Generic descriptor for all tocopherols and tocotrienols that exhibit alpha-tocopherol activity
Vitamin E
Drug class
The RRR alpha-tocopherol form of vitamin E
Class identifiers
Use
Vitamin E deficiency, antioxidant
ATC code
A11HA03
Biological target
Reactive oxygen species
Clinical data
Drugs.com
MedFacts Natural Products
External links
MeSH
D014810
Legal status
In Wikidata
Vitamin E is a group of eight fat soluble compounds that include four tocopherols and four tocotrienols.[1][2] Vitamin E deficiency, which is rare and usually due to an underlying problem with digesting dietary fat rather than from a diet low in vitamin E,[3] can cause nerve problems.[4] Vitamin E is a fat-soluble antioxidant which may help protect cell membranes from reactive oxygen species.[2][4] Worldwide, government organizations recommend adults consume in the range of 3 to 15 mg per day. As of 2016, consumption was below recommendations according to a worldwide summary of more than one hundred studies that reported a median dietary intake of 6.2 mg per day for alpha-tocopherol.[5]
Population studies suggested that people who consumed foods with more vitamin E, or who chose on their own to consume a vitamin E dietary supplement, had lower incidence of cardiovascular diseases, cancer, dementia, and other diseases. However, placebo-controlled clinical trials using alpha-tocopherol as a supplement, with daily amounts as high as 2,000 mg per day, could not always replicate these findings.[2] In the United States vitamin E supplement use peaked around 2002, but has declined by more than half by 2006. The authors theorized that declining use may have been due to publications of large placebo-controlled studies that showed either no benefits or actual negative consequences from high-dose vitamin E.[6][7][8]
Both natural and synthetic tocopherols are subject to oxidation, so dietary supplements are esterified, creating tocopheryl acetate for stability purposes.[2][9] Tocopherols and tocotrienols both occur in α (alpha), β (beta), γ (gamma), and δ (delta) forms, as determined by the number and position of methyl groups on the chromanol ring.[4][10] All eight of these vitamers feature a chromane double ring, with a hydroxyl group that can donate a hydrogen atom to reduce free radicals, and a hydrophobic side chain that allows for penetration into biological membranes.
Vitamin E was discovered in 1922, isolated in 1935, and first synthesized in 1938. Because the vitamin activity was first identified as essential for fertilized eggs to result in live births (in rats), it was given the name "tocopherol" from Greek words meaning birth and to bear or carry. Alpha-tocopherol, either naturally extracted from plant oils or, most commonly, as the synthetic tocopheryl acetate, is sold as a popular dietary supplement, either by itself or incorporated into a multivitamin product, and in oils or lotions for use on skin.
^Traber MG, Bruno RS (2020). "Vitamin E". In BP Marriott, DF Birt, VA Stallings, AA Yates (eds.). Present knowledge in nutrition, eleventh edition. London, United Kingdom: Academic Press (Elsevier). pp. 115–36. ISBN 978-0-323-66162-1.
^ abcd"Vitamin E". Micronutrient Information Center, Linus Pauling Institute, Oregon State University. October 2015. Retrieved 3 August 2019.
^Cite error: The named reference DRItext was invoked but never defined (see the help page).
^ abc"Vitamin E". Office of Dietary Supplements, U.S. National Institutes of Health. 12 July 2019. Retrieved 3 August 2019.
^Cite error: The named reference Peter2016 was invoked but never defined (see the help page).
^Cite error: The named reference Kim2014 was invoked but never defined (see the help page).
^Cite error: The named reference Tilburt2008 was invoked but never defined (see the help page).
^Bjelakovic G, Nikolova D, Gluud C (2013). "Meta-regression analyses, meta-analyses, and trial sequential analyses of the effects of supplementation with beta-carotene, vitamin A, and vitamin E singly or in different combinations on all-cause mortality: do we have evidence for lack of harm?". PLOS ONE. 8 (9): e74558. Bibcode:2013PLoSO...874558B. doi:10.1371/journal.pone.0074558. PMC 3765487. PMID 24040282.
^Braunstein MH (March 2006). Focus on vitamin E research. Nova Science Publishers. p. vii. ISBN 978-1-59454-971-7.
^Cite error: The named reference Brigelius1999 was invoked but never defined (see the help page).
VitaminE is a group of eight fat soluble compounds that include four tocopherols and four tocotrienols. VitaminE deficiency, which is rare and usually...
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Dr. Cilento had used alpha-tocopherol (vitaminE) to soften scar tissue in her patients, noting that vitaminE restored circulation to dead-looking toes...
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