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3
*
Department of Food Science and Human Nutrition and
Division of Nutritional Sciences, University of Illinois at Urbana-Champaign, Urbana, IL 61801
3To whom correspondence should be addressed.
ABSTRACT
Foods containing provitamin A carotenoids are the primary source of vitamin A in many countries, despite the poor bioavailability of carotenoids. In addition, epidemiologic studies suggest that dietary intake of carotenoids influences the risk for certain types of cancer, cardiovascular disease and other chronic diseases. Although it would be ideal to use humans directly to answer critical questions regarding carotenoid absorption, metabolism and effects on disease progression, appropriate animal models offer many advantages. This paper will review recent progress in the development of animal models with which to study this class of nutrients. Each potential model has strengths and weaknesses. Like humans, gerbils, ferrets and preruminant calves all absorb ß-carotene (ßC) intact, but only gerbils and calves convert ßC to vitamin A with efficiency similar to that of humans. Mice and rats efficiently convert ßC to vitamin A but absorb carotenoids intact only when they are provided in the diet at supraphysiologic levels. Mice, rats and ferrets can be used to study cancer, whereas primates and gerbils are probably more appropriate for studies on biomarkers of heart disease. No one animal model completely mimics human absorption and metabolism of carotenoids; thus the best model must be chosen with consideration of the specific application being studied, characteristics of the model, and the available funding and facilities.
KEY WORDS: carotenoids animal models gerbils ferrets preruminant calves
The experimental evaluation of carotenoids is becoming increasingly
common. Epidemiologic studies indicate that an increased intake of
fruits and vegetables that contain carotenoids is associated with a
decreased risk of many types of cancer including lung, breast and those
affecting the gastrointestinal tract (Block et al. 1992
,
Mayne 1996
, Steinmetz and Potter 1996
), a
decreased risk of cardiovascular disease (Kohlmeier and Hastings 1995
), a decreased incidence of age-related macular
degeneration
(AMD)4
(Snodderly 1995
) and a decreased incidence of
xeropthalmia in areas with low preformed vitamin A (VA) intake
(Fawzi et al. 1993
). Consumption of certain fruits and
vegetables has also been associated with a decreased risk of prostate
cancer (Giovannucci et al. 1995
), and ß-carotene
(ßC) supplementation has been shown to enhance natural killer cell
activity in elderly men (Santos et al. 1996
). In
contrast, it has been reported that supplementation of ßC either with
or without VA to high risk populations may increase the risk of lung
cancer (Albanes et al. 1996
, Omenn et al. 1996
). These epidemiologic associations between carotenoid
intake and risk of disease should be addressed to determine whether the
carotenoids themselves are protective, or if carotenoids are markers
for other protective factors in foods.
Figure 1
outlines the various steps required to release carotenoids from the
food matrix, for carotenoid uptake by intestinal mucosal cells, and
subsequent absorption, transport and metabolism. Mechanisms regulating
the following processes are not well understood: 1) the
release of carotenoids from the food matrix; 2) the
solubilization of carotenoids into micelles; 3) the
uptake of carotenoids into intestinal mucosal cells; 4)
the absorption of intact carotenoids; 5) the cleavage of
pro-VA carotenoids within the enterocyte or within other tissues to
yield VA; and 6) the tissue distribution, metabolism and
recycling of carotenoids (Boileau, T. et al. 1999
, Castenmiller and West 1998
).
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-carotene and ß-cryptoxanthin, are found in
substantial quantities in foods (Olson 1999
-carotene and ß-cryptoxanthin, can yield only
one molecule of retinol per molecule of carotenoid. ß-Carotene is
commonly studied in part because it is abundant in a variety of fruits
and vegetables and has the greatest potential to prevent VA deficiency,
the leading cause of blindness in children in developing countries
(Humphrey et al. 1992
It would be ideal to study carotenoid absorption, metabolism and
contribution to disease prevention in human subjects, but human studies
are expensive and often difficult to coordinate. This necessitates the
use of animal models, which offer many advantages (Van Vliet 1996
), including the ability to use radiolabeled compounds and
the ability to access tissues, neither of which is usually possible in
humans. Mongolian gerbils (House et al. 1997
, Lee et al. 1998
, Moore et al. 1996
, Pollack et al. 1994
, Thatcher et al. 1998
), ferrets
(Gugger et al. 1992
, Ribaya-Mercado et al. 1989
, White et al. 1993b
), and preruminant
calves (Bierer et al. 1995
, Chew et al. 1984
, Hoppe et al. 1996
, Poor et al. 1992
) are relatively new models that are currently popular for
such studies.
Choosing the most appropriate animal model for a study requires careful
consideration. We know that humans absorb a variety of dietary
carotenoids intact, and that some carotenoids such as ßC,
ß-cryptoxanthin and
-carotene can contribute to the VA status of
the individual (de Pee et al. 1998a and 1998b
, Olson 1999
). Carotenoid
involvement in cell-to-cell communication, immune response and
reproduction has also been suggested, however the mechanisms involved
and the physiologic relevance of these functions are unclear
(Olson 1999
). The limited knowledge about human
carotenoid metabolism makes it especially difficult to choose an
appropriate animal model. The ideal model would have the following
characteristics: 1) absorb a variety of carotenoids
intact at physiologic levels, similarly to humans; 2)
have carotenoid distribution in tissues and serum similar to that of
humans; 3) represent an appropriate model for the
disease state of interest; 4) be readily available;
5) be easily manageable in a laboratory setting; and
6) be affordable. Unfortunately, no one model meets all
of these criteria. This paper reviews recent progress in the
development of animal models with which to study carotenoid absorption,
metabolism and the potential health aspects of these compounds.
MODEL SELECTION
There are several things that must be considered when choosing an
animal model for any scientific study. Physiologic similarities of the
model to humans with respect to the particular application being
studied are very important, yet there are also practical considerations
that should be addressed. Table 1
compares animal models used in carotenoid research with respect to some
specific applications and their physiologic similarities to humans.
Applications compared include the following: carotenoid absorption,
carotenoid conversion and metabolism, vitamin A deficiency, and
cardiovascular disease, immune function, AMD and cancer. The relative
desirability of each model for the various applications was estimated,
considering both their similarities to humans with respect to the
application and their relative use as a model in current research. This
table indicates that gerbils, ferrets and preruminant calves would be
the best models with which to study carotenoid absorption and
metabolism. However, these models are not well established for study of
the disease states with epidemiologic correlations with carotenoids.
Mice and/or rats are much more established for the study of cancer,
immune function and VA deficiency, but these species do not absorb
physiologic doses of carotenoids intact. When choosing a model with
which to study carotenoids, the researcher must weigh the advantages
and disadvantages of each model with respect to both their carotenoid
metabolism and their appropriateness for the specific application to be
studied.
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Below are detailed descriptions of a few of the more desirable models currently being used in carotenoid research. Brief descriptions are also provided for some of the other models, which may not be considered as desirable.
Mongolian gerbils
When conducting any scientific study, it is necessary to have large enough sample groups to achieve statistical power. The Mongolian gerbil (Meriones unguiculatus) is a good model to choose in these situations because they are small, easily maintained in large numbers and readily available. Gerbils also possess several characteristics that make them an appropriate model for carotenoid research.
This laboratory was the first to demonstrate that gerbils absorb ßC
intact when fed at physiologic levels (Pollack et al. 1994
). We found that serum ßC peaked 4 h after a ßC
dose and that ßC was found in the liver, spleen, kidney + adrenal,
adipose and lung tissue of gerbils (Pollack et al. 1994
). Recent work in our laboratory has also shown that
Mongolian gerbils absorb dietary lycopene, resulting in accumulation in
the liver, adrenal and spleen, and trace amounts in the kidney and
heart (Heintz, unpublished data).
Intestinal absorption and tissue accumulation of ßC in gerbils has
been studied extensively in our laboratory (Lee et al. 1998
, Thatcher et al. 1998
), and by others
(House et al. 1997
). It has also been shown that ßC
contributes to both hepatic and extrahepatic VA stores in Mongolian
gerbils (House et al. 1997
, Lee et al. 1998
, Thatcher et al. 1998
) and that gerbils
convert dietary ßC to VA with efficiency similar to that currently
estimated for humans (Lee et al. 1998
). It has also been
shown that substantial amounts of hepatic ßC that had accumulated
when gerbils were fed a diet that contained ßC were rapidly depleted
once ßC was removed from the diet, regardless of the VA status of the
gerbils or the VA content of the diet (Thatcher et al. 1998
). These data suggest that Mongolian gerbils are an
appropriate animal model for studying carotenoid absorption, metabolism
and the availability of VA from carotenoid precursors. However,
knowledge about the VA requirement of this species is limited, thus
comparing the VA value of a compound in this species to humans must be
done with caution.
To our knowledge no one has used gerbils to study the consequences of
VA deficiency. Studies from our laboratory have shown that it is
difficult to produce clinical VA deficiency in this species. Weanling
gerbils maintain liver stores of VA (120138 nmol) even after 84 d of consuming a VA-free diet (Lee et al. 1998
,
Thatcher et al. 1998
). In contrast, hepatic VA stores in
weanling rats are negligible after 2833 d (Corey and Hayes 1972
, Gardner and Ross 1993
), and rats exhibit
clinical signs of VA deficiency after only 35 d of consuming a
VA-free diet (Corey and Hayes 1972
). Gerbils have
the potential to be valuable models for evaluating VA deficiency, but
it requires months to deplete hepatic VA stores. This time might be
shortened by the development of a second generation, VA-deficiency
model, as has been developed for the rat (Gardner and Ross 1993
, Roodenburg et al. 1995
).
Mongolian gerbils are an established model for cholesterol and lipid
metabolism because their serum lipid profile responds to dietary
changes similarly to humans (DiFrancesco et al. 1990
,
Nicolosi et al. 1981
, Pronczuk et al. 1994
, Sullivan et al. 1993
, Tasker and Potter 1993
). Because gerbils also appear to metabolize ßC
similarly to humans, they may be a promising model with which to
evaluate any possible relationship between ßC intake and
hyperlipidemia, a risk factor for developing coronary heart disease.
Overall, gerbils appear to be an appropriate model with which to study carotenoid absorption and metabolism, and they are a practical species for laboratory research.
Domestic ferrets
Gerbils may be a convenient model for many applications; however, they are small. If a study requires surgical manipulation, a larger model, such as the ferret, may be more appropriate. Ferrets may not be as practical as gerbils, due to their cost and housing requirements, but they are still easily managed in a research setting.
Ferrets are larger than gerbils (adult male ferrets weigh ~1200 g,
and adult male gerbils 80 g), and carotenoid absorption can be
measured directly by surgical cannulation of the lymphatics and the
portal vein without extreme difficulty (Boileau, A. et al. 1999
, Wang et al. 1992
). Ferrets are also
resilient under halothane anesthesia and can be maintained easily in a
surgical plane of anesthesia for several hours in terminal procedures
(Boileau, A. et al. 1999
).
Domestic ferrets are used in many areas of carotenoid research,
including absorption and bioavailability, isomer metabolism and dietary
interactions. Our laboratory has developed a pelleted, purified ferret
diet containing adequate VA and negligible ßC (White et al. 1993b
). This diet has been used in our laboratory to
standardize dietary treatment and deplete tissues of carotenoids.
Ferrets absorb dietary ßC intact and accumulate ßC in tissues and
serum in a dose-dependent fashion (Ribaya-Mercado et al. 1989
). Ferrets also absorb a variety of other carotenoids
including
-carotene, lycopene and canthaxanthin (Tang et al. 1993
, White et al. 1993a
). In addition, ferrets
convert ßC to VA in the intestine (Wang et al. 1991
)
and in homogenates of liver, lung and adipose tissue (Wang et al. 1992
); tissue distribution of carotenoids in ferrets is
also similar to that of humans (Gugger et al. 1992
,
Ribaya-Mercado et al. 1992 and 1989
). Absorption and
tissue distribution of ßC isomers, specifically 9-cis
ßC, in ferrets also appear to be similar to what is reported in
humans (Erdman et al. 1998
).
Conversion of dietary ßC to VA in ferrets requires a weight ratio of
ßC/VA >15:1 (Lederman et al. 1998
), much higher than
the estimated 6:1 ratio required for humans (NRC 1989
). Therefore,
ferrets are not an ideal model with which to evaluate the conversion of
dietary ßC to VA. Ferrets also have high concentrations of retinyl
esters in their serum (Lederman et al. 1998
,
Ribaya-Mercado et al. 1992
). Under normal dietary
conditions, humans have negligible concentrations of serum retinyl
esters. This suggests differences between ferret and human VA
metabolism (Bankson et al. 1986
). Despite these
differences, ferrets do absorb ßC intact and accumulate it in their
tissues; they should be an appropriate animal model for studying the
biological effects of tissue ßC.
The association between ßC and lung cancer is currently an active
area of carotenoid research. Recently, a smoke-exposed ferret model
was used to evaluate the effects of smoke exposure and/or ßC
supplementation on lung tissue morphology, and plasma ßC and retinoid
concentrations (Wang et al. 1999
). These researchers
found increased proliferation of alveolar cells and macrophages,
elevated activator protein-1 expression (AP-1 is a transcription factor
usually associated with increased lung carcinogenesis), and
down-regulation of retinoic acid receptor-ß in the lungs of
ßC-supplemented, smoke-exposed ferrets. These data indicate that
ferrets are a good model with which to study the relationship between
ßC, smoking, and lung cancer, and the specific mechanisms.
Ferrets may also be a suitable model with which to evaluate the
possible relationship between carotenoids and stomach cancer. High
intakes of fruits and vegetables, which contain carotenoids, have been
associated with a decreased risk of stomach cancer (Block et al. 1992
, Mayne 1996
, Steinmetz and Potter 1996
), and a number of studies have suggested that ferrets are
a good model with which to study certain types of stomach cancer
(Erdman et al. 1997
, Fox et al. 1997
).
Preruminant calves
It is often necessary to obtain larger quantities of tissue and/or multiple samples from the same animal. For these situations, preruminant calves may be a more realistic model. Preruminant calves are monogastric and, like humans, absorb ßC intact. It is possible to obtain multiple blood samples, and a liver biopsy procedure that allows multiple sampling of hepatic tissue from this species has been developed recently in our laboratory (Swanson, unpublished data).
It has been demonstrated the preruminant calf is an appropriate animal
model for carotenoid research (Bierer et al. 1995
,
Hoppe and Schoner 1987
, Poor et al. 1992
). Following a ßC-containing meal, preruminant calves
demonstrate carotenoid absorption kinetics similar to what has been
reported for human infants (Poor et al. 1992
). The
following characteristics have been demonstrated by preruminant calves:
1) they absorb other carotenoids such as canthaxanthin,
lutein, lycopene and
-carotene (Bierer et al. 1995
),
although ßC is preferentially absorbed; 2) dietary ßC
can be used as a source of VA (Hoppe et al. 1996
); and
3) the serum appearance and tissue distribution of
9-cis ßC are similar to what has been reported in humans
(Bierer et al., unpublished data). Preruminant calves have also been
used to evaluate the role of ß-carotene in reproductive function
(Chew et al. 1984
, Wang et al. 1988
). Our
laboratory is currently in the process of defining the VA requirement
of calves (Swanson et al., unpublished data). This information should
prove valuable in formulating diets for carotenoid studies.
Preruminant calves are ideal for absorption studies because of the availability of multiple blood and liver samples. However, they are not readily available, they are more expensive than many other models, they are not easily maintained in a laboratory setting because they require special facilities for housing, and they are difficult to obtain in large numbers (sample size), thus creating a challenge in achieving statistical power.
Rats and mice
Rats and mice are used in many areas of scientific research,
including the study of carotenoids. Specific applications for these
species include cancer studies (Sato et al. 1997
,
Thompson et al. 1993
) and studies evaluating immune
function (Bendich and Shapiro 1986
, Jyonouchi et al. 1994
). These rodents are well characterized and there are
many strains, including knock-outs and transgenics available that
have been established as models for many of the diseases
epidemiologically associated with carotenoid intake. However, rats and
mice absorb carotenoids differently than humans; thus extrapolation of
data to humans must be done with caution.
Rats have been used extensively (Biesalski and Weiser 1993
, Grolier et al. 1995
, Mittal 1983
) to evaluate the efficiency of ßC conversion to VA by
monitoring changes in liver VA stores. Rats are high efficiency
converters of ßC to VA at the level of the enterocyte (Fig. 1
, step
4). Therefore, they do not readily absorb carotenoids intact (Fig. 1
,
step 5).
If fed diets containing supraphysiologic levels of carotenoids
(
0.02% of diet), rats can absorb a variety of carotenoids including
ßC (Krinsky et al. 1990
, Ribaya-Mercado et al. 1989
, Warmer et al. 1985
), canthaxanthin and
lycopene (Mathews-Roth et al. 1990
), and accumulate ßC
in tissues in a dose-dependent manner (Shapiro et al. 1984
). (When normalized for body weight, feeding ßC at 0.02%
of diet is equivalent to a 70-kg person eating 163 carrots per day.)
This is in contrast to humans, who absorb small, physiologic doses of a
variety of carotenoids, including ßC, intact.
Rats and mice may not be the most appropriate models for studying
carotenoid absorption and bioavailability, but rats are a desirable
model with which to study the effects of VA deficiency. Dietary
restriction of VA and ßC in rats causes a rapid depletion of hepatic
VA stores (2833 d) and the onset of clinical VA deficiency (35 d)
(Corey and Hayes 1972
, Gardner and Ross 1993
). A second-generation model has also been developed in
this species, resulting in more rapid development of VA deficiency,
(Gardner and Ross 1993
, Roodenburg et al. 1995
).
Despite shortcomings, rodents are used extensively to evaluate the
effect of dietary carotenoids on the development of cancer (Moon 1989
, Nagasawa et al. 1995
, Narisawa et al. 1996 and 1998
, Schwartz and Shklar 1987
,
Youping et al. 1997
) and immune function (Bendich 1989
, Bendich and Shapiro 1986
, Jyonouchi et al. 1994
, Lingen et al. 1959
, Rosales and Ross 1998
). Generally, high levels of dietary carotenoids
are fed in these studies to achieve adequate tissue levels. Therefore,
relevance to humans must be considered with caution.
Nonhuman primates
Nonhuman primates have been used to evaluate carotenoid
accumulation in the macula of the eye (especially lutein and
zeaxanthin) to study age-related macular degeneration because they
have a macula lutea similar to that of humans (Handelman et al. 1992
, Snodderly et al. 1991
). These species have
also been used to study many aspects of cardiovascular disease
(Bond et al. 1980
, Williams et al. 1991
),
making nonhuman primates a possible model with which to study the
association between carotenoids and cardiovascular disease. However,
there are differences in carotenoid absorption between different
species of nonhuman primates compared with humans. Primate species
include both high and low absorbers of carotenoids (Krinsky et al. 1990
, Slifka et al. 1999
, Snodderly et al. 1990
). Thus, care must be taken when choosing the
species of nonhuman primate to be used.
Advantages to using these species include the following: 1) they are more closely related to humans than other models from an evolutionary standpoint; and 2) it is possible to obtain multiple blood samples from the same animal.
Despite their close relationship with humans, nonhuman primates are not commonly used because they are extremely expensive, they are not easily managed in a laboratory setting, they require special facilities and their availability is limited.
Other species
Many other animal species have been, or are currently being used
in carotenoid research. Pigs have been used to evaluate ßC absorption
and uptake (Chew et al. 1991
) and the role of ßC on
reproductive function (Chew 1993
). However, it has also
been reported that this species does not absorb appreciable quantities
of intact ßC and is not a good model with which to study
postabsorptive metabolism of ßC (Poor et al. 1987
).
Hamsters have been used for carotenoid studies investigating cancer
(Schwartz and Shklar 1987
) and toxicology (Beems et al. 1987
). Chicks have been evaluated as a carotenoid
bioavailability model (Erdman et al. 1986
, Poor et al. 1987
), and have been used for absorption studies
(Tyczkowski and Hamilton 1986
). Rabbits have been used
to evaluate carotenoid absorption and distribution (Yap et al. 1997
), and the effect of ßC on the development of
athersclerotic lesions (Sun et al. 1997
). Dogs are
currently being used to study carotenoids and immune function
(Chew et al. 1998
, Kim et al. 1998
).
Quail, a relatively new model, have been used to study carotenoids and
AMD because the quail retina is similar to the human macula. Because
this species ages rapidly, disease progression is accelerated
(Dorey et al. 1998
, Kunert et al. 1997
,
Toyoda et al. 1996
).
SUMMARY
Choosing the most appropriate animal model for a specific application can be challenging. No one animal model completely mimics human absorption and metabolism of carotenoids. The best model must be chosen considering the specific application, characteristics of the individual models, and the available funding and facilities. It may also be desirable to verify findings in more than one species to increase confidence in extrapolating the results of animal studies to humans.
FOOTNOTES
1 Presented at Experimental Biology 98, April
1998, San Francisco, CA [Lee, C. M., Moore, A. C., Boileau,
T.W.M., Williams, A. W., Thatcher. A. J. & Erdman, J. W., Jr. (1998) Comparative utility of various animal models for the
evaluation of carotenoid absorption, metabolism and impact on
progression of chronic diseases. FASEB J. 12: A966 (abs.)]. ![]()
2 Supported by NRI/U.S. Department of Agriculture
Competitive Grants Program agreement # 9537206-1685. ![]()
4 Abbreviations used: AMD, age-related macular
degeneration; ßC, ß-carotene; VA, vitamin A. ![]()
Manuscript received March 22, 1999. Initial review completed April 30, 1999. Revision accepted August 23, 1999.
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