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*BETA-CAROTENE
*VITAMIN A
© 2006 American Society for Nutrition J. Nutr. 136:2562-2567, October 2006


Nutrient Requirements and Optimal Nutrition

Carotenoid-Biofortified Maize Maintains Adequate Vitamin A Status in Mongolian Gerbils1

Julie A. Howe* and Sherry A. Tanumihardjo

Department of Nutritional Sciences, University of Wisconsin, Madison, WI 53706

* To whom correspondence should be addressed. E-mail: jhowe{at}nutrisci.wisc.edu.


    ABSTRACT
 TOP
 ABSTRACT
 Introduction
 Materials and Methods
 Results
 Discussion
 LITERATURE CITED
 
Efforts to biofortify maize with provitamin A carotenoids have been successful, but the impact on vitamin A (VA) status has not been determined. We conducted two studies that investigated the bioefficacy of provitamin A carotenoids from maize and compared maize percentage and carotenoid concentrations on VA status in VA-depleted Mongolian gerbils (Meriones unguiculatus). Gerbils (n = 40/study) were fed a white maize diet 4 wk prior to treatment. In study 1, treatments (n = 10/group) included oil control, 60% high-ß-carotene maize, and ß-carotene or VA supplements (matched to high-ß-carotene maize). In study 2, gerbils were fed 30 or 60% orange or yellow maize diets. Gerbils were killed after 4 wk. In study 1, liver VA concentrations, compared with the high-ß-carotene maize group (0.25 ± 0.15 µmol/g), were higher in the VA group (0.56 ± 0.15 µmol/g, P < 0.05), lower in the control (0.10 ± 0.04 µmol/g, P < 0.05), and did not differ in the ß-carotene group (0.25 ± 0.08 µmol/g). Bioconversion was ~3 µg ß-carotene to 1 µg retinol (1.5 mol ß-carotene to 1 mol retinol). The liver ß-carotene content was greater in the high-ß-carotene maize group (26.4 ± 6.0 nmol) than in the ß-carotene supplement group (14.1 ± 6.0 nmol; P < 0.05). In study 2, the gerbils' VA status improved with increasing dietary ß-carotene. Liver VA in gerbils fed orange maize was greater than in those fed yellow maize, regardless of maize percentage (P < 0.05). Biofortified maize adequately maintained VA status in Mongolian gerbils and was as efficacious as ß-carotene supplementation. In populations consuming maize as a staple food, using orange instead of white maize could dramatically affect VA status.



    Introduction
 TOP
 ABSTRACT
 Introduction
 Materials and Methods
 Results
 Discussion
 LITERATURE CITED
 
Vitamin A (VA) is essential for the normal functioning of the visual system and is required for growth, development, immune function, and reproduction. In many areas of the world, especially in Africa and Southeast Asia, VA deficiency is a major health problem particularly in children and women. Where VA deficiency is prevalent, foods rich in preformed VA (e.g., milk, eggs, and liver) or provitamin A carotenoids (e.g., carrots, sweet potato, and pumpkin) are lacking. Staple foods such as maize, rice, and wheat, are typically low in provitamin A. Further exacerbating the problem is the often minimal dietary fat intake in at-risk populations, because fat is required for optimal carotenoid absorption (13).

Maize is a staple food for many VA deficient populations. In typical maize, provitamin A carotenoids include {alpha}-carotene, ß-carotene, and ß-cryptoxanthin, but concentrations are low and range from 0 to 1.3, 0.13 to 2.7, and 0.13 to 1.9 nmol/g, respectively (4). Ongoing efforts to breed maize for increased provitamin A have resulted in varieties with 9–17 nmol/g total provitamin A carotenoids, primarily as ß-carotene (4). These concentrations are low compared with carrot (240 nmol ß-carotene/g fresh weight) (5). Low predicted bioconversion rates of ß-carotene, {alpha}-carotene, and ß-cryptoxanthin to VA, i.e., 12, 24, and 24 µg to 1 µg all-trans retinol, respectively (6), and generally poor bioavailability of provitamin A carotenoids from food (7) question the bioefficacy of biofortified maize.

The bioavailability of provitamin A carotenoids from specific foods is not well understood. Before breeding efforts continue, it is essential to assess whether maize biofortification with provitamin A carotenoids can positively contribute to VA status. Many factors influence carotenoid absorption and bioconversion (8). Lack of methodology to directly measure bioavailability complicates the issue. Measuring the change in serum carotenoid concentrations following intervention has been used (7). Numerous factors affect results from this approach, including carotenoid and VA regulation in the blood and carotenoid bioconversion to VA preceding entry into the bloodstream (9). The conversion of ß-carotene to VA is tightly regulated and dependent on VA status and the amount administered in the dose or meal (10).

Other methods to evaluate bioavailability include postprandial chylomicron response (11), Caco-2 cells (1215), stable isotope tracers (16,17), and animal models (1821). Results from the postprandial chylomicron response model are highly variable among subjects, limiting their use (11). Caco-2 cells investigate bioaccessibility at the intestinal level, but do not reflect influences by the liver or other organs regulating enzyme activity and altering conversion factors. Isotope tracer studies in humans are the best method (17), but their expense is limiting and factors such as diet and VA status are difficult to control. Appropriate animal models provide a lower-cost alternative with greater experimental control. In addition, the use of animals permits direct measurement of liver VA, the best indicator of VA status (22). For carotenoids, rats and mice are not appropriate because, unlike humans, they absorb very little ß-carotene intact (1820), but Mongolian gerbils absorb and metabolize ß-carotene similarly to humans (21,2326).

The objective of this research was to investigate the bioefficacy of ß-carotene in biofortified maize in VA-depleted Mongolian gerbils. The first study compared the bioefficacy of ß-carotene from maize with VA and ß-carotene supplements. The second study investigated the effect of 2 types of maize at 2 dietary levels, yielding 4 different carotenoid concentrations, on VA status.


    Materials and Methods
 TOP
 ABSTRACT
 Introduction
 Materials and Methods
 Results
 Discussion
 LITERATURE CITED
 
Maize and diets

Four near-isogenic maize lines, generously provided by Dr. Torbert Rocheford, University of Illinois at Champaign-Urbana, were analyzed for carotenoid concentration (Table 1) and were used to prepare 6 pelleted Mongolian gerbil feeds with variable maize (Table 2) and carotenoid compositions (Table 3). The enhanced provitamin A content of maize was developed using traditional breeding approaches. For purposes of this study, maize lines are distinguished by color (i.e., white, yellow, orange, and dark-orange). Upon receipt, maize kernels were stored at –20°C (white and yellow maize) and –80°C (orange and dark-orange maize). Prior to feed preparation, maize kernels were ground to pass a 1-mm screen (particles <0.7 mm) using a C&N hammer mill 8 (Christy-Norris).


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TABLE 1 Carotenoid concentrations in 4 varieties of maize used to prepare Mongolian gerbil feeds in vitamin A bioefficacy studies1

 

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TABLE 2 Composition of experimental diets differing in maize concentration fed to Mongolian gerbils1

 

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TABLE 3 Treatment groups and provitamin A carotenoid concentrations of maize feed for 2 studies performed in Mongolian gerbils1

 
With the assistance of Harlan Teklad, gerbil feeds were designed to provide an isoenergic and isonitrogenous diet using maize as the carbohydrate source. For the VA-depletion phases, the VA- and carotenoid-free feed was 45% white maize (Table 2). Feeds were 60% white or dark-orange maize in study 1, and 30 or 60% orange or yellow maize in study 2 (Table 2). Differences in maize percentage were offset with maltodextrin. Because synthetic VA and provitamin A carotenoids were not added to the feed, the only source of VA was from the maize. Feed was stored at –20°C to prevent degradation of ß-carotene during the treatment phases.

Carotenoid composition of maize and feeds

Maize and diets were analyzed for carotenoid concentrations using a modified procedure (28). Maize flour or diet was ground with mortar and pestle and weighed (0.6 g) for analysis. Carotenoids were extracted according to the published procedure, except 500–750 µL of 80% (w:v) potassium hydroxide was added instead of 120 µL, due to the high oil content of the maize. Samples were reconstituted in dichloroethane:methanol (500 µL, 50:50, v:v), and injected (50–100 µL) into the HPLC system. ß-Apo-8-carotenal was used as an internal standard and was added post-saponification to account for mechanical losses. Preliminary experiments showed the greatest ß-carotene extraction at 85°C, but a 20–30% additional loss of internal standard occurred when added presaponification (data not shown).

Animals and procedures

Male 40-d–old Mongolian gerbils (n = 40/study) were obtained from Charles River Laboratories. Gerbils were individually housed in plastic shoebox cages and given free access to food and water. Gerbils were weighed daily and monitored for health until thriving, and thereafter weighed every 2 d. After the 4-wk depletion phase, gerbils were sorted into weight-matched treatment groups (n = 10/group) and placed on their respective diets. After 8 wk, gerbils were killed by exsanguination while under isoflurane anesthesia. Blood samples were centrifuged 2200 x g for 15 min in BD Vacutainer Gel and Clot Activator tubes (Becton Dickson) for serum isolation. Livers were excised and stored at –80°C until analysis. All animal handling procedures were approved by the University of Wisconsin-Madison's Research Animal Resource Center.

Experimental design

    Study 1. Dietary treatment groups included 60% dark-orange maize dosed with cottonseed oil, 60% white maize supplemented with ß-carotene in oil, 60% white maize supplemented with VA (as retinyl acetate) in oil, and 60% white maize dosed with oil as a negative control (Table 3). Each supplement was calculated from ß-carotene consumed from the dark-orange maize on the previous day, assuming 100% bioefficacy (i.e., 1 mol ß-carotene provides 2 mol VA). Equalization of the doses was based on ß-carotene because it is the primary provitamin A carotenoid in dark-orange maize contributing 80% of the theoretical VA in the maize. Dosing was performed twice daily, ~6 h apart, to expand the absorption period for VA and ß-carotene.

    Study 2. Treatment groups received 30 or 60% maize feed containing either orange or yellow maize (Table 3).

Preparation of ß-carotene and VA supplements for study 1

Oil doses of ß-carotene were prepared by dissolving ß-carotene supplements (GNC) into hexanes and then into cottonseed oil using sonication. Hexanes were removed by rotary evaporation and by flushing with argon; complete removal was verified by weight analysis. Retinyl acetate (Sigma) was dissolved directly into cottonseed oil using sonication. Final concentrations of ß-carotene and VA in oil were determined by dissolving an aliquot in hexanes and calculating the concentration using the Formula [2592 for ß-carotene (29) and 1810 for VA (30)] at 450 and 325 nm, respectively; 40 µL oil delivered 26 nmol ß-carotene (14.2 µg) and 56 nmol VA (15.9 µg).

Serum and liver preparation for HPLC

All samples were analyzed under gold fluorescent lights to prevent photo-oxidation and isomerization. Retinyl butyrate (38 µmol/L methanol) was synthesized and used as an internal standard to determine extraction efficiency in serum (97 ± 6%) and liver (74 ± 10%). It was also used externally for quantification of retinol and retinyl esters. Modified published procedures were used for VA and ß-carotene analysis of serum (3133) and liver (32). Serum (500 µL) was extracted 3 times with hexane (1 mL) and dried under argon. Liver (0.5–0.9 g) was ground with ~3–5 g anhydrous sodium sulfate, extracted repeatedly with dichloromethane, and filtered into a 50-mL volumetric flask. An aliquot (5 mL) of the liver extract was dried under argon. Serum and liver samples were reconstituted in methanol:dichloroethane (100 µL, 50:50, v:v) and injected (50 µL) into the HPLC system described below using a Resolve C18 column (5 µm, 3.9 x 300 mm; Waters). Total liver VA reserves were calculated by summing retinol and all identifiable retinyl esters.

HPLC analysis

Analyses of carotenoids in maize and feeds were adapted from published procedures (34,35). A Waters HPLC system consisting of a guard column, C30 YMC carotenoid column (4.6 x 250 mm, 3 µm; Waters), 1525 binary HPLC pump, 717 autosampler, and either a 996 or 2996 photodiode array detector was used. Solvent A consisted of 92:8 methanol:water (v:v) with 10 mmol/L ammonium acetate. Solvent B was 100% methyl-tertiary-butyl ether. Gradient elution was performed at 2 mL/min with the following conditions: 29-min linear gradient from 83 to 59% A, 6-min linear gradient from 59 to 30% A, 1-min hold at 30% A, 4-min linear gradient from 30 to 83% A, and a 4-min hold at 83% A. Positive identification of lutein, zeaxanthin, ß-cryptoxanthin, and ß-carotene was determined using standards. Chromatograms were generated at 450 nm.

Statistical analysis

Values are means ± SD. Data were analyzed using Statistical Analysis System software (SAS, version 8.2). Outcomes of interest (i.e., gerbil weights, serum retinol concentration, and liver VA and ß-carotene concentrations) were evaluated using 1-way ANOVA. Differences between treatment groups were determined using least significant differences (LSD) at {alpha} < 0.05.


    Results
 TOP
 ABSTRACT
 Introduction
 Materials and Methods
 Results
 Discussion
 LITERATURE CITED
 
Carotenoid concentration of feeds and food intake

No provitamin A carotenoids were detected in the 45% white maize feed used for the VA-depletion phases. Provitamin A carotenoid concentrations of the treatment maize feeds ranged from undetectable in the white maize diets to 8.85 ± 0.57, 0.99 ± 0.04, and 3.53 ± 0.02 nmol/g for ß-carotene, {alpha}-carotene, and ß-cryptoxanthin, respectively, in the 60% dark-orange maize diet (Table 3). Food intake did not differ among groups in either study and ranged from 5.5 ± 1.5 g in the dark-orange maize group to 6.6 ± 1.0 g in the VA group in study 1 and from 6.1 ± 0.9 g in the 60% yellow maize group to 7.0 ± 0.7 g in the 30% yellow maize group in study 2.

Gerbil weights

Gerbil weight gain began to reach a plateau at ~5 wk. For both studies, the final gerbil weights did not differ among groups and ranged from 72.9 ± 5.7 g in the negative control group to 76.3 ± 6.7 g in the VA group for study 1 and from 72.8 ± 4.8 g in the 30% yellow maize group to 77.8 ± 7.5 g in the 60% orange maize group for study 2.

Serum vitamin A and carotenoid concentrations

In both studies, serum retinol did not differ among treatment groups and carotenoids were not detected. The range of serum retinol concentrations in study 1 was 1.22 ± 0.16 µmol/L in the dark-orange maize group to 1.25 ± 0.22 µmol/L in the ß-carotene supplement group. In study 2, serum retinol concentrations ranged from 1.23 ± 0.16 µmol/L in the 30% yellow maize group to 1.32 ± 0.28 µmol/L in the 60% yellow maize group.

Liver VA and carotenoid concentrations

    Study 1. As expected, liver VA concentration (Fig. 1A) and content (Fig. 1B) were greater in the VA supplement group than in other groups (P < 0.05). Hepatic VA in the negative control group was significantly lower than in the other groups due to continued VA depletion during the treatment phase. Hepatic VA in the ß-carotene supplement and dark-orange maize groups did not differ and was approximately half that of the VA group (P < 0.05). The only carotenoids present in livers in measurable quantities were cis- and trans-ß-carotene in the dark-orange maize and ß-carotene groups (Fig. 1C). The dark-orange maize group had a greater ß-carotene content than the ß-carotene supplement group (P < 0.05).


Figure 1
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Figure 1  Study 1: Liver retinol equivalents (RE) per g liver (A) and per liver (B) and ß-carotene per liver (C) of vitamin A-depleted Mongolian gerbils fed 60% white maize with oil as a negative control (Control), 60% dark-orange maize diet with cottonseed oil (Maize), 60% white maize with ß-carotene in oil (ßC), and 60% white maize with vitamin A in oil (VA) for 4 wk. ß-Carotene and VA in oil doses were matched to the ß-carotene intake of the 60% dark-orange maize group, assuming 100% bioefficacy. Values are means ± SD; n = 10. Means with different letters differ, P < 0.05.

 
Retinol conversion factors were calculated for study 1. Based on ß-carotene alone, bioconversion to VA was calculated using differences in total liver VA in treatment groups compared with the negative control group (32). Conversion factors were 2.8 and 2.9 µg ß-carotene to 1 µg retinol (1.50 and 1.54 mol ß-carotene to 1 mol retinol) for the dark-orange maize and ß-carotene supplement groups, respectively.

    Study 2. Liver VA reserves in the second study were positively correlated with increasing dietary provitamin A carotenoid concentration in the diet (r = 0.85, P < 0.001). The hepatic VA concentration was higher in both groups that consumed orange maize than those that consumed yellow maize (Fig. 2A, P < 0.05). On a total liver VA basis, the 60% orange maize group had more VA than either of the yellow maize groups, but the 30% orange maize group only had a greater concentration than the 30% yellow maize group (Fig. 2B, P < 0.05). Consumption of the maize feed did not differ among the groups (i.e., 6.5 ± 1.0 g feed/d). No carotenoids in measurable quantities were observed in the liver.


Figure 2
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Figure 2  Study 2: Liver retinol equivalents (RE) per g liver (A) and per liver (B) of vitamin A-depleted Mongolian gerbils fed 30 or 60% orange or yellow maize diets for 4 wk. Values are means ± SD; n = 10. Means with different letters differ, P < 0.05.

 
The percentage of VA stored in liver that was attributable to dietary maize was estimated by comparing the different diets using the 30% yellow maize group as a control (Table 4). The difference in liver VA as total retinol equivalents (RE) between a treatment group and the 30% yellow maize group was divided by the difference in provitamin A consumed in units of theoretical RE for the same groups and multiplied by 100. Assuming ß-carotene as the only source of provitamin A, a value >100% was calculated for the 60% yellow maize group. This indicates that provitamin A carotenoids other than ß-carotene are contributing to VA stores. The percent VA stored from the maize diet was similar for the 60% yellow and 30% orange maize groups on a provitamin A basis, but not on a ß-carotene basis. In these groups, the intake of ß-cryptoxanthin was similar, but the intake of ß-carotene was ~130% higher from the 30% orange maize diet (Table 3). These results further support the roles of provitamin A carotenoids and ß-carotene in contributing to VA status.


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TABLE 4 Theoretical percentage of retinol equivalents (RE) stored in liver from provitamin A carotenoids in maize fed to Mongolian gerbils

 

    Discussion
 TOP
 ABSTRACT
 Introduction
 Materials and Methods
 Results
 Discussion
 LITERATURE CITED
 
To evaluate bioavailability, ß-carotene from biofortified maize was directly compared with ß-carotene and VA supplements in VA-depleted gerbils. Results from the first study clearly show that dark-orange maize can contribute as much VA to the liver as ß-carotene supplements during VA depletion. The conversion factor for provitamin A carotenoids in maize to VA, 2.8 µg ß-carotene to 1 µg retinol, is much lower than that currently proposed by the Institute of Medicine for dietary ß-carotene (i.e., 12 µg ß-carotene to 1 µg retinol) (6). The conversion factor assumes that ß-carotene is the source of VA and does not account for other provitamin A carotenoids present in maize that were converted to VA. On a theoretical RE basis, ß-cryptoxanthin and {alpha}-carotene comprise ~20% of the total provitamin A in the diet. Depending on their bioavailability, these carotenoids may affect the conversion factor.

In a prior study, in which freeze-dried carrots were fed to Mongolian gerbils with an adequate VA status (33), conversion factors were calculated (36) using a daily VA utilization rate (i.e., 2.5 µg retinol/gerbil) from another study in gerbils (32). Conversion factors were estimated to be 9–11 µg ß-carotene to 1 µg retinol for typical orange carrots and ~23 µg ß-carotene to 1 µg retinol for dark-orange carrots containing twice as much ß-carotene. Carrots, which are a rich source of ß-carotene, have very little oil and contain crystalline ß-carotene (37). Comparatively, the oil content in maize is much higher than in carrots. Because carotenoids are highly fat-soluble compounds, the higher oil content in maize could enhance carotenoid absorption. Effects of VA status (10), the food matrix (3,37), and the provitamin A concentration explain the differences between conversion factors.

The conversion factor for ß-carotene dissolved in oil, 2.9 µg ß-carotene to 1 µg retinol, is greater than that currently proposed by the Institute of Medicine (i.e., 2 µg ß-carotene to 1 µg retinol) (6) and assumes that all gerbils had similar utilization rates. The conversion factor for ß-carotene in oil in this study is also slightly greater than the values determined in a prior study of gerbils (i.e., 2.8 µg ß-carotene to 1 µg retinol) (32) and was obtained in Indonesian children using 13C-ß-carotene dissolved in oil (i.e., 2.6 µg ß-carotene to 1 µg retinol) (10). Conversion rates may be dependent on VA status (10) and the amount of carotenoid administered (8). Because both gerbil studies used a VA-depleted model and the VA status of Indonesian children is often depleted (38), VA status partially explains the similarities in these conversion factors. The gerbils received ~3 times more supplemental ß-carotene than in the prior study (32), which is reflected in greater ß-carotene liver storage.

The percentages of maize selected in the second study encompass the contribution of staple cereal foods to typical diets of developing countries, as well as providing a range of provitamin A intakes for the gerbils. One difference between gerbil and human diets is the preparation of the maize. In a human diet, the maize is often soaked and cooked. Although the gerbil diets were not cooked, the pelleting process required the addition of water followed by drying at 60°C for 3 h, and then air drying until room temperature was reached (B. Mickelson, Harlan Teklad, personal communication). Although heat destroys carotenoids, especially in their pure form (39), preliminary studies found that heat (85°C) was required to release carotenoids from the maize and feed matrix. Additional studies are needed to determine the effect of various cooking methods on carotenoid retention and bioavailability.

In both studies, serum retinol concentrations did not differ among groups. In healthy individuals, serum retinol is homeostatically controlled (17,40). Only under severe VA deficiency would serum retinol values decrease. Liver VA is considered the best measure for VA status (22) because the liver is the primary storage site for VA. In study 1, the control group (0.1 µmol/g liver) was on the verge of VA deficiency, defined as 0.07 µmol/g liver. Thus, a difference in serum retinol concentration would not be expected. Carotenoids were not detected in the serum as observed (32) and discussed (33,41) in prior studies.

In the first study, the only carotenoid detected in the liver was ß-carotene, which was found in the cis- and trans- form in the dark-orange maize and ß-carotene supplement groups. The liver ß-carotene content of the maize group was 100% greater than that of the ß-carotene supplement group. Because the maize diets were consumed ad libitum, absorption of ß-carotene was likely incremental, allowing better storage than the larger, twice daily doses of ß-carotene. ß-Carotene supplements are quickly cleared in gerbils with 45 ± 19% reaching the cecum, and are thus no longer available for absorption by 3 h (41). In the second study, no carotenoids were identified in the livers of any treatment group, indicating that provitamin A carotenoids were preferentially converted to VA rather than stored. Storage of large amounts of ß-carotene in the liver might indicate adequate VA status. Although lutein and zeaxanthin are present in large quantities in maize, no lutein or zeaxanthin were detected in livers. This observation supports a prior study in gerbils showing that lutein is not efficiently absorbed and stored (42).

The theoretical percentage of VA stored in the liver that is attributable to the maize diet decreased as dietary carotenoids increased and as VA status improved (study 2). Only 16% of additional provitamin A carotenoid in the 60% orange maize group was converted to VA and stored in the liver, indicating that the VA requirements of the gerbils in this group were met. The 60% dark-orange maize group (study 1) and the 60% orange maize group (study 2) had similar liver VA, even though the dark-orange maize group received twice the provitamin A carotenoids (Table 3). The presence of ß-carotene in the liver of the ß-carotene supplement and dark-orange maize groups (study 1) further supports an adequate VA status and suggests that bioconversion might depend more on VA status rather than on the dietary amount. This partially explains the similar liver VA stores of the dark-orange maize and ß-carotene supplement groups in the first study.

In conclusion, these studies show that provitamin A carotenoids in maize are as bioavailable as ß-carotene supplements in a VA-depleted gerbil model. The positive effect of biofortified maize on VA status demonstrates the feasibility of this dietary approach. The bioconversion ratio, based on ß-carotene (2.8 µg:1 µg) for provitamin A carotenoids from maize to VA in gerbils, is much lower than that proposed by the Institute of Medicine (6) for dietary sources (12 µg:1 µg). Perhaps the ß-carotene in maize is located in or associated with oil droplets in the kernel and absorbed with the fat leading to better absorption rates than with carrots or other vegetables. VA status had a large effect on VA and ß-carotene storage, signifying that a single conversion factor may not accurately reflect bioconversion under all circumstances. This study demonstrates the potential for positively altering or maintaining VA status using maize biofortified with provitamin A carotenoids and indicates that evaluation in humans should be pursued.


    ACKNOWLEDGMENTS
 
The authors thank Hua Jing and Chris Davis for their excellent gerbil care and Peter Crump, Senior Information Processing Consultant of the University of Wisconsin-Madison College of Agriculture and Life Sciences Statistical Consulting Service, for providing statistical assistance. We are also grateful to Penny Nestel who encouraged us to study the potential of biofortified maize to support vitamin A status and Ashley Valentine who offered insightful editorial advice.


    FOOTNOTES
 
1 Supported by HarvestPlus 2005X059, University of Wisconsin-Madison, and Hatch Wisconsin Agricultural Experiment Station WIS04975. The authors do not have any conflicts of interest with the funding agencies of this study. Back

Manuscript received 5 May 2006. Initial review completed 10 June 2006. Revision accepted 12 July 2006.


    LITERATURE CITED
 TOP
 ABSTRACT
 Introduction
 Materials and Methods
 Results
 Discussion
 LITERATURE CITED
 

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