Abstract

Over the past decades, obesity has become a rising health problem as the accessibility to high calorie, low nutritional value food has increased. Research shows that some bioactive components in fruits and vegetables, such as carotenoids, could contribute to the prevention and treatment of obesity. Some of these carotenoids are responsible for vitamin A production, a hormone-like vitamin with pleiotropic effects in mammals. Among these effects, vitamin A is a potent regulator of adipose tissue development, and is therefore important for obesity. This review focuses on the role of the provitamin A carotenoid β-carotene in human health, emphasizing the mechanisms by which this compound and its derivatives regulate adipocyte biology. It also discusses the physiological relevance of carotenoid accumulation, the implication of the carotenoid-cleaving enzymes, and the technical difficulties and considerations researchers must take when working with these bioactive molecules. Thanks to the broad spectrum of functions carotenoids have in modern nutrition and health, it is necessary to understand their benefits regarding to metabolic diseases such as obesity in order to evaluate their applicability to the medical and pharmaceutical fields.

Highlights

  • Metabolic diseases are a growing cause of morbidity and mortality, becoming a heavy economic burden for patients and healthcare systems worldwide

  • While the role of vitamin A in adipocyte differentiation was previously established in cell culture [78], and some reports implicate this compound in adult mice [100], we designed an experiment in which vitamin A was supplemented at physiological doses during adipose tissue development in vivo

  • If too much vitamin A is administered during the proliferation stage of adipose tissue, this could lead to obesity later in life, while if retinoic acid is supplemented to mature adipocytes it will lead to weight loss [109]

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Summary

Introduction

Metabolic diseases are a growing cause of morbidity and mortality, becoming a heavy economic burden for patients and healthcare systems worldwide. Nutrients 2019, 11, 842 intervention is the foundation of weight loss therapy, as it is easier for most obese people to achieve a negative energy balance by decreasing food intake than just by increasing physical activity [13,14,15]. While fruits and vegetables promote weight loss thanks to their macronutrient composition (e.g., elevated fiber, water, and complex carbohydrates), we cannot dismiss their content in micronutrients with bioactive properties, some of which have documented effects on energy metabolism [17,18]. Among these micronutrients, carotenoids appear as potential candidates to prevent and treat obesity [19]. We will explore the mechanistic insights obtained from in vitro, cellular, and animal models, as well as observational and interventional studies in human subjects

Vitamin A Sources in Mammals—Provitamin A Carotenoids
Cell Culture Studies—β-carotene and Adipogenesis
Cell Culture Studies—Retinoic Acid and Adipogenesis
Animal Models in Carotenoid Research
Animal Models—β-carotene and Obesity
Animal Models—Vitamin A and Obesity
Human Studies—β-Carotene and Obesity
Human Studies—Synthetic Retinoids and Obesity
Findings
Conclusions
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