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The Journal of Nutrition Vol. 127 No. 9 September 1997, pp. 1833-1837
Copyright ©1997 by the American Society for Nutritional Sciences

Ingestion by Men of a Combined Dose of beta -Carotene and Lycopene Does Not Affect the Absorption of beta -Carotene but Improves That of Lycopene1,2,3

Elizabeth J. Johnson4, Jian Qin, Norman I. Krinsky*, and Robert M. Russell

Jean Mayer USDA Human Nutrition Research Center on Aging at Tufts University, Boston, MA 02111 and * Department of Biochemistry, Tufts University School of Medicine, Boston, MA 02111

ABSTRACT
INTRODUCTION
SUBJECTS AND METHODS
RESULTS
DISCUSSION
FOOTNOTES
LITERATURE CITED


ABSTRACT

A double-blind study was conducted in 10 healthy men to investigate serum beta -carotene and lycopene responses after ingestion of individual and combined doses of beta -carotene (BC) and lycopene. On each dosing day, a baseline blood sample was drawn, followed by an oral dose of 0.11 mmol (60 mg) of either all-trans BC or all-trans lycopene or by a combined oral dose of 0.11 mmol each. Subjects were tested with each of the three doses. The dose type was randomized. Blood (10 mL) was drawn at 1, 3, 5, 7, 9, 12 and 24 h after dosing. At 2 and 4 wk after the first dose, the protocol was repeated with the other doses. After ingestion of the BC dose, serum BC concentrations significantly decreased from baseline at 1 and 3 h followed by a continuous increase from baseline that was significant at 12 and 24 h (P < 0.01). Serum lycopene concentrations significantly increased from baseline at 5 h after the lycopene dose (P < 0.008) and returned to baseline thereafter. Ingestion of a combined dose of BC and lycopene resulted in a significant increase in serum concentrations of both BC and lycopene at 24 h (P < 0.05). The 24-h area under the curve (AUC) for BC was not different when BC was ingested alone or with lycopene, whereas the 24-h AUC for lycopene was significantly greater when lycopene was ingested with BC than when ingested alone (P < 0.05). Our data suggest that ingestion of a combined dose of BC and lycopene has little effect on the absorption of BC but improves that of lycopene in men.

KEY WORDS: humans · beta -carotene · lycopene · serum response


INTRODUCTION

Major carotenoids in diet, serum and tissues of humans include the hydrocarbon carotenoids beta -carotene (BC) and lycopene (Krinsky 1993). Both BC and lycopene have antioxidant properties, whereas only BC has pro-vitamin A activity. There are numerous reports of large interindividual variability in the serum concentration of BC, and the serum response to a single oral dose of BC is also highly variable (Brown et al. 1989, Dimitrov et al. 1988, Johnson and Russell 1992, Mathews-Roth and Gulbrandsen 1974). Determinants of serum concentration of BC include dietary factors such as fat and fiber, efficiency of absorption, rate of tissue uptake, and rate of BC metabolism (Bowen et al. 1993). Little information is available on the determinants of serum concentrations of lycopene. A correlation between 7-d food diary lycopene intake and plasma lycopene has been reported (Forman et al. 1993). However, Campbell et al. (1994) reported that there does not seem to be a correlation between serum lycopene and total fruit and vegetable intake. It is not known whether there is large variability in the serum response to an oral dose of lycopene, similar to that for BC. Moreover, it is not known whether, within individuals, the serum response to an oral dose of BC is similar to that of lycopene. Furthermore, it is not known if large doses of BC or lycopene affect the absorption and clearance of the other, as has been shown for BC and canthaxanthin (White et al. 1994) and BC and lutein (Kostic et al. 1995).

This study investigates the serum response in adult human subjects after oral doses of BC and lycopene or combined doses.


SUBJECTS AND METHODS

Study design. Adult white males were recruited from the general population and screened to select those with normal hematologic variables, serum albumin, liver function, kidney function, absence of fat malabsorption and no drug intake that could interfere with fat absorption or blood clotting. Patients with a history of active small bowel disease or resection, atrophic gastritis, hyperlipidemia, insulin-requiring diabetes, alcoholism, pancreatic disease or bleeding disorders were excluded from the study. Subjects were within 20% of weight-for-height based on age and sex specific referent values (Metropolitan Life Insurance Company, 1983). Moreover, subjects had not taken vitamin supplements for >= 2 mo prior to the study or carotene supplements for >= 6 mo prior to the study. Smoking was not permitted during the study. Informed written consent was obtained from all volunteers under the guidelines established by the Human Investigation Review Comittee of Tufts University and The New England Medical Center. Subject characteristics are given in Table 1.

Table 1. Characteristics of 10 men studied

[View Table]

Subjects (n = 10) were housed at the Human Nutrition Research Center for three separate 2-d periods. Two weeks before the study, 10 mL of blood was drawn from fasting subjects to determine the basal concentrations of carotenoids, cholesterol and triglycerides. At that time, subjects were instructed by the metabolic dietician to consume a low carotene diet while at home to lower blood carotene concentrations. Food diaries were kept for 3 d out of each of the 2-wk periods before the study to confirm low carotene consumption. On admission to the Nutrition Center (d 0), subjects consumed at 0800, 1200 and 1800 h a 3138 kJ meal of a liquid diet formulated to contain protein (22 g), carbohydrate (116 g) and a standardized amount of fat (21 g, 25% of total energy) and no carotenoids or retinoids. The liquid diet also contained vitamin E (4.3 mg alpha -tocopherol equivalents), and the percentages of energy from saturated, monosaturated and polyunsaturated fatty acids were 13, 7 and 2%, respectively. The liquid diet contained no fiber.

The study involved the oral ingestion of individual and combined 0.11-mmol (60-mg) doses of all-trans BC (100%, Henkel Corp., LaGrange, IL) and all-trans lycopene (97%, 1% 13-cis lycopene, Makhteshim-Agan of North America, Inc., New York, NY). Doses of BC and lycopene crystals, dispersed in corn oil (1 and 5%, respectively), were provided as gelatin capsules. On d 1 of the study, each subject consumed either BC or lycopene or both with the liquid diet after the first blood sample (10 mL) was taken. The dose type was randomized. Blood (10 mL) was drawn at 1, 3, 5, 7, 9 and 12 h after the carotene dose. The subject consumed the two other 3138 kJ meals at 4 and 10 h after dosing. Subsequently, 10 mL of blood was collected after a 12-h overnight fast. Blood was collected in a Vacutainer with no additives. Serum samples were prepared (1000 × g for 15 min at 4°C) and stored at -70°C for subsequent analysis of carotenoids. After a 2-wk washout period, during which subjects consumed a low carotene diet, study d 0-2 were repeated using another carotenoid dose type. After another 2-wk washout period, during which subjects consumed a low carotenoid diet, study d 0-2 were repeated using the remaining carotenoid dose type.

Chemicals. HPLC-grade acetonitrile, tetrahydrofuran (stabilized with BHT), methanol and water were purchased from J. T. Baker Chemical (Philipsburg, NJ). Solvents were passed through a 0.45-mm membrane filter and degassed prior to use. All-trans BC, used for HPLC standard curves, and ammonium acetate were purchased from Sigma Chemical (St. Louis, MO). Lycopene and gamma -carotene were a generous gift from Hoffmann-La Roche, Inc. (Nutley, NJ). All carotenoid standards were stored at -70°C. All extraction and HPLC procedures were performed under red light.

Serum extraction for carotenoids. Serum was prepared for extraction using a 200-µL sample added to 0.5 mL of saline. gamma -Carotene, in ethanol, was added as an internal standard, followed by the addition of 2 mL of chloroform-methanol (2:1, v/v). The mixture was vortexed and then centrifuged at 800 × g at 4°C for 15 min. The chloroform layer was removed and evaporated to dryness under nitrogen. A second extraction was performed on the remaining mixture using 3 mL of hexane, and the mixture was vortexed and centrifuged as above. The hexane layer was combined with the first extraction and evaporated to dryness under nitrogen. The residue from the two extractions was redissolved in 150 µL of ethanol, vortexed and sonicated for 30 s. A 50-µL aliquot was used for HPLC analysis. The recovery of the added internal standard was consistently >90%.

HPLC analysis. All-trans BC and lycopene were separated and quantified using a reverse phase, gradient HPLC method previously described (Johnson and Russell 1992). The HPLC system consisted of a Perkin-Elmer LC-410 pump, Waters 994 programmable photodiode array detector set at 455 nm, Perkin-Elmer ISS-100 autosampler, and Waters SATIN interface to acquire data from detectors and transfer data to DECnet. The HPLC solvents were acetonitrile, tetrahydrofuran and water (50:20:30 by volume, 1% ammonium acetate in water; solvent A) and acetonitrile, tetrahydrofuran and water (50:44:6 by volume, 1% ammonium acetate in water; solvent B); flow rate was 1 mL/min. The column was a C18 Pecosphere-3 (Perkin-Elmer, Norwalk, CT). The gradient was as follows: 100% solvent A was used for 3 min followed by a 7-min linear gradient to 83% solvent B, a 15-min hold at 83% solvent B, then a 2-min gradient back to 100% solvent A. The limit of detection for the BC and lycopene was 0.2 pmol.

Statistics. Areas under the curves (AUC) were measured by trapezoidal approximation after subtracting the baseline concentration (Kaleidagraph version 3.0.5, Abelbeck Software, Reading, PA, 1994). Peak concentrations were obtained by subtracting the fasting concentration. Results are expressed as means ± SEM. To determine whether the serum response to an oral dose of BC is similar to that for an oral dose of lycopene within individuals, correlations between the serum responses (peak height and AUC) for the BC and lycopene doses were performed using a Spearman rank correlation (Statworks version 1.1, Cricket Software, Philadelphia, PA, 1985). Correlations were also investigated between serum responses and age, pre-study serum carotenoid concentration and baseline serum carotenoid concentration. Significant differences from baseline were evaluated by using a repeated measures ANOVA at the 95% confidence level. Significant differences between the individual dose and combined dose for each carotenoid were measured using paired t-tests (Statworks version 1.1, Cricket Software, 1985). Differences associated with P < 0.05 were regarded as statistically significant.


RESULTS

The changes in the serum concentration of BC after ingestion of BC alone or after a combined dose of BC and lycopene are presented in Figure 1. After ingestion of the BC dose, serum BC concentrations significantly decreased from baseline (0 h) at 1 and 3 h (P < 0.05). Thereafter, the mean concentration rose with the suggestion of an initial peak at 7 h and then significantly increased relative to baseline at 12 and 24 h (P < 0.01). As expected, the mean serum lycopene concentrations did not change after the single oral dose of BC (data not shown). The mean BC concentration also steadily increased after a combined dose of BC and lycopene and was significantly greater than baseline at 24 h (P < 0.05). The maximum mean increases in serum BC from baseline during the 24-h period were similar after ingestion of BC alone and after the combined doses and occurred at 24 h.
Fig. 1. Change in serum beta -carotene concentrations after either a single oral dose of beta -carotene or a combined dose of beta -carotene and lycopene in men consuming a diet low in vitamin A and carotenoids. Solid points are significantly different (P < 0.05) from baseline (0 h). Serum concentrations were adjusted by subtraction of the baseline (0 h) serum concentrations. Results are expressed as means ± SE, n = 10.
[View Larger Version of this Image (16K GIF file)]

Serum concentrations of lycopene after ingestion of lycopene or combined doses of BC and lycopene are presented in Figure 2. After the lycopene dose, the mean serum lycopene concentrations significantly increased from baseline at 5 h (P < 0.008). Thereafter, the mean concentration returned to baseline. Serum BC concentrations did not change after the single dose of lycopene (data not shown). Ingestion of a combined dose of BC and lycopene resulted in a gradual increase in the mean concentration of serum lycopene from baseline, which was significant at 24 h (P < 0.05).


Fig. 2. Change in serum lycopene concentrations after either a single oral dose of lycopene or a combined dose of beta -carotene and lycopene in men consuming a diet low in vitamin A and carotenoids. Solid points are significantly different (P < 0.05) from baseline (0 h). Serum concentrations were adjusted by subtraction of the baseline (0 h) serum concentrations. Results are expressed as means ± SEM, n = 10.
[View Larger Version of this Image (16K GIF file)]

The 24-h AUC for serum BC was not different when BC was ingested alone or with lycopene (Table 2). However, the AUC for lycopene was significantly greater when lycopene was ingested with BC (P < 0.05).

Table 2. Serum beta -carotene and lycopene responses in men given an oral dose of beta -carotene, lycopene or a combined dose1

[View Table]

The individual serum BC response to the BC dose was not related to the serum lycopene response to the lycopene dose. That is, the 24-h peak concentration and AUC for the BC dose were not correlated to peak concentration and AUC for the lycopene dose (r = -0.285 and 0.018, respectively). In all three dose tests, the intraindividual responses varied.

The serum response (peak concentration, 24-h AUC) was not related to age, pre-study serum BC or lycopene concentrations, or baseline (0 h) BC or lycopene concentrations (data not shown). Baseline concentrations of BC or lycopene were not different among the three tests (Table 2).

Nine of the 10 subjects had a peak BC serum concentration at 12 h or later and one subject had a peak BC serum concentration at 5 h after the BC dose. Eight subjects had a peak BC serum concentration at 12 h or later and two subjects had a peak BC serum concentration at 12 h or later after the combined dose. The time of peak concentration for serum lycopene was earlier for most subjects after the single dose of lycopene. Seven subjects had a peak concentration during the first 12 h after the dose, and three subjects had a peak at 12 h or later. After the combined dose, three subjects has a peak serum concentration of lycopene during the first 12 h and seven subjects had a peak serum concentration at 12 h or later.


DISCUSSION

In the present study, we investigated the effects of ingestion of individual and combined doses of BC and lycopene on their serum concentrations for 24 h. Serum responses to an oral dose of BC have been previously reported to vary among individuals (Brown et al. 1989, Dimitrov et al. 1988, Johnson and Russell 1992, Mathews-Roth and Gulbrandsen 1974), whereas, little information is available on the variability in the serum response to an oral dose of lycopene. Furthermore, it is not known whether the serum response to an oral dose of BC is similar to that of lycopene within individuals. Finally, little is known of the effect of each of these carotenoids on the serum response curve of the other.

The determinants of the serum response of BC and lycopene are not known, but one might anticipate that they would be similar. beta -Carotene and lycopene are major carotenoids in the Western diet and in human serum and tissues (Krinsky 1993). For both BC and lycopene, the serum response to the orally ingested carotenoid is improved when the carotenoid is heated with small amounts of oil (Erdman et al. 1993, Stahl and Sies 1992). Also, the efficiency of the response to these dietary carotenoids is greater at low than at higher doses (Erdman et al. 1993, Stahl and Sies 1992). Both carotenoids are nonpolar and transported exclusively by lipoproteins (Clevidence and Bieri 1993). Given these similarities in their serum response and transport, it is possible that, for an individual, the serum response to one carotenoid would be similar to that of the other.

In the present study, the response to a single oral dose of BC varied among the subjects. The meal given with the BC dose was designed to be high in fat to facilitate carotenoid absorption, and the BC dose was large (0.86 mg/kg for a 70-kg man) with the intent to produce measurable changes in the serum BC concentration. Even so, the range of the increase in BC concentration varied from 17 to 285 nmol/L for the 10 subjects. Our laboratory, as well as others, has reported irregularities in the serum response to a single oral dose of BC (Brown et al. 1989, Dimitrov et al. 1988, Johnson and Russell 1992, Mathews-Roth and Gulbrandsen 1974). A poor response to the BC dose suggests that in some individuals, the serum BC concentration may be maintained over time and is the result of long-term dietary intakes, being little affected by a single large dose. Variation in the serum response to the BC dose could be due to individual differences at several points of BC metabolism, including intestinal absorption, release into and clearance from the circulation, tissue uptake, and release from body stores.

Similar to the response to BC, the response to the single oral dose of lycopene varied among the subjects, with changes in concentrations over the 24-h period ranging from 0 to 257 nmol/L. However, the serum response to the lycopene dose was not related to the serum response to the BC dose. Our results suggest that each carotenoid, when administered alone, has different absorption kinetics. However, the serum response also reflects release into and clearance from the circulation, tissue uptake, and release from body stores, and these may differ between the two carotenoids. In fact, differences in the organ distribution of lycopene and BC have been reported (Kaplan et al. 1990, Stahl et al. 1992).

During the first 24 h of absorption, the peak concentration times for each carotenoid when ingested alone provide further evidence for differing absorption kinetics for BC and lycopene. The time at which serum BC concentrations peaked after the BC dose was significantly later than the peak concentration time for serum lycopene after the lycopene dose. This could mean that, after enterocyte uptake, the release of BC is slower relative to lycopene. This may be due to the presence of enzymes that can bind to BC and possibly delay release from the enterocyte. Previous work from this laboratory and others provides evidence for delayed release of BC from the intestine (Henderson et al. 1989, Johnson and Russell 1992). The earlier peak concentration time for lycopene may be due to a more rapid uptake and release from the enterocytes rather than a faster clearance from the circulation.

In this study, we used the 24-h AUC of the serum concentration vs. time to estimate the early absorption events of BC and lycopene from the gastrointestinal tract. We chose to study the serum carotenoid response for up to 24 h after the administration of the oral dose based on our previous work that showed serum BC concentrations decreased after this time point (Johnson and Russell 1992), although other studies have reported peak serum concentrations to be as late as 48 h after a single oral dose (Brown et al. 1989, Kostic et al 1995, Stahl and Sies 1992). On the basis of the 24-h AUC, lycopene had little effect on the absorption of BC, whereas the combined dose of BC and lycopene enhanced the absorption of lycopene. This observation is due either to an improvement in the serum response of lycopene in the presence of BC or to a very short absorptive period for lycopene. As seen in Figure 1, BC, either in the presence of absence of lycopene, shows a maximum absorption at 24 h, the last time point measured in this study. This time course is similar to those in other studies in the literature (Brown et al. 1989, Johnson and Russell 1992). However, the time course for the lycopene absorption was unusual, in comparison to that reported by Stahl and Sies (1992). Using lycopene present in tomato juice boiled with 1% corn oil for 1 h, these authors found maximum absorption at 24-48 h, whereas we found the maximum at 5 h and a return to baseline by 12-24 h. It is possible that the tomato juice matrix may affect lycopene absorption. We found that only in the presence of BC did the lycopene absorption curve appear similar to that reported for other carotenoids. Why then did administration of lycopene alone give such an unusual absorption pattern? There is a suggestion that lycopene absorption differs from that of the other carotenoids. Campbell et al. (1994) reported that the plasma carotenoid concentrations serve as excellent markers of fruit and vegetable intake, with the exception of plasma lycopene. Although this may be due to absorption, transport or storage differences, our observations would indicate that lycopene administered by itself is not well absorbed, with a very early peak at 5 h. This increase at 5 h was only about half of the maximum increase of serum lycopene achieved after the combined dose. There is the possibility, however, that in this study the peak response occurred later that 24 h.

The results presented in Figure 2 are in sharp contrast to the observation of Prince et al. (1991), who suggested that high dose BC supplementation (300 mg/d for 21 d added to a self-selected diet) resulted in a decrease in serum lycopene concentrations, which they attributed to a possible competition in absorption. The differing results may be due to the differences in dose size and duration of supplementation.

An alternate explanation for the finding of an improved lycopene absorption when administered with BC is that some components in the BC suspension enhanced the solubilization of crystalline lycopene and thereby provided a better serum response. This effect would be a physical-chemical one, however, dependent upon the nature of the preparations of administered carotenoids but not of biological events in the gastrointestinal tract. Other investigators have reported what seems to be the facilitation of absorption of one carotenoid by another. For example, when chicks are supplemented with a mixture of 9-cis-BC and all-trans-BC, they show a marked increase in the absorption of all-trans-BC, in comparison to receiving only all-trans-BC (Ben-Amotz et al. 1989, Mokady et al. 1990). However, the carotenoid preparations were likely well solubilized given that the carotenoid capsules, containing vegetable oil, were dispersed in the high fat liquid meal, and identical procedures were used with both the single and the combined doses.

Our study provides evidence that ingestion of a combined dose of BC and lycopene has minimal effect on the early absorption events of BC but improves those of lycopene. Even when we doubled the mass of carotenoid ingested by adding lycopene, we observed no difference in the 24-h peak absorption of BC. Because carotenoid absorption normally decreases with increased dosage (Brown et al. 1989, Stahl and Sies 1992), our findings suggest that there may be independent pathways for BC and lycopene absorption. Furthermore, the evidence suggests that the presence of BC mobilized the lycopene absorption pathway, which allowed the lycopene to be absorbed to the same extent as the BC when these two carotenoids were administered together. These results should be contrasted to those of Kostic et al. (1995), who reported that BC reduced lutein absorption, whereas lutein had a mixed effect on BC absorption. These differences may be attributable to the fact that both BC and lycopene are hydrocarbons, as opposed to lutein, a hydoxylated carotenoid that may have a different absorption mechanism.


FOOTNOTES

1   Supported in part by federal funds from the U.S. Department of Agriculture, Agriculture Research Service under contract number 53-1950-5-003.
2   The contents of this publication do not necessarily reflect the views or policies of the U.S. Department of Agriculture, nor does mention of trade names, commercial products or organizations imply endorsement by the U.S. government.
3   The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked "advertisement" in accordance with 18 USC section 1734 solely to indicate this fact.
4   To whom correspondence and reprint requests should be addressed.

Manuscript received 13 January 1997. Initial reviews completed 2 April 1997. Revision accepted 30 May 1997.


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0022-3166/97 $3.00 ©1997 American Society for Nutritional Sciences



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