COLLOIDAL MINERALS
    
    
    VITAMIN A 
    
    Vitamin A or retinol [3, 7-dimethyl-9-(2,6,6, trimethyl-1-cyclohexen-1-yl)-2,4,6,8-nonatetraen-1-ol] 
    is also found in foods and biological tissues as retinyl esters such as retinyl 
    acetate (used in food supplements) and retinyl palmitate. Retinyl palmitate 
    is a major storage form of vitamin A in the body, and liver is a major storage 
    site. The best known function of vitamin A is in vision, where it participates 
    (as the metabolite retinal) in the visual cycle. However, in the chemical form 
    retinoic acid (both as all-trans retinoic acid and as 9-cis retinoic acid, both 
    of which can be formed from retinol in the in the body), vitamin A plays an 
    important role in control of gene expression. Retinoic acid maintains differentiation 
    of epithelial cells such as skin, lung, and intestinal tissue, but this form 
    of vitamin A cannot be used in vision. 
    Deficiencies:  
    Night blindness is one of the early signs of vitamin A deficiency because of 
    the role of vitamin A in vision. Bacterial invasion and permanent scarring of 
    the cornea of the eye (xerophthalmia) is a symptom of a more profound deficiency. 
    However, this is due to a different mechanism, the lack of vitamin A for control 
    of gene expression. Profound vitamin A deficiency also results in altered appearance 
    and function of skin, lung, and intestinal tissues. Children are most at risk 
    of vitamin A deficiency because they have not yet developed adequate vitamin 
    A stores. It has been estimated that 0.5 million children in the world become 
    blind each year; 70% of these are due to vitamin A deficiency. Over half of 
    these blind children die from malnutrition and associated illnesses. 
    Clinical uses: 
    Synthetic retinoids such as 13-cis retinoic acid (trade name Accutane, also 
    known as isotretinoin) are used to treat acne and skin wrinkling. Other derivatives, 
    such as 4-hydroxyphenylretinamide (4-HPR, Fenretinide), are used to treat breast 
    cancer. No one should consume vitamin A in quantities exceeding the Recommended 
    Dietary Allowance (RDA) without a doctor's advice because of the dangers of 
    toxicity. 
    Diet recommendations: The RDAs are 1000 µg Retinol Equivalents (RE)/day 
    for adult human males, 800 µg RE for adult females, and 1300 µg RE and 1200 
    µg RE for adult females during the 1st and 2nd six months of lactation. In infants 
    the RDA is 375 µg RE. In children ages 1-3, 4-6 and 7-10 years, the RDAs are 
    400, 500 and 700 µg RE, respectively. 
    Food sources: 
    The RDA can be met by consuming dietary preformed vitamin A (retinyl esters) 
    from liver, eggs and fortified foods, and provitamin A carotenoids such as beta-carotene, 
    which are found in green leafy vegetables as well as in orange and red fruits 
    and vegetables. 
    Toxicity: Acute intake of extremely high doses of vitamin A (>200,000 
    mg RE in adult humans) can cause nausea, vomiting, headache, and increased cerebrospinal 
    pressure. Symptoms are generally transient. Chronic high intakes (e.g., >10x 
    RDA) can cause hair loss, bone and muscle pain, headache, liver damage, and 
    increased blood lipid concentrations. A particular danger in pregnant women 
    is teratogenesis (birth defects). On the other hand, carotenoids as a source 
    of vitamin A are not toxic, even with very high intakes. 
    Recent research: Studies focusing on the role of retinoic acid isomers 
    in the control of gene expression are explaining effects of vitamin A in hitherto 
    unexpected metabolic pathways, as well as in established functions. This role 
    of vitamin A in gene expression undoubtedly explains the anticancer and antiacne 
    effects of vitamin A, for example. The presence of several nuclear binding proteins 
    for retinoic acid as well as numerous controls on the metabolism and plasma 
    transport of vitamin A provide an exquisite system for controlling the effects 
    of vitamin A.  
    For further information:  
     
    Olson, J.A. (1994) Vitamin A, retinoids, and carotenoids. In: Modern Nutrition 
    in Health and Disease (Shils, M.E., Olson, J.A. & Shike, M., eds), 8th ed., 
    pp. 287-307, Lea & Febiger, Philadelphia, PA  
    Sporn, M.B., Roberts, A.B. & Goodman, D.S. (eds.) (1994) The Retinoids, 2nd 
    ed. Raven Press, New York, NY.  
    
    
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