Advances in molecular biology and retinoic acid receptor research have sign
ificantly contributed to the understanding of the role of vitamin A during
vertebrate development. Examination of the function of this vitamin during
very early developmental stages using the completely vitamin A-depleted avi
an embryo has revealed that the vitamin A requirement begins at the time of
formation of the primitive heart, circulation and specification of hindbra
in. The lack of vitamin A at this critical time results in gross abnormalit
ies and early embryonic death. In rodent models, vitamin A deficiency can b
e targeted to later gestational windows and documents the need for vitamin
A for more advanced stages of development. Major target tissues of Vitamin
A deficiency include the heart, central nervous system and structures deriv
ed from it, the circulatory, urogenital and respiratory systems, and the de
velopment of skull, skeleton and limbs. These abnormalities are also eviden
t in mice mutants from retinoid receptor knockouts; they have revealed both
morphological and molecular aspects of vitamin A function during developme
nt. Retinoic acid receptors (RAR) in partnership with retinoid X receptor (
RXR)alpha appear to be the important retinoid receptor transcription factor
s regulating vitamin A function at the gene level during development via th
e physiologic ligand all-trans-retinoic acid. Homeostasis of retinoic acid
is maintained by developmentally regulated vitamin A metabolism enzyme syst
ems. Inadequate vitamin A nutrition during early pregnancy may account for
some pediatric congenital abnormalities.