A novel extrinsic reference method for assessing the vitamin A value of plant foods

Abstract

Background: The amounts of vitamin A that are metabolically derived from specific carotene-containing foods are largely unknown. Objective: We sought to develop an improved method for estimating the metabolic vitamin A potential of provitamin A carotenoids by using [2H4]retinyl acetate (d4-RA) as an extrinsic reference standard. Design: Healthy subjects consumed a standardized test meal containing 6 mg β-carotene as either raw carrot or spinach, either 20 or 1 g added fat, and 6.0 μmol d4-RA. Concentrations of unlabeled (d0) retinyl esters (RE), labeled (d4) RE, and carotenoids in the plasma triacylglycerol-rich lipoprotein fraction (d < 1.006 kg/L) were determined in serial blood samples with HPLC and gas chromatography-mass spectrometry. Baseline-corrected areas under the curve for d0-RE, d4-RE, and carotenoids were calculated, and the masses of absorbed d0-retinoI and carotenes were estimated assuming 80% absorption of the d4-RA reference dose. Results: In trials with ample (20 g) fat(n = 6), 7 ± 4% of the 6 mg β-carotene ingested was taken up as β-carotene plus RE with 0.3 ± 0.1 mg as retinol. Test meals without carotenes yielded no β-carotene or d0-RE response and there was no effect of treatment (either fat amount or vegetable, n = 6) on the mean d4-RE area under the curve. The lower-than-expected vitamin A yields were attributed to poor intestinal uptake rather than to low conversion of β-carotene to RE. Conclusion: The triacylglycerol-rich lipoprotein and d4-RA method, which controls for variation in chylomicron kinetics in vivo and RE recovery during analysis, is useful for obtaining quantitative estimates of the vitamin A potential of single meals.