VITAMIN A
ABINAYA S
RETINOIDS
Natural Synthetic
Vitamers of A
Retinol
Retinal
Retinoic acid
Provitamin A
B-carotene(plant foods)
B-carotene
2 Retinal
Retinol (Vit A Alcohol) Alcohol
Oxidation Oxidation
Retinal (Vit A Aldehyde) Aldehyde
Oxidation
Oxidation
Retinoic (Vit A acid) acid
Source
Liver oils
Marine Fish
Milk
Butter
Egg Yolk
carrot,Turnip,Spinach
Physiological role of Vit A
A) Wald’s Visual cycle
B) To Maintain helathy epithelial tissue
Prevents keratin Synthesis (Horny Surface)
To treat acne
prevent wrinkles
signs of aging
C) Reproduction
spermatogenesis
D) Immunity
Increased Susceptibility to Infection
vitamin A deficiency
Deficiency Symptoms
1. Night Blindness (Nyctalopia)
2. xeropthalmia-Bitot’s Spots
Dryness of conjuctiva cornea
+
keratinization of epithelial cells
Xeropthalmia
Persists
Corneal ulceration and
degeneration
Progress
Keratomalacia —> Total blindness
Therapeutic Uses
Vitamin A deficiency
Rx Prophylaxis
50,000 - 100,000 IU 3000 - 5000 IU/day
i.m or orally for 1 -3 days
Skin diseases like acne and psoriasis.
Drug Interactions
1.Vitamin E
Increased storage Decreased toxicity
Increased utilization of retinol
2.Regular use of liquid paraffin
Vitamin A deficiency
3.Long term oral Neomycin
steatorrhoea
Interferes with vitamin A
absorption
HyperVitaminosis A
Regular ingestion of gross excess of retinol
(100,000 IU) daily for months
Manifestations
Dermatitis, increased intracranial tension,
enlargement of liver,loss of weight and nails,etc
Retinoic Acid
Activity Epithelial Tissues ✔️ Rapidly metabolised
Eye & Reproducive organs ❌ Excretion
Bile and urine
Retinoic Acid
All trans Retinoic acid 13 Cis Retinoic acid
Acne
Retinoid Receptors
—-> Nuclear Receptors
(similar to steroid hormones recpetors)
RAR RxR
RECEPTORS RECEPTORS
Thank you