When a free radical reacts with lipid in a cell mem-
brane, the resulting chain reactions oxidizing sur-
rounding lipid (lipid peroxidation) damage both the
structure and function of cell membranes. Vitamin E
is particularly important in tissues that contain rela-
tively high levels of polyunsaturated fatty acids (e.g.,
brain and central nervous system), those in direct
contact with high concentrations of oxygen (e.g.,
lung) and cell organelles dealing with oxygen or
oxygen-free-radical reactions (e.g., mitochondria).
Epidemiology
0026 Epidemiological studies provide data supporting the
benefits of higher intakes of foods containing vitamin
E as well as other antioxidants. These studies suggest
that individuals with low blood concentrations
and/or intakes of foods containing vitamin E have
increased risk for development of a number of degen-
erative diseases including certain types of cancer,
heart disease, Alzheimer’s disease, and cataract.
However, as yet, there is no proof that the vital com-
ponent in the prevention of these diseases is anymore
likely to be vitamin E than any of the other com-
pounds contained in such foods.
0027 A limited number of intervention trials have been
completed, with mixed results. However, for the most
part, such trials have used isolated natural or syn-
thetic vitamin E, and there is increasing evidence
that these compounds do not interact with the body
in the same way as food-sourced vitamin E (e.g.,
reduced bioavailability).
Source and Dose
0028 How much vitamin E an individual needs depends on
what is required; enough to prevent deficiency dis-
ease, prevent oxidation of lipids, prevent free radical
damage and promote optimal health, or to produce a
therapeutic effect. Deficiency per se can be prevented
by intakes in line with government recommended
dietary intakes. However, if prevention of oxidative
damage and promotion of optimal health is the ob-
jective, intakes of up to 10 times the current levels
have been proposed. If a therapeutic result is the aim,
even higher intakes may be necessary.
0029 Research data suggest that considerably more vita-
min E needs to be consumed in the average diet to
prevent free radical cell damage. Foods are depleted
of vitamin E by processing, refining, and storage, and
the current trend to reduce fat intake means that a
diet-conscious population tends to eliminate those
oil-rich foods likely to provide vitamin E. Not only
do most people not get enough vitamin E in their diets
for optimal health, but a large number are considered
to be marginally deficient of the amount necessary to
prevent deficiency disease.
Carotenoids
0030No dietary reference values are available for the
recommended daily allowance. Those with a b-
ionone ring are precursors for vitamin A.
0031No deficiency symptoms are known except those
associated with vitamin A deficiency. Good food
sources are colorful fruit and vegetables (e.g., peas,
tomatoes, and carrots) and commercial products such
as ‘spreads’ and milkshake flavoring, which contain
b-carotene as an antioxidant.
Links with Vitamin A
0032In 1913, it was shown that a fat-soluble factor in
butter – later characterized as vitamin A – stimulated
the growth of rats fed on an incomplete diet. Vitamin
A is a fat-soluble vitamin that helps in the formation
and maintenance of healthy teeth, skeletal and soft
tissue, mucous membranes, and skin. It is also known
as retinal because it generates the pigments that are
necessary for the functioning of the retina. However,
it is not an antioxidant.
Chemistry
0033Carotenoids are naturally occurring brightly colored
plant pigments. More than 600 different carotenoids
have been identified, all derived from the same basic
C40 isoprenoid skeleton (Figure 3).
0034Mixed carotenoids can be isolated from algae, b-
carotene from palm oil, lutein and lutein esters from
marigolds, lycopene from tomatoes, and crypto-
xanthin from citrus and tropical fruits, in particular
orange fruit. b-Carotene has been synthesized for a
number of years, and lycopene more recently.
0035Natural mixed carotenoid supplements contain a
variety of carotenoids, including a- and b-carotene.
Commercially available synthetic carotenoid supple-
ments contain only b-carotene. Synthetic b-carotene
is composed of the all-trans isomers, and b-carotene
from algae, and fruits, and vegetables is composed of
all-trans,9-cis, and other cis-isomers.
Role in the Body
0036Humans regularly consume around 40 different
carotenoids, but only a small number of these can
be detected in appreciable quantities in human
blood and tissues. The major carotenoids are a-and
b-carotene, lutein, zeaxanthin, cryptoxanthin, and
lycopene.
0037Provitamin A carotenoids, those carotenoids pos-
sessing a b-inone ring, have vitamin A activity, and
can be converted into vitamin A by the body. b-
Carotene has the highest provitamin A activity, but
over 60 carotenoids have some provitamin A activity.
Vitamin A is toxic when taken in excess, but these
ANTIOXIDANTS/Role of Antioxidant Nutrients in Defense Systems 287