CHAMES IH CGKCEITRATKMS OP EXBOPLAVm XS HOISM BLOOD PRACTIOIS POLLOWIHG TEST DOSIS OF THE VITMISI by SOO JAB aOOM A THESIS submitted to OREGQM STATE COLLEGE In partial fulfillmeat of the requirements for th© degree of MASTER OP SCIBJCE June 1960 APPBOVED: Associate Professor of Foods and Nutrition In Charge of Major <fas3Jfait.m,m uiStggapsoT'M'tvwi Head of Department of Poods and lutrition Chairman or School Graduate Committee Dean of Graduate School Date thesis is presented Typed by Vema Anglemier July 29« 1959 ACM OKLEMEBWTS The mthw wishes to express her sincere appreciation to Dr* Betty E» Hawthorne for her careful direction of tMs research* continuous encouragement, her generous participation in it, and her willing assistance in the preparation of this laanuscript. Grateful thanks are extended to Br* Clara A. Storvlek and Dr. Margaret L* Fincke for their kind advice and interest during the progress of t&e study* The mthor is greatly indebted also to those tsho participated so cheerfully as experimental subjects and laboratory workers for their cooperation and interest in this study. TABLE OF COIf BffTS Pag© DTTRODUCTICB •♦*.»-..... 1 RBVlECf (F: LITERAfHE S mp!Rira?m 12 STUDY Plan of the Study IS Description of tho Subjects and Diets Analytical Method .... ..*•'... Principle of Method 12 14 ' 14 Equipment ................ o 15 Keag^ts 1? Method of Analysis of Free plus Rffl and Total Riboflavin in Blood Fractions .... 20 Collection and isolation of blood fractions ............... 20 Method of analysis of serum 22 ...... Method of analysis of red cells . . . . 23 ... 24 Measurement of phosphorus in white cells 25 The preparation of control samples for blood fractions . • . * 27 Method of analysis of white cells TAB£1 OP CCMTMTS (continued) Page Calculation of Results ....,.«... 28 • . . . 29 • • . « • . . 29 . « . . • . 50 Calculation for actual free plus WM and FAD riboflavin in blood fractions ♦ . . SI Eeprodueibilitj of Method in This Investigation .<> ......*..... , 31 Calculation for serum Calculation for red cells Calculation for Ait© cells RBSULfS MD D1SCUSSKM ,•*».*».••,««« S3 Changes in Concentrations of Hiboflavin in . Blood Fractions After th© feat Dog© of 2 nsg of Rifoof lavin # ... ..,»<» ...,»♦ , 55 Tina Concentrations of Hiboflavin.in Serum « 35 The Concentrations of RiboflavSn in Red Cells ................... 39 Th© Concentrations of Hiboflavin'in White Cells ....... . o ......... . 40 Discussion 42 ........ o ...,>.. . Comparison of fuo Levels of Test Sose Comparison of Duplicate Tests STOMRY BIBLIOGRAPHY , • . , , « . • . 44 ........ 47 50 52 UBf m $ms8 ?abld Pago folMttog a f rag f@st i^s© @f Si^ofIdtrte • 3 &e&<»fflptlQKk ©f S^fej^dts ...... 4 Gonoontratioos of ffotol iibsflavis fiotesnatoed e .. . 10 %& f©il©^nf a f s® f0st Doss ©f Hlb^l&vto » 34 FollooSng Too Xid^old «f ®©st B®s© f<*P III 46 ©©©©s of Bife©flQVia for SffiS 4® «•♦,»•♦ LIST OP FIGURES Figur© 1 2 3 4 iP-age Total Riboflavln Concentrations in Blood Fractions Following a 2 mg Test Dose of Biboflavin «..„... Free plus BM Riboflavln Concentrations in Blood Fractions Polloi'jing a 2 sng Tost Dose of liboflavln » ♦ 36 * 37 FM) Hiboflavin Concentrations in Blood Fractions Following a 2 mg Test Dos© of tiboflavin 38 Total Riboflavln Concentrations in Blood Fractions of BIH Following Test Doses of Riboflavln .............. 4© CHMSSS ZH CCEfOEWTRASPICHS OF EIBOPLA?IH IN EOSSAN BLOOD FRACE[OIS FOtLOWMG TEST DOSBS OF THE VITMIH OTROMGTM The importance of riboflavin in the nutrition of animals and of man has be ©a investigated by a number of biocheaists, physiologists, and nutritionists in the last quarter century since the discovery of riboflavin. In his recent review Bro-Rasmussen (6, p. 1) states, "Riboflavin acts as a coens^fme *.<,. both of dehydrog©nases which act specifically on aaiino acids, and of enzymes which act in intermediary metabolism on products that arise from the metabolism of carbohydrates and fats." Most tissues show a remarkable constancy in riboflavin content. lh©n the riboflavin content of organs is examined in relation to the intake of the viteatin, relatively small variations occur between maximum and minimum values (6, p. 1*23). It has been reported also that there are no organs tshcre riboflavin is stored in the animal body (11, p. 1157} 15, p. 514-516). Blood is a tissue that circulates in what is virtually a closed system of vessels. This circulating tissue per- forms the important functions of transporting nutrients and oxygen to all the cells and removing th© waste products of their metabolism. Blood consists of solid elements. the red and ?Mt© cells and the platelets, suspended in a liquid aedium, the plasma. In early investigations of riboflavin in whole blood using Merobiologieal methods, either no variation could be demonstrated, Axelrod et al. (1, p. 146-149), or the changes in riboflavin concentrations found could not b© related to riboflavin intake. Strong ©t al. (22, p. 563S7S)* In 1948 Burch et ^. (7, p. 457-470) introduced a more sensitive cheaieal aierosnethod which made possible the determination of the riboflavin content in blood fractions as well as in whole blood. Since 1948, interest in the riboflavin content of blood fractions has attracted several investigators, e.g., Burch et al, (7, p. 457-470), Bessey et al. (4, p, 367-385), Suvamakich jgt al* (23, p. 105-118), and Wa et al* (27, p* 231-240). The purpose of this investigation ms to determine the sifflultaneous changes in cmc cat rations of riboflavin, as free plus flavin mononucleotide, flavin adenin© dinucleoUde and total riboflavin, in serum, red cell, ©nd white cell-platelet fractioas of blood at intervals for three hours after a 2 sag test dose of the vitaudn was administered to subjects, fwelve subjects, nine women and three men, were studied. This investigation was part of a research project on the relationship of certain vitamins to cholesterol in human blood fractions. REVIEW OF MTBRKFURE Riboflavin, a water-soluble, yellou-green fluorescent pigment, occurs in -Hiree forro in animal said plant tissues! as free riboflavin, in flavin mononucleotide (MB), and in flavin adenine dinucleotide (FAD)* it has been reported by Wagner-Jauregg in 1954 (24, p. S01-S09) that only the free form is found in the retina of the eye, in whey and in urine, in most tissues, riboflavin is present as POT and FAD as nell as in the free form. The FAD form is tsrildely distributed in animal tissues and in microorganisms. Bessey, Ikmry, and Love (S, p. 755-76©) found that 70 to 90 per cent of the total riboflavin in all tissues is present in the form of the dinucleotide. Riboflavin has been shown to be a constituent of a number of enzyme systems associated with tbe intermediary metabolism of carbohydrates, proteins and fats. The first enzyme found to contain riboflavin was the ye 11 OH enzyme of Warburg and Christian, recognized in 1952-1955, which assists in the oxidation of hexose*phosphoric acid (12, p. 3S4-357). Riboflavin is also a constituent of D~amlno acid oxidase* L-amino acid oxidase, hydroxy acid oxidas®, xanthine oxidase, succinic acid dehydrogenase, aldehyde oxidase, reduced triphosphopyridine nucleotide-nitrat© reductase, reduced triphosphopyridine nucleotlde-cytochrom© 4 c reductase, gljcine oxidas©9 diaphoraa©, acetyl coeng^m© A dehydrogenasos, glycolic aoid oxidase* and fiamaric dehydrogenas© (10, p. 334-357)♦ All of these enzymes fmetion in oxidation-reduetion reactions in th© cells of th© body» is FAD. Th© prosthetic group of most of these enzymes Bartlett reported that th© riboflavin in FAD re- mains at a more constant level than the free riboflavin in tissues (2, p* 15S-168). She stated, "FAD reflects th© more constant internal metabolic demands and therefor© chaKiges in th© level of th© PAD in tissues may b© indicative of th© nutritional status of th© body as whole" (2, ' p. 166). Riboflavin is found in th© blood in all three forms: as free, EM, and PAD riboflavin. th© serum and th© cells, Shis also is true for Kleim and Kohn in 1040 (16, p. 177-189) first reported that human red blood cells could s^fnthesiz© PAD from fre© riboflavin both in vitro ^^ i£L lil2» ^e si©ch©nisii of the transformation of fr©© riboflavin to FAD in blood cells in not knotfn, however (12, p. 334-357). Studies of riboflavin concentrations in whol© blood and in blood fractions hav© been reported by a number of investigators who used micro biological and chemical methods. B@vi©w©d data ard summarised in Tabl© 1* For random blood samples from adult subjects on r © ^ 2 l» fc5 <*« 02 & O Sfl a, o ^ o > O « 8 HI SaS 65 o o © © o H ft!} e i Q o 1 HI o H H -fe ,0 51 to o ©a s a a c © M 5 o HI 43> © •t> © © © eo **•' to© • 9 10 © © <#>« mo • t • 11 *0 tfi Vr-"' IS,' • to e &* « OS to H 03 0J 0> 1 HO <# H • 03 ■>«»> ^at^ ^^ OSuO &*• HI * <M ^,e?«»' © e <9 t*' fc ■^ 03 OS © &* ^j ©a &* ^ H tr-v O. . 03 ©> (3 <0 HI © 03 03 S)9 • © © » ♦' « i •s ♦ s #i 0)'02HOHO03e«>t>0a G^ ♦H *H "OJ ♦ H * '©£»©<©<$• <M H H H «0 r^ lij JO to 03 ^5 O 03 HI * OS H OS * ■60 • © «>H • f ©60 03 to • t CS8- eO <i> © » o * 03 • « ^03 to * © to HOS o »■ © Heo• (O s H 03 © (£> to • «# ••**• H t « <^ • eO ©C« * I 40 H H * ©03 H I 03 03 03 03 '©> to 80 <3f5 * u» H . t 03© eO 03 tO 03 H I 03 ©> OS H 80 03 GO 60 & TOW ■«» f OJ CO H HI • 8 03 tO H • 03 « e-Hi •H CO 3 kO a « -^03 • 1 03© ea * H t 03 03 H <0 «w*»» © • ♦ ©sP • «o 0» 1 © • • ©to ♦ to 01 •' eo • © cO H 1 ©H ^4 © • ©to • i HH * O s>• Cft© • 3 03 (0 • ^ f • 03 <^ sji • 9 HOJ • © ♦ to 03O • 9 toe* * I to S^ JK e unrestricted diets, total riboflavin eoneaatrations In whole blood which have been reported renge from 12.2 to S4»0 meg per 100 ml (1, p. 146-149S 5, p. 379-385; 7, p. 457-470! 19, p. 206-211? 22, p. 363-372). fotal ribo- flavin concentrations in aerum for random blood samples for subjects on unrestricted diets rmiged from 2.6 to 3.7 meg per 100 ml of ttiich 0.3 to 1.3 meg per 100 ml was in the form of free plus FSM riboflavln (7, p. 457-470). For these same subjects concentrations of total riboflavin of the red cells ranged from 18.0 to 26.2 meg per 100 ral and of the vjMte cells from 227 to 293 meg per 100 ga (ibid.). Fasting blood samples of subjects on unrestricted diets have also been analysed for riboflavin. Wu (25) reported concentrations of total riboflavin in serum ranging from 1.6 to 5.7 meg per 100 ml for 29 subjects on unrestricted diets. Samvik (17) determined concentra- tions of total riboflavin in fasting whole blood, red cells, white cells and serum for 59 subjects. Concentrations ranged from 4.3 to 14.6 meg per 100 ml of whole blood, from 7.1 to 25.7 aeg per 100 ml of red cells, from 162 to 292 meg per 100 gm of ifhite cells and from 1.8 t© 5.5 meg per 100 ml of serum. In addition, concentrations of riboflavin in various fractions of fasting blood have been determined for subjects on known riboflavin intakes for appro3d.aately 30 d&j periods. Eiboflavin concentrations of fasting serum samples from seven subjects were detorained In this lab*oratory by Wu» Warren and Storvick (27, p. 2S1-240). The subjects received a total of 1.2 mg of riboflavin daily* Concentrations ranged from 1.7 to 6.3 and from 0.2 to 4.2 meg per 100 ml of serum for total and free plus WM riboflavin, respectively. Concentrations of total riboflavin in whole blood, red cells ©nd tshite cells as well as in serum for an additional seven subjects were determined in this laboratory by Edwards (9) and Irgens-BH^ller (14). Total riboflavin concentrations ranged from 6.5 to 11.2 meg per 100 ml of whole bloods from 7.5 to 16.8 meg per 100 ml of red cells,, from 199 to 293 meg per 100 gm of white cells,, end from 2.0 to 4.5 meg per 100 ml of serum. Concentrations of riboflavin In th© serum ©nd in th© cells have been observed to be affected by the consumption of different levels of riboflavin over long periods. Suvamakich et al. (23, p. 105-118) found that serum rib©* flavin concentrations diminished with decreasing rlbo* flavin intake. The change uas greater in the free plus MM than in the FAJ3 riboflavin. Bessey et al. (4» p. 367-383) reported that for a group of six subjects on riboflavin intakes of 2.55 to 3.55 mg per day for 16 months, the mean total riboflavin concentrations were '22.3.meg per 100 al of red cells, 212,meg per 100 gm of 3 white cells sad 3.03 meg per 100 ml of serums 0.71 meg per 100 ml being present as free plus WH riboflavin. On the other hand* another group of twelve subjects on 0.55 ag of riboflavin for 16 months had mean total riboflavin concentrations of only 11.7 meg per 100 ml of red cells, 192 meg per 100 g?a of vhit© cells, and 2.4 meg per 100 ml of serum, 0.3 meg per 100 ml being present as free plus WM riboflavin. Comparing the data from the two groups* Bessey and co-trorkers concluded that the riboflavin content of the red cells was the most sensitive and convenient index of riboflavin intake. Only two published references reporting concentraticaae of riboflavin in a blood fraction following a test dose of the vitamin were found. Both were studies of changes in serum riboflavin concentrations only. In 1948, Burch ejb al, (7, p. 457-470} reported graphically changes in concentrations of total riboflavin in serum of three subjects who were given 2 mg of riboflavin as a test dose. The concentrations of riboflavin were determined at fasting and one-half, one, two, three, four, end five hours after the test dose. The subjects were previously restricted to riboflavin intakes of 0.4 mg per day for four days. These researchers found that the greatest increase in serum total riboflavin occurred at one-half hour and the concentrations ©f riboflavin returned to approximately initial levels in from two to five hours. Ifu, Warren, and Storvick in 1963 (27, p* 231-240) experimented similarly with four subjecta using a 2 mg riboflavin test dose. Th&j observed that both the free plus FMS and total riboflavin of the serum reached a peak in one-half to one hour after the in* gestlcn of the test dose* Thereafter, the free plus Ffflf riboflavin returned to the fasting level by the end of the second hour but the total riboflavin decreased mor© ssloroly and did not reach the fasting level until the fifth hour. Changes in concentrations of riboflavin in whit® cells and red cells as vjrell as in serum tsrer© investigated in preliainary studies on five subjects in this laboratory during 1953*1954 by Sauvlk "(20) and Wu (26). These unpub- lished data for six tests (two tests for on© of the subjects) are suanaarised in fable -2, fhe highest concentra* tions of both total and free plus WIM riboflavin in serum occurred one-half hour after the test dose and the concentrations of total and free plus PEM- riboflavin decreased toward initial levels in from too 'to four hours. Concen* trations of FAD in serum showed only slight changes after the test dose. Changes in concentrations of riboflavin in red and t&it© cells uer© leas consistent than changes in the serum., ?ery little change in both total and FAD concentrations in red cells was observed in four of the six tests. In- too tests FAD and total riboflavin u ^ © a ps <a &0 A 4| ^d 0 ^B § § § Hi § 1 8 ^c ^ ^ o IS O t> & o >■ 3 § £ 43 o o • • e * «£>ooe* cu«><» « sassaa © o © o■ o o {0 ©3 50 ■# i^ © "^»«® g) a* is e» » • * • « • CV5 ca *4 HI H «rtl 03, CO ^ 08 (10 g* s* «0 H P*,H;S}H <J -^J <» &•■ «ii i EOO^P©©^ * * « ■» * ♦ 0 ea- OS & OJ M < €« i * (TJpdH^i^iH ©3 IM 03 irt 03 <M * * e> 0 a ^ Oil H ■• (f**fl F*^J (r**? - «*■*♦• 40 ■!«» 03 ^ O «*4 § ©^ 6> ©s C§ ©s » ♦ • • » P to t© ^ <«• ^ ^ © © 0© © Q o ooo o o 18 8 «i ♦ B» CO m^QHirt * H to e»>'^ y3 p* P'TI i©«>tOiOiO^ 1?*^ (fi! «S> *& ^ ^ ■« HI • * • o * • ©©©©©© « * 4 '• ♦ ■* 6<3> ffl ^5 cO E^ eO HI © <9 ®' © © • ••«•• «0 ^ 03 eO «0 eO &- H «© <o ©> i> e» s> s*. m fXi■ ■&<iS oa cl d ol tiS • ®no ©>to©© • '♦ ©03.HH«Hi(r^ e fi) -EO I© ©8 O O • O C^ H rf H H &i4s?H 03 &0 ^ • r-i io OJ ©a oj d fanfafiH & & <$ 0 s W 8 fiturtJiaHl 08 «0 ^ O<0 SO HI MJ 60 ffli OS ©> ©s Hl«*(lrt<N S: man 03CM 03 03 ^ «o © © $* eft GO ^3 g3 OJ (CO 10 © <$ eft CO OS CO' w so ^ ^ © e«3 to © H *& s © ©3 tO «0. <SJ «> 6* © 0. fr. 10 B* ea oS 4 to to d 03 © §«> tO SO ^D 08 03 03' ©J Oa 03 03 B* 63 <© ^ B^ OlC^Oi^OI 03 IO03 0J ©!OS» 03 © l© to SO 80 »■ ! 03 4. • t * .# ^<^S«H 03 CO «3» © <0 tO 03 H OS •♦'*«»♦♦ HI. (HI 03 rt• H H Q> e» H <£>'&» s» tt **•'♦•» oj uS ^• *9 el ©a feH^rf 05 W ^ 03 103 10 11 concentrations Increased. Only small changes in total riboflavin concentrations of white cells were observed. Total riboflavin concentrations increased from fasting values in two tests, decreased in two tests, and in two tests there was essentially no change. 12 Plan of the Study The concentrations of riboflavin in blood fractions of twelve subjects were determined following a test dose of tke vitmoin. Blood samples were obtained at fasting and one~half, one, two, and three hours after 2 mg of riboflavin vms given with a teat meal of salted crackers and black coffee. Each sample of blood vms separated Into fractioas'sserum, red cells, and whit© eell<*platelets. Serum and red cell samples wr® malyzed for free plus RMS FAD and total ribof3avin» White cell sampler were analyzed for total riboflavin for all subjects and for five subjects white cell samples were analyzed for free plus MM, PA© and total riboflavin. Tuo additional tests were included in the study. The response of one subject was measured following a 5 mg as well as a 2 mg test dose of riboflavin. itoother subject was given a second 2 mg test dose on an additional day. Description of the Subjects and Diets Data for age, height, weight and sex of th© twelve subjects are shown in fable 3. Each subject was asked to 13 fabl© 3. Subject ©©scrjlption of Subjects Sex Age Height Weight Years Inches Lbs* Younger vjommt BBS F 38 68^ US 30? F 32 60 110 SSAE , p 44 ®4| 140 SJM P 25 61 110 HI F 38 63 134 MB F 31 65| 133 ^F F 58 65 144 BAG F 66 66 150 65 F 66 65 136 ®m M 44 6©| 138 EBV 'M 40 69 145 <M 1 29 68 180 OM®!* wome&g leas : 14 com© to the laboratory vdthout breakfast and the fasting blood sample was obtained* Immediately, each subject was given a test dose containing 2 rag of riboflavin. A'2 rag test dose was used as this ©mount is nutritionally sound relative to the recosamended daily allowance of the National Research Council (18, p. 18)* In addition to this test dose th© subjects were given 30 gra of salted eraekers and black coffee ad libitum* The test dose of 2 mg of riboflavin was prepared aa follows? 20 mg of riboflavin (WB crystalline) was weighed into a 500 ml volumetric flask, dissolved and diluted up to volume with redistilled water ©nd thoroughly Mixed* Fifty ml of this solution contained 2 mg of riboflavin. Analytical Method Principle of Method The jBicromethod of Burch, Bessey,' and iowry (7, p. 457-470), as modified -in this laboratory by Edwards (9) and Irgens-M^ller (14), was used for th© deterraiaation of free plus FM and total riboflavin in the blood fractions. The method for analysis of each fraction involves th© extraction from the sample of riboflavin and riboflavinoontaining compounds with triehloroacetic acid and the comparison of the fluorescence of riboflavin to the is fluorescence of a suitable cone mt? at ion of a fluor©ac©in standard. In order to ealctalat© th© amo\mt ©f riboflavin in the samples, the use of an int©Kial standard ia employed. Sine© most biological mat^ials do not yield extracts xTfhich Contain riboflavin as th© only fluoresc^sit material^ a blank m©asw©ii©nt for each sample, in 'rahich riboflavin is r©duc©d to the Imaiflavin with sodium hydrosulfite, is required. It is assimied that only riboflavia is reduced and that no fluorescent materials ar© produced in the redaction (IS, p. S61-S7S). Simple reagent blanks do not suffice. Sine© riboflavin occurs in both fre© and combined forms, as FW and as FAP, In serua and in cells-, both fr©e plus F2M and total "riboflavin ar© d©terrained. fh@ free . plus MM riboflavin in © s©mple is measured by analysing the ©xtract directly. For total riboflavin deteraioations* the ©3£tract is incubat©d for 20 hours at 37©0 to hydro lyze FAB to fre© riboflarto prior to analysis. Since riboflavin is quite sensitive to light* most of the ©xperlmsntal worfe is best carried out in a dark room ©quipped with red lamps. I3hen necessary, saspleg may be- prot©et©d from light by covering with a black cloth. 16 Equipiaent 1. Bard-Park©r blad© lo. 11. 2. Tubes? 6 x 50 ma.) and pyres tubes of fee following capacities: 10 x 7S raa and 8 ml. 3. Calibrated pyrex tubes for optical us®, 10 x 70 4. Small tubes for collection of blood. S# Constriction pipettes of the following eapacitios: appr 03d. mate Ij 5, 10, 20, 30, 50, 100, 200, 400, and 500 ciw. 6. Constriction pipette, wide tipped, filmed with Parawax, approximately 100 CHKIW 7. Small stirxlng rods* 8. Syringe pipettes adjusted to deliver 1 ml and 3 ml quantities. 9. 10. Transfer pipettes. Racks suitable for holding the necessary nuiaber of both optical tubes and 6 x BO vm tubes. 11. Para film. 12. Xneubators adjusted to 37oc, 99©-lQ0OC, and 158O-160OG. 13. Refrigerated centrifuge uitti automatic timing device. 14. Farrand Fluor ©meter • 15. Electric motor ©quipped ^Lth rod for mixing the contents of the tubes (buzzer)* 17 16* Beckman Spectrophotometer, Model DtJ, with microattachment obtained from Pyrocell Corporation. Reagents 1* Potassium osalate, l,-6 per cent, Made daily from 8 per cent stock solution stored in refrigerator* 2» Srichloroaceti© acid solutions, 5 per cent and 13 per cent, 100 gm of redistilled trichloro- acetic acid was dissolved and made up to 100 ml with redistilled water* 5 per cent and 13 per cent trichloroacetic acid solutions were prepared from the 100 per cent solution and stored in the refrigerator, 3, Sodium chloride solution, 1 per cent. 4. Dipotassium acid phosphate solutions, 4 M, 2,4 M, and 0..16 M*. Powdered K2HIPO4 was washed with ethyl alcohol appros&Matelj 8 to 10 times and then with acetone 8 to 10 times, until the fluorescence of the acetone poured off the powder measured no more than 10 compared to fluoreseein standard D set at 80. The washed K2HFO4 was al- lowed to dry (9). 4 M K2BPO4 solution was pre- pared as follows: 174,18 ©a washed I2HPO4 was dissolved with redistilled water and mad© up to S50 ml with redistilled water. 2.4 1 and 0..16 £9 18 KgHP04 solutions. veXL& prepared from the 4 M KgHP04 solution and stored in the refrigerator. 5. Sulfurie acid, 4.5 H and 7.0 Bk 6. Phosphate reagent* 0.3 gm of pouder, consisting of 5 per cent MagS0g» 94,3 pef cent IaHS0gt and 0.7 per cent 1,4-amino naphthol sulfonic acid, was dissolved in 45 ml of redistilled water to which 5 ml of 2.5 per cent asanonitaa moigrMate in water was added. This phosphate reagent was freshly made every two weeks. 7. Perchloric acid, 70 per cent. 8. Phosphate standard. 10 ml KHgP04 stock solution? W&Q 680 mg of KHgP04 made up to 500 ail «& th 4.5 I HgS04. 0.5 Mi KHgP04 working standard solution: 5.0 ml of stock solution was diluted to 100 ml with 4.5 H H2SQ4, 50 eaaa of this solution contained 0.015 01 phosphorus. 9. Pluorescein standard solutions. Fluorescein stock solution: 10 mg of fluorescein was dissolved in 5 ml of 95 per cent alcohol and about 50 ml of 0.1 1 sodiu» acetate-acetic acid buffer solution of pH 4.5 and then made up to volume in a one liter volumetric flask with 0.1 1 19 sodiua ae©tate-ac©tic acid buffer solution of pH 4.5.. FluorQScein working; Standard A: 10 cmm of stock solution was made Up to 10 ml with 0*1 1 sodium acetate-acetic acid buffer# pH 4.5. Pluorescein \7orking Standard D« 100 cmm of solu- tion A was made up to 1 ml with 0.1 H sodium acetate*acetic acid buffer, pH 4.5. All thes© working standards were placed in optical tubes and capped with waxed stoppers. 10. Riboflavin standard solutions. Rib.oflavln stock standardt 20 mg of crystalline (trSP) riboflavin was dissolved and diluted to 1000 al with 0.01 W HOI. This stock standard has a concentration of 0.020 mg of riboflavin per ml. Internal & tandard of riboflavin8 1 ail of ribo- flavin stock solution was mad© up to 100 ml with 0.01 1 hydrochloric acid solution. 5.0 caia ©f this internal standard solution contained 0.001 meg of riboflavin. 11. Sodium acetate-acetic acid buffer pH 4*5. 55 ml of glacial acetic acid and 66.64 ga sodium acetate were made up to one liter with redistilled water. 20 IS. Hydrochloric acid, 0.01 M. I3* Sodium hydrosulflte solution. 0*6 gm sodium h^rdrosulfite dissolved in 5 ml of freshly prepared 5 per cent sodium bicarbonate in water* This reagent was »ade up immediately before it was to be used and kept in an ice bath during use* this solution is stable for only SO minutes• Method of Analysis of Free plus Flffl and Total Rlboflavin lia Blood Fractions Collection and isolation of blood fractions. To minimise destruction of riboflavln by light, blood eol^ lections were made in the dark with the aid of red lamps. The subjects pr^par^d for blood collection by warming a hand under hot tap water for several minutes. Blood was collected into several small tubes after a finger puncture was made using a Ho. 11 Bard-Parkej? blade. With the use of a pas^affin-lined pipette © aliquots of 100 exam of fresh blood were pipetted into separate $ x 50 mm tubes containing 500 ctm of 1.6 per cent potassium oxalate. The mix- ture of blood and potassium oxalate was stirred gently with a footed stirring rod to insure an even distribution of the red and white cells. The measurement and mixing were carried out as rapidly as possible. 21 USie samples t?©re then eentrifuged at 450 r.p,m. for 14 minutes at 0oG and the centrifuge t7as allor/ed to coiae to a stop smoothly, ©le turbid supernatant which con- tained the uhite cells was transferred i&th a fine-tipped pipette to another tube of the same size, taking care to draw up as few as possible of the red cells. close to the red cell layer was avoided. The solution The supernatant which contained white ceils waa usually recentrifuged at the s&ae speed for the same period to separate any red cells accidentally transferred. The supernatant which contained white cells was transferred to another tube and centrifuged at full speed for 20 minutes at 0oC. The clear supernatant fluid which did not contain any white cells was discarded by gentle suction leaving only whit© cells in the tube. The supernatant solution remaining in the original tube after the white cells were drawn off,- together with the upper portion of the red cell layer, was discarded by gentle suction using a fine tipped pipette. The resaaining red cells were packed by centrifuging at full speed for an hour In the refrigerated centrifuge. Any further super- natant was removed by gentle suction. For preparing serum samples, approximately O.S to 1.0 ml of blood was alloiied to stand at room temperature for at least 30 minutes before centrifuging the sasaple at full 22 speed at 00C for 20 minutes. CMR Triplicate allquota of ©0 of serum were stored at *50P» if immediate analysis was incmavmiessit. Method £f malysia of aerum. friplicat© aliquots of 50 cram of serum were well mixed with 1.0 ml of 5 per cent trlehloracetie acid in a S ml tube. The tubes tirer© allowed to stand for 15 minutes in an ice bath. Then the contents of each tube were carefully mixed using the buzzer and the tubes were centrifuged at full speed for 10 minutes at 0oC. Two 400 cmm aliquots of the super- natant of each tube were transferred to separate optical tubes, the first for th© measurement of free plus fM ri bo flavin and the other for th© measurement of total riboflavin. In the first tube the 400 e» of filtrate neutralized with 100 cmm of 2.4 M K2HPO4. %IB.B On© to two hours after neutralization the fluorescence of free plus FM rlboflavin was determined using th© Parrand Fluorometer. M. initial reading* R^,, was mad© against fluoresceln standard B set at 50. A second reading, %# was made after adding 5 cmm of the internal riboflavin standard. The blank reading, H3, was determined by meas- urssient ©f fluorescence after adding 5 cam of sodium hydrosulfite solution to th© samples. Great care was employed to mix all solutions thoroughly by tapping with the finger* Triplicate reagent blanks of 400 eiam 5 per cent tri chloroacetlc acid were analjzed along ivith samples. The filtrates in the tabes for measurement of total riboflatln were allowed to hydrsljse in the dark at S7oc for 20 hours. All the tubes were well capped uith para* fil® in order to avoid contamination and evaporation. At the end of the incubation period* the tubes were taken from the oven and cooled at room temperature* The con- tents were thefe neutralized with 100 cwm. of 2*4 M K2HPO4 and the amount of total riboflavin was measured as described for free plus MM riboflavin measurements. Method of analysis of red cells... Duplicate all quota of 20 csrni of red cells were transferred into 1 ml of 1 per cent sodium chloride solution in 8 ml pyrex tabes* (These suspensions were well mixed and stored frogen when iraaaediate analysis was inconvenient.) The red cell sus- pension in 1 per cent laCl was well mixed with 3 ml of IS per cent triehloroaeetic acid and allowed to stand SO to 60 minutes in the refrigerator* At the ©ad ©f thia period* the samples were mixed again by using the bugger aid centrifuged at full speed for 10 minutes. Triplicate 400 cvm aliquots of the clear supernatant from each sample tube were transferred to two sets of optical tubes. The first set contained 100 enm of 4 1 K2HFO4 for free plus §4 HM riboflavin determinations, while th© second set was used for total riboflavin determinations* After a lapse of on© to two hours* fluorescence in the first set that had been neutralized with 4 M K2HPO4 was saeaeured for free plus MM riboflavin as described for seruiru feiplicate reagent blanks wer©^ analyzed along with samples* The allquots for total riboflavin determinations were allowed to hydrolyee in the dark at S70C» for 20 hours* fhe hydrolyzed samples were neutralized with 100 cmm of 4 M KgHP04 and total riboflavin was measured as described for serum. Method of analysis of tfliite cells. Six allquots of wMt© cells were analyzed for total riboflavin for each sampling period. The tubes containing th© luhlt© cells were buzzed to give an even distribution of the cells. The cells were deproteinized by adding 110 cma of 5 per cent trichloroacetlc acid to each tube and agitating gently, (fhe samples could be frozen at this stag© if isaaediat© analysis was inconvenient.) fhe deproteinized samples were allowed to stand at room temperature for SO minutes to one hour. At th© end of this period the samples were mixed carefully again. After centrlfu^Lng at full speed for 15 minutes, an aliquot of 100 cam of the supernatant was transferrred to an optical tube and allowed to • 25 h^droljg© at B^0G for 20 hours* At the ©nd of the 20 hour period, the tubes were taken from the oven and cooled at rooa temperatur©* The hydrolyeed filtrates were then neutralized with 400 enm of 0.16 per cent K2HFO4 and rlboflavin uas measured as described for sefwm* friplicate blanks of 100 cum of 5 per cent trlchloroacetie acid were analyzed along witfe the samples* Due to the limitations of the amount of blood available* only triplicate aliquots of white cells tier© analyzed for free plus FW riboflavin* fhe evenly dis- tributed whit© cells were deproteinized with 5 per cent trichloroacetle acid and extracted as described for total riboflavin analysis. An 100 cam aliquot of the super* natant of each sample was transferred into an optical tub© and the filtrate was neutralized ismediately by mixing with 400 em of O.IS per cent KgHPO^., The concentrations of riboflavin were measured m described for serum* The remaining supernatant ©nd residue from both total and free plus FMH riboflavin analyses were reserved for phosphorus determinationsj> which were used as measures of the weights of white cells and platelets* Measurement of phosphorus in tiihite cells* fh© acid- insoluble phosphorus, together wit& the acid-soluble phosphorus of the small ©mount of remaining supernatant. 2© of each saaple was measured. She app^oximatelf 10 emm of remaining supernatant and the residue of each tube were mixed by gentle buzzing. added to each sample. Tuenty twm of 7 1 H2SO4 was After mixing, the samples were heated in an oven for two hours at 98° to 100oG. At th© end of one hour the tubes were tafeen out and gently rotated to wash down any sample adhering to the sides of tubes. Triplicate blanks of 30 cnsa of 4.5 1 H2SO4 and standards of 30 cam of 0»5 ng M2PO4 were treated in the same way. After heating, the tubes -©ere cooled in a desiccator. this point the tubes could stand over night.) (At Next, 10 omm of 70 per cent perchloric acid was added to each tube. The contents in the tubes were miKed by rotating and ashed in an oven at 158° to i60oG for two hours. cooled in a desiccator. The tubes were Two hundred cwm. of phosphorus reagent was added to each tube and the contsnts were vigorously mixed by bugging. After 15 minutes and after SO minutes the tubes were buzzed again. At the end of the 50 minutes the density of color developed was measured in the Beekman Spectrophotometer at 690 tap.* Triplicate blanks and six standards were determined along with samples.. Standards were read in triplicate before and after th© samples. 21 The preparation of control asaaples for blood fracMiORS. Triplicate allquota of control samples of fee respective blood fractions were analyzed with each series of samples* This procedure served not only to check on the reproducibility of th© analytical procedures* but also confirmed the stability of the sample preparations which were stored at -5°P* For the preparation of th© white cell and red cell control samples, approxiiaately 30 ml of vesaous blood was used* Two isl all quota of i?hol©, blood wer© pip©tt®d as rapidly as possible to avoid clotting into 10 ml of 1*6 per cent potassium osalat©* The tubes were inverted one© ©nd eentrifuged for 15 minutes at 450 r«p«m. The super- natant which Contained whit© cells was pooled in a beaker. Aliquots of 400 cam of supernatant were transferred into 6 x 50 cma tubes. Constant stirring was maintained during sampling to giv© as even a distribution as.possible of white cells in the supernatant* She white cells were packed down by centrifuging for 20 minutes at full speed at 0oCc The clear supernatant was removed by gentle sue* tion and 110 cms. ©f 5 per cent irlehloroacetic acid wasadded to each tube* The contents were nixed by bussing and capped with parafilm and stored at -§0F* For the red cell control sample, th© remaining red cells> after the supernatant viaioh contained whit© cells 28 was dram off, u©r© packed by centrifuglng for an hour at full speed at 00C, triplicate aliquot© of 300 csam of packed red cells *7©re pipetted into 10 ^1 of 1 por cent laCl and laiseed well. TMrty ml of IS per cent trichloro^ acetic acid was added to the misctur© of laCl and red cells* The mixture was placed in the refrigerator for SO to 60 minutes* At the end of this period, the mixture was stirred again by using the buszer and centrifuged at full speed for 10 minutes* fh© filtrates from t&te three preparations were pooled and stored in a glass-stoppered brovm bottle in the refrigerator* For the preparation of control serum samples» approM* mately 10 ml of whole blood was allowed to stand for 30 minutes at room temperature and then eentrifuged for 20 minutes at full speed at 0oC. in a beaker. The clear serim was pooled Aliquots of SO cram of serum were pipetted into tubes which were capped with parafilm and stored at Calculation of Results The calculation of free plus Fffl and total riboflavia concentrations required corrections for dilutims due to the addition of the internal standard and reducing solu* tion during fluorescence measurements as well as for dilutions in preparation of filtrates of the samples. The Bg» 20 HvLQiPQSGmeQ ^©^lag ©f .sompX© ptmi iiat©Bial sfeaaiaapd^ smel %, i?©clme©$ flmo^oeie*^©© roadisg, o©r0 dd?r©etei to ig* ©mi Bg1» faep^eti^rely* Sa© lg« tia© eaieiiltafe©*! a@ mo p& &<mt ®i Sg pitas fig (5*0 csm ©f SBtoifial e^aadard ai<t©t to i00»O twm c& eolufelfia) ©ai %' ma os&euSL&tod as 3 pos* cent «ri? lg ^lus % (S#© ens of ^Mmelag ag<»t ©&#©$ to &© soltttlon affes5 the fssilsg ■%)» £3eg B£bon«^ Si -Ha* tip"- Sg* %^ - -r—B- --,-,—.- - -^--^j**^.^^ 9 Goareoetod ^luopoaoeneo of &Q%le ♦ Ctg * ©«01 Eg) C% ♦ o.oe %} CsAottla^Lcn. fo^ r©€ ©©IS,©* to ©s- total) ♦ 0*01 Bs) 43 C% * 0.@g Rg) alitm©^ 30 Calculation for ■giiite cells* fhe samples analyzed for phosphorus contained all of the acid insoluble phosphorus and, with the specific calibrated volumes of pipettes used in these analysess 8 per cent of the acidsoluble phosphorus (8*4 cnp remained of the original 108*6 cam of filtrate after removal of 100*2 cm& aliquot). Since white cells contain an average of 33 aslcromoles of acid-insoluble phosphorus and 28 microinoles of acidsoluble phosphorus per gja of white cells (7, ,p# 457-470), the samples contained 33 plus 0.08 x 28 which equals 35*2 aieromoles of phosphorus per ©a of white cells* There- fore, the meg of riboflavin per 35.2 micromoles of phosphorus found were numerically equal to the meg of riboflavin per ©a of white cells. Meg Riboflavin per 100 gm £ meg riboflavin in entire & S-QQ x 35.2 sample (free * FM or yUM Of P total) leg Riboflavin in entire. meg riboflavin in aliquot Meg Riboflavin 6 in aliquot " B^ - Bg' Rgi-'H, whares; R^ * Rg' s R3' 2 x r©l. used of TCA filtrate of TOG meg of riboflavin (internal standard) Pluoreseence reading of sample Corrected fluorescence of sample plus internal standard (Rg * 0.01 Rg) Corrected reduced fluorescence (Rg t 0.02 Rg) jm of P a m V in standard x Density of sample /.™_ A— Density of standar< 31 Calculations for actual free plus FM and FAD riboflavin jn bipod fractions*. Since in this method FAD riboflavin before hydro lysis is about 14 per cent as fluorescent as riboflavin, free plus WM and PAD riboflavin coneentrations in blood fraction© were calculated as follows? f „ Total Apparent Free » FM riboflavin PAD riboflavin * ^riboflavin, 0,86 1" Actual free plus FM riboflavin "-■ • '■ ■'■"»»..»,HI .l.i. i.iir i .'■ Apparent Free * FM riboflavin 0*14 FAD For some samples the concentrations of Free plus riboflavin were zero-. Small smoUnts of free plus H® riboflavin were measured* but feey were calculated as being due to FAD riboflavin* Heproducibllity of Method in This Investigation The mean concentrations.of total riboflavin determined from triplicate aliquots of control samples measured with each series of blood fraction analyses are summarised in Table 4. Fourteen series of samples were determined because two test days were involved for subjects BEH and SJM* 32 fable 4. Concentrations of Total Riboflavin Detenalned in Control Samples of Tlbapee Blood Fractions Sample Series Serum led Cells I'Jhite mcg/100 ml meg/100 ml mcg/100 gp BB1 1'1-29*69) 3.7 14.4 190 JOF 1[2- 3-59) 3,8 16.0 190 mm {:2*10«59) 3.9 15,9 165 MLP 1[2-17-59) 3.9 14.8 181 sai i'2-21*29) 3.8 20.1 168 1113 1[2-26*59) 4.2 15.5 157 EB¥ j S- 5-59) 3.7 13.5 163 am i'5- 8-59) 3.7 15.3 180 ESSB 1(3-12-59) 3.6 16.1 192 EA@ j[3-17-59) 3.1 15.3 162 QT 1 3-19-59) 2.9 15.8 197 9*59) 3.3 14.3 199 sw «'4-14-59) 3.5 14.1 198 BEB 1[4*21-59) 3.2 15.3 176 sm <[4- Q^LIB S3 BSSUm MB DISCffSSOT Th© concentrations of fr©© plus flavin mononucleotid© )$ Tlavin adenine dlnucleotM© (FAD) and total rlboflavin in blood fractions following a 2 mg test dos© of riboflavin ar© susMariged for tuelv© subjects in fable S. All concentrations reported for serum represent the m©an of ttxr©e samples* Values determined for th© samples in general agreed efttMn 0 p©r cent? th© masiauffi variation tj&s 10 per cent. All concentrations reported for r©d cells ar® th© mean of values for six. aliquots* triplieat© allquots of ©aoh of ti7o red cell samples.* In gmeral the values determined agreed within 10 per cent? th© aasiausi variation was 18 per cent. For dait© cells free plus fW as well as total riboflavin concentrations* allowing cal*-. culated FAD ribofl&vin eaacentrations* were determined for only five of the twelve subjects. ¥alues reported for whit© cells represent th© mean of four to sise samples for total and two to three samples for free plus WM riboflavin. Because of the larger variation in concentra- tions among aliquots* the standard errors of the means were calculated (Si* p* 36) and are included in fable S. Greater variations among values determined in whit© cell analyses are due to the small sis© of samples m.&t as described in th© method,' th© determination of th© concen* trations of riboflavin in whit© cells involves two <£{ © 64 m cj I© f! 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M l^r^HOS^ ft? © £« i HI 34 35 proceduress deterMning the concentrations of the fluorescent substance and measuring the amount of the phosphorus in order to estimate the weight of whit© cells* Changes in Concentrations of.Riboflavin in Blood Fractions After the Test Dose of 2 mg of IJiboflavin The Concentrations of Riboflairin jia Serum A similar general pattern of changes in concentra* tiong of total and free plus BW riboilavln ih serum for all subjects was found, Figures 1 and 2, The hi^est con* eentrations for free plus Hffi and total riboflavin xiere measured for all twelve subjects at one-half hour after th© test dose was given* Th© de^ee of .rise, however, from fasting value to the value at one~iaalf hour varied, with individuals. Acs evident frora Table 5, increases ©f approximately 200 to 1400 per cent were observed for free plus Mi riboflavin# Increases in total riboflavin were approximately 60 to 180 per cent of the fasting values. At th© end of three hours concentrations of total riboflavin had returned to fasting levels for four subjects, but for two of them concentrations again were elevated at the third hour. .For the eight other subjects total riboflavin concentrations were decreasing toi?©rd fasting levels at the third hour. Concentrations of free plus FES® riboflavin had returned to fasting concentrations for 36 FIGURE!. TOTAL RIBOFLAVIN CONCENTRATIONS IN BLOOD FRACTIONS FOLLOWING A 2MG TEST DOSE OF RIBOFLAVIN YOUNGER WOMEN OLDER WOMEN WHITE CELLS 240 5 220 . o o - 200 tt o 5 o o hi O 2 I 2 HOURS AFTER TEST DOSE MEN 37 FIGURE 2. FREE PLUS FMN RIBOFLAVIN CONCENTRATIONS IN BLOOD FRACTIONS FOLLOWING A 2M6 TEST DOSE OF RIBOFLAVIN YOUNGER WOMENOLDER WOMEN- 80 . WHITE CELLS MEN 3 O O I CO RED CELLS © o SERUM I 2 HOURS AFTER TEST DOSE 38 FIGURE 3. FAD RIBOFLAVIN CONCENTRATIONS IN BLOOD FRACTIONS FOLLOWING A 2MG TEST DOSE OF RIBOFLAVIN YOUNGER WOMEN OLDER WOMEN- 210 WHITE CELLS r o o S CO 5 no RED CELLS o o IB to £ I 2 HOURS AFTER TEST DOSE MEN S9 flv© subjects duatdng the thre© hours; concentrations were decreasing toward fasting concentrations for the others* Changes in F.feB riboflavin concentrations in semrn were smaller and raor® irregular thai changes in the free plus MM riboflavin. Figure S* Increases of 20 per cent or more of fasting values occurred in seven subjeeta, how&v®?, fhe most marked increase-, approximately 100 per cent, in;as cbserved for one man, MM, who reached maximum concentration at the second hour* lo consistent differ- ence in patterns of change was apparent between the group of three older women ©nd the group of sis younger wcsnen or between men and uomen. The Concentrations of Hiboflavin in led Cells The changes in concentrations of riboflavin in red cells showed greater indivMual variation than the changes in serum. Figures It 2» and 3. All but on© subject responded to the test dose nith an increased total rib©* flavin concentration at one-TisOLf hour, although soiae in* creases itrere very small, fable 5* Ba© highest concentra* tions of total riboflavin in red cells were measured at fasting for one subject, at one-half hour for four subjects 5 at one hour for four subjects, and at two or three hours for two subjects* For one subject, SB?, concentra- tions were only slightly but equally elevated from fasting 40 at one-half through the, second hour. Prom a slight de* crease in en© subject saasdarum increases up to ©pproxiraately 50 per cent were observed* In six subjects* i&m. values at the end of three hours were considerably highor than the values at fasting.. Changes in concentrations of free plus FBM ribofl&vln in red cells were smaller than eh^iges in cone©ntratiana of FAD riboflavin, .Figures 2 and 3. From a slight decrease in one subject maximum increases up to SO per cent for free plus FM riboflavin in serum were observed.. From decreases in FAB concentrations for two subjects maximum increases up to 45 per cent were observed. Although, in general, total riboflavin eone©ntrations in red cells were somewhat lower for t&e older women and the men tfoan those of the younger women,, the older women and the w&n generally maintained higher free plus FM riboflavin eoneeatratlona than the younger women* In ecsitrast* therefor©, th© group of six younger women generally maintained higher CGncen* tratiCEfis of FAB riboflavin in red cells than the other two groups. The Concentrations of Hiboflavin in tfhite Cellsi In spite ©f th© wider ranges of values for aliquota of whit© cell ssmples, increases from fasting eoncentra* tions of total riboflavia were significant for all but 41 three, JOP, SJE9» snd. EA©# Statisticelly aigalfleant differences between concentrations at ©ay one hour and the ccaacentratians at the preceding hour, measured by Fisher's "t" test (21, p. 65), are indicated at the 5 per cent .(*) and 1 per cent (**) levels of probability in Table 5. After the 2 mg test dose* the highest concentrations of total riboflavin in white cells were observed at onehalf hour for 8 subjects, at one hour for 2 subjects, and at two hours for one subject* One subject, BEH, had an equal elevation from fasting concentration from one-half through two hours. Increases of 4 to 25 per cent in the ooncentratLons of total riboflavin in white cells were observed. In general, the concentrations of total ribo- flavin in white cells returned toward or were lower than fasting levels at the end of three hours* As shown in Figure 1* the group of three older women and the group of three men Bjaintained more consistent patterns in changes of total riboflavin in white cells than the group of six younger women. In the five subjects for which data are available, the concentrations of free plus MM and PAD -riboflavin in white cells followed irregular individual changes in concentrations. However, both free plus Pffli end PAD riboflavin in whit© cells increased in most subjects after 42 th© test dose but to a much greater degree in the free plus FM fraction. Changes from fasting mlues of free plus MM rihoflavin varied from slight decreases in two subjects to a maximum of over 400 per cent and of FAB varied from a slight decrease in one subject to a maximum of 25 per cent. Discussion fhe concentrations of free plus FEIft* FAD, and total riboflavin in each blood fraction increased in most subjects after a test dose of 2 mg of riboflavin, althou^ii there was considerable individual variation. Changes in total riboflavin concentrations in serum were similar to those reported by Burch et aU (7, p. 45,7* 470) and Wu, Warren, and Storvlck (27, p. 231-240). Changes in total riboflavin concentrations in red and white cells were generally greater than those determined in a preliminary study in this laboratory. Table 2. In general, total riboflavin concentrations in blood fractions were returning toward fasting values within the three hours after the test dose. This indicates that riboflavin is not readily stored in blood serum or cells. Klein and Kobn also reported that tshen the administration of riboflavin was discontinued, the increased riboflavin level returned to its original value (16, p. 177-189). 43 It has been reported that there are no special organs where riboflavin is stored (11, p. 1157; 15, p. 514-516). Bro-Rasmussen (6, p. 1-23), in his recent review, reported that liberation of free riboflavin fro® the tissues shortly after the intake of the vitamin was caused by a low renal threshold for riboflavin* fhe changes in PAD riboflavin concentrations which occurred in the various blood fractions were of particular interest* Changes in the proportion of FAD perhaps reflect chemical reactions involving riboflavin. For their five subjects, Wu et al. (27, p* 231-240) reported that after reaching the highest serum concentrations following a 2 mg riboflavin test dose free plus POT riboflavin returned to fasting levels more rapidly than total riboflavin concentrations, were increasing. PAD concentrations apparently In 1940, Klein and Kohn (16, p. 177-189) had reported that the ihgestion of 200 mg of riboflavin by mouth caused approximately a SO per cent increase in the FAD content of blood cells* In this experiment 2 mg of riboflavin caused increases of FAD concentrations in all blood fractions in some subjects, but most consistently in the red cell fraction* Maximum increases of concentrations of FAD were approximately 100 per cent in serum, 45 per cent in red cells, and 25 per cent in white cells* It is possible, however, that maximum changes in FAD riboflavin 44 may not have occiirred within the three hour period of these experiments, Ccacentrations of FAD were increasing from the second to third hours in serum for 6 subjects, in red cells for 3 subjects* and in white cells for 1 subject* Comparison of T0o Levels of Test Dose One subject, BEH, was given two different levels of rlboflavin as test doses* 2 mg and 5 mg on two different days* Concentrations of rlboflavin in all blood fractions were determined at fasting and one»half, one* two* and three hours after each test dose* Total rlboflavin in all fractions increased from fasting concentrations after both test doses. Table 6 and Figure 4* The highest concentra- tions of total rlboflavin were measured at one*half hour after both test doses in serum and in whit© cells* In the red cells the highest concentrations of total rlboflavin were measured at one hour and at three hours* respectively* after the 2 mg and 5 mg test doses* Changes in total rlboflavin in serum and tSiite cells were much greater following the S mg than the 2 mg test dose* Klaxl- mum increases were approximately 250 and 50 per cent In the serum and white cells* respectively* after the 5 mg test dose of rlboflavin, whereas only 100 and 10 per cent, respectively, after th@ 2 mg test dose. In the red cells. fab;L© 6... Riboflavlzi Conceatra fcims i n Blood Fraeticsns Follooing Two Levels of Tea t^Dose for BH ged. eelIs Serum Lfce cells Hour PAD "fotai1 Kee*FES Fm Fm Free*Fffl Tetal meg/ meg/ meg/ meg/ meg/ meg/ meg/ meg/ meg/ 100 ml 100 mH 100 al 100 ail 100 ml 100 ml 100 gm 100 gm 100 gm 2 mg Test Dose F A 3 1 2 3 2.6 7.3 5.2 4*7 4.0 1.9 1.5 1.4 1.S 2.2 4.5 8.8 6.6 6.0 6.2 5.3 5.7 5.9 5.4 4*6 15.7 17.3 15.3 16.3 17.0 21.0 23. 0 21.2 21.7 21.6 2.0 0*5 1.7 1.7 1.9 4.4 14.4 12.1 10.2 7.4 3.5 3.7 2.9 • . 4.2 5.1 16.0 17.9 19.4 16*5 16.2 19.5 21.6 22.3 20.7 21.3 20427 X 227X7 *2 227«5 22642 20843 ** 5 mg T©st Dose P 1 2 S 2.4 14.1 10*4 8.5 5.. 5 1 Standard error of ttoe mean. 2 * a P^fS-OR* ' 23 82 19 61 10 164 190 194 171 241 187X5 272*17** 21342 ** 232*6 ** 251*15 46 FIGURE 4 TOTAL RIBOFLAVIN CONCENTRATIONS IN BLOOD FRACTIONS OF BEH FOLLOWING TEST DOSES OF RIBOFLAVIN WHITE CELLS 280,. - 2 MG TEST DOSE - 5MG TEST DOSE RED CELLS 24 20i SERUM o £/« o a 3 £ / 2 HOURS AFTER TEST DOSE ■i 47 however, no significant difference in the degrees of increase in total riboflavin was found following the two test doses* An increase of approximately 10 per cent from fasting level to the highest concentrations of riboflavin in red cells was observed in both tests* Comparison of Duplicate Tests A test ms made to determine whether the changes in concentrati ons of riboflavin in blood fractions in a single Individual tended to follow a constant pattern. Subject SJ1 was selected because of the marked differ* ence in the response to the test dose of this subject compared to the others* The second experiment was made two months later than the first* The results of these two esperimaits are presented in Table 7. The changes in con- centrations of riboflavin in serum ivere similar* The de- gree of increase from fasting levels to the highest concentrations differed, however* The percentage increases were approximately 3S0 and 280 per ceat for fre© plus WM riboflavin and 80 and 110 per cent for total riboflavin* The changes in concentrations of riboflavin in red and Aite cells differed greatly on the two days. Changes in concentrations of riboflavin following a test dose do not appear to be constant* particularly in the cell fractions* 03 o<^ O O 64 CJ fa 4» I isQO H ra © H 03 if* •j* t?a W -^ ^ 0J »H 41 H O 03 >js ^j }Ji O 0> H <$» ttO 4-1 ♦» 41 41 H (S GJ (0 H O tO 03 OJ03HOJ tO^ 60 fiQ «0 e> IS- H 05 60 f»a|| jw| f#i^ |w^ ^f COlO 41 «-! o> co 0 03 HW !) * * * «~1 03 10 4J 41 41 H to e» 03 toeo 01 03 03 03 & ©&<■ to to o> t- -^eiH r^ H JH H H CO ^ CO© GJ to to to to to © &• ©> 03 03 CO OS ^ CO o f»< 5> t-i J~J r-J 03 03 03 <M 03 V> *& «J U> to (Q s$g <^i <^i (0 W 03 03 03 03 « ♦ • ^ CO HoiiH • ♦ • • • ta pE«»<iHiHI03eO 0 iHoO 60 <M 03 03 03 03 03 03 03 ^ s23 03 (M to e* to ^ to • • • • » so e- «o s4« ^J ooooo OO OOO • • • • • O3C0OJO • • • • IS rt fH HI 03 03 03 03 oi © d>o • • « • • OOO CO 60 CO • r-d 03 03 OS CD OJ O CO G> to lO tiD • • • • « lO to to to to • to to CO ^^t • 8> to e» o to •>••••■ to i0 £0 03 03 O3r-*r-J03 Oi ©3 O sj» ffl tO • • • • • H tO 03 rH 03 feiHjKH oa co i O H O •» O V O II !«f Si * © ^3 tO IV o '§. o H 01 43 Factors vshich may be responsible for these day to daydifferences are unknown. 50 SmMAM The concentrations of free plus MB ©nd total ribo* flavin in blood fractions at fasting and one-half> one, two, and three hoars after a 2 mg test dose of riboflavin were determined for twelve subjects. The calculated values of free plus FW and FAD riboflavin together with total riboflavin concentrations in blood fractions are presented. The concentrations of riboflavin in all blood frac* tions increased in most subjects after the test dose* It was of interest that the eoncentr&tions of riboflavin changed not coaly in the forsa of free plus MM but also in the PAD riboflavin fraction* Maximum increases of free plus MM, FAD and total riboflavin were as follows: 1400, 100, and 180 per cent, respectively, in serum; SO, 45, and 30 per cent, respectively, in red cellsj and 400> 25, and 25 per cent, respectively, in white cells* At the end of three hours the cmeentrations of free plus FMH and total riboflavin in serum and white cells generally had decreased totmrd or were lower than fasting levels. Xn red cells the concentrations of total riboflavin were considerably higher than the values at fasting for several subjects* The FAD riboflavin concentrations at the end of three hours ivere higher than fasting levels in serum and white 51 cells for a few subjects but were elevated in red cells for seven subjects. In this small group of subjects age or sex seemed to have little influence on the cone ©it rations of riboflavin in blood fractions. However* th© group of siz younger women in general maintained higher concentrations of F&D riboflavin in red cells than the older women or men* In one subject tested, concentrations of riboflavin in serum and in white cells were higher following the 5 tag than the 2 rag test dose, fhe size of the dose made no difference in the concentrations of riboflavin in red cells. In a comparison of duplicate tests in one subject using 2 mg doses of riboflavin, concentrations of riboflavin in serum were similar but the times at which changes occurred in concentrations in red sad white cells differed greatly on the two days. 52 BIBLXOOBAm 1. Axelrod, A* D*, T. D» Spies and C. A, Elvohjemu Riboflavin content of blood and BJUSCI© In normal and In malnourished humans. Proceedings of the Society for Experimental Biology and Medicine 462146-149. 1941* 2. Bartlett, Mary M. Red blood cell niacln and plasma riboflavin levels in a group of normal children. Journal of Nutrition 57j 157-168* 1955. 5. Bessey, Otto A»# Oliver H. Lowry and Kuth H. Love. The fluorometrle measurement of the nucleotides of riboflavin and their concentration in tissue. Journal of Biological Gheadstry 180:755-769. 1949. 4. Bessey, Otto A** 1* K. Horwitt and Ruth H. Love. Dietary deprivation of riboflavin and blood riboflavin levels in man. Journal of lutrition 58:367-383. 1956. 5. 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