Elsevier

Nutrition

Volume 17, Issue 10, October 2001, Pages 818-822
Nutrition

Beyond deficiency: new roles for vitamins
The evolving role of carotenoids in human biochemistry

https://doi.org/10.1016/S0899-9007(01)00640-2Get rights and content

Abstract

The growth of our knowledge of carotenoid biochemistry has opened new and divergent paths for research. The earliest role established for β-carotene in animals was as a vitamin A precursor, a role it shares with several other pro–vitamin A carotenoids. Additional studies have continued to refine our understanding of this function. Because carotenoids are excellent scavengers of singlet oxygen and respectable scavengers for other reactive oxygen species, substantial work was done concerning their potential role as antioxidants. In an unexpected twist, the ability of radicals in cigarette smoke to degrade carotenoids might be responsible for the finding that high-dose dietary β-carotene increased the incidence of lung cancer in smokers. A new role for the polar carotenoids lutein and zeaxanthin was identified, when those carotenoids were found to constitute the macular pigment (the yellow spot at the center of the human retina). Many different carotenoids can be metabolized to products with retinoid activity, which might affect gene expression and cell differentiation. The formation of retinoids from diverse carotenoids might account for a portion of their activities as anticancer agents. Studies of lycopene in prostate cancer prevention have been very promising, and clinical studies of lycopene are underway. Carotenoids have emerged as the best single tissue marker for a diet rich in fruits and vegetables, and measurements of plasma and tissue carotenoids have an important role in defining the optimal diets for humans.

Introduction

My collaboration with Larry Machlin began with studies of the role of antioxidants in the prevention of age-related macular degeneration (ARM). Those investigations ultimately led me to studies of the carotenoids in the macula, but at that time our focus was on vitamin E and selenium. At the start of the 1980s, Larry, Ed Dratz, and I hypothesized that the photoreceptors of the human retina were vulnerable to injury from dietary antioxidant deficiency. Because the rod outer segments are very rich in 22:6ω3 fatty acids, with high oxygen tension and exposure to light, we hypothesized that dietary antioxidant intake might play a role in development of ARM.1 Larry provided support for our investigations of the role of vitamin E and selenium nutrition status in the occurrence of ARM. These studies led to our observation that high-dose dietary α-tocopherol supplements led to lower plasma levels of γ-tocopherol2, 3; ultimately, we observed that dietary α-tocopherol supplements also decreased adipose γ-tocopherol levels.4 One chief finding was that the α-tocopherol:γ-tocopherol ratio in adipose tissue is a useful means of identifying persons who use large doses of α-tocopherol supplements for extended periods.4

Collaborations with Larry were always distinguished by his attention to the core science of each research question. We owe him a great debt for his contributions to our knowledge of the biochemistry of antioxidants in human health.

Section snippets

Carotenoids

Carotenoids are ubiquitous in the plant kingdom, and as many as 1000 naturally occurring variants on the basic carotenoid structure have been identified.5 Because carotenoids are brightly colored, they were readily characterized in the early development of biochemical analysis—separation of green chlorophylls and yellow carotenoids was the first triumph of chromatography.6, 7 The functions of this vast family of compounds became an important issue in botany before attention shifted to their

Carotenoids as vitamin A precursors

Our first great advance in understanding the role of carotenoids in vertebrate biochemistry came from studies of vitamin A. The hallmark of vitamin A deficiency in mammals, night blindness, was prevented by consumption of liver or green plants. But green plants do not possess any preformed vitamin A, in contrast to its abundance in liver. This compelling observation led to the hypothesis that animals somehow must be able to convert carotenoid to vitamin A, a pathway that was gradually

Carotenoids as antioxidants

After the role of carotenoids as vitamin A precursors was established in the 1930s, other biological functions of carotenoids in mammals were pursued.

The extensive research on carotenoid conversion into vitamin A leads to an important question: Why do humans absorb so many carotenoids into their bloodstreams? Rodents effectively convert β-carotene into vitamin A but do not absorb it efficiently. Even rats fed commercial laboratory chow, rich in polar and non-polar carotenoids, have tissues

Carotenoids in the macular region of the retina

The macula is a structure at the center of the human retina that is composed primarily of densely innervated cone photoreceptors. It is essential for tasks such as reading, driving an automobile, and facial recognition. The macula often deteriorates past age 70, leading to serious visual impairment and handicap.27 It has long been noted that this region is yellow (thus its name, macula lutea, or yellow spot). In 1947, Wald9 observed that the yellow spot had spectra and solubility

Use of carotenoids as markers for dietary practices and their role in lung cancer and other neoplasms

Carotenoids are among the easiest molecules to measure in plasma and tissue samples. They absorb strongly in the spectral region from 420 to 480 nm, unlike most other compounds that absorb only in the ultraviolet range (or not at all). Because of this distinct spectrum, they are ideal for measurement by high pressure liquid chromatography, with visible light detection.50 Numerous studies have measured plasma carotenoids cross-sectionally or in stored samples. High levels of plasma carotenoids

Metabolites of different carotenoids—do they have biological activity?

Humans absorb substantial amounts of carotenoids from the diet, perhaps several milligrams or more every day. The end metabolites have not been characterized. If those daily accumulations were not excreted or degraded, after several years we certainly would take on a bright-orange coloration!

As carotenoids degrade in the tissues, their breakdown might produce metabolites that have biological effects. The spontaneous degradation products of β-carotene and other carotenoids include molecules with

The future

We have established a likely role for lutein and zeaxanthin in the retina, and that might account for some of our propensity to absorb dietary carotenoids. But the quantity in the macula is quite low (<1 μg)—Does that account for the fact that humans can absorb 1 mg/d or more of carotenoid from the diet? And why do we absorb β-carotene or lycopene? Is the mechanism that has evolved absorption of dietary lutein and zeaxanthin rather general, so that most other carotenoids also are absorbed? The

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      In human retina, the concentration of carotenoids can reach a level between 0.1 and 1 mM in the central fovea, 1000 times higher than in other tissues, suggesting their important roles in visual functions [60]. Interestingly, among all the carotenoids, only two of them are specifically distributed in retina, especially in macula, namely lutein and zeaxanthin [61]. The lutein and zeaxanthin can protect photoreceptors in two ways.

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