Page 51 - Special Issue: Healthy Baby
P. 51

Know Your Fats


                                      VITAMIN A FOR FETAL DEVELOPMENT
                                                   By Mary G. Enig, PhD




              True vitamin A is a vitamin that occurs only     During mid-gestation, vitamin A is required
          in animal fats. In primitive societies, pregnant  for fetal lung development. In vitamin A-defi-
          women consumed special foods rich in vitamin  cient animals, congenital malformations in the
          A—such as liver, spring butter and fish eggs—in  urogential system occur.
          a conscious effort to produce healthy, well-     Most interesting is new research on the effect
          formed children. Modern research completely  of vitamin A on kidney development. Vitamin A
          validates these traditions.               deficiency results in a reduced number of neph-
              In a 2001 paper,  Maija H. Zile of the De-  rons in the kidney. Lower numbers of nephrons
                            1
          partment of Food Science and Human Nutrition,  mean the kidneys will not work at optimal levels
          Michigan State University, details the role of vi-  and may doom the individual to dialysis later in
          tamin A in fetal development. Working with bird  life. 2
          and mouse embryos, she and other researchers     Another fascinating avenue of research
          have determined that the vitamin A requirement  has shown that vitamin A holds the key to what
          begins at the time of formation of the primitive  scientists call the “holy grail” puzzle of devel- Vitamin A

          heart and circulation, and the development of the  opmental biology: the existence of a mechanism   regulates the
          hindbrain, a period that corresponds to weeks  that ensures that the exterior of our bodies is   differentiation
          2-3 in humans. Without vitamin A, the embryo  symmetrical while the inner organs are arranged
          succumbs to gross abnormalities of the heart and  asymmetrically. Researchers at the Salk Institute  of the
          is aborted.                               have found that vitamin A provides the signal that   primitive cells
              Each organ system begins development  buffers the influences of asymmetric cues in the   into cells
          during a specific window of time. Vitamin A regu-  early stages of development, and allows these
          lates the differentiation of the primitive cells into  cells to develop symmetrically. In the absence  specific to
          cells specific to each organ system, in essence  of vitamin A, the exterior of our bodies would   each organ
          signaling to the genes their marching orders so  develop asymmetrically, with the result being   system, in
          they “know” where to locate themselves and what  that our right side would be shorter than the left
          kind of tissues to become. If vitamin A is lacking  side. 3                          essence
          during any of these windows, the organs develop     After the formation of all the organ systems,   signaling to
          abnormally or not at all.                 vitamin A supports their growth. Chronic vitamin   the genes
              The major target tissues of vitamin A de-  A deficiency during pregnancy compromises the
          ficiency include the heart, the central nervous  liver, heart and kidney and impairs lung growth  their
          system, the circulatory, urogenital and respiratory  and development during the last weeks of gesta-  marching
          systems, and the development of the skull, skele-  tion.                             orders so
                                                        4
          ton and limbs. Vitamin A deficiencies during the     Unfortunately, the FDA and other agencies
          period when any of these systems begin special-  warn pregnant women to avoid foods like liver  they “know”
          ization can result in abnormalities and defects.  and cod liver oil, claiming that too much vitamin   where to
              According to Zile, even partial vitamin  A from these foods can cause birth defects. The   locate
          A deficiency affects the sensitive developing  study usually cited in support of these warnings
          central nervous system; it plays a key role in the  was carried out in 1995 at the Boston University  themselves
          development of the visual system, the retina, the  School of Medicine and published in The New   and what
          inner ear, the spinal cord, the craniofacial area  England Journal of Medicine.  In the study, re-  kind of tissues
                                                                              5
          including the pharyngeal and branchial arches  searchers asked over 22,000 women to respond
          and the thymus, thyroid and parathyroid glands.                   (Continued on page 53) to become.

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