Alpha-Tochopherol PubChem

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NIH U.S.

National Library of Medicine National Center for Biotechnology Information

O P E N
CH E M I STRY
Search Compounds 
D A T A B A S E

 Compound Summary for CID 2116

PUBCHEM  COMPOUND  ALPHA-TOCHOPHEROL

alpha-tochopherol  Cite this Record


Vendors

Drug Information

Pharmacology

Literature

Patents

Bioactivities

PubChem CID: 2116

Alpha-tochopherol; DL-ALPHA-TOCOPHEROL; Dl-|A-tocopherol; 10191-

41-0; CHEMBL49563; 2,5,7,8-tetramethyl-2-(4,8,12-


Chemical Names:
trimethyltridecyl)chroman-6-ol; More...

Molecular Formula: C29H50O2

Molecular Weight: 430.7061 g/mol

InChI Key: GVJHHUAWPYXKBD-UHFFFAOYSA-N

Modify Date: 2016-10-01

Create Date: 2005-03-25


 Contents
1 2D Structure

2 3D Conformer

3 Names and Identifiers

4 Chemical and Physical Properties

5 Related Records

6 Chemical Vendors

7 Drug and Medication Information

8 Food Additives and Ingredients

9 Pharmacology and Biochemistry

10 Use and Manufacturing

11 Identification

12 Safety and Hazards

13 Toxicity

14 Literature

15 Patents

16 Biological Test Results

17 Classification

18 Information Sources
1 2D Structure 
 Search  Download  Get Image

 Magnify

 from PubChem
2 3D Conformer 
 Search  Download  Get Image

 Magnify

 Show Hydrogens  Show Atoms  Animate

 from PubChem
3 Names and Identifiers 
3.1 Computed Descriptors 
3.1.1 IUPAC Name 
2,5,7,8-tetramethyl-2-(4,8,12-trimethyltridecyl)-3,4-dihydrochromen-6-ol

 from PubChem

3.1.2 InChI 
InChI=1S/C29H50O2/c1-20(2)12-9-13-21(3)14-10-15-22(4)16-11-18-29(8)19-17-26-25(7)27(30)23(5)24(6)28(26)31-

29/h20-22,30H,9-19H2,1-8H3

 from PubChem

3.1.3 InChI Key 


GVJHHUAWPYXKBD-UHFFFAOYSA-N

 from PubChem

3.1.4 Canonical SMILES 


CC1=C(C(=C2CCC(OC2=C1C)(C)CCCC(C)CCCC(C)CCCC(C)C)C)O

 from PubChem

3.2 Molecular Formula 


C29H50O2

 from PubChem

3.3 Other Identifiers 


3.3.1 EC Number 
233-466-0

 from European Chemicals Agency - ECHA

215-798-8

 from European Chemicals Agency - ECHA

606-803-8

 from European Chemicals Agency - ECHA


3.4 Synonyms 
3.4.1 Depositor-Supplied Synonyms 
1. alpha-tochopherol 11. 2H-1-Benzopyran-6-ol, 3,4-dihydro-2,5,7,8-tetramethyl-2-(4,8,12

2. DL-ALPHA-TOCOPHEROL 12. Evitaminum

3. dl-|A-tocopherol 13. Profecundin

4. 10191-41-0 14. Syntopherol

5. CHEMBL49563 15. Waynecomycin

6. 2,5,7,8-tetramethyl-2-(4,8,12-trimethyltridecyl)chroman-6-ol 16. Almefrol

7. Vita E 17. Emipherol

8. .alpha.-Tocopherol 18. Ephanyl

9. SBB057399 19. Epsilan

10. d-.alpha.-Tocopherol 20. Etamican

 from PubChem
4 Chemical and Physical Properties 
4.1 Computed Properties 
Molecular Weight 430.7061 g/mol

XLogP3 10.7

Hydrogen Bond Donor Count 1

Hydrogen Bond Acceptor Count 2

Rotatable Bond Count 12

Exact Mass 430.381081 g/mol

Monoisotopic Mass 430.381081 g/mol

Topological Polar Surface Area 29.5 A^2

Heavy Atom Count 31

Formal Charge 0

Complexity 503

Isotope Atom Count 0

Defined Atom Stereocenter Count 0

Undefined Atom Stereocenter Count 3

Defined Bond Stereocenter Count 0

Undefined Bond Stereocenter Count 0

Covalently-Bonded Unit Count 1

 from PubChem

4.2 Experimental Properties 


4.2.1 Color 
Pale yellow oil

Haynes, W.M. (ed.). CRC Handbook of Chemistry and Physics. 95th Edition. CRC Press LLC, Boca Raton: FL 2014-2015, p. 3-548

 from HSDB

Transparent needles

O'Neil, M.J. (ed.). The Merck Index - An Encyclopedia of Chemicals, Drugs, and Biologicals. Cambridge, UK: Royal Society of

Chemistry, 2013., p. 1759

 from HSDB

4.2.2 Odor 
Little or no odor

Osol, A. and J.E. Hoover, et al. (eds.). Remington's Pharmaceutical Sciences. 15th ed. Easton, Pennsylvania: Mack Publishing Co.,

1975., p. 946
 from HSDB

4.2.3 Taste 
Little or no taste

Osol, A. and J.E. Hoover, et al. (eds.). Remington's Pharmaceutical Sciences. 15th ed. Easton, Pennsylvania: Mack Publishing Co.,

1975., p. 946

 from HSDB

4.2.4 Melting Point 


3 deg C

Haynes, W.M. (ed.). CRC Handbook of Chemistry and Physics. 95th Edition. CRC Press LLC, Boca Raton: FL 2014-2015, p. 3-548

 from HSDB

4.2.5 Solubility 
In water, 1.9X10-6 mg/L at 25 deg C (est)

US EPA; Estimation Program Interface (EPI) Suite. Ver. 4.11. Nov, 2012. Available from, as of July 28, 2015:

http://www.epa.gov/oppt/exposure/pubs/episuitedl.htm

 from HSDB

In water-ethanol solution, 20.82 mg/L at 33 deg C

Yalkowsky, S.H., He, Yan, Jain, P. Handbook of Aqueous Solubility Data Second Edition. CRC Press, Boca Raton, FL 2010, p. 1330

 from HSDB

Soluble in alcohol, ether, acetone, chloroform

Haynes, W.M. (ed.). CRC Handbook of Chemistry and Physics. 95th Edition. CRC Press LLC, Boca Raton: FL 2014-2015, p. 3-548

 from HSDB

4.2.6 Density 
0.950 g/cu cm at 25 de C

Haynes, W.M. (ed.). CRC Handbook of Chemistry and Physics. 95th Edition. CRC Press LLC, Boca Raton: FL 2014-2015, p. 3-548

 from HSDB

4.2.7 Vapor Pressure 


1.4X10-8 mm Hg at 25 deg C (est)

US EPA; Estimation Program Interface (EPI) Suite. Ver. 4.11. Nov, 2012. Available from, as of July 28, 2015:

http://www.epa.gov/oppt/exposure/pubs/episuitedl.htm

 from HSDB

4.2.8 LogP 
log Kow = 12.2 (est)
US EPA; Estimation Program Interface (EPI) Suite. Ver. 4.11. Nov, 2012. Available from, as of July 28, 2015:

http://www.epa.gov/oppt/exposure/pubs/episuitedl.htm

 from HSDB

4.2.9 Stability 
Unstable to UV light, alkalies, and oxidation. /Tocopherol/

Lewis, R.J. Sr.; Hawley's Condensed Chemical Dictionary 15th Edition. John Wiley & Sons, Inc. New York, NY 2007., p. 1249

 from HSDB

/Tocopherols are/ stable to heat in the absence of oxygen, to strong acids, and to visible light. /Tocopherol/

Lewis, R.J. Sr.; Hawley's Condensed Chemical Dictionary 15th Edition. John Wiley & Sons, Inc. New York, NY 2007., p. 1249

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Stable under recommended storage conditions.

Sigma-Aldrich; Safety Data Sheet for (+)-alpha-Tocopherol. Product Number: T1539, Version 3.4 (Revision Date 07/01/2014).

Available from, as of June 10, 2015: http://www.sigmaaldrich.com/safety-center.html

 from HSDB

4.2.10 Dissociation Constants 


pKa = 10.8 (est)

ChemSpider; Tocopherol. (59-02-9). London, UK: Royal Chemical Society. Available from, as of July 28, 2015:

http://www.chemspider.com/Search.aspx

 from HSDB

4.2.11 Kovats Retention Index 


Semi-standard non-polar 3149.5, 3149.4, 3138, 3142, 3112, 3130

 from NIST

4.3 Spectral Properties 


MAX ABSORPTION (METHANOL): 292 NM (LOG E= 3.54); DECOMP @ 350 DEG C; SADTLER REF NUMBER: 10277

(IR, PRISM)

Weast, R.C. (ed.). Handbook of Chemistry and Physics. 57th ed. Cleveland: CRC Press Inc., 1976., p. C-518

 from HSDB

Specific optical rotation: -3.0 deg at 25 deg C/546.1 deg C (benzene); +0.32 deg at 25 deg C/546.1 deg C (ethanol)

O'Neil, M.J. (ed.). The Merck Index - An Encyclopedia of Chemicals, Drugs, and Biologicals. Cambridge, UK: Royal Society of

Chemistry, 2013., p. 1759

 from HSDB

IR: 18246 (Sadtler Research Laboratories IR Grating Collection)

Lide, D.R., G.W.A. Milne (eds.). Handbook of Data on Organic Compounds. Volume I. 3rd ed. CRC Press, Inc. Boca Raton ,FL. 1994.,

p. V2: 1555

 from HSDB
  1 of 11  
UV: 20771 (Sadtler Research Laboratories Spectral Collection)

Lide, D.R., G.W.A. Milne (eds.). Handbook of Data on Organic Compounds. Volume I. 3rd ed. CRC Press, Inc. Boca Raton ,FL. 1994.,

p. V2: 1555

 from HSDB

NMR: 366 (Varian Associates NMR Spectra Catalogue)

Lide, D.R., G.W.A. Milne (eds.). Handbook of Data on Organic Compounds. Volume I. 3rd ed. CRC Press, Inc. Boca Raton ,FL. 1994.,

p. V2: 1555

 from HSDB

MASS: 33141 (NIST/EPA/MSDC Mass Spectral database, 1990 version)

Lide, D.R., G.W.A. Milne (eds.). Handbook of Data on Organic Compounds. Volume I. 3rd ed. CRC Press, Inc. Boca Raton ,FL. 1994.,

p. V2: 1555

 from HSDB

Specific optical rotation: +0.65 at 25 deg C/D (alc)

Lide, D.R., G.W.A. Milne (eds.). Handbook of Data on Organic Compounds. Volume I. 3rd ed. CRC Press, Inc. Boca Raton ,FL. 1994.,

p. V2: 1555

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4.3.1 GC-MS 
  1 of 11  

NIST Number 230590

Library Main library

Total Peaks 154

m/z Top Peak 165

m/z 2nd Highest 164

m/z 3rd Highest 430

Thumbnail

 from NIST
5 Related Records 
5.1 Related Compounds with Annotation 
 Download

Literature (7) 3D Structure (1) Bioactivities (20) Patents (87)

didehydroconicol 2,5,7,8-tetramethyl-2-(4,8,… 2,5,7,8-tetramethyl-2-(4,8,… beta-tocopheramine

 from PubChem

5.2 Related Compounds 


Same Tautomer 24 records

Same Connectivity 23 records

Same Isotope 15 records

Same Parent, Tautomer 120 records

Same Parent, Connectivity 119 records

Same Parent, Isotope 111 records

Same Parent, Exact 6 records

Mixtures, Components, and


14 records
Neutralized Forms

Similar Compounds 1214 records

Similar Conformers 28 records

 from PubChem

5.3 Substances 
5.3.1 Related Substances 
All 137 records

Same 104 records

Mixture 33 records

 from PubChem
5.3.2 Substances by Category 
 Download

 Chemical Vendors (33)

 Curation Efforts (10)

 Governmental Organizations (16)

 Journal Publishers (2)

 NIH Initiatives (9)

 Research and Development (42)

 Subscription Services (4)

 Legacy Depositors (5)

 from PubChem

5.4 Entrez Crosslinks 


PubMed 59 records

 from PubChem
6 Chemical Vendors 
 Refine/Analyze  Download

Vendor/Supplier Purchasable Chemical PubChem SID

258024_ALDRICH 24855623

258024_SIGMA 57648149
Sigma-Aldrich
90669_FLUKA 24889393

T3251_SIGMA 24900118

AKos Consulting & Solutions AKOS015960364 152099783

BBL027614 184014485
Vitas-M Laboratory
STL372809 173896193

TCI (Tokyo Chemical Industry) T0251 87576233

Ambinter SBB057399 118306929

3B_SCI_CORP LP068285 254740715

888-004-763 126007344

ChemFrog 888-701-531 125736257

888-915-311 125822898

Mcule MCULE-4241435740 253192869

30100511 126632316

49411325 126672676
ChemMol
49412741 126674092

49416417 126677768

Chembase.cn 102208 162088418

Ark Pharm, Inc. AK-59159 176224458

AAA Chemistry AR-1I6819 103815911

Hangzhou APIChem Technology AC-10544 92709984

100562 85089961
MP Biomedicals
152147 85089958

Assembly Blocks Pvt. Ltd. AB0211519 223389151

TargetMol T1648 312995232

MolPort MolPort-003-665-940 91011051

EMD Millipore 613420 163687221

AN-18278 223653019

AN PharmaTech AN-19826 223663846

AN-23613 223675149

TimTec SBB057399 143431891

Life Chemicals F0001-2420 252091523


 from PubChem
7 Drug and Medication Information 
7.1 Therapeutic Uses 
As a dietary supplement when vitamin E intake may be inadequate.

Drug Facts and Comparisons 2015. Clinical Drug Information, LLC St. Louis, MO 2015, p. 15

 from HSDB

Vitamin E deficiency in premature infants may result in hemolytic anemia, thrombocytosis, and increased platelet

aggregation.

Drug Facts and Comparisons 2015. Clinical Drug Information, LLC St. Louis, MO 2015, p. 16

 from HSDB

/Vitamin E/ has also been used in cancer, skin conditions, sexual dysfunction, to reduce the incidence of non-fatal

myocardial infarction, to lower the incidence of coronary artery disease, aging, fibrocystic breast disease (cystic mastitis), to

treat dapsone-associated hemolysis, and arthritis. /not included in the US product label/

Drug Facts and Comparisons 2015. Clinical Drug Information, LLC St. Louis, MO 2015, p. 15

 from HSDB

Vitamin E has been used in certain premature infants to reduce the toxic effects of oxygen therapy on the lung

parenchyma... and the retina... /not included in the US product label/

Drug Facts and Comparisons 2015. Clinical Drug Information, LLC St. Louis, MO 2015, p. 15

 from HSDB

It has been investigated for the prevention of periventricular hemorrhage in premature infants. /not included in the US

product label/

Drug Facts and Comparisons 2015. Clinical Drug Information, LLC St. Louis, MO 2015, p. 15

 from HSDB

Tardive dyskinesia /not in the US product label/

Drug Facts and Comparisons 2015. Clinical Drug Information, LLC St. Louis, MO 2015, p. 15

 from HSDB

Postherpetic neuralgia /not included in the US product label/

Drug Facts and Comparisons 2015. Clinical Drug Information, LLC St. Louis, MO 2015, p. 15

 from HSDB

Alzheimer disease /not included in the US product label/

Drug Facts and Comparisons 2015. Clinical Drug Information, LLC St. Louis, MO 2015, p. 15

 from HSDB

Vitamin E supplement

O'Neil, M.J. (ed.). The Merck Index - An Encyclopedia of Chemicals, Drugs, and Biologicals. Cambridge, UK: Royal Society of

Chemistry, 2013., p. 1759

 from HSDB

EXPTL THER: A single-armphase II study using the nontoxic agent alpha-tocopherol to treat oral premalignant leukoplakia

was performed. Patients with symptomatic leukoplakia or dysplasia were treated orally with alpha-tocopherol (400 IU) twice

daily for 24 wk. Follow-up was performed at 6, 12, and 24 wk after the start of treatment to assess toxicity and response,

and serum alpha-tocopherol levels were determined at baseline and a 6 and 24 wk. Of the 43 patients who have completed

24 wk of treatment, 20 (46%) had clinical responses and nine (21%) had histologic responses. Mean serum alpha-

tocopherol levels were 16.1 ug/mL at baseline and increased to 34.29 ug/ml after 24 wk of treatment. Patient recorded drug

calendars, as well as serum drug levels, indicated excellent patient compliance; an average of 95% of the prescribed pills
were taken. Treatment was extremely well tolerated; no grade 3 or 4 toxic effects were reported. Administration of alpha-

tocopherol resulted in both clinical and histologic responses in premalignant leukoplakia lesions. Abstract: PubMed

Benner SE et al; J Natl Cancer Inst 85 (1): 44-7 (1993)

 from HSDB

Ten control (healthy) subjects and 15 non-insulin dependent diabetics underwent an oral glucose tolerance test and a

euglycemic hyperinsulinemic glucose clamp before and after vitamin E supplementation (900 mg/d for 4 mo). In control

subjects (placebo treated vs vitamin E supplemented subjects, respectively) vitamin E reduced the area under the curve for

glucose (344 + or - 21 vs 287 + or - 13 mmol/l/min; P< 0.05) and increased total body glucose disposal (39.0 + or - 0.3 vs

47.6 + or - 0.4 umol/kg lean body mass/min; P< 0.05) and non-oxidative glucose metabolism (23.4 + or - 0.2 vs 30.8 + or -

0.3 umol/kg lean body mass/min; P< 0.05). In diabetics (placebo treated vs vitamin E-supplemented subjects, respectively)

vitamin E supplementation reduced glucose area under the curve (614 + or - 129 vs 544 + or - 98 mmol/l/min; P< 0.03) and

increased glucose disappearance (19.4 + or - 0.4 vs 26.4 + or - 0.7 umol/kg lean body mass/min; P< 0.03), total glucose

disposal (19.0 + or - 0.7 vs 28.1 + or - 0.4 umol/kg lean body mass/min; P< 0.02), and nonoxidative glucose metabolism (8.5

+ or - 0.3 vs 13.9 + or - 0.3 umol/kg lean body mass/min; P< 0.02). Administration of pharmacologic doses of vitamin E is a

useful tool to reduce oxidative stress and improve insulin action. Abstract: PubMed

Paolisso G et al; Am J Clin Nutr 57 (5): 650-6 (1993)

 from HSDB

Use of vitamin E in combination with vitamin A has been reported in the treatment of keratosis follicularis (Darier's disease),

pityriasis rubra pilaris, ichthyosis, and acne. /not included in the US product label/

Drug Facts and Comparisons 2015. Clinical Drug Information, LLC St. Louis, MO 2015, p. 15

 from HSDB

EXPL THER Diabetic pregnancy is still associated with an increased rate of congenital malformations despite extensive

clinical efforts to normalize the risk for the offspring. The etiology of the diabetic embryopathy is not clear; however,

experimental studies have suggested a role for oxidative stress in the teratogenicity of diabetic pregnancy. The antioxidants

alpha-tocopherol and ascorbate have improved fetal outcome in diabetic rodent pregnancy when supplemented in moderate

to high doses. In the present work we investigated if extremely high doses of either alpha-tocopherol or ascorbate may

further improve fetal outcome in offspring of diabetic rats, and, in addition, if such treatment may exert any adverse effects of

fetal development. Non-diabetic and streptozotocin diabetic female rats were fed 2, 5, 10 or 15 % alpha-tocopherol or 4, 10

or 15 % ascorbate in their diet and fetal outcome was assessed on gestational day 20. Maternal diabetes caused increased

malformation (from 0 to 29 %) and resorption (from 5 to 38 %) rates in the offspring. The malformations included

micrognathia (33 %), agnathia (51 %), other facial malformation (6 %), absence of tail (7 %) or omphalocele (3 %). Both

alpha-tocopherol and ascorbate treatment improved fetal morphology (to 9 and 19 % malformations, and to 9 and 26 %

resorptions, respectively) in offspring of diabetic rats. There was a dose-dependent improvement for the alpha-tocopherol

supplementation, where the higher doses diminished fetal dysmorphogenesis more than the 2 % diet. The ascorbate

supplementation was less dose-dependant, however, the higher doses tended to improve fetal outcome more than the lower

doses. No adverse effects of the antioxidants were noted in the offspring with the exception of one case of agnathia in a

fetus of a non-diabetic rat supplemented with 15 % alpha-tocopherol. These results indicate that very high doses of dietary

antioxidants may be needed to normalize the development of the offspring in experimental diabetic pregnancy, but that

treatment with such high doses may also have adverse effects in non-diabetic pregnancy.

Eriksson UJ Cederberg J; Diabetes 54 (Suppl 1): A38 (2005)

 from HSDB

EXPL THER Vitamin E is a dietary compound that functions as an antioxidant scavenging toxic free radicals. Evidence that

free radicals may contribute to the pathological processes of cognitive impairment including Alzheimer's disease has led to

interest in the use of vitamin E in the treatment of mild cognitive impairment (MCI) and Alzheimer's dementia (AD). To

assess the efficacy of vitamin E in the treatment of AD and prevention of progression of MCI to dementia. The Specialized

Register of the Cochrane Dementia and Cognitive Improvement Group (ALOIS), The Cochrane Library, MEDLINE,

EMBASE, PsycINFO, CINAHL, LILACS as well as many trials databases and grey literature sources were searched on 25

June 2012 using the terms: "Vitamin E", vitamin-E, alpha-tocopherol. All unconfounded, double-blind, randomised trials in

which treatment with vitamin E at any dose was compared with placebo for patients with AD and MCI. Two review authors

independently applied the selection criteria and assessed study quality and extracted and analysed the data. For each

outcome measure data were sought on every patient randomised. Where such data were not available an analysis of

patients who completed treatment was conducted. It was not possible to pool data between studies owing to a lack of

comparable outcome measure. Only three studies met the inclusion criteria: two in an AD population and one in an MCI

population. In the first of the AD studies the authors reported some benefit from vitamin E (2000 IU/day) with fewer

participants reaching an end point of death, institutionalisation, change to a Clinical Dementia Rating (CDR) of three, or loss

of two basic activities of daily living within two years. Of patients completing treatment, 58% (45/77) on vitamin E compared

with 74% (58/78) on placebo reached one of the end points (odds ratio (OR) 0.49; 95% confidence interval (CI) 0.25 to
0.96). The second AD treatment study explored the effects of vitamin E (800 IU/day) on cognitive progression in relation to

oxidative stress levels. Patients whose oxidative stress markers were lowered by vitamin E showed no significant difference

in the percentage change in Mini-Mental State Examination (MMSE) score, between baseline and six months, compared to

the placebo group. The primary aim of the MCI study (Petersen 2005) was to investigate the effect of vitamin E (2000

IU/day) on the time to progression from MCI to possible or probable AD. A total of 214 of the 769 participants progressed to

dementia, with 212 being classified as having possible or probable AD. There was no significant difference in the probability

of progression from MCI to AD between the vitamin E group and the placebo group (hazard ratio 1.02; 95% CI 0.74 to 1.41;

P = 0.91). No convincing evidence that vitamin E is of benefit in the treatment of AD or MCI. Future trials assessing vitamin

E treatment in AD should not be restricted to alpha-tocopherol. Abstract: PubMed

Farina N et al; Cochrane Database Syst Rev. 11: CD002854 (2012)

 from HSDB

EXPL THER Vitamin E (VE) blended ultra-high molecular weight polyethylene (UHMWPE) has been developed in Japan as

a material for use in total knee replacement (TKR). Various results have demonstrated that VE blended UHMWPE reduces

the incidence of delamination failure and lowers the amount of wear produced during knee simulator testing. It was also

found that wear particles from VE blended UHMWPE elicited a reduced biological response compared to conventional

UHMWPE. A great deal of research concerning vitamin E (VE) stabilized ultrahigh molecular weight polyethylene

(UHMWPE) has focused on VE's effects as an antioxidant and its ability to prevent the oxidative degradation of UHMWPE

chains. However, other chemical and mechanical changes have been observed in VE blended UHMWPE that are unrelated

to the oxidative protection that VE provides. This paper provides a general review of VE blended UHMWPE, with a particular

focus on the non-antioxidant effects of VE. The potential application of VE blended UHMWPE in total hip replacement

(THR), along with the differences in loading conditions between the knee and the hip are also discussed. Abstract: PubMed

Turner A et al; J Mech Behav Biomed Mater. 31: 21-30 (2014)

 from HSDB

VET Vitamin E is used as supplement and as treatment of some immune-mediated dermatoses, and hepatobiliary disorders.

Vitamin E has been used as an oral treatment for discoid lupus in dogs; however, efficacy for many skin diseases has been

questioned.

Papich, M.G. Saunders Handbook of Veterinary Drugs Small and Large Animal. 3rd ed. St. Louis, MO: Elsevier Saunders, 2011, p. 807

 from HSDB

VET Supplemental vitamin E appears useful for treating retinal pigment ephitelial dystrophy with neuroaxonal degeneration

in English Cocker Spaniels (and presumably other breeds).

Papich, M.G. Saunders Handbook of Veterinary Drugs Small and Large Animal. 3rd ed. St. Louis, MO: Elsevier Saunders, 2011, p.

1489

 from HSDB

VET Vitamin E may be useful as adjunctive treatment of discoid lupus erythematosus, canine demodicosis, and acantosis

nigricans in dogs ... Vitamin E may also be of benefit in the adjunctive treatment of hepatic fibrosis or adjunctive therapy of

copper-associated hepatopathy in dogs.

Plumb D.C. Veterinary Drug Handbook. 8th ed. (pocket). Ames, IA: Wiley-Blackwell, 2015., p. 1488

 from HSDB

(VET) Retinal Pigment Epithelial Dystrophy (RPED) with neuroaxonal degeneration in English Cocker Spaniels (ECS) is

associated with systemic vitamin E deficiency in the absence of dietary insufficiency. To evaluate the ability of ECS with

RPED to absorb orally administered vitamin E and establish a basis for vitamin E supplementation in affected dogs. 8

RPED-affected ECS and five clinically normal dogs. An oral vitamin E tolerance test (OVETT) was conducted in each dog.

Blood samples were obtained prior to and at 3, 6, 9, 12, 24, 120, and 240 hr following oral administration of 90 iu/kg of RRR-

alpha-tocopherol. Plasma alpha tocopherol(aTOC) content was measured by normal phase, high-performance liquid

chromatography, and indices of vitamin E absorption calculated. There was marked variation in OVETT results between

individuals. In RPED-affected ECS, mean peak plasma aTOC concentration (17.87 +/- 13.21 ug/mL), attained after

administration of a large oral dose of the vitamin, was significantly lower than the mean peak plasma aTOC concentration

attained in normal dogs (47.61 +/- 17.17 ug/mL; P < 0.005). However, the plasma concentrations achieved in 7/8 RPED-

affected dogs remained within the normal reference range for plasma aTOC in vitamin E-replete dogs, for at least 12 hr

postdose. Vitamin E-deficient ECS with RPED are capable of absorbing orally administered vitamin E. Twice daily

administration of 600-900 iu tocopherol is likely to restore plasma vitamin E concentrations to the normal range in most

affected dogs. Abstract: PubMed

McLellan GJ, Bedford PG; Vet Ophthalmol. 15 Suppl 2: 48-56 (2012)


 from HSDB

7.2 Drug Warning 


Vitamin E in high doses (greater than 4000 IU) may increase the hypoprothrombinemic effects of oral anticoagulants.

Drug Facts and Comparisons 2015. Clinical Drug Information, LLC St. Louis, MO 2015, p. 16

 from HSDB

Vitamin E may impair the hematologic response to iron therapy in children with iron-defiiency anemia.

Drug Facts and Comparisons 2015. Clinical Drug Information, LLC St. Louis, MO 2015, p. 16

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FDA Pregnancy Risk Category: A CONTROLLED STUDIES SHOW NO RISK. Adequate, well controlled studies in pregnant

women have failed to demonstrate a risk to the fetus in any trimester of pregnancy.

Dart, R.C. (ed). Medical Toxicology. Third Edition, Lippincott Williams & Wilkins. Philadelphia, PA. 2004., p. 1020

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Vitamin E has not been shown to be teratogenic. There is no evidence that vitamin E requirements in pregnant women differ

from women who are not pregnant.

American Society of Health-System Pharmacists 2015; Drug Information 2015. Bethesda, MD. 2015

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Reports of toxicity to enterally administered vitamin E are rare in infants. However, increased risks of sepsis and necrotizing

enterocolitis have been reported after both enteral and parenteral vitamin E, primarily when plasma (or serum) vitamin E

levels exceed 3.5 mg/dL. Levels this high are seldom seen with enteral vitamin E when intake is 25 mg d-tocopherol

equivalent/(kg/day) or less. Intakes below this threshold will be provided by infant formulas with vitamin E to energy ratios of

up to 20 mg/100 kcal (30 IU/100 kcal) so long as energy intake does not exceed 125 kcal/(kg/day). Abstract: PubMed

Bell EF; J Nutr 119 (12 Suppl): 1829-31 (1989)

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Evaluations of the Joint FAO/WHO Expert Committee on Food Additives - JECFA: 1 of 1

8 Food Additives and Ingredients 


8.1 JECFA Functional Classes 
Food Additives: ANTIOXIDANT

 from FAO/WHO Food Additive Evaluations - JECFA

8.2 Evaluations of the Joint FAO/WHO Expert Committee on Food Additives -

JECFA 
Evaluations of the Joint FAO/WHO Expert Committee on Food Additives - JECFA: 1 of 1

Chemical Name dl-alpha-TOCOPHEROL

ADI 0.15-2 mg/kg bw

Evaluation Year 1986

Group ADI for dl-alpha-tocopherol and d-alpha-tocopherol concentrate, singly or in

combination. The lower value represents the daily dietary allowance recommended by
Comments
the USA National Academy of Sciences/National Research Council. The upper value

represents the maximum value for the ADI.

Report TRS 751-JECFA 30/18

 from FAO/WHO Food Additive Evaluations - JECFA


9 Pharmacology and Biochemistry 
9.1 Bionecessity 
Increased demand for vitamin E has also been observed in premature infants and patients with malabsorption, but there is

little evidence that the healthy population requires supplementation of vitamin E to a well balanced diet. Abstract: PubMed

Bjorneboe A et al; J Nutr 120 (3): 233-42 (1990)

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In poultry, vitamin E deficiency causes decreased hatchability of eggs because of embryonic death. Young chicks develop

an encephalomalacia and exudative diathesis.

Booth, N.H., L.E. McDonald (eds.). Veterinary Pharmacology and Therapeutics. 5th ed. Ames, Iowa: Iowa State University Press,

1982., p. 631

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Vitamin E is a fat soluble vitamin with actions related to its antioxidant properties. Vitamin E protects cellular constituents

from oxidation and prevents the formation of toxic oxidation products; it preserves red blood cell (RBC) wall integrity and

protects RBCs against hemolysis; it stimulates a cofactor in steroid metabolism; inhibits prostaglandin production; and

supresses platelet aggregation. In combination with selenium, vitamin E protects cell membranes from oxidative damage.

Drug Facts and Comparisons 2015. Clinical Drug Information, LLC St. Louis, MO 2015, p. 16

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Clinical deficiency of vitamin E is rare because adequate amounts are supplied in the normal diet. Symptoms of deficiency

include ataxia, muscle weakness, nystagmus, and losses in touch and pain sensations.

Drug Facts and Comparisons 2015. Clinical Drug Information, LLC St. Louis, MO 2015, p. 16

 from HSDB

Vitamin E deficiency in premature infants may result in hemolytic anemia, thrombocytosis, and increased platelet

aggregation.

Drug Facts and Comparisons 2015. Clinical Drug Information, LLC St. Louis, MO 2015, p. 16

 from HSDB

9.2 Absorption, Distribution and Excretion 


alpha-Tocopherol is absorbed via the lymphatic pathway and transported in association with chylomicrons. In plasma, alpha-

tocopherol is found in all lipoprotein fractions but mostly is associated with apo B containing lipoproteins. alpha-Tocopherol

is associated with very low density lipoprotein when it is secreted from the liver. In the rat, about 90% of total body mass of

alpha-tocopherol is recovered in the liver, skeletal muscle and adipose tissue. Most alpha-tocopherol is located in the

mitochondrial fractions and in the endoplasmic reticulum, whereas little is found in cytosol and peroxisomes. Abstract:

PubMed

Bjorneboe A et al; J Nutr 120 (3): 233-42 (1990)

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The level of retinal alpha-tocopherol of newborn rats could be altered by dietary manipulation of the mothers. The mothers

were fed diets containing either 1 g alpha-tocopherol acetate/kg food or none, starting 21-25 days before the birth of their

litters and lasting throughout the exposure period. This treatment resulted in three to fourfold differences in the retinal alpha-

tocopherol levels of the pups. The combination of dietary and oxygen treatments also resulted in significant differences in

retinal glutathione peroxidase activity, with the vitamin E deprived, oxygen exposed group having highest levels. Newborn

rats both supplemented with and deprived of alpha-tocopherol had less vasoobliteration than did those nursed by mothers

fed rat chow. Abstract: PubMed

Penn JS et al; Invest Ophthalmol Vis Sci 33 (6): 1836-45 (1992)

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Vitamin E is stored unmodified in tissues (principally the liver and adipose tissue) and excreted via the feces. Excess vitamin

E is converted to a lactone, esterified to glucuronic acid, and subsequently excreted in the urine.

Drug Facts and Comparisons 2015. Clinical Drug Information, LLC St. Louis, MO 2015, p. 16

 from HSDB

Vitamin E is 20% to 50% absorbed by intestinal epithelial cells in the small intestine. Bile and pancreatic juice are needed for

tocopherol absorption. Absorption is increased when administered with medium-chain triglycerides. Distribution to tissues

via the lymphatic system occurs as a lipoprotein complex. High concentrations of vitamin E are found in the adrenals,

pituitary, testes, and trombocytes.

Drug Facts and Comparisons 2015. Clinical Drug Information, LLC St. Louis, MO 2015, p. 16

 from HSDB

We determined the bioavailability of vitamin E from self-assembly structures in patients with diagnosed chronic pancreas

insufficiency. Vitamin E solubilized in dispersed inverted bicontinuous cubic phase and in micellar formulation was delivered

directly to the small intestine by tube-feeding. A cross-over study with randomization of 6 subjects and 2 treatments including

a combined dose of 18 mg (27 IU) of vitamin E (RRR-[5,7-methyl-((2)H6)]-alpha-tocopherol) and 27 mg (27 IU) vitamin E

acetate (RRR-[5-methyl-(2)H3]-alpha-tocopheryl acetate) was applied over a time period of 1 hr. Plasma samples were

collected for 56 hr and analyzed by liquid chromatography-mass spectrometry. Appearance of labeled tocopherols

originating from the treatment started at 25 hr and reached Cmax (0.6-4.6 uM depending on subject) in the 7-9 hr window.

From the Tmax onwards, both forms of tocopherols diminished slowly to 30-50% of their maxima within 56 hr. Strong inter-

individual variation was observed in the plasma appearance curves (relative standard deviation varied between 38-45%). No

significant discrimination was found between the absorption of free or acetylated forms of deuterated alpha-tocopherol

confirming that application of acetylated alpha-tocopherolprovides the same bioavailability as free alpha-tocopherol. This

observation is valid in both dispersed inverted bicontinuous cubic phase and micellar formulations. Furthermore, since the

area-under-the-curve values from cubic phase and from micellar formulations are similar, the cubic phase formulation could

represent an alternative delivery system for lipophilic micronutrients in conditions or studies where polysorbate-based

micelles cannot be generated. Abstract: PubMed

Nagy K et al; Chimia (Aarau). 68 (3): 129-34 (2014)

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The aim of this study was to characterize the pathways of basolateral secretion of common dietary tocopherols from

polarized Caco-2 monolayers, a model of intestinal absorption. Given differences in structure and physical properties, we

hypothesized that secretion may differ between different forms of vitamin E, thus potentially contribute to the selectivity seen

in vivo. Monolayers were incubated apically and simultaneously with 10 umol/L alpha-, gamma-, and delta-tocopherol (1:1:1)

in lipid micelles. Treatment with the microsomal triglyceride transfer protein inhibitor BMS201038 revealed that the

triglyceride-rich particle secretory pathway (apolipoprotein B-dependent pathway) accounted for ~ 80% of total tocopherol

secretion, without selectivity among the three forms of vitamin E. Apolipoprotein B-independent secretion of tocopherols

(and cholesterol) was greatly enhanced by the liver X receptor agonist T0901317. T0901317 induced ATP-binding cassette

transporter A1 (ABCA1) protein expression and basolateral secretion of tocopherols to apolipoprotein A1. ABCA1-dependent

secretion demonstrated vitamer selectivity such that efficiency of secretion of alpha- and gamma-tocopherols exceeded that

of delta-tocopherol. Basal addition of HDL stimulated vitamin E secretion but without selectivity among the three forms,

whereas LDL had no effect. Basal addition of scavenger receptor class B member I (SR-BI) blocking antibody, which inhibits

the interaction between SR-BI and HDL, increased basal accumulation of all tocopherols, demonstrating a role for SR-BI in

cellular re-uptake of secreted vitamin E. These findings demonstrated that vitamin E and cholesterol utilize common

pathways of secretion and that secretion via the ABCA1 pathway favors certain forms of vitamin E.[Nicod N, Parker RS; J

Nutr. 143 (10): 1565-72 (2013)] Full text: PMC3771812 Abstract: PubMed

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Kinetic models enable nutrient needs and kinetic behaviors to be quantified and provide mechanistic insights into

metabolism. Therefore, we modeled and quantified the kinetics, bioavailability, and metabolism of RRR-alpha-tocopherol in

12 healthy adults. Six men and 6 women, aged 27 +/- 6 y, each ingested 1.81 nmol of [5(-14)CH(3)]-(2R, 4'R, 8'R)-alpha-

tocopherol; each dose had 3.70 kBq of (14)C. Complete collections of urine and feces were made over the first 21 d from

dosing. Serial blood samples were drawn over the first 70 d from dosing. All specimens were analyzed for RRR-alpha-

tocopherol. Specimens were also analyzed for (14)C using accelerator MS. From these data, we modeled and quantified the

kinetics of RRR-alpha-tocopherol in vivo in humans. The model had 11 compartments, 3 delay compartments, and

reservoirs for urine and feces. Bioavailability of RRR-alpha-tocopherolwas 81 +/- 1%. The model estimated residence time

and half-life of the slowest turning-over compartment of ?-tocopherol(adipose tissue) at 499 +/- 702 d and 184 +/- 48 d,

respectively. The total body store of RRR-?-tocopherol was 25,900 +/- 6=220 umol (11 +/- 3 g) and we calculated the

adipose tissue level to be 1.53 umol/g (657 ug/g). We found that a daily intake of 9.2 umol (4 mg) of RRR-alpha-tocopherol

maintained plasma RRR-alpha-tocopherol concentrations at 23 umol/L. These findings suggest that the dietary requirement
for vitamin E may be less than that currently recommended and these results will be important for future updates of intake

recommendations.[Novotny JA et al; J Nutr. 142 (12): 2105-11 (2012)] Full text: PMC3497961 Abstract: PubMed

 from HSDB

Vitamin E isoforms are essential nutrients that are widely used as dietary supplements and therapeutic agents for a variety

of diseases. However, their pharmacokinetic (PK) properties remain poorly characterized, and high dosage animal studies

may provide further information on their in vivo functions and pharmacological effects. In this study, alpha-tocopherol (a-toc)

and delta-tocopherol (d-toc) levels were measured in mouse plasma and tissues following their high dosage dietary

supplementation. Average a-toc levels at 5, 10 and 20 g a-toc/kg diet increased over baseline levels 6-fold in plasma, 1.6-

fold in brain, and 4.9-fold in liver. These elevated a-toc concentrations remained constant from 5 to 20 g a-toc/kg diet, rather

than showing further increases across these dosages. No a-toc-related toxicity occurred at these high dosages, and strain-

specific differences in liver and brain a-toc levels between Balb/cJ and C57Bl/6J mice were observed. Relatively high-

dosage administration of dietary d-toc for 1 or 4 weeks resulted in 6-30-fold increases in plasma and liver levels between

dosages of 0.33 and 1.67 g d-toc/kg diet. Co-administration of sesamin with d-toc further increased d-toc levels between

1.3- and 14-fold in plasma, liver, and brain. These results provide valuable PK information on high dosage a-toc and d-toc in

mouse and show that supplementation of sesamin with d-toc further increases d-toc levels over those seen with d-toc

supplementation alone.[Baxter LL et al; Nutrients. 4 (6): 467-90 (2012)] Full text: PMC3397347 Abstract: PubMed

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To investigate the ability of alpha-tocopherol acetate (TA) and alpha-tocopherol (T), widely used ingredients in cosmetics, to

cross the epidermal barrier using the neonatal rat as a model. The content of T and TA in four marketed products (A-D) and

two experimental formulations (F1, F2) was investigated by HPLC. An in vitro permeation study was performed in neonatal

rat epidermis using diffusion cells. In vivo permeation was studied in neonatal rats after repeated application of the products

and analysis of T and TA in the stratum corneum/deeper skin layers. Variable contents of TA were found in the marketed

products (0.12-0.53%). No vitamin permeation was detected through the stratum corneum as in vitro biological barrier after

4 hr. No detectable T and TA were seen in the in vivo permeation study in the epidermis. Variable degrees of drug

penetration (4.3-12.6%) of the applied dose into the deeper skin layers were observed, depending on the formulation. In vivo

application of TA-containing preparations did not result in any transformation of TA into T under the described experimental

conditions. TA and T exhibited variable skin penetration and TA did not transform into T under the experimental conditions.

The data underscored the need for further studies to optimize such formulations to improve vitamin E transdermal

permeation and eventually achieve the expected cosmetic/therapeutic outcome. Abstract: PubMed

Nada A et al; Med Princ Pract 20 (6): 509-13 (2011)

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Relative vitamin E status of pigs fed natural or synthetic vitamin E was evaluated based on serum and tissue alpha-

tocopherol concentrations. Individually fed finishing gilts at a BW of 70.5 kg (n = 24) were allotted to dietary treatments

based on initial BW. The 5 dietary treatments consisted of a positive control diet using synthetic vitamin E acetate (Syn E

Ac) supplemented at 22 mg/kg, and 4 dietary levels of natural vitamin E acetate (Nat E Ac) supplemented at 6.71, 8.33,

11.00, and 16.18 mg/kg of diet. Before initiation of the 32-d experiment, pigs were fed a non-vitamin E-fortified diet for 30 d.

Diets were formulated to contain true ileal digestible lysine of 0.9 and 0.8% for the pretest and test diets. Serum samples

were collected on d 15 and 32, whereas tissue samples were collected on d 32 for alpha-tocopherol analysis. Serum alpha-

tocopherol concentrations on d 15 and 32 were greater (P < 0.05) in pigs fed 8.33, 11.00, or 16.18 mg/kg of Nat E Ac than in

pigs fed 22 mg/kg of Syn E Ac. When compared with pigs fed 22 mg/kg of Syn E Ac, alpha-tocopherol concentrations were

greater (P < 0.05) in 6 tissues (heart, kidney, spleen, liver, lung, and adipose) in pigs fed 16.18 mg/kg of Nat E Ac; greater (P

< 0.05) in heart, kidney, spleen, liver, and adipose tissue in pigs fed 11.00 mg/kg of Nat E Ac; and greater (P < 0.05) in

spleen, loin, and adipose tissue in pigs fed 8.33 mg/kg of Nat E Ac. As dietary Nat E Ac increased from 6.71 to 16.18 mg/kg,

serum alpha-tocopherol increased linearly (P < 0.01) on d 15 and 32 of the experiment. Increasing dietary Nat E Ac linearly

increased (P < 0.05) alpha-tocopherol concentrations for lung, heart, kidney, spleen, and liver. These results indicate that

Nat E Ac was an effective vitamin E source and its relative bioavailability was substantially greater than 1.36 for finishing

swine when compared with Syn E Ac. Abstract: PubMed

Yang H et al; J Anim Sci 87 (12): 4057-63 (2009)

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There are several reports in the literature on the relative bioavailabilities of RRR (natural) vs. all-rac (synthetic) forms of

vitamin E in humans and animal models but none on the bioavailability of alpha-tocopherol in mixed vitamin E formulations.

In the present study we examined the bioavailability of alpha-tocopherol in a typical commercially available product

containing mixed tocopherols. We also tested a formulation containing all-rac-alpha-tocopherol with mixed tocopherols for

purposes of comparison along with straight RRR- and all-rac-alpha-tocopheryl acetate as reference products. Normal male

subjects were given one of the four formulations of vitamin E (800 IU per day in softgel capsule form for 10 days): 1. All-rac-

alpha-tocopheryl acetate, 2. RRR-alpha-tocopheryl acetate, 3. RRR-alpha-tocopherol with mixed tocopherols, and 4. all-rac-

alpha-tocopherol with mixed tocopherols. Both serum alpha- and gamma-tocopherols were determined by HPLC at baseline,
and at days 2, 4, 7 and 10. The values for alpha- at baseline and 10 days were 0.80, 0.80, 0.80 & 0.79 mg/dl and 1.67, 1.72,

1.76 & 1.62 mg/dl. The values for gamma- were 0.28, 0.29, 0.30 & 0.29 mg/dL and 0.11, 0.08, 0.10 & 0.10 mg/dL. Thus the

data show that a) the bioavailability of RRR- and all-rac-alpha-tocopherols is not affected by other tocopherols, and b) both

RRR- and all-rac-alpha-tocopherol (free or esterified) significantly suppress the serum gamma tocopherol to the same

extent. Furthermore, since there was no difference in the serum values of alpha-tocopherol between RRR- and all-rac-

vitamin E given the same dose as IUs, the data also support the currently accepted ratio of 1.36 for the biopotency of RRR-

vs. all-rac-alpha-tocopheryl acetate. Abstract: PubMed

Chopra RK, Bhagavan HN; Int J Vitam Nutr Res. 69 (2): 92-5 (1999)

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9.3 Metabolism/Metabolites 
Vitamin E is stored unmodified in tissues (principally the liver and adipose tissue) and excreted via the feces. Excess vitamin

E is converted to a lactone, esterified to glucuronic acid, and subsequently excreted in the urine.

Drug Facts and Comparisons 2015. Clinical Drug Information, LLC St. Louis, MO 2015, p. 16

 from HSDB

Alpha-tocopherol (Vitamin E), formed from homogentisic acid yields, in rabbits 4-hydroxy-4-methyl-6-(2,4,5-trimethyl-3,6-

quinonyl)caproic acid ...

Goodwin, B.L. Handbook of Intermediary Metabolism of Aromatic Compounds. New York: Wiley, 1976., p. T-15

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Vitamin E is likely the most important antioxidant in the human diet and alpha-tocopherol is the most active isomer. Alpha-

tocopherol exhibits anti-oxidative capacity in vitro, and inhibits oxidation of ldl. Beside this, alpha-tocopherol shows anti-

inflammatory activity and modulates expression of proteins involved in uptake, transport and degradation of tocopherols, as

well as the uptake, storage and export of lipids such as cholesterol. Despite promising anti-atherogenic features in vitro,

vitamin E failed to be atheroprotective in clinical trials in humans. Recent studies highlight the importance of long-chain

metabolites of alpha-tocopherol, which are formed as catabolic intermediate products in the liver and occur in human

plasma. These metabolites modulate inflammatory processes and macrophage foam cell formation via mechanisms

different than that of their metabolic precursor alpha-tocopherol and at lower concentrations. Here we summarize the

controversial role of vitamin E as a preventive agent against atherosclerosis and point the attention to recent findings that

highlight a role of these long-chain metabolites of vitamin E as a proposed new class of regulatory metabolites. We

speculate that the metabolites contribute to physiological as well as pathophysiological processes.[Wallert M et al; Redox

Biol. 2: 495-503 (2014)] Full text: PMC3949092 Abstract: PubMed

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9.4 Biological Half-Life 


Little is known about alpha-tocopherol's bioavailability as a constituent of food or its dependence on a subject's age. To

evaluate the alpha-tocopherol bioavailability from food, we used collard greens grown in deuterated water ((2)H collard

greens) as a source of deuterium-labeled ((2)H) alpha-tocopherol consumed by younger and older adults in a post hoc

analysis of a vitamin K study. Younger (mean +/- SD age: 32 +/- 7 y; n = 12 women and 9 men) and older (aged 67 +/- 8 y; n

= 8 women and 12 men) adults consumed a test breakfast that included 120 g (2)H collard greens (1.2 +/- 0.1 mg (2)H-

alpha-tocopherol). Plasma unlabeled alpha-tocopherol and (2)H-alpha-tocopherol were measured by using liquid

chromatography-mass spectrometry from fasting (>12 hr) blood samples drawn before breakfast (0 hr) and at 24, 48, and 72

hr and from postprandial samples collected at 4, 5, 6, 7, 9, 12, and 16 hr. Times (12.6 +/- 2.5 h) of maximum plasma (2)H-

alpha-tocopherol concentrations (0.82% +/- 0.59% total alpha-tocopherol), fractional disappearance rates (0.63 +/- 0.26

pools/d), half-lives (30 +/- 11 hr), and the minimum estimated (2)H-alpha-tocopherolabsorbed (24% +/- 16%) did not vary

between age groups or sexes (n = 41). Unlabeled alpha-tocopherol concentrations were higher in older adults (26.4 +/- 8.6

umol/L) than in younger adults (19.3 +/- 4.2 umol/L; P = 0.0019) and correlated with serum lipids (r = 0.4938, P = 0.0012). In

addition, (2)H-alpha-tocopherol half-lives were correlated with lipids (r = 0.4361, P = 0.0044). Paradoxically, alpha-

tocopherol remained in circulation longer in participants with higher serum lipids, but the (2)H-alpha-tocopherol absorbed

was not dependent on the plasma lipid status. Neither variable was dependent on age. These data suggest that plasma

alpha-tocopherol concentrations are more dependent on mechanisms that control circulating lipids rather than those related

to its absorption and initial incorporation into plasma.[Traber MG et al; Am J Clin Nutr. 101 (4): 752-9 (2015)] Full text:

PMC4381779 Abstract: PubMed


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9.5 Mechanism of Action 


Cancer development and progression are closely associated with inflammation. NF-kappaB (nuclear factor kappaB)

provides a mechanistic link between inflammation and cancer, and is a major factor controlling the ability of malignant cells

to resist tumor surveillance mechanisms. NF-kappaB might also regulate tumor angiogenesis and invasiveness and the

signalling pathways that mediate its activation provide attractive targets for new chemopreventive and chemotherapeutic

approaches. ROS (reactive oxygen species) initiate inflammation by up-regulation of pro-inflammatory cytokines and

therefore antioxidants provide a major defence against inflammation. alpha-Tocopherol is a lipid-soluble antioxidant. In

addition to decreasing lipid peroxidation, alpha-tocopherol may exert intracellular effects. Hence, the aim of this study was to

test the effect of alpha-tocopherol supplementation in cancer prevention via suppression of NF-kappaB-mediated pro-

inflammatory cytokines. alpha-Tocopherol treatment significantly down-regulates expression, synthesis as well as secretion

of pro-inflammatory cytokine IL-6 (interleukin-6) in cancerous mice. It also suppresses NF-kappaB binding to IL-6 promoter in

liver leading to decreased secretion of IL-6 in serum. The regulation of the signalling pathway by alpha-tocopherol is found

apart from its antioxidant capacity to reduce lipid peroxidation. Thus, the present study provides evidence for the hypothesis

that besides the powerful free radical scavenging effects, alpha-tocopherol has genomic effects in down-regulation of pro-

inflammatory cytokine and cancer prevention via the NF-kappaB-dependent pathway. Abstract: PubMed

Sharma R, Vinayak M; Biosci Rep. 31 (5): 421-8 (2011)

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Mitocans are drugs selectively killing cancer cells by destabilizing mitochondria and many induce apoptosis via generation of

reactive oxygen species (ROS). However, the molecular events by which ROS production leads to apoptosis has not been

clearly defined. In this study with the mitocan alpha-tocopheryl succinate (alpha-TOS) the role of the Bcl-2 family proteins in

the mechanism of malignant cell apoptosis has been determined. Exposure of several different cancer cell lines to alpha-

TOS increased expression of the Noxa protein, but none of the other proteins of the Bcl-2 family, an event that was

independent of the cellular p53 status. alpha-TOS caused a profound conformational change in the pro-apoptotic protein,

Bak, involving oligomerization in all cell types, and this also applied to the Bax protein, but only in non-small cell lung cancer

cells. Immunoprecipitation studies indicated that alpha-TOS activates the two BH1-3 proteins, Bak or Bax, to form high

molecular weight complexes in the mitochondria. RNAi knockdown revealed that Noxa and Bak are required for alpha-TOS-

induced apoptosis, and the role of Bak was confirmed using Bak- and/or Bax-deficient cells. We conclude that the major

events induced by alpha-TOS in cancer cells downstream of ROS production leading to mitochondrial apoptosis involve the

Noxa-Bak axis. It is proposed that this represents a common mechanism for mitochondrial destabilization activated by a

variety of mitocans that induce accumulation of ROS in the early phases of apoptosis. /alpha-Tocopheryl succinate /

Abstract: PubMed

Prochazka L et al; Apoptosis. 15 (7): 782-94 (2010)

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10 Use and Manufacturing 
10.1 Methods of Manufacturing 
... Obtained by vacuum steam distillation of edible vegetable oil products.

21 CFR 184.1890 (USFDA); U.S. National Archives and Records Administration's Electronic Code of Federal Regulations. Available

from, as of June 3, 2015: http://www.ecfr.gov

 from HSDB

Isolation from wheat germ.

O'Neil, M.J. (ed.). The Merck Index - An Encyclopedia of Chemicals, Drugs, and Biologicals. Cambridge, UK: Royal Society of

Chemistry, 2013., p. 1759

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The industrial total synthesis of alpha-tocopherol is based on the condensation of 2,3,6-trimethylhydroquinone with phytol,

phytyl halides, or preferentially isophytol. Lewis and Bronsted acids, especially zinc chloride with a mineral acid, serve as

catalysts for condensation. Boron trifluoride and AlCl3, Fe/HCl, trifluoracetic acid, and boric acid/carboxylic acid are also

good catalysts. A wide range of solvents can be used, e.g., ethyl acetate, acetic acid, (chlorinated) hydrocarbons or

supercritical CO2. When synthetic phytol or isophytol is used, the product consists of equal amounts of all eight alpha-

tocopherol stereoisomers and is thus denominated (all-rac)-alpha-tocopherol. The majority of synthetic alpha-tocopherol is

treated with acetic anhydride to give the acetate, which is stable on storage. In addition, the succinate (monoester of

succinic acid) and the nicotinate are produced commercially. Purification of the crude product is possible at the free

tocopherol or acetate stage by short-path distillation under high vacuum or extraction with supercritical CO2.

Baldenius K-U et al.; Vitamins, 4. Vitamin E (Tocopherols, Tocotrienols). Ullmann's Encyclopedia of Industrial Chemistry 7th ed. (1999-

2015). NY, NY: John Wiley & Sons. Online Posting Date: October 15, 2011

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... the commercially significant form of tocopherol is all-rac-alpha-tocopheryl acetate. ... /Commercial/ processes utilize a

Friedel-Crafts-type condensation of 2,3,5-trimethylhydroquinone with either phytol, a phytyl halide, or phytadiene. The

principal synthesis in current commercial use involves condensation of 2,3,5-trimethylhydroquinone with synthetic isophytol

in an inert solvent, such as benzene or hexane, with an acid catalyst, such as zinc chloride, boron trifluoride, or orthoboric

acid/oxalic acid to give the all-rac-a-tocopherol. Free tocopherol is protected as its acetate ester by reaction with acetic

anhydride. Purification of tocopheryl acetate is readily accomplished by high vacuum molecular distillation and rectification

(equation image) to achieve the required USP standard.

Casani R; Vitamin E; Kirk-Othmer Encyclopedia of Chemical Technology (1999-2015). John Wiley & Sons, Inc. Online Posting Date:

December 4, 2000

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The most important natural sources of vitamin E are plant oils and fats. The deodorization of edible oils yields as a

byproduct deodorizer sludges which contain tocopherols in economically interesting concentrations (3-15%). ... Various

processes are available for the purification of tocopherols. The fatty acids can be extracted and separated in the form of

sparingly soluble calcium salts. Alternatively, they can be eliminated by distillation, preferably after esterification. The sterols

can be separated by treatment with hydrogen chloride or CaCl2, by crystallization, or by extraction. Alternatively, the free

sterols can be esterified with the excess fatty acids, and the tocopherols can be separated from the high-boiling sterol fatty

acid esters by distillation. After removal of the free fatty acids, the tocopherols can be concentrated by adsorption on basic

ion exchangers.

Baldenius K-U et al.; Vitamins, 4. Vitamin E (Tocopherols, Tocotrienols). Ullmann's Encyclopedia of Industrial Chemistry 7th ed. (1999-

2015). NY, NY: John Wiley & Sons. Online Posting Date: October 15, 2011

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10.2 Formulations/Preparations 
MIXED TOCOPHEROLS

PDR for Nutritional Supplements 2nd ed. Thomson Reuters, Montvale, NJ 2008, p. 699
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D-ALPHA-TOCOPHERYL SUCCINATE ; d-Alpha-tocopheryl succinate is available as a stand-alone supplement and in

combination vitamin preparations. Since the succinate group protects the hydroxyl group of the chromanol ring against

oxidation, it is a more stable form than d-alpha-tocopherol, the free or unesterified form.

PDR for Nutritional Supplements 2nd ed. Thomson Reuters, Montvale, NJ 2008, p. 699

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D-ALPHA-TOCOPHERYL ACETATE ; d-Alpha-tocopheryl acetate is available as a stand-alone supplement and in

multivitamin preparations. Since the acetate group protects the hydroxyl group of the chromanol ring against oxidation, it is a

more stable form than d-alpha-tocopherol, the free or unesterified form.

PDR for Nutritional Supplements 2nd ed. Thomson Reuters, Montvale, NJ 2008, p. 699

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D-ALPHA-TOCOPHEROL ; d-Alpha-tocopherol is available as a stand-alone supplement and in the form of mixed

tocopherols. d-Alpha-tocopherol is unesterified and thus much more susceptible to oxidation.

PDR for Nutritional Supplements 2nd ed. Thomson Reuters, Montvale, NJ 2008, p. 699

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10.3 Consumption 
Almost 100% by itself in prevention & treatment of vitamin E deficiency (1973).

SRI

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10.4 U.S. Production 


(1972) 1.32X10+9 G (1972) 1.32X10+9 G

SRI

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(1975) 9.87X10+8 G

SRI

 from HSDB

(1984) 5.28X10+9 g

USITC. SYN ORG CHEM-U.S. PROD/SALES 1984 p.98

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(1986) >1 million-10 million pounds

US EPA; Non-confidential Production Volume Information Submitted by Companies for Chemicals Under the 1986-2002 Inventory

Update Rule (IUR). Vitamin E (59-02-9). Available from, as of May 17, 2006: http://www.epa.gov/oppt/iur/tools/data/2002-vol.html

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(1990) >1 million-10 million pounds

US EPA; Non-confidential Production Volume Information Submitted by Companies for Chemicals Under the 1986-2002 Inventory

Update Rule (IUR). Vitamin E (59-02-9). Available from, as of May 17, 2006: http://www.epa.gov/oppt/iur/tools/data/2002-vol.html

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(1994) >1 million-10 million pounds


US EPA; Non-confidential Production Volume Information Submitted by Companies for Chemicals Under the 1986-2002 Inventory

Update Rule (IUR). Vitamin E (59-02-9). Available from, as of May 17, 2006: http://www.epa.gov/oppt/iur/tools/data/2002-vol.html

 from HSDB

2H-1-Benzopyran-6-ol, 3,4-dihydro-2,5,7,8-tetramethyl-2-[(4R,8R)-4,8,12-trimethyltridecyl]-, (2R)- is listed as a High

Production Volume (HPV) chemical (65FR81686). Chemicals listed as HPV were produced in or imported into the U.S. in >1

million pounds in 1990 and/or 1994. The HPV list is based on the 1990 Inventory Update Rule. (IUR) (40 CFR part 710

subpart B; 51FR21438).[EPA/Office of Pollution Prevention and Toxics; High Production Volume (HPV) Challenge Program.

2H-1-Benzopyran-6-ol, 3,4-dihydro-2,5,7,8-tetramethyl-2-

(4R,8R)-4,8,12-trimethyltridecyl]-, (2R)- (59-02-9). Available from, as of June 9, 2015:

http://www.epa.gov/hpv/pubs/general/opptsrch.htm

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10.5 U.S. Imports 


(1975) 2.35X10+8 G (PRINCPL CUSTMS DISTS)

SRI

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(1984) 1.02X10+9 g /Vitamin E (DL-Alpha-Tocopherol and its Esters/

BUREAU OF THE CENSUS. U.S. IMPORTS FOR CONSUMPTION AND GENERAL IMPORTS 1984 p.1-343

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10.6 U.S. Exports 


(1984) 5.68X10+8 g /bulk/

BUREAU OF THE CENSUS. U.S. EXPORTS, SCHEDULE E, 1984 p.2-100

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11 Identification 
11.1 Analytic Laboratory Methods 
Method: AOAC 975.43; Procedure: polarimetric method; Analyte: alpha-tocopherol; Matrix: pharmaceutical preparations and

food or feed supplements; Detection Limit: not provided.

Horwitz W, ed.; Official Methods of Analysis of AOAC International 17th ed. (2003). CD-ROM, AOAC International, Gaithersburg, MD

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... Methods of quant assay of vit e depend either directly or indirectly upon ease with which free alpha tocopherol is oxidized

... (1) formation of red orthoquinone by treatment ... with concn nitric acid & (2) reduction of ferric chloride in presence of

alpha-alpha'-dipyridyl ... forms red-colored complex with ferrous ions.

Osol, A. and J.E. Hoover, et al. (eds.). Remington's Pharmaceutical Sciences. 15th ed. Easton, Pennsylvania: Mack Publishing Co.,

1975., p. 942

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Method: AOAC 971.30; Procedure: colorimetric method; Analyte: alpha-tocopherol and alpha-tocopherol acetate; Matrix:

food and feeds; Detection Limit: not provided.

Horwitz W, ed.; Official Methods of Analysis of AOAC International 17th ed. (2003). CD-ROM, AOAC International, Gaithersburg, MD

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HPLC of vitamin e. Other methods in current use for assay of vit E are reversed phase for routine anal & straight phase on

silica gel if intention is to separate all forms of vit E. Abstract: PubMed

ERIKSSON T, SORENSEN B; ACTA PHARM SUEC 14 (5-6): 475-84 (1977)

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Method: AOAC 969.40; Procedure: gas chromatography; Analyte: vitamin e; Matrix: drugs; Detection Limit: not provided.

Horwitz W, ed.; Official Methods of Analysis of AOAC International 17th ed. (2003). CD-ROM, AOAC International, Gaithersburg, MD

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Determination of vitamin E using a GC equipped with a FID.

USP Convention. The United States Pharmacopeia XXII/National Formulary XVII. Rockville, MD: United States Pharmacopeial

Convention, Inc., 1990., p. 1452

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Two dimensional spectral analysis (COSY, HETCOR) was utilized to make the complete (13)C and H-Nuclear magnetic

resonance assignments for alpha, beta, tau, and delta-tocopherol as well as for the acetate and succinate esters of alpha-

tocopherol. (13)C nuclear magnetic resonance was especially useful in distinguishing between the various tocopherols and

distinguishing between the d-isomer and the dl-racemic mixture. HETCOR spectra were also found to be useful for the

qualitative identification of mixtures of the tocopherols and sesame oil. Using a procedure designed to minimize errors

arising from spin relaxation and nuclear Overhauser effects, (13)C nuclear magnetic resonance peak integrals were used to

quantitate alpha-tocopherol and delta-tocopherol in the presence of sesame oil using benzoic acid as the standard of

calibration of the quantitation. The nuclear magnetic resonance results were compared to a capillary column GC analysis of

the individual alpha-tocopherol and delta-tocopherol reference materials. Abstract: PubMed

Baker JK, Myers CW; Pharm Res 8 (6): 763-70 (1991)

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The results of the analysis of several derivatives of (all-racemic)-alpha-tocopherol by HPLC on a chiral stationary phase and

by capillary GC on a chiral stationary phase are reported. Consecutive application of both methods to the ethyl ether

derivatives allows the separation and quantification of all 8 possible stereoisomers of (all-racemic)-alpha-tocopherol.

Vecchi M et al; Helv Chim Acta 73 (4): 782-9 (1990)

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A description is given for the analysis of vitamin A and E acetates in cosmetics by 2nd-derivative UV/visible

spectrophotometry. The determinations are carried out on an emulsified cosmetic form previously solubilized in

tetrahydrofluoride. The procedure is highly sensitive and allows the cmpd to be determined singly or together.

Galiano F et al; Cosmet Toiletries Ed Ital 11 (1): 27-32, 34 (1990)

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Analyte: vitamin E; matrix: chemical identification; procedure: preparation in dehydrated alcohol; addition of nitric acid and

heat; formation of a bright red or orange color

U.S. Pharmacopeia. The United States Pharmacopeia, USP 29/The National Formulary, NF 24; Rockville, MD: U.S. Pharmacopeial

Convention, Inc., p2258 (2006)

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Analyte: vitamin E; matrix: chemical identification; procedure: determination of the optical rotation

U.S. Pharmacopeia. The United States Pharmacopeia, USP 29/The National Formulary, NF 24; Rockville, MD: U.S. Pharmacopeial

Convention, Inc., p2258 (2006)

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Analyte: vitamin E; matrix: chemical identification; procedure: retention time of gas chromatogram with comparison to

standards

U.S. Pharmacopeia. The United States Pharmacopeia, USP 29/The National Formulary, NF 24; Rockville, MD: U.S. Pharmacopeial

Convention, Inc., p2258 (2006)

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Analyte: vitamin E; matrix: chemical purity; procedure: gas chromatography with flame-ionization detection and comparison

to standards

U.S. Pharmacopeia. The United States Pharmacopeia, USP 29/The National Formulary, NF 24; Rockville, MD: U.S. Pharmacopeial

Convention, Inc., p2258 (2006)

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Analyte: vitamin E; matrix: pharmaceutical preparation (solid or liquid preparation; capsule); procedure: preparation in

dehydrated alcohol; addition of nitric acid and heat; formation of a bright red or orange color (chemical identification)

U.S. Pharmacopeia. The United States Pharmacopeia, USP 29/The National Formulary, NF 24; Rockville, MD: U.S. Pharmacopeial

Convention, Inc., p2260 (2006)

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Analyte: vitamin E; matrix: pharmaceutical preparation (solid or liquid preparation; capsule); procedure: determination of the

optical rotation (chemical identification)

U.S. Pharmacopeia. The United States Pharmacopeia, USP 29/The National Formulary, NF 24; Rockville, MD: U.S. Pharmacopeial

Convention, Inc., p2260 (2006)

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Analyte: vitamin E; matrix: pharmaceutical preparation (solid or liquid preparation; capsule); procedure: retention time of gas

chromatogram with comparison to standards (chemical identification)

U.S. Pharmacopeia. The United States Pharmacopeia, USP 29/The National Formulary, NF 24; Rockville, MD: U.S. Pharmacopeial

Convention, Inc., p2260 (2006)

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Analyte: vitamin E; matrix: pharmaceutical preparation (solid or liquid preparation; capsule); procedure: gas chromatography

with flame-ionization detection and comparison to standards (chemical purity)

U.S. Pharmacopeia. The United States Pharmacopeia, USP 29/The National Formulary, NF 24; Rockville, MD: U.S. Pharmacopeial

Convention, Inc., p2260 (2006)

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Analyte: vitamin E; matrix: solution; procedure: reversed-phase high-performance liquid chromatography with ultraviolet

detection at 330 nm
Jedrzejewski RT, Taylor, LT; J Chromatogr Sci 33: 438-445 (1995). As cited in: Lunn G, Schmuff N; HPLC Methods for Pharmaceutical

Analysis. New York, NY: John Wiley & Sons, 1997., p.230

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Analyte: vitamin E; matrix: food (cheese); procedure: high-performance liquid chromatography with fluorescence detection;

limit of detection: 0.90 ng

Panfili G et al; Analyst 119: 1161-1165 (1994). As cited in: Lunn G; HPLC Methods for Pharmaceutical Analysis. Volumes 2-4. New

York, NY: John Wiley & Sons, 2000., p.1730

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Analyte: vitamin E; matrix: food (broccoli, infant formula, margarine); procedure: high-performance liquid chromatography

with fluorescence detection; limit of detection: 100 ng/mL

Konings EJM et al; J AOAC Int 79: 902-906 (1996). As cited in: Lunn G; HPLC Methods for Pharmaceutical Analysis. Volumes 2-4.

New York, NY: John Wiley & Sons, 2000., p.1731

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Analyte: vitamin E; matrix: food (cheese); procedure: high-performance liquid chromatography with fluorescence detection;

limit of detection: 500-900 pg

Manzi R et al; Chromatographia 43: 89-91 (1996). As cited in: Lunn G; HPLC Methods for Pharmaceutical Analysis. Volumes 2-4. New

York, NY: John Wiley & Sons, 2000., p.1732

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Analyte: vitamin E; matrix: food (infant formula); procedure: high-performance liquid chromatography with fluorescence

detection; limit of detection: 3.14 ng/mL

Chase GW Jr et al; J Liq Chromatogr Rel Technol 20: 3317-3327 (1997). As cited in: Lunn G; HPLC Methods for Pharmaceutical

Analysis. Volumes 2-4. New York, NY: John Wiley & Sons, 2000., p.1732

 from HSDB

Analyte: vitamin E; matrix: food (soy-based infant formula); procedure: high-performance liquid chromatography with

fluorescence detection

Chase GW Jr et al; J AOAC Int 81: 577-581 (1998). As cited in: Lunn G; HPLC Methods for Pharmaceutical Analysis. Volumes 2-4.

New York, NY: John Wiley & Sons, 2000., p.1733

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Analyte: vitamin E; matrix: pharmaceutical preparation (cream, lotion); procedure: high-performance liquid chromatography

with ultraviolet detection at 280 nm

Scalia S et al; J Pharm Biomed Anal 13: 273-277 (1995). As cited in: Lunn G; HPLC Methods for Pharmaceutical Analysis. Volumes 2-

4. New York, NY: John Wiley & Sons, 2000., p.1733

 from HSDB

Analyte: vitamin E; matrix: pharmaceutical preparation (tablet); procedure: high-performance liquid chromatography with

ultraviolet detection at 280 nm

Scalia S et al; J Pharm Sci 84: 433-436 (1995). As cited in: Lunn G; HPLC Methods for Pharmaceutical Analysis. Volumes 2-4. New

York, NY: John Wiley & Sons, 2000., p.1734

 from HSDB

Analyte: vitamin E; matrix: food (margarine, spread); procedure: high-performance liquid chromatography with fluorescence

detection; limit of detection: 232 ng/g

Ye L et al; J Liq Chromatogr Rel Technol 21: 1227-1238 (1998). As cited in: Lunn G; HPLC Methods for Pharmaceutical Analysis.

Volumes 2-4. New York, NY: John Wiley & Sons, 2000., p.1736

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Analyte: vitamin E; matrix: milk; procedure: high-performance liquid chromatography with ultraviolet detection at 250 nm

Gong BY, Ho JW; J Liq Chromatogr Rel Technol 20: 2389-2397 (1997). As cited in: Lunn G; HPLC Methods for Pharmaceutical

Analysis. Volumes 2-4. New York, NY: John Wiley & Sons, 2000., p.1736

 from HSDB
Analyte: vitamin E; matrix: milk; procedure: high-performance liquid chromatography with ultraviolet detection at 323 and

292 nm; limit of detection: 300 ng/mL

Albala-Hurtado S et al; J Chromatogr A 778: 243-246 (1997). As cited in: Lunn G; HPLC Methods for Pharmaceutical Analysis.

Volumes 2-4. New York, NY: John Wiley & Sons, 2000., p.1737

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Analyte: vitamin E; matrix: milk; procedure: high-performance liquid chromatography with electrochemical detection; limit of

detection: 0.19 ng

Delgado-Zamarreno MM et al; Analyst 120: 2489-2492 (1995). As cited in: Lunn G; HPLC Methods for Pharmaceutical Analysis.

Volumes 2-4. New York, NY: John Wiley & Sons, 2000., p.1737

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Analyte: vitamin E; matrix: milk; procedure: high-performance liquid chromatography with electrochemical detection; limit of

detection: 311 nM

Delgado-Zamarrefio MM et al; J Chromatogr A 694: 399-406 (1995). As cited in: Lunn G; HPLC Methods for Pharmaceutical Analysis.

Volumes 2-4. New York, NY: John Wiley & Sons, 2000., p.1738

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Analyte: vitamin E; matrix: ophthalmic silicone oil; procedure: high-performance liquid chromatography with ultraviolet

detection at 210 nm; limit of detection: 604.9 ng/mL

Del Nozal MJ et al; J Liq Chromatogr Rel Technol 19: 1151-1167 (1996). As cited in: Lunn G; HPLC Methods for Pharmaceutical

Analysis. Volumes 2-4. New York, NY: John Wiley & Sons, 2000., p.1738

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11.2 Clinical Laboratory Methods 


Measurement of vitamin E in serum and plasma by HPLC with electrochemical detection. Abstract: PubMed

Castle MC, Cooke WJ; Ther Drug Monit 7: 364-8 (1985)

 from HSDB

Analyte: vitamin E; matrix: blood (serum); procedure: high-performance liquid chromatography with fluorescence detection;

limit of detection: 50 ng/mL

Moriyama H et al; J Chromatogr A 798: 125-130 (1998). As cited in: Lunn G; HPLC Methods for Pharmaceutical Analysis. Volumes 2-

4. New York, NY: John Wiley & Sons, 2000., p.1719

 from HSDB

Analyte: vitamin E; matrix: blood (erythrocyte); procedure: high-performance liquid chromatography with ultraviolet detection

at 282 nm

Bonina R et al; Pharm Res 13: 1343-1347 (1996). As cited in: Lunn G; HPLC Methods for Pharmaceutical Analysis. Volumes 2-4. New

York, NY: John Wiley & Sons, 2000., p.1719

 from HSDB

Analyte: vitamin E; matrix: blood (plasma); procedure: high-performance liquid chromatography with ultraviolet detection at

292 nm

Lane JR et al; J Chromatogr A 787: 111-118 (1997). As cited in: Lunn G; HPLC Methods for Pharmaceutical Analysis. Volumes 2-4.

New York, NY: John Wiley & Sons, 2000., p.1720

 from HSDB

Analyte: vitamin E; matrix: blood (serum); procedure: high-performance liquid chromatography with ultraviolet detection at

292 nm; limit of detection: 50 ng/mL

Steghens JR et al; J Chromatogr B 694: 71-81 (1997). As cited in: Lunn G; HPLC Methods for Pharmaceutical Analysis. Volumes 2-4.

New York, NY: John Wiley & Sons, 2000., p.1721

 from HSDB
Analyte: vitamin E; matrix: blood (plasma, serum); procedure: high-performance liquid chromatography with ultraviolet

detection at 292 nm

Kaplan LA et al; Methods Enzymol 189: 155-167 (1990). As cited in: Lunn G; HPLC Methods for Pharmaceutical Analysis. Volumes 2-

4. New York, NY: John Wiley & Sons, 2000., p.1721

 from HSDB

Analyte: vitamin E; matrix: blood (serum); procedure: high-performance liquid chromatography with ultraviolet detection at

325, 295, and 450 nm or electrochemical detection; limit of detection: 96 ug/mL (UV), 650 ng/mL (E)

MacCrehan WA; Methods Enzymol 189: 172-181 (1990). As cited in: Lunn G; HPLC Methods for Pharmaceutical Analysis. Volumes 2-

4. New York, NY: John Wiley & Sons, 2000., p.1722

 from HSDB

Analyte: vitamin E; matrix: blood (serum); procedure: high-performance liquid chromatography with ultraviolet detection at

325, 291, and 450 nm; limit of detection: 180 nM

Arnaud J et al; J Chromatogr 572: 103-116 (1991). As cited in: Lunn G; HPLC Methods for Pharmaceutical Analysis. Volumes 2-4.

New York, NY: John Wiley & Sons, 2000., p.1722

 from HSDB

Analyte: vitamin E; matrix: blood (plasma); procedure: high-performance liquid chromatography with ultraviolet detection at

290 nm

Khachik R et al; Anal Chem 64: 2111-2122 (1992). As cited in: Lunn G; HPLC Methods for Pharmaceutical Analysis. Volumes 2-4.

New York, NY: John Wiley & Sons, 2000., p.1723

 from HSDB

Analyte: vitamin E; matrix: blood (plasma, serum); procedure: high-performance liquid chromatography with ultraviolet

detection at 340, 290, 280, and 450 nm; limit of detection: 500 ng/mL

Lee BL et al; J Chromatogr 581: 41-47 (1992). As cited in: Lunn G; HPLC Methods for Pharmaceutical Analysis. Volumes 2-4. New

York, NY: John Wiley & Sons, 2000., p.1724

 from HSDB

Analyte: vitamin E; matrix: blood (plasma); procedure: high-performance liquid chromatography with electrochemical

detection; limit of detection: 50 pg

Takeda H et al; J Chromatogr 722: 287-294 (1996). As cited in: Lunn G; HPLC Methods for Pharmaceutical Analysis. Volumes 2-4.

New York, NY: John Wiley & Sons, 2000., p.1729

 from HSDB

Analyte: vitamin E; matrix: blood (plasma), tissue (liver, lung); procedure: high-performance liquid chromatography with

ultraviolet detection at 292 nm; limit of detection: 60 ng/mL

Van Vliet T et al; J Chromatogr 553: 179-186 (1991). As cited in: Lunn G; HPLC Methods for Pharmaceutical Analysis. Volumes 2-4.

New York, NY: John Wiley & Sons, 2000., p.1729

 from HSDB

Analyte: vitamin E; matrix: blood (plasma), urine; procedure: high-performance liquid chromatography with ultraviolet

detection at 290 nm; limit of detection: 5 ng

Papadoyannis IN et al; J Liq Chromatogr Rel Technol 20: 3203-3231 (1997). As cited in: Lunn G; HPLC Methods for Pharmaceutical

Analysis. Volumes 2-4. New York, NY: John Wiley & Sons, 2000., p.1730

 from HSDB

Analyte: vitamin E; matrix: tissue (liver); procedure: high-performance liquid chromatography with fluorescence detection;

limit of detection: 3 pmoles

Analyte: vitamin E; matrix: tissue (liver); procedure: high-performance liquid chromatography with fluorescence detection; limit of

detection: 3 pmoles

 from HSDB

Analyte: vitamin E; matrix: tissue (brain, liver, placenta); procedure: high-performance liquid chromatography with

fluorescence detection
Barbas C et al; J Chromatogn A 778: 415-420 (1997). As cited in: Lunn G; HPLC Methods for Pharmaceutical Analysis. Volumes 2-4.

New York, NY: John Wiley & Sons, 2000., p.1741

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12 Safety and Hazards 
12.1 Fire Fighting Measures 
Wear self contained breathing apparatus for fire fighting if necessary.

Sigma-Aldrich; Safety Data Sheet for (+)-alpha-Tocopherol. Product Number: T1539, Version 3.4 (Revision Date 07/01/2014).

Available from, as of June 10, 2015: http://www.sigmaaldrich.com/safety-center.html

 from HSDB

Use water spray, alcohol-resistant foam, dry chemical or carbon dioxide

Sigma-Aldrich; Safety Data Sheet for (+)-alpha-Tocopherol. Product Number: T1539, Version 3.4 (Revision Date 07/01/2014).

Available from, as of June 10, 2015: http://www.sigmaaldrich.com/safety-center.html

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12.2 Accidental Release Measures 


12.2.1 Cleanup Methods 
ACCIDENTAL RELEASE MEASURES Personal precautions, protective equipment and emergency procedures: Avoid

breathing vapors, mist or gas. Environmental precautions: Do not let product enter drains. Keep in suitable, closed

containers for disposal.

Sigma-Aldrich; Safety Data Sheet for (+)-alpha-Tocopherol. Product Number: T1539, Version 3.4 (Revision Date 07/01/2014).

Available from, as of June 10, 2015: http://www.sigmaaldrich.com/safety-center.html

 from HSDB

12.2.2 Disposal Methods 


SRP: Criteria for land treatment or burial (sanitary landfill) disposal practices are subject to significant revision. Prior to

implementing land disposal of waste residue (including waste sludge), consult with environmental regulatory agencies for

guidance on acceptable disposal practices.

 from HSDB

Product Offer surplus and non-recyclable solutions to a licensed disposal company. Contaminated packaging Dispose of as

unused product.

Sigma-Aldrich; Safety Data Sheet for (+)-alpha-Tocopherol. Product Number: T1539, Version 3.4 (Revision Date 07/01/2014).

Available from, as of June 10, 2015: http://www.sigmaaldrich.com/safety-center.html

 from HSDB

12.2.3 Other Preventative Measures 


Gloves must be inspected prior to use. Use proper glove removal technique (without touching glove's outer surface) to avoid

skin contact with this product. Dispose of contaminated gloves after use in accordance with applicable laws and good

laboratory practices. Wash and dry hands.

Sigma-Aldrich; Safety Data Sheet for (+)-alpha-Tocopherol. Product Number: T1539, Version 3.4 (Revision Date 07/01/2014).

Available from, as of June 10, 2015: http://www.sigmaaldrich.com/safety-center.html

 from HSDB

12.3 Handling and Storage 


12.3.1 Storage Conditions 
Keep container tightly closed in a dry and well-ventilated place. Recommended storage temperature: 2 - 8 deg C.

Sigma-Aldrich; Safety Data Sheet for (+)-alpha-Tocopherol. Product Number: T1539, Version 3.4 (Revision Date 07/01/2014).

Available from, as of June 10, 2015: http://www.sigmaaldrich.com/safety-center.html

 from HSDB

12.4 Exposure Control and Personal Protection 


12.4.1 Protective Equipment and Clothing 
Skin protection: Handle with gloves.

Sigma-Aldrich; Safety Data Sheet for (+)-alpha-Tocopherol. Product Number: T1539, Version 3.4 (Revision Date 07/01/2014).

Available from, as of June 10, 2015: http://www.sigmaaldrich.com/safety-center.html

 from HSDB

Eye/face protection: Use equipment for eye protection tested and approved under appropriate government standards such

as NIOSH (US) or EN 166(EU).

Sigma-Aldrich; Safety Data Sheet for (+)-alpha-Tocopherol. Product Number: T1539, Version 3.4 (Revision Date 07/01/2014).

Available from, as of June 10, 2015: http://www.sigmaaldrich.com/safety-center.html

 from HSDB

Respiratory protection: Respiratory protection not required. For nuisance exposures use type OV/AG (US) or type ABEK (EU

EN 14387) respirator cartridges. Use respirators and components tested and approved under appropriate government

standards such as NIOSH (US) or CEN (EU).

Sigma-Aldrich; Safety Data Sheet for (+)-alpha-Tocopherol. Product Number: T1539, Version 3.4 (Revision Date 07/01/2014).

Available from, as of June 10, 2015: http://www.sigmaaldrich.com/safety-center.html

 from HSDB

Body Protection: Impervious clothing. The type of protective equipment must be selected according to the concentration and

amount of the dangerous substance at the specific workplace.

Sigma-Aldrich; Safety Data Sheet for (+)-alpha-Tocopherol. Product Number: T1539, Version 3.4 (Revision Date 07/01/2014).

Available from, as of June 10, 2015: http://www.sigmaaldrich.com/safety-center.html

 from HSDB

12.5 Stability and Reactivity 


12.5.1 Reactivities and Incompatibilities 
Strong oxidizing agents

Sigma-Aldrich; Safety Data Sheet for (+)-alpha-Tocopherol. Product Number: T1539, Version 3.4 (Revision Date 07/01/2014).

Available from, as of June 10, 2015: http://www.sigmaaldrich.com/safety-center.html

 from HSDB

12.6 Regulatory Information 


12.6.1 FDA Requirements 
The Approved Drug Products with Therapeutic Equivalence Evaluations identifies currently marketed prescription drug

products, including vitamin E, approved on the basis of safety and effectiveness by FDA under sections 505 of the Federal

Food, Drug, and Cosmetic Act.

DHHS/FDA; Electronic Orange Book-Approved Drug Products with Therapeutic Equivalence Evaluations. Available from, as of July 22,

2015: http://www.fda.gov/cder/ob/

 from HSDB

Tocopherols used as chemical preservatives are generally recognized as safe when used in accordance with good

manufacturing practice. /Tocopherols/

21 CFR 182.3890 (USFDA); U.S. National Archives and Records Administration's Electronic Code of Federal Regulations. Available

from, as of June 3, 2015: http://www.ecfr.gov

 from HSDB

Tocopherols used as nutrients are generally recognized as safe when used in accordance with good manufacturing practice.

/Tocopherols/

21 CFR 182.8890 (USFDA); U.S. National Archives and Records Administration's Electronic Code of Federal Regulations. Available

from, as of June 3, 2015: http://www.ecfr.gov

 from HSDB

alpha-Tocopherol acetate used as a nutrient is generally recognized as safe when used in accordance with good

manufacturing practice. /alpha-Tocopherol acetate /

21 CFR 182.8892 (USFDA); U.S. National Archives and Records Administration's Electronic Code of Federal Regulations. Available

from, as of June 3, 2015: http://www.ecfr.gov

 from HSDB

Substance added directly to human food affirmed as generally recognized as safe (GRAS).

21 CFR 184.1890 (USFDA); U.S. National Archives and Records Administration's Electronic Code of Federal Regulations. Available

from, as of June 3, 2015: http://www.ecfr.gov

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Drug products containing certain active ingredients offered over-the-counter (OTC) for certain uses. A number of active

ingredients have been present in OTC drug products for various uses, as described below. However, based on evidence

currently available, there are inadequate data to establish general recognition of the safety and effectiveness of these

ingredients for the specified uses: Vitamin E is included in topical acne drug products.

21 CFR 310.545(a)(1) (USFDA); U.S. National Archives and Records Administration's Electronic Code of Federal Regulations.

Available from, as of June 3, 2015: http://www.ecfr.gov

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Drug products containing certain active ingredients offered over-the-counter (OTC) for certain uses. A number of active

ingredients have been present in OTC drug products for various uses, as described below. However, based on evidence

currently available, there are inadequate data to establish general recognition of the safety and effectiveness of these

ingredients for the specified uses: Vitamin E is included in weight control drug products.

21 CFR 310.545(a)(20) (USFDA); U.S. National Archives and Records Administration's Electronic Code of Federal Regulations.

Available from, as of June 3, 2015: http://www.ecfr.gov

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Tocopherols used as chemical preservatives in animal drugs, feeds, and related products are generally recognized as safe

when used in accordance with good manufacturing or feeding practice. /Tocopherols/

21 CFR 582.3890 (USFDA); U.S. National Archives and Records Administration's Electronic Code of Federal Regulations. Available

from, as of June 3, 2015: http://www.ecfr.gov

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Tocopherols used as a nutrient and/or dietary supplements in animal drugs, feeds, and related products are generally

recognized as safe when used in accordance with good manufacturing or feeding practice. /Tocopherols/

21 CFR 582.5890 (USFDA); U.S. National Archives and Records Administration's Electronic Code of Federal Regulations. Available

from, as of June 3, 2015: http://www.ecfr.gov


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alpha-Tocopherol acetate used as a nutrient and/or dietary supplement in animal drugs, feeds, and related products is

generally recognized as safe when used in accordance with good manufacturing or feeding practice. /alpha-Tocopherol

acetate/

21 CFR 582.5892 (USFDA); U.S. National Archives and Records Administration's Electronic Code of Federal Regulations. Available

from, as of June 3, 2015: http://www.ecfr.gov

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12.7 Other Safety Information 


12.7.1 Toxic Combustion Products 
Carbon oxides

Sigma-Aldrich; Safety Data Sheet for (+)-alpha-Tocopherol. Product Number: T1539, Version 3.4 (Revision Date 07/01/2014).

Available from, as of June 10, 2015: http://www.sigmaaldrich.com/safety-center.html

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12.7.2 Other Hazardous Reactions 


Air Light.

Sigma-Aldrich; Safety Data Sheet for (+)-alpha-Tocopherol. Product Number: T1539, Version 3.4 (Revision Date 07/01/2014).

Available from, as of June 10, 2015: http://www.sigmaaldrich.com/safety-center.html

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13 Toxicity 
13.1 Toxicological Information 
13.1.1 Interactions 
Free radicals vary widely in their thermodynamic properties, ranging from very oxidizing to very reducing. These

thermodynamic properties can be used to predict a pecking order, or hierarchy, for free radical reactions. Using one-electron

reduction potentials, the predicted pecking order is in agreement with experimentally observed free radical electron

(hydrogen atom) transfer reactions. These potentials are also in agreement with experimental data that suggest that vitamin

E, the primary lipid soluble small molecule antioxidant, and vitamin C, the terminal water soluble small molecule antioxidant,

cooperate to protect lipids and lipid structures against peroxidation. Although vitamin E is located in membranes and vitamin

C is located in aqueous phases, vitamin C is able to recycle vitamin E; i.e., vitamin C repairs the tocopheroxyl (chromanoxyl)

radical of vitamin E, thereby permitting vitamin E to function again as a free radical chain-breaking antioxidant. This review

discusses: (i) the thermodynamics of free radical reactions that are of interest to the health sciences; (ii) the fundamental

thermodynamic and kinetic properties that are associated with chain-breaking antioxidants; (iii) the unique interfacial nature

of the apparent reaction of the tocopherol free radical (vitamin E radical) and vitamin C; and (iv) presents a hierarchy, or

pecking order, for free radical electron (hydrogen atom) transfer reactions. Abstract: PubMed

Buettner GR; Arch Biochem Biophys. 300 (2): 535-43 (1993)

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Ascorbic acid appears to have two opposite roles in animal tissues: to act as an antioxidant or to act as a prooxidant. The

effects of ascorbic acid supplementation on the tissue antioxidant status seem to be dependent on the dose of ascorbic acid

and the vitamin E status. Adequate doses of ascorbic acid supplementation to vitamin E-deficient subjects or animals help to

partially maintain vitamin E levels, probably through sparing the degradative metabolism of vitamin E, and thus increase the

antioxidant effectiveness. The sparing effect of ascorbic acid on vitamin E metabolism is also shown in the partial reversal of

the manifestation of vitamin E deficiency. On the other hand, when the animals are marginally adequate in vitamin E status,

ascorbic acid supplementation in large doses appears to promote lipid peroxidation and significantly decreases the

antioxidant potential of animals. An increase of the level of vitamin E supplementation overcomes the prooxidant effect of

large doses of ascorbic acid. This observation suggests that vitamin E requirement may be increased with a large dose of

ascorbic acid supplementation. Abstract: PubMed

Chen LH; In Vivo 3 (3): 199-209 (1989)

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Numerous lipid- and aqueous-phase inhibitors of nitrosation, as well as a number of other general antioxidants and free-

radical trapping agents, were examined for their effectiveness in blocking the mutagenic effects of nitric oxide. The

mutagenic activity of nitric oxide was most effectively inhibited by beta-carotene and tocopherols. BHT, dimethyl sulfoxide

and mannitol also blocked the mutagenic effects of nitrogen oxides but appeared less effective than beta-carotene or

vitamin E, while ascorbate was ineffective as an inhibitor of mutation resulting from nitric oxide exposure. Abstract: PubMed

Arroyo PL et al; Mutat Res 281 (3): 193-202 (1992)

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The effects of zidovudine on the fetus were investigated in pregnant mice by using parameters such as the number of

fetuses, fetal size, and the fetal hepatic cell clonogenic assay. Zidovudine caused dose-dependent toxicity to the fetus upon

administration via drinking water to pregnant mice from days 1 to 13 of gestation. At the 0.5 mg/ml dose level, zidovudine

caused a decrease in the number of fetuses to 12 from an average of 16.5 in control animals, and the fetal size (crown-rump

length) was reduced from 10.5 to 8.5 mm. The CFU of the erythroid progenitor cell colonies derived from the fetal hepatic

cells were decreased to 38% of that of the control, and the hematocrit dropped to 33.5 + or - 1.7 from a control value of 42.6

+ or - 2.5. Concomitant administration of erythropoietin, vitamin E, or interleukin-3 to the zidovudine treated pregnant mice

caused a significant reversal in the zidovudine induced toxicity to the fetu and to the mother's bone marrow. The success of

therapeutic intervention was demonstrated by restoration of the number of fetuses to the level of untreated controls, an

increase in the size of fetuses to normal values, and an increase i hematocrit to > 40.[Gogu SR et al; Antimicrob Agents

Chemother 36 (11): 2370-4 (1992)] Full text: PMC284337 Abstract: PubMed

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The effect of chronic treatment with vitamin E on acute 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine induced neurotoxicity,

as assessed by striatal dopamine depletion, was studied. Male C57B1/6J mice were fed vitamin E (48 mg/kg/day,

intragastric) for 4, 8, or 12 wk prior to administration of 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine (20 mg/kg, ip x 3, 2 hr

intervals) or its diluent. Brain vitamin E concn was increased by exogenous supplements for 12 wk. Striatal dopamine

content was reduced by 85% to 90% after 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine in control and vitamin E treated

mice. Mice with elevated cerebral vitamin E were not protected from 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine toxicity,

with dopamine content as an indicator. These findings indicate that moderate elevation of brain vitamin E is not adequate for

protecting dopamine containing neurons against the toxic actions of a high dose of 1-methyl-4-phenyl-1,2,3,6-

tetrahydropyridine. Abstract: PubMed

Gong L et al; Neuroreport 2 (9): 544-6 (1991)

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The effect of increased vitamin E liver content by dietary supplementation on chronic liver damage and cirrhosis induced by

carbon tetrachloride was investigated in rat. Data indicate that vitamin E supplementation did not interfere with the growth

rate of the animals and increased about threefold the liver's content of the vitamin. Vitamin E supplementation significantly

reduced oxidative liver damage, but it was not effective in protecting against development of fatty liver and did not interfere

with metabolic activation of carbon tetrachloride. Moreover, vitamin E-fed animals showed incomplete but significant

prevention of liver necrosis and cirrhosis induced by carbon tetrachloride. This has been shown by means of histological

examination, analysis of serum parameters and biochemical evaluation of collagen content. These results show that an

increased liver content of vitamin E can afford a significant degree of protection against carbon tetrachloride induced chronic

liver damage and cirrhosis. Abstract: PubMed

Parola M et al; Hepatology 16 (4): 1014-21 (1992)

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The effect of pretreatment with vitamin E on cytotoxicity, DNA single strand breaks, and chromosomal aberrations as well as

on mutation induced by UV-B light was investigated in Chinese hamster V-79 cells. Cellular pretreatment with non-toxic

levels of 25 uM alpha-tocopherol succinate (vitamin E) for 24 hr prior to exposure resulted in a 10 fold increase in cellular

levels of alpha-tocopherol. Using a colony-forming assay, this pretreatment decreased the cytotoxicity of UV-B light.

However, alkaline elution assays demonstrated that pretreatment with vitamin E did not affect the number of DNA single

strand breaks caused by UV-B light. In addition, UV-B exposure produced a dose-dependent induction of chromosomal

aberrations and mutations at the HGPRT locus, and neither of these actions of UV-B was influenced by pretreatment with

the vitamin. These results suggest that vitamin E protects cells from UV-B induced cytotoxicity, possibly through its ability to

scavenge free radicals. The results also suggest that the extent of genotoxicity induced by UV-B light may not correlate

directly with the cytotoxic action of this wavelength region in sunlight. Abstract: PubMed

Sugiyama M et al; Photochem Photobiol 56 (1): 31-4 (1992)

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The present study was undertaken to investigate whether alpha-tocopherol, entrapped in liposomes and delivered directly to

the lung, could protect against paraquat induced lung damage in the rat. Plain liposomes (composed of

dipalmitoylphosphatidylcholine) or dipalmitoylphosphatidylcholine/alpha-tocopherol liposomes were administered

intratracheally to animals 24 hr prior to an ip injection of paraquat (20 mg/kg); rats were killed 24 or 48 hr after paraquat

treatment. Results of this study showed that lungs of animals treated with paraquat were damaged extensively as evidenced

by an increase in lung weight and a significant reduction in lung angiotensin converting enzyme activity and cytochrome

p450 concn. Furthermore, paraquat treatment resulted in a significant decrease in reduced glutathione concn and a marked

elevation in microsomal lipid peroxidation levels as measured by the formation of diene conjugates. Pretreatment of rats with

dipalmitoylphosphatidylcholine liposomes alone did not alter significantly the paraquat induced changes of all parameters

examined. Pretreatment of rats with dipalmitoylphosphatidylcholine/alpha-tocopherol liposomes 24 hr prior to paraquat

challenge resulted in a significant increase in pulmonary alpha-tocopherol concn and antagonized paraquat induced

changes in lipid peroxidation, glutathione/GSSG ratio, lung angiotensin converting enzyme activity and cytochrome p450

concn. Results of this study suggested that alpha-tocopherol, delivered directly to the lung in a liposomal formulation 24 hr

prior to paraquat administration, confers protection against paraquat-induced lung damage. Abstract: PubMed

Suntres ZE et al; Biochem Pharmacol 44 (9): 1811-8 (1992)

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The effects of combined dietary vitamin E supplementation and a relatively low increase in selenium levels on 7,12-

dimethylbenz(a)anthracene induction of lipid peroxidation in the short term and development of mammary tumors in the long

term were investigated in female Sprague Dawley rats. Control animals were fed the basal diet (20 mg/kg vitamin E and 0.6

mg/kg selenium) throughout the experiment. Three other groups received a high vitamin E diet (235 mg/kg vitamin E and 0.6

mg/kg selenium) at different times, the first two from three weeks after 7,12-dimethylbenz(a)anthracene treatment and the

other throughout the experiment. When the vitamin E diet with selenium supplementation was applied until three weeks after
7,12-dimethylbenz(a)anthracene or until the termination of the experiment, tumor yields (tumors per rat) were significantly

inhibited compared with the control group. On the other hand, delaying the supplementation of vitamin E until three weeks

postcarcinogen produced no prophylactic effect. The elevation of lipid peroxidation levels observed immediately after 7,12-

dimethylbenz(a)anthracene administration was also significantly inhibited in both mammary fat pads and livers of animals in

the high vitamin E group. Abstract: PubMed

Takada H et al; Nutr Cancer 17 (2): 115-22 (1992)

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The influence of vitamin E on cadmium intoxication was investigated in rats. The exposure to cadmium (1 mg/kg, cadmium

as cadmium chloride dihydrate, ip for 7 days) decreased the activity of hepatic and renal glutamic oxalacetic and glutamic

pyruvic transaminases and alkaline phosphatase accompanied by increase in the levels of SGOT and SGPT and urinary

protein. Simultaneous administration of vitamin E (5 mg/kg, im for 7 days) reduced these cadmium induced biochemical

alterations. The accumulation of cadmium in blood, liver and kidney also decreased significantly upon co-exposure to

vitamin E. The antioxidant property of vitamin E seems to be responsible for the observed protection of cadmium

intoxication. Abstract: PubMed

Tandon SK et al; Biomed Environ Sci 5 (1): 39-45 (1992)

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Exposure of the skin of the back of skh-1 hairless mice to UVB (310 nm peak) irradiation at doses of 0.115-0.23 J/sq cm

results after 24-48 hr in an erythema which can be quantified using an erythema meter. Application of pure d-alpha-

tocopherol acetate, a thick oil, to the skin immediately following the exposure to UVB significantly reduces the increase in

erythema index, by 40-55%. At the lower dose (0.115 J/sq cm), skin thickness (associated with edematous swelling of the

sunburned skin) was measured by magnetic resonance imaging. In two experiments the UVB induced increase in skin

thickness was significantly reduced at 24 hr by 29 and 54%, and at 48 hr by 26 and 61%. After 8 days the untreated

irradiated mouse skin still showed a significant increase in thickness (24%) compared to the untreated unirradiated control,

while the treated irradiated control was not significantly thicker than the unexposed control. Skin sensitivity was tested using

a modification of the technique of esthesiometry, by observing rapid avoidance responses of the mouse to a pressure of

0.96 g/sq cm exerted by applying to the skin the tip of a nylon esthesiometer fiber extended to 60 mm in length. The

untreated irradiated mice were more sensitive (p< 0.07, Wilcoxon test) than the treated irradiated mice, and also significantly

different from the untreated unirradiated control mice (p< 0.04, Wilcoxon test), but the treated irradiated mice were not

significantly differently sensitive when compared to the unirradiated controls (p< 0.32). Taken together these data indicate

that the erythema, edema, and skin sensitivity commonly associated with UVB induced sunburn are significantly reduced by

topical application of tocopherol acetate even after the exposure has occurred. Abstract: PubMed

Trevithick JR et al; Arch Biochem Biophys 296 (2): 575-82 (1992)

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Isolated rat hepatocytes exposed to carbon tetrachloride showed a stimulated formation of malonaldehyde after only 30-60

min incubation. Conversely, the onset of hepatocyte death was a relatively late event, being significant only after 2-3 hr of

treatment. A cause-effect relationship between the two phenomena has been demonstrated by using hepatocytes isolated

from rats pretreated with alpha-tocopherol. Comparable results were obtained in vivo where supplementation with alpha-

tocopherol 15 hr before carbon tetrachloride dosing induced a partial or complete protection against the drug's necrogenic

effect, depending on the concn of the haloalkane used. Moreover, the vitamin supplementation prevented the carbon

tetrachloride induced increase of liver total calcium content, probably by blocking alterations in the liver cell plasma

membranes due to lipid peroxidation. Abstract: PubMed

Biasi F et al; Cell Biochem Funct 9 (2): 111-8 (1991)

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alpha-Tocopherol inhibited aminopyrene-nitrite induced hepatotoxicity in rats and reduced amount of nitrosodimethylamine

formed in cigarette smoke. Also significant reduction of nitrosopyrolidine formation in fried bacon.

MERGENS WJ ET AL; IARC SCI PUBL, VOL 19, ENVIRON ASPECTS N-NITROSO COMPD, PP 199-212 (1978)

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The aim of this study was to elucidate how vitamin E (alpha tocopherol) may ameliorate the toxicity of the pesticide

chlorpyrifos in Atlantic salmon. Freshly isolated hepatocytes were exposed to vitamin E, chlorpyrifos or a combination of

vitamin E and chlorpyrifos (all 100 uM). Transcriptomics (RNA-seq) and metabolomics were used to screen for effects of

vitamin E and chlorpyrifos. By introducing vitamin E, the number of upregulated transcripts induced by chlorpyrifos exposure

was reduced from 941 to 626, while the number of downregulated transcripts was reduced from 901 to 742 compared to the

control. Adding only vitamin E had no effect on the transcriptome. Jak-STAT signaling was the most significantly affected

pathway by chlorpyrifos treatment according to the transcriptomics data. The metabolomics data showed that accumulation

of multiple long chain fatty acids and dipeptides and amino acids in chlorpyrifos treated cells was partially alleviated by
vitamin E treatment. Significant interaction effects between chlorpyrifos and vitamin E were seen for 15 metabolites,

including 12 dipeptides. The antioxidant had relatively modest effects on chlorpyrifos-induced oxidative stress. By combining

the two data sets, the study suggests that vitamin E supplementation prevents uptake and accumulation of fatty acids, and

counteracts inhibited carbohydrate metabolism. Overall, this study shows that vitamin E only to a moderate degree modifies

chlorpyrifos toxicity in Atlantic salmon liver cells.[Olsvik PA et al; PLoS One. 10 (3): e0119250 (2015)] Full text:

PMC4361336 Abstract: PubMed

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Bisphenol A (BPA) is a commonly used material in daily life, and it is argued to cause oxidative stress in liver and ovarian

tissue. alpha-Lipoic acid (ALA) and alpha-tocopherol (ATF), two of the most effective antioxidants, may play a role in

preventing the toxic effect. Therefore, the purpose of this study was to examine the beneficial effects of ALA, ATF, and that

of ALA + ATF combination on oxidative damage induced by BPA. Female Wistar rats were divided into five groups (control,

BPA, BPA + ALA, BPA + ATF, and BPA + ALA + ATF). BPA (25 mg/kg/day), ALA (100 mg/kg/day), and ATF (20 mg/kg/day)

were administered for 30 days. The levels of serum aspartate aminotransferase (AST) and alanine aminotransferase (ALT),

liver malondialdehyde (L-MDA) and glutathione peroxidase (L-GPx), and ovarian malondialdehyde (Ov-MDA) and nitric oxide

(Ov-NO) were significantly higher in the BPA-treated groups compared with the control group. The levels of AST and ALT

decreased in the BPA + ALA, BPA + ATF, and BPA + ALA + ATF groups compared with the BPA group. Similarly, BPA +

ALA or BPA + ATF led to decreases in L-MDA and Ov-MDA levels compared with the BPA group. However, the BPA + ALA +

ATF group showed a significant decrease in L-MDA levels compared with the BPA + ALA group and the BPA + ATF group.

The levels of L-GPx decreased in the BPA + ATF and the BPA + ALA + ATF groups compared with the BPA group. The

administration of ATF and ALA + ATF significantly decreased the Ov-NO levels. This study demonstrates that BPA causes

oxidative damage in liver and ovarian tissues. ALA, ATF, or their combination were found to be beneficial in preventing BPA-

induced oxidative stress.[Avci B et al; Toxicol Ind Health. 2014 Dec 29. pii: 0748233714563433. Abstract: PubMed

Epub ahead of print]

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HIV/AIDS patients are probably more predisposed to vitamin E deficiency, considering that they are more exposed to

oxidative stress. Additionally, there are an extensive number of drugs in the highly active antiretroviral therapy (HAART)

regimens that may interfere with vitamin E concentrations. The objective of this study was to compare serum concentrations

of alpha-tocopherol in 182 HIV/AIDS patients receiving different HAART regimens. The patients were divided into three

groups according to regimen: nucleoside analog reverse-transcriptase inhibitors (NRTIs) + non-nucleoside analog reverse-

transcriptase inhibitors (NNRTIs); NRTIs + protease inhibitors + ritonavir; NRTIs + other classes. Alpha-tocopherol was

assessed by high-performance liquid chromatography. Multiple linear regression analysis was used to evaluate the effects of

HAART regimen, time of use, and compliance with the regimen on alpha-tocopherol concentrations. Alpha-tocopherol

concentrations were on average 4.12 umol/L lower for the NRTIs + other classes regimen when compared to the NRTIs +

NNRTIs regimen (p = 0.037). A positive association (p < 0.001) was observed between alpha-tocopherol and cholesterol

concentrations, a finding due, in part, to the relationship between liposoluble vitamins and lipid profile. This study

demonstrated differences in alpha-tocopherol concentrations between patients using different HAART regimens, especially

regimens involving the use of new drugs.[Itinoseki Kaio DJ et al; Nutrients. 6 (9): 3641-52 (2014)] Full text: PMC4179180

Abstract: PubMed

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The aim of this study was to evaluate the protective effects of different concentrations of vitamin E alpha-tocopherol (a-T)

isomer against the toxicity of hydrogen peroxide (H2O2) on dental pulp cells. The cells (MDPC-23) were seeded in 96-well

plates for 72 hours, followed by treatment with 1, 3, 5, or 10mM a-T for 60 minutes. They were then exposed or not to H2O2

for 30 minutes. In positive and negative control groups, the cells were exposed to culture medium with or without H2O2

(0.018%), respectively. Cell viability was evaluated by MTT assay (Kruskal-Wallis and Mann-Whitney tests; a = 5%).

Significant reduction of cell viability (58.5%) was observed in positive control compared with the negative control. Cells

pretreated with a-T at 1, 3, 5, and 10mM concentrations and exposed to H2O2 had their viability decreased by 43%, 32%,

25%, and 27.5%, respectively. These values were significantly lower than those observed in the positive control, thereby

showing a protective effect of ?-T against the H2O2 toxicity. Overall, the vitamin E a-T isomer protected the immortalized

MDPC-23 pulp cells against the toxic effects of H2O2. The most effective cell protection was provided by 5 and 10mM

concentrations of a-T.[da Silveira Vargas F et al; Biomed Res Int. 2014:895049 (2014)] Full text: PMC3918697 Abstract:

PubMed

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To evaluate the correlation between reactive oxygen species (ROS) production and micronucleus formation induced by a

vitamin complex in peripheral blood mononuclear cells from healthy people aged between 40 and 85 years old. Peripheral

blood mononuclear cells (PBMNCs) were purified utilizing ficoll-hypaque gradient. ROS production by PBMNCs was

quantified by luminol-dependent chemiluminescence in the presence or in the absence of the vitamin complex. DNA

damage in PBMNC by the vitamin complex was detected by the micronucleus technique. Statistical analyses were made
with the Student's 't' test and the Pearson correlation. P < 0.05 was considered significant. The vitamin complex induced MN

formation in PBMNC but did not augment ROS production. There was no correlation between ROS production and MN

formation either in the presence or in the absence of the vitamin complex. There was no increase in the ROS production in

the presence of the vitamin complex. The vitamin complex induced an augmentation in the MN formation. There was no

correlation between ROS production and the induction of MN formation. Since no association could be detected between

ROS production and MN formation, additional studies are required in order to investigate the possible mechanism of vitamin-

induced MN formation. Abstract: PubMed

Veloso CA et al; Redox Rep. 18 (6): 219-23 (2013)

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The effects of tocotrienol-rich fraction (TRF), alpha-tocopherol (T) and alpha-tocopheryl acetate (TA) on lipopolysaccharide

(LPS)-induced inflammatory responses in mouse peritoneal macrophages were examined. Results showed that at 5-30

ug/mL, all test compounds plus 1 ug/ml LPS exhibited no cytotoxic effects on macrophage cells. Compared with T and TA,

TRF showed the strongest anti-inflammatory activity as demonstrated by its potency in inhibiting the LPS-induced nitric

oxide (NO), prostaglandin E(2) (PGE(2)), and proinflammatory cytokine (TNF-alpha, IFN-gamma, IL-1beta and IL-6)

production. At 10 ug/mL, it significantly blocked the LPS induction of inducible nitric oxide synthase (iNOS) and

cyclooxygenase-2 (COX-2) expression, but has no effect on cyclooxygenase-1 (COX-1). Furthermore, TRF also showed a

greater inhibition on the nuclear factor kappa B (NF-kappaB) expression than T and TA. These results suggest that TRF

could be a better agent than T and TA for use in the prevention of chronic inflammatory diseases. Abstract: PubMed

Ng LT, Ko HJ; Food Chem 134 (2): 920-5 (2012)

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Oxidative stress represents an imbalance between the production and manifestation of reactive oxygen species (ROS) and

a biological system's ability to readily detoxify the reactive intermediates or repair the resulting damage. Our objective was to

verify the existence of an in vitro dual effect of alpha-tocopherol, beta-carotene and ascorbic acid in peripheral blood

mononuclear cells (PBMNC) of healthy donors and the inflammatory capacity by IL-6 production. PBMNC were incubated

with two concentrations of vitamin complex: [A] = Ascorbic Acid = 0.08uM, alpha- tocopherol= 0.04uM, beta-carotene =

0.0008 uM and [20A] = Ascorbic Acid = 1.6uM, alpha-tocopherol = 0.82uM, beta-carotene = 0.016uM. Oxidizing and

reducing response were measured by chemiluminescence and MTT assays, respectively. IL-6 production was measured by

sandwich ELISA. /The/ results demonstrated that PBMNC (from 20-39-year-old donors) incubated with vitamins activated

free radical production only in [20A] concentration. However, in the age groups of 40-59 and 60-80 years old, there was a

significant reduction and activation of the oxidizing response with both concentrations, respectively. The inflammatory profile

showed an elevation of IL-6 production in pro-oxidant and a decrease in antioxidant conditions. Correlation between ROS

production and IL-6 releasing was observed. With this experiment we concluded that vitamins can exert an antioxidant effect

and a pro-oxidant effect according to their concentration, and could be an inductor of an inflammatory process in vitro

generating severe complications to the body in cellular levels. Abstract: PubMed

de Oliveira BF et al; Curr Aging Sci. 5 (2): 148-56 (2012)

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Epidemiological evidence indicates that supplementation with some dietary factors is associated with a lower incidence of

cancer. An effective cancer prevention strategy for the millions of people worldwide who have been exposed to asbestos

could have enormous benefit. We tested whether dietary supplementation of the antioxidants vitamin A, E, and selenium

could alter the pattern of disease in the MexTAg transgenic mouse model, in which mice uniformly develop mesothelioma

after asbestos exposure. We focused on antioxidants because one of the most widely accepted hypotheses for the

mechanism by which asbestos fibers cause cancer proposes the involvement of reactive oxygen and nitrogen species. We

compared the survival of MexTAg mice that had been inoculated with asbestos fed on diets supplemented with 250,000

IU/kg vitamin A (retinoic acid), or 1,000 mg/kg vitamin E (alpha-tocopherol acetate) or 3 mg/kg selenium, or both vitamin E

and selenium concurrently and, additionally, diets deficient in each antioxidant. We found that neither the time to develop

symptoms of disease nor overall survival times were altered by any of the diets. We conclude that the data do not support

the notion that dietary antioxidants will moderate the rate of mesothelioma in asbestos-exposed populations. Abstract:

PubMed

Robinson C et al; Nutr Cancer64 (2): 315-22 (2012)

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The aim of this study was to evaluate tissue distribution of vitamin E isoforms such as a- and g-tocotrienol and g-tocopherol

and interference with their tissue accumulation by a-tocopherol. Rats were fed a diet containing a tocotrienol mixture or g-

tocopherol with or without a-tocopherol, or were administered by gavage an emulsion containing tocotrienol mixture or g-

tocopherol with or without a-tocopherol. There were high levels of a-tocotrienol in the adipose tissue and adrenal gland, g-

tocotrienol in the adipose tissue, and g-tocopherol in the adrenal gland of rats fed tocotrienol mixture or g-tocopherol for 7

weeks. Dietary a-tocopherol decreased the a-tocotrienol and g-tocopherol but not g-tocotrienol concentrations in tissues. In

the oral administration study, both tocopherol and tocotrienol quickly accumulated in the adrenal gland; however, their
accumulation in adipose tissue was slow. In contrast to the dietary intake, a-tocopherol, which has the highest affinity for a-

tocopherol transfer protein (aTTP), inhibited uptake of g-tocotrienol to tissues including adipose tissue after oral

administration, suggesting that the affinities of tocopherol and tocotrienol for aTTP in the liver were the critical determinants

of their uptake to peripheral tissues. Vitamin E deficiency for 4 weeks depleted tocopherol and tocotrienol stores in the liver

but not in adipose tissue. These results indicate that dietary vitamin E slowly accumulates in adipose tissue but the levels

are kept without degradation. The property of adipose tissue as vitamin E store causes adipose tissue-specific accumulation

of dietary tocotrienol. Abstract: PubMed

Uchida T et al; Lipids 47 (2): 129-39 (2012)

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The red blood cell system and the activity of free radical processes were studied in pregnant rats during chronic nitrite

intoxication (oral 0.2% sodium nitrite solution) and during alpha-tocopherol administration (in an intramuscular dose of 150

mg/kg). In intact pregnant rats, alpha-tocopherol decreased the activity of free radical processes and increased the

antioxidant potential. Its administration to pregnant rats with nitrite intoxication prevents the elevated concentration of

hemoglobin, considerably decreases the activity of free radical processes, and increases the antioxidant activity of serum.

Abstract: PubMed

Ivanova AS et al; Gig Sanit (3): 78-80 (2011)

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We have reported that supplemental doses of the a- and g-tocopherol isoforms of vitamin E decrease and increase,

respectively, allergic lung inflammation. We have now assessed whether these effects of tocopherols are reversible. For

these studies, mice were treated with Ag and supplemental tocopherols in a first phase of treatment followed by a 4-wk

clearance phase, and then the mice received a second phase of Ag and tocopherol treatments. The proinflammatory effects

of supplemental levels of g-tocopherol in phase 1 were only partially reversed by supplemental a-tocopherol in phase 2, but

were completely reversed by raising a-tocopherol levels 10-fold in phase 2. When g-tocopherol levels were increased 10-fold

(highly elevated tocopherol) so that the lung tissue g-tocopherol levels were equal to the lung tissue levels of supplemental

a-tocopherol, g-tocopherol reduced leukocyte numbers in the lung lavage fluid. In contrast to the lung lavage fluid, highly

elevated levels of g-tocopherol increased inflammation in the lung tissue. These regulatory effects of highly elevated

tocopherols on tissue inflammation and lung lavage fluid were reversible in a second phase of Ag challenge without

tocopherols. In summary, the proinflammatory effects of supplemental g-tocopherol on lung inflammation were partially

reversed by supplemental levels of a-tocopherol but were completely reversed by highly elevated levels of a-tocopherol.

Also, highly elevated levels of g-tocopherol were inhibitory and reversible in lung lavage but, importantly, were

proinflammatory in lung tissue sections. These results have implications for future studies with tocopherols and provide a

new context in which to review vitamin E studies in the literature.[McCary CA et al; J Immunol186 (6): 3674-85 (2011)] Full

text: PMC3271805 Abstract: PubMed

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/In a 1949 study/ mice treated with carcinogenic doses of dibenzanthrene had a higher incidence of lung tumors when given

2 mg alpha-tocopherol every 2 days than when fed a vitamin E-deficient diet; subcutaneous tumors were also more

common...

WHO; Tocopherol, alpha: Toxicological Evaluation of Certain Food Additives and Contaminants (WHO Food Additive Series 21), 1987;

Available from as of June 10, 2015: http://www.inchem.org/documents/jecfa/jecmono/v21je01.htm

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13.1.2 Toxicity Summary 


IDENTIFICATION AND USE: Vitamin E is pale yellow viscous oil. Previously, the term vitamin E was used as the generic

term for four tocopherols (alpha, beta, gamma, delta) and four tocotrienols (alpha, beta, gamma, delta), that are organic

compounds which possess antioxidant activity to a different degree. Factors have been used to convert food contents of

tocopherols and tocotrienols to alpha-tocopherol equivalents. Recent literature considers vitamin E as being d-alpha-

tocopherol only. Vitamin E is used as antioxidant for fats; animal feed additive. It is also used as human and animal

medication and dietary supplement. HUMAN EXPOSURE AND TOXICITY: Clinical studies indicate that, generally, intakes of

below about 720 mg/day are without adverse effects in man, but one investigation in elderly patients showed an increase in

serum cholesterol at doses of 300 mg alpha-tocopherol daily. Clinical deficiency of vitamin E is rare because adequate

amounts are supplied in the normal diet. Symptoms of deficiency include ataxia, muscle weakness, nystagmus, and losses

in touch and pain sensations. Vitamin E deficiency in premature infants may result in hemolytic anemia, thrombocytosis, and

increased platelet aggregation. Incidences of allergic reactions seem to be very rare. Vitamin E appears to have no effect on

all-cause mortality at doses up to 5,500 IU/d. Epidemiological studies have associated higher vitamin E status with reduced

cancer risk. However, a recent cancer prevention trial found that dietary supplementation with vitamin E significantly
increased the risk of prostate cancer among healthy men. Epidemiological studies found significant inverse associations

between serum concentrations of vitamin E and adiposity among children. alpha-Tocopherol could improve

teratozoospermia motility and viability. ANIMAL STUDIES: Rats were reported to tolerate doses of 4 g/kg daily for two

months, and mice tolerated oral doses of 50 g/kg daily for two months. However, recent study indicates that pharmacological

dose of alpha-tocopherol supplementation can induce cardiotoxicity in healthy rats. In rats vitamin E depressed body-weight

gain at concentrations of 10,000 and 25,000 IU/kg diet, and increased relative heart and spleen weights were seen at 8

months and 16 months, respectively. In developmental studies vitamin E was administered in amounts of 150 or 300

mg/kg/day to pregnant mice sc on days 6, 8 and 10 of gestation. Growth retardation and fetal survival were increased in the

treated group. The incidence of cleft palate was increased. Developmental studies with rat (75 mg/day) were negative.

Developmental neurotoxicity has been described in several studies in rats following maternal supplementation with vitamin

E. alpha-Tocopherol was non-carcinogenic. Mice treated with carcinogenic doses of dibenzanthrene had a higher incidence

of lung tumors when given 2 mg alpha-tocopherol every 2 days than when fed a vitamin E-deficient diet; subcutaneous

tumors were also more common. Conversely, in more recent studies, vitamin E has been found to reduce skin tumor

incidence induced by 7,12-dimethylbenzanthrene. In rats when the vitamin E diet with selenium supplementation was

applied until three weeks after 7,12-dimethylbenz(a)anthracene or until the termination of the experiment, tumor yields

(tumors per rat) were significantly inhibited compared with the control group. The mutagenic activity of nitric oxide was

effectively inhibited by tocopherols.

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13.1.3 Antidote and Emergency Treatment 


/SRP:/ Immediate first aid: Ensure that adequate decontamination has been carried out. If patient is not breathing, start

artificial respiration, preferably with a demand valve resuscitator, bag-valve-mask device, or pocket mask, as trained.

Perform CPR if necessary. Immediately flush contaminated eyes with gently flowing water. Do not induce vomiting. If

vomiting occurs, lean patient forward or place on the left side (head-down position, if possible) to maintain an open airway

and prevent aspiration. Keep patient quiet and maintain normal body temperature. Obtain medical attention. /Poisons A and

B/

Currance, P.L. Clements, B., Bronstein, A.C. (Eds).; Emergency Care For Hazardous Materials Exposure. 3rd revised edition, Elsevier

Mosby, St. Louis, MO 2007, p. 160

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/SRP:/ Basic treatment: Establish a patent airway (oropharyngeal or nasopharyngeal airway, if needed). Suction if

necessary. Watch for signs of respiratory insufficiency and assist ventilations if needed. Administer oxygen by nonrebreather

mask at 10 to 15 L/min. Monitor for pulmonary edema and treat if necessary ... . Monitor for shock and treat if necessary ... .

Anticipate seizures and treat if necessary ... . For eye contamination, flush eyes immediately with water. Irrigate each eye

continuously with 0.9% saline (NS) during transport ... . Do not use emetics. For ingestion, rinse mouth and administer 5

mL/kg up to 200 mL of water for dilution if the patient can swallow, has a strong gag reflex, and does not drool ... . Cover

skin burns with dry sterile dressings after decontamination ... . /Poisons A and B/

Currance, P.L. Clements, B., Bronstein, A.C. (Eds).; Emergency Care For Hazardous Materials Exposure. 3rd revised edition, Elsevier

Mosby, St. Louis, MO 2007, p. 160

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/SRP:/ Advanced treatment: Consider orotracheal or nasotracheal intubation for airway control in the patient who is

unconscious, has severe pulmonary edema, or is in severe respiratory distress. Positive-pressure ventilation techniques with

a bag valve mask device may be beneficial. Consider drug therapy for pulmonary edema ... . Consider administering a beta

agonist such as albuterol for severe bronchospasm ... . Monitor cardiac rhythm and treat arrhythmias as necessary ... . Start

IV administration of D5W TKO /SRP: "To keep open", minimal flow rate/. Use 0.9% saline (NS) or lactated Ringer's (LR) if

signs of hypovolemia are present. For hypotension with signs of hypovolemia, administer fluid cautiously. Watch for signs of

fluid overload ... . Treat seizures with diazepam or lorazepam ... . Use proparacaine hydrochloride to assist eye irrigation ... .

/Poisons A and B/

Currance, P.L. Clements, B., Bronstein, A.C. (Eds).; Emergency Care For Hazardous Materials Exposure. 3rd revised edition, Elsevier

Mosby, St. Louis, MO 2007, p. 160-1

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13.1.4 Human Toxicity Excerpts 


/HUMAN EXPOSURE STUDIES/High blood pressure (BP) variability, which may be an important determinant of

hypertensive end-organ damage, is emerging as an important predictor of cardiovascular health. Dietary antioxidants can
influence BP, but their effects on variability are yet to be investigated. The aim of the present study was to assess the effects

of vitamin E, vitamin C and polyphenols on the rate of daytime and night-time ambulatory BP variation. To assess these

effects, two randomised, double-blind, placebo-controlled trials were performed. In the first trial (vitamin E), fifty-eight

individuals with type 2 diabetes were given 500 mg/d of RRR-alpha-tocopherol, 500 mg/d of mixed tocopherols or placebo

for 6 weeks. In the second trial (vitamin C-polyphenols), sixty-nine treated hypertensive individuals were given 500 mg/d of

vitamin C, 1000 mg/d of grape-seed polyphenols, both vitamin C and polyphenols, or neither (placebo) for 6 weeks. At

baseline and at the end of the 6-week intervention, 24 hr ambulatory BP and rate of measurement-to-measurement BP

variation were assessed. Compared with placebo, treatment with alpha-tocopherol, mixed tocopherols, vitamin C and

polyphenols did not significantly alter the rate of daytime or night-time systolic BP, diastolic BP or pulse pressure variation

(P>0.05). Treatment with the vitamin C and polyphenol combination resulted in higher BP variation: the rate of night-time

systolic BP variation (P= 0.022) and pulse pressure variation (P= 0.0036) were higher and the rate of daytime systolic BP

variation was higher (P= 0.056). Vitamin E, vitamin C or grape-seed polyphenols did not significantly alter the rate of BP

variation. However, the increase in the rate of BP variation suggests that the combination of high doses of vitamin C and

polyphenols could be detrimental to treated hypertensive individuals. Abstract: PubMed

Hodgson JM et al; Br J Nutr. 112 (9): 1551-61 (2014)

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/HUMAN EXPOSURE STUDIES/ Vitamin E is a natural antioxidant and its most common biologically active form is alpha-

tocopherol. The antiproliferative effects of alpha-tocopherol have been previously demonstrated. In this study the

antimutagenic effects of vitamin E on oncology and non oncology hospital nurses was investigated. A total of 138 female

nurses from oncology and non oncology hospitals participated in the study. They received 200 mg/day vitamin E for 2

weeks. The urine samples before and after intake of vitamin E were collected and the nucleus of urothelial cells were

evaluated with comet assay. The length of epithelial cells nuclei correlated with increased fracture rate of DNA. Nucleolus

length of urine epithelial cells of all nursing staff before and after vitamin E treatment were measured and the data were

evaluated by student t-test and SPSS. Our study showed that 20% of nursing staff have apoptosis and DNA fracture in the

nucleolus of their urine epithelial cells and DNA damage in the urothelial cells of exposed nurses was significantly higher

than the control group (P<0.05). The antimutagenic activity of vitamin E had significant effects on oncology hospital nurses

effectively in repairing DNA damage and decreasing their nucleus length in urine epithelial cells. We propose that the higher

therapeutic doses of vitamin E and increasing the length of treatment period will be effective against DNA strand breakage

and may have more effect on oncology nurses. Abstract: PubMed

Rezaei-Basiri M et al; Drug Res (Stuttg). 64 (7): 337-42 (2014)

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/HUMAN EXPOSURE STUDIES/ Vitamin E inhibits lipid peroxidation in cell membranes, prevents oxidative damage to DNA

by scavenging free radicals, and reduces carcinogen production. No study to our knowledge, however, has examined the

association between genetic variants and response to long-term vitamin E supplementation. We conducted a genome-wide

association study (GWAS) of common variants associated with circulating alpha-tocopherol concentrations following 3 y of

controlled supplementation. The study population included 2112 middle-aged, male smokers in the Alpha-Tocopherol , Beta-

Carotene Cancer Prevention Study cohort who received a trial supplementation of alpha-tocopherol (50 mg/d) and had

fasting serum alpha-tocopherol concentrations measured after 3 years. Serum concentrations were log-transformed for

statistical analysis and general linear models adjusted for age, BMI, serum total cholesterol, and cancer case status.

Associations with serum response to alpha-tocopherol supplementation achieved genome-wide significance for 2 single

nucleotide polymorphisms (SNP): rs964184 on 11q23.3 (P = 2.6 x 10(-12)) and rs2108622 on 19pter-p13.11 (P = 2.2 x

10(-7)), and approached genome-wide significance for one SNP, rs7834588 on 8q12.3 (P = 6.2 x 10(-7)). Combined, these

SNP explain 3.4% of the residual variance in serum alpha-tocopherol concentrations during controlled vitamin E

supplementation. A GWAS has identified 3 genetic variants at different loci that appear associated with serum

concentrations after vitamin E supplementation in men. Identifying genetic variants that influence serum nutrient biochemical

status (e.g., alpha-tocopherol) under supplementation conditions improves our understanding of the biological determinants

of these nutritional exposures and their associations with cancer etiology.[Major JM et al; J Nutr 142 (5): 866-71 (2012)] Full

text: PMC3327745 Abstract: PubMed

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/HUMAN EXPOSURE STUDIES/ The current analysis reexamines the relationship between supplemental vitamin E and all-

cause mortality. All randomized, controlled trials testing the treatment effect of vitamin E supplementation in adults for at

least one year were sought. MEDLINE, the Cochrane Library, and Biological Abstracts databases were searched using the

terms "vitamin E," "alpha-tocopherol," "antioxidants," "clinical trial," and "controlled trial" for studies published through April

2010; results were limited to English, German, or Spanish language articles. Studies were also obtained through reference

mining. All randomized controlled trials using vitamin E, with a supplementation period of at least one year, to prevent or

treat disease in adults were identified and abstracted independently by two raters. Mortality data from trials with a

supplementation period of at least one year were pooled. The selected trials (n = 57) were published between 1988 and

2009. Sample sizes range from 28 to 39,876 (median = 423), yielding 246,371 subjects and 29,295 all-cause deaths.

Duration of supplementation for the 57 trials range from one to 10.1 years (median = 2.6 years). A random effects meta-
analysis produce an overall risk ratio of 1.00 (95% confidence interval: 0.98, 1.02); additional analyses suggest no

relationship between dose and risk of mortality. Based on the present meta-analysis, supplementation with vitamin E

appears to have no effect on all-cause mortality at doses up to 5,500 IU/d.[Abner EL et al; Curr Aging Sci. 4 (2): 158-70

(2011)] Full text: PMC4030744 Abstract: PubMed

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/HUMAN EXPOSURE STUDIES/ Vitamin E, of which the most biologically active form is alpha-tocopherol, has become

widely known for its antioxidant effects. It has been ingested or applied topically for purported anti-aging effects and for

cosmetic enhancement. To determine whether the incidence of allergic contact dermatitis from vitamin E has increased in

recent years. With the approval of the Mayo Clinic institutional review board, we retrospectively analyzed patch-test data

from patients tested from June 1987 through December 2007. A total of 2,950 patients were patch-tested during this period,

and 18 patients (0.61%) had positive reactions toalpha-tocopherol; 6 (0.53%) of 1,136 patients tested from June 1987

through December 1997 had positive results, and 12 (0.66%) of 1,814 patients tested from January 1998 through December

2007 had positive results (p = .69). Vitamin E appears to be a relatively rare contact allergen... Abstract: PubMed

Adams AKConnolly SM; Dermatitis. 21 (4): 199-202 (2010)

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/HUMAN EXPOSURE STUDIES/ The initial report of the Selenium and Vitamin E Cancer Prevention Trial (SELECT) found

no reduction in risk of prostate cancer with either selenium or vitamin E supplements but a statistically nonsignificant

increase in prostate cancer risk with vitamin E. Longer follow-up and more prostate cancer events provide further insight into

the relationship of vitamin E and prostate cancer. To determine the long-term effect of vitamin E and selenium on risk of

prostate cancer in relatively healthy men. A total of 35,533 men from 427 study sites in the United States, Canada, and

Puerto Rico were randomized between August 22, 2001, and June 24, 2004. Eligibility criteria included a prostate-specific

antigen (PSA) of 4.0 ng/mL or less, a digital rectal examination not suspicious for prostate cancer, and age 50 years or older

for black men and 55 years or older for all others. The primary analysis included 34,887 men who were randomly assigned

to 1 of 4 treatment groups: 8752 to receive selenium; 8737, vitamin E; 8702, both agents, and 8696, placebo. Analysis

reflect the final data collected by the study sites on their participants through July 5, 2011. Oral selenium (200 ug/d from L-

selenomethionine) with matched vitamin E placebo, vitamin E (400 IU/d of all rac-alpha-tocopheryl acetate) with matched

selenium placebo, both agents, or both matched placebos for a planned follow-up of a minimum of 7 and maximum of 12

years. Prostate cancer incidence /was/ used as main outcome measure/. This report includes 54,464 additional person-

years of follow-up and 521 additional cases of prostate cancer since the primary report. Compared with the placebo

(referent group) in which 529 men developed prostate cancer, 620 men in the vitamin E group developed prostate cancer

(hazard ratio [HR], 1.17; 99% CI, 1.004-1.36, P = .008); as did 575 in the selenium group (HR, 1.09; 99% CI, 0.93-1.27; P =

.18), and 555 in the selenium plus vitamin E group (HR, 1.05; 99% CI, 0.89-1.22, P = .46). Compared with placebo, the

absolute increase in risk of prostate cancer per 1000 person-years was 1.6 for vitamin E, 0.8 for selenium, and 0.4 for the

combination. Dietary supplementation with vitamin E significantly increased the risk of prostate cancer among healthy men.

[Klein EA et al; JAMA 306 (14): 1549-56 (2011)] Full text: PMC4169010 Abstract: PubMed

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/HUMAN EXPOSURE STUDIES/ When patients with porphyria cutanea tarda were given daily doses of 1000 mg alpha-

tocopherol for 3 months, there were marked increases in 24-hour urinary excretion of androsterone and etiocholanone +

dehydroepiandrosterone and a large decrease in 24-hour excretion of pregnanediol.

WHO; Tocopherol, alpha: Toxicological Evaluation of Certain Food Additives and Contaminants (WHO Food Additive Series 21), 1987;

Available from as of June 10, 2015: http://www.inchem.org/documents/jecfa/jecmono/v21je01.htm

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/HUMAN EXPOSURE STUDIES/ Effects of alpha-tocopherol on some biochemical parameters have been reported in man.

A group of 52 patients (average age 72 years) showed a mean increase in serum cholesterol of 74 mg/dL while receiving

300 mg alpha-tocopherol daily, but no such increase was seen in a small group of healthy young men taking 800 mg daily.

WHO; Tocopherol, alpha: Toxicological Evaluation of Certain Food Additives and Contaminants (WHO Food Additive Series 21), 1987;

Available from as of June 10, 2015: http://www.inchem.org/documents/jecfa/jecmono/v21je01.htm

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/HUMAN EXPOSURE STUDIES/ Adult humans have tolerated 1 g per day alpha-tocopherol for months or larger doses for

shorter periods with no undesirable effects. Therapeutically, daily doses of 20 to 600 mg of alpha-tocopherol or its acetate

salt are often taken with no toxic effects.

WHO; Tocopherol, alpha: Toxicological Evaluation of Certain Food Additives and Contaminants (WHO Food Additive Series 21), 1987;

Available from as of June 10, 2015: http://www.inchem.org/documents/jecfa/jecmono/v21je01.htm

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/HUMAN EXPOSURE STUDIES/ A strong positive correlation exists between teratozoospermia /a condition characterized

by the presence of sperm with abnormal morphology that affects fertility in males/ and reactive oxygen species production,

which in turn has negative effects on their in vitro fertilization outcome. Our aim of this study was to determine potential

protective effects of alpha-tocopherol on teratozoospermia motility, viability, acrosome reaction and DNA integrity after 1-hr

in vitro incubation. Teratozoospermic semen samples were obtained from 15 volunteers aged between 20 and 30 years after

3-5 days of sexual abstinence. Samples were washed, centrifuged and incubated in 37 deg C and 5% CO(2) until sperm

swam-up. Spermatozoa were counted in the supernatant and divided into four groups, each contained 2 x 10(6) sperm/mL.

Groups one to four were incubated for 1 hr with Ham's F-10 solution as control group, 10 um A23187, 40 um alpha-

tocopherol and 10 um A23187 + 40 um alpha-tocopherol respectively. The results indicated that alpha-tocopherol has ability

to enhance teratozoospermia viability and motility, while there were no ameliorative effects on acrosome reaction and DNA

fragmentation. A23187 induced acrosome reaction in teratozoospermia and alpha-tocopherol significantly diminished this

effect. In conclusion, although alpha-tocopherol could improve teratozoospermia motility and viability, its effects on DNA

integrity and acrosome reaction ability as supplementation IVF culture media are not obvious. Abstract: PubMed

Keshtgar S et al; Andrologia 44 (Suppl 1): 721-7 (2012)

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/SIGNS AND SYMPTOMS/ Clinical deficiency of vitamin E is rare because adequate amounts are supplied in the normal

diet. Symptoms of deficiency include ataxia, muscle weakness, nystagmus, and losses in touch and pain sensations.

Drug Facts and Comparisons 2015. Clinical Drug Information, LLC St. Louis, MO 2015, p. 16

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/SIGNS AND SYMPTOMS/ Vitamin E deficiency in premature infants may result in hemolytic anemia, thrombocytosis, and

increased platelet aggregation.

Drug Facts and Comparisons 2015. Clinical Drug Information, LLC St. Louis, MO 2015, p. 16

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/SIGNS AND SYMPTOMS/ Some adults given repeated doses of 2 to 3 g/day, in an attempt to reduce angina pectoris,

developed skin rashes and mild GI irritation with diarrhea, but 1 g daily was consumed for months without untoward effects.

Gosselin, R.E., R.P. Smith, H.C. Hodge. Clinical Toxicology of Commercial Products. 5th ed. Baltimore: Williams and Wilkins, 1984., p.

II-266

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/SIGNS AND SYMPTOMS/ Reports of toxicity to enterally administered vitamin E are rare in infants. However, increased

risks of sepsis and necrotizing enterocolitis have been reported after both enteral and parenteral vitamin E, primarily when

plasma (or serum) vitamin E levels exceed 3.5 mg/dL. Levels this high are seldom seen with enteral vitamin E when intake is

25 mg d-tocopherol equivalent/(kg/day) or less. Intakes below this threshold will be provided by infant formulas with vitamin

E to energy ratios of up to 20 mg/100 kcal (30 IU/100 kcal) so long as energy intake does not exceed 125 kcal/(kg/day).

Abstract: PubMed

Bell EF; J Nutr 119 (12 Suppl): 1829-31 (1989)

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/SIGNS AND SYMPTOMS/ Side effects reported in clinical use of vitamin E supplements include severe weakness and

fatigue induced in healthy adults by daily doses of around 720 mg alpha-tocopherol. These side effects were observed in a

double-blind study on two healthy young males receiving 720 mg alpha-tocopherol daily. In the latter study, the symptoms

were associated with an increase in serum creatine kinase activity and greatly increased 24-hour urinary creatine excretion;

asymptomatic creatinuria was reported in a young male taking high doses of vitamin E.

WHO; Tocopherol, alpha: Toxicological Evaluation of Certain Food Additives and Contaminants (WHO Food Additive Series 21), 1987;

Available from as of June 10, 2015: http://www.inchem.org/documents/jecfa/jecmono/v21je01.htm

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/EPIDEMIOLOGY STUDIES/ Mexican-American children have a high prevalence of overweight/obesity. Micronutrient

deficiencies may be contributing to the development of greater adiposity in these children. This study investigated the

relations between adiposity and serum concentrations of carotenoids, retinol, and vitamin E among Mexican-American

children 8-15 years of age included in the 2001-2004 U.S. NHANES. Associations of the outcomes of children's body mass

index (BMI), truncal fat mass (TrFM), and total body fat mass (TBFM) with serum concentrations of beta-carotene, cis-beta-

carotene, trans-beta-carotene, retinol, and alpha-tocopherol were determined by using linear, quantile, and multinomial

regression models. BMI was inversely associated with serum concentrations of beta-carotene (b = -0.88, P < 0.05), trans-

beta-carotene (b = -2.21, P < 0.01), cis-beta-carotene (beta = -2.10, P < 0.01), and alpha-tocopherol adjusted for total
cholesterol ratio (b = -3.66, P < 0.01), respectively. Similar inverse associations were found with TrFM and TBFM. Higher

cis-beta-carotene and alpha-tocopherol serum concentrations were associated with reduced probability of overweight (OR:

0.57; 95% CI: 0.37, 0.89; P < 0.05; and OR: 0.56; 95% CI: 0.37, 0.86; P < 0.05; respectively) and obesity (OR: 0.39; 95%

CI: 0.26, 0.58; P < 0.01; and OR: 0.38; 95% CI: 0.24, 0.60; P < 0.01; respectively). Higher retinol serum concentrations were

associated with increased probability of overweight and obesity (OR: 2.01; 95% CI: 1.26, 3.22; P < 0.01; and OR: 2.90; 95%

CI: 1.65, 5.09; P < 0.01; respectively). Significant inverse associations were found between serum concentrations of

carotenoids and vitamin E and adiposity among Mexican-American children, but serum retinol concentrations were positively

associated with adiposity. Abstract: PubMed

Gunanti IR et al; J Nutr 144 (4): 489-95 (2014)

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/EPIDEMIOLOGY STUDIES/ Carotenoids, vitamin A, and vitamin E are important for the normal growth, immunity, and

development of infants and are mainly obtained through breast milk in breastfeeding infants. We hypothesized that plasma

carotenoids, retinol and alpha-tocopherol would be highly associated among mothers and their infants. 174 HIV-

seronegative women and their infants were followed in Malawi, and all infants were known to be breastfeeding from birth

until 12 months of age. Plasma carotenoids, retinol, and alpha-tocopherol were measured in women at 2 weeks post-partum

and in infants at 12 months. The mean concentrations of plasma carotenoids in umol/L among mothers and infants were,

respectively, for alpha-carotene (0.042 and 0.015), beta-carotene (0.300 and 0.081), beta-cryptoxanthin (0.073 and 0.056),

lutein (0.357 and 0.252), zeaxanthin (0.077 and 0.044), lycopene (0.192 and 0.096), total carotenoids (1.042 and 0.545),

retinol (1.01 and 0.786), and alpha-tocopherol (18.5 and 16.1). Spearman correlations between maternal and infant plasma

were 0.255, 0.284, 0.338, 0.274, 0.275, 0.497, 0.242, 0.230, 0.252 (all P <0.005) respectively. These findings suggest that

maternal plasma carotenoid, retinol, and alpha-tocopherol concentrations in the early post-partum period are strongly

associated with respective plasma concentrations in their breastfeeding infants at 12 months.

Dancheck B et al; FASEB J 18(4 Pt 1): A509-A510 (2004)

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/EPIDEMIOLOGY STUDIES/ Alpha -tocopherol is the most plentiful circulating form of vitamin E and an important

antioxidant, but effects on fetal growth have rarely been examined. We investigated this relationship in a prospective study of

1,190 young (22.4+/-0.1 yr) healthy pregnant women from Camden, NJ. Plasma -tocopherol was assayed at entry to care

(week 16) and at week 28; concentrations increased between entry and the 3rd trimester (p<0.01). Higher alpha-tocopherol

(highest quintile vs other quintiles) at both entry and during the 3rd trimester was significantly associated with increased birth

weight (beta+/-SE, 80+/-29 g, p<0.01 for entry and 108+/-31 g, p<0.001 for the 3rd trimester) by multiple regression

analysis. Similar results were found after adjustment for plasma cholesterol (95+/-30 g, p<0.01 at entry and 88+/-29 g,

p<0.01 at the 3rd trimester). In addition, during the 3rd trimester, women in the highest alpha-tocopherol quintile had a

greater than two-fold reduction in the risk of bearing a small for gestational age infant (AOR 0.44, 95% CI 0.21, 0.92, p

<0.03). These data thus suggest that increased circulating levels of alpha-tocopherol are associated with increased fetal

growth; and that positive effects are evidenced from early pregnancy.

Scholl TO et al; FASEB J 20 (4): A622 (2006)

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/ALTERNATIVE and IN VITRO TESTS/ Calcium (Ca(2+)) and reactive oxygen species (ROS) constitute the most influential

intracellular signaling molecules participating in the regulation of different sperm functions. Elevating intracellular Ca(2+) and

ROS in physiologic range regulate capacitation, motility, acrosome reaction, and sperm-oocyte fusion; whereas cytosolic

Ca(2+) overload and ROS overproduction have pathologic effects. Our aim of this study was determination of antioxidant

effects of alpha-tocopherol on sperm motility, viability, and DNA integrity in a condition where cytosolic calcium overload was

induced by A23187 (a calcium ionophore). Our results indicated that, alpha-tocopherol has ability to prevent sperm mortality

and save sperm rapid motility after 1 hour incubation. At the same time, A23187 reduced significantly percentage of rapid

sperm motility and increased sperm mortality and DNA damage. Results of sperms incubation in the medium contain a

combination of A23187 and alpha-tocopherol showed that alpha-tocopherol can reduce many of the deleterious effects of

A23187. In conclusion, it seems that the harmful effects of A23187 are due to excessive ROS production, and alpha-

tocopherol neutralizes these effects. Abstract: PubMed

Fanaei H et al; Reprod Sci. 18 (10): 978-82 (2011)

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/ALTERNATIVE and IN VITRO TESTS/ Vitamin E succinate (RRR-alpha-tocopheryl succinate, VES), an efficient inducer of

apoptosis, acts as a potent agent for cancer therapy. However, the mechanism by which VES mediates the effects are not

yet fully understood. Here we studied the effect of endoplasmic reticulum (ER) stress and unfolded protein response (UPR)

on VES-induced apoptosis of SGC-7901 human gastric cancer cells. VES caused cytological changes typical of apoptosis,

increased ER dilation and cytosolic Ca(2+) concentration. And endogenous ER stress markers, GRP78 and GRP94 were

transcriptionally and translationally altered. In response to VES, induction of CHOP, activation of caspase-4 and JNK were

observed. Furthermore, VES also triggered activation of UPR components, including RNA-dependent protein kinase (PKR)-
like ER kinase (PERK), activating transcription factor 6 (ATF6), X-box-binding protein 1 (XBP1), and ATF4 in a concentration-

and time-dependent manner. Consequently, our results suggest that VES-induced apoptosis is coupled to ER stress and

UPR activation in SGC-7901 human gastric cancer cells. /Vitamin E succinate/ Abstract: PubMed

Huang X et al; Cancer Lett 296 (1): 123-31 (2010)

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/ALTERNATIVE and IN VITRO TESTS/ Vitamin E, a micronutrient (comprising alpha-, beta-, gamma- and delta-tocopherols,

alpha-, beta-, gamma- and delta-tocotrienols), has documented antioxidant and non-antioxidant effects, some of which

inhibit inflammation and angiogenesis. We compared the abilities of alpha-, gamma- and delta-tocopherols to regulate

human blood cytotoxicity (BEC) and lymphatic endothelial cytotoxicity (LEC), proliferation, invasiveness, permeability,

capillary formation and suppression of TNF-alpha-induced VCAM-1 as in vitro models of inflammatory angiogenesis. alpha-,

gamma- and delta-tocopherols were not toxic to either cell type up to 40 microM. In BEC, confluent cell density was

decreased by all concentrations of delta- and gamma-tocopherol (10-40 microM) but not by alpha-tocopherol. LEC showed

no change in cell density in response to tocopherols. delta-Tocopherol (40 microM), but not other isomers, decreased BEC

invasiveness. In LEC, all doses of gamma-tocopherol, as well as the highest dose of alpha-tocopherol (40 microM),

decreased cell invasiveness. delta-Tocopherol had no effect on LEC invasiveness at any molarity. delta-Tocopherol dose

dependently increased cell permeability at 48 hr in BEC and LEC; alpha- and gamma-tocopherols showed slight effects.

Capillary tube formation was decreased by high dose (40 microM) concentrations of alpha-, gamma- and delta-tocopherol,

but showed no effects with smaller doses (10-20 microM) in BEC. gamma-Tocopherol (10-20 microM) and alpha-tocopherol

(10 microM), but not delta-tocopherol, increased LEC capillary tube formation. Lastly, in BEC, alpha-, gamma- and delta-

tocopherol each dose-dependently reduced TNF-alpha-induced expression of VCAM-1. In LEC, there was no significant

change to TNF-alpha-induced VCAM-1 expression with any concentration of alpha-, gamma- or delta-tocopherol. These

data demonstrate that physiological levels (0-40 microM) of alpha-, gamma- and delta-tocopherols are nontoxic and dietary

tocopherols, especially delta-tocopherol, can limit several BEC and LEC endothelial behaviors associated with angiogenesis.

Tocopherols may therefore represent important nutrient-signals that limit cell behaviors related to

inflammation/angiogenesis, which when deficient, may predispose individuals to risks associated with elevated angiogenesis

such as inflammation and cancer; further differences seen from the tocopherols may be due to their blood or lymphatic cell

origin. Abstract: PubMed

Wells SR et al; J Nutr Biochem. 21 (7): 589-97 (2010)

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/ALTERNATIVE and IN VITRO TESTS/ Vitamin E (alpha-tocopherol) is the major lipid-soluble antioxidant in most animal

species. By controlling the secretion of vitamin E from the liver, the alpha-tocopherol transfer protein regulates whole-body

distribution and levels of this vital nutrient. However, the mechanism(s) that regulates the expression of this protein is poorly

understood. Here we report that transcription of the TTPA gene in immortalized human hepatocytes is induced by oxidative

stress and by hypoxia, by agonists of the nuclear receptors PPARalpha and RXR, and by increased cAMP levels. The data

show further that induction of TTPA transcription by oxidative stress is mediated by an already-present transcription factor

and does not require de novo protein synthesis. Silencing of the cAMP response element-binding (CREB) transcription

factor attenuated transcriptional responses of the TTPA gene to added peroxide, suggesting that CREB mediates responses

of this gene to oxidative stress. Using a 1.9-kb proximal segment of the human TTPA promoter together with a site-directed

mutagenesis approach, we found that single-nucleotide polymorphisms that are commonly found in healthy humans

dramatically affect promoter activity. These observations suggest that oxidative stress and individual genetic makeup

contribute to vitamin E homeostasis in humans. These findings may explain the variable responses to vitamin E

supplementation observed in human clinical trials.[Ulatowski L et al; Free Radic Biol Med. 53 (12): 2318-26 (2012)] Full

text: PMC3612136 Abstract: PubMed

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/OTHER TOXICITY INFORMATION/ Numerous epidemiological studies have associated higher vitamin E status with

reduced cancer, including lung, colorectal, prostate, colon, stomach, reproductive organs, upper gastrointestinal tract,

bladder, breast, cervix, mouth, pharynx and thyroid cancer. Reduced serum vitamin E levels are also associated with a

higher incidence of lymphoma and leukemia in some populations. Not all epidemiological studies have shown an inverse

relationship between vitamin E status and cancer risk, but the majority have.

PDR for Nutritional Supplements 2nd ed. Thomson Reuters, Montvale, NJ 2008, p. 692

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13.1.5 Non-Human Toxicity Excerpts 


/LABORATORY ANIMALS: Subchronic or Prechronic Exposure/ The effect of pharmacological dose of alpha-tocopherol on

heart health was determined in Wistar rats. Animals were randomly assigned to either C (control, n = 11) or E (alpha-
tocopherol, n = 11) group. Animals received corn oil (C) or alpha-tocopherol dissolved in corn oil (250 mg alpha-

tocopherol/[kg body wt/day]) (E) by gavage for a 7-week period. Rats underwent echocardiogram and were analyzed for

cardiomyocyte histology and cardiac alpha-tocopherol absorption at the end of the study period. As compared to the C

group, alpha-tocopherol-supplemented group showed significantly (p < 0.05) lower body weight (E, 412.8 g vs C, 480.3 g)

and total cardiac weight (E, 0.94 g vs C, 1.08 g); cardiomyocyte histological impairment; smaller left ventricle (LV) (LV end-

diastolic diameter (E, 7.22 mm vs C, 7.37 mm), lower LV systolic [left ventricle fractional shortening (E, 47.6% vs C, 53.6%)

and ejection fraction ratio (E, 85.4 vs C, 89.9)] and diastolic [early peak velocities of diastolic transmitral flow (E, 64.6 cm/sec

vs C, 75.1 cm/sec)] function. The alpha-tocopherol uptake in target tissue was confirmed by determination of alpha-

tocopherol concentration medians in cardiac tissue (E, 109.91 nmol/kg vs C, 52.09 nmol/kg). The current study indicates

that pharmacological dose of alpha-tocopherol supplementation can induce cardiotoxicity in healthy rats. Abstract: PubMed

Nascimento MC et al; Hum Exp Toxicol. 30 (10): 1540-8 (2011)

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/LABORATORY ANIMALS: Subchronic or Prechronic Exposure/ Five groups of weanling rats were fed a control diet

containing the normal level of 35 mg d-alpha-tocopheryl acetate/kg diet or 25, 50, 100, or 1000 times this amount. After 8

weeks, rats in the highest-dose group had significantly lower feed and protein efficiencies. Serum and liver vitamin E levels

increased progressively with dose. After 13 weeks, hemoglobin, serum cholesterol, and urinary creatine and creatinine were

unaffected by treatment, but SGPT was elevated in the highest-dose group.

WHO; Tocopherol, alpha: Toxicological Evaluation of Certain Food Additives and Contaminants (WHO Food Additive Series 21), 1987;

Available from as of June 10, 2015: http://www.inchem.org/documents/jecfa/jecmono/v21je01.htm

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/LABORATORY ANIMALS: Subchronic or Prechronic Exposure/ Rats receiving alpha-tocopherol at a dosage of 100

mg/rat/day for 19 weeks showed an increase in phosphorus metabolism, but no effect was found when the dose was 10

mg/rat/day.

WHO; Tocopherol, alpha: Toxicological Evaluation of Certain Food Additives and Contaminants (WHO Food Additive Series 21), 1987;

Available from as of June 10, 2015: http://www.inchem.org/documents/jecfa/jecmono/v21je01.htm

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/LABORATORY ANIMALS: Subchronic or Prechronic Exposure/ Rats were reported to tolerate doses of 4 g/kg daily for two

months.

WHO; Tocopherol, alpha: Toxicological Evaluation of Certain Food Additives and Contaminants (WHO Food Additive Series 21), 1987;

Available from as of June 10, 2015: http://www.inchem.org/documents/jecfa/jecmono/v21je01.htm

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/LABORATORY ANIMALS: Subchronic or Prechronic Exposure/ It has been found that mice will tolerate oral doses of 50

g/kg daily for two months.

WHO; Tocopherol, alpha: Toxicological Evaluation of Certain Food Additives and Contaminants (WHO Food Additive Series 21), 1987;

Available from as of June 10, 2015: http://www.inchem.org/documents/jecfa/jecmono/v21je01.htm

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/LABORATORY ANIMALS: Chronic Exposure or Carcinogenicity/ We hypothesized that zebrafish (Danio rerio) undergoing

long-term vitamin E deficiency with marginal vitamin C status would develop myopathy resulting in impaired swimming.

Zebrafish were fed for 1 yr a defined diet without (E-) and with (E+) vitamin E (500 mg alpha-tocopherol/kg diet). For the last

150 days, dietary ascorbic acid concentrations were decreased from 3500 to 50 mg/kg diet and the fish sampled periodically

to assess ascorbic acid concentrations. The ascorbic acid depletion curves were faster in the E- compared with E+ fish (P <

0.0001); the estimated half-life of depletion in the E- fish was 34 days, while in it was 55 days in the E+ fish. To assess

swimming behavior, zebrafish were monitored individually following a "startle-response" stimulus, using computer and video

technology. Muscle histopathology was assessed using hematoxylin and eosin staining on paramedian sections of fixed

zebrafish. At study end, E- fish contained 300-fold less alpha-tocopherol (p < 0.0001), half the ascorbic acid (p = 0.0001)

and 3-fold more malondialdehyde (p = 0.0005) than did E+ fish. During the first minute following a tap stimulus (p < 0.05),

E+ fish swam twice as far as did E- fish. In the E- fish, the sluggish behavior was associated with a multifocal, polyphasic,

degenerative myopathy of the skeletal muscle. The myopathy severity ranged from scattered acute necrosis to widespread

fibrosis and was accompanied by increased anti-hydroxynonenal staining. Thus, vitamin E deficiency in zebrafish causes

increased oxidative stress and a secondary depletion of ascorbic acid, resulting in severe damage to muscle tissue and

impaired muscle function.[Lebold KM et al; Comp Biochem Physiol C Toxicol Pharmacol. 157 (4): 382-9 (2013)] Full text:

PMC3653440 Abstract: PubMed

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/LABORATORY ANIMALS: Chronic Exposure or Carcinogenicity/ alpha-Tocopherol is a required, lipid-soluble antioxidant

that protects PUFA. We hypothesized that alpha-tocopherol deficiency in zebrafish compromises PUFA status. Zebrafish

were fed for 1 y either an alpha-tocopherol-sufficient (E+; 500 mg alpha-tocopherol/kg) or -deficient (E-; 1.1 mg alpha-

tocopherol/kg) diet containing alpha-linolenic (ALA) and linoleic (LA) acids but without arachidonic acid (ARA), EPA, or DHA.

Vitamin E deficiency in zebrafish decreased by ~20% (n-6) (P < 0.05) and (n-3) (P < 0.05) PUFA and increased the (n-6):(n-

3) PUFA ratio (P < 0.05). In E- compared to E+ females, long chain-PUFA status was impaired, as assessed by a ~60%

lower DHA:ALA ratio (P < 0.05) and a ~50% lower ARA:LA ratio (P < 0.05). fads2 (P < 0.05) and elovl2 (P < 0.05) mRNA

expression was doubled in E- compared to E+ fish. Thus, inadequate vitamin E status led to a depletion of PUFA that may

be a result of either or both increased lipid peroxidation and an impaired ability to synthesize sufficient PUFA, especially (n-

3) PUFA.[Lebold KM et al; J Nutr 141 (12): 2113-8 (2011)] Full text: PMC3223870 Abstract: PubMed

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/LABORATORY ANIMALS: Chronic Exposure or Carcinogenicity/ Groups of weanling female Wistar rats were fed diets

containing 0, 25, 250, 2500, 10,000, or 25,000 IU vitamin E/kg diet for 8 and 16 months. Vitamin E depressed body-weight

gain at concentrations of 10,000 and 25,000 IU/kg diet, and increased relative heart and spleen weights were seen at 8

months and 16 months, respectively. There was an increase in plasma alkaline phosphatase and a decrease in the ash

content of bone after 16 months at these two dose levels. Prothrombin time was reduced at 12 months, but not at 9 or 16

months. Urinary excretion of creatine and creatinine was normal at 11 months. No histological examinations were reported.

WHO; Tocopherol, alpha: Toxicological Evaluation of Certain Food Additives and Contaminants (WHO Food Additive Series 21), 1987;

Available from as of June 10, 2015: http://www.inchem.org/documents/jecfa/jecmono/v21je01.htm

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/LABORATORY ANIMALS: Developmental or Reproductive Toxicity/ Vitamin E /was administered/ in amounts of 150 or 300

mg/kg/day to pregnant mice sc on days 6, 8 and 10 of gestation. Growth retardation and fetal survival were increased in the

treated group. The incidence of cleft palate was increased. Studies with the rat (75 mg/day) were negative.

Shepard, T.H. Catalog of Teratogenic Agents. 13th ed. Baltimore, MD: The Johns Hopkins University Press, 2010., p. 478

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/LABORATORY ANIMALS: Developmental or Reproductive Toxicity/ To test the hypothesis that embryogenesis depends

upon alpha-tocopherol (E) to protect embryo polyunsaturated fatty acids (PUFAs) from lipid peroxidation, new

methodologies were applied to measure alpha-tocopherol and fatty acids in extracts from saponified zebrafish embryos. A

solid phase extraction method was developed to separate the analyte classes, using a mixed mode cartridge (reverse

phase, pi-pi bonding, strong anion exchange), then alpha-tocopherol and cholesterol were measured using standard

techniques, while the fatty acids were quantitated using a novel, reverse phase liquid chromatography-mass spectrometry

(LC-MS) approach. We also determined if alpha-tocopherol status alters embryonic lipid peroxidation products by analyzing

24 different oxidized products of arachidonic or docosahexaenoic (DHA) acids in embryos using LC with hybrid quadrupole-

time of flight MS. Adult zebrafish were fed E- or E+ diets for 4 months, and then were spawned to obtain E- and E+

embryos. Between 24 and 72 hours post-fertilization (hpf), arachidonic acid decreased 3-times faster in E- (21 pg/hr)

compared with E+ embryos (7 pg/hr, P<0.0001), while both alpha-tocopherol and DHA concentrations decreased only in E-

embryos. At 36 hpf, E- embryos contained double the 5-hydroxy-eicosatetraenoic acids and 7-hydroxy-DHA concentrations,

while other hydroxy-lipids remained unchanged. Vitamin E deficiency during embryogenesis depleted DHA and arachidonic

acid, and increased hydroxy-fatty acids derived from these PUFA, suggesting that alpha-tocopherol is necessary to protect

these critical fatty acids.[Lebold KM et al; Redox Biol. 2: 105-13 (2013)] Full text: PMC3887274 Abstract: PubMed

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/LABORATORY ANIMALS: Developmental or Reproductive Toxicity/ Interleukins (IL) play an important role in angiogenesis.

Tocopherol possesses immunomodulating effect in addition to antioxidant property. The objective of this study was to

determine whether gamma tocopherol's (gT) angiogenic activity in placental network is enhanced via promoting interleukins.

Pregnant ewes (N=18) were supplemented, orally, with 500 mg of alpha tocopherol (aT; N=6) or 1,000 mg of gT (N=7) or

placebo (CON; N=5) once daily from 107 to 137 days post breeding. Uterine and placental tissue samples were obtained at

the end of supplementation to evaluate relative mRNA expressions of IL-1b, IL-6, IL-8, Tumor Necrosis Factor (TNF)alpha,

Vascular Endothelial Growth Factor (VEGF), kinase insert domain receptor (KDR; VGFR2; a type III receptor tyrosine

kinase), and soluble fms-like tyrosine kniase-1 (sFlt1 or sVEGFR1) in uterus, caruncle and cotyledon. Oral supplementation

of gT increased IL-6, IL-8, KDR and VEGF mRNA abundances whereas sFlt1 mRNA abundance was suppressed in uterus,

caruncle and cotyledon, compared to aT and placebo treated ewes (P<0.05). The TNFalpha and IL-1b mRNA abundances

were suppressed in uterus, caruncle and cotyledon but TNF alpha is higher in gT group compared to aT group (P<0.05),

whereas IL-1b was similar between treatment groups (P>0.1). Gamma tocopherol supplementation increased IL-6, IL-8, and

KDR mRNA abundances and suppressed sFlt1 and TNFalpha mRNA abundances thereby increased VEGF mRNA

expression and angiogenesis in placental vascular network during late gestation. It is plausible that the angiogenic effect of
gamma tocopherol in placental vascular network is exerted via an alternate path by enhancing IL-6 and IL-8.[Kasimanickam

RK et al; Reprod Biol Endocrinol 10: 4 (2012)] Full text: PMC3398327 Abstract: PubMed

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/LABORATORY ANIMALS: Developmental or Reproductive Toxicity/ Tocopherols have biphasic, proangiogenic and

antiangiogenic therapeutic effects. The objective of this clinical trial was to clarify tocopherol's placental angiogenic potential

in late pregnant ewes following oral supplementation. Eighteen pregnant ewes during late gestation were selected for this

study. Ewes were given oral supplementation of 500 mg of alpha-tocopherol (aT; N=6) or 1000 mg of gamma-tocopherol

(gT; N=7) or placebo (CON; N=5) once daily from 107 to 137 days post breeding. Serum was obtained at weekly intervals

and tissue samples were obtained at the end of supplementation to: 1) evaluate tocopherol concentrations in serum, uterus

and placentome; 2) evaluate relative mRNA expressions of Vascular Endothelial Growth Factor (VEGF), Placental Growth

Factor (PlGF), endothelial Nitric Oxide Synthase (eNOS) and Hypoxia Inducible Factors (HIF) in uterus, caruncle and

cotyledon; 3) analyze the morphometry of the placental vascular network. Supplementation of aT or gT resulted in increased

concentrations in serum, placentome and uterus compared to control (P<0.05). In aT group, mRNA expressions of PlGF,

eNOS and HIF-1alpha in cotyledon were greater than the CON group. In gT group, mRNA expressions of VEGF, eNOS,

HIF-1 alpha and HIF-2 alpha in caruncle and uterus, and HIF-1alpha in cotyledon, were greater than the CON group.

Morphometry analysis revealed increased angiogenesis in the supplemented groups. Daily oral supplementation of aT or gT

increased angiogenesis in the placental vascular network in pregnant ewes during late gestation. Increase in placental

angiogenesis may provide nutrients required for the development and growth of fetus during late pregnancy.[Kasimanickam

RK et al; Reprod Biol Endocrinol. 8: 86 (2010)] Full text: PMC2913989 Abstract: PubMed

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/LABORATORY ANIMALS: Developmental or Reproductive Toxicity/ The objective of this study was to determine the effects

of maternally supplemented natural- or synthetic-source vitamin E on suckling calf performance and immune response. In a

2-yr study, one hundred fifty-two 2- and 3-yr-old, spring-calving, Angus-cross beef cows were blocked by age, BW, and BCS

into 1 of 3 isocaloric, corn-based dietary supplements containing 1) no additional vitamin E (CON), 2) 1,000 IU/d of

synthetic-source vitamin E (SYN), or 3) 1,000 IU/d of natural-source vitamin E (NAT). Maternal supplementation began

approximately 6 wk prepartum and continued until the breeding season. Colostrum from cows and blood from calves was

collected 24 hr postpartum for analysis of IgG concentration as an indicator of passive transfer and circulating alpha-

tocopherol concentration. At 19 d of age, blood was collected from calves to determine the expression of CD14 and CD18

molecules on leukocytes. At 21 and 35 d of age, humoral immune response was measured by a subcutaneous injection, in

the neck, with ovalbumin (20 mg; OVA) and blood samples collected weekly until d 63 of age to determine antibodies

produced against OVA. At d 63 of age, calves were administered an intradermal injection of OVA (1 mg) in the neck to

assess cell-mediated immunity, which was determined on d 65 of age by measuring nodule size with calipers. Circulating

alpha-tocopherol concentrations were increased at both 24 hr (P = 0.001) and at the day of initial OVA challenge (P < 0.001)

in SYN and NAT compared with CON calves. No differences were detected (P > 0.05) for calf birth BW, ADG, or weaning

BW. There were no differences (P > 0.05) in calf serum total IgG or cow colostrum total IgG at 24 hr or presence of CD14

and CD18 receptors at d 19 of age. The NAT calves had a greater antigen response to OVA at d 63 than SYN calves (P =

0.01; treatment x day interaction). As an indicator of cell-mediated immunity to OVA, nodule size at 65 d of age was not

affected (P = 0.92) by maternal dietary supplementation. In conclusion, calves suckling cows supplemented with natural-

and synthetic-source vitamin E had increased circulating concentrations of alpha-tocopherol at 24 hr, which appeared to

continue throughout maternal supplementation; however, calf immune function and performance were not affected.

Abstract: PubMed

Horn MJ et al; J Anim Sci 88 (9): 3128-35 (2010)

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/LABORATORY ANIMALS: Developmental or Reproductive Toxicity/ The objective was to determine the effects of natural- or

synthetic-source vitamin E on reproductive efficiency in Angus-cross beef cows. In Exp. 1, one hundred fifty-two cows were

fed hay and corn silage based diet and assigned to 1 of 3 dietary supplements (3 pens/treatment): 1) containing no

additional vitamin E (CON), 2) formulated to provide 1,000 IU x d(-1) of synthetic-source vitamin E (SYN; all-rac or dl-alpha-

tocopherol acetate), or 3) formulated to provide 1,000 IU x d(-1) of natural-source vitamin E (NAT; RRR or D-alpha-

tocopherol acetate). In Exp. 2, seventy-five cows (2 reps/treatment) were assigned to similar treatments as Exp. 1; however,

a vitamin-mineral supplement was offered for ad libitum intake and vitamin intake was calculated from predicted mineral

intakes. Cows grazed pastures rather than being fed hay and corn silage as in Exp. 1. In Exp. 1 and 2, supplementation

began 6 wk prepartum and continued until initiation of the breeding season. Blood samples were collected at calving (Exp.

1) or breeding (Exp. 2) to determine alpha-tocopherol concentration and weekly beginning 4 wk postpartum (Exp. 1) or 7

and 14 d before estrus synchronization (Exp. 2) to determine return to estrus via progesterone concentration. Cows were

synchronized and bred by AI based on heat detection; nonresponding cows were time bred (AI) 66 h after PGF(2 alpha)

injection, and cows returning to estrus after AI were bred by natural service. In Exp. 1, cows supplemented with NAT and

SYN had greater (P < 0.001) serum concentrations of alpha-tocopherol at calving compared with CON cows. Dietary

supplement did not affect (P >or= 0.55) the percentage of cows cycling before synchronization or the number of days to

return to estrus by cows that resumed estrus before synchronization. Cows supplemented with SYN tended to have greater
first service conception rates compared with CON and NAT (P = 0.09); however, first plus second services combined and

overall conception rates were not affected (P >or= 0.23). In Exp. 2, NAT cows had greater (P = 0.002) concentrations of

alpha-tocopherol at breeding, whereas there was no difference (P > 0.05) between SYN and CON. Supplementation of SYN

or NAT did not affect (P >or= 0.17) days to resumption of estrus before breeding, first service, first plus second services

combined, or overall conception rates. These data suggest that supplementation of SYN or NAT source vitamin E increased

alpha-tocopherolconcentration in cows; however, effects on reproductive efficiency are minima Abstract: PubMed

Horn M et al; J Anim Sci 88 (9): 3121-7 (2010)

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/LABORATORY ANIMALS: Developmental or Reproductive Toxicity/ To investigate the effects of 0.1% and 2% vitamin E

(alpha-tocopherol) supplementation on the expression of nitric oxide (NO) in penile tissue of rats with experimentally

induced diabetes mellitus (DM). In all, 30 male rats were divided into six groups: normoglycaemic (NG), NG treated with

0.1% vitamin E (NGE1), NG treated with 2% vitamin E (NGE2), DM, DM treated with 0.1% vitamin E (DME1), and DM

treated with 2% vitamin E (DME2). After 120 days the rats were killed, and penile tissue was collected and processed for

neuronal NO synthase (nNOS) immunohistochemistry to determine areas of nNOS-immunoreactive varicosities. nNOS-

immunoreactive varicosities in DME2 rats were similar to those of controls (NG) and controls supplemented with vitamin E

(NGE1 and NGE2). Varicosity sizes in the NGE1 group were similar to the DM rats with no vitamin E supplementation.

Supplementation with 2% vitamin E had a positive effect on areas of nNOS-immunoreactive varicosities of penile tissue in

DM rats. Abstract: PubMed

Tronchini EA et al; BJU Int 106 (11): 1788-93 (2010)

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/LABORATORY ANIMALS: Developmental or Reproductive Toxicity/ Diabetic pregnancy is still associated with an increased

rate of congenital malformations despite extensive clinical efforts to normalize the risk for the offspring. The etiology of the

diabetic embryopathy is not clear; however, experimental studies have suggested a role for oxidative stress in the

teratogenicity of diabetic pregnancy. The antioxidants alpha-tocopherol and ascorbate have improved fetal outcome in

diabetic rodent pregnancy when supplemented in moderate to high doses. In the present work we investigated if extremely

high doses of either alpha-tocopherol or ascorbate may further improve fetal outcome in offspring of diabetic rats, and, in

addition, if such treatment may exert any adverse effects of fetal development. Non-diabetic and streptozotocin diabetic

female rats were fed 2, 5, 10 or 15 % alpha-tocopherol or 4, 10 or 15 % ascorbate in their diet and fetal outcome was

assessed on gestational day 20. Maternal diabetes caused increased malformation (from 0 to 29 %) and resorption (from 5

to 38 %) rates in the offspring. The malformations included micrognathia (33 %), agnathia (51 %), other facial malformation

(6 %), absence of tail (7 %) or omphalocele (3 %). Both alpha-tocopherol and ascorbate treatment improved fetal

morphology (to 9 and 19 % malformations, and to 9 and 26 % resorptions, respectively) in offspring of diabetic rats. There

was a dose-dependent improvement for the alpha-tocopherol supplementation, where the higher doses diminished fetal

dysmorphogenesis more than the 2 % diet. The ascorbate supplementation was less dose-dependant, however, the higher

doses tended to improve fetal outcome more than the lower doses. No adverse effects of the antioxidants were noted in the

offspring with the exception of one case of agnathia in a fetus of a non-diabetic rat supplemented with 15 % alpha-

tocopherol. These results indicate that very high doses of dietary antioxidants may be needed to normalize the development

of the offspring in experimental diabetic pregnancy, but that treatment with such high doses may also have adverse effects in

non-diabetic pregnancy.

Eriksson UJ Cederberg J; Diabetes 54 (Suppl 1): A38 (2005)

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/LABORATORY ANIMALS: Developmental or Reproductive Toxicity/ At the end of a 90-day study on d-alpha-tocopherol

(polyethylene glycol) 1000 succinate (TPGS), a water-soluble form of vitamin E (see rat study under Short-term studies), half

the rats from each dose group were maintained on their respective diets and used for a reproduction study. The dietary

concentrations of TPGS were 0, 0.002, 0.2, & 2%. The animals were mated on day 112 of treatment to produce the F1a

generation and on day 175 to produce the F1b generation. The F0 animals were maintained on their respective diets to 265-

265 days of treatment, then sacrificed and examined histopathologically. Reproductive indices (mean gestation period, litter

size, sex ratio, and mortality of pups or parents) were unaffected by treatment. Clinical chemical and haematological

parameters were normal in the F0 generation 10 days before terminal sacrifice. /Water-soluble form of vitamin E/

WHO; Tocopherol, alpha: Toxicological Evaluation of Certain Food Additives and Contaminants (WHO Food Additive Series 21), 1987;

Available from as of June 10, 2015: http://www.inchem.org/documents/jecfa/jecmono/v21je01.htm

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/LABORATORY ANIMALS: Developmental or Reproductive Toxicity/ Pregnant ICR mice were given daily doses of 591 mg

d-alpha- tocopherol by gavage on days 7 to 11 of pregnancy; control animals were untreated or received the same volume of

saline by gavage. In a total of 91 offspring from 7 litters, one malformation (exencephaly, open eye, and micrognathia) was

observed in the offspring from treated animals; no malformations were seen in 177 offspring (13 litters) from untreated dams
or 117 offspring (8 litters) from dams given saline by gavage. This type of malformation has never been seen in control

animals of this strain in this testing laboratory, but it can be induced by known teratogens.

WHO; Tocopherol, alpha: Toxicological Evaluation of Certain Food Additives and Contaminants (WHO Food Additive Series 21), 1987;

Available from as of June 10, 2015: http://www.inchem.org/documents/jecfa/jecmono/v21je01.htm

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/LABORATORY ANIMALS: Neurotoxicity/ We hypothesized that brains from vitamin E-deficient (E-) zebrafish (Danio rerio)

would undergo increased lipid peroxidation because they contain highly polyunsaturated fatty acids, thus susceptible lipids

could be identified. Brains from zebrafish fed for 9 months defined diets without (E-) or with (E+) added vitamin E (500 mg

RRR-alpha-tocopheryl acetate per kilogram diet) were studied. Using an untargeted approach, 1-hexadecanoyl-2-

docosahexaenoyl-sn-glycero-3-phosphocholine [DHA-PC 38:6, PC 16:0/22:6]was the lipid that showed the most significant

and greatest fold-differences between groups. DHA-PC concentrations were approximately 1/3 lower in E- (4.3 +/- 0.6 mg/g)

compared with E+ brains (6.5 +/- 0.9 mg/g, mean +/- SEM, n = 10 per group, P = 0.04). Using lipidomics, 155 lipids in brain

extracts were identified. Only four phospholipids (PLs) were different (P < 0.05) between groups; they were lower in E-

brains and contained DHA with DHA-PC 38:6 at the highest abundances. Moreover, hydroxy-DHA-PC 38:6 was increased in

E- brains (P = 0.0341) supporting the hypothesis of DHA peroxidation. More striking was the depletion in E- brains of nearly

60% of 19 different lysophospholipids (lysoPLs) (combined P = 0.0003), which are critical for membrane PL remodeling.

Thus, E- brains contained fewer DHA-PLs, more hydroxy-DHA-PCs, and fewer lysoPLs, suggesting that lipid peroxidation

depletes membrane DHA-PC and homeostatic mechanisms to repair the damage resulting in lysoPL depletion.

Choi J et al; J Lipid Res. 56 (6): 1182-90 (2015)

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/DEVELOPMENTAL NEUROTOXICITY/ An increased intake of the antioxidant alpha-Tocopherol (vitamin E) is

recommended in complicated pregnancies, to prevent free radical damage to mother and fetus. However, the anti-PKC and

antimitotic activity of alpha-Tocopherol raises concerns about its potential effects on brain development. Recently, we found

that maternal dietary loads of alpha-Tocopherol through pregnancy and lactation cause developmental deficit in

hippocampal synaptic plasticity in rat offspring. The defect persisted into adulthood, with behavioral alterations in

hippocampus-dependent learning. Here, using the same rat model of maternal supplementation, ultrastructural

morphometric studies were carried out to provide mechanistic interpretation to such a functional impairment in adult

offspring by the occurrence of long-term changes in density and morphological features of hippocampal synapses. Higher

density of axo-spinous synapses was found in CA1 stratum radiatum of alpha-Tocopherol -exposed rats compared to

controls, pointing to a reduced synapse pruning. No morphometric changes were found in synaptic ultrastructural features,

i.e., perimeter of axon terminals, length of synaptic specializations, extension of bouton-spine contact. Glia-synapse

anatomical relationship was also affected. Heavier astrocytic coverage of synapses was observed in Tocopherol-treated

offspring, notably surrounding axon terminals; moreover, the percentage of synapses contacted by astrocytic endfeet at

bouton-spine interface (tripartite synapses) was increased. These findings indicate that gestational and neonatal exposure to

supranutritional tocopherol intake can result in anatomical changes of offspring hippocampus that last through adulthood.

These include a surplus of axo-spinous synapses and an aberrant glia-synapse relationship, which may represent the

morphological signature of previously described alterations in synaptic plasticity and hippocampus-dependent learning.

[Salucci S et al; Eur J Histochem. 58 (2): 2355 (2014)] Full text: PMC4083323 Abstract: PubMed

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/DEVELOPMENTAL NEUROTOXICITY/ Vitamin E (alpha-tocopherol) supplementation has been tested as prophylaxis

against gestational disorders associated with oxidative damage. However, recent evidence showing that high maternal

alpha-tocopherol intake can adversely affect offspring development raises concerns on the safety of vitamin E extradosages

during pregnancy. Besides acting as an antioxidant, alpha-tocopherol depresses cell proliferation and modulates cell

signaling through inhibiting protein kinase C (PKC), a kinase that is deeply involved in neural maturation and plasticity.

Possible effects of alpha-tocopherol loads in the maturing brain, where PKC dysregulation is associated to developmental

dysfunctions, are poorly known. Here, supranutritional doses of alpha-tocopherol were fed to pregnant and lactating dams to

evaluate the effects on PKC signaling and morphofunctional maturation in offspring hippocampus. Results showed that

maternal supplementation potentiates hippocampal alpha-tocopherol incorporation in offspring and leads to marked

decrease of PKC phosphorylation throughout postnatal maturation, accompanied by reduced phosphorylation of growth-

associated protein-43 and myristoylated alanine-rich C kinase substrate, two PKC substrates involved in neural development

and plasticity. Although processes of neuronal maturation, synapse formation and targeting appeared unaffected, offspring

of supplemented mothers displayed a marked reduction of long-term synaptic plasticity in juvenile hippocampus.

Interestingly, this impairment persisted in adulthood, when a deficit in hippocampus-dependent, long-lasting spatial memory

was also revealed. In conclusion, maternal supplementation with elevated doses of alpha-tocopherol can influence cell

signaling and synaptic plasticity in developing hippocampus and promotes permanent adverse effects in adult offspring. The

present results emphasize the need to evaluate the safety of supranutritional maternal intake of alpha-tocopherol in humans.

Abstract: PubMed

Betti M et al; J Nutr Biochem. 22 (1): 60 (2011)


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/BEHAVIORAL STUDIES/ alpha-Tocopherol , the main component of vitamin E, is well known to be a radical scavenger, so

an increased intake of vitamin E is recommended in complicated pregnancy, to prevent possible fetus damage by free

radical. In a previous work, we found that maternal alpha-tocopherol supplementation affects PKC-mediated cellular

signaling and hippocampal synaptic plasticity in developing brain; the latter effect persists in adulthood. Here, adult rats

maternally exposed to supranutritional doses of alpha-tocopherol were evaluated for Contextual Fear Conditioning and

spatial learning in Morris Water Maze, two different hippocampus-dependent learning tasks. Moreover, anxiety, spontaneous

activity, and explorative drive were also evaluated as factors potentially affecting learning performance. Treated rats showed

a different behavior with respect to controls: performance in Contextual Fear Conditioning was improved, while spatial

learning tested in Morris Water Maze, was impaired. The improvement of fear response was not ascribable to differences in

anxiety level and/or spontaneous activity; thus it appears to be a specific effect of alpha-tocopherol overloading during brain

development. On the contrary, the impaired performance in Morris Water Maze exhibited by treated rats can be in part

explained by their enhanced explorative drive. Although extrapolation from rats to humans is difficult, a caveat in assuming

supranutritional doses of vitamin E in pregnancy arises from this study. Abstract: PubMed

Ambrogini P et al; Physiol Behav. 104 (5): 809-15 (2011)

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/ALTERNATIVE and IN VITRO TESTS/ The controversial role of extracellular Ca2+ in toxicity to in vitro hepatocyte systems

is reviewed. Recent reports demonstrate that extracellular Ca2+ related cytotoxicity is dependent on Ca2+ influenced

vitamin E (alpha-tocopherol) content of isolated hepatocytes. Based on a Ca2+ omission model of in vitro oxidative stress,

the role of vitamin E in cytotoxicity is further explored. This model demonstrates the interdependence of the GSH redox

system and vitamin E as protective agents during oxidative stress. Following chemical oxidant induced depletion of

intracellular GSH, cell morphology and viability are maintained by the continuous presence of cellular alpha-tocopherol

above a threshold level of 0.6-1.0 nmol/10+6 cells. alpha-Tocopherol threshold dependent cell viability is directly correlated

with the prevention of the loss of cellular protein thiols in the absence of intracellular GSH. Potential mechanisms for this

phenomenon are explored and include a direct reductive action of alpha-tocopherol on protein thiyl radicals, and the

prevention of oxidation of protein thiols by scavenging of lipid peroxyl radicals by alpha-tocopherol. It is suggested that in

light of the threshold phenomenon of vitamin E prevention of potentially severe oxidative stress induced cytotoxicity, its use

as a protective agent against an oxidative challenge in vivo should be reassessed. Abstract: PubMed

Pascoe GA, Reed DJ; Free Radic Biol Med 6 (2): 209-24 (1989)

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/ALTERNATIVE and IN VITRO TESTS/ The effects of vitamin E supplementation on cellular alpha-tocopherol concentrations

of neutrophils from Holstein calves and the mechanism of scavenger receptor class B type I (SR-BI)-mediated uptake of

alpha-tocopherol were examined. Cellular alpha-tocopherol concentrations in vitamin E-treated calves increased from 3.5 +/-

0.38 to 7.2 +/- 0.84 ug/10+7 cells, respectively, within 14 d after vitamin E supplementation; these concentrations were

significantly higher than those of control calves (P < 0.01). The expression indices of SR-BI [a major receptor that

recognizes high-density lipoprotein (HDL)] mRNA in neutrophils were two to five times higher (P < 0.01) in neutrophils

obtained from vitamin E-supplemented calves compared with those from control calves, and anti-SR-B1 antibody, ranging

from 0.1 to 1.0 ug/mL, significantly (P < 0.01) decreased cellular alpha-tocopherolconcentrations of neutrophils.

Cytochalasin D and latrunculin B, major inhibitors of actin polymerization of neutrophils, significantly decreased cellular

alpha-tocopherol concentrations of neutrophils (P < 0.01). Our results demonstrated that in vitamin E-supplemented calves:

1) alpha-tocopherol is mainly distributed with HDL, 2) alpha-tocopherol within HDL is recognized by SR-BI on the surface of

neutrophils, and 3) rearrangement of the actin cytoskeleton is a crucial step for the uptake of alpha-tocopherol by

neutrophils.[Higuchi H et al; Can J Vet Res 77 (2): 120-5 (2013)] Full text: PMC3605927 Abstract: PubMed

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/ALTERNATIVE and IN VITRO TESTS/ To determine the effects of alpha-tocopherol supplementation to oocyte maturation

media and embryo culture media on the yield of ovine embryos. alpha-Tocopherol , at concentrations of 0, 50, 100, 200, 400

and 500 uM was supplemented to ovine oocyte or embryo culture media and cultured at 5% or 20% O(2) levels.

Percentages of cleavage, morula and blastocyst, total cell count and comet assay were taken as indicators of developmental

competence of embryos. 200 uM alpha-Tocopherol in embryo culture medium at 20% O(2) level significantly increased the

rates of cleavage (P<0.05), morulae (P<0.05) and blastocyst (P<0.01) formation and blastocyst total cell number (P<0.01)

when compared with control. The rates of blastocyst formation were also significantly higher in 100 uM (P<0.01) and 400 uM

(P<0.05) supplemented groups than control. alpha-Tocopherol supplementation may enhance the in vitro developmental

competence of ovine embryos by protecting them from oxidative damage.[Natarajan R et al; J Assist Reprod Genet. 27 (8):

483-90 (2010)] Full text: PMC2941590 Abstract: PubMed

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/ALTERNATIVE and IN VITRO TESTS/ Reactive oxygen species contribute to cellular ageing and an increased level of

oxidative stress is often associated with ageing in many organisms. Supplementation of antioxidants has been advocated to

decrease cellular oxidative stress and potentially extend lifespan. A genetically modified K6001 strain of Saccharomyces

cerevisiae was employed to determine the effect of several antioxidants, including D-erythroascorbic acid, alpha-tocopherol

and coenzyme Q(10) on yeast cell replicative ageing. The replicative lifespan of the K6001 strain was assessed by

absorbance change as cells exhibited a linear growth in glucose medium. In this study, water-soluble D-erythroascorbic acid

had little effect on cell replicative lifespan. However, supplementation of the growth medium with the lipophilic antioxidants

alpha-tocopherol increased oxidative stress and decreased cell lifespan. The use of alpha-tocopherol analogues revealed

that the antioxidant activity and the membrane retention ability of alpha-tocopherol were involved in the lifespan reduction

effect. Supplementation with either coenzyme Q(10) alone, or in combination with alpha-tocopherol also led to a reduction in

yeast replicative lifespan. This study highlights a potential pro-oxidant action of antioxidants. Abstract: PubMed

Lam YT et al; Free Radic Biol Med 49 (2): 237-44 (2010)

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/ALTERNATIVE and IN VITRO TESTS/ The pregnane X receptor (PXR) has been postulated to play a role in the metabolism

of alpha-tocopherol owing to the up-regulation of hepatic cytochrome P450 (P450) 3A in human cell lines and murine

models after alpha-tocopherol treatment. However, in vivo studies confirming the role of PXR in alpha-tocopherol

metabolism in humans presents significant difficulties and has not been performed. PXR-humanized (hPXR), wild-type, and

Pxr-null mouse models were used to determine whether alpha-tocopherolmetabolism is influenced by species-specific

differences in PXR function in vivo. No significant difference in the concentration of the major alpha-tocopherol metabolites

was observed among the hPXR, wild-type, and Pxr-null mice through mass spectrometry-based metabolomics. Gene

expression analysis revealed significantly increased expression of Cyp3a11 as well as several other P450s only in wild-type

mice, suggesting species-specificity for alpha-tocopherol activation of PXR. Luciferase reporter assay confirmed activation

of mouse PXR by alpha-tocopherol. Analysis of the Cyp2c family of genes revealed increased expression of Cyp2c29,

Cyp2c37, and Cyp2c55 in wild-type, hPXR, and Pxr-null mice, which suggests PXR-independent induction of Cyp2c gene

expression. This study revealed that alpha-tocopherol is a partial agonist of PXR and that PXR is necessary for Cyp3a

induction by alpha-tocopherol. The implications of a novel role for alpha-tocopherol in Cyp2c gene regulation are also

discussed.[Johnson CH et al; Drug Metab Dispos. 41 (2): 406-13 (2013)] Full text: PMC3558860 Abstract: PubMed

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/IMMUNOTOXICITY/ Of the 8 different analogues (alpha-, beta-, gamma-, delta-tocopherols and tocotrienols) designated as

vitamin E, alpha-tocopherol (a-T) has been mostly studied, together with gamma-tocopherol (g-T) which is abundant in the

US diet. We compared the effect of dietary supplementation with adequate or high doses of a-T or g-T on the number and

type of genes expressed following T cell activation. C57BL/6 mice were fed diets containing adequate (30 ppm) or high (500

ppm) amounts of a-T or g-T for 4 weeks. Spleen T cells were stimulated ex vivo with plate-bound anti-CD3 and soluble anti-

CD28, and gene expression changes were assessed by gene array analysis. The data obtained indicated significant

qualitative and quantitative differences between the two analogs in regulating gene expression induced by T cell stimulation.

Genes were found uniquely responding to either high a-T (e.g. induced: CD40 ligand, lymphotoxin A) or g-T (e.g. repressed:

poliovirus receptor-related-2). Interestingly, in stimulated T-cells from mice supplemented with high amounts of a-T a bigger

number of genes were activated than in mice supplemented with the same amounts of g-T; under the same conditions g-T

repressed the expression of a number of genes larger than a-T. It is possible that the observed diminution in gene

expression in T cells after high g-T in vivo supplementation modulates inflammation or other T cell mediated functions.

Abstract: PubMed

Zingg JM et al; Arch Biochem Biophys. 538 (2): 111-9 (2013)

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/OTHER TOXICITY INFORMATION/ beta-Carotene, canthaxanthin, lutein, lycopene and alpha-carotene increased gap

junctional intercellular communication in a dose-dependent manner in the above order of potency. alpha-Tocopherol , a

potent chain-breaking antioxidant, caused a marginal enhancement of junctional communication. The enhancement of

junctional communication by diverse carotenoids showed a strong statistical correlation with their previously determined

ability to inhibit methylcholanthrene induced neoplastic transformation (r = -0.75). All carotenoids tested inhibited lipid

peroxidation, but with differing potencies. alpha-Tocopherol was the most active inhibitor followed by m-bixin. The capacity

of carotenoids or alpha-tocopherol to inhibit lipid peroxidation was neither consistent with their ability to inhibit neoplastic

transformation (r = 0.30) nor to increase junctional communication (r = 0.12). Since junctional communication appears to

play an important role in cell growth control and carcinogenesis, it is proposed that in this system carotenoid-enhanced

intercellular communication provides a mechanistic basis for the cancer chemopreventive action of carotenoids. These data

also imply that carotenoids function in a manner analogous to retinoids in the 10T1/2 assay system. Interestingly this activity

appears independent of their provitamin A status. Abstract: PubMed

Zhang LX et al; Carcinogenesis 12 (11): 2109-14 (1991)

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/OTHER TOXICITY INFORMATION/ Free radicals vary widely in their thermodynamic properties, ranging from very oxidizing

to very reducing. These thermodynamic properties can be used to predict a pecking order, or hierarchy, for free radical

reactions. Using one-electron reduction potentials, the predicted pecking order is in agreement with experimentally observed

free radical electron (hydrogen atom) transfer reactions. These potentials are also in agreement with experimental data that

suggest that vitamin E, the primary lipid soluble small molecule antioxidant, and vitamin C, the terminal water soluble small

molecule antioxidant, cooperate to protect lipids and lipid structures against peroxidation. Although vitamin E is located in

membranes and vitamin C is located in aqueous phases, vitamin C is able to recycle vitamin E; i.e., vitamin C repairs the

tocopheroxyl (chromanoxyl) radical of vitamin E, thereby permitting vitamin E to function again as a free radical chain-

breaking antioxidant. This review discusses: (i) the thermodynamics of free radical reactions that are of interest to the health

sciences; (ii) the fundamental thermodynamic and kinetic properties that are associated with chain-breaking antioxidants;

(iii) the unique interfacial nature of the apparent reaction of the tocopherol free radical (vitamin E radical) and vitamin C; and

(iv) presents a hierarchy, or pecking order, for free radical electron (hydrogen atom) transfer reactions. Abstract: PubMed

Buettner GR; Arch Biochem Biophys. 300 (2): 535-43 (1993)

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/OTHER TOXICITY INFORMATION/ The antioxidant properties of alpha-tocopherol have been proposed to play a beneficial

chemopreventive role against cancer. However, emerging data also indicate that it may exert contrasting effects on the

efficacy of chemotherapeutic treatments when given as dietary supplement, being in that case harmful for patients. This dual

role of alpha-tocopherol and, in particular, its effects on the efficacy of anticancer drugs remains poorly documented. For this

purpose, we studied here, using high throughput flow cytometry, the direct impact of alpha-tocopherol on apoptosis and cell

cycle arrest induced by different cytotoxic agents on various models of cancer cell lines in vitro. Our results indicate that

physiologically relevant concentrations of alpha-tocopherol strongly compromise the cytotoxic and cytostatic action of

various protein kinase inhibitors (KI), while other classes of chemotherapeutic agents or apoptosis inducers are unaffected

by this vitamin. Interestingly, these anti-chemotherapeutic effects of alpha-tocopherol appear to be unrelated to its

antioxidant properties since a variety of other antioxidants were completely neutral toward KI-induced cell cycle arrest and

cell death. In conclusion, our data suggest that dietary alpha-tocopherol could limit KI effects on tumour cells, and, by extent,

that this could result in a reduction of the clinical efficacy of anti-cancer treatments based on KI molecules.[Pedeboscq S et

al; PLoS One 7 (5): e36811 (2012)] Full text: PMC3348137 Abstract: PubMed

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/OTHER TOXICITY INFORMATION/ Bone homeostasis is maintained by the balance between osteoblastic bone formation

and osteoclastic bone resorption. Osteoclasts are multinucleated cells that are formed by mononuclear preosteoclast fusion.

Fat-soluble vitamins such as vitamin D are pivotal in maintaining skeletal integrity. However, the role of vitamin E in bone

remodeling is unknown. Here, we show that mice deficient in alpha-tocopherol transfer protein (Ttpa(-/-) mice), a mouse

model of genetic vitamin E deficiency, have high bone mass as a result of a decrease in bone resorption. Cell-based assays

indicated that alpha-tocopherol stimulated osteoclast fusion, independent of its antioxidant capacity, by inducing the

expression of dendritic-cell-specific transmembrane protein, an essential molecule for osteoclast fusion, through activation of

mitogen-activated protein kinase 14 (p38) and microphthalmia-associated transcription factor, as well as its direct

recruitment to the Tm7sf4 (a gene encoding DC-STAMP) promoter. Indeed, the bone abnormality seen in Ttpa(-/-) mice was

rescued by a Tm7sf4 transgene. Moreover, wild-type mice or rats fed an alpha-tocopherol-supplemented diet, which

contains a comparable amount of alpha-tocopherol to supplements consumed by many people, lost bone mass. These

results show that serum vitamin E is a determinant of bone mass through its regulation of osteoclast fusion. Abstract:

PubMed

Fujita K et al; Nat Med. 18 (4): 589-94 (2012)

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/OTHER TOXICITY INFORMATION/ Vitamin E has long been identified as a major lipid-soluble chain-breaking antioxidant in

mammals. alpha-Tocopherol is a vitamin E component and the major form in the human body. We propose that, besides its

direct chain-breaking antioxidant activity, alpha-tocopherol may exert an indirect antioxidant activity by enhancing the cell's

antioxidant system as a Phase II enzyme inducer. We investigated alpha-tocopherol's inducing effect on Phase II enzymes

and its protective effect on acrolein-induced toxicity in a human retinal pigment epithelial (RPE) cell line, ARPE-19. Acrolein,

a major component of cigarette smoke and also a product of lipid peroxidation, at 75 umol/L over 24 hr, caused significant

loss of ARPE-19 cell viability, increased oxidative damage, decreased antioxidant defense, inactivation of the Keap1/Nrf2

pathway, and mitochondrial dysfunction. ARPE-19 cells have been used as a model of smoking- and age-related macular

degeneration. Pretreatment with ?-tocopherol activated the Keap1/Nrf2 pathway by increasing Nrf2 expression and inducing

its translocation to the nucleus. Consequently, the expression and/or activity of the following Phase II enzymes increased:

glutamate cysteine ligase, NAD(P)H:quinone oxidoreductase 1, heme-oxygenase 1, glutathione S-transferase and

superoxide dismutase; total antioxidant capacity and glutathione also increased. This antioxidant defense enhancement

protected ARPE-19 cells from an acrolein-induced decrease in cell viability, lowered reactive oxygen species and protein

oxidation levels, and improved mitochondrial function. These results suggest that alpha-tocopherol protects ARPE-19 cells

from acrolein-induced cellular toxicity, not only as a chain-breaking antioxidant, but also as a Phase II enzyme inducer.

Abstract: PubMed
Feng Z et al; J Nutr Biochem. 21 (12): 1222-31 (2010)

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/OTHER TOXICITY INFORMATION/ Certain microsomal hydroxylations appear to be regulated by alpha-tocopherol, and d-

alpha-tocopherol acetate given as a single oral dose or in 3 consecutive daily doses of 450 mg/kg to rats caused a

significant increase in aminopyrine demethylase activity in the liver.

WHO; Tocopherol, alpha: Toxicological Evaluation of Certain Food Additives and Contaminants (WHO Food Additive Series 21), 1987;

Available from as of June 10, 2015: http://www.inchem.org/documents/jecfa/jecmono/v21je01.htm

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/OTHER TOXICITY INFORMATION/ Rats given high doses of alpha-tocopherol had elevated liver cholesterol levels and

altered tissue fatty acids.

WHO; Tocopherol, alpha: Toxicological Evaluation of Certain Food Additives and Contaminants (WHO Food Additive Series 21), 1987;

Available from as of June 10, 2015: http://www.inchem.org/documents/jecfa/jecmono/v21je01.htm

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/OTHER TOXICITY INFORMATION/ Rats treated with weekly oral doses of about 50 mg of a vitamin E concentrate were

found to have fatty changes in the liver. In addition, intimal sclerosis of the aorta was seen, with the over-development of

collagenous tissue at the base of the aortic valve and in the medial coat of the aorta.

WHO; Tocopherol, alpha: Toxicological Evaluation of Certain Food Additives and Contaminants (WHO Food Additive Series 21), 1987;

Available from as of June 10, 2015: http://www.inchem.org/documents/jecfa/jecmono/v21je01.htm

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/OTHER TOXICITY INFORMATION/ Vitamin E has shown significant activity against various cancers in vitro and in

experimental animal models of carcinogenesis.

PDR for Nutritional Supplements 2nd ed. Thomson Reuters, Montvale, NJ 2008, p. 692

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13.1.6 Non-Human Toxicity Values 


LD50 Rats oral >7000 mg/kg b.w. /d-alpha-tocopheryl succinate/

WHO; Tocopherol, alpha: Toxicological Evaluation of Certain Food Additives and Contaminants (WHO Food Additive Series 21), 1987;

Available from as of June 10, 2015: http://www.inchem.org/documents/jecfa/jecmono/v21je01.htm

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13.2 Ecological Information 


13.2.1 Environmental Fate/Exposure Summary 
Vitamin E's production and use as an antioxidant in vegetable oils and shortening, as an antioxidant in cosmetics and as a

dietary supplement may result in its release to the environment through various waste streams. Vitamin E occurs in wide

variety of plants including green vegetables, grains and plant oils. If released to air, an estimated vapor pressure of 1.4X10-8

mm Hg at 25 deg C indicates vitamin E will exist in both the vapor and particulate phases in the atmosphere. Vapor-phase

vitamin E will be degraded in the atmosphere by reaction with photochemically-produced hydroxyl radicals; the half-life for

this reaction in air is estimated to be 1.7 hours. Particulate-phase vitamin E will be removed from the atmosphere by wet and

dry deposition. Vitamin E absorbs at wavelengths >290 nm and, therefore, may be susceptible to direct photolysis by

sunlight. If released to soil, vitamin E is expected to have no mobility based upon an estimated Koc of 2.5X10+7.

Volatilization from moist soil surfaces is expected to be an important fate process based upon an estimated Henry's Law

constant of 7.9X10-5 atm-cu m/mole. However, adsorption to soil is expected to attenuate volatilization. Vitamin E is not

expected to volatilize from dry soil surfaces based upon its vapor pressure. Vitamin was biodegraded by aerobic bacterial

communities isolated from marine sediment. However, biodegradation data relevant to environmental importance in soil and

water were not available. If released into water, vitamin E is expected to adsorb to suspended solids and sediment based

upon the estimated Koc. Volatilization from water surfaces is expected to be an important fate process based upon this

compound's estimated Henry's Law constant. Estimated volatilization half-lives for a model river and model lake are 29

hours and 15 days, respectively. However, volatilization from water surfaces is expected to be attenuated by adsorption to
suspended solids and sediment in the water column. The estimated volatilization half-life from a model pond is >10 years if

adsorption is considered. An estimated BCF of 39 suggests the potential for bioconcentration in aquatic organisms is

moderate. Hydrolysis is not expected to be an important environmental fate process since this compound lacks functional

groups that hydrolyze under environmental conditions. Occupational exposure to vitamin E may occur through dermal

contact with this compound at workplaces where vitamin E is produced or used. Monitoring and use data indicate that the

general population may be exposed to vitamin E via ingestion of food and food supplements, and dermal contact with

consumer products containing vitamin E. (SRC)

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13.2.2 Natural Occurring Sources 


The richest sources of vitamin E are green vegetables, grains, and oils; particularly palm, safflower, and sunflower oils(1).

Vitamin E occurs in wheat germ, soybean, sunflower, rape, corn, and peanut oil(2). Vitamin E has been quantified in a wide

variety of plants(3).

(1) O'Neil MJ, ed; The Merck Index. 15th ed., Cambridge, UK: Royal Society of Chemistry, p. 1759 (2013) (2) Baldenius KU et al;

Vitamins, 4. Vitamin E (Tocopherols, Tocotrienols). Ullmann's Encyclopedia of Industrial Chemistry. 7th ed. (1999-2015). New York, NY:

John Wiley & Sons. Online Posting Date: Oct 15, 2011. (3) USDA; Dr. Duke's Phytochemical and Ethnobotanical Databases. Plants

with a chosen chemical. alpha-Tocopherol. Washington, DC: US Dept Agric, Agric Res Service. Available from, as of July 28, 2015:

http://www.ars-grin.gov/duke/

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Vitamin E is a fat-soluble vitamin which is present in many foods including vegetable oils, cereal grains, animal fats, meat,

poultry, eggs, fruits, and vegetables. Wheat germ oil is a particularly rich source of vitamin E.

McEvoy, G.K. (ed.). American Hospital Formulary Service - Drug Information 93. Bethesda, MD: American Society of Hospital

Pharmacists, Inc., 1993 (Plus Supplements, 1993)., p. 2313

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13.2.3 Artificial Sources 


Vitamin E's production and use as an antioxidant in vegetable oils and shortening(1), as an antioxidant in cosmetics(2) and

as a dietary supplement(3) may result in its release to the environment through various waste streams(SRC).

(1) O'Neil MJ, ed; The Merck Index. 15th ed., Cambridge, UK: Royal Society of Chemistry, p. 1759 (2013) (2) Rieger MM; Cosmetics.

Kirk-Othmer Encyclopedia of Chemical Technology. (1999-2015). New York, NY: John Wiley & Sons. Online Posting Date: Apr 17,

2009. (3) Nat Institute Health; Vitamin E. Office of Dietary Supplements. Available from, as of July 28, 2015:

https://ods.od.nih.gov/factsheets/VitaminE-HealthProfessional/

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13.2.4 Environmental Fate 


TERRESTRIAL FATE: Based on a classification scheme(1), an estimated Koc value of 2.5X10+7(SRC), determined from a

structure estimation method(2), indicates that vitamin E is expected to be immobile in soil(SRC). Volatilization of vitamin E

from moist soil surfaces is expected to be an important fate process(SRC) given an estimated Henry's Law constant of

7.9X10-5 atm-cu m/mole(SRC), using a fragment constant estimation method(2). However, adsorption to soil is expected to

attenuate volatilization(SRC). Vitamin E is not expected to volatilize from dry soil surfaces(SRC) based upon an estimated

vapor pressure of 1.4X10-8 mm Hg at 25 deg C(SRC), determined from a fragment constant method(2). Vitamin was

biodegraded by aerobic bacterial communities isolated from marine sediment(3). However, biodegradation data relevant to

environmental importance in soil were not available(SRC, 2015). Vitamin E has a UV absorption maxima at 292 nm(4), and

therefore, may be susceptible to direct photolysis on soil surfaces exposed to sunlight(SRC).

(1) Swann RL et al; Res Rev 85: 17-28 (1983) (2) US EPA; Estimation Program Interface (EPI) Suite. Ver. 4.11. Nov, 2012. Available

from, as of July 28, 2015: http://www.epa.gov/oppt/exposure/pubs/episuitedl.htm (3) Rontani JF et al; Organic Geochem 39: 676-88

(2008) (4) Baldenius KU et al; Vitamins, 4. Vitamin E (Tocopherols, Tocotrienols). Ullmann's Encyclopedia of Industrial Chemistry. 7th

ed. (1999-2015). New York, NY: John Wiley & Sons. Online Posting Date: Oct 15, 2011.

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AQUATIC FATE: Based on a classification scheme(1), an estimated Koc value of 2.5X10+7(SRC), determined from a

structure estimation method(2), indicates that vitamin E is expected to adsorb to suspended solids and sediment(SRC).
Volatilization from water surfaces is expected(3) based upon an estimated Henry's Law constant of 7.9X10-5 atm-cu

m/mole(SRC), developed using a fragment constant estimation method(2). Using this Henry's Law constant and an

estimation method(3), volatilization half-lives for a model river and model lake are 29 hours and 15 days, respectively(SRC).

However, volatilization from water surfaces is expected to be attenuated by adsorption to suspended solids and sediment in

the water column(SRC). The estimated volatilization half-life from a model pond is >10 years if adsorption is considered(4).

According to a classification scheme(5), an estimated BCF of 39(SRC), from an estimated log Kow of 12.2(2) and a

regression-derived equation(2), suggests the potential for bioconcentration in aquatic organisms is moderate(SRC). Vitamin

was biodegraded by aerobic bacterial communities isolated from marine sediment(5). However, biodegradation data relevant

to environmental importance in water were not available(SRC, 2015). Vitamin E is not expected to undergo hydrolysis in the

environment due to the lack of functional groups that hydrolyze under environmental conditions(3).

(1) Swann RL et al; Res Rev 85: 17-28 (1983) (2) US EPA; Estimation Program Interface (EPI) Suite. Ver. 4.11. Nov, 2012. Available

from, as of July 28, 2015: http://www.epa.gov/oppt/exposure/pubs/episuitedl.htm (3) Lyman WJ et al; Handbook of Chemical Property

Estimation Methods. Washington, DC: Amer Chem Soc pp. 7-4, 7-5, 15-1 to 15-29 (1990) (4) US EPA; EXAMS II Computer Simulation

(1987) (5) Rontani JF et al; Organic Geochem 39: 676-88 (2008)

 from HSDB

ATMOSPHERIC FATE: According to a model of gas/particle partitioning of semivolatile organic compounds in the

atmosphere(1), vitamin E, which has an estimated vapor pressure of 1.4X10-8 mm Hg at 25 deg C(SRC), determined from a

fragment constant method(2), will exist in both the vapor and particulate phases (in the ambient atmosphere. Vapor-phase

vitamin E is degraded in the atmosphere by reaction with photochemically-produced hydroxyl radicals(SRC); the half-life for

this reaction in air is estimated to be 1.7 hours(SRC), calculated from its rate constant of 1.7X10-10 cu cm/molecule-sec at

25 deg C(SRC) that was derived using a structure estimation method(2). Particulate-phase vitamin E may be removed from

the air by wet and dry deposition(SRC). Vitamin E has a UV absorption maxima at 292 nm(3) and, therefore, may be

susceptible to direct photolysis by sunlight(SRC).

(1) Bidleman TF; Environ Sci Technol 22: 361-367 (1988) (2) US EPA; Estimation Program Interface (EPI) Suite. Ver. 4.11. Nov, 2012.

Available from, as of July 28, 2015: http://www.epa.gov/oppt/exposure/pubs/episuitedl.htm (3) Baldenius KU et al; Vitamins, 4. Vitamin

E (Tocopherols, Tocotrienols). Ullmann's Encyclopedia of Industrial Chemistry. 7th ed. (1999-2015). New York, NY: John Wiley & Sons.

Online Posting Date: Oct 15, 2011.

 from HSDB

13.2.5 Biodegredation 
PURE CULTURE: Vitamin E was biodegraded by aerobic bacterial communities (genera Idiomarina and Bacillus), isolated

from marine sediment and microbial mat sample(1); biodegradation appeared to involve an initial omega-oxidation of the

isoprenoid side chain and subsequent beta-oxidation, affording 2,5,7,8-tetramethyl-2(2'-carboxyethyl)-6-hydroxychroman(1).

(1) Rontani JF et al; Organic Geochem 39(6): 676-688 (2008)

 from HSDB

13.2.6 Abiotic Degredation 


The rate constant for the vapor-phase reaction of vitamin E with photochemically-produced hydroxyl radicals has been

estimated as 2.3X10-10 cu cm/molecule-sec at 25 deg C(SRC) using a structure estimation method(1). This corresponds to

an atmospheric half-life of about 1.7 hours at an atmospheric concentration of 5X10+5 hydroxyl radicals per cu cm(1).

Vitamin E has a UV absorption maxima at 292 nm(2) and, therefore, may be susceptible to direct photolysis by

sunlight(SRC). Vitamin E is reported to be unstable in the presence of light(3). It is gradually oxidized by atmospheric

oxygen producing a reddish color(2). Vitamin E is not expected to undergo hydrolysis in the environment due to the lack of

functional groups that hydrolyze under environmental conditions(4).

(1) US EPA; Estimation Program Interface (EPI) Suite. Ver. 4.11. Nov, 2012. Available from, as of July 28, 2015:

http://www.epa.gov/oppt/exposure/pubs/episuitedl.htm (2) Baldenius KU et al; Vitamins, 4. Vitamin E (Tocopherols, Tocotrienols).

Ullmann's Encyclopedia of Industrial Chemistry. 7th ed. (1999-2015). New York, NY: John Wiley & Sons. Online Posting Date: Oct 15,

2011. (3) Block JH; Vitamins, Survey. Kirk-Othmer Encyclopedia of Chemical Technology. (1999-2015). New York, NY: John Wiley &

Sons. Online Posting Date: Jun 16, 2006. (4) Lyman WJ et al; Handbook of Chemical Property Estimation Methods. Washington, DC:

Amer Chem Soc pp. 7-4, 7-5, 8-12 (1990)

 from HSDB

13.2.7 Bioconcentration 
An estimated BCF of 39 was calculated in fish for vitamin E(SRC), using an estimated log Kow of 12.2(1) and a regression-

derived equation(1). According to a classification scheme(2), this BCF suggests the potential for bioconcentration in aquatic

organisms is moderate(SRC), provided the compound is not metabolized by the organism(SRC).

(1) US EPA; Estimation Program Interface (EPI) Suite. Ver. 4.11. Nov, 2012. Available from, as of July 28, 2015:

http://www.epa.gov/oppt/exposure/pubs/episuitedl.htm (2) Franke C et al; Chemosphere 29: 1501-14 (1994)

 from HSDB

13.2.8 Soil Adsorption/Mobility 


Using a structure estimation method based on molecular connectivity indices(1), the Koc of vitamin E can be estimated to be

2.5X10+7(SRC). According to a classification scheme(2), this estimated Koc value suggests that vitamin E is expected to be

immobile in soil.

(1) US EPA; Estimation Program Interface (EPI) Suite. Ver. 4.11. Nov, 2012. Available from, as of July 28, 2015:

http://www.epa.gov/oppt/exposure/pubs/episuitedl.htm (2) Swann RL et al; Res Rev 85: 17-28 (1983)

 from HSDB

13.2.9 Volatilization from Water/Soil 


The Henry's Law constant for vitamin E is estimated as 7.9X10-5 atm-cu m/mole(SRC) using a fragment constant estimation

method(1). This Henry's Law constant indicates that vitamin E is expected to volatilize from water surfaces(2). Based on this

Henry's Law constant, the volatilization half-life from a model river (1 m deep, flowing 1 m/sec, wind velocity of 3 m/sec)(2) is

estimated as 29 hours(SRC). The volatilization half-life from a model lake (1 m deep, flowing 0.05 m/sec, wind velocity of 0.5

m/sec)(2) is estimated as 15 days(SRC). However, volatilization from water surfaces is expected to be attenuated by

adsorption to suspended solids and sediment in the water column(SRC). The estimated volatilization half-life from a model

pond is >10 years if adsorption is considered(3). Vitamin E's Henry's Law constant indicates that volatilization from moist soil

surfaces may occur(SRC), but volatilization from soil is expected to be attenuated by adsorption(SRC). Vitamin E is not

expected to volatilize from dry soil surfaces(SRC) based upon an estimated vapor pressure of 1.4X10-8 mm Hg(SRC),

determined from a fragment constant method(1).

(1) US EPA; Estimation Program Interface (EPI) Suite. Ver. 4.11. Nov, 2012. Available from, as of July 28, 2015:

http://www.epa.gov/oppt/exposure/pubs/episuitedl.htm (2) Lyman WJ et al; Handbook of Chemical Property Estimation Methods.

Washington, DC: Amer Chem Soc pp. 15-1 to 15-29 (1990) (3) US EPA; EXAMS II Computer Simulation (1987)

 from HSDB

13.2.10 Effluents Concentrations 


Vitamin E was detected at 0.4 mg/g organic carbon emitted following the combustion of red oak(1). It was not detected

following the combustion of red maple, paper birch, white pine, and balsam fir(1).

(1) Fine PM et al; Environ Sci Technol 35: 2655-2675 (2001)

 from HSDB

13.2.11 Sediment/Soil Concentrations 


SEDIMENT: Vitamin E was identified, not quantified, in sediment from 7 locations within the German Bight of the North

Sea(1).

(1) Schwarzbauer J et al; Org Geochem 31: 1713-1731 (2000)

 from HSDB

13.2.12 Food Survey Values 


Selected Food Sources of Vitamin E (Alpha-Tocopherol )(1).
Food Item, Serving size Milligrams/serving

Wheat germ oil, 1 tablespoon 20.3

Sunflower seeds, dry roasted, 1 ounce 7.4

Almonds, dry roasted, 1 ounce 6.8

Sunflower oil, 1 tablespoon 5.6

Safflower oil, 1 tablespoon 4.6

Hazelnuts, dry roasted, 1 ounce 4.3

Peanut butter, 2 tablespoons 2.9

Peanuts, dry roasted, 1 ounce 2.2

Corn oil, 1 tablespoon 1.9

Spinach, boiled, 1/2 cup 1.9

Broccoli, chopped, boiled, 1/2 cup 1.2

Soybean oil, 1 tablespoon 1.1

Kiwifruit, 1 medium 1.1

Mango, sliced, 1/2 cup 0.7

Tomato, raw, 1 medium 0.7

Spinach, raw, 1 cup 0.6

(1) NIH; Vitamin E. Fact Sheet for Health Professionals. Nat Institute Health, Office of Dietary Supplements. Available from, as of July

28, 2015: https://ods.od.nih.gov/factsheets/VitaminE-HealthProfessional/

 from HSDB

13.2.13 Plant Concentrations 


Vitamin E (as alpha-tocopherol) concentrations in plant oils (mg/100 g product): Canola, 21.0; Castor, 2.8; Coconut, 0.5;

Corn, 11.2; Cottonseed, 38.9; Olive, 11.9; Palm, 25.6; Palm kernel, 6.2; Peanut, 13.0; Rice bran, 32.4; Safflower, 34.2;

Sesame, 13.6; Soybean, 7.5; Sunflower, 48.7; Walnut, 56.3(1).

(1) EFSA; Opinion on mixed tocopherols, tocotrienol tocopherol and tocotrienols as sources for vitamin E added as a nutritional

substance in food supplements. The EFSA Journal 640: 1-34 (2008). Available from, as of July 28, 2015:

http://www.efsa.europa.eu/de/scdocs/doc/640.pdf

 from HSDB

Vitamin E detections in plants(1).

Concn
Genus species Family Common name Part
(ppm)

Triticum aestivum L. Poaceae Wheat Oil 2,170

Lepidium sativum L. Brassicaceae Garden Cress Oil 1,830

Triticum aestivum L. Poaceae Wheat Seed 1,271

Rheum rhabarbarum L. Polygonaceae Rhubarb Leaf 1,238

Daucus carota L. Apiaceae Carrot Leaf 788

Brassica oleracea var. sabellica Curly Kale, Kale, Kitchen Kale, Scotch
Brassicaceae Leaf 785
l. var. acephala DC Kale

Phaseolus vulgaris subsp. var. Black Bean, Field Bean, Green Bean,
Fabaceae Leaf 719
vulgaris Kidney Bean
Helianthus annuus L. Asteraceae Girasol, Sunflower Oil 622

Carthamus tinctorius L. Asteraceae Safflower Oil 449

Beta vulgaris subsp. subsp.


Chenopodiaceae Beet, Beetroot, Garden Beet, Sugar Beet Leaf 439
vulgaris

Brassica oleracea var. botrytis l.


Brassicaceae Cauliflower Leaf 439
var. botrytis L.

Spinacia oleracea L. Chenopodiaceae Spinach Leaf 419

Cowgrass, Peavine Clover, Purple Clover,


Trifolium pratense L. Fabaceae Inflorescence 400
Red Clover

Abelmoschus esculentus (L.)


Malvaceae Okra Oil 310
MOENCH

Bell Pepper, Cherry Pepper, Cone

Capsicum annuum L. Solanaceae Pepper, Green Pepper, Paprika, Sweet Fruit 284

Pepper

Glycine max (L.) MERR. Fabaceae Soybean Leaf 280

Prunus dulcis (MILLER) D. A.


Rosaceae Almond Seed 275
WEBB

Medicago sativa subsp. sativa Fabaceae Alfalfa, Lucerne Plant 257

Zea mays L. Poaceae Corn Oil 257

Petroselinum crispum (MILLER)


Apiaceae Parsley Leaf 252
NYMAN EX A. W. HILLL

Rosa canina L. Rosaceae Dog Rose, Dogbrier, Rose Fruit 204

Brassica rapa L. Brassicaceae Sarson Oil 189

Anethum graveolens L. Apiaceae Dill, Garden Dill Leaf 147

Lycopersicon esculentum
Solanaceae Tomato Fruit 143
MILLER

Lactuca sativa L. Asteraceae Lettuce Fruit 139

Ribes nigrum L. Grossulariaceae Black Currant; Fruit 120

Cucurbita pepo L. Cucurbitaceae Pumpkin Fruit 119

Olea europaea subsp. europaea Oleaceae Olive Oil 119

Arachis hypogaea L. Fabaceae Groundnut, Peanut Seed 116

Vaccinium corymbosum L. Ericaceae Blueberry Fruit 116

Glycine max (L.) MERR. Fabaceae Soybean Oil 95

Urtica dioica L. Urticaceae European Nettle, Stinging Nettle Leaf 94

Arachis hypogaea L. Fabaceae Groundnut, Peanut Oil 89

Prunus persica (L.) BATSCH Rosaceae Peach Fruit 86

American Cranberry, Cranberry, Large


Vaccinium macrocarpon AITON Ericaceae Fruit 81
Cranberry

Apium graveolens L. Apiaceae Celery Pt 67

Lepidium sativum L. Brassicaceae Garden Cress Leaf 66

Apium graveolens L. Apiaceae Celery Plant 64

Brassica oleracea var.


Brassicaceae Brussel-Sprout, Brussels-Sprouts Leaf 63
gemmifera var. gemmifera DC

Elaeis guineensis JACQ. Arecaceae African Oil Palm Fruit 75-125

Prunus domestica L. Rosaceae Plum Fruit 62

(1) USDA; Dr. Duke's Phytochemical and Ethnobotanical Databases. Plants with a chosen chemical. alpha-Tocopherol. Washington,

DC: US Dept Agric, Agric Res Service. Available from, as of July 28, 2015: http://www.ars-grin.gov/duke/

 from HSDB

13.2.14 Fish/Seafood Concentrations 


Vitamin E occurs in fish as part of the total tocopherol content(1).

(1) Casani R; Vitamin E. Kirk-Othmer Encyclopedia of Chemical Technology. (1999-2015). New York, NY: John Wiley & Sons. Online

Posting Date: Dec 4, 2000.

 from HSDB

13.2.15 Milk Concentrations 


ENVIRONMENTAL: Milk of nursing mothers on a normal diet contains 2-5 units of vitamin E per liter.

McEvoy, G.K. (ed.). American Hospital Formulary Service. AHFS Drug Information. American Society of Health-System Pharmacists,

Bethesda, MD. 2006., p. 3585

 from HSDB

ENVIRONMENTAL: Vitamin E is distributed into breast milk; however, problems in humans have not been documented with

intake of normal daily recommended amounts.

Thomson.Micromedex. Drug Information for the Health Care Professional. 25th ed. Volume 1. Plus Updates. Content Reviewed by the

United States Pharmacopeial Convention, Inc. Greenwood Village, CO. 2005., p. 2968

 from HSDB

ENVIRONMENTAL: The adequate supply of vitamins A and E to newborns is essential. However, factors such as maternal

nutritional status and nutrient interaction may limit its bioavailability. The aim of this study was to establish nutritional status

for vitamins A and E and evaluate the correlation of retinol on colostrum alpha-tocopherol in lactating women. A total of 103

lactating women were recruited at a Brazilian public maternity hospital. Fasting serum and colostrum samples were collected

in the immediate post-partum. Retinol and alpha-tocopherol levels were determined by high-performance liquid

chromatography and nutritional status for these vitamins was defined from specific cut-off points for serum and colostrum.

Mean serum and colostrum retinol (1.49 umol L(-1) , 2.18 umol L(-1)) and alpha-tocopherol (26.4 umol L(-1) , 26.1 umol

L(-1)) indicated satisfactory biochemical status. However, we found a prevalence of subclinical deficiency of vitamin A and

vitamin E in serum (15.5% and 16%) and colostrum (50% and 60%). Lactating women with serum retinol <1.05 umol L(-1)

showed an inverse correlation between serum retinol andalpha-tocopherol concentration in the colostrum (P = 0.008, r =

-0.28). This association was not observed in serum level < 1.05 umol L(-1) . The nutritional status of lactating women for

vitamins A and E was adequate, although there is a risk of subclinical deficiency. The negative correlation of serum retinol

on alpha-tocopherol concentration in the colostrum must be carefully evaluated in situations of vitamin A supplementation,

because alpha-tocopherol bioavailability in maternal milk may be compromised. Abstract: PubMed

de Lira LQ et al; Matern Child Nutr 9 (1): 31-40 (2013)

 from HSDB

EXPERIMENTAL: Vitamins A and E are recognisably important in the initial stages of life, and the newborn depends on

nutritional adequacy of breast milk to meet their needs. These vitamins share routes of transport to the tissues and

antagonistic effects have been observed in animals after supplementation with vitamin A. The present study aimed to

determine the effect of maternal supplementation with a megadose of retinyl palmitate in the immediate post-partum on

alpha-tocopherol concentration in the colostrum. Healthy parturient women at a Brazilian public maternity were recruited for

the study and divided into two groups: control (n = 37) and supplemented (n = 36). Blood and colostrum samples were

collected up to 16 hr post-partum. The supplemented group was administered with a retinyl palmitate capsule and, 24 hr

after the first collection, the second colostrum sample was obtained in the two groups for analysis of alpha-tocopherol. The

cut-off points for deficiency are <1.05 umol L(-1) for retinol and <11.6 umol L(-1) for alpha-tocopherol. The mean (SD) serum

concentration of 1.77 (0.50) umol L(-1) for retinol and 30.81 (6.46) umol L(-1) for alpha-tocopherolindicates an adequate

biochemical status. The supplemented group showed an increase of alpha-tocopherol in the colostrum 24hr after
supplementation (P = 0.04), and this finding was not observed in the control group. Supplementation with a 200,000 IU

megadose of vitamin A did not negatively affect alpha-tocopherol levels in colostrum Abstract: PubMed

Garcia L et al; J Hum Nutr Diet 23 (5): 529-34 (2010)

 from HSDB

EXPERIMENTAL: Vitamin E is distributed into breast milk.

Thomson.Micromedex. Drug Information for the Health Care Professional. 25th ed. Volume 1. Plus Updates. Content Reviewed by the

United States Pharmacopeial Convention, Inc. Greenwood Village, CO. 2005., p. 2968

 from HSDB

13.2.16 Probable Routes of Human Exposure 


NIOSH (NOES Survey 1981-1983) has statistically estimated that 6,957 workers (3,599 of these were female) were

potentially exposed to vitamin E in the US(1). Occupational exposure to vitamin E may occur through dermal contact with

this compound at workplaces where vitamin E is produced or used. Monitoring and use data indicate that the general

population may be exposed to vitamin E via ingestion of food and food supplements, and dermal contact with consumer

products containing vitamin E(SRC).

(1) NIOSH; NOES. National Occupational Exposure Survey conducted from 1981-1983. Estimated numbers of employees potentially

exposed to specific agents by 2-digit standard industrial classification (SIC). Available from, as of July 28, 2015:

http://www.cdc.gov/noes/

 from HSDB

13.2.17 Body Burdens 


/Stored in/ ... all body tissues, especially fatty tissues. ... Vitamin E is distributed into breast milk.

Thomson.Micromedex. Drug Information for the Health Care Professional. 25th ed. Volume 1. Plus Updates. Content Reviewed by the

United States Pharmacopeial Convention, Inc. Greenwood Village, CO. 2005., p. 2968

 from HSDB

Milk of nursing mothers on a normal diet contains 2-5 units of vitamin E per liter.

McEvoy, G.K. (ed.). American Hospital Formulary Service. AHFS Drug Information. American Society of Health-System Pharmacists,

Bethesda, MD. 2006., p. 3585

 from HSDB
PMID Date Title Journal

14 Literature 
14.1 Depositor Provided PubMed Citations 
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1 to 10 of 61 1 2 3 ... 7

 Date

PMID Date Title Journal

Bioorganic &
Synthesis and SAR studies of 1, 4-benzoxazine MenB inhibitors: novel
20850304 2010-11-01 medicinal chemistry
antibacterial agents against Mycobacterium tuberculosis.
letters

Antioxidants can inhibit basal autophagy and enhance Human molecular


20566712 2010-09-01
neurodegeneration in models of polyglutamine disease. genetics

22254062 2010-08-01 The role of phytonutrients in skin health. Nutrients

Superparamagnetic iron oxide--loaded poly(lactic acid)-D-alpha-

20434210 2010-07-01 tocopherol polyethylene glycol 1000 succinate copolymer Biomaterials

nanoparticles as MRI contrast agent.

Langmuir : the ACS


Solubilization of vitamin E into H(II) LLC mesophase in the presence
20175578 2010-03-02 journal of surfaces
and in the absence of vitamin C.
and colloids

European journal of
19823814 2010-02-01 Dosage and formulation issues: oral vitamin E therapy in children.
clinical pharmacology

International journal
20559505 2010-01-01 Lutein protects RGC-5 cells against hypoxia and oxidative stress.
of molecular sciences

Hepatitis C virus infection: molecular pathways to steatosis, insulin


21994542 2009-09-01 Viruses
resistance and oxidative stress.

Journal of

Isoforms of vitamin E have opposing immunoregulatory functions immunology


19299740 2009-04-01
during inflammation by regulating leukocyte recruitment. (Baltimore, Md. :

1950)

Modulation of inflammation by vitamin E and C supplementation prior Free radical biology &
19111610 2009-03-01
to anterior cruciate ligament surgery. medicine

 from PubChem
Patent ID Date Patent Title

15 Patents 
15.1 Depositor-Supplied Patent Identifiers 
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1 to 10 of 930 1 2 3 ... 93

 Date

Patent ID Date Patent Title

US2016074451 2016-03-17 PHARMACEUTICAL COMPOSITION AND METHOD OF MANUFACTURING

US2016075823 2016-03-17 POLYCARBONATE MOLDED ARTICLE

US2016075860 2016-03-17 AN ETHYLENE-BASED COMPOSITION

US2016032078 2016-02-04 STABILIZED POLYMER COMPOSITIONS AND METHODS OF MAKING SAME

US2015374603 2015-12-31 HAIR GROWTH COMPOSITION AND METHOD

US9206314 2015-12-08 Resin composition and molded article thereof

US2015335737 2015-11-26 ADJUVANT COMPOSITIONS AND METHODS OF USE

US9186386 2015-11-17 Pharmaceutical composition and method of manufacturing

US2015309021 2015-10-29 Advanced Drug Development and Manufacturing

US2015297550 2015-10-22 SUSTAINED RELEASE OF TOPICAL ANESTHETICS

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Substance BioAssay
Activity BioAssay Name
SID AID
16 Biological Test Results 
16.1 BioAssay Results 
 Refine/Analyze  Download

1 to 10 of 239 1 2 3 ... 24

 Activity

Substance BioAssay
Activity BioAssay Name
SID AID

Counterscreen qHTS for Inhibitors of Tau Fibril Formation, Fluorescence


Inconclusive 26749212 1463
Polarization

Inconclusive 26749212 1519 qHTS Assay for Lipid Storage Modulators

Screen for compounds that inhibit mitochondrial permeability transition


Inconclusive 8149176 1580
(MitoPT)

Screen of Compounds to Block PAR4 - aPKC Interaction for Treatment of


Inconclusive 8149176 1581
Neurodegeneration (Par4_PKC)

Yeast cell-based screen for Novel HDAC inhibitors using a PHO84-LacZ


Inconclusive 8149176 1582
reporter gene (PHO84)

Inconclusive 8149176 1584 Screen for compounds that inhibit in vitro mutant huntingtin aggregation (QA1)

Screen for compounds that inhibit the ability of solid phase synthetic
Inconclusive 8149176 1585 polyglutamine aggregates to elongate by incorporating solution-phase biotin-

tagged, monomeric polyglutamine (QA3)

A 2-Hybrid Test for Interactions Between Polyglutamine-Containing Proteins in


Inconclusive 8149176 1586
the Yeast Nucleus (Qn2Hy)

Screen for compounds that increase the expression of EAAT-2 in rat spinal
Inconclusive 8149176 1587
cord organotypic slice cultures (X4_EAAT2)

Screen for compounds that reduce polyglutamine aggregation as measured by


Inconclusive 8149176 1588
turbidity (QTHIO)

 from PubChem
17 Classification 
17.1 Ontologies 
17.1.1 KEGG: ATC 
 Refine/Analyze  Download

1 to 1 of 1  List View  Tree View

Tocopherol (JP17)

 from KEGG

17.1.2 KEGG: JP15 


 Refine/Analyze  Download

1 to 1 of 1  List View  Tree View

Tocopherol

 from KEGG

17.1.3 KEGG: Risk Category of Japanese OTC Drugs 


 Refine/Analyze  Download

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Tocopherol (JP17)

 from KEGG

17.1.4 KEGG: OTC drugs 


 Refine/Analyze  Download

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Tocopherol (JP17)

 from KEGG
17.1.5 WIPO IPC 
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1 to 10 of 1,309 1 2 3 ... 131  List View  Tree View

A61P11/06 - Antiasthmatics

A61P13/08 - of the prostate

A61P13/10 - of the bladder

A61P13/12 - of the kidneys

A61P15/00 - Drugs for genital or sexual disorders; Contraceptives

A61P15/10 - for impotence

A61P15/12 - for climacteric disorders

A61P17/00 - Drugs for dermatological disorders

A61P17/02 - for treating wounds, ulcers, burns, scars, keloids, or the like

A61P17/04 - Antipruritics

 from WIPO
18 Information Sources

1. HSDB /source/HSDB

VITAMIN E

http://toxnet.nlm.nih.gov/cgi-bin/sis/search/r?dbs+hsdb:@term+@rn+@rel+59-02-9 http://toxnet.nlm.nih.gov/cgi-bin/sis/search/r?

dbs+hsdb:@term+@rn+@rel+59-02-9

2. NIST /source/NIST

dl-.alpha.-Tocopherol

http://www.nist.gov/srd/nist1a.cfm http://www.nist.gov/srd/nist1a.cfm

3. FAO/WHO Food Additive Evaluations - JECFA /source/FAO/WHO Food Additive Evaluations -

JECFA

dl-alpha-TOCOPHEROL

http://apps.who.int/food-additives-contaminants-jecfa-database/chemical.aspx?chemID=3025 http://apps.who.int/food-additives-

contaminants-jecfa-database/chemical.aspx?chemID=3025

4. European Chemicals Agency - ECHA /source/European Chemicals Agency - ECHA

Vitamin E

https://echa.europa.eu/ https://echa.europa.eu/

5. PubChem

Data deposited in or computed by PubChem

https://pubchem.ncbi.nlm.nih.gov https://pubchem.ncbi.nlm.nih.gov

6. KEGG /source/KEGG

ATC

http://www.genome.jp/dbget-bin/www_bget?brite:br08303 http://www.genome.jp/dbget-bin/www_bget?brite:br08303

JP17

http://www.genome.jp/dbget-bin/www_bget?brite:br08311 http://www.genome.jp/dbget-bin/www_bget?brite:br08311

Risk category of Japanese OTC drugs

http://www.genome.jp/dbget-bin/www_bget?brite:br08312 http://www.genome.jp/dbget-bin/www_bget?brite:br08312

OTC drugs

http://www.genome.jp/dbget-bin/www_bget?brite:br08313 http://www.genome.jp/dbget-bin/www_bget?brite:br08313

7. WIPO /source/WIPO

International Patent Classification

http://www.wipo.int/classifications/ipc/ http://www.wipo.int/classifications/ipc/

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