T. Nikawa et al., Vitamin A prevents the decline in immunoglobulin A and Th2 cytokine levelsin small intestinal mucosa of protein-malnourished mice, J NUTR, 129(5), 1999, pp. 934-941
We examined whether vitamin A improved mucosal immune depression in mice wi
th wasting protein deficiency. In male C3H/HeN mice fed a semi-purified 1%
protein diet for 2 wk, plasma retinol and immunoglobulin A (IgA) concentrat
ions in the small intestinal mucosa were 50 and 55%, respectively, of those
in mice fed a semi-purified 20% protein diet, (P < 0.05). Daily supplement
ation of 0.3 mg of retinyl acetate to protein-deficient mice for 2 wk incre
ased the plasma retinol level to the value in the protein-sufficient mice.
However, 1 mg/d of retinyl acetate was required to prevent the decline of t
he IgA level caused by the protein deficiency. Mice fed the low-protein die
t had lower concentrations of IL-4 and IL-5 in the small intestinal mucosa
and fewer IL-4- and IL-5-containing cells in the lamina propria (P < 0.05).
Retinyl acetate(1 mg) significantly restored the IL-5 level and the number
of IL-4- and IL-5-containing cells. After immunization with 20 mu g of cho
lera toxin (CT), the intestinal mucosa of protein-deficient mice contained
significantly less CT-specific IgA than control mice. Treatment with 1 mg o
f retinyl acetate prevented the decline of anti-CT IgA level in the protein
-deficient mice, improving their survival rate after an exposure to 0.1 mg
of CT. These results suggest that large oral supplements of vitamin A may p
reserve mucosal IgA level during protein malnutrition, possibly by stimulat
ing Th2 cytokine production and thereby, inducing resistance against infect
ion.