973; 248: 4568–73.Google Scholar
37Goodwin, T. The Biochemistry of the Carotenoids. London: Chapman and Hall, 1980.Google Scholar
38Wang, Y, Xu, X, van Lieshout, M, West, CE, Lugtenburg, J, Verhoeven, MA, et al. A liquid chromatography-mass spectrometry method for the quantification of bioavailability and bioconversion of β-carotene to retinol in humans. Analytical Chemistry 2000; 72: 49995003.CrossRefGoogle ScholarPubMed
39van Lieshout, M, West, CE, Muhilal Permaesih, D, Wang, Y, Xu, X, et al. Bioefficacy of β-carotene dissolved in oil studied in children in Indonesia. American Journal of Clinical Nutrition. 2001; 73: 949–58.CrossRefGoogle ScholarPubMed
40van Lieshout, M, West, CE, van de Bovenkamp, P, Wang, Y, Sun, Y, Van Breemen, RB, et al. Extraction of carotenoids from feces, enabling the bioavailability of β-carotene to be studied in Indonesian children. Journal of Agricultural and Food Chemistry 2003; 51: 5123–30.Google Scholar
41Edwards, AJ, You, CS, Swanson, JE, Parker, RS. A novel extrinsic reference method for assessing the vitamin A value of plant foods. American Journal of Clinical Nutrition 2001; 74: 348–55.Google Scholar
42Yao, L, Liang, Y, Trahanovsky, WS, Serfass, RE, White, WS. Use of a 13C tracer to quantify the plasma appearance of a physiological dose of lutein in humans. Lipids. 2000; 35: 339–48.Google Scholar
43Parker, RS, Brenna, JT, Swanson, JE, Goodman, KJ, Marmor, B. Assessing metabolism of β-[13C]carotene using high-precision isotope ratio mass spectrometry. Methods in Enzymology 1997; 282: 130–40.CrossRefGoogle ScholarPubMed
44Kelm, MA, Flanagan, VP, Pawlosky, RJ, Novotny, JA, Clevidence, BA, Britz, SJ. Quantitative determination of 13 C-labeled and endogenous β-carotene, lutein, and vitamin A in human plasma. Lipids 2001; 36: 1277–82.CrossRefGoogle Scholar
45Kurilich, AC, Britz, S, Clevidence, BA, Novotny, JA. Isotopic labeling and LC-APCI-MS quantification for investigating absorption of carotenoids and phylloquinone from kale (Brassica oleracea). Journal of Agricultural and Food Chemistry 2003; 51: 4877–83.Google Scholar
46Lienau, A, Glaser, T, Tang, G, Dolnikowski, GG, Grusak, MA, Albert, K. Bioavailability of lutein in humans from intrinsically labeled vegetables determined by LC-APCI-MS. Journal of Nutritional Biochemistry 2003; 14: 663–70.CrossRefGoogle ScholarPubMed
47Dueker, SR, Lunetta, JM, Jones, AD, Clifford, AJ. Solid-phase extraction protocol for isolating retinol-d4 and retinol from plasma for parallel processing for epidemiological studies. Clinical Chemistry 1993; 39: 2318–22.Google Scholar
48Tang, G, Andrien, BA, Dolnikowski, GG, Russell, RM. Atmospheric pressure chemical ionization and electron capture negative chemical ionization mass spectrometry in studying β-carotene conversion to retinol in humans. Methods in Enzymology 1997; 282: 140–54.CrossRefGoogle ScholarPubMed
49Guo, ZK, Luke, AH, Lee, WP, Schoeller, D. Compound-specific carbon isotope ratio determination of enriched cholesterol. Analytical Chemistry 1993; 65: 1954–9.Google Scholar
50Tanumihardjo, SA. Vitamin A status assessment in rats with 13C4 -retinyl acetate and gas chromatography/combustion/isotope ratio mass spectrometry. Journal of Nutrition 2000; 130: 2844–9.Google Scholar
51Dueker, SR, Lin, Y, Buchholz, BA, Schneider, PD, Lame, MW, Segall, HJ, et al. Long-term kinetic study of β-carotene, using accelerator mass spectrometry in an adult volunteer. Journal of Lipid Research 2000; 41: 1790–800.Google Scholar
52Lemke, SL, Dueker, SR, Follett, JR, Lin, Y, Carkeet, C, Buchholz, BA, et al. Absorption and retinol equivalence of β-carotene in humans is influenced by dietary vitamin A intake. Journal of Lipid Research 2003; 44: 1591–600.CrossRefGoogle ScholarPubMed
53Green, MH, Green, JB. Experimental and kinetic methods for studying vitamin A dynamics in vivo. Methods in Enzymology 1990; 190: 304–17.Google Scholar
54Green, MH, Green, JB. The application of compartmental analysis to research in nutrition. Annual Review of Nutrition 1990; 10: 4161.Google Scholar
55Berman, M, Weiss, MF. SAAM Manual. DHEW Publication No. 78-180. Washington, DC: US Government Printing Office, 1978.Google Scholar
56Wastney, ME, Patterson, BH, Linares, OA, Greif, PC, Boston, RC. Investigating Biological Systems Using Modeling: Strategies and Software. San Diego, CA: Academic Press, 1999; 1370.Google Scholar
57Green, MH, Uhl, L, Green, JB. A multicompartmental model of vitamin A kinetics in rats with marginal liver vitamin A stores. Journal of Lipid Research 1985; 26: 806–18.Google Scholar
58Lewis, KC, Green, MH, Green, JB, Zech, LA. Retinol metabolism in rats with low vitamin A status: a compartmental model. Journal of Lipid Research 1990; 31: 1535–48.Google Scholar
59Tang, G, Qin, J, Dolnikowski, GG, Russell, RM. Short-term (intestinal) and long-term (postintestinal) conversion of β-carotene to retinol in adults as assessed by a stable-isotope reference method. American Journal of Clinical Nutrition 2003; 78: 259–66.CrossRefGoogle ScholarPubMed
60Wang, Z, Zhao, X, Yin, S, Russell, RM, Tang, G. β-Carotene-vitamin A equivalence in Chinese adults assessed by an isotope dilution technique. British Journal of Nutrition 2004; 91: 121–3.Google Scholar
61Olson, JA. Isotope-dilution techniques: a wave of the future in human nutrition. American Journal of Clinical Nutrition 1997; 66: 186–7.CrossRefGoogle ScholarPubMed