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补充维生素A可提高人体血浆中视黄酸化合物的水平:对致畸作用可能产生的影响。

Vitamin A supplementation increases levels of retinoic acid compounds in human plasma: possible implications for teratogenesis.

作者信息

Eckhoff C, Nau H

机构信息

Freie Universität Berlin, Institut für Toxikologie und Embryonalpharmakologie.

出版信息

Arch Toxicol. 1990;64(6):502-3. doi: 10.1007/BF01977634.

DOI:10.1007/BF01977634
PMID:2275606
Abstract

The concentrations of retinoic acid compounds were monitored by a newly developed highly sensitive HPLC procedure in plasma of six volunteers who received 833 IU vitamin A per kg body weight per day during a 20-day period. There was a significant increase of all-trans-retinoic acid (two-fold), 13-cis-retinoic acid (7-fold) and 13-cis-4-oxoretinoic acid (5-fold) over endogenous plasma levels of these retinoids. The same compounds had previously been found after treatment with the teratogenic drug isotretinoin (Roaccutan, Accutane). Our results raise the possibility that high vitamin A intake may carry a teratogenic risk attributable to increased levels of retinoic acid compounds generated from retinol by metabolic processes.

摘要

通过一种新开发的高灵敏度高效液相色谱法,对六名志愿者血浆中视黄酸化合物的浓度进行了监测。这些志愿者在20天内每天每公斤体重摄入833国际单位的维生素A。与这些类视黄醇的内源性血浆水平相比,全反式视黄酸(增加了两倍)、13-顺式视黄酸(增加了7倍)和13-顺式-4-氧代视黄酸(增加了5倍)均有显著增加。此前在用致畸药物异维A酸(保肤灵、异维甲酸)治疗后也发现了相同的化合物。我们的研究结果表明,高维生素A摄入量可能存在致畸风险,这归因于视黄醇通过代谢过程产生的视黄酸化合物水平升高。

相似文献

1
Vitamin A supplementation increases levels of retinoic acid compounds in human plasma: possible implications for teratogenesis.补充维生素A可提高人体血浆中视黄酸化合物的水平:对致畸作用可能产生的影响。
Arch Toxicol. 1990;64(6):502-3. doi: 10.1007/BF01977634.
2
Identification and quantitation of all-trans- and 13-cis-retinoic acid and 13-cis-4-oxoretinoic acid in human plasma.人血浆中全反式维甲酸、13-顺式维甲酸和13-顺式-4-氧代维甲酸的鉴定与定量分析。
J Lipid Res. 1990 Aug;31(8):1445-54.
3
Human plasma all-trans-, 13-cis- and 13-cis-4-oxoretinoic acid profiles during subchronic vitamin A supplementation: comparison to retinol and retinyl ester plasma levels.亚慢性维生素A补充期间人体血浆中全反式、13-顺式和13-顺式-4-氧代视黄酸的情况:与视黄醇和视黄酯血浆水平的比较
J Nutr. 1991 Jul;121(7):1016-25. doi: 10.1093/jn/121.7.1016.
4
Simultaneous analysis of retinol, all-trans- and 13-cis-retinoic acid and 13-cis-4-oxoretinoic acid in plasma by liquid chromatography using on-column concentration after single-phase fluid extraction.采用单相流体萃取后柱上富集的液相色谱法同时分析血浆中的视黄醇、全反式和13-顺式视黄酸以及13-顺式-4-氧代视黄酸。
J Chromatogr B Biomed Sci Appl. 1997 Jun 20;694(1):83-92. doi: 10.1016/s0378-4347(97)00109-6.
5
Comparative teratology and transplacental pharmacokinetics of all-trans-retinoic acid, 13-cis-retinoic acid, and retinyl palmitate following daily administrations in rats.大鼠每日给予全反式维甲酸、13-顺式维甲酸和棕榈酸视黄酯后的比较毒理学及经胎盘的药代动力学
Toxicol Appl Pharmacol. 1994 Jul;127(1):132-44. doi: 10.1006/taap.1994.1147.
6
[Plasma level and metabolism of vitamin A (Vitadral) in women of reproductive age].
Zentralbl Gynakol. 1991;113(20):1100-6.
7
Influence of dose and pharmaceutical formulation of vitamin A on plasma levels of retinyl esters and retinol and metabolic generation of retinoic acid compounds and beta-glucuronides in the cynomolgus monkey.
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Identification of 9-cis-retinoic acid, 9,13-di-cis-retinoic acid, and 14-hydroxy-4,14-retro-retinol in human plasma after liver consumption.食用肝脏后人体血浆中9-顺式视黄酸、9,13-二顺式视黄酸和14-羟基-4,14-反式视黄醇的鉴定。
Life Sci. 1996;59(12):PL169-77. doi: 10.1016/0024-3205(96)00408-0.
9
Retinoid metabolism and transplacental pharmacokinetics in the cynomolgus monkey following a nonteratogenic dosing regimen with all-trans-retinoic acid.在食蟹猴接受全反式维甲酸非致畸剂量方案后的维甲酸代谢及经胎盘药代动力学
Teratology. 1996 Nov;54(5):255-65. doi: 10.1002/(SICI)1096-9926(199611)54:5<255::AID-TERA6>3.0.CO;2-Z.
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The high sensitivity of the rabbit to the teratogenic effects of 13-cis-retinoic acid (isotretinoin) is a consequence of prolonged exposure of the embryo to 13-cis-retinoic acid and 13-cis-4-oxo-retinoic acid, and not of isomerization to all-trans-retinoic acid.兔子对13-顺式维甲酸(异维甲酸)致畸作用的高敏感性是胚胎长期暴露于13-顺式维甲酸和13-顺式-4-氧代维甲酸的结果,而非异构化为全反式维甲酸的结果。
Arch Toxicol. 1994;68(2):119-28. doi: 10.1007/s002040050044.

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本文引用的文献

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Clinical pharmacokinetics of the retinoids.类视黄醇的临床药代动力学。
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Derivation of retinoic acid and metabolites from a teratogenic dose of retinol (vitamin A) in mice.小鼠体内致畸剂量视黄醇(维生素A)衍生视黄酸及其代谢产物的过程。
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Identification of a receptor for the morphogen retinoic acid.形态发生素视黄酸受体的鉴定。
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