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© 2002 The American Society for Nutritional Sciences J. Nutr. 132:1673S-1675S, June 2002


Supplement: Waltham International Symposium

Retinol and Retinyl Ester Responses in the Blood Plasma and Urine of Dogs after a Single Oral Dose of Vitamin A

Jens Raila3, Remo Radon, Annett Trüpschuch and Florian J. Schweigert

Institute of Nutritional Science, University Potsdam, Potsdam-Rehbrücke, Germany

3To whom correspondence should be addressed. E-mail: jraila{at}rz.uni-potsdam.de.

KEY WORDS: • dog • vitamin A • absorption • plasma • urine

EXPANDED ABSTRACT

It is well established that dietary vitamin A (VA) is taken up by the intestinal cells and is incorporated as retinyl esters along with other dietary lipids into chylomicrons (1). The chylomicrons are secreted into the lymphatic system and enter the circulation, where they are metabolized into chylomicron remnants by activity of lipoprotein lipase. The remnant particles contain most of the retinyl esters originally packed in the intestinal chylomicrons and are rapidly cleared primarily by hepatocytes, where they undergo hydrolysis [for review see Blomhoff et al. (2)]. As a result of these processes retinol is either reesterified for storage in lipid droplets in the stellate cells or bound to retinol-binding protein (RBP), the sole plasma transport protein for retinol. The retinol–RBP complex is secreted into circulation bound to transthyretin for delivery to peripheral tissues (3). However, dogs and other carnivores do transport VA in blood plasma not only as retinol bound to RBP but predominantly as retinyl stearate (RS) and retinyl palmitate (RP) associated with all lipoprotein fractions (46). In mammals other than carnivores the occurrence of lipoprotein-bound retinyl esters is observed only under conditions of acute or chronic vitamin A intoxication (7). The physiological factors and processes responsible for a lower susceptibility of carnivores to high dietary VA intake are not entirely understood. One factor protecting dogs from a VA intoxication may be the excretion of retinol and retinyl esters in the urine in association with Tamm–Horsfall protein (THP) (8,9). We therefore examined the effect of a large single oral dose of VA on the retinol and retinyl ester response in plasma and on the excretion of retinol, retinyl esters and THP with the urine.


    MATERIALS AND METHODS
 TOP
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 LITERATURE CITED
 
Eight male adult Beagle dogs [10.2 ± 0.6 kg body weight (BW); mean ± SD; Harlan-Winkelmann, Borchen, Germany] were studied according to the regulatory rules for animal welfare of the German Society of Experimental Animal Science. The research protocol was approved by the Animal Welfare Committee Berlin, Germany (AZ: G 0062/00). Once daily dogs were fed a commercial diet (Altromin 4020, Lage, Germany) formulated to meet the nutrient recommendations of the National Research Council for adult dogs (10), and had free access to water. After a 16-h overnight fast, the dogs were given a single VA supplement (3000 RE/kg BW) as retinyl palmitate (Ursovit® A, Bernburg, Germany) together with 5 mL cream (30% fat), administered through a syringe directly to the back of the mouth. Blood was sampled into EDTA evacuated tubes at -2 d (for baseline measurements) and 1, 2, 3, 4, 6, 8, 24, 48, 72 and 96 h after dosing. The time for baseline sampling was chosen based on suggestions of the Animal Welfare Committee to protect the animals from too much blood loss during the consecutive blood collection over 4 d and on previous results showing that plasma retinol and retinyl ester levels in plasma show little variation if animals were on a constant dietary supply with VA (9).

Plasma was separated by centrifugation (1500 x g at 4°C). Beginning immediately after feeding urine was collected for 18 h each day into individual bottles beneath metabolic cages until 96 h after dosing. The bottles were wrapped in aluminum foil to protect their contents from light. Chylomicrons were isolated by ultracentrifugation (30 min, 100,000 x g at 10°C) from 1 mL fresh plasma at density < 1.006 g/mL (11). Retinol and retinyl esters in plasma and chylomicrons were determined by a gradient-HPLC method (9). RBP in plasma and urine was detected by Western blotting after protein separation on SDS–PAGE (6). THP was determined by an ELISA system. The intra-assay variability was assessed by measuring the amount of THP in six aliquots of the same urine sample run on a single ELISA plate. The coefficient of variation (CV) at a mean concentration of 48.07 ± 2.29 µg/mL was 4.8%. The interassay coefficient was monitored by incubating three wells on each ELISA plate with an aliquot from a single urine sample. For a random sampling of 18 plates, these interassay samples yielded a THP concentration of 32.6 ± 2.32 µg/L, which represents an interassay CV of 7.1%. Triglyceride and urine creatinine were determined using a commercial test kit (Sigma, Deisenhofen, Germany).

Statistical analysis

Results are expressed as means ± SD. Variations in the response variable (retinol and retinyl esters in plasma and urine) were partitioned using the general linear model (GLM) procedure of SAS (version 8.0, SAS Institute, Cary, NC) for repeated-measurement design. In the case of significant differences a Scheffé post hoc test was used to determine the cause, assuming a confidence level of P < 0.05.


    RESULTS
 TOP
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 LITERATURE CITED
 
Plasma VA responses

In fasted dogs, VA was present as retinol, RO, RP and RS (Table 1). RS (49%) was the predominant form of VA followed by retinol (24%), RP (21%) and RO (6%). As a consequence of the administration of 3000 RE as RP/kg BW, plasma levels of retinyl esters reached their highest values 8 h after dosing (30.94 ± 9.82 µmol/L vs. 10.21 ± 3.45 µmol/L; P < 0.001) and returned to baseline levels by 72 h. Plasma retinol increased slightly from 3.16 ± 0.65 to 4.99 ± 0.74 µmol/L (P < 0.001), with a maximum at 6 h, and decreased to baseline at 48 h (Fig. 1). The ratio between plasma RS and RP declined significantly (P < 0.01) from 2.60 ± 0.36 at baseline to 1.44 ± 0.14 at 3 h after the vitamin A administration. The RS/RP ratios remained unaffected until 6 h, than started to increase again and returned to baseline levels by 48 h (2.12 ± 0.21; P < 0.001).


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TABLE 1 Baseline plasma retinol, retinyl esters and triglyceride concentrations of fasting male dogs1

 


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FIGURE 1 Plasma retinol, retinyl oleate, retinyl palmitate, retinyl stearate responses in eight dogs measured after the intake of 3000 RE as retinyl palmitate/kg BW. Values are means ± SD. *On the basis of GLM procedure, values at 6 h (retinol) and at 8 h (retinyl esters) led to significantly higher concentrations relative to baseline levels (t = 0), P < 0.001.

 
Chylomicron VA responses

The chylomicron retinyl ester responses did not parallel the increase of retinyl esters observed in plasma. After the VA load, the chylomicron RP and RS concentrations peaked at 1 h and decreased slightly by 8 h. However, there were no significant time effects on the ratios of chylomicron RS to chylomicron RP for each time point throughout the postprandial period, which ranged between 0.96 and 1.33.

Plasma and chylomicron triglyceride response

Plasma triglyceride concentrations peaked between 2 and 4 h at levels between 0.80 and 0.83 mmol/L and returned to baseline by 24 h (Fig. 2). The chylomicron triglyceride concentration reached a peak at 4 h (0.16 ± 0.05 mmol/L), decreased slightly and increased again at 8 h (0.25 ± 0.05 mmol/L).



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FIGURE 2 Postprandial plasma triglyceride concentrations in 8 dogs after an oral retinyl palmitate load of 3000 RE as retinyl palmitate/kg BW. Values are means ± SD. *Significantly different from baseline values (t = 0), P < 0.05.

 
Urinary VA responses

In all dogs, VA in urine was present as retinol, RO and RP, but no RS was detected. The excretion of VA was estimated by measuring the ratios of the concentrations of urinary total VA to urinary creatinine concentration (Fig. 3). No significant change in the excretion of VA could be observed during the 96 h after dosing. However, the individual excretion of retinol and retinyl esters was quite variable during the experiment. The presence of THP could be demonstrated in all urine specimens, showing a significant increase (P < 0.001) in the ratio of THP to creatinine at 8 h that decreased continuously until 96 h after dosing. In contrast to plasma, no RBP was detected in urine.



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FIGURE 3 Ratios of vitamin A and Tamm–Horsfall protein (THP) to creatinine measured in the urine of eight dogs collected after the intake of 3000 RE as retinyl palmitate/kg BW. Values are means ± SD. *Significantly different from baseline values (t = -24 h), P < 0.001.

 

    DISCUSSION
 TOP
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 LITERATURE CITED
 
As in other canines, VA in the blood plasma of fasting dogs was present as retinol but predominantly also as RS and RP (4,6). The retinyl esters are transported in plasma associated with all lipoprotein fractions of very low, low and high density (VLDL, LDL, HDL) (4,12). This is a peculiarity of carnivores, given that in most other species, elevated retinyl ester levels in plasma are observed only during conditions of a chronic VA intoxication or as a postprandial consequence of VA absorption (1). The results of this study show that the administration of 3000 RE as RP/kg BW in dogs resulted in an increase of both retinol and retinyl esters in plasma. Although postprandial triglyceride concentrations increased, concentrations of retinyl esters associated with chylomicrons did not parallel these changes. However, the declining ratios between plasma RS and RP indicate that newly absorbed dietary vitamin A is primarily transported as RP. This is in accordance with results in which the oral administration of RP was used to study chylomicron metabolism in the dog (13). It indicates that chylomicron retinyl esters are cleared by the liver and subsequently resecreted along with the VLDL and LDL at 6 to 10 h after the meal (12,14). Evidence for the secretion of retinyl esters by the liver also comes from this study, showing an increase in the ratio between RS to RP in plasma at 8 h after vitamin A dosing. Thus, the chylomicron and plasma retinyl ester responses obtained in this study are quite different from those found in humans (15).

Another objective of this study was to investigate whether the postprandial increase of plasma VA may have an effect on the excretion of VA in the urine, as has been shown in dogs on diets with various amounts of VA fed for extended periods of time (9). Although all dogs in this study were fed the same basal diet and plasma VA increased simultaneously during the postprandial period, the individual urine concentrations of retinol and RP were quite variable. Maximal urine RP excretions was observed at 8 and 48 h after VA dosing; however, if the values were calculated as the ratio of urinary VA to creatinine, no significant change in the excretion of VA in the urine was observed. Therefore, the results of this study extend the observation that the excretion of VA in the urine of dogs may not be directly affected by plasma VA levels (8). Renal excretion of retinol but not retinyl esters in humans is observed only during severe infections as a result of a decreased protein reabsorption by the tubular epithelium during febrile proteinuria (16). Based on Western blot analysis, RBP can be excluded as a carrier for VA in urine. Therefore, it is unlikely that the loss of VA in urine of dogs is a consequence of merely glomerular filtration and decreased tubular RBP reabsorption. The renal excretion of VA seems to be a regulated secretory process by kidney tubules cells, given that the patterns of retinyl ester in plasma (predominantly RS) and the urine (nearly exclusively RP) are quite different. Furthermore, retinol and retinyl esters are associated with the Tamm–Horsfall glycoprotein (THP) that is actively secreted by the epithelial cells of distal tubules (8).

In conclusion, the results indicate that urinary THP excretion has no relationship to urinary vitamin A excretion. The excretion of vitamin A might be related to its uptake, transcellular transport, apical secretion as well as a sufficient accumulation in the kidney (6). However, both the exact mechanism of excretion as well as the consequences for vitamin A supplementation and metabolism in carnivores remain to be elucidated.


    FOOTNOTES
 
1 Presented as part of the Waltham International Symposium: Pet Nutrition Coming of Age held in Vancouver, Canada, August 6–7, 2001. This symposium and the publication of symposium proceedings were sponsored by the Waltham Centre for Pet Nutrition. Guest editors for this supplement were James G. Morris, University of California, Davis, Ivan H. Burger, consultant to Mars UK Limited, Carl L. Keen, University of California, Davis, and D’Ann Finley, University of California, Davis. Back

2 Supported by Gesellschaft zur Förderung Kynologischer Forschung e.V., Germany. Back

4 Abbreviations used: BW, body weight; RBP, retinol-binding protein; RE, retinyl equivalent; RO, retinyl oleate; RP, retinyl palmitate; RS, retinyl stearate; THP, Tamm–Horsfall protein; VA, vitamin A. Back

5 Nutrient and energy content of the basal diet per kg was as follows: metabolizable energy (12.1 MJ), N-free extract (455 g), moisture (125 g), protein (220 g), fiber (55 g), fat (50 g), ash (95 g), calcium (15 g), phosphorus (11 g), potassium (9 g), sodium (2 g), magnesium (2 g), vitamin A (15,000 IU), vitamin D3 (600 IU) and vitamin E (75 mg). Back


    LITERATURE CITED
 TOP
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 LITERATURE CITED
 

1. Harrison, E. H. & Hussain, M. M. (2001) Mechanisms involved in the intestinal digestion and absorption of dietary vitamin A. J. Nutr. 131:1405-1408.[Abstract/Free Full Text]

2. Blomhoff, R., Green, M. H., Green, J. B., Berg, T. & Norum, K. R. (1991) Vitamin A metabolism: new perspectives on absorption, transport, and storage. Physiol. Rev. 71:951-990.[Free Full Text]

3. Blaner, W. S. (1989) Retinol-binding protein: the serum transport protein for vitamin A. Endocr. Rev. 10:308-316.[Abstract/Free Full Text]

4. Schweigert, F. J. (1988) Insensitivity of dogs to the effects of nonspecific bound vitamin A in plasma. Int. J. Vitam. Nutr. Res. 58:23-25.[Medline]

5. Schweigert, F. J., Ryder, O. A., Rambeck, W. A. & Zucker, H. (1990) The majority of vitamin A is transported as retinyl esters in the blood of most carnivores. Comp. Biochem. Physiol. A 95:573-578.[Medline]

6. Raila, J., Buchholz, I., Aupperle, H., Raila, G., Schoon, H. A. & Schweigert, F. J. (2000) The distribution of vitamin A and retinol-binding protein in the blood plasma, urine, liver and kidneys of carnivores. Vet. Res. 31:541-551.[Medline]

7. Mallia, A. K., Smith, J. E. & Goodman, D. W. (1975) Metabolism of retinol-binding protein and vitamin A during hypervitaminosis A in the rat. J. Lipid Res. 16:180-188.[Abstract]

8. Schweigert, F. J., Raila, J. & Haebel, S. (1998) Vitamin A excreted in urine of canines is associated with a Tamm–Horsfall like protein. Biol. Chem. 379:S128.

9. Schweigert, F. J. & Bok, V. (2000) Vitamin A in blood plasma and urine of dogs is affected by the dietary level of vitamin A. Int. J. Vitam. Nutr. Res. 70:84-91.[Medline]

10. NRC (1985) Nutrient Requirements of Domestic Animals: Nutrient Requirements of Dogs 1985 National Academy of Sciences, National Research Council Washington, DC .

11. Terpstra, A. H. (1985) Isolation of serum chylomicrons prior to density gradient ultracentrifugation of other serum lipoprotein classes. Anal. Biochem. 150:221-227.[Medline]

12. Wilson, D. E., Hejazi, J., Elstad, N. L., Chan, I. F., Gleeson, J. M. & Iverius, P. H. (1987) Novel aspects of vitamin A metabolism in the dog: distribution of lipoprotein retinyl esters in vitamin A-deprived and cholesterol-fed animals. Biochim. Biophys. Acta 922:247-258.[Medline]

13. Watson, T. D., Mackenzie, J. A., Stewart, J. P. & Barrie, J. (1995) Use of oral and intravenous fat tolerance tests to assess plasma chylomicron clearance in dogs. Res. Vet. Sci. 58:256-262.[Medline]

14. Melchior, G. W., Mahley, R. W. & Buckhold, D. K. (1981) Chylomicron metabolism during dietary-induced hypercholesterolemia in dogs. J. Lipid Res. 22:598-609.[Abstract]

15. Reinersdorff, D. V., Bush, E. & Liberato, D. J. (1996) Plasma kinetics of vitamin A in humans after a single oral dose of [8,9,19-13C]retinyl palmitate. J. Lipid Res. 37:1875-1885.[Abstract]

16. Stephensen, C. B., Alvarez, J. O., Kohatsu, J., Hardmeier, R., Kennedy, J. I., Jr & Gammon, R. B., Jr (1994) Vitamin A is excreted in the urine during acute infection. Am. J. Clin. Nutr. 60:388-392.[Abstract/Free Full Text]




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