|
|
||||||||
1 Ecole Nationale Vétérinaire de Toulouse, Unité Associée Institut National de la Recherche Agronomique de Pharmacologie et Toxicologie Expérimentales, 31076 Toulouse Cedex, France; and 2 Agriculture Canada Center for Food and Animal Research, Ottawa, Ontario, Canada K1A OC6
| |
ABSTRACT |
|---|
|
|
|---|
Kinetic plasma disposition parameters and
tissue distribution of ascorbic acid (AA) and dihydroascorbic acid
(DHA) were determined in newborn calves. After a radiolabeled AA
intravenous administration, the plasma clearance (Cl)
was low (40.8 ± 9.5 ml · kg
1 · h
1),
the steady-state volume of distribution
(Vss) was very high (8.9 ± 2.2 l/kg), and the AA mean residence time (MRT) was
long (230 ± 85 h). After administration of a 3-g dose of AA, the
Cl was high (450 ± 146 ml · kg
1 · h
1),
the Vss was low (0.658 ± 0.236 l/kg), and the MRT was short (1.49 ± 0.41 h),
indicating a strong nonlinearity of AA disposition in calves and the
impossibility of preventing scurvy with the use of a loading AA dose.
Nonlinearity was explained by the saturation of both kidney
reabsorption and tissue uptake. The estimated AA body pool size was
23.1 ± 6.8 mg/kg. On the basis of a compartmental analysis and
actual tissue concentration measurements, it is suggested that the lung
(19% of the pool) constitutes a low-capacity but rapidly mobilized
pool able to cover an acute need for AA, whereas muscle and liver (40 and 33% of the pool, respectively) are high-capacity AA pools, but
slowly mobilized and involved in covering the calf's long-term AA
requirements. The average daily AA entry rate over the first 7 days of
life was 3.43 ± 1.16 mg/kg, and it is suggested that the calf is
able to synthesize AA at an early stage.
compartmental analysis; tissue distribution; body pool size; entry rate
| |
INTRODUCTION |
|---|
|
|
|---|
MAMMALIAN SPECIES, with the exception of human beings, other primates, and guinea pigs, are able to synthesize ascorbic acid (AA) in either the liver or kidney and therefore do not require dietary supplementation (18). According to this generally accepted view, the enzymatic capacity of the adult cow liver to synthesize AA is sufficient to cover vitamin C requirements. However, it was pointed out that adult cattle are prone to AA deficiency when AA synthesis is impaired because exogenous supplies of this vitamin are rapidly destroyed by the ruminal microflora (10). It was also reported that synthesis of vitamin C in calves does not occur until 2-3 wk after birth (26). Thus, during the first week after birth, the calf's AA requirements must be supplied by colostrum and milk and prenatal storage of vitamin C, which in turn relies on the mother's capacity to synthesize AA. This view is supported by the observation on scurvy-type dermatosis in calves receiving insufficient whole milk, which can be successfully treated with injections of AA. More generally, scurvy and low blood AA content in weaned calves were reported (20), suggesting that during the first week of life calves need ~2-2.5 mg/kg of AA per day in the milk. Collectively, these observations indicate that AA status in the calf merits attention, especially from birth to the onset of endogenous ascorbate synthesis. Currently, there is little definitive information concerning vitamin C requirements in ruminants, including calves. To document these requirements, at least two physiological parameters need to be known: the plasma AA concentration considered to be nutritionally appropriate and the plasma AA clearance. The purpose of the present study was to provide basic physiological parameters characterizing AA disposition in calves, namely the plasma clearance, metabolic pool size, entry rate, tissue distribution, absorption from the digestive tract, hepatic first-pass effect, and urine elimination rate. As already reported, AA can be accumulated in blood cells and platelets (13), and special attention has been paid to the distribution of AA between plasma and blood cells.
| |
MATERIALS AND METHODS |
|---|
|
|
|---|
In Vitro Evaluation of the Influx and Efflux of AA in Blood Cells
The in vitro influx of AA from plasma to blood cells was examined by centrifugal method. [14C]AA [10,000 disintegrations per min (dpm)/ml] was added to aliquots of fresh heparinized calf blood and incubated at 37°C. After AA addition, the tubes were shaken continuously. Samples were taken at 0, 1, 2, 3, 4, 5, 7, 10, 20, and 30 min and 1, 2, 3, and 5 h. The samples were immediately centrifuged for 15 min at 1,000 g, and the radioactivity was measured separately in the plasma and packed cell components.In a second experiment, the rate of AA efflux from the red blood cells was estimated as follows. A volume of calf blood was incubated with [14C]AA for 5 h at 37°C, after which the blood cells were collected after gentle centrifugation (15 min at 1,000 g). Four grams of radioactive blood cells was added to tubes containing 8 ml of control plasma and resuspended by shaking. An aliquot fraction (2 ml) was centrifuged (15 min at 1,000 g), and samples were collected at 1, 2, 3, 4, 5, 10, 15, 20, 30, 60, and 120 min. Plasma and blood cell radioactivities were measured separately as described above.
The AA activity in whole blood was calculated from the concentrations in blood cells, plasma, and from the hematocrit using the formula: total blood activity = 0.6 × plasma activity + 0.4 × blood cell activity.
In Vivo Experiments
Animals. Holstein calves, 1-6 days old (mean 4.65 ± 1.98 days), weighing from 35 to 49 kg (mean 44.4 ± 4.7 kg) at the beginning of the experiment were placed in individual cages 24 h after birth. They were fed with colostrum (AA concentrations of ~16 µg/ml) then with milk (AA concentrations of ~2 µg/ml). All calves received at least 50 µg/kg body wt of vitamin C within the first 24 h, and they were subsequently fed milk at 5% of their body weight in the morning and 5% of their body weight in the evening. The milk was collected from the cows in the dairy herd of the Animal Research Center at Greenbelt (Ottawa, ON). The calves were assigned to five groups of five animals each, corresponding to intravenous, intramuscular, intraruminal (ir), and intraperitoneal routes of 14C-labeled AA administration. The fifth group of five calves received a pharmacological dose (3 g) of AA intravenously.In a separate experiment, plasma, colostrum, and milk concentrations of AA were measured in another group of six Holstein cows and their calves at parturition and at 2, 7, 14, 21, and 28 days after calving.
Labeled AA
L-[Carboxyl-14C]AA was obtained from Amersham (Elk Grove, IL). The specific activity was 566 MBq/mmol (86 µCi/mg). The purity (95.8%) was checked by high-performance liquid chromatography on aminex ion exclusion HPX-87H with a gradient sulfuric acid. The dosing solution contained 10 µCi/ml in distilled water. The dose was verified by measuring the radioactivity of weighed aliquots.Radiolabeled Compound Administration
The weight of the syringe was recorded before and after dosing to confirm the actual amount of administered material. All the calves received a single 50 µCi administration of AA except one (nb 9, intravenous route) that received only 35 µCi in error. Dose-dependent kinetic parameters for this calf were corrected to the nominal dose. For the intravenous administrations, the dose was administered via a catheter in the jugular vein; the intramuscular administration was done in the neck muscle; the intraruminal administration was done directly throughout the left flank using a needle; the intraperitoneal administration was done in the right flank.Blood Sampling and Processing
Blood samples (5 ml) were obtained by direct venipuncture from the jugular vein before (control) and 1, 2, 3, 4, 5, 6, 7, 10, 24.5, 32.5, 48, 55, 72, 79, 96, 103, 120, 127, 144, 151, 168, and 175 h (7 days) postadministration of labeled AA. After the 3-g dose of AA, blood samples were collected in heparinized tubes and immediately chilled at 0, 0.1, 0.167, 0.33, 0.5, 1, 2, 3, 4, 5, 6, 7, 12, 24, 32, and 53 h after dosing. For the six calves that were sampled from birth to 28 days, blood samples were taken 6 h after birth and 1 h after the morning feeding for the other sampling days. The samples were centrifuged (5 min at 1,000 g). Two milliliters of 3.6% of metaphosphoric acid was added to 4 ml of plasma, and deproteinized plasma was stored at
70°C until analysis. The blood cells were freeze dried and kept at the laboratory temperature.
Urine Collection and Processing
Ottawa plastic metabolism cages (21), molded from fiberglass and equipped with a modified device for separation of feces and urine, were used for urine collection, which was collected at 4°C. The total amount of individual daily urine was mixed inside the collection bottle and a 100-ml sample was collected for analysis.Animal Euthanasia, Tissue Sampling, and Processing
After completion of the blood sampling (7 days postadministration) all animals were killed with the use of a captive-bolt pistol and exsanguination. Tissues and organs were rapidly dissected, dried with a filter paper, and coarsely chopped before storage at
70°C
before radioassay.
The following samples were collected for measurement of radioactivity: muscle (hip, neck), fat (perirenal), liver, kidney, spleen, heart, lung, pancreas, and adrenal glands.
Analytic Methods
Specific activity is the sum of AA and dihydroascorbic acid (DHA) activities. Because 95% of the radioactivity was related to AA, the results are reported in terms of AA.Triplicate tissue (50-100 mg) samples from each organ were placed in ashless cellulose pellets (400 mg) and were burned in sample oxidizer (Packard Instrument, Downers Grove, IL; model 306). Radioactivity was performed by a liquid scintillation spectrometer (model 2/5-250 Beckman, Fullerton, CA).
Chemical analysis for vitamin C was initiated within 1 or 2 days after the animal was killed. AA and DHA concentrations in samples were measured by high-performance liquid chromatography using an electrochemical detector as extensively described elsewhere (3, 4). The level of quantification for AA was 0.5 µg/ml, and the interassay variation was below 7%.
Pharmacokinetic Analysis
After each administration, activity versus time was measured in freeze-dried blood cells and plasma. The results for the freeze-dried blood cells were expressed on a dry matter basis. On the assumption that the dry matter content is 33% of the red blood cell mass (12), a water blood cell activity equal to plasma activity, and a mean hematocrit of 40%, the total blood activity (TBA) was approximated with Eq. 1
|
|
(1) |
The AA did not accumulate in the blood cells, and all in vivo kinetic analyses were performed using only plasma activity with a program for nonlinear regression analysis adapted from the MULTI analysis program (37). Plasma activity (dpm/ml) was fitted to the general polyexponential Eq. 2
|
(2) |
i
(h
1) is the
ith exponential
decay term. Initial estimates were obtained using the residual method
(15). The data points were weighed by the inverse of the squared-fitted
value
(1/
2i). The best fit was obtained by minimizing the weighed least-square criteria, and the number of exponents (1, 2, or 3) needed for each data
set was determined by application of the Akaike's information criterion (36). On the basis of this criterion, a triexponential equation was selected for the intravenous administration
|
(3) |
1,
2, and
3
(h
1) are exponents. Data
were therefore interpreted using a three-compartment open model with
activity elimination from the central compartment.
The estimated parameters
(Y1,
Y2,
Y3 and
1,
2,
3) were used to solve the
first-order rate constants of transfer from central to
peripheral compartments
(K2 1,
K3 1,
K1 2, K1 3)
with classical equations (15).
The volume of the central compartment (ml/kg) was obtained with
|
(4) |
The steady-state volume of distribution (Vss) (ml/kg), which is the appropriate volume to consider when determining the amount of AA in the body at equilibrium, was obtained with Eq. 5
|
(5) |
Varea (ml/kg) is the appropriate volume to consider for calculating the amount of labeled AA remaining at the time of death, i.e., when the pseudodistribution equilibrium has been reached. After intravenous administration, Varea was obtained using Eq. 6
|
(6) |
3 is the slope of the terminal
phase and AUC
(dpm · h
1 · ml
1)
is the area under the plasma activity curve obtained by integrating Eq. 3, i.e.
|
(7) |
1 · h
1)
was calculated using
|
(8) |
|
(9) |
|
(10) |
The AA renal clearance (Clr) (l/h) was obtained for calves treated by intravenous and intramuscular routes. Clr was obtained with Eq. 11
|
|
(11) |
The terminal plasma half-life (t1/2) (h) after intravenous administration was obtained using Eq. 12
|
(12) |
After intravenous administration, the MRT of the activity in the system, i.e., the mean total time taken for a labeled molecule to transit through the body, was calculated with Eq. 13
|
(13) |
|
(14) |
The MRT in the peripheral compartments (MRTT), i.e., the average interval of time spent by a molecule in the two peripheral compartments in all of its passages, i.e., R passages (see Eq. 19) was obtained with Eq. 15
|
(15) |
The MTTc, i.e., the average interval of time spent by a molecule of AA from its entry into the central compartment to its next exit, was obtained with Eq. 16
|
(16) |
The MTT in the first (shallow) peripheral compartment (MTTp1), i.e., the average interval of time spent by a molecule of AA from its entry into the first peripheral compartment to its next exit, was obtained with Eq. 17
|
(17) |
|
(18) |
|
(19) |
|
(20) |
At steady state, the time necessary to have a 50% drop in plasma concentration or amount in the body (5) if the entry rate is totally stopped is given in Eq. 21 and 22, respectively
|
(21) |
|
(22) |
|
|
(23) |
|
|
(24) |
1) is the
apparent first-order rate constant of absorption. The data were
therefore described by the two- or three-compartment model with a
single process of absorption.
The t of the terminal phase was calculated with Eq. 25
|
(25) |
The apparent systemic availabilities (F%) of AA after intramuscular, intraruminal, and intraperitoneal administrations were calculated with Eq. 26
|
(26) |
The average entry rate of AA
(µg · kg
1 · h
1
was calculated for the five calves administered by intravenous route
with Eq. 27
|
(27) |
The average AA pool size (mg/kg) of the five calves administered by intravenous route was obtained with Eq. 28
|
(28) |
|
(29) |
|
(30) |
|
(31) |
After the intravenous administration, the labeled AA remaining at the time of death (7 days) was calculated with Eq. 32
|
(32) |
Plasma AA concentrations (µg/ml) after the intravenous AA administration at the pharmacological dose (3 g) were analyzed with the use of the same approach as plasma activity. The presence of physiological concentrations of AA was taken into account and based on the Akaike's information criterion. A biexponential equation corresponding to a bicompartmental model was selected
|
(33) |
Statistical Analysis
Statistical analysis was performed using STATGRAPHICS (STSC, Rockville, MD). Values are reported as means ± SD. The effect of time (independent variable) over the in vitro plasma and blood cell activity and blood-to-plasma ratio was studied using linear regression. Analysis of variance (ANOVA) for repeated measures was performed. Homogeneity of variance was tested with the use of Bartlett's test. Nonparametric ANOVA (Friedman 2-way analysis) was carried out when the variances were not homogeneous.| |
RESULTS |
|---|
|
|
|---|
In Vitro Blood Distribution Studies
When fresh blood was spiked with radiolabeled AA, plasma and blood cell activities remained essentially constant for incubation times ranging from 0 to 5 h (regression analysis, P > 0.05) (Fig. 1A), indicating an immediate distribution of AA between plasma and blood cells; the mean ± SD AA blood-to-plasma ratio was 0.71 ± 0.03.
|
In the second experiment, the efflux of AA from blood cells was evaluated by adding blood cells incubated with labeled AA to control plasma; in this experiment, there was no influence of time (from 0 to 120 min) on the blood-to-plasma ratio (regression analysis, P > 0.05) (Fig. 1B). The mean ± SD ratio was 0.99 ± 0.06.
These results indicate that under in vitro conditions there was no accumulation of AA in blood cells, and the distribution of AA between blood cells and plasma was very rapid.
In Vivo Distribution of AA Between Plasma and Blood Cells
Figure 2 shows the effect of time on AA activity in plasma, freeze-dried blood cells, and total blood for a representative calf after an intravenous administration of AA. Inspection of Fig. 2 indicates that AA plasma and total blood activities were similar at the first sampling time but that blood activities became progressively higher than the corresponding plasma activities until 10 h postadministration. After 10 h, total blood and plasma AA activities decreased in parallel.
|
Figure 3 shows the mean ratio of blood to plasma activity for the five calves administered AA by the intravenous route. In steady-state conditions, the total blood-to-plasma activity ratio was between 2.2 and 2.8. After the intramuscular administration, the mean steady-state ratio was 1.6 and 1.8 at 10 and 15 h postadministration, respectively. Similar results were obtained for the intraruminal and intraperitoneal routes of administration. Because the total blood activities and plasma activities were of the same order of magnitude and, as in in vivo, the equilibration rate of AA between blood cells and plasma was relatively slow, it was decided to perform kinetic analyses on the plasma data only (see DISCUSSION).
|
Kinetic Analysis of Plasma Activity After Intravenous Administration
The semilogarithm plot of the observed and fitted activity (dpm/ml) versus time (h) after an intravenous administration of labeled AA is shown in Fig. 4 for a representative calf. The plasma clearance was low (40.8 ± 9.5 ml · kg
1 · h
1),
but the distribution clearances were high (1,900 ± 1,038 ml · kg
1 · h
1
for Cld1 and 528 ± 155 ml · kg
1 · h
1
for Cld2). The
Vss was very high (8.9 ± 2.2 l/kg). The MRT in the body (230 ± 85 h) and the
t1/2 (152 ± 57 h) were prolonged. MRTc (the
MRT in the central compartment) was short (8.4 ± 2.2 h) and MRTT [the
MRT in the peripheral compartments (tissue)] was
prolonged (222 ± 84 h). The recycling number
(R) was high (66 ± 44 per h).
The MTTc (see
Eq.
16) was very short (11.2 ± 8.1 min) and the MTTT in the
peripheral compartments (see Eq.
20) was much longer (4.3 ± 2.1 h). The MTTp2 in the first
peripheral compartment (see Eq.
17) was short (0.71 ± 0.20 h)
compared with the MTTp1 in the
second peripheral compartment (17.5 ± 5.5 h) (see
Eq.
18). In steady-state conditions, the
time necessary to obtain a 50% drop in plasma concentration would only be 5.8 h if entry rate was totally stopped, whereas in the same situation the time necessary to obtain a 50% drop in the AA amount in
the body would be 6.64 days.
|
Kinetic Analysis of Plasma Activity After Intramuscular, Intraruminal, and Intraperitoneal Administrations
The semilogarithmic plots of the plasma activity (dpm/ml) versus time (h) for the intramuscular, intraruminal, and intraperitoneal administrations are shown for a representative calf in Figs. 5, 6, and 7, respectively.
|
|
|
After intramuscular administration, plasma activity was best fitted with Eq. 24. The plasma activity increased rapidly to reach a maximum value (2,077 ± 225 dpm/ml) 0.25 ± 0.01 h after labeled AA administration. The apparent half-life of absorption was 0.12 ± 0.02 h and the apparent t1/2 was 195 ± 17 h. The MRT was 270 ± 23 h and the apparent mean bioavailability was slightly higher than 100%.
After intraruminal administration, plasma activity was best fitted with Eq. 23. Plasma activity increased rapidly to reach a maximal value (1,001 ± 180 dpm/ml) 0.75 ± 0.17 h after labeled AA administration. The apparent absorption half-life was 0.16 ± 0.06 h and the t1/2 was 120 ± 33 h. The MRT was 168 ± 40 h. The apparent mean bioavailability was 62%.
After intraperitoneal administration, the plasma activity was best fitted with Eq. 23. The plasma activity increased rapidly to reach a maximum value (1,122 ± 325 dpm/ml) 0.45 ± 0.55 h after labeled AA administration. The half-life of absorption was 0.13 ± 0.18 h, the t1/2 180 ± 24 h, and the MRT was 257 ± 31 h. The apparent mean bioavailability was 89%.
Renal Clearance of AA After Intravenous and Intramuscular Administration
The total radioactivity collected in urine over the 7 days after intravenous AA administration was 11.4 ± 3.4% of the administered dose of AA. The AA renal clearance was 8.9 ± 3.4 ml · kg
1 · h
1,
i.e., 19.9 ± 5.5% of the plasma clearance as calculated with the
trapezoidal rule. After intramuscular administration, 13.4 ± 3.7%
of the administered activity was collected within the 7 days of
sampling and the estimated AA renal clearance was 10.3 ± 2.6 ml · kg
1 · h
1,
i.e., a value close to that calculated after the intravenous administration.
AA and DHA Plasma Concentrations and AA Pool Sizes (Intravenous Study)
The mean plasma concentration of AA (from injection to 7 days postadministration) was 3.45 ± 0.59 µg/ml for the five calves undergoing intravenous administration. The corresponding mean plasma DHA concentration was 0.36 ± 0.14 µg/ml, indicating that DHA represented only 9.44 ± 3.69% of the total plasma vitamin C (AA plus DHA) concentrations. Similar results were obtained with calves administered by the intramuscular, intraruminal, or intraperitoneal routes. The average AA pool size over the 7 days of sampling was 30.0 ± 6.6 mg/kg and the total vitamin C pool size (AA plus DHA) was 33.2 ± 7.7 mg/kg. When considering the plasma AA concentration at the time of death (2.60 ± 0.41 µg/ml), the estimated body AA pool size was 23.1 ± 6.8 mg/kg and the AA plus DHA pool size was 26.1 ± 8.4 mg/kg. At the time of death, the amounts of AA were 0.87 ± 0.27 mg/kg in the central compartment, 3.1 ± 1.5 mg/kg in the first peripheral compartment, and 19.1 ± 5.7 mg/kg in the second peripheral compartment.AA Entry Rate (Intravenous Study)
The average AA entry rate over the first 7 days was 143 ± 48 µg · kg
1 · h
1,
i.e., 3.43 ± 1.16 mg · kg
1 · day
1.
The total vitamin C entry rate (i.e., AA plus DHA) was 3.79 ± 1.27 mg · kg
1 · day
1.
When considering the plasma AA concentration at death, the AA entry
rate was 2.54 ± 0.68 mg · kg
1 · day
1.
Tissue Distribution of Radioactivity (Intravenous Study)
The tissue distribution of radioactivity 7 days after intravenous labeled AA administration is given in Table 1. The activity in all the tissues was higher than in plasma. The adrenal gland had the highest activity (131× the plasma activity). The lowest AA activities were found in adipose tissue and muscle (~4× the plasma activity).
|
The activity remaining in the body at slaughter was estimated from the last measured plasma activity (120 ± 20 dpm/ml) and the Varea (9,408 ± 2,180 ml/kg) to be 51.6 × 106 dpm, i.e., 46.5% of the administered dose (111 × 106 dpm).
On the basis of tissue weight for a 48-kg body wt calf (17), it was estimated that the total activity remaining at the time of death for the different tissues that were actually measured was 23.9 × 106 dpm, i.e., 21.7% of the administered radioactivity (111 × 106 dpm), suggesting that the tissues that were not measured (bone, brain, digestive tract, and skin) accounted for about one-half of the total remaining activity. Similar results were obtained with animals treated by the intramuscular route where the activity remaining in the measured tissues corresponded to 22.1% of the administered dose.
Tissue Distribution of AA and DHA (Intravenous Study)
Tissue concentrations of AA, DHA, and total AA concentrations at the time of death are given in Table 2. The AA concentration in all tissues was higher than in the plasma. The highest concentration was found in the adrenal gland (1,139 µg/g, i.e., 473 times the plasma concentration) and the lowest in adipose tissue and muscle (15-20 µg/g, i.e., 6-8 times the plasma concentration).
|
The highest concentrations of DHA were found in the adrenal gland (53 µg/g) and spleen (57 µg/g) (~170× the DHA plasma concentration) and the lowest in muscle and adipose tissue (~20× the plasma concentration). When total vitamin C concentration was considered, the respective contributions of AA and DHA concentration varied significantly between tissues; spleen, muscle, adipose, lung, heart, and kidney had ~15-25% of the total vitamin C as DHA, and adrenal gland had only 4% of the total as DHA. Plasma and liver had intermediate levels of ~10% of the total as DHA.
Evaluation of the Body Pool Size of AA From AA Tissue Concentrations
The estimated amount of AA was based on the tissue weight (17) and the actual AA tissue concentration (Table 3). The total amount of AA obtained from all tissues measured was 909 mg or 18.9 mg/kg body wt. Three tissues accounted for most of the AA. They were muscle (40%), liver (33%), and lung (19%).
|
With the use of plasma kinetic parameters, the estimated size of the pool of AA at slaughter was 23.1 ± 6.8 mg/kg (see above), suggesting that the tissues not actually measured (skin, digestive tract, bone) contained some amount of AA.
From tissue measurements, the total pool size (AA + DHA) actually measured was 1,111 mg, i.e., 23.1 vs. 26.1 ± 8.4 mg/kg using the plasma kinetic approach.
The estimated total pool size was 26.0 mg/kg when the actual tissue concentration of AA and DHA was measured in five calves in the intramuscular study, i.e., very similar to that obtained in the intravenous study.
Tissue distribution of AA, DHA, and radioactivity after intraruminal and intraperitoneal administration followed the same pattern as after the intravenous or intramuscular administration.
Plasma AA, DHA, and Total Vitamin C Concentrations in the Four Groups of Calves Subjected to Radiolabeled Administration
There was a progressive decrease of AA plasma concentrations over the 7 days of the experiment. The plasma AA concentration was 4.39 ± 1.91 µg/ml for 1-day-old calves, 3.51 ± 0.70 µg/ml for 3-day-old, and 3.14 ± 0.63 µg/ml for 7-day-old calves (ANOVA, P < 0.01). The calf group (intravenous, intramuscular, intraruminal, or intraperitoneal) had no influence on plasma AA concentration (P > 0.05).The DHA decreased from day 1 to day 3 or 7 (0.40 ± 0.24, 0.30 ± 0.11, and 0.29 ± 0.12 µg/ml) but the difference was not statistically significant (ANOVA, P > 0.05).
AA Concentrations in Plasma and Milk in a Group of Six Calves and Their Dams
Figure 8 shows plasma AA in a group of six calves for the first 28 days of life. The AA plasma concentration declined in the first 3 wk of life, with a mean concentration of 7.65 ± 1.73 µg/ml at birth, 3.47 ± 0.75 µg/ml at 1 wk, 2.23 ± 0.72 µg/ml at 2 wk, and 1.35 ± 0.20 µg/ml at 3 wk. The plasma AA level of cows is shown in Fig. 8; it was low and fluctuated between 1.7 and 2.6 µg/ml. Figure 8 shows the AA in milk: the level was high in colostrum (16 ± 1.02 µg/ml) at calving, dropped sharply on day 2 (8.0 ± 1.31 µg/ml), then stabilized until 28 days postcalving (9.1 ± 1.8 µg/ml).
|
Kinetic Disposition Parameters After an Intravenous Pharmacological Dose of AA
The semilogarithmic plot of plasma concentration (µg/ml) versus time after the intravenous administration of AA at a pharmacological dose (3 g) is shown for a representative calf in Fig. 9.
|
Comparison with Fig. 4 indicates clearly that elimination of AA was
much more rapid after the administration of a pharmacological dose of
AA than after the administration of an AA tracer dose; the plasma
pharmacological clearance was 450 ± 146 ml · kg
1 · h
1,
i.e., ~11 times higher than the physiological clearance.
Vss was 658 ± 236 ml/kg, i.e.,
14 times lower than the physiological Vss. MRT was 1.49 ± 0.41 h, i.e., a value 150 times lower than the physiological
MRT.
| |
DISCUSSION |
|---|
|
|
|---|
This study is the first to report disposition parameters for vitamin C in the calf, a vitamin having a wide range of physiological and biochemical functions. Because AA is not synthesized during the first week of a calf's life (26) it is important to determine the AA requirements in the calf by evaluating the overall rate of AA elimination from the body. Total clearance is the only physiological parameter that measures the overall rate of loss of any endogenous or exogenous product. To estimate the amount of AA that is eliminated daily, it is appropriate to calculate the product of AA plasma clearance and steady-state AA plasma concentration (or the product of AA blood clearance and AA blood concentration). However, when the physiological interpretation is based on clearance, the appropriate fluid (plasma vs. blood) must be selected and the total blood concentration of the analyte of interest must be considered because plasma clearance is only equal to blood clearance where the ratio of blood to plasma concentration is equal to unity (34). In the present experiment, it was shown both in vitro and in vivo that the AA concentrations in blood and plasma were of the same order of magnitude, which suggests that AA does not accumulate in blood cells as observed in other tissues. This is in agreement with results reported earlier that showed that most of the circulating AA occurred in the erythrocytes and plasma and that the average calculated intracellular concentration was the same as the mean plasma concentration (13). In our in vivo experiment, the AA blood-to-plasma activity ratio increased slowly to reach a mean value of ~2.5 at 10 h post-intravenous injection. This could partly be due to the high concentration of AA in the leukocytes and platelets, which may be up to 90 times the plasma concentration (13). However the contribution of leukocytes and platelets to the total blood concentration is rather small. It was estimated that leukocytes carried only 10% of blood-borne AA in humans and that the plasma was of prime importance in carrying AA to the tissues (13).
In accordance with our in vitro experiment, the initial AA exchange between plasma and blood cells was very rapid and instantaneous equilibrium could be assumed for the blood cell/plasma partition. In addition, our in vivo experiment showed a second and very slow equilibration process that was only completed after a 10-h delay. It is likely that the first partition corresponds only to a binding of AA to the outside of the erythrocyte, whereas the second process involves an intracellular uptake of AA. The rate of the second equilibration process was so slow that it could be assumed that AA removal from the plasma could not lead to significant reequilibration during organ transit (e.g., <10 s for the liver). Thus any measured clearance of AA (plasma, blood) only reflects a plasma elimination process and that plasma (not blood) clearance has to be measured and interpreted in terms of plasma flow rate.
When the cardiac output of a calf is considered [i.e., ~73
ml · kg
1 · min
1
(31)] and a mean hematocrit of 40%, the plasma clearance of AA
(0.68 ml · kg
1 · min
1)
as measured using an AA tracer dose represented only 1.55% of the
total plasma flow, indicating a poor overall efficiency of AA removal.
In contrast, the plasma clearance obtained with a pharmacological AA
dose (7.5 ml · kg
1 · min
1)
represented 17% of the total plasma flow. This indicates that the
kinetic of AA in the calf is nonlinear as reported in humans (7) and in
other species, including sheep (6) and horses (25). In humans, 73 ± 2% of a pharmacological dose of AA was recovered from the urine in 24 h (14). The reabsorption of AA in the renal tubules is a saturable
process, the AA being excreted in large amounts when the plasma
concentration exceeds a renal threshold of ~8-15 µg/ml in
humans (22, 35). In the present experiment, the overall extraction
ratio after the intravenous pharmacological dose of AA (17%) was
similar to the plasma flow in the kidney (~20% of cardiac plasma
output), suggesting that most of the AA was eliminated by a first-pass
effect through the kidney when the AA plasma concentration was above a
critical value. In contrast, when the physiological AA plasma
concentrations were below a critical value, the apparent renal
clearance (i.e., irreversible elimination of AA and/or its
labeled metabolite) by the kidney represented only 11-13% of the
total plasma clearance. This suggests that other major physiological
processes of AA elimination exist in the calf. In the rat, urinary
excretion accounts for ~15% of the AA synthesized daily under normal
physiological conditions (9). In the guinea pig, only 8% of the label
was recovered in urine, demonstrating that under physiological
conditions the excretion of AA and its metabolites in the urine is not
an important route of elimination (8).
The estimated average rate of AA appearance in the plasma was 3.4 ± 1.2 mg · kg
1 · day
1
in the calf. This amount can be considered as the minimum daily AA
requirement either from de novo synthesis or the diet
to maintain a mean plasma concentration of 3-4 µg/ml. The rate
of AA appearance in the calf was close to that reported in guinea pigs
[7
mg · kg
1 · day
1
(16)], but lower than in rat [26
mg · kg
1 · day
1
(9)]. If the calf is unable to synthesize AA, the milk must supply a bioavailable amount of AA of ~3.4
mg · kg
1 · day
1.
Although the bioavailability of AA administered orally was not directly
measured in the present experiments it should be between that obtained
after an intraruminal administration
(F = 62%) and after an
intraperitoneal administration (F = 89%). Milk bypasses the rumen during suckling, thus avoiding local
destruction of AA so that <100% bioavailability is due to a lack of
AA absorption by the gut and/or first-pass destruction in the
liver. This hepatic first effect is probably very low, as demonstrated
by the bioavailability obtained after the intraperitoneal
administration (the entire dose is drained by the portal vein system
after an intraperitoneal administration and undergoes a hepatic
first-pass effect). Finally, on the assumption of oral bioavailability
of ~80% and given the AA concentration in milk (8 mg/l) and the
daily milk ration (5 l/day), it can be concluded that diet alone cannot
provide >1 mg · kg
1 · day
1 of AA to a calf. The
difference between the AA entry rate and the amount supplied by the
diet (i.e., ~2.5 mg/kg) can only be covered by de
novo synthesis or by a depletion of the inborn tissue storage. In the present experiment, the AA body pool was not measured in the newborn calf but was estimated 7 days after parturition to be 23 ± 6.8 mg/kg. This figure is very similar to that reported in humans
(1). Consequently, the AA stored in the body of the 7-day-old calf
would not be able to supply the daily AA requirement not covered by the
milk supply for >8-10 days. Such a situation is physiologically
unlikely and it is reasonable to suggest that the calf is able to
synthesize AA at an early stage. This is at variance with the
suggestion that calves are unable to synthesize the vitamin until
2-3 wk after birth (26). It should be noted that our estimates of
AA synthesis required to maintain a plasma concentration of 3-4
µg/ml (i.e., ~2.5 mg/kg) are much lower than the rates of synthesis
obtained in other mammals in in vitro liver studies (between 40 and 275 mg · kg
1 · day
1)
(11). The capacity of calves to synthesize AA could be proved by
demonstrating the presence of
L-gulanolactone oxidase in the first day of life. This enzyme is missing from all vitamin C-dependent species and is responsible for the conversion of gulonic acid to
gulactone in AA synthesis (18).
Due to the limited supply of AA in milk and the impossibility of providing a calf with an exogenous loading dose of AA because of the low kidney elimination threshold (as already discussed), the presence of tissue reserve appeared to be a prerequisite for the calf's well-being. We measured the body pool using both a kinetic approach and a direct measurement of tissue AA content. The total body pool estimated by the kinetic approach at 7 days was 23 mg/kg, as discussed above. The body pool estimated using the tissue concentrations measured was 19 mg/kg. This suggests that the amount of AA in the tissues that was not measured, i.e., skin, digestive tract, bone, and brain, were rather low. However, estimates from the activity data indicated that the unmeasured AA fractions were greater so that no definitive conclusion can be drawn from the present experiment on the contribution of skin, bone, brain, and digestive tract to the AA body pool. Three of the tissues in which AA was measured accounted for most of the total AA body pools: the liver (33%), lung (19%), and muscle (40%). The other tissues measured (spleen, kidney, adipose, endocrine gland) contributed only 8%. In the guinea pig, the largest contribution was also made by the muscle and bone (42% of the total), followed by the liver (23%) and skin (17.7%) (2). The skin might therefore be the tissue not measured in the present experiment that would explain the differences between body pool size estimated from plasma kinetics (23 mg/kg) and that estimated from the direct measurement of tissue AA concentrations (19 mg/kg).
All tissues measured had much higher concentrations of AA than the plasma (from 8.7× more in adipose to 473× in adrenal), thus supporting the view that AA uptake by tissues was mostly energy dependent. Similarly, tissue concentrations of DHA were much higher than the plasma DHA concentration (23× higher in adipose to 178× in spleen). In addition, the DHA-to-AA ratio was generally higher in tissues than in plasma, with the notable exception of the adrenal gland (see Table 2). This large tissue accumulation of both AA and DHA requires some specific mechanism. The mechanisms of AA transport and storage in the various tissues are largely unknown. AA is an acid (pKa = 4.17) that readily undergoes reversible oxidation reduction to DHA. AA is nearly all ionized at physiological pH, whereas DHA is nonionized (24). On this basis, DHA would be expected to more readily cross the cell membrane than AA. This view was supported by others (27) who also showed that the kidney plays a role in the distribution of vitamin C by oxidizing it to the unionized, membrane-permeable form. On the other hand, it was suggested that DHA has to be reduced to AA before uptake by tissue and possibly into the blood cells (19). Our experiments support the concept of an active rather than a passive vitamin C uptake into tissues as the volume of distribution of AA is dramatically reduced when pharmacological doses of AA are administered (see below).
The physiological meaning of high concentrations of AA in endocrine tissues has been extensively discussed by others (27). For some other tissues, such as skin and bone (not measured in the present experiment), a high AA concentration is consistent with the nutritional requirement for vitamin C in the biosynthesis of collagen (29). For other tissues (muscle, liver, lung), relatively high tissue concentrations can be interpreted as being parts of AA body reserves.
Although definitive information on the distribution of AA was obtained
by the measurement of tissue AA concentrations, useful information
about both the rate and extent of AA distribution can also be derived
from our compartmental model of AA disposition. From the decay pattern
of plasma radioactivity, we selected a three-compartment model with
elimination from the central compartment only. This is the simplest
three-compartment model that is identifiable from plasma AA data. It is
different from the three-compartment model proposed in humans (22),
which includes a supplementary elimination from one of the peripheral
compartments that is viewed as a reversible metabolite pool.
Distribution of AA from the central compartment (plasma) to peripheral
body compartments (tissues) occurs at various rates and to various
extents. The rate of distribution of AA between plasma and a tissue can
be limited either by perfusion (plasma flow) or permeability (tissue
uptake). It is unlikely that AA distribution to the tissues was limited
by permeability. Indeed, from our compartmental analysis, we calculated
two high intercompartmental distribution clearances (1,900 and
528 ml · kg
1 · h
1
for the first and second peripheral compartments, respectively), the
sum (2,428 ml · kg
1 · h
1)
being approximately equal to the plasma cardiac output in the calf
(2,600 ml · kg
1 · h
1)
(31). This suggests that tissue perfusion is the limiting physiological
factor to the rate of AA distribution. It also suggests that AA was
delivered to the periphery at two rates for two groups of tissues, one
receiving a high fraction of cardiac output (~70%) and equilibrates
very rapidly with the central compartment, and a second group receiving
a lower fraction of the cardiac output (~20%) and equilibrating more
slowly.
These two groups of tissues can tentatively be identified by
considering the rate and extent of AA distribution to the two peripheral compartments simultaneously and by comparing these parameters with the blood flow to different tissues and the amount of
AA actually measured in different tissues at the slaughter time. With
the use of this approach, the first peripheral compartment is probably
represented by the lung. The lung is very highly perfused and its AA
content (3.58 mg/kg) was very similar to the calculated amount of AA in
the first peripheral compartment (3.1 mg/kg). The second peripheral
compartment is probably made up mainly of liver and muscle. The
contribution of these two tissues to the body pool as obtained from the
actual AA concentration was ~14 vs. the 19 mg/kg
calculated for the amount located in the second peripheral compartment.
In addition, the measured distribution clearance for this second
peripheral compartment (528 ml · kg
1 · h
1, i.e., ~20% of plasma
cardiac output) is intermediate between the plasma flow to muscle (15%
of cardiac output) and the plasma flow to liver (25% of cardiac
output) as obtained in different species (30).
For the central and the two peripheral compartments, we calculated the MTT, i.e., the average time taken by AA molecules to leave the compartment after first and possibly subsequent entries into that space. MTT is more descriptive of the intrinsic behavior of the AA molecule within a kinetic space than MRT, because MRT depends on interaction between the different kinetic spaces (32, 33). MTT can be regarded as a measure of how rapidly AA would leave the tissues if the arterial concentrations were suddenly dropped to zero. MTT for the central compartment was very short (11 min), indicating that AA is very rapidly distributed to peripheral tissues. For the first peripheral compartment, the MTT of AA was also relatively short (42 min), but it was much longer in the second peripheral compartment (17.5 h). If the first peripheral compartment is mainly lung tissue, a short MTT would indicate the relative permeability rate of the AA molecule, i.e., AA passage through the lung is very rapid. Inasmuch as the amount in the lung (3.5 mg/kg) corresponds approximately to the calf's AA daily requirement, it is tempting to consider the lung as a rapid mobilization pool, but of a low AA capacity when an immediate specific demand exists (e.g., due to stress). In contrast, liver and muscle represent a large but more slowly mobilized AA pool. The MTT in this high-capacity reservoir (17.5 h) is long compared with the other MTT, but is short in comparison with the total MRT (230 h). This indicates that AA, after leaving the deep tissue stores to gain access to the central compartment, rapidly returns to the peripheral reserve. The number of cycles of the AA around the central compartment (still termed the mean residence number) was 66, indicating a high mean number of passages for each AA molecule through that compartment before final elimination. Such a backward and forward motion of AA molecules between plasma and tissue expresses a unique feature of these deep storage tissues. They have both a high capacity to accumulate AA against a high concentration gradient and the ability to release AA rapidly whenever necessary. The ability to mobilize AA rapidly toward the plasma does not produce a systematic wastage of AA, because AA molecules can quickly be returned to the tissue. This explains the observation that the time necessary to have a 50% drop in the total body AA (6.64 days) when the entry rate is zero, is very prolonged.
Because ruminants appear to be prone to AA deficiency, supplementation with AA is in order. In the present experiment, we have shown that a low dose of AA is highly available by all the tested routes (intramuscular, intraruminal, intraperitoneal), indicating the absence of any absorption-limiting step in the young calf such as the destruction by the ruminal microflora in the adult (10) or a first-pass hepatic effect.
However, the nonlinearity of AA disposition (clearance, volume of
distribution) imposes a definite limiting step affecting the
possibility of loading tissue by exogenous administration of a massive
AA dose. Indeed, when the AA plasma concentration exceeds a critical
value (~8-15 µg/ml in humans), the AA filtered by the kidney
is no longer reabsorbed due to the saturation of the active transport
mechanism (see above). This explains why plasma clearance increases
dramatically to reach a value close to the kidney effective plasma flow
(~450
ml · kg
1 · h
1).
A very similar clearance value was obtained in sheep (448 ml · kg
1 · h
1)
that received a 3-g iv dose of AA (6). The second factor impeding the
loading of tissues with a pharmacological dose of AA is the
nonlinearity of AA distribution. The
Vss in the calf after a
pharmacological AA dose was only 0.658 vs. almost 9 l/kg in normal physiological conditions. This is probably due to
saturation of an active carrier-mediated transport of plasma AA. The
tissue distribution of AA that was active and operating against a
concentration gradient probably becomes a passive phenomenon. As the AA
is almost totally in its anionic form at physiological pH, AA is unable to accumulate passively inside the cell. The concentration at which
cellular transport is saturated is unknown but it was shown for guinea
pig intestine that the apparent Michaelis constant value for transport
of AA into brush-border membrane vesicles was ~50 µg/ml (18).
Finally, the saturation of both kidney reabsorption and tissue uptake
explains why AA molecules reside in the body (as evaluated by
MRT) ~150 times less time when the plasma
concentration exceeds some critical physiological value. From a
practical point of view, it can be concluded that administration of a
megadose of AA is not useful. This was previously reported in humans
(28). The strategy of supplying an appropriate amount of AA, i.e.,
without extensive wastage, should encourage the development of a
pharmaceutical form that delivers AA at a rate that does not exceed the
critical plasma concentration. Such a formulation should release an
amount of AA equal to the product of the physiological clearance and the desired increase in plasma concentration. It should not make the
plasma levels exceed the critical plasma concentrations, e.g., to
increase the plasma concentration of a 50 kg body wt calf from 4 to 8 µg/ml, the pharmaceutical formulation should ideally release about 8 mg/h according to a zero-order process.
Perspectives
Apart from its different nutritional and therapeutic applications in cattle, the present experiment emphasized the nature of the kinetic process that controls two apparently contradictory features of vitamin C physiology, namely a high storage capacity to guarantee vitamin C nutritional requirements (over several weeks) and the possibility to rapidly mobilize vitamin C in the face of an urgent situation (within hours). The existence of a high-capacity pool results from an intracellular accumulation of vitamin C against a 100-fold plasma-to-tissue gradient of concentration, indicating a high intracellular affinity for vitamin C. This intracellular trapping does not impede rapid vitamin C mobilization, because vitamin C kinetics are characterized by a high number of cycles around the central compartment, i.e., vitamin C is permanently entering and leaving the tissue compartment. Thus the equilibrium condition is not static, but characterized by an intensive process of permanent exchange between plasma and tissue. The cellular mechanism explaining not only the entrance and accumulation of vitamin C but also the exit of vitamin C from the cells deserves attention| |
FOOTNOTES |
|---|
Address for reprint requests: P. L. Toutain, Ecole Nationale Vétérinaire de Toulouse, Unité Associée INRA de Pharmacologie et Toxicologie Expérimentales, 23, Chemin des Capelles, 31076 Toulouse Cedex, France.
Received 17 January 1997; accepted in final form 18 July 1997.
| |
REFERENCES |
|---|
|
|
|---|
1.
Baker, E. M.,
R. E. Hodges,
J. Hood,
H. E. Sauberlich,
S. C. March,
and
J. E. Canham.
Metabolism of 14C- and 3H-labeled L-ascorbic acid in human scurvy.
Am. J. Clin. Nutr.
24:
444-454,
1971[Abstract].
2.
Bates, C. J.,
H. Tsuchiya,
and
P. H. Evans.
A study of whole-body isotope dilution of [14C] ascorbic acid in guinea-pigs with graded ascorbate intakes.
Br. J. Nutr.
68:
717-728,
1992[Medline].
3.
Behrens, W. A.,
and
R. Madère.
A highly sensitive high-performance liquid chromatography method for the estimation of ascorbic and dehydroascorbic acid in tissues, biological fluids, and foods.
Anal. Biochem.
165:
102-107,
1987[Medline].
4.
Behrens, W. A.,
and
R. Madère.
A procedure for the separation and quantitative analysis of ascorbic acid, dehydroascorbic acid, isoascorbic acid and dehydroisoascorbic acid in food and animal tissue.
J. Liq. Chromatogr.
17:
2445-2455,
1994.
5.
Bennet, L. Z.
The role of pharmacokinetics in the drug development process.
In: Integration of Pharmacokinetics, Pharmacodynamics and Toxicokinetics in Rational Drug Development, edited by A. Yacobi,
J. P. Skelly,
V. P. Shah,
and L. Z. Bennet. New York: Plenum, 1993, p. 115-122.
6.
Black, W. D.,
and
M. Hidiroglou.
Pharmacokinetic study of ascorbic acid in sheep.
Can. J. Vet. Res.
60:
216-221,
1996[Medline].
7.
Blanchard, J.
Depletion and repletion kinetics of vitamin C in humans.
J. Nutr.
121:
170-176,
1991.
8.
Burns, J. J.,
P. G. Dayton,
and
S. Schulenberg.
Further observations on the metabolism of L-ascorbic acid in guinea pigs.
J. Biol. Chem.
218:
15-21,
1956
9.
Burns, J. J.,
E. H. Mosbach,
and
S. Schulenberg.
Ascorbic acid synthesis in normal and drug-treated rats, studied with L-ascorbic-1-C14 acid.
J. Biol. Chem.
207:
679-687,
1954
10.
Cappa, C.
Le métabolisme de la vitamine C chez les ruminants.
Riv. Zootec.
31:
299-308,
1958.
11.
Chatterjee, I. B.
Evolution and the biosynthesis of ascorbic acid.
Sciences NY
182:
1271-1272,
1973
12.
Ciba-Geigy.
Geigy Scientific Tables
Physical Chemistry, Composition of Blood, Hematology, Somatometric Data, edited by C. Lentner. Basel, Switzerland: Ciba-Geigy, 1984.
13.
Evans, R. M.,
L. Currie,
and
A. Campbell.
The distribution of ascorbic acid between various cellular components of blood, in normal individuals, and its relation to the plasma concentration.
Br. J. Nutr.
47:
473-482,
1982[Medline].
14.
Gehler, J.,
and
W. Kübler.
Verteilungsstudien mit intravenös infundierter ascorbinsäure1,2.
Int. Z. Vitaminforsch.
40:
454-464,
1970[Medline].
15.
Gibaldi, M.,
and
D. Perrier.
Pharmacokinetics (2nd ed.). New York: Dekker, 1982.
16.
Ginter, E.,
Z. Zloch,
J. Cerven,
R. Nemec,
and
J. Babala.
Metabolism of L-ascorbic acid-1-14C in guinea pigs with alimentary cholesterol atheromatosis.
J. Nutr.
101:
197-204,
1971.
17.
Hirck, J. M. Etude Statistique du
Poids des Abats Rouges Dans Les Espèces Bovine, Ovine, Porcine et
Équine (DVM thesis). Toulouse, France: Univ.
Toulouse, 1986.
18.
Hornig, D.,
B. Glatthaar,
and
U. Moser.
General aspects of ascorbic acid function and metabolism.
In: Ascorbic Acid in Domestic Animals, edited by I. Wegger,
F. J. Tagwerker,
and J. Moustgaard. Copenhagen: Royal Danish Ag. Soc., 1984.
19.
Hornig, D.,
F. Weber,
and
O. Wiss.
Studies on the distribution of (1-14C) ascorbic acid and (1-14C) dehydroascorbic acid in guinea pigs after oral application.
Int. J. Vitam. Nutr. Res.
44:
217-229,
1974[Medline].
20.
Itze, L.
Ascorbic acid metabolism in ruminants.
In: Ascorbic Acid in Domestic Animals, edited by I. Wegger,
F. J. Tagwerker,
and J. Moustgaard. Copenhagen: Royal Danish Ag. Soc., 1984.
21.
Ivan, M.,
and
M. Hidiroglou.
The Ottawa plastic metabolism cage for sheep.
Can. J. Anim. Sci.
60:
539-541,
1980.
22.
Kallner, A.,
D. Hartmann,
and
D. Hornig.
Kinetics of ascorbic acid in humans.
In: Ascorbic Acid: Chemistry, Metabolism and Uses. Advances in Chemistry Series, edited by P. A. Seib,
and B. M. Tolbert. Washington, DC: Am. Chem. Soc., 1982.
23.
Kong, A. N.,
and
W. J. Jusko.
Definitions and applications of mean transit and residence times in reference to the two-compartment mammillary plasma clearance model.
J. Pharm. Sci.
77:
157-165,
1988[Medline].
24.
Levine, M.,
and
K. Morita.
Ascorbic acid in endocrine systems.
Vitam. Horm.
42:
1-64,
1985[Medline].
25.
Löscher, W.,
G. Jaeschke,
and
H. Keller.
Pharmacokinetics of ascorbic acid in horses.
Equine Vet. J.
16:
59-65,
1984[Medline].
26.
Lundquist, N. S.,
and
P. H. Phillips.
Age related studies on ascorbic acid metabolism in animals.
J. Dairy Sci.
25:
386-395,
1942.
27.
Martin, G. R.,
and
C. E. Mecca.
Studies on the distribution of L-ascorbic acid in the rat.
Arch. Biochem. Biophys.
93:
110-114,
1961.
28.
Melethil, S.,
W. D. Mason,
and
C. J. Chang.
Dose-dependent absorption and excretion of vitamin C in humans.
Int. J. Pharmacol.
31:
83-89,
1986.
29.
Schwartz, E. R.
Effect of ascorbic acid on collagen structure and metabolism in normal and osteoarthritic tissue.
In: Ascorbic Acid in Domestic Animals, edited by I. Wegger,
F. J. Tagwerker,
and J. Moustgaard. Copenhagen: Royal Danish Ag. Soc., 1984.
30.
Staddon, G. E.,
B. M. Q. Weaver,
and
A. I. Webb.
Distribution of cardiac output in anaesthetised horses.
Res. Vet. Sci.
27:
38-45,
1979[Medline].
31.
Stahl, W. R.
Scaling of respiratory variable in mammals.
J. Appl. Physiol.
22:
453-460,
1967
32.
Veng-Pedersen, P.
Mean time parameters in pharmacokinetics: definition, computation and clinical implications (Part I).
Clin. Pharmacokinet.
17:
345-366,
1989[Medline].
33.
Veng-Pedersen, P.
Mean time parameters in pharmacokinetics: definition, computation and clinical implications (Part II).
Clin. Pharmacokinet.
17:
424-440,
1989[Medline].
34.
Wilkinson, G. R.
Clearance approaches in pharmacology.
Pharmacol. Rev.
39:
1-47,
1987[Medline].
35.
Wilson, C. N. M.
The metabolic availability of vitamin C.
Vitamins
3:
73-94,
1973.
36.
Yamaoka, K.,
T. Nakagawa,
and
T. Uno.
Application of Akaike's information criterion (AIC) in the evaluation of linear pharmacokinetic equation.
J. Pharmacokinet. Biopharm.
6:
165-175,
1978[Medline].
37.
Yamaoka, K.,
K. Tanigawara,
T. Nakagawa,
and
T. Uno.
A pharmacokinetic analysis program (MULTI) for microcomputer.
J. Pharmacobio-Dyn.
4:
879-885,
1981[Medline].
This article has been cited by other articles:
![]() |
S.-M. Kuo, C.-H. Tan, M. Dragan, and J. X. Wilson Endotoxin Increases Ascorbate Recycling and Concentration in Mouse Liver J. Nutr., October 1, 2005; 135(10): 2411 - 2416. [Abstract] [Full Text] [PDF] |
||||
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| Visit Other APS Journals Online |