Vitamin Basics The Facts about Vitamins in Nutrition © DSM Nutritional Products Disclaimer Copyright © by [DSM Nutritional Products AG] 2007 All rights reserved. No part of this publication may be reproduced, distri- buted or translated in any form or by any means, or stored in a database or retrieval system, without the prior written permission of the publisher. The mention of specific companies and trademarks does not imply that they are endorsed by DSM Nutritional Products AG (“DSM”). While making reaso- nable efforts to ensure that all information in this book is accurate and up to date, DSM makes no representation or warranty of the accuracy, reliabili- ty, or completeness of the information. The information provided herein is for informational purposes only. All medical information presented should be discussed with your healthcare professional. Remember, the failure to seek timely medical advice can have serious ramifications. We strongly urge you to discuss any current health related problems you are experiencing with a healthcare professional imme- diately. This publication does not constitute or provide scientific or medical advice, diagnosis, or treatment and is distributed without warranty of any kind, either express or implied. In no event shall DSM be liable for any damages arising from the reader's reliance upon, or use of, these materials. The reader shall be solely responsible for any interpretation or use of the material contained herein. Edited by Dr. Volker Spitzer, Global Science Manager, DSM Nutritional Products Ltd. With a foreword by Prof. Dr. Florian Schweigert, President of the German Society for Applied Vitamin Research, Potsdam. 3rd edition 2007 (C) 1994, 1997, 2007 DSM Nutritional Products Ltd. Designed by graphic art studio, Grenzach-Wyhlen, Germany Printed in Germany Burger Druck, Waldkirch, Germany 2007 – REI – 50970 (1/0997.6.5) DSM Overview Headquartered in the Netherlands, DSM is active worldwide and develops, produces and sells innovative products and services that help improve the quality of life. DSM’s products are used in a wide range of end-markets and applications, such as human and animal nutrition and health, personal care, pharmaceuticals, automotive and transport, coatings, housing and electrics & electronics. The group has annual sales of over 8 billion and employs some 22,000 people. DSM ranks among the global leaders in many of its fields. DSM NUTRITIONAL PRODUCTS DSM Nutritional Products is the Global operations: world’s largest supplier of nutritional DSM Nutritional Products has 11 large production sites in 7 countries. The ingredients, such as vitamins, company also runs 35 premix plants for Animal Nutrition and Health and 11 carotenoids (antioxidants and pig- premix plants for Human Nutrition and Health, where product combinations ments), other biochemicals and fine are custom made to serve specific customer needs. DSM Nutritional chemicals, and premixes. The com- Products has some 40 sales offices that are active in over 100 countries. It pany covers an unmatched breadth employs approximately 6,200 people. of applications in the area of ingre- dients, addressing the animal and Research & Development: human nutrition and health as well Building on its long tradition of industry leadership, DSM Nutritional as personal care industries. Products is committed to continuously providing outstanding products and Starting in 1935 with the chemical services for human and animal well-being. Most of these products are synthesis of vitamin C, Roche grad- nature-identical, which means that their chemical structures and properties ually added other synthesized vita- cannot be distinguished from those found in plants or animals. R&D facili- mins to its range. In 2003, DSM ties are concentrated in the region of Basel, Switzerland, and are strongly acquired Roche's Vitamins and Fine integrated in an innovation network with other nutrition-related DSM R&D Chemicals Division and today DSM campuses in the Netherlands. Additionally, R&D satellites are managed in Nutritional Products sells the full France and in China. In the area of process improvement, DSM makes every range of fat-soluble and water-solu- effort to keep the business’s main products competitive. The R&D strategy ble vitamins, carotenoids, long chain is based on the introduction of new chemical processes and the develop- polyunsaturated fatty acids, ment of new biotechnology-based approaches. The latter efforts are sup- enzymes, citric acid and nutraceuti- ported by advanced biotechnological techniques such as genomics and cals. proteomics. DSM Nutritional Products supports its activities in vitamins and fine chemicals by conducting research that focuses primarily on process improvement and the development of new products. Apart from developing new products, DSM Nutritional Products is also working on improved formulations and new combinations of existing products. A pioneer in innovation: DSM Nutritional Products fosters innovation to the benefit of both the con- sumer’s future and that of the company. Lateral thinking and innovative attitudes are valuable tools with which to secure that future. These lead to discoveries that DSM then links to customers’ needs, extending the range of offering and creating new business opportunities. Quality management: Products and services In 1991, DSM Nutritional Products introduced quality DSM Nutritional Products is the leading supplier of management based on Good Manufacturing Principles vitamins, carotenoids and fine chemicals to the food (GMP) and all the relevant International Standards and pharmaceutical industries with a very strong global Organization ISO (9000) quality standards. Since 1 marketing and sales base. The company provides the January 2002, the company has had a uniform and following products: group-wide certification based on the new international standard ISO 9001:2000. This means that all production Carotenoids units, premix plants, distribution centers and the entire b-Carotene global marketing organization are covered by the certifi- CaroCare® (b-Carotene – Natural Source) cate. All processes are designed to anticipate customer Apocarotenal requirements and market trends. Apocarotenoic Ester Canthaxanthin You can find more information on Lutein www.dsmnutritionalproducts.com redivivo™ (Lycopene) OPTISHARP™ (Zeaxanthin) Fat soluble Vitamins Vitamin A – Liquid and Dry Vitamin D – Liquid and Dry 3 Vitamin E, Synthetic – Liquid and Dry Vitamin E, Natural Source Vitamin K 1 Water soluble Vitamins Vitamin B – Thiamine 1 Vitamin B – Riboflavin 2 Vitamin B – Niacin/Niacinamide 3 Vitamin B – Pantothenates 5 Pro-Vitamin B – Panthenol 5 Vitamin B – Pyridoxine 6 Vitamin B – Cyanocobalamin 12 Folic Acid Biotin Vitamin C Long chain polyunsaturated fatty acids ROPUFA® (Omega-3 LC PUFA – Polyunsaturated Fatty Acids) ROPUFA® (Omega-6 LC PUFA – Polyunsaturated Fatty Acids) Nutraceuticals ALL-Q® (Coenzyme Q10) TEAVIGO™ (EGCG) BONISTEIN™ (Genistein) LAFTI® (Probiotics) HIDROX® (Olive Polyphenols) Other ingredients Citric Acid Dextromethorphan Hydrobromide (DMH) Tretinoin Micronutrient blends Contents Foreword 4 Introduction 5 Vitamin A 11 Beta-carotene 17 Vitamin D 23 Vitamin E 29 Vitamin K 35 Vitamin C 40 Vitamin B 47 1 Vitamin B 53 2 Vitamin B 59 6 Vitamin B 65 12 Niacin 71 Vitamin B 76 5 Folic Acid 81 Biotin 87 References 93 Index 94 2 Foreword While plants and micro organism have the capability to visible in the history of vitamin D research. In the late produce the vitamins necessary for the metabolism 1970’s, research established vitamin D as a hormone themselves, humans and animals have unfortunately essential in bone metabolism. Based on such findings, lost this ability during evolution. Because of the lack of vitamins are no longer classified into groups defined specific enzymes for synthesis, vitamins became essen- simply by their physical-chemical properties – such as tial nutrients for them. It was recognized more than water-soluble and fat-soluble vitamins. More appro- 3500 years ago that vitamins are essential food ingre- priately, vitamins are now classified according to their dients for maintaining health and well-being. The first biological function in the body; vitamins with coenzyme records related to the use of specific food items, as we functions, vitamins with hormone-like properties and know today contain information on specific vitamins, vitamins with antioxidants properties. But as expected such as vitamin A in liver, to prevent specific diseases the borderlines between these groups can not clearly be such as night blindness. Only 3000 years later specific defined and needs readjustment with the rapid progress conditions of deficiency were recorded that could be in research. attributed to the deficiency of selected nutrients. Well known examples are scurvy (vitamin C deficiency), In developing countries chronic, diet-related diseases beriberi (vitamin B ) and rickets (vitamin D). It took are still an important public health problem but in the 1 another 400 years until we ware able to attribute these affluent societies, the prevention of degenerative disease conditions to specific active substances in our diseases and also acute vitamin deficiencies might be of diet named then vitamins. Although we now know that concern. Regarding the continuing debate of optimal vitamins are not a uniform group of chemical sub- vitamin levels and tolerable upper intake levels (UL) a stances like proteins, carbohydrates and lipids, we still valid knowledge-base of the daily expanding scientific use the term to describe the whole group. evidence is necessary. This includes for example the definition of populations at risk, the problem of appro- Since the beginning of the last century our knowledge priate biomarkers that not only reflect the dietary intake on the biological function of vitamins on the molecular but also the local status in specific tissues at risk of and cellular level has increased significantly. This deficiency as well as environmental factors that influ- research is reflected by 20 Noble Prize winners between ence status and need for certain vitamins. 1928 and 1967. Despite intensive research efforts no additional vitamins have been added to the list of 13 The following chapters of this book will contribute to the vitamins accumulated between 1897 and 1941. better understanding of the important role of vitamins not only in preventing specific deficiencies but also While in the past, scientist have basically been concern- maintaining and improving human health and well-being ed with the role of vitamins in preventing vitamin related by summarizing the actual knowledge-base for the in- disease and their biochemical functions, today it is dividual vitamins. recognized that vitamins have an important role in health and well-being beyond the mere prevention of Prof. Dr. Florian J. Schweigert deficiency. This aspect of vitamins is based on the President of the German Society for Applied Vitamin observation that vitamins are not only coenzymes in Research (GVF) metabolic processes but also act as potent antioxidants Professor for Nutrition, University of Potsdam and have hormone-like functions. The later is clearly Potsdam, Germany 3 Introduction Vitamins are essential organic nutrients required in very small amounts for normal metabolism, growth and physical well-being. Most vitamins are not made in the body, or only in insufficient amounts, and are mainly obtained through food. When their intake is inadequate, vitamin deficiency disorders are the consequence. Vitamins are present in food in minute quantities compared to the macronutrients protein, carbohydrates and fat. The aver- age adult in industrialised countries eats about 600g of food per day on a - dry-weight basis, of which less than 1 gram consists of vitamins. No single food contains all of the vitamins and, therefore, a balanced and varied diet is necessary for an adequate intake. Each of the 13 vitamins known today has specific functions in the body, which makes every one of them unique and irreplaceable. Vitamins are essential for life! Of the 13 vitamins, 4 are fat-soluble, namely vitamins A, D, E and K. The other vitamins are water-soluble: vitamin C and the B-complex, consisting of vitamins B , B , B , B , folic acid, biotin, pantothenic acid and niacin. 1 2 6 12 The history of vitamins can be divided into five periods. 4 Table 1: The History of Vitamins Vitamin Discovery Isolation Structure Synthesis Vitamin A 1909 1931 1931 1947 Provitamin A (Beta-carotene) 1831 1930 1950 Vitamin D 1918 1932 1936 1959 Vitamin E 1922 1936 1938 1938 Vitamin K 1929 1939 1939 1939 Vitamin B 1897 1926 1936 1936 1 Vitamin B 1920 1933 1935 1935 2 Niacin 1936 1935 1937 1894 Vitamin B 1934 1938 1938 1939 6 Vitamin B 1926 1948 1956 1972 12 Folic Acid 1941 1941 1946 1946 Pantothenic Acid 1931 1938 1940 1940 Biotin 1931 1935 1942 1943 Vitamin C 1912 1928 1933 1933 1. The empirical healing of di- any new vitamin is quite unlikely, 5. The accumulation of reports seases, now associated with vit- although efforts are still of health benefits beyond amin deficiency, through con- continuing in that quest. Many of preventing deficienciesand excit- sumption of particular foods. An the researchers involved in this ing new biochemical functions of example is the use of liver to treat golden age of the vitamins vitamins ushered in a fifth period, night blindness (vitamin A defi- received a Nobel prize in reco- starting with the report in 1955 of ciency) by the Egyptians (Papyrus gnition of their great achie- the cholesterol-lowering effect of Ebers 1550-1570 BC), Assyrians, vements (Table 2). niacin (1). This is now a well Chinese, Japanese, Greeks, accepted effect of the vitamin, Romans, Persians and Arabs. 4. During the era of discovery, a which has nothing at all to do with fourth period began which was its classical coenzyme role, and is 2. The second phase was charac- concerned with the biochemical a clear health effect beyond pre- terised by the ability to induce a functions, establishment of venting the deficiency disease deficiency disease in animals, dietary requirements and pellagra. which started with the classical commercial production. In the studies of Lunin and Eijkman early 1930s it was realised that Finally, work on the biochemical around 1890. The ability to pro- riboflavin (vitamin B ) was part of function of vitamins in the last three 2 duce deficiency diseases, such as the “yellow enzyme”, which in decades has considerably expanded beriberi in animals, led to time led to the elucidation of the our concept of how vitamins func- Hopkins’ concept that small role of the B-vitamins as coen- tion in the body and has helped pro- amounts of “accessory growth zymes. The subsequent identifi- vide a chemical basis for the in vivo factors” are necessary for growth cation of most of the B-vitamins observation of their health effects and life, and the coining of the as coenzymes remained a central (Table 3). term “vitamine” in 1912 by the theme, defining their function for Polish-American scientist, Funk. many decades. The first com- mercial synthesis of vitamin C by 3. The third phase consisted in Reichstein in 1933 was the start seven decades of exciting of a successful industrial effort research involving the discovery, that led to the availability of isolation, structure elucidation relatively inexpensive vitamins for and synthesis of all the vitamins, research and use in animal and culminating in the synthesis feedstuffs, for the fortification of of vitamin B in 1972. Most sci- food products, and for supple- 12 entists think that the discovery of ments. 5 Table 2: Vitamin-Related Nobel Prize Winners Year Name Field Comments 1928 Adolf Windaus Chemistry for his research into the constitution of the steroids and their connection with vitamins 1929 Christiaan Eijkman Medicine & for his discovery of the antineuritic vitamins Physiology Sir Frederick G. Hopkins Medicine & for his discovery of the growth stimulating vitamin Physiology 1934 George R. Minot Medicine & for their discoveries concerning liver therapy of William P. Murphy Physiology anaemias George H. Whipple 1937 Sir Walter N. Haworth Chemistry for his research into the constitution of carbohydrates and vitamin C Paul Karrer Chemistry for his research into the constitution of carotenoids, flavins and vitamins A and B 2 Albert Szent-Györgyi Medicine & for his discoveries in connection with the biological Physiology combustion processes, with particular reference to vitamin C and the catalysis of fumaric acid 1938 Richard Kuhn Chemistry for his work on carotenoids and vitamins 1943 Carl Peter Henrik Dam Medicine & for his discovery of vitamin K Physiology Edward A. Doisy Medicine & for his discovery of the chemical nature of vitamin K Physiology 1953 Fritz A. Lipmann Medicine & for his discovery of Coenzyme A and its importance Physiology for intermediary metabolism 1955 Axel H.T. Theorell Medicine & for his discoveries concerning the nature and mode Physiology of action of oxidation enzymes 1964 Konrad E. Bloch Medicine & for his discoveries concerning the mechanism and Physiology regulation of cholesterol and fatty acid metabolism Feodor Lynen Medicine & as above Physiology Dorothy C. Hodgkin Chemistry for her structural determination of vitamin B 12 1967 Ragnar A. Granit Medicine & for his research, which illuminated the electrical Physiology properties of vision by studying wavelength discrimination in the eye Halden K. Hartline Medicine & for his research on the mechanisms of sight Physiology George Wald Medicine & for his research on the chemical processes that Physiology allow pigments in the retina of the eye to convert light into vision 6 Table 3: Biochemical Function of Vitamins Vitamin Classical Role More Recent Role Vitamin C Hydroxylation Reaction In Vivo Antioxidant Beta-carotene Provitamin A Antioxidant, Immune Function Vitamin K Clotting Factors Calcium Metabolism Vitamin D Calcium Absorption, Differentiation and Growth, Mineralisation of Bone Immune Function Vitamin B Coenzyme Steroid Regulation 6 Niacin Coenzyme Lipid Lowering Folic Acid Production and Maintenance Protection Against Neural Tube of New Cells Birth Defects Folic Acid, B and B Energy Metabolism May Lower Risk of Heart Disease and 6 12 Stroke* Antioxidant vitamins Protection against Cancer and Heart Disease* *Research ongoing Dietary Reference The primary goal of having these •Estimated Average Requirement Intakes new dietary reference values was (EAR) – the amount of a nutrient not only to prevent nutrient deficien- that is estimated to meet the cies, but also to reduce the risk of requirement of half of all healthy From 1941 until 1989, RDAs chronic diseases such as osteo- individuals in a given age and (Recommended Dietary Allowances) porosis, cancer, and cardiovascular gender group. This value is based were established and used to evalu- disease. on a thorough review of the scien- ate and plan menus to meet the tific literature. nutrient requirements of certain The first report, Dietary Reference groups. They were also used in Intakes for Calcium, Phosphorus, •Recommended Dietary Allowance other applications such as interpre- Magnesium, Vitamin D and Fluoride, (RDA) – the average daily dietary ting food consumption records of was published in 1997. Since then, intake of a nutrient that is sufficient populations, establishing standards three additional vitamin related to meet the requirement of nearly for food assistance programs, reports have been released, all (97-98%) healthy persons. This establishing guidelines for nutrition addressing folate and other B vit- is the number to be used as a goal labelling, etc. amins, dietary antioxidants (vitamins for individuals. It is calculated from C, E, selenium and the carotenoids), the EAR. The primary goal of RDAs was to and the micronutrients (vitamins A, prevent diseases caused by nutrient K, and trace elements such as iron, •Adequate Intake (AI) – only estab- deficiencies. iodine, etc). The DRIs are a compre- lished when an EAR (and thus an hensive scientific source primarily for RDA) cannot be determined In the early 1990s, the Food and nutrition scientists (see References). because the data are not clear-cut Nutrition Board (FNB), the Institute They are used by health authorities enough; a nutrient has either an of Medicine, the National Academy in many countries as a basis for RDA or an AI. The AI is based on of Sciences (USA), with the involve- decisions regarding nutritional infor- experimental data or determined ment of Health Canada, undertook mation on micronutrients. by estimating the amount of a the task of revising the RDAs, and a There are four types of DRI reference nutrient eaten by a group of new family of nutrient reference val- values: the Estimated Average healthy people and assuming that ues was born – the Dietary Requirement (EAR), the Recom- the amount they consume is ade- Reference Intakes (DRIs). mended Dietary Allowance (RDA), the quate to promote health. Adequate Intake (AI) and the Tolerable Upper Intake Level (UL).