Regulatory role

The vitamins regulate reactions that occur in metabolism, in contrast to other dietary components known as macronutrients (e.g., fats, carbohydrates, proteins), which are the compounds utilized in the reactions regulated by the vitamins. Absence of a vitamin blocks one or more specific metabolic reactions in a cell and eventually may disrupt the metabolic balance within a cell and in the entire organism as well.

With the exception of vitamin C (ascorbic acid), all of the water-soluble vitamins have a catalytic function; i.e., they act as coenzymes of enzymes that function in energy transfer or in the metabolism of fats, carbohydrates, and proteins. The metabolic importance of the water-soluble vitamins is reflected by their presence in most plant and animal tissues involved in metabolism.

Some of the fat-soluble vitamins form part of the structure of biological membranes or assist in maintaining the integrity (and therefore, indirectly, the function) of membranes. Some fat-soluble vitamins also may function at the genetic level by controlling the synthesis of certain enzymes. Unlike the water-soluble ones, fat-soluble vitamins are necessary for specific functions in highly differentiated and specialized tissues; therefore, their distribution in nature tends to be more selective than that of the water-soluble vitamins.

Sources

Vitamins, which are found in all living organisms either because they are synthesized in the organism or are acquired from the environment, are not distributed equally throughout nature. Some are absent from certain tissues or species; for example, beta-carotene, which can be converted to vitamin A, is synthesized in plant tissues but not in animal tissues. On the other hand, vitamins A and D₃ (cholecalciferol) occur only in animal tissues. Both plants and animals are important natural vitamin sources for human beings. Since vitamins are not distributed equally in foodstuffs, the more restricted the diet of an individual, the more likely it is that he will lack adequate amounts of one or more vitamins. Food sources of vitamin D are limited, but it can be synthesized in the skin through ultraviolet radiation (from the Sun); therefore, with adequate exposure to sunlight, the dietary intake of vitamin D is of little significance.

All vitamins can be either synthesized or produced commercially from food sources and are available for human consumption in pharmaceutical preparations. Commercial processing of food (e.g., milling of grains) frequently destroys or removes considerable amounts of vitamins. In most such instances, however, the vitamins are replaced by chemical methods. Some foods are fortified with vitamins not normally present in them (e.g., vitamin D is added to milk). Loss of vitamins may also occur when food is cooked; for instance, heat destroys vitamin A, and water-soluble vitamins may be extracted from food to water and lost. Certain vitamins (e.g., B vitamins, vitamin K) can be synthesized by microorganisms normally present in the intestines of some animals; however, the microorganisms usually do not supply the host animal with an adequate quantity of a vitamin.

Requirements in living things

Vitamin requirements vary according to species, and the amount of a vitamin required by a specific organism is difficult to determine because of the numerous factors (e.g., genetic variation, relative proportions of other dietary constituents, environmental stresses). Although there is not uniform agreement concerning the human requirements of vitamins, recommended daily vitamin intakes are sufficiently high to account for individual variation and normal environmental stresses.

A number of interrelationships exist among vitamins and between vitamins and other dietary constituents. The interactions may be synergistic (i.e., cooperative) or antagonistic, reflecting, for example, overlapping metabolic roles (of the B vitamins in particular), protective roles (e.g., vitamins A and E), or structural dependency (e.g., cobalt in the vitamin B₁₂ molecule).

Results of deficiencies

Inadequate intake of a specific vitamin results in a characteristic deficiency disease (hypovitaminosis), the severity of which depends upon the degree of vitamin deprivation. Symptoms may be specific (e.g., functional night blindness of vitamin A deficiency) or nonspecific (e.g., loss of appetite, failure to grow). All symptoms for a specific deficiency disease may not appear; in addition, the nature of the symptoms may vary with the species. Some effects of vitamin deficiencies cannot be reversed by adding the vitamin to the diet, especially if damage to nonregenerative tissue (e.g., cornea of the eye, nerve tissue, calcified bone) has occurred.

A vitamin deficiency may be primary (or dietary), in which case the dietary intake is lower than the normal requirement of the vitamin. A secondary (or conditioned) deficiency may occur (even though the dietary intake is adequate) if a preexisting disease or state of stress is present (e.g., malabsorption of food from the intestine, chronic alcoholism, repeated pregnancies and lactation). (More details on vitamin deficiencies in humans may be found in nutritional disease.)

Evolution of vitamin-dependent organisms

Evolution of metabolic processes in primitive forms of life required the development of enzyme systems to catalyze the complex sequences of chemical reactions involved in metabolism. In the beginning, the environment presumably could supply all the necessary compounds (including the vitamin coenzymes); eventually, these compounds were synthesized within an organism. As higher forms of life evolved, however, the ability to synthesize certain of these vitamin coenzymes was gradually lost.

Since higher plants show no requirements for vitamins or other growth factors, it is assumed that they retain the ability to synthesize them. Among insects, however, niacin, thiamin, riboflavin, vitamin B₆, vitamin C, and pantothenic acid are required by a few groups. All vertebrates, including humans, require dietary sources of vitamin A, vitamin D, thiamin, riboflavin, vitamin B₆, and pantothenic acid; some vertebrates, particularly the more highly evolved ones, have additional requirements for other vitamins.