AN ABSTRACT OF THE THESIS OF Science Title: Max/4/1987 presented on Animal Science in Master of for the degree of Mehran Fallah Moghaddam Hypervitaminosis A: Effects on Reproduction and Interactions with Pyrrolizidine Alkaloids. Redacted for privacy Abstract approved: Peter R. Cheeke experiment In the first levels over three parities. diet plus 10,000, 60,000, 30,000, to be hulls. free of It was found considerable destruction of vitamin A that during storage, probably basal and 90,000 IU/Kg added alfalfa meal as the dietary fiber source. occured, of rice hulls were used in place vitamin A and beta-carotene; of consisted treatments The The basal diet was formulated vitamin A. toxic were determined in pregnant rabbits A vitamin of dietary minimum the stimulated lipoxidases in the rice by As a result, the 10,000 IU/Kg diet became deficient and the rabbits on this diet showed vitamin deficiency A symptoms such as fetal resorptions and fetal hydrocephalus. Rabbits on with associated amounts the of 90,000 IU/Kg toxicity. vitamin A The diet diets supported exhibited with symptoms intermediate relatively normal reproduction, and the does on these diets were healthier in terms of incidence of respiratory and enteric disease. Of total these two diets the 30,000 IU/Kg yielded the highest grams of kits weaned over three parities. The liver increased however, vitamin the plasma concentrations did not follow the same vitamin Plasma pattern. to 60,000 IU/Kg, significant not plasma the that found was It 60,000 those fed the liver the into the inhibits circulation. not but diet vitamin A 90,000 its The significantly deficient plasma rabbits It was concluded that in concentrations high IU/Kg from different samples. A and became significantly (P<.05) lower than in diet (P<.05) vitamin the concentrations dropped markedly in animals fed IU/Kg from the average plasma vitamin A but the difference was levels increased, (P<.05). increased increased When these levels 10,000 to 30,000 IU/Kg. latter concentrations A (P<.05) as the dietary levels increased from significantly the levels; A vitamin dietary increasing with of the female rabbits reserves A vitamin A at own secretion from the symptoms, although associated with low plasma vitamin A levels, are attributed to hypervitaminosis A. of This hypo- and condition hypovitaminosis This might explain why the symptoms hyper-vitaminosis A in rabbits are similar. could then be termed "Secondary A" since it is not caused by low vitamin A intake and the liver contains high amounts of the vitamin. Sececio alkaloids pyrrolizidine jacobaea or ragwort tansy diet both reduced and liver vitamin A levels plasma of TR in the diet from 5 to 10% did not make a amount significant change (P<.05); sufficient was Increasing (P<.05). significantly compared to the control the were A vitamin and It was found that PA present in a 5% investigated in rats. TR present in Senecio (PA) (TR) between interactions the experiment second In the suggesting that 5% dietary this type of study. for It was concluded that the reduction in hepatic and plasma vitamin A was to TR due either higher catabolism or lower intestinal absorption rate. possibility In the third experiment the impaired of fat and fat-soluble vitamin absorption was considered. PA cause hyperplasia and biliary hence reducing bile secretions into Because necessity the of The bile duct obstruction, bile of intestine. small the acids and fat emulsification in the small intestine for vitamin A and fat absorption, absorption PA induced of absorption in 5% control. these TR liver damage nutrients. fed rats could Dietary (P<.05) thus impair PAs reduced fat compared to the Hypervitaminosis A: Effects on Reproduction and Interactions with Pyrrolizidine Alkaloids by Mehran Fallah Moghaddam A THESIS submitted to Oregon State University in partial fulfilment of the repuirements for the degree of Master of Science Completed May 4th, 1987 Commencement June 7th, 1987 Approved: Redacted for privacy Professor of Animal Science in charge of major Redacted for privacy Head of depart&nt of Animal Science Redacted for privacy CIDean of Gr ate schd Date thesis is presented May/4/1987 Typed by Nora Peters for Mehran Fallah Moghaddam Dedicated to my father and my sister, Ahmad and Mehrnoosh Fallah Moghaddam but specially to my dedicated mother, Mrs. Tahereh Karimzadeh for without her continuous support and neverending encouragement and concern throughout my life, none of this would have been possible. ACKNOWLEDGEMENTS I would like to express my sincere gratitude for making completion of this thesis possible to the following persons: Peter R. Cheeke -- for providing me with a research assistantship as well as his academic support and guidance as my major professor. Dr. Neil Forsberg --- for laboratory and the HPLC. Dr. permitting the use of his Juan Muniz, Mr. Jim Silky, and State Department of Agriculture -- for their laboratory assistance with vitamin A analysis. Mr. Nora Peters -- for her extreme generosity with typing continuous her technical assistance, also and encouragement and support. Ms. and Harvey Holmes -- for his patient, prompt, and generous assistance with techniques in handling animals particularly Mr. rabbits. Farzad Saffari -- for his support and especially patience with long, often after hours and tedious, laboratory assistance. Mr. Dr. Nephi Patton -- for providing rabbits and assistance. Ms. Lisa Melton and Mr. Jack Kelly -- for their assistance in statistical analysis. Karen Robinson and Mrs. Nancy Wehr -- for general laboratory assistance and support. Mrs. Department of Agricultural Leta Wong and O.S.U. laboratory apparatus for Chemistry for providing performing ether extracts. Mrs. Dr. Donald R. Buhler, Dr. Russel 0. Crisman, and Dr. Neil graduate my Forsberg -- for serving as members of committee. Soleman -Kazrow K. Soroor Mahaly Soleman and Mr. for their support, encouragement and concern throughout my stay in U.S. Mrs. Finally, I acknowledge the provision of an unsponsored research grant by the OSU Research office, which partially funded one rat experiment. TABLE OF CONTENTS Introduction CHAPTER 1: 1.1. 1.2. 1.3. METHODOLOGY: HIGH PERFORMANCE LIQUID CHROMATOGROPHY ANALYSIS OF VITAMIN A Standard preparation Instrumentation Extraction methods Calculation formulas CHAPTER 3: 3.1. LITERATURE REVIEW Liver phsiology and anatomy Vitamin A metabolism Pyrrolizidine alkaloids CHAPTER 2: 2.1. 2.2. 2.3. 2.4. 1 EXPERIMENTAL Determination of the minimum toxic dietary Vitamin A level for pregnant rabbits Summary Introduction Materials and Methods Results and Discussion 3 4 9 51 61 63 67 68 71 72 73 73 75 76 78 3.2. Interactions between Pyrrolizidine Alkaloids and 95 Vitamin A toxicity and metabolism 95 Summary 97 Introduction 103 Materials and Methods 105 Results and Discussion 3.3. Effect of Pyrrolizidine Alkaloids on Fat and Vitamin A metabolism in rats Summary Introduction Materials and Methods Results and Discussion 124 124 126 127 130 Conclusion and suggestions for further work 140 Bibliography 143 LIST OF FIGURES Page FIGURE Diagram of the cells comprising the liver lobule 7 1.1.2 Diagram of liver lobule 8 1.2.1 Molecular structure of retinol and some of its derivatives 49 1.2.2 Role of vitamin A in visual cycle of a frog 50 1.3.1 Conversion of pyrrolizidine alkaloids to derivitive alkaloids to pyrrole, the toxic metabolite 60 2.1.1 Retinol standard linearity plot 65 2.1.2 Beta-carotene standard linearity plot 66 3.1.1 Total weaning weights of kits born to does on different vitamin A treatments 91 Average plasma vitamin A concentrations of rabbits on different vitamin A treatments 92 Total liver vitamin A levels of rabbits on different vitamin A treatment 93 Comparing the response of liver and plasma to increases in dietary vitamin A in rabbits 94 1.1.1 3.1.2 3.1.3 3.1.4 3.2.1 3.2.2 3.2.3 3.2.4 A comparison between the plasma vitamin A concentration of control and tansy ragwort-fed rats 120 Total liver vitamin A contents of rats on different vitamin A diets 121 The liver:plasma ratio of vitamin A in rats on different vitamin A and tansy ragwort treatments 122 The effect of tansy ragwort on % liver weight of rats 123 Page Figure 3.3.1 3.3.2 Plasma vitamin A levels in rats fed a control or tansy ragwort-containing diet 138 Vitamin A excretion pattern of control and tansy ragwort-fed rats 139 LIST OF TABLES Page Table 1.2.1 Efficiency of conversion of p-carotene to vitamin A in different species 46 1.2.2 Plasma and liver vitamin A levels for different species 47 1.2.3 Dietary vitamin A requirements 48 1.3.1 Order of susceptibility of animal species to pyrrolizidine alkaloid toxicity 59 2.1.1 Important parameters to consider for vitamin A 64 3.1.1 Composition of the basal diet 85 3.1.2 Reproductive data (Total production over three parities) 86 3.1.3 Reproductive data (Average production per doe) 87 3.1.4 Health and reproductive status of does on different vitamin A diets 88 3.1.5 Comparison of rabbit plasma and serum vitamin A 89 concentrations 3.1.6 Average plasma and liver vitamin A levels for rabbits 90 3.2.1 Additions to basal diets (95.5%) 111 3.2.2 Plasma vitamin A values of rats fed various levels of vitamin A and tansy ragwort 112 3.2.3 Total liver vitamin A content of rats fed various levels of vitamin A and tansy ragwort. 113 3.2.4 Vitamin A liver:plasma ratios 114 3.2.5 Average daily feed intake of rats fed various levels of vitamin A and tansy ragwort 115 3.2.6 Total vitamin A intakes of the experimental rats 116 Page Table 117 3.2.7 Vitamin A intake:liver ratio in rats 3.2.8 Liver weight as percentage of body weight in rats fed various levels of vitamin A and tansy 118 ragwort 3.2.9 Average daily gains of rats fed various levels 119 of vitamin A and tansy ragwort 3.3.1 Vitamin A metabolism of rats administered a high dosage of vitamin A after 3 weeks exposure 135 to tansy ragwort 3.3.2 Fat metabolism of rats fed tansy ragwort 3.3.3 Vitamin A metabolism of rats fed tansy ragwort 137 for 4 weeks 136 HYPERVITAMINOSIS A: EFFECTS ON REPRODUCTION AND INTERACTIONS WITH PYRROLIZIDINE ALKALOIDS Introduction Vitamin A can become exceeds the al., 1975). rate toxic its if Acute hypervitaminosis A, Moore, more common. (Anon., intake The symptoms of hypervitaminosis A result from rare situations, 1980; of excretion and catabolism (Mallia et of metaplasia of the epithelial cells at body. rate different sites of although only observed in can be potentially fatal (Mahoney et al., Chronic 1957). hypervitaminosis A is much With the advent of vitamin A therapy for acne 1982b) and the still controvertial preventative roles of this vitamin in cancer, chronic hypervitaminosis A is becoming increasingly more common in humans as a result of supplementations. chronic The most important adverse effect hypervitaminosis A is probably impaired of and abnormal reproduction, since vitamin A can be abortifacient and/or teratogenic (Cheeke et al., 1984; Fell and Mellanby, 1952; other Larente et al., symptoms of 1977; this Roels et disorder discontinuing vitamin A intake. are 1969). Most reversible upon al., 2 Vitamin A metabolism can be affected by hepatotoxins, since liver is the storage hepatotoxins like ethanol site (Sato for and this vitamin. 1982) lieber, Some and 2,3,7,8-Tetrachlorodibenzo-p-Dioxin (Thunberg et al., 1979) can increase plasma and decrease hepatic vitamin A This predispose can levels increase. like to hypervitaminosis On the other hand, levels. A since plasma substances there are colchicine which do exactly the opposite because they inhibit the synthesis of retinol binding protein (vitamin A carrier protein) by the liver (Smith et al., 1980). The objectives of this study were to: 1) Determine the minimum toxic levels rabbits, and hepatotoxic 2) of dietary vitamin A in pregnant Investigate the interactions between the pyrrolizidine alkaloids present in Senecio jacobaea (tansy ragwort) and vitamin A metabolism in rats. Chapter 1 LITERATURE REVIEW 4 1.1. LIVER PHYSIOLOGY AND ANATOMY In order to better understand hepatoxicity, brief a overview of liver anatomy and physiology is provided. The liver contains four types of cells: endothelial, Kupfer, parenchymal, and Stellate cells (Figure 1.1.1). a. Endothelial cells. blood the in These cells are in contact with sinusoidal lumen. They thought to be a different functional generally are state the Kupffer of cells and contribute to the immune system. b. Kupffer cells. sinusoidal lumen and foreign with which apprehend older red blood cells material Both them. These have projections reaching into the circulation in phagocytize and types of sinusoidal cells are well supplied lysosomal enzymes, reflecting their role in degradation of various blood particulates. c. Hepatocytes or parenchymal cells. Hepatocytes constitute the greatest within the profile of proportion of total cells and total space liver lobules. These cells have a enzymes that no other cell in the body has, permitting a wide variety of biochemical reactions. cell wide membrane exposed to the circulation The bears 5 microvilli for increasing surface area. The membranes on the other sides of the cells form tight junctions with the other hepatocytes, mutual where particularly association makes up the bile cannaliculi, the canals in bile which Small fat vacuoles are found secreted. is the laying hen, which in with such as when circumstances encourage lipogenesis, Golgi complex is more the active for lipoprotein "packaging" than non-laying in birds (Moran, 1982). d. Stellate cells, perisinusoidal, cells, referred to as lipocytes, often fat-storing, located are composite and carbon also between hepatocytes. tetrachloride and interstitial, Kupffer-endothelial the Various stresses such as cirrhosis, alcoholic toxicity, Ito protein deficiency, etc., that cause extensive damage to the liver increase (Moran, There 1982). production the structurally damaged; fibroblasts (Moran, cells contains number with dietary These liver; cells when therefore, 1982). lipid cells Stellate of evidence indicating collagen is cells these by prominance A lobule is cells are these The cytoplasm droplets vitamin the Stellate of that alter in size and status (Moran, 1982). are the main vitamin A storage site in the however, hepatocytes have also contain minor amounts (Anonymous, 1982). been noted to 6 functional A unit lobule (Figure 1.1.2). portal (which triad liver tissue is called a liver of made The liver lobule is consists of up of a a branch of the hepatic artery, a branch of the portal vein, and a bile ductule), a central vein, hepatocytes (parenchymal cells) which separate these units, two hepatocytes, sinusoids sinusoids that and bile canaliculus. from separate Blood layers the into flows of triads to the central vein and bile portal flows through the bile canaliculus in the opposite direction ducts. The surrounding the portal triads is called Zone 1. The into the bile ductules which region empty metabolism. on enzymes the bioactivated other hand, enzymes). (P450 by used in The cells surrounding the central veins are considered to make up cells, enzymes oxidative cells in this area are rich in carbohydrate bile into the Zone 3 cells. These are rich in microsomal pathway Therefore, toxins that are the P450 system would exert their necrotic effects more in zone 3 (centrilobular necrosis) than zone 1. The region between Zones 1 and 3 have enzyme profiles ranging is Zone 2. These cells from more oxidative to more microsomal depending on the zone to which they are closer. 7 OOP Rile Canaliculi Hepatocytes Hicrovilli Stellate Endothelial Cell Cell Kupfer Cell HEPATIC ARTERIOLE COLLECTING VENULE + PORTAL VEMULE Figure 1.1.1. Diagram of the cells comnrising the liver lobule. Portal vein Hepatic artery Bile ductule Sinusoids Central vein Bile canaliculus Figure 1.1.2. Diagram of liver lobule. CO 9 VITAMIN A METABOLISM. 1.2. Introduction excess deficiency and These two presents hazards. health serious both which for Vitamin A is one of the few vitamins conditions arise under different circumstances. In humans, deficiency occurs in endemic proportions in many developing and countries occasionally seen is in technologically developed societies in patients with severe disorders transport malabsorption, disease. liver or Toxicity, however, usually arises from the abuse of vitamin supplementation and therapy. arise conditions a as In under of result these however, animals, over or supplementation of vitamin A when in confinement. extensively Deficiency of vitamin A has been in the term generally Xerophthalmia, humans and animals. children throughout the world corneal A is the most common cause of blindness in young deficiency, children 250,000 disease. vitamin of used to cover all the ocular manifestations least studied A large destruction, health services, et (Dorea become proportion especially will die while, blind of At annually from this children the 1984). al., ones with severe untouched or soon after, by becoming 10 which is usually due to secondary mortality, This blind. is estimated infection (a result of vitamin A deficiency), at between 30-80 percent and drastically reduces the number In animals, of blind children remaining in the population. conditions skin such altered cerebrospinal fluid pressure, as reproductive and appetite) can deficiency. be These problems observed as other and anorexia and result a (loss of vitamin of manifestations serious A of vitamin A deficiency will be discussed later. Vitamin A considerably vary symptoms toxicity depending on the age of the subject and the duration of the excessive intake. Young Acute vitamin susceptible. single large associated toxicity with toxicity has resulted from A There doses. especially are children been have intakes cases hundred several of acute of thousand micrograms of vitamin A, from the consumption in a single meal by polar explorers of the liver of a seal or polar al., bear, 1980). instances Death is danger. known Moore, In ranging from and peeling subacute about the rapidly they 1957). of occurred have to but in most cases headache, consequences 1980; contains about 18,000 IU/g (Mahoney et which blurred vision and a vomiting, skin subside are in vertigo, the chronic toxicity, 10,000-50,000 usual (Mahoney et al., Eskimos have long been aware of or some the doses usually micro-grams have been 11 A Hypervitaminosis daily for several months to years. given occur can infants in manifestations hypervitaminosis of following cessation of intake, irreversible Weber damage A liver. Although subside gradually evidence there is some liver (Hruban et al., the to 1982). al., et chicken fed Vitamin toxicity A of 1974; cause can alterations in cerebrospinal fluid pressure, dermatitis and reproductive problems, which will be discussed in more detail later. I. Chemistry of Vitamin A Vitamin A, is a discovered by McCollum in 1915, fat unsaturated 20 carbon cyclic alcohol containing a soluble, 1.2.1). B-ionine ring and an unsaturated side chain (Fig. Vitamin with different different has A biological activities. A) the is (retinol) carboxyl most groups intermediates. and abundant form. Vitamin A with terminal aldehyde (retinal) or (retinoic Retinol forms However, all-trans retinol (vitamin active derivatives isomeric acid) is are converted active to biological retinal in reactions involved in visual cycles which were described by Wald (1968). Retinoic acid is formed by irreversible oxidation of retinol and supports the biological activities 12 of vitamin A with the exception of vision and reproduction. Vitamin are predominately of palmitate esters, A esters, found as storage forms of vitamin A the in Figure body. 1.2.1, contains structures of some of these compounds. II. Sources of Vitamin A Vitamin called can A retinol, be by the vitamin itself, by provided retinyl mainly esters, retinyl palmitate, and by its precursor beta-carotene. Retinol and its ester-forms are available in animal which beta-carotene, products like liver, eggs, and milk. is the main dietary source of vitamin A in most third world countries and 1985), Weiser, chlorophyll among strict is an accessory in green plants. and (Brubacher vegetarians with associated pigment This reddish pigment absorbs light around 450nm, where chlorophyl does not absorb. Other than green plants, animal fat, 1984). some sources of milk fat, egg yolk and liver (Bondi and Sklan, Absorption efficiency of beta-carotene decreases as the dietary intake increases. In rats, in about one to 10 times the daily requirement, the intake decrease. levels, absorption The unabsorbed carotene and is range of beta-carotene is completely absorbed and transformed to vitamin higher include beta-carotene A. conversion excreted. In With rates man, 13 30-80% of carotene taken in high doses is passed out in the feces; whereas low doses are completely absorbed (Brubacher and Weiser, 1985). According to Wolf and Phil (1982), about 12% of fed beta-carotene is absorbed by humans, of which 60-70% is converted to retinyl esters and 20-30% enters the circulation as beta-carotene. In some other birds, some carotenoids also escape cattle, and horses, species conversion to vitamin A in the intestine and are intact rats, into goats, rabbits circulation. the sheep, (Kormann However, cats (Bondi and Schlachter, beta-carotene absorbed by the vitamin A (table 1.2.1). body the excess and all the of converted to beta-carotene et al., (Mahoney levels of beta-carotene in blood levels is and 1984) the conversion of beta-carotene to vitamin A is further reduced in animals like in 1984), intestine up When adequate levels of vitamin A stores are reached in man, accumulates taken Sklan, and like caused by 1980). high High dietary or low conversion rates in species which can absorb it as such, leads yellowish-orange toxic even in carotene Holsteins, Guernseys high is, between absorption less and of the skin. color hypercarotenemia differences hypercarotenemia, to levels therefore, breeds carotene noted reaches This is Phil, 1982) not harmful. conversion and Jerseys. are causes a beta-carotene is not and (Wolf which to with In cattle, respect vitamin circulation manifested and to A. In than in in the more 14 yellow color of breeds. higher butter and in latter the decrease in the potency of beta-carotene with The intakes mechanism milkfat the could represent natural a regulation prevent toxicity by vitamin A (Brubacher and to Weiser, 1985). In general, dietary beta-carotene by itself is a poor source of vitamin A for humans since a low percentage of it is absorbed and converted to vitamin A in an average person (Wolf and Phil, 1982). Retinol, retinyl esters and beta-carotene are all very unstable in the presence of oxygen, moisture, light. oxidation Under compounds likely these which to conditions, leads occur. heat and UV these of loss of biological activity is to factor when considering different sources of dietary vitamin A. Trace metals unsaturated, and deleterious This effects by adding on vitamin The air compounds. enzymatic can A and have fats beta-carotene process can be antioxidants like ethoxyquin or BHT to double or Storage of the feed in even treble oxidation of these Carotenoids from plants oxidations oxidized oxidation the vitamin premix or to the diet. moist important easily stability in animal feed. reduced an is through are subject to both lipoxygenase systems and to non-enzymatic processes accelerated by heat and light. Slow 15 drying of forages in the sun may cause an up to 80% loss of beta-carotene drying short-term temperature, high but the lipoxygenase enzymes and reduces the loss. deactivates Ensiling the forage preserves the carotenoids and leads about 10% Pasteurization, loss. to process used to kill a microbial organisms in milk, destroys vitamin A. Therefore, pasteurized milk is fortified with appropriate vitamin esters, A as amounts of as other vitamins (Bondi and well Sklan, 1984). Vitamin A Metabolism III. a. Intestinal absorption and liver storage. Dietary vitamin A from animal and synthetic sources is usually in the form of retinyl esters, the major natural ester. These esters are hydrolyzed to retinol in the intestinal lumen by Retinol and dietary (Brubacher 1961; Weiser, and Sharma and Dostalova, process. In cells hydrolases. are taken up from the mucosa cells. Dietary 1985) and bile acids (Olson, 1986) are essential for this the mucosal cells beta-carotene is cleaved by two soluble enzymes to mucosal pancreatic beta-carotene micellar phase into the intestinal fat the palmitate being is retinyl palmitate. All retinol. esterified as Retinyl esters of retinol retinyl esters, are then in the mainly incorporated 16 chylomicrons, into which in mammals reach the circulation In the liver, 1980). via the lymphatic system (Hollander, Vitamin hydrolysis of retinyl esters occurs during uptake. A is then stored following re-esterification by deposition of mainly retinyl palmitate in lipid droplets of liver Ito cells (lipocytes, Stellate cells). Newly absorbed vitamin A is secreted metabolized and stored in Ito cells (Goodman, pools of prior to "older vitamin A" 1980). There seem to be two When vitamin A A inside the Ito cells. vitamin deficient rats are administered vitamin A, in the mitochondrial-lysosomal fractions at a faster rate than in nuclear, liver cells. mobilized from nuclear accumulates it microsomal However, all fraction during fractions mitochondrial-lysosomal vitamin depletion, at accommodates fraction fractions cytosolic and a constant about 35% is rate. The and the 40% about A of total of cellular retinyl palmitate hydrolase activity, which needs bile salts for stimulation, homogenates of rat liver cell (Periquet et al., 1985). This may explain why they mobilize retinyl palmitate at about the same rate. Vitamin hormonal and A metabolism is under control of nutritional, physiological stimuli. Liver is the main storage site of vitamin A and more than 90% of vitamin A is found there, but it can also be found in the kidneys (1-2% of liver vitamin A levels), the cortex of adrenal glands, 17 and levels than vitamin found the in liver. concentration The of A varies in different parts of the liver (Dorea et Samples 1984). al., in much lower pigment epithelium of the eye, the in taken from the are lobe right consistantly higher in vitamin A than the other sections of the liver (Olson J.A. et al., 1979). stored mainly the liver, in kidneys, fat, adrenal glands, et al., 1980). In Although vitamin A is it is also deposited in the lungs and intestine (Mahoney neonatal rabbit esterified to retinyl palmitate at a lungs, lower retinol is than in rate liver (Zachman, 1985). Hepatic affecting damage can the liver. alter metabolism by vitamin A Rats treated 2,3,7,8-Tetrachlorodibenzo-p-Dioxin (TCDD) had with liver vitamin A storage level of about 30% that of rats after eight weeks. higher for treated control The serum retinol was considerably animals (Thunberg et al., acute ethanol administration to rats and baboons results were obtained (Sato and Leiber, 1982). due total a 1979). the In same This may be to either excessive release of vitamin A from liver or reduced absorption of vitamin A esters entering via the portal vein. the liver 18 b. Plasma transport. Under vitamin A is transported in normal conditions, binding the plasma as retinol bound to a specific (20,000-21,000 called MW) retinol binding protein (RBP). The RBP is synthesized in liver endoplasmic has been found embryos. in in day-13 rat fetuses reticulum. present mid-gestation (Lorente and Miller, at Hepatic dysfunction can reduced cause It and day-6 chick the vitamin A transport system is Thus, fetuses protein serum 1977). levels RBP (Weber et al, 1982). Colchicine administration retards RBP secretion as as well that the of low very lipoprotein (VLDL) and high density lipoprotein density (HDL) and albumin (Smith et al., 1980). In rats, retinoic acid supplementation (Underwood et al., 1979) and excessive retinol administration (Mallia et al., 1975) cause significant reductions in RBP and retinol levels in the blood. The reduction blood in retinol following retinoic acid treatment has also been reported in rabbits (Lorente and Miller, The 1977). mechanism regulating hepatic secretion of RBP appears to be generated extrahepatically, perhaps in response to tissue catabolism and uptake rate of retinol (Underwood et al., might explain why retinoic blood levels of RBP are 1979). reduced This by acid since it can satisfy all vitamin A functions 19 but vision and reproduction and need mobilization. retinol for there therefore by which mechanism The less is excessive doses of retinal reduce blood RBP levels seems to be by reduction in hepatic synthesis (Mallia et al., 1975). Retinol binding protein has a short half life it and so be a good indicator of protein malnutrition (Weber can et al., 1982). when protein quantity and quality In rats, were restricted, plasma vitamin A levels were maintained in a above range normal 30 ug/dl only when vitamin A was a Diets deficient added. both in vitamin protein and A quantity could still support normal plasma vitamin A levels if contained they protein even when liver quality high vitamin A levels were in the deficient range (Underwood al., 1979). After hydrolysis of the stored retinyl esters, binds retinol; apparatus. Binding RBP et aqueous solutions attack. The RBP probably somewhere prior to the Golgi RBP to both towards also seems to stable retinol renders enzymatic and chemical normal protect in tissues against the surface-active properties of vitamin A. Retinol bound RBP to does not exhibit surface-active and its membranolytic effect on membranes (Mallia Holo-RBP (RBP pre-albumin secreted bound (PALB) in to retinol) circulation out of liver cells. will after al., et complex it has 1975). with been The PALB-RBP-retinol complex reaches the target tissues where the uptake of retinol, but 20 not RBP or PALB, then lower Apo-RBP kidneys. than that mainly is One of Hembrel, 1979; holo-RBP of filtered vitamin out factors the of delivery occur through apo-RBP (unbound to retinol) for PALB is the of to Retinol crosses the cell membrane. specific RBP receptors. Affinity postulated been has dissociate. they so catabolized by the and important in regulating A to tissues is synthesis (Huang and Weber et al., 1982) and release of RBP (Hollander, 1980). c. Intracellular transport. Both cells (Goodman, in high and retinyl palmitate are found in most retinol 1980). molecular In cytosol both entities are found contain retinyl palmitate retinol binding protein (Ross and Goodman, proteins appear lipid-protein aggregates which weight hydrolase (cRBP) that is distinct from RBP 1979). Intracellular is retinol binding to transport retinol to the nucleus where specific interactions occur that This intracellular and manifested by an affect increase gene expression. in RNA synthesis of deficient rat testes cells after vitamin A administration. 21 d. Intracellular retinol metabolism. Enzymatic oxidations: alcohol The oxidized group of retinol retinal by alcohol dehydrogenase. to turn can be irreversibly oxidized to retinol reversibly be can retinoic and acid UDP-glucuronic presence of glucuronides which are can retinoic Both acid. be glucuronidated in the transferase water Retinal in These liver. in soluble constitute a large portion of the retinol excreted through the bile (Bondi and Sklan, 1984). Membrane glycoprotein synthesis: In rat small intestine, reduction glycopeptide number is an vitamin A deficiency causes a synthesis of a fucose-containing (Fuc-glycopeptide) and a decrease the in of the goblet cells (DeLuca et al., unusual monosaccharide (6-deoxy-L-galactose) and mucoproteins. in a 1971). occurring as in the Fucose L-fucose number of mucopolysaccharides This glycopeptide which is present in goblet cells contains D-fucose, D-galactose, D-glucosamine, D-galactosamine, and D-sialic acid (DeLuca and Wolf, 1972). 22 Biosynthesis of GDP-mannose by the membrane of goblet cells is vitamin deficiency. A reduced in of retinol to the system Addition restores the biosynthesis of mannolipids to normal Addition from mannose containing lipid a levels. phosphorylated radioactive mannose yields one of radioactive site to the mannolipid while adding radioactive retinol makes double-labeled mannolipid (DeLuca 1972). The mannolipid Wolf, and function as a sugar donor for can the synthesis of specific glycopeptides and the mannose can be metabolized to fucose (DeLuca and Wolf, speculate then that vitamin A the is carrier carbohydrate moieties in the biosynthesis of within membranes (DeLuca and Wolf, explain the membrane protection role of result of defects in this process, One can 1972). of the glycoproteins This 1972). vitamin A. might As a membranes might become less stabilized and this might explain the reduction in the number of goblet cells which would in turn reduce mucin production in the small intestine. Retinol affects nucleic acid and protein biosynthesis: Synthesis of RNA is stimulated administered to deficient animals, when vitamin A is cells and nuclei (Tsai 23 and Chytil, 1977). DNA/protein ratio postulated a (1979) noted an increased Zile et al. vitamin in deficient A and animals direct role of vitamin A in cell replication (Becking, 1973). IV. Regulation of Vitamin A Metabolism. Absorption of vitamin A or beta-carotene and formation of vitamin A esters occurs in the upper two-thirds small intestine (Olson, and 1961) pancreatic secretions (Sharma et al., requires 1986). of the bile and There is a negative feedback on conversion of beta-carotene to vitamin A, because the efficiency of conversion declines as vitamin A reserves of the body increase. The main excretory pathway of conversion of retinol to polar water principally retinyl-p-glucuronide, vitamin soluble in the A is the metabolites, liver and excretion through the bile and hence via feces (NRC, 1987). Some of the vitamin A excreted this way undergoes enterohepatic circulation and is reabsorbed (Sklan, However, oxidation glucuronide formation to retinoic acid (NRC, may follow 1987). 1983). irreversible Small amounts of glucuronides conjugates and chain-shortened metabolites may be eliminated via urine. 24 The levels of plasma vitamin A appear to be kept at particular range (Table 1.2.2) a under normal conditions. Increases in plasma levels occur when retinyl esters appear in the circulation with the onset of hypervitaminosis, and decreases occur when liver stores are completely exhausted. Therefore, of plasma vitamin A levels are not good indicators dietary levels intake except in severe hypo- or hypervitaminosis A (Wolf and Phil, 1982). The in RBP order to circulation. the liver and vitamin A need to be bound to each other be secreted from lipocytes the into Under normal conditions RBP is synthesized in at a rate independent of vitamin A status. Therefore, in vitamin A deficient animals, RBP levels build up in the lipocytes. animals stimulates Administration of RBP secretion in hepatic synthesis of RBP, vitamin A however, status deficiency which could vitamin 1979) . A RBP level these to by the lipocytes which induces more RBP synthesis (Smith et al., reduction retinol is 1980), since experienced. The proceeds independently of under reduce normal RBP situations. synthesis can a the Protein affect secretion and hepatic levels (Underwood et al., 25 Factors absorption affect that A hepatic function, beta-carotene or bile conversion), (and/or secretion, vitamin production and RBP production and secretion can affect vitamin A metabolism. V. Physiological functions of A and effects of vitamin deficiency. a. Vision transmission Retinol functions in the eye in All-trans retinol is converted light stimuli to the brain. to 11-cis retinol by 11-cis-retinal which of retinol isomerase. action the Retinol reductase then converts to the of (oxidizes) with binds 11-cis-retinol opsin produce to rhodopsin in the retina. The pigment rhodopsin is produced in the energy dark sensitive and pigment, light causing 11-cis-retinal and also trans-retinal. The will bleach dissociation conversion of this light opsin of 11-cis-retinal and to isomerization of 11-cis-retinal to the trans form triggers a nerve impulse to the brain optic nerve and seeing of color is registered. rhodopsin is regenerated (1.2.2). via the In the dark 26 Vitamin A is stored in the retina pigment epithelium. Vitamin A deficiency caused by inadequate intake of vitamin A is usually first manifested by insufficient vitamin degeneration Prolonged lack of rhodopsin may result in retina the epithelium ultimately and due to to regenerate rhodopsin. present A blindness night of irreversible in blindness. b. Maintenance of integrity the epithelial normal of tissue. As mentioned vitamin A has an important previously, role in forming membrane glycoproteins 1972). absence the In glycoproteins glycolipids are are vitamin of be cell A, Wolf, and (DeLuca surface and under-glycosylated found to also affected. The general most morphological change occurring in vitamin A deficiency is the replacement of the mucus lining of epithelial tissue by a squamuous produces metaplastic large amounts epithelium of keratin. which These eventually changes in epithelial cells in vitamin A deficiency are widespread and include the respiratory and alimentary tracts and corneal epithelium of the eye. Loss to of these Salivary glands are also affected. appetite in vitamin A deficiency may be connected changes. hypovitaminosis A, In the the number small intestine during of goblet cells which are 27 responsible for mucus production in order to lubricate the lumen and also buffer the environment decrease. the protein and mucin production capacity diminishes rats (DeLuca al., et Also, these of 1969). cells in vitamin A The deficient rats had a pH of 5 in this area of the intestine. The acidic environment and lack of mucus protection enteritis the complex. changes and reduced mucosal The protein synthesis take place at a very early stage deficiency, favors of the before the weight plateau stage begins (DeLuca et al., 1969). Furthermore, according to Moran (1982), the greater the number of goblet cells and, in turn, the amount of mucin in the crypts, the less the opportunity for small molecules like enterotoxins produced enter the gaps between cells to manifest the colibacilli to by absorbed be and Xerophthalmia is due to depressed enterotoxemia. mucus secretion by the corneal changes Also, epithelium. in the integrity of epithelial cells may affect resistance to bacterial deficiency incidence in of infections. vitamin mastitis A is (Chew Holstein milking In with associated et al., 1982). a cows higher Potential pathogens are regularly in the cow's teat but do not always cause infections. The functional state of epithelium regulates transfer of immunoglobulins and polymorphonuclear leukocytes and production keratin. this When of bacteriocidal agents like regulation mechanism breaks down as a result of impairment of epithelial integrity, infections 28 develop rabbits, (Chew et ataxia, disturbances 1982). al., accompany can often be the cause of death. in deficient A respiratory and emaciation diarrhea, frequently vitamin In the ocular lesions and The secondary infections rabbits may also be attributable to breakdown of these epithelial cell integrity (Payne et al., 1972). c. Bone growth Vitamin plays A a role in maintenance the of mesenchymal structures, with considerable changes occurring in cartilage and bone in deficiency and excess vitamin A. In growing animals become when shorter Hypervitaminosis and deficient thickened results A in in vitamin (Roels et bone A acts through a detergent effect bones 1969). decreased Excess vitamin which lysosomal membranes and results in release enzymes. al, lesions, length and width and decreased osteoblasts. A, of solubilizes proteolytic Vitamin A deficiency can also impair stability of lysosomal al., 1969). membranes by making them more fragile (Roels et 29 d. Cerebrospinal fluid pressure In mammals, choroid cerebrospinal fluid is mainly arachnoid villi. villi cells (formation vitamin of and imbalance, A in part, returns to the blood Changes in permeability of arachnoid (route site) at flows through the ventricular system to plexuses, the subarachnoid space and, via formed faulty bone growth, can plexuses choroid absorption), as a result of abnormalities cause in cerebrospinal fluid pressure. both hypo- and hypervitaminosis A cause elevated CSF pressures. However, in calves, puppies, In and pigs, man and rats low vitamin A causes elevated pressures but high vitamin A causes reduced CSF pressures (Eaton, 1969). The increased cerebrospinal fluid pressure in human vitamin A intoxication gives rise to diplopia, visual field headaches, defects and papilledema in adults and hydrocephalus in newborns (Mahoney et al., fetuses. caused In rabbits, hyper- (Cheeke et al., et al., 1972). vomiting, hydrocephalus is 1980) 1984) and hypovitaminosis A by and both (Payne 30 e. Reproduction vitamin males, In degeneration of deficiency leads to testicular A epithelium germinal cessation and spermatogenesis (Chaudhary and Nelson, 1985; Unni and Rao, 1972; have 1985). Payne et al., Vitamin A deficient rats also lowered circulating androgen levels. The target cell This can appears to be the Leydig cells of the testes. reversed administration by Sklan, 1984). of of retinoic be acid (Bondi and In vitamin A deficiency of rats, in addition to cessation of spermatogenesis of the primary spermatocyte the structural integrity of Sertoli cells stage, impaired. protein also is These cells are responsible for androgen binding (ABP) production in response to FSH binding to FSH receptors, is also impaired. This damage to Sertoli cells would reduce the ABP production and result in higher plasma FSH since FSH-membrane receptor binding is decreased. Administration of vitamin A enhances this binding (Unni and Rao, 1986). Vitamin A deficiency before sexual maturity is more effective in volume of reducing ejaculate. viability Payne et al., of the (1972), significant changes in libido of male rabbits in dietary cells which rabbits. intakes produce of vitamin A, testosterone sperm and observed no with change perhaps because Leydig were not damaged in 31 vitamin females, In epithelium maintenance. pregnancy results A Vitamin A resorption in for vaginal deficiency during required is placenta the of spontaneous abortions in rats (Lorente and Miller, or 1977). Vitamin A deficiency causes necrosis of the junctional zone placenta of also and decline a steroid in mucopolysaccharide synthesizing enzymes which cause the humans, abruptio placentae populations with has common a probably is of abortion in rats (Sharma et al., 1986). In occurrence in poor socio-economic situations. Vitamin A, beta-carotene and vitamin E were all shown to be in abruptio placentae (Sharma et al., 1986). than those Whether multiple vitamin deficiency causes abruptio placentae or is itself the result other metabolic disorder is yet to be found. also nutrients, which result impaired might be from inadequate gastrointestinal some of However, levels of these fat soluble compounds in abruptio could lower pregnancy normal in and placenta intake (G.I.) caused by metaplasia of G.I. low of these absorption eptithelial cells during vitamin A deficiency or enhanced catabolism of the compound (Sharma et al., 1986). deficient retinol or Also, under vitamin A conditions malformed fetuses may result. retinoic acid (Donaghue and general, transplacental regulated with Copp, can 1981) have teratogenic even in humans. vitamin A transfer Excess effects However, is in highly minimal changes in fetal vitamin A status. 32 Vitamin A does not appear to have a physiological maintenance either rat of mammary role in epithelium or in its potential for hormone-dependent phenotypic expressions like casein formation in response to and Topper, 1982). There glucocorticoids are (Sankaran A esters in milk vitamin which help bring up the relatively low levels of vitamin A reserves in newborns. f. Growth Vitamin affects A differentiation. A deficiency both cellular proliferation Therefore, growth is reduced with vitamin The reduced regeneration of . and injured liver cells after partial hepatectomy in vitamin A deficient rats can be al., enhanced 1980). heavier vitamin A administration (Ganguly et by In swine, litters at vitamin 1984). also depression 1981) . in dams had birth and weaning than deficient ones (Brief and Chew, result A-supplemented Excessive vitamin A of growth intakes can (Donoghue et al., 33 g. Infectious Diseases Vitamin A deficient animals bacterial, protozoal viral, susceptible more are to rickettsial infections, and possibly due to changes in epithelial tissue. Vitamin infection. increases A Reversal administration of of resistance non-specific to post-surgical immunodepression by vitamin A in man has recently been demonstrated (Bondi and Sklan, 1984). VI. a. Dietary factors affecting vitamin A. Protein Adequate dietary protein is required in order to synthesize the proteins associated with both the absorption and transport of carotenes and retinol. Under conditions of inadequate protein intake conversion of beta-carotene to retinol in the intestinal mucosa is depressed (Underwood et al., 1979). lumen of production Also, the hydrolysis of retinyl esters in the the intestine is decreased. Furthermore, RBP sensitive to inadequate intakes of protein (Underwood et al., 1979). Children with xerophthalmia also is 34 suffering from protein-energy malnutrition do to vitamin respond not supplemention unless also supplemented with A protein (Mclaren, 1984). b. Vitamin E (alpha-tocopherol) High dietary vitamin A depresses intake tissue and plasma vitamin E in chicks, rats and calves (Frig and Broz, 1984). High dietary vitamin E, on the other hand, enhances vitamin A levels rats in but prevents the hypervitaminosis A by reducing liver depletion Donoghue, 1982). oxidation of (Sklan of and When both vitamins are fed orally, tissue vitamin E occurs; however, administered orally and vitamin E is not happen. signs Therefore, if vitamin A is injected, does this the basis for antagonistic effects of high levels of vitamin A on vitamin E seems to be at the level of the gut prior dietary vitamin A to seems intestinal to absorption. Excess cause a greater fraction of vitamin E to be oxidized prior to the digesta reaching duodenum. Vitamin E glucuronide enhanced (Frigg and Broz, 1984). secretions also Therefore, excess vitamin A seems to increase vitamin E requirements and of are the the dosage the two vitamins should not be considered independently of each other. 35 c. Vitamin K Retinoic acid is vitamin K in remarkably a rats. does It potent antagonist significantly not alter excretion of vitamin K but rather impairs absorption. form of vitamin A inhibits capacity for vitamin only and K part of further the to This absorption ingestion of it is without effect on prothrombin concentration (Matschiner et al., 1967). d. Zinc Zinc deficient animals have lower blood retinol and RBP and higher liver vitamin A than zinc adequate animals. This may be because of zinc involvement in production of RBP and hyrolysis also liver. the of retinyl-palmitate to retinol Another area of zinc-vitamin A interaction oxidation-reduction which is may be of retinol in peripheral tissues. The conversion of retinol to retinal dehydrogenase in the a involves an alcohol zinc metalloenzyme and in zinc deficiency both retinol oxidase and reductase are depressed (Bondi and Sklan, 1984). 36 e. Copper Beta-carotene is cleaved molecules yield to two in the intestinal mucosa cells by a retinal of carbon-15 at copper containing dioxygenase enzyme. This activity may be reduced in copper deficiency. and similarly Copper retinol behave being stored preferentially in the liver and in are carried out into the plasma associated with similar but different alpha-globulins. interrelationships inverse. al., 1972). the these of two Factors that increase the decrease often Other blood concentration the than nutrients 10% the are often concentration of For example, as cited by Moore et al. of healthy higher Also, while the Cu average the in both sexes fever is usually associated with a greatly decreased concentration (1972), men contained on average about 20% women. for concentration blood retinol is increased. This inverse relationship did not exist in normal sheep the field and a direct retinol was established. one of the other (Moore et more vitamin A than that of women but for Cu, is this correlation However, in between copper and the liver of a single lamb that died of Cu deficiency contained only traces of Cu but had a retinol content at the top of the normal range (Moore et al., 1972). 37 Vitamin A Toxicity. VII. Factors that determine toxicity of species, intake. age, weight, health vitamin and dose of duration and include A The rate of vitamin A excretion from the body can be readily exceeded when intakes of vitamin A are much more than the requirements for a variable length of time. lists 1.2.3. vitamin some A Table requirements for different According to Mclean (1984), in humans the RDA for species. vitamin A is set at 3300 IU for adult males and about IU for adult females. 5000 as IU the children up to recommended 12 daily 2664 However, Weber et al. (1982) suggest RDA adult humans. for years of allowance. age, For infants and 1500-4500 When IU is the liver storage becomes increasing amounts of esterified retinol appear saturated, in the plasma, transported by lipoproteins instead of RBP. The main lipoprotein fraction responsible for this is VLDL. However, vitamin A has been detected associated amounts to LDL and concentrations (Schindler even and with Klopp, in lower in much lower 1986). This could HDL result in non-specific delivery of either retinyl esters or retinol by lipoproteins to peripheral sites of cytotoxic action (Halevy and Sklan, 1986; Schindler and Klopp, 1986). This would result in membranolytic action cell damage. The RBP of retinol and seems to have a protective action, since retinol bound to RBP does not appear to manifest its 38 surface-active 1975). al., effects on biological membranes (Mallia et Some symptoms of hypervitaminosis A appear at about the same time as ester levels increase in the plasma. Table 1.2.2. supplies some normal blood vitamin A levels in different species. general, In symptoms toxicity include hepatic disorders like fatty fragility, secondary changes vitamin K in cerebrospinal and E vitamin of deficiency, bone liver, fluid loss A pressure, of hair, anorexia, reproductive problems and hydrocephalus. a. Liver disorders Hypervitaminosis A does not significantly reduce the rate of hepatic triglyceride secretion; rather, it produces fatty liver by stimulating the synthesis in the Singh, by of triglycerides liver and their release into the plasma (Singh and 1978). The hypertriglyceridemia can then be caused reduction in periphery uptake of triglycerides. It has been demonstrated that excess intake of vitamin A increases levels of corticoids in the plasma and their the adrenal impairment triglycerides cortex. of Glucocorticoids peripheral are utilization synthesis in known to cause of plasma by inhibiting lipoprotein lipase activity in the adipose tissue (Singh and Singh, 1978). Other possible 39 problems liver cirrhosis due are to hepatomegaly (Anonymous, and 1982) of collagen produced by Ito deposition cells or fibroblasts (Weber et al., 1982). b. Bone disorders Cells and subcellular subsequently doses. lysed organelles penetrated are and by retinol when it is present in large Administration of large doses vitamin of A to rabbits causes destruction and depletion of their cartilage matrix, sulfur and increased increased blood chondroitin levels, excretion (Roels et al., 1969). This proteolytic activity can also be demonstrated in vitro and is a of lysosome enzyme activation. are active in release of result Retinol and retinoic acid cathepsins, proteolytic enzymes that are normally contained in cytoplasmic particles called lysosomes (Roels et al., 1969). young In hypervitaminosis A renders the long bones fragile, they sometimes suffer bones of young rats and spontaneous fracture. guinea pigs the rats, so that In the limb maturation and degeneration of the cartilage cells and the replacement of cartilage by bone cells is greatly accelerated. As a result the fracture occurs because of the extensive loss of previously formed cortical bone before the newly deposited 40 bone has acquired sufficient firmness to meet mechanical requirements (Fell and Mellanby, 1952). c. Cerebrospinal fluid (CSF) pressure alterations Alterations in CSF pressure are different depending on As mentioned before, hypervitaminosis A increases species. CSF pressure in species like humans and rabbits and reduces it in other species like cattle and pigs. headaches, elevated CSF pressure gives rise to diplopia, papilledema, visual field defects, In humans, vomiting, and bulging fontanelles without focal signs of cerebral damage (Mahoney et al., 1980) and this hydrocephalus in fetuses. may also be the cause of These conditions would generally subside as vitamin A reserves of the body are depleted. d. Anorexia Vitamin A affects the epithelial tissues of the alimentary tract. Changes in salivary glands and epithelial cells might account for loss in appetite in both vitamin A deficiency and toxicity (Anonymous, 1982a; Bondi and Sklan, 1984), 41 e. Reproductive problems and hydrocephalus of vitamin A found in fetuses are the same types The as those in their dams. The site vitamin A affects the fetuses directly rather than through damage to the placenta. vitamin A given capable of A In rats, high levels of dam increase the fetal liver to the to maternal serum vitamin levels in According to Lorente and Miller fetuses is also the liver. (1977), storage vitamin of ratios, causing allowing malformation it but to reach not death. However, rabbits protect their fetuses by not allowing this ratio to rise as quickly (Lorente Miller, and 1977). At enough maternal serum levels this barrier breaks down high and embryos are subjected to very high levels of vitamin which can 1977). cause embryonic mortality (Lorente and Miller, Therefore, teratogenic A rabbits are more effects of vitamin A than rats. is one of the teratogenic effects of excess rabbits (Cheeke et al., 1984). resistant to Hydrocephalus vitamin A in This, as mentioned before, may be caused by elevated CSF pressures in the cranial area of the fetus. Another embryonic malformation caused by excess vitamin A may be shortened limbs which is related to the adverse effects of excessive vitamin A on bones (Roels et al., 1969; Fell and Mellanby, 1952). 42 the In order to better illustrate the practicality of hypervitaminosis problem in humans, be discussed. hospital A year 20 evaluation for old of some case reports will admitted was female and severe headaches. became anorectic with diffuse Two and she headaches and increasingly severe Two years before scaling erythematous dermatitis. acne. diplopia months before admission, admission she began taking 50,000 IU of vitamin A for Two a possible brain tumor. days before admission she experienced emesis to day per The severe headache was caused by increased CSF pressure. Elevation of CSF excessive formation of pressure fluid cerebrospinal increased permeability of the choroid plexus free vitamin to because of or decreased both attributable to absorption in the subarachnoid space, the toxic effects of due either was on A cell membranes (Anonymous, 1982b). A 62 year old male was admitted to hospital with edema, protein malnutrition and abnormal liver function and hepatomegaly. He had had an intake of approximately 50,000 IU/day of vitamin A for seven years. was absence an toxicity, which this case there of peripheral manifestations of vitamin A apparently because he had impaired In RBP protein malnutrition and/or also lipoprotein synthesis and 43 This resulted in vitamin A secretion into the circulation. accumulation of large amounts of vitamin A in the liver and cholestasis (Weber et al., 1982b). Another interesting case dealing with RBP is of year a 42 vegetarian man who consumed about 100,000 IU/day old of vitamin A for peripheral years ten symptoms and showed no hypervitaminosis of symptoms of until he A contracted hepatitis B which unmasked the toxicity in about The virus three weeks. retinyl ester injury mobilization. vitamin A are not known to be seemed Since to have promoted Ito cells which store destroyed in hepatitis B, this ester mobilization was not attributable to necrotizing effects of the virus (Hatoff et al, 1982). the However, during course of this disease as well as other types of liver The damage (Weber et al., 1982), the RBP level is reduced. drastic reduction in RBP in hepatitis B in turn could have reduced retinol As a result, retinyl palmitate could have been mobilization and its plasma levels. stored the in liver at increasingly higher rates and the liver approached its retinyl ester increasing rate, to RBP storing capacity threshold at an causing overflow of the vitamin A unbound and hypervitaminosis A. hence peripheral Furthermore, manifestations of hepatocytes are known to store minor amounts of vitamin A (Anonymous, 1982b). Since this patient was a vegetarian, he might not have had enough 44 dietary protein and this reduced lipoprotein levels as well RBP as the in therefore and liver level. It hepatocytes ended up possible that participated more is containing anticipated. the vitamin in vitamin A A storage and usually than necrotizing the case, conditions such under more much this In been more abnormally high hepatic vitamin A even an of the This could have mobilization of retinyl esters. cause postponed effects of lipocytes viruses on hepatocytes and not necessarily (Ito cells) might have been enough to cause release of extremely high levels retinyl of esters One last the blood. in reduced possibility is that hepatitis B may cause retinyl ester absorption by the Ito cells in the liver as blood was passing through of tissue of is they would in turn mobilize in fat to One of the symptoms increases the adrenal cortex and and triglycerides. The of adipose tissue would release the vitamin A as well as other toxins stored in this tissue into the blood be more sensitive to hypervitaminosis A (Anonymous, Mahoney et al. had a and Children and infants seem to create toxicity of vitamin A. who the possibly and Anorexia anorexia. glucocorticoids intestine blood retinyl ester levels. hypervitaminosis production loss the from liver This would cause elevated periphery. adipose the 1982). (1980) reported a case of dizygotic infants total vitamin developed hypervitaminosis A. A intake of 36,000 IU/day and The main dietary ingredient 45 the vomiting, symptoms The mother. fed to them twice daily by chicken liver, was implicated and bulging of included anterior rough red, skin, due fontanelles to enlarged brain ventricles and increased CSF pressure. Fortunately, either vitamin once situation the deficiency A or is recognized as can be toxicity, it corrected simply by either supplementation of or from depletion where except in cases like xerophthalmia, the diet, the pathogenesis is at the irreversible stage. The cases mentioned here, found in fraction literature, the of the hypervitaminosis treating acne A. may With vulgaris only the with small populations with A and controversial preventative carcinogenesis, we may be on the verge of an role hypervitaminosis A (Anonymous, 1982b). for indications medical vitamin others a represent European and U.S. along with numerous of the still retinoids epidemic in of 46 Table 1.2.1. Efficiency of conversion of B-carotene to vitamin A in different species. Conversion Efficiency Species Y. Rat 100 Chicken 100 Rabbit 100 Dog 67 Man Horse 33 Sheep 30 Pig 30 Cattle 24 Table 1.2.2. Plasma and liver vitamin A levels for different species. Species IU/ml human 1.67 human .67-2.67 human .67-2.67 human .67-1.67 rabbit 3.53 rat 1.20 rat 1-1.6 Pertaining to Source normal levels Anonymous, 1982a .33-10 normal levels Anonymous, 1982b <10 normal levels Hatoff et al., 1982 normal levels Mclaren, 1984 experimental control value Lorente and Miller, IU/g liver 565.35 800.30 1977 experimental control value normal values Underwood et al., 1979 rat 1.3-2.0 fed 25000 IU/kg for 3 weeks Mallia et al., 1975 Table 1.2.3. Dietary vitamin A requirements. Species Vitamin A ugykafeed -Carotene IU/kg feed Swine Growing Breeding Lactation 500 1330 1100 1667 4433 3667 Cattle Growing Lactation 730 1070 2433 3567 4.0 8.0 Sheep Growing Lactation 500 730 1667 2433 2.5 3.0 Rabbit Growing Lactation 3000 3600 10,000 12,000 Rat 1200* 4000* Human Male Female <12 year old 1500* 990* 799* 450-1350* Source Bondi and Sklan, 1984 Bondi and Sklan, 1984 Bondi and Sklan, 1984 Lebas, 1980 5000* 3300* 2664* 1500-4500* NRC, 1978 Weber et al., 1982 Mclaren, 1984 Mclaren, 1984 Mahoney et al., 1980 * Daily vitamin A requirement. 49 Retinol _CH2OH Retinal -C=0 Retinoic acid -COON Retinyl palmitate -CH21-(012)14043 0 Figure 1.2.1. 'Molecular structures of retinal and some of its derivitives. Trams-rstimel Trams-RE I 11-cis-RE P161ENT EPITNELIUM I 1 1 Trans -RE - 11-cis-RE 11 -cis -ratisol tt retisol I retinal 1 isomer's' I 1 reductase 1 I MAO de Trams-reties' 11-cis-retinal 1 A , retinal apsis I 1 / reductase I 1 X NAM I I : 1 I : dark 1 4/ 1I II% 11 1 W1 1 adaptation 1 de rhadapsis Trans - retinal 4C /Not nom is RA nerve excitation ROI OUTER SEGMENT Figure 1.2.2. Role of vitamin A in visual cycle of a frog. Adapted from Bondi and Sklan (1984). 51 Pyrrolizidine Alkaloids 1.3. Alkaloids are basic substances that in heterocyclic a contain pyrrolizidine a positions and 1 200 substances, al., ring. nucleus and All characteristics of a side esterification PAs double bond the of (Cheeke and Shull, CH OH 2 1985). (PA) chains at The PAs comprise some hepatotoxic 1,2 nitrogen alkaloids many of which are hepatotoxic 1985). have Pyrrolizidine (Figure 1.3.1). 7 contain (Ridker share the common ring the in et and groups in the side chain(s) Most PA-containing plants that caused livestock poisoning are in the genera Senecio, Crotalaria, Heliotropium and and (Cheeke Echium Shull, 1985) . Symptomatology of Senecio PA poisoning in animals had been referred to by different names in different the world before underlying the discovered by experiments 1700's a problem in called the etiology early stomach parts was 1900's. staggers of finally In the in Wales was thought to be due to consumption of Senecio jacobaea (tansy ragwort). Pictou disease In Nova Scotia disease, (Cheeke jaundice and, a similar problem was called while in New Zealand it was called Winton and Shull, 1985). in the case of horses, Liver cirrhosis, staggering, pressing 52 regardless obstruction of were noticed. line straight and walking in a the head against objects, Death is always caused by irreversible liver damage (Cheeke et al., 1985). The PAs are also known to cause poisoning humans. in contamination of bread and tea in Africa and India Senecio 1970). have been the cause of "Chiari's syndrome" (Mclean, "bush tea" is made from leaves picked from the In Jamaica, PAs contain These teas often bush and infused with hot water. are used as medicine and often drunk by children. and As cited by Mclean (1970), disease veno-occlusive (1953) observed Hill et al. collagenous by characterized a occlusion of the small branches of the hepatic venous tree also been There children. Jamaican among common have instances of epidemic veno-occlusive disease in Afghanistan with and India which resulted from contamination of millet Crotalaria one Ridker by the of et (1985). al. of cases According to this herbs, woman who vitamins, regularly and by report, a form of Budd-Chiari syndrome, diagnosed in a 49 year old amounts poisoning newest ones was reported in the U.S. venocclusive disease, large seeds (Anonymous, Heliotropium There are numerous other human PA 1978). but wheat and was consumed "natural" food supplements containing PA. Upon analysis it was found that the was main source of PAs the comfrey (Symphytum 53 used she officinale) Her a natural food supplement. as estimated PA intake was 14.1 ug/kg body wt./day about for four months or a total of 1700 ug/kg body weight. It worth also is noting that in certain instances, these alkaloids have been detected in milk and well With respect to herbal as teas and preparations. contamination of milk with PAs, goats could honey, be as most of concern since they are owned by families who drink the milk directly whereas repeatedly, and Another be (Dickinson, diluted when pooled with other batches of milk 1974). would milk cow's factor to consider is that cows important are very susceptible to PAs whereas goats and sheep are not (Table 1.3.1). Therefore, contribute PA to Within families, this could a cow contamination complicate individuals are more susceptible of not in the toxins to Deinzer than adults. with PAs from tansy ragwort poses honey Since the tansy flowers contain the highest concentrations of PAs plant, it considerable Dickinson and the problem since younger another potential threat to human health. ragwort to for very long. milk of able be children drink more milk than others further Contamination might amounts (1976) and likely is of reported PAs that during values of the nectar 0.1 acquire bees gathering. mg/kg honey. Thomson (1977) detected PAs and tansy ragwort pollen in four honey samples collected from western Oregon 54 in content the weed flourishes. where areas ranged Sometimes ragwort from mg/kg 0.3 concentrations at odor unpalatable (Dickinson, mg/kg 3.9 above 0.1 and the detectable is to Values for alkaloid honey. the tansy mg/kg becomes honey This demonstrates that one 1976). does not necessarily have to live in a third world country or be a "natural food" consumer to be exposed to PAs. The parent pyrrolizidine alkaloids are non-toxic, mixed function oxidase (MFO) system enzymes dehydrogenate 1,2-dehydropyrrolizidine ring, the pyrrole (dihydropyrrolizidine) metabolites which are liver the in but forming (Figure 1.3.1) responsible for the toxicity (Mattocks, 1968). The hepatic effects of PAs are thus due to the reaction pyrroles and/or primarily other metabolites with tissue components, DNA. interstrand As result, a mixture a of isolated senecionine. Recently, 1984). al., a hydroxy-2-hexenal highly (t-4HH), reactive as a Segal al. trans-4- aldehyde, metabolite et of the PA Induction of the MFO system by drugs, such as phenobarbital, increased and inhibition of MFO by drugs like chloramphenicol reduced conversion of PAs to metabolites (Allen et al., 1972). conditions DNA-DNA cross-links and DNA-protein cross-links can be observed (Petry et (1985) of associated reactive The classic pathological with PA poisoning are centrilobular necrosis of hepatocytes (parenchymal cells), megalocytosis, 55 fibrosis, biliary hyperplasia 1970). Other (Cheeke tract Shull, and venocclusion (Mclean, pulmonary, heart, include symptoms gastrointestinal and lesions kidney and According to Shull et al. ascites is species Susceptibility 1985). as shown in Table 1.3.1 (Shull et dependent, and (1976), 1976). al., the susceptible species have higher rates of liver pyrrole formation than resistant ones and the resistant animals can by susceptible administration which induces the MFO system. phenobarbital have Even though is the rabbit. An exception to this, however, rabbits become high rate of pyrrole formation, a resistant to dietary PAs (Shull et al., 1976). they are In sheep some rumen detoxification of PA takes place. Lanigan (1976) showed that a microorganism present in sheep rumen could detoxify heliotrine, a PA present in heliotropium species, to nontoxic metabolites by reduction of 1,2 double bonds in the nucleus and cleavage of the esters which gave rise to a 1-methylene derivative. The resistance of sheep to Senecio PAs, however, does not appear to be due to rumen metabolism of these PAs. Shull et al. reported that incubation (1976) and Swick et al. Senecio of jacobaea sheep rumen fluid did not reduce its toxicity, 1-methylene derivative Senecio PAs and was produced. heliotrine is that The (1983) with (SJ) and that no difference heliotrine is in a monoester, susceptible to esterases and hydrogenations. The toxicity and stability of PAs depend on a number of . 56 factors, including the number of ester chains, cyclization and presence of side chains, branching of the side chains, of epoxide moieties. more The a PA factors these of posseses, the more toxic it becomes. Senecio PAs are closed cyclic diesters which are more toxic and more resistant reductions due to steric hindrance. to Heliotrope PAs are, on the other hand, monoesters and therefore less toxic (Cheeke and Shull, 1985). However, Bull et al. (1956) demonstrated that long term ingestion of the PA-containing Heliotropium europium predisposed sheep to toxic hepatic accumulation of copper. Miranda et (1981b) and Swick et al. al. demonstrated accumulation of copper in the liver fed tansy ragwort with supplemental copper. cause enlargement of the parenchymal cells (1982) rats of In sheep, PAs (megalocytosis) accompanied by an increased avidity of the cells for copper which leads to the extremely high levels of copper in the liver (Underwood, 1977). Another reason for high levels of copper in the liver is reduced biliary excretion of due copper The PAs are to biliary hyperplasia caused by the PAs. known to cause disruption of cytoplasmic organelles such as mitochondria as 1981). (Johnson, well Copper mitochondria, lysosomes, (Miranda et al., rupture as tends to membrane accumulate in and microsomes of rat liver cells 1981b). When copper is liberated in combination within it becomes toxic to the cell (Underwood, 1977). sufficient concentration from the cell, plasma of organic 57 Metz The mechanism of copper toxicity as suggested by Sagone (1972) Therefore, be oxidative is injury biliary excretion of copper, The The PAs would cause reduced causing elevated liver copper megalocytosis caused by the PAs would enhance the capacity of the copper membranes. the the hemolytic crisis due to copper toxicity may enhanced by PA as follows. levels. to and because hepatocytes sequester to of the increase in size. store and The PAs, on the other hand, have the capability of rupturing cells by their effects on membranes (Johnson, This would 1981). release high levels of copper previously stored in mitochondria and lysosomes into the cytoplasm. elevated levels of (from lysosomes), both At this point there would be and proteolytic enzymes copper both capable destroying of membranes, enhancing the membrane rupturing effects of PA metabolites. Once the copper present membranes, 1982). cell has in causing The result is lysed, the there would be high levels of blood release of which could oxidize RBC hemoglobin (Swick et al., hemoglobinemia and hemoglobinuria, the most prominent signs of the hemolytic crisis. Some dietary supplements like the antioxidants butylated hydroxyanisole or BHA (Miranda et al., 1981c) and ethoxyquin (Miranda et al., 1981a), and vitamins B6 and B12 58 (Mclean, PA 1970) have shown some protective effects toxicosis. However, against a practical dietary supplement to protect farm animals against PA toxicosis is yet to discovered (Garrett et al., 1984; Cheeke et al., 1985). be Table 1.3.1. Order of susceptibility of animal species to pyyrolizidine alkaloid toxicity. Susceptibility Species to PA toxicosis Lethal dose as % of body wt. Cow High 3.6 Horse High 7.3 Rat High 21.0 Chicken High 39.0 Mouse Intermediate Rabbit Low )113.0 Guinea Pig Low 119.0 Goat Low 205.0 Sheep Low 302.0 Hamster Low 338.0 Japanese Quail Low 2450.0 Gerbil Low 3640.0 Adapted from Cheeke and Shull, 1985 and Shull et al., 1976. n Alkaloid Figure 1.3.1. Pyrrole derivitive Pyrrole (alkylating agent) Conversion of pyrrolizidine alkaloids to derivitive alkaloids to pyrrole, the toxic metabolite. 61 Chapter 2 METHODOLOGY: HIGH PERFORMANCE LIQUID CHROMATOGRAPHY (HPLC) ANALYSIS OF VITAMIN A 62 In order to samples analyze vitamin for A blood, and liver, possibly feed and esters, its fecal high performance liquid chromatography (HPLC) methods were used. An extensive search through the literature from Oregon the finding State such of appropriate. Department methods. The and assistance of Agriculture led to Changes were made need for these changes was brought about as a result of the differences in vitamin A levels and nature of experimental our (Miller et al., method when suggested to by us and those of others samples 1984 and Muniz, 1986). Muniz the The feed analysis (1986) was adapted to analysis of liver and fecal samples. Cautions: Vitamin A, its esters, and beta-carotene are all unstable compounds. To minimize their loss the samples and standards should be kept frozen and under nitrogen when not in immediate use. It is wise to use amber glassware to block ultraviolet light, and keep the temperature as low as possible when working with these compounds. 63 2.1. STANDARD PREPARATION Vitamin compounds, daily esters and beta-carotene are unstable its A, therefore, except in the working standards were prepared the case of retinyl acetate which is more stable (Miller, 1984) and was prepared weekly. The Company. compounds The were compound purchased solvents stable (Muniz, in the Sigma Chemical of interest was dissolved in 37/63, acetonitrile/methanol (HPLC grade). two from A combination of seemed to make the compounds of interest more 1986). The concentrations of the standard solutions were compounds determined spectrophotometrically using the extinction coefficient observed biopotency and the formula in beta-carotene these (O.B.) the and values provided in table 2.1.1 calculation section. Retinol and linearity plots are provided in figures 2.1.1 and 2.1.2, respectively. Table 2.1.1. Important parameters to consider for vitamin A. Extinction Optimal UV coefficient Multiplication At E Compound MW Biopotency co 11104 to 1 IU factor to convert to Ills of retinol 37 /63,Acn /aeoH (nm) 1.0000 325.0 .344 1.0014 323.0 1.817 .550 1.0576 325.0 1.670 .600 2.1342 451.0 286.44 1835.0 3.330 328.00 1550.0 2.904 palmitate 496.34 975.0 11-carotene 536.85 2518.0 Retinal ug equivalent absorption in .300 Retinyl acetate Retinyl 65 eoo 600 a) 2 o 400 a 1/3oa cz r TO -6203 a, a. 100 0 0.0 Figure 2.1.1. 0.3 0.5 0.8 1.0 1.3 Ilie Retinal injected Retinol standard linearity plot. 1.5 1.7 66 2CC 0 . 0.0 0.0000 0.2000 0.4000 0.6000 0.8000 IUs P-carotene injected Figure 2.1.2. s -carotene standard linearity plot. 1.000 67 INSTRUMENTATION 2.2. Reverse phase HPLC analysis was performed, pump solvent pumps, data delivery using a two system which included two model 510 model 680 automated gradient controller, module, detector, model 710B WISP, 740 UV absorbance 441 model model and a C-18 guard column all purchased from Waters Associates Company and also a C-18 Vydac column, analyzed HPLC grade solvents. and Baker The detector used was a fixed wave-length detector; 340 nm and 436 nm UV filters were used to detect retinol respectively. retinol and (and its esters) was beta-carotene, The solvent flow rate was set at 1 ml/min for 3 ml/min for beta-carotene. determination of retinol and retinol program and used. For simultaneous palmitate a In this program the flow rate reached 1 ml/min in 30 seconds and was maintained there for 3 at which time gradient retinol had emerged. reached 3 ml/min in 60 seconds and was The minutes flow rate then maintained at that level for the next 4 minutes to allow the palmitate ester to emerge. The solvent acetonitrile/methanol. composition was always 37/63, 68 2.3. EXTRACTION METHODS A. Plasma and serum 1. Thaw and mix. 2. Put 200 ul of plasma in test tube. 3. Add 200 ul HPLC water. 4. Vortex for 5 sec. 5. Add 400 ul EtoH. 6. Vortex for 5 sec. 7. Add 2500 ul n-hexane. 8. Seal the tubes. 9. Vortex for 30 sec. 10. Shake for 5 min. 11. Centrifuge at 2000 rpm for 5 min. 12. Take 2000 ul n-hexane for HPLC analysis. 13. Dry under N2. 14. Redissolve in 500 ul 37/63 Acn/MeoH. 15. Inject onto a C-18 Vydac column. Note: The volume of plasma used can be changed according to how much plasma is available, however, the ratios should be kept the same. Also, the volume of Acn/MeoH used in step 14 is subject to changes depending on the concentrations of the compounds in plasma. External standards should be used to calculate % recovery. 69 B. Liver, feed (Vitamin A) 1. Weigh out about 5 grams of ground sample. 2. Put into a 100 ml amber volumetric flask. 3. Add 40 ml 95% EtoH. 4. Add 10 ml 50% (W/V) KOH. 5. Saponify for 30 minutes on a boiling steam bath (100 °C). 6. Cool down to room temperature in a cool water bath. 7. Transfer funnel. 8. Rinse the 100 ml amber volumetric flask with 50 ml of distilled water and add to the 125 ml separatory funnel. 9. Rinse the 100 ml amber volumetric flask with 70 ml nhexane and add to the separatory funnel. and feces carotene and total retinol the saponified sample into a 125 ml separatory 10. Shake slowly for 2 minutes and wait till the two layers separate. 11. Aspirate out as much of the n-hexane layer (upper layer) into a 250 ml amber Erlenmyer flask as possible without including any of the lower layer. 12. Add 70 ml n-hexane to steps 10 and 11. separatory funnel, and repeat 13. Add 40 ml of n-hexane to the separatory funnel and shake once more for 1 minute and then wait for separation. 14. Discard as much of the aqueous (lower) layer as possible It may be without discarding any of the n-hexane layer. necessary to force out the feed sample using a wire. 15. Add all the asparated n-hexane fraction that is in the 250 ml amber volumetric flask to the separatory funnel. 16. Rinse the n-hexane in the separatory funnel 3x with 50 ml of distilled water until the water layer which is the lower layer is clean and clear. Dump the lower layer in between rinses. 70 17. Pour about 5 grams anhydrous Na SO4 into the separatory funnel and shake to get rid of ahy residual water in the separatory funnel. 18. Pour all of the n-hexane in separatory funnel into a 250 ml amber volumetric flask. 19. Dry under N2 current on a steam bath. 20. Dilute to 25 mis with (37/63, V/V) Acn /MeOH, immediately and inject onto a C-18 Vydac column. Detect under 326 nm for retinol and about 436 nm for beta-carotene. Note: The amount of sample in step 1 and all dilution and injection volumes in step 20 varied depending on the concentrations of the compounds in the sample. For liver analysis 1-2 grams of sample were used. 71 2.4. A. CALCULATION FORMULAS Standard solution concentration IU/ml = (Spectrophotometric abs.)(0.B.)(.01) Extinction coefficient (Roels and Trout, 1972) B. Liver, feed, and feces IU/g = A B C F H DEGW C. Serum or plasma IU/ml = A B C F H DEGV D. Key Acn = Acetonitrile MeoH = Methanol O.B. = Observed biopotency A = standard solution concentration (1U/ran B = Peak height of the compound from injected sample C = Volume of injected standard solution D = Peak height of the compounds in injected standard solution E = Volume of injected sample (ul) F = Total volume of n-hexane used (ml) G = Volume of n-hexane dried after extraction (ml) H = Volume of Acn/MeoH used (ml) W = Sample weight (g) V = Sample volume (ml) 72 Chapter 3 EXPERIMENTAL 73 3.1. DETERMINATION OF THE MINIMUM TOXIC DIETARY VITAMIN A LEVEL FOR PREGNANT RABBITS. SUMMARY Vitamin A, vitamin which dietary levels 10,000, 30,000, supplemented an can essential be toxic. this In of vitamin A were used. experiment, four These consisted of 60,000 and 90,000 IU/kg of diet. The diet with vitamin A to contain 90,000 al/Kg of diet produced definite signs of toxicity. Storage of these feeds led to major oxidations of vitamin A, the is a fat soluble nutrient, probably because of lipoxidase activity of the rice hulls used in the basal diet. As a result the 10,000 IU/Kg diet became a vitamin deficient A diet and produced characteristic signs of vitamin A deficiency. The group of does on the 30,000 IU/kg diet performed best and produced the highest total weaning weight in three parities. The average plasma vitamin A value of this group which could be considered as normal was 2.8 t 0.4 IU/ml which is more than two human and rat normal values. increased with increasing plasma vitamin levels A greater times dietary Hepatic than vitamin vitamin A did not follow the same pattern. increased up to 60,000 that IU/Kg, of A values levels. The As dietary the plasma 74 concentrations increased 90,000 IU/Kg, The plasma but with there was a decrease in levels dietary levels of the the plasma of rabbits on the 90,000 IU/Kg diet was significantly (P<.05) lower than the 60,000 IU/Kg insignificantly vitamin A levels. higher deficient than plasma the group. and for the values showed This diet that the reproductive problems attributable to high dietary levels of vitamin A rather than though the in rabbits high may actually be associated with low plasma liver vitamin A concentrations concentrations, extremely were Rabbits feeding on extremely high dietary vitamin may suffer from "Secondary hypovitaminosis important to note that according vitamin A these A". results high. levels It is plasma analysis per se would not reveal the true status of vitamin A metabolism in complemented to A even rabbits and should by the liver analysis results, always be specially when vitamin A toxicity is suspected. Key words: Rabbits, Vitamin A toxicity, Reproduction 75 INTRODUCTION In ataxia, rabbits, hypovitaminosis diarrhea, emaciation ocular can often infections death, (Payne reproduction resorption, In to et hypervitaminosis observed reduced abortion, (Cheeke signs as a This the al., of condition result of secondary Adverse conception effects rates, hydrocephalus and low birth A et lesions. 1972). al., include cause and respiratory disturbances frequently accompanied by progress can A on fetal weight. same reproductive symptoms are Adverse 1984). effects on reproduction occur at much lower dietary levels of vitamin A than are needed to cause other obvious and detectable signs of toxicity (Cheeke et al., al. (1984) The study by Cheeke 1984). et demonstrated that a dietary level of 191,000 IU vitamin A/Kg diet resulted in including fetal resorption, severe reproductive damage, abortion, hydrocephalus and low viability of neonates. The objective of levels of excess this vitamin minimum dietary toxic level. study A, to was to evaluate lower more clearly define the 76 MATERIALS AND METHODS Animals. Twenty-eight New does were used, Zealand nulliparous White with seven does assigned to each treatment. The protocol was to obtain data for three parities from each doe. parities. week some does were not able However, to complete these Does were put on the experimental diets for a two adaptation period before the first mating. They were bred on a random basis to one of the two bucks fed does were palpated standard OSU diet. on days 11, pregnant After breeding, and 28 post-coitus. 13, after the did Does with two Does that not did age. week after kindling. Does experimental non- palpations positive were after three Kits were weaned at five weeks of euthanized period; conceive Rebreeding was attempted consecutive breedings were culled. one If diagnosed as give birth were considered to have resorbed not fetuses. were the first two palpations the individual was bred again immediately. which which livers after and completion of the blood were collected and frozen to be analyzed for retinol and retinyl palmitate. Diets. Four diets, OSU 27, 28, 29, and 30, differing only in retinyl palmitate supplementation levels, were used. These supplemental levels were 10,000, 30,000, 60,000, and 77 90,000 International kilogram of diet, Units of Retinyl palmitate per (IU) respectively. basal diet is shown in table composition The 3.1.1. Rabbits were of fed the at libitum. Vitamin A analysis. Vitamin A analysis was performed as described in section 2. Statistical analysis. SAS statistical package. The ANOVA was performed on 78 RESULTS AND DISCUSSION The reproductive data is shown are 3.1.3. No significant differences tables 3.1.2 and observed in the were parameters measured with different vitamin A levels in This diet. among the made. For was does. because the high degree of variation of Nevertheless, example, under the some conclusions can be practical situations one might only be concerned about how much total weight rabbits of can be weaned from does feeding on a particular diet rather than how many kits are born per doe, how many kits would die before weaning, or even how many would be weaned. is because reflection the total weight of animals of all the other parameters. weaned This is a Another parameter a rabbit raiser should be concerned about is the health of the does. The does fed the diet containing 30,000 IU/kg vitamin A produced 46.11 kg of weaned rabbits (Table 3.1.2), is about 4.5 times more weight than from the does diet supplemented with 10,000 IU/kg. fed which the The 60,000 IU/kg diet yielded 42.99 kg of weaned rabbits, which is similar to the 30,000 IU diet while the 90,000 IU diet produced only 2.6 kg more than the 10,000 IU diet (note figure 3.1.1). These 79 figures suggest deficient represent diets extreme two the that and toxic diets and the optimal dietary level of vitamin A required for rabbit reproduction close lies to 30,000 IU/kg of diet. The does the diet supplemented with 30,000 IU/kg on seemed to have the lowest incidence of health abnormalities (Table 3.1.4). only one On the deficient the third parity, whereas five rabbits survived in each of the other treatments. In the two highest vitamin A groups, problems such abortions as fetuses which are characteristics (Cheeke 1984) were observed, al., et IU/kg diet deficient cause not did abortion caused diet any hypervitaminosis of of resorbed and these problems. The second and also the in A whereas the 30,000 hydrocephalic and xeropthalmic kits in the third These IU/kg 10,000 survived to be used in generating data for doe, reproductive with diet parities. are manifestations of hypovitaminosis A in symptoms rabbits (Cheeke et al., 1984; Payne et al., 1972). Diarrhea was a cause of death 60,000 among IU/kg or less, diarrhea hypovitaminosis A in on been noted as high (note have exacerbated enteric problems. levels of silica a rabbits (Payne et al., high level of rice hulls in the diets may diets containing even in the 30,000 IU/kg diet. previously has rabbits which may The sign of 1972). The table 3.1.1) Rice hull contains cause enteritis and 80 erosions in the gut and lead to diarrhea (Robinson, requirements This stress may have raised the vitamin A the rabbits 1987). of for maintenance of the gut epithelial tissue. If this is true, then the only diet capable of providing enough vitamin A to protect the GI tract against the severe physical insults may been the reproductively toxic have diet. Pneumonia was observed in both toxic diets but not intermediate the and deficient probably because ones, rabbit lung epithelium, as any other epithelial cells, sensitive to both extreme levels of vitamin A. and deficiency cells and reduction cells. number the in Both excess loss of the integrity of these cause may are of mucous secreting reduction in mucous secretion could then lead This to increased susceptibility to infections (Moran, 1982). All of this suggested that the ideal diet with for reproduction. One of 12,000 IU/kg by requirements. experiment the Another was possibility conducted extensive losses occurred. Furthermore, of over vitamin the elevated hulls rice of of the possible explanations for this difference could be that perhaps the extra presented Lebas levels previously suggested. the (1980) suggested a requirement level diet rabbit However, this reproduction might be the 30,000 IU/kg diet. contradicts for one a A could in the be year feed stress vitamin A that the period and may have the rice hulls contain lipoxidases 81 which can 1987). and oxidize lipids This would accelerate the oxidation beta-carotene even further. A (Cheeke, vitamin of As a result, were actually exposed to less vitamin and rancidity cause and A the animals anticipated than the actual levels for the 30,000 IU/kg diet could very well be close to levels 12,000 animals the Furthermore, IU/kg. as vitamin A destruction occured. toxic diets values obtained actual were consuming changed throughout the year, were the analyzed were The deficient and at the end of the study. about ten times The than lower anticipated. The plasma and serum of five rabbits were compared to Vitamin see if they contained comparable vitamin A levels. A is bound to retinol binding protein (RBP) in blood and so preparation of serum which requires coagulation of the fibrinogen may trap some of the RBP and therefore result in serum levels However, was of vitamin A lower than plasma values. our findings shown in table 3.1.5 suggested there no significant difference between the plasma and serum vitamin A levels. proteins which One explanation could be that include vitamin A was released blood. In fact, RBP into coagulated the lipid and blood as denatured, fraction of the during analysis of blood plasma (includes RBP) for vitamin A, it is routine to use ethanol before the extraction steps because ethanol acts as a RBP denaturant. 82 denaturation The of this protein supposedly releases all It might the vitamin A into the plasma lipid fraction. be advantageous to use plasma instead of serum, if the samples are to be stored, because RBP is known to protect vitamin A against enzymatic and oxidative attack Sklan, and (Bondi 1984). The results obtained from analyzing the plasma and liver samples are shown in table 3.1.6. The plasma vitamin A levels of the rabbits on the diets with 30,000 and 60,000 IU/kg were significantly "deficient" different than those on and "toxic" diets and from each other. dietary vitamin A levels were 60,000 plasma IU/kg diet the exhibited an increasing trend. increased vitamin However, from the As the 10,000 to A of the rabbits it was surprising that feeding the "toxic" diet caused a lower plasma vitamin A, insignificantly "deficient" diet. explanation can table 3.1.6. different from those of rabbits on the (see be Figure A The liver samples that were analyzed were not the livers among sampling technique used might treatment. different Because the concentration of vitamin A varies in different parts of the liver (Dorea et al., variability possible offered by looking at liver levels in taken from the same sites on individuals. 3.1.2). in part explain 1984), the the high observed in liver vitamin A levels within each Our data showed significant differences between 83 all treatments. the The liver vitamin A increased as dietary vitamin A levels increased (Figure 3.1.3). In levels order for vitamin A to be mobilized from liver storage enter circulation, produced in the liver. cause reductions to be bound to RBP which is needs it and Factors which reduce RBP production mobilization in subsequent and accumulation of vitamin A in the liver (Underwood, Mallia et al. (1975) noted that administration of excessive 1979). vitamin A to rats caused significant reductions in RBP retinol levels the in blood. and is possible that this It happened to the rabbits on the "toxic" (90,000 IU/kg) diet. The RBP production capacity of the liver impaired (Figure depressed or 3.1.4). manifestations "secondary A of a been by the high liver vitamin A levels Therefore, hypervitaminosis have might rabbits in condition hypovitaminosis symptoms the might which This A". of infact could be be termed condition which has not been previously reported would then refer to low plasma but high vitamin liver hypovitaminosis A A demonstrated both the values importance plasma vitamin A analysis data precise vitamin diagnosis contrast to which requires both values to be low or hypervitaminosis A in which experiment with levels of with A are high. This of complementing that status liver of of particularly if hypervitaminosis A is suspected. for rabbits, 84 For studies of vitamin A requirements, it may be advisable to administer vitamin A by injection rather than via the diet, to accurately control the level administered. This particularly is studies, because experimental diets prevent entirely. loss true of during of long-term vitamin storage A is reproductive activity of the very difficult to 85 Table 3.1.1. Composition of the basal diet. Ingredient % Alfalfa meal 10.0 Rice hulls 25.0 Oats 13.5 Wheat mill run 25.0 Soybean meal 20.0 Molasses 3.0 Fat 2.0 Dicalcium phosphate 1.0 Trace mineralized salt 0.5 Table 3.1.2. Reproductive data (Total production over three parities). Total weaning Total birth weight of Kits alive Dueller Total Kits born of does kits born alive 1 6 39 2 2 Diet vitamin A content (lU /kg) 10,000 Parity 3 30,000 60,000 90,000 after first kits live litter 41 Total weaning weight week weaned 23 12 10 1108 7080 17 8 7 6 403 3164 (g) in three parities (g) 10244 none 1 1 50 33 25 24 1655 17936 2 6 43 25 18 13 1538 10313 3 5 36 31 26 23 1672 17863 1 7 49 31 25 25 1652 19126 2 5 29 15 14 13 1046 12120 3 5 36 17 16 16 1001 11739 1 7 45 22 13 13 1042 9394 6 36 19 12 1 983 951 2 10 3 3 3 200 2548 3 weight produced 46112 42985 12893 Table 3.1.3. Reproductive data (Average production per doe). Average Diet vitamin A content ilulkgl 10,000 Parity 3 30,000 60,000 90,000 kits alive Average Average total Average birth weight total weaning Number of Average kits born after first kits does kits born alive week weaned 6.5 + 2.6 3.8 + 1.7 2.0 + 1.3 1.7 + 1.5 184.7 + 82.1 1180.0 + 1079.1 8.5 + .7 4.0 + 5.7 3.5 + 4.9 3.0 + 4.2 201.5 + 285.0 1582.0 + 2237.3 1 2 Average 2 of live litter weight 1g) 1g) none 1 7 7.1 + 3.8 4.7 + 3.9 3.6 + 3.0 3.4 + 3.1 236.4 + 172.2 2562.3 t 2159.7 2 6 7.2 + 2.6 4.2 + 2.6 3.0 + 3.3 2.2 + 2.4 256.3 + 218.6 1718.8 + 1941.2 3 5 7.2 + 5.2 6.2 + 5.2 5.4 + 4.5 4.6 + 4.3 334.4 + 245.3 3572.6 + 3369.3 1 7 7.0 + 3.1 4.4 + 4.6 3.6 + 3.5 3.6 + 3.5 236.0 + 220.9 2732.3 + 2347.6 2 5 5.8 + 3.1 3.0 + 2.8 2.8 + 2.9 2.6 + 3.1 209.2 + 191.6 2424.0 + 3072.9 3 5 7.2 + 4.8 3.4 + 4.8 3.2 + 4.4 3.2 t 4.4 200.2 + 275.3 2347.8 t 3219.3 1 7 6.4 + 3.0 3.1 t 3.9 1.9 + 3.3 1.9 t 3.3 148.9 + 178.4 1342.0 t 2296.5 2 6 6.0 + 4.4 3.2 + 3.4 2.0 + 2.8 3 2 5.0 + 1.4 1.5 t 2.1 1.5 + 2.1 Means + SD No significant difference between any treatment. .4 163.8 + 164.1 1.5 + 2.1 100.0 + 141.4 .2 + 158.5 t 388.2 1274.0 + 1801.7 88 Table 3.1.4. Diet vitasin A content IU/kg 10,000 Health and reproductive status of does on different vitamin A diets. Doe(s) that Reasons for Cases of abortion, finished the exclusion before hydrocephalus, and third parity third parity resorbed fetuses 1 Lack of libido (2) Lack of conception (1) Deaths due to pregnancy toxemia, bilateral Abortion on second parity (1) Hydrocephalus on third litter (1) pneumonia, and diarrhea (3) 30,000 5 Death due to diarrhea none (2) 60,000 5 Lack of conception (1) Death due to diarrhea (1) 90,000 5 Lack of conception (1) Death due to pneusonia (1) Abortions on second and third parities ( 2) Abortion on third parity (1) Resarbed fetuses, one on second and three on third parities (4) number of rabbits. 89 Table 3.1.5. Animal Comparison of rabbit plasma and serum vitamin A concentrations. Plasma Serum 1 0.40 0.44 - 0.20 0.20 7 2.00 ^.'-'0 4 2.50 2.40 ,J ' 0.70 0.70 No significant difference (P<.05). Table 3.1.6. Average plasma and liver vitamin A levels for rabbits. Diet vitamin A content (IU/Kg) 10,000 Average plasma vitamin A (IU/ml) Average liver vitamin A (Total IU) 0.5 ~ 0.2A' 209.3 3,962.5 30,000 2.8 .4.. 0.4'3 60,000 4.2 1.0 90,000 0.9 0.34* +. 3098.543 42,890.9 153,945.0 112.544 16,436.2 -4- 60,850.5d Mean t SD Means bearing common superscripts in the same column are not significantly different (P<.05). 91 70000 10000 I 30000 1 00000 90000 2 m50030 4.0 40330 CE 01 C 41 0 10000 Dietary vitamin A CIU/Kg) Figure 3.1.1. Total weaning weights of kits born to does on different vitamin A treatments. 92 5 4 3 E 2 1 0 0 10000 20000 30000 40300 50000 50000 70030 80000 90000100000110000 Dietary Figure 3.1.2. vltaafn R CIU/Kg) Average plasma vitamin A concentrations of rabbits on different vitamin A treatments. 93 160 150 140 130 2 120 cz 110 100 90 4. 0 0 80 70 60 O 50 40 4# O 30 20 10 0 o 10000 20000 30003 40000 5k00 50000 KU 50000 90000 IOU Dietary vitamin R (IU/Kg) Figure 3.1.3. Total liver vitamin A levels of rabbits on different vitamin A treatment. 94 A Plasma o Liver 0 r______0 0 10000 20000 30000 40000 MC 60003 70000 80000 90000 lam Dietary vitamin fi (LU /Kg) Figure 3.1.4. Comparing the response of liver and plasma to increases in dietary vitamin A in rabbits. 95 INTERACTIONS 3.2. PYRROLIZIDINE BETWEEN ALKALOID AND and the VITAMIN A TOXICITY AND METABOLISM. SUMMARY Possible interactions between pyrrolizidine alkaloids (PA) (tansy ragwort) were vitamin present Senecio in investigated A in rats. jacobea There was a significant (P<.05) reduction in liver and plasma vitamin A in PA-fed rats as compared to the control group. The rats fed tansy ragwort (TR) had significantly lower feed intakes (P <.05) than controls. this did not explain the However, depressed liver and plasma vitamin A levels in body. the The total vitamin A intake of each group was calculated and compared to their liver and plasma vitamin A levels. intake/liver ratio of vitamin A for TR-fed groups compared significantly was to the control (P The higher <.05). However, the difference in this ratio was not significantly different (P<.05) among the 5 and 10% TR-fed shows that in order for TR-fed rats groups. This to have the same concentration of vitamin A in their livers as the controls, they have to consume more vitamin A. Since the plasma 96 vitamin A levels of the TR-fed rats were also lower than those of the control rats, the possible explanations for low liver vitamin A reserves of the TR group include either higher catabolism or lower intestinal absorption of vitamin A. Key words: Hepatoxicity, Tansy ragwort, Senecio jacobea, Pyrrolizidine alkaloids, Vitamin A, Rats 97 INTRODUCTION Vitamin A, a fat soluble, unsaturated 20 carbon cyclic alcohol, one is vitamins few the of which for both deficiency and These conditions arise under different circumstances. two excess Vitamin A deficiency result hypervitaminosis A, A hazards. occurs Vitamin as toxicity A a transport malabsorption, and disease. liver or health serious hypovitaminosis or malnutrition of disorders present or on the other hand, usually arises from the abuse of vitamin A supplementation and therapy and in some cases because of liver damage. Sources vitamin A include dark green plants which of contain beta-carotene, the vitamin A precursor, sources like Sklan, 1984). high or low liver, levels of have (Mahoney et al., 1980). vitamin other source of A vitamin vitamin been A. reported and fat (Bondi and liver can contain Cases as a of acute result of dog and chicken liver by humans consumption of polar bear, of yolk Depending on the species, hypervitaminosis A source egg milk, and animal beta-carotene is not always a good (Brubacher and Weiser, A can be the 1985). synthetic commonly sold over the counter in drug stores, supplements in the feed maufacturing industry. The forms and used as 98 small intestine (Olson, Weiser, and 1985) Dietary fat (Brubacher and 1961). Sharma and 1961; acids (Olson, bile the of Vitamin A is absorbed in the upper two thirds Vitamin Dostalova, 1986) are essential for its absorption. A then travels to the liver via the portal artery where is deposited form the in contains four Kupffer, parenchymal, cells, also different types known perisinosoidal, fat of as storing, The Stellate fibroblasts, lypocytes, interstitial and Ito cells, are the cells normally responsible for fat storage. However, endothelial, cells: cells. Stellate and parenchymal vitamin and when vacuoles fat needed, vitamin A (retinol) leaves the Ito cells bound retinol binding protein (RBP). the When 1982). encouraged lipogenisis (Moran, A have (hepatocytes) cells also been observed to accommodate circumstances Liver retinyl palmitate. of it to RBP renders retinol The non-toxic (Mallia et al., 1975) to cell membranes. Generally, protect the vitamin epithelial A in cell normal levels functions to membranes. More specific functions, however, include vision (Bondi and Sklan, 1984), bone growth (Roels and Trout, fluid pressure reproduction maintenance 1969), normal cerebrospinal (Eaton, 1969), maintenance (Lorente and Miller, 1977; normal Unni 99 and general and Rao, 1985), growth (Brief and Chew, 1984), health prevention of infections (Chew et al., and 1982). Any deviations from normal levels of vitamin A in the body would cause changes and deviations in vitamin A functions. Hypovitaminosis exhausted and there when arises A circulation to meet metabolic needs. such as Xerophthalmia secondary infections, fluid pressure problems, (Dorea et capacity is and reproductive species, diarrhea a result of as to RBP it can exert and 1986). hypervitaminosis wherever A The are there peripheral anorexia, bound esterases 1986; and to Schindler manifestations include bone problems, cerebrospinal fluid pressure, problems. storage A action and cause membranolytic it to retinol (Halvey and Sklan, Klopp, on retinyl palmitate is secreted and a gut Hypervitaminosis A, Since this form of vitamin A is not peripheral cell damage convert can occur. the in takes place when liver vitamin saturated into the blood. excessive 1984), al., the on growth 1972), the other hand, the in As a result, symptoms impaired epithelial cell membrane maintenance (Payne et al., A are increased or decreased cerebrospinal depending impaired vitamin enough not is reserves liver of alterations in reproductive 100 Acute ethanol administration (Sato and and treatment with TCDD (Thunberg et Lieber, 1982) 2,3,7,8-Tetrachlorodibenzo-p-Dioxin al., 1979) reduce or liver and elevate plasma vitamin A levels. pyrrolizidine The alkaloids (PA) present in Senecio jacobea (tansy ragwort) are well-known hepatotoxins. PA have a diversity of biological problems are effects, the principal irreversible liver cirrhosis with pronounced fibrosis and biliary hyperplasia which would lead to as a result of liver injury (Cheeke and Shull, PA are not toxic unless they are toxic metabolites, in 1985). the biotransformed death 1985). to The their the pyrroles and the recently isolated highly reactive aldehyde, et al., While trans-4-hydroxy-2-hexenal (Segal This is why the liver lesions are observed centrilobular hepatocytes containing concentrations of the mixed function oxidase enzymes. high As a result of necrosis of these hepatocytes, secondary problems may arise which complicate the sheep are relatively resistant to PA situation. toxicosis, Even though ingestion of the PA-containing Heliotropium europium predisposes them to copper toxicity (Bull et al., 1956). This situation was simulated by feeding Senecio PA to rats (Miranda et al., 101 The induced copper toxicity is 1981b; Swick et al., 1982). partially due rupture the to containing copper of hepatocytes (Underwood, 1977). though the main concern with PA poisoning in the Even Pacific Northwest has been mainly with livestock, the U.S. potential for human exposure to these toxins should not overlooked. Important cases toxins have already been and third in utilized. Recently, extensively documented where overseas herbicides are not increasing attention has been paid to problem in the U.S. this of human poisonings by these countries world be Ridker et al. (1985) documented for the first time a case of serious human poisoning due to consumption of comfrey (Symphytum officinale) used by health conscious, "natural The PA have food" consumers. also been recovered from milk (Dickinson, many 1974) and honey (Deinzer and Thomson, 1977) produced in areas infested with tansy ragwort. The objective of this experiment was to investigate the interactions between vitamin A and PA present in ragwort and the vitamin A toxicity, containing cells, possibilities of PA predisposing rats to perhaps via the rupture of in dealing vitamin A or as is the case with ethanol and TCDD. The information obtained in this both tansy with experiment PA-resistant and is important non-resistant 102 species. Resistant animals which can consume of PA, could In the case combination levels perhaps develop chronic vitamin A toxicity. of of high non-resistant high vitamin animals A and humans, supplementation exposure may cause the same problem. and a PA 103 MATERIALS AND METHODS Vitamin palmitate A premix obtained was retinol All-trans preparation. from Sigma Chemical Company. The concentration of this compound in the material obtained was 250,000 IU/g. Vitamin A 9.2436 the vitamin A material with 1,031.0 g ground of g The corn. vitamin premix prepared was mixing by A concentration of the premix was then calculated to be 2222 IU/g. Animals and diets. rats, During this time, weight male 54 of weighing 83-117 g, were used. 32 days. body A total Evans Long The experiment lasted daily feed intake weekly and data were collected. At the endof the study, animals were euthanized using CO2. Blood and liver samples were collected and stored frozen until analyzed for vitamin A using the methods outlined were assigned nine to section in different The 2. diets. The basal diet (95.5% of total) was composed of the following on a percentage basis: phosphate, 1; trace and ingredients soybean meal, 30; Ground corn, 53; alfalfa meal, 5; vegetable oil, 3; animals molasses, 3; mineralized salt, dicalcium .5. remaining 4.5% of the diet was supplemented with vitamin premix. The medium high vitamin A diets premix. This vitamin A recieved resulted in The A diets received 34 and the 135 25,183 g of the vitamin A IU vitamin A/kg of the 104 diets. medium and 99,990 IU vitamin A/kg of high vitamin A If still needed after addition of premix, used to bring up the diets to 100%. tansy ground corn was In addition to this, ragwort collected in the vicinity of Corvallis, was added in proper amounts to each diet in order regarding the make Table 3.2.1 contains precise up 0, 5 and 10% of the diets. information to OR. vitamin A and tansy ragwort composition of each diet. Vitamin A analysis. Methods previosly outlined in chapter 2 were used. Statistical analysis. statistical package which The ANOVA was performed on SAS was capable of analyzing uneven number of replications in different treatments. for 105 RESULTS AND DISCUSSION The plasma vitamin A values The 3.2.2. plasma Underwood 1975; table in A levels of all rats on 0% TR vitamin diets coincided with the presented are normal (Mallia values al., et 1979) and were not significantly et al., (P< .05) different from each other regardless of vitamin supplementations. This hypervitaminosis A supplementations in hypothesis, proved in levels all TR-fed 0% absence the of hypo- and of vitamin Contrary group. A PA toxicosis reduced plasma vitamin A our to Thus, A. in contrast to substances like TCDD (Thurberg et al., 1979) and ethanol (Sato Leiber, and 1982) which would reduce appear liver but elevate plasma vitamin A, PA both that values. This would different mechanism. TR diets is suggest to reduce the PA act via a The plasma data from rats on the 10% limited because of deaths due to PA toxicity prior to the end of the experiment. However, from the limited data obtained with the 10% TR treatments, there did not seem to be a significant difference between the plasma vitamin A levels of rats on the 5 and 10% TR diets. The 5% TR diet seems to be sufficient for creating the type(s) damage that which of the could control of reduce plasma vitamin A to about half (note Figure 3.2.1). Vitamin A 106 did supplementation plasma vitamin A cause any significant changes in not levels rats of either on the of TR supplemented diets. possibility The that may PAs cause sequester more vitamin A than control, of copper analysis. 3.2.3. (Underwood, 1977), liver to the as seen in the case ruled out after liver was The liver concentration data are shown in In the TR-fed 0% table there were significant groups differences (P < .05) between all vitamin A supplementation levels. In the 5 and 10% TR-fed groups, however, the 0 and intermediate vitamin A supplementation level groups did not differ from each other significantly. supplemented studying effects different vitamin liver vitamin A of PA Table 3.2.3 also liver on supplementation different the dietary between the control significant (note vitamin al., allows A under the First, levels. from each vitamin A and TR-treated Figure 3.2.2). other. by Secondly, levels the difference groups The liver concentration varies depending on the sampling the A A levels for the two TR-fed groups were not significantly increasing vitamin groups had significantly higher (P<.05) liver vitamin A values than the others. for The high became more vitamin site, A with right lobe having the highest concentrations (Dorea et 1984). consistently In the present study, taken liver samples were not from the same site in all individuals, 107 variability which contributed to since a part large the of in the However, data. total liver was used, this sampling difference is of limited importance. The TR-fed rats receiving the high vitamin A diets had plasma vitamin A levels of about half those of control rats with vitamin no Furthermore, supplementation A average on their livers contained more than thirteen times more vitamin A group. In order those than investigate to 3.2.2). (table the of the latter possibilities impairment of vitamin A mobilization in the PA intoxicated rats, a liver:plasma ratio was calculated (table 3.2.4). group with a relatively others could have had an vitamin A liver:plasma ratio than higher impairment mobilization capabilities. of of liver vitamin A This is because within the same A treatment a higher liver:plasma ratio for one TR treatment versus another would indicate higher liver and/or lower plasma concentrations, mobilization 3.2.4, control for that group. there was no and treatments for the the 5% hence impairment of vitamin A As can be observed in table significant TR-fed difference between the rats in any of the vitamin A liver:plasma ratios (Figure 3.2.3). This rules out the liver mobilization impairment theory. 108 possibility Another for the lower liver account to intake feed 3.2.5) caused by PA toxicosis lowered (table vitamin A intake which vitamin A lower the that be vitamin A levels in PA-fed rats could content. In body total the reduced turn in order to examine this possibility For the total vitamin A intake of each rat was calculated. the rats which were not supplemented only whose source vitamin of calculated. beta-carotene considering was a the in vitamin exception only vitamin A difference to this supplementation A intake of group. each vitamin total was there intakes. A that when there was no was significant no The reason for this was that the which was added to the TR-diets probably contributed to the beta-carotene concentrations of these may Table in vitamin A equivalance intake which was based on beta-carotene levels. TR and 2) significant difference (P < .05) between all vitamin A and TR treatments in The (section diet conversion rate (table 1.2.1). 100% 3.2.6 shows the total There carotene B- was done by measuring the amount of This available a the and A a vitamin A equivalent intake value available in the diet, was was A vitamin with diets and this have compensated for the significantly reduced dietary intake of these rats decreased vitamin (table A 3.2.5). Thus, there was a intake as a result of decreased feed intake with addition of TR to the diet. However, this did not seem to cause the depressed liver and vitamin A levels. 109 If the vitamin total vitamin A, high TR intermediate group vitamin A, of the rats in the high intake A compared is that to the of no TR group (table 3.2.6), it is apparent that the latter group consumed about half as much vitamin A as did the first group, but their liver vitamin A contents are similar. reduced vitamin A levels were not intakes vitamin a calculated increased mean (table the significantly rats significantly fed TR (P< .05) which would TR-diets the with had consume to more vitamin A in order to maintain the same they A controls. reduced to controls. other In words, of these rats contained relatively less of the livers vitamin due treatment Overall, liver vitamin A levels as the the solely intake to liver vitamin A ratio was 3.2.7). ratio this that A substantiate that the further To This consumed would than did suggest either rate or higher catabolism rate of livers the of the a lower absorption vitamin A the in TR- treated rats. Vitamin A is an unsaturated alcohol with five double bonds (see figure 1.2.1). metabolites of Pyrroles pyrrolizidine which alkaloids are the possess positive sites (see figure 1.3.1) which make them alkylating seeking electronegative sites, of DNA. bind the Theoretically, toxic agents such as the phosphate sites it is possible that the pyrroles electronegative double bonds on vitamin A and/or 110 them. its esters by addition reactions and catabolize vitamin A complexed chromatographically manner would have not been such in detected The because of different a retention time. Percent liver weight was calculated for each group of animals (table groups, TR differences supplemented 3.2.8). consumption in % with did liver not weight. vitamin significantly (P< .05). vitamin the In A, TR A result in supplemented significant when However, not reduced % liver weight This might suggest some protection offered by vitamin A against hepatic effects of PA (Figure 3.2.4). Average daily gain (ADG), shown in table decreased for all groups as dietary TR increased, typical of TR poisoning (Cheeke and Shull, 1985). 3.2.9, which is Table 3.2.1. Diet # Additions to basal diets (95.5%). Vitamin A Premix Added Ground corn Added Total amount of vitamin A (X of diet) (X of diet) (IU/k9) 1.13 3.37 4.50 4 (% of diet) 4.50 1 2 Tansy Ragwort added - 5 0 1.13 6 4.50 4.5 3.37 25183 - 99990 - - 5 25183 5 99990 5 7 - 4.50 - 10 8 1.13 3.37 25183 10 9 4.50 99990 1 Table 3.2.2. Plasma vitamin A values of rats fed various levels of vitamin A and tansy ragwort. %dietary tansy ragwort Vitamin A in diet (Ill/kg) 25,000 0 0 1.57 - 5 0.74 10 0.82 4' 1.65 *' 0.2A" 0.2bk 0.87 4- 0.11" 0.71 .021 1000000 1.68 4- 0.3,0-, 0.81 - 0.1tzi 0.71 -4. 0.021 Means (IU/ml) 4- SD Means in the same columns or rows, bearing common superscripts are not significantly different (P<.05). SEM = .08 Table 3.2.3. Total liver vitamin A content of rats fed various levels of vitamin A and tansy ragwort. Vitamin A in diet %dietary tansy ragwort (%U/kg) 000 0 100,000 _ 0 1053.3 4- 325.2A'" 11838.0 4- 3520.7e1 49076.4 4- 13417.0 5 627.5 4' 506.5cs" 4467.3 4- 1259.2c"J 19226.9 4- 7407.8m.k 10 866.8 -4' 182.54h 3016.7 4 352.04J 14458.8 4' 10220.6ak Means (IU) 1: SD Means in the same columns or rows, bearing common superscripts are not significantly different (P<.05). SEM = 2804.2 Table 3.2.4. Vitamin A liver:plasma ratios. %dietary tansy ragwort Vitamin A in diet (IU/kg) 25,000 0 0 714.4 ± 272.24'41 7425.7 -** 2516.01"h 100,000 29906.9 9525.3b1 7431.5'1' 5 1175.0 1266.4=41 5119.0 4- 1404.8=h 26181.0 10 1326.6 13.456'0 4288.9 T!' 219.6k" 33027.4 7!" 15837.641 Means SD Means in the same columns or rows, bearing common superscripts are not significantly different (P<.05). SEM = 2383.5 Table 3.2.5. Average daily feed intake of rats fed various levels of vitamin A and tansy ragwort. Vitamin A in diet %dietary tansy ragwort (IU/kg) 0 21.3 5 15.7 10 10.5 Means (g) 100,000 25,000 0 21.5 :!* .~ 1.24 15.4 1.0,1ca 10.1 1.2Akt, 4- 1.1csJ 20.6 0.9mk 13.7 1.01 11.5 1.4c$m SD Means in the same columns or rows, bearing common superscripts are not significantly different (P<.05). SEM = .52 Table 3.2.6. Total vitamin A intakes of the experimental rats. %dietary tansy ragwort Vitamin A in diet (IU/kg) 25,000 0 1288.2 5 1417.3 10 1286.9 64.04" 19457.2 4: 4* 117.9=t 14462.9 * 4* 121.44'1 9876.4 4' 100,000 1149.4bJ 70791.2 4* 3140.2m 1468.8 47751.0 ** 3339.2F3r' 4435.5021 40135.5 4- 4097.2"° Means (IU) 4' SD Means in the same columns or rows, bearing common superscripts are not significantly different (P<.05). SEM = 972.2 Table 3.2.7. Vitamin A intake:liver ratio in rats. Vitamin A in diet %dietary tansy ragwort (IU/kg) 0 1.22 5 2.26 10 1.49 Means 4- SD 100,000 25,000 0 0.7=R 1.64 4: 1.3A'a 1.44 4- 0.5A" -e 2.8k" 3.24 4- 2.1.' 2.50 4. 0.8i 4- 0.8AAP 3.27 4' 0.41-". 2.78 4- 1.1"i Means in the same columns or rows, bearing common superscripts are not significantly different (P<.05). SEM = 0.63 Table 3.2.8. Liver weight as percentage of body weight in rats fed various levels of vitamin A and tansy ragwort. %dietary tansy ragwort Vitamin A in diet (IU/kg) 25,000 0 100,000 0 4.6 It 0.2m= 4.3 .4 0.5m4 4.5 5 3.6 -4 0.4= 3.9 -4 0.6=4 4.3 10 3.8 It 1.1='" 3.7 It .34=4 4.0 -4 0.7mk 0.5=k '4 0.4=k Means (%) -4 SD Means in the same columns or rows, bearing common superscripts are not significantly different (P<.05). SEM = 0.25 Table 3.2.9. Average daily gains of rats fed various levels of vitamin A and tansy ragwort. %dietary tansy ragwort Vitamin A in diet (IU/kg) 25,000 0 0 6.22 4' 3.02 10 0.98 4" 0.4P 5.22 4- 0.74 2.72 'I- 0.8dg 0.75 4' 100,000 0.5b." 5.40 4* 0.5t, 0.91 2.28 +' 0.71 0.3'" 0.48 Means (g) t SD Means in the same columns or rows, bearing common superscripts are not significantly different (P<.05). SEM = 0.27 120 3 0 o 5Z TR OZ TR 2 1 .6 0 0 25000 500D3 75000 100100 IETO Dietary vit. A (IU/Kg) Figure 3.2.1. A comnarison between the plasma vitamin A concentration of control and tansy ragwortfed rats. 121 0 10% TR 0 5Z TR A 0% TR A co ,;0000 1n0 0 25000 50000 75000 0000 Dietary vitamin A (IU/Kg) Figure 3.2.2. Total liver vitamin A contents of rats on different vitamin A diets. 122 0 1000001Us/Kg L, 25000 his/Kg -A 5 0 dietary tansy ragwort Figure 3.2.3. The liver/plasm ratio of vitamin A in rats on different vitamian A and tansy ragwort treatments. 12.3 0 1.3 0 25000 1.11 \o0000 1\3 ---------------------- A 661liq\O 1 Metall tonsu rogort Figure 3.2.4. The effect of tansy ragwort on %liver weight of rats. 124 3.3. EFFECT OF PYRROLIZIDINE ALKALOIDS ON FAT AND VITAMIN A METABOLISM IN RATS. SUMMARY The effect of dietary pyrrolizidine alkaloids (PA) on the absorption of fat and vitamin A in rats was measured, to determine in plasma and liver vitamin A reduction the if levels observed in rats fed Senecio jacobaea (tansy ragwort) is due to impaired vitamin A fat The absorption. levels were reduced (P<.05) in rats fed PA. liver:intake ratio for fat reduced ragwort tansy for was significantly treated rats. liver:intake fat ratio for tansy ragwort fed rats suggest that a simply the low regard groups to collection fat .05) < The lower seems to fat liver reflect their inadequate energy intake and lack of excess energy to store as fat. treated (P the Since the PA intoxicated rats had a reduced feed intake and were emaciated, may Also, lower fraction of consumed dietary fat was deposited in the liver. content liver total The control and did not differ significantly (P < .05) with and vitamin A absorption. The fecal period of 48 hours may not have been adequate to account for all of the vitamin A excreted. The results do 125 not suggest that the depressed plasma and liver vitamin A levels in rats fed tansy ragwort are a result of impared vitamin A absorption. Key words: Pyrrolizidine alkaloids, Tansy absorption, Vitamin A absorption. ragwort, Fat 126 INTRODUCTION Pyrrolizidine alkaloids (PA) present in Senecio jacobea (tansy ragwort), reduce levels of plasma and liver vitamin A in rats (Section 3.2). The PA cause biliary hyperplasia and decreased bile secretion. emulsification Weiser, Dostalova, absorption. and 1985) and 1986) bile depressed absorption acids affect fat Dietary fat (Brubacher and (Olson, Sharma 1961; and are essential for absorption of vitamin A in the small intestine. observed This could adversely Thus, the reduced vitamin A levels the rats consuming tansy ragwort may be due to in biliary of secretions which result in reduced fat and fat soluble vitamins such as vitamin A. The objective of this study was to investigate the possibility of PA reducing the vitamin A level in plasma and liver via lowering its absorption as a result absorption of lipids. of depressed 127 MATERIALS AND METHODS Animals and Twenty diets. weighing 112-136 g were used, (weanlings), ragwort Sprague two treatment. rats 5 for initial data collection 8 for the control group, (TR) Dawley and 9 for the weanlings The tansy sacrificed were immediately in order to get base line values for plasma livers. The rest twenty-eight days. the On sacrificed after were animals the of tenth and day, six animals per treatment were anesthetized using ketamine and about 1 ml of blood withdrawn was technique. from each These blood samples were analyzed for vitamin A; the values are referred to as data. At by heart puncture animal the end the two rats from each the third week, of group were dosed in order to observe the pattern of A excretion. cages. Feces analyzed for vitamin A. were sacrificed in a CO Dosing. Retinyl Chemical Company. contained vitamin At the end of the fourth week all of the rats which were left were dosed with collection plasma "mid-experiment" 250,000 vitamin and placed were collected for 48 hours, At the end of 2 A 48 hours all Exactly palmitate was This material was in purchased granular IU/g retinyl palmitate. eight and rats chamber. from Sigma form ml of and Hexane was used in dissolving enough of this material into a 3600 IU per solution. in ml this hexane solution were 128 The hexane was added to 30 ml of vegetable oil. nitrogen under evaporated retinyl palmitate remained in the oil. and IU/ml Retinyl palmitate concentration of oil was then 960.0 which equivalent was (multiplication conversion). factor Each table in dosed was rat IU/ml 1015.3 to of with for used was 2.1.1 retinol ml of this oil 2 solution orally. Blood and liver preparation. were After collected animals, blood analysis. In order to prepare plasma, the and liver sacrificing for the vitamin heparin was used at time of blood collection to prevent coagulation. These The liver samples were immediately spun to obtain plasma. samples wre divided into three sections; the right lobes for vitamin A analysis, the left lobe for lipid analysis, and the mid-lobe for histological examination (if needed). Vitamin A presented in The ether extract method presented in analysis. The instructions Section 2 were followed. Lipid analysis. Association followed. of Analytical Chemists (AOAC, 1970) was 129 Qualitative Lemberg and hemoglobin Legge (1949), detection. presence As suggested by of hemoglobin was detected under 555 nm UV light, after simply diluting plasma with distilled water. Statistical analysis. statistical package which The ANOVA was performed was capable of on SAS analyzing for uneven number of replication in different treatments. 130 RESULTS AND DISCUSSION The plasma vitamin A levels of 6 rats after 10 days each dietary treatment were IU /ml for control and TR-fed effect PA of on 0.89 t 0.22 vitamin plasma reducing and 0.58 t 0.16 respectively. rats, on Thus an levels was A the this trend continued throughout observable by 10 days; experimental period (Figure 3.3.1.). adequate To determine if the TR feeding period was two rats from each group were vitamin A metabolism, modify randomly selected to dosing before weeks, vitamin administered be all to of the A These rats. after 3 animals inadvertently received about 10 times the dosage of the main group (21,839 IU/rat vs. 2,031 IU/rat). whereas only 24 hours in the control animals, the 57% of the dose was in the first 24 hours in the TR-fed group (Figure 3.3.2). should of was excreted in the first vitamin A dose that was excreted, excreted About 82% have In retrospect, been the fecal collection period than longer 48 hours. For the control animals, 5.88% of the total dose was excreted, while for the TR-fed group, 2.52% was excreted. The liver contents were 39.3% and 13.7% of the total dose for the control and TR-fed rats, respectively (Table 3.3.1). Thus 54.8% and 83.8% of the administered dose was unaccounted for in the two groups. Presumably the remainder of the dose was still in the 131 lower percent of the dose that much The tract. digestive rate slower absorption of excretion fecal and indicate may rats could be accounted for in the TR-fed in rats gut This pattern suggests that PA may reduce receiving PA. a motility and prolong the time of digesta passage. For main the the percent apparent group of animals, (Table absorption of vitamin A was very high in both groups 3.3.3). As discussed for the animals receiving the vitamin this may in fact simply be a lack of fecal A after 3 weeks, excretion within the 48 hour collection period, absorption. representing period have should In been conclusion the of of fecal vitamin for As period. receiving the high dose of vitamin pattern and the digestive tract longer, collection collection the retrospect, contents should have been analyzed rather than A after A with About 8.5% of the TR-fed rats 12.8% of dosed vitamin of the days, 21 vitamin dosed time. Considering A the was A whereas in was excreted in 48 hours by the control animals, period the rats vitamin A excretion differed between the control and TR-fed groups. that the at excreted in amount of total vitamin A present in the livers and plasma samples of each group, a greater proportion of the dose can be accounted for in the control animals. This again suggests an effect of PA on reducing gut motility if the unaccounted vitamin A was to 132 metabolism of hepatic in or an alteration be found in the gut contents, vitamin A such as addition reactions between pyrroles and vitamin A which reduced the hepatic vitamin A levels. The This for fat was calculated. ratio liver:intake parameter is a function of total intake during the course of period. collection the the experiment and not just during liver is not the only site of fat accumulation and also The it is a dynamic fat storage site. However, since the TR-fed rats were emaciated and had fat less both in liver and peripheral sites than the control, using this parameter as a means to compare the two groups for retention of fat in the for control higher The ratio was significantly (P<.05) body is useful. the than rats 3.3.2). (Table group TR-fed of their inadequate energy intake and lack of excess energy to store this However, as might be simply a reflection fat. Vitamin E is also a fat soluble vitamin. unsaturated protects 1981). (Stryer, occur and membrane In vitamin result in anemia E lipids hemolysis 1984). those from the control groups Qualitative hemoglobin detection seemed to may All of the plasma samples obtained from the TR-fed rats were whereas vitamin oxidation against deficiency, (Church, This hemolyzed were all normal. suggest a much 133 higher degree of red blood cell hemolysis in the TR-fed rats the than control. further might This substantiate This could impaired fat and fat soluble vitamin absorption. implications further have toxicity. Segall et the in (1985) al. pathogenesis have demonstrated that which Thus the PA-induced liver necrosis may in are pro-oxidants. peroxidation be Vitamin damage. intracellular antioxidant. absorption transport or Impairment exposure with intensify the hepatotoxic effects. beneficial the PA of hepatic metabolism of PA can yield reactive aldehydes part an effects vitamin of to PA could thus This could synthetic of E is the principal for account antioxidants in alternating PA toxicity (Miranda et al., 1981a,c). Plasma and liver vitamin A and liver fat contents compared between the weanling, (Table and 3.3.2 control, and TR-treated rats The 3.3.3). were TR-treated had rats significantly (P<.05) lower plasma and liver vitamin A than the controls. The control plasma values, plasma values, values obtained reported in considerably were in table 1.2.2. liver vitamin A levels. in previous the lower as well as other than the control experiment or values The same was true for the total Since the only source of vitamin the diet was beta-carotene, carotene deficiency in this diet. A this might indicate a betaThis could have increased the vitamin A absorption efficiency after dosing the rats. 134 Figure with shows that even though the animals were dosed 3.3.1 about 2000 IU of vitamin mid-experiment experiment, the higher than both the zero-day A plasma blood and end the at the of the values were terminal plasma vitamin A levels. Table 3.3.2 also gives total liver fat contents for the three groups. The weanling and control contents significantly (P<.05) higher total liver fat the TR-fed group. the had than The very low fat content of the livers of PA-fed rats may indicate a PA-induced alteration of fat metabolism. feed groups An alternate explanation is that because of low presumably intake, because of the pronounced the TR-fed animals were deficient in unpalatability of TR, energy intake, so there was no surplus energy to deposit as fat. Rats appearance. fed TR are characteristically emaciated in Table 3.3.1. Vitamin A metabolism of rats administered a high dosage of vitamin A after 3 weeks exposure to tansy ragwort. Fecal vitamin A excretion (1111 Group Control Tansy Plasma Total liver Dose Vitamin A Vitamin A (IU) (1U/a1) (IU) 0-24 hr 21839.1 .93 ! .02 8576.5 ! 776.6 1056.8 ! 314.7 21839.1' .34 ! .09° 2983.6 ! 500.9 316.0 ! 272.5° 24-48 hr 228.8 ! 36.8 235.1 ! 181.6 0-48 hr 1285.6 ! 551.1 ! 91.0 Ragwort Means 4" SD Means in the same column bearing common superscripts are not significantly different (P<.05). Table 3.3.2. Group Fat metabolism of rats fed tansy ragwort. Total feed intake (g) Total Fat fat intake Liver:Intake (q) ratio Total feed intake Total fat during collection intake during period collection period Total liver X Fat fat absorption for tgl collection period (g) .14 ' .03 Meanlings .10 .17 .02 .58 3.4 1.5 29.2 t .6 .31 90.1 ' 607.3 ! 11.8 29.0 ! 1.9' Control 92.6 1.4 .06 .02° .28 ' .10° .10° 10.9° 21.7 ! .5° 2.9 451.1 18.3 ! 1.8° Tansy Means ! SD significantly different. Means bearing common superscripts in the same column are not Table 3.3.3. Vitamin A metabolism of rats fed tansy ragwort for 4 weeks. Vitamin A Sroup dose (1U) Total vitamin A excretion (10/48 hrs) % Vitamin A Plasma Total Liver absorption in vitamin A vitamin A collection period (1U/s1) Weanlings (101 .64 .06 1487.5 88.6" Control 2030.6 171.8 106.6 91.5 2.1 .68 .05 1727.8 80.9 Tansy 2030.6 259.6 76.6 87.2 1.9 .27 .05° 1324.0 74.9° Means SD Means bearing the same superscripts in the same column are not significantly different (P<.05). 138 o 5Z tans 1.0- w Control 0.9 0.8 0.7 p. 0.4 0.3 0.2 0.1 0.0 0 10 20 30 Dogs Figure 3.3.1. Plasma vitamin A levels in rats fed a control or tansy ragwort-containing diet. 139 2000 0 0-24 hr 1 24-48 hr 1000 0 Figure 3.3.2. Control ansy ogwort Vitamin A excretion pattern of control and tansy ragwort-fed rats. 140 CONCLUSION AND SUGGESTIONS FOR FURTHER WORK: Vitamin A can have adverse effects on rabbits when fed in extremely high levels. observed be can when reproduction The same effects is a deficiency in vitamin A there which The symptoms of hypo- and hypervitaminosis A intake. of are similar are ataxia, diarrhea, emaciation and respiratory disturbances frequently With regard to rabbit reproduction, rates, conception reduced hydrocephalus, by accompanied fetal low birth weights, problems. ocular include these symptoms abortion, resorption, and low weaning weights. Because of vitamin A losses from the feed during storage the toxic and deficient levels of vitamin A for pregnant rabbits not could be 90,000 that the toxic level is less than vitamin IU A/Kg This is markedly lower than vitamin A levels reported diet. to except accurately determined in this study, be toxic in other species. Of interest was the finding that with the highest level of vitamin vitamin animals. before, A level This was similar situation, to which A that has fed, the plasma seen in deficient not been reported may be termed "secondary hypovitaminosis A" and may explain why the symptoms of hypo- and hypervitaminosis A in rabbits are the same. The pyrrolizidine alkaloids (PA) were found to reduce both liver and plasma vitamin A in rats. Rats fed Senecio 141 had ragwort) significantly a lower feed jacobea (tansy intake. However, vitamin A did not result because of lower vitamin A intake. the reduced plasma and Under the conditions used, a result of liver levels of lower absorption of vitamin A as lower bile secretion into the small intestine did riot seem to be the reason either. Further study is necessary to elucidate the mode of action of PA in modifying vitamin A metabolism. To further pursue this work the following studies might have immediate priorities: 1. Investigate the possibility of between pyrroles and vitamin A. 2. Study the effects of PA on: addition reactions a. B-carotene conversion. b. Synthesis and secretion of RBP. c. Cellular distribution of vitamin A. d. Distribution of vitamin A among different organs (ie. liver vs. lungs, body fat and, testes). e. Plasma vitamin A of rats dosed with vitamin A orally vs. intravenously. f. Plasma vitamin A when liver stores of vitamin A are already high. 3. Study the role of hepatocytes during hypervitaminosis. 4. Confirm reduction of hypervitaminosis A. plasma in vitamin vitamin A storage A in rabbits in 142 5. Establish a correlation between liver and plasma vitamin A levels in rabbits. Follow that with establishing a liver vitamin A clearance rate in rabbits in order to develop an optimum vitamin A injection interval for keeping plasma vitamin A levels within the normal range. 143 BIBLIOGRAHY 1972. Frazee. J. Chesney, and W. F. Allen, J. R., C. 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