Vitamin E Overview for Health Professionals

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Questions and Answers

What role does vitamin E play beyond its antioxidant activities?

  • Production of hemoglobin
  • Inhibition of blood clotting
  • Regulation of blood pressure
  • Involvement in immune function (correct)

Which enzyme's activity is inhibited by alpha-tocopherol?

  • Arachidonate lipoxygenase
  • Protein kinase C (correct)
  • Cyclooxygenase
  • Caspase

What is the natural form of vitamin E referred to as?

  • RRR-alpha-tocopherol (correct)
  • dl-alpha-tocopherol
  • Synthetic tocopherol
  • Alpha-tocopherone

What do the Dietary Reference Intakes (DRIs) primarily account for when providing recommendations for vitamin E?

<p>Age and gender (C)</p> Signup and view all the answers

Which of the following statements about the FNB's recommendations for vitamin E is true?

<p>They focus on serum levels to ensure adequate protection. (C)</p> Signup and view all the answers

What is the primary role of vitamin E in the body?

<p>To serve as a fat-soluble antioxidant (D)</p> Signup and view all the answers

What effect does vitamin E have on the endothelium in relation to blood vessel function?

<p>It improves resistance to cell adhesion. (D)</p> Signup and view all the answers

Why has the FNB called for more research regarding vitamin E requirements?

<p>Due to uncertainties in current data and biomarkers. (C)</p> Signup and view all the answers

Which form of vitamin E is recognized as meeting human requirements?

<p>Alpha-tocopherol (A)</p> Signup and view all the answers

How does vitamin E affect prostacyclin release in relation to blood vessels?

<p>It promotes its release, leading to vessel dilation. (B)</p> Signup and view all the answers

Why do serum concentrations of alpha-tocopherol depend on the liver?

<p>The liver preferentially resecretes only alpha-tocopherol (D)</p> Signup and view all the answers

What are free radicals primarily known for?

<p>Damaging cells and contributing to diseases (D)</p> Signup and view all the answers

What does reactive oxygen species (ROS) result from?

<p>The conversion of food to energy (B)</p> Signup and view all the answers

What environmental factors can expose the body to free radicals?

<p>Cigarette smoke and air pollution (C)</p> Signup and view all the answers

Which of the following is the main function of antioxidants?

<p>To protect cells from free radical damage (D)</p> Signup and view all the answers

What happens to the other forms of vitamin E in the liver?

<p>They are preferentially metabolized and excreted (D)</p> Signup and view all the answers

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Study Notes

Overview of Vitamin E

  • Vitamin E encompasses a group of fat-soluble compounds with antioxidant properties.
  • Eight chemical forms exist: alpha-, beta-, gamma-, and delta-tocopherol; alpha-, beta-, gamma-, and delta-tocotrienol.
  • Alpha-tocopherol is the primary form essential for human health.

Absorption and Metabolism

  • Serum concentrations of alpha-tocopherol depend on liver uptake after absorption in the small intestine.
  • The liver re secretes only alpha-tocopherol via the hepatic alpha-tocopherol transfer protein.
  • Other forms of vitamin E are metabolized and excreted by the liver, leading to lower blood concentrations.

Role of Antioxidants

  • Antioxidants like vitamin E protect cells from free radical damage, potentially reducing the risk of cardiovascular diseases and cancer.
  • Free radicals, derived from metabolic processes and environmental factors, contribute to reactive oxygen species (ROS) formation.
  • Vitamin E counteracts oxidative stress by preventing ROS production during fat oxidation.

Immune Function and Cell Signaling

  • Beyond antioxidant actions, vitamin E is involved in immune system support and various metabolic processes.
  • It regulates cell signaling and gene expression, affecting smooth muscle cells, platelets, and monocytes.

Cardiovascular Health

  • Vitamin E enhances endothelial cell function by resisting blood cell adherence within blood vessels.
  • The compound increases expression of enzymes that suppress arachidonic acid metabolism, promoting blood vessel dilation and reducing platelet aggregation.

Dietary Recommendations

  • Intake values for vitamin E are established by the Dietary Reference Intakes (DRIs) from the Food and Nutrition Board.
  • DRI values vary by age and gender, focusing on alpha-tocopherol, the only form found in plasma.
  • Recommendations are based on serum levels that ensure protection against free radical damage, particularly in erythrocytes exposed to hydrogen peroxide.

Sources of Vitamin E

  • Naturally sourced vitamin E is identified as RRR-alpha-tocopherol (d-alpha-tocopherol).
  • The synthetic version is all rac-alpha-tocopherol (dl-alpha-tocopherol).

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