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. 2021 Mar 25;246(9):1045–1053. doi: 10.1177/1535370221992731

Table 1.

Review of the total liver vitamin A (VA) reserve as it relates to the dietary reference intake (DRI) criteria used to formulate estimated average requirements and to biomarkers of VA and carotenoid status.

DRI criteria Total liver VA reserve µmol/g Model References
(1) No clinical signsXerophthalmic sequelae <0.02 Predicted for children Olson8*
(2) Adequate plasma retinolDepressed serum retinolconcentrations >0.005<0.02<0.01<0.1 RatsPredicted for childrenGerbilsAdult humans Lewis et al.,28 High et al.,29 Riabroy et al.30Olson8*Kaeppler et al.31Olsen, Suri et al.7
(3) Induced biliary excretionEnhanced biliary secretion or excretion >0.1 Rats Hicks et al.4Varma and Beaton35

(4) Protection for 4 monthsmRNA upregulation of LRAT

>0.1

Rats

Zolfaghari and Ross21

Biomarkers of VA status



Positive dose response tests <0.10 Piglets, calves, rats, humans Sheftel and Tanumihardjo45*
Elevated provitaminA carotenoids >0.7 >1 Gerbils (liver) Humans (serum) Tanumihardjo19*Sowa et al.61Mondloch et al.62
Elevated serum retinyl esters ∼3 Humans Olsen, Suri et al.7
Retinol isotope dilution Continuum RatsNon-human primatesHumans Tanumihardjo68 Escaron et al.69Tanumihardjo et al.2*Tanumihardjo19*
Hepatic biopsy Continuum Humans Olsen, Suri et al.7
*

These references are either a chapter in a book or reviews of multiple studies.