Cited by 439Retinoids in leukemia and cellular processesRetinal Development and DisordersBirth, Development, and Health

Vitamin A in Reproduction and Development

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Clagett-Dame, Margaret, Knutson, Danielle·2011·Nutrients

Abstract

The requirement for vitamin A in reproduction was first recognized in the early 1900’s, and its importance in the eyes of developing embryos was realized shortly after. A greater understanding of the large number of developmental processes that require vitamin A emerged first from nutritional deficiency studies in rat embryos, and later from genetic studies in mice. It is now generally believed that all-trans retinoic acid (RA) is the form of vitamin A that supports both male and female reproduction as well as embryonic development. This conclusion is based on the ability to reverse most reproductive and developmental blocks found in vitamin A deficiency induced either by nutritional or genetic means with RA, and the ability to recapitulate the majority of embryonic defects in retinoic acid receptor compound null mutants. The activity of the catabolic CYP26 enzymes in determining what tissues have access to RA has emerged as a key regulatory mechanism, and helps to explain why exogenous RA can rescue many vitamin A deficiency defects. In severely vitamin A-deficient (VAD) female rats, reproduction fails prior to implantation, whereas in VAD pregnant rats given small amounts of carotene or supported on limiting quantities of RA early in organogenesis, embryos form but show a collection of defects called the vitamin A deficiency syndrome or late vitamin A deficiency. Vitamin A is also essential for the maintenance of the male genital tract and spermatogenesis. Recent studies show that vitamin A participates in a signaling mechanism to initiate meiosis in the female gonad during embryogenesis, and in the male gonad postnatally. Both nutritional and genetic approaches are being used to elucidate the vitamin A-dependent pathways upon which these processes depend.

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Crossref · 10.3390/nu3040385

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  • Vitamin A or retinol is essential for human survival at every point, from embryogenesis to adulthood.

    “Vitamin A or retinol is essential for human survival at every point, from embryogenesis to adulthood ( 2,3 ).”

    From Vitamin A and retinoid signaling: genomic and nongenomic effects (2013) · cites this paper as [3]

    The Abstract and Section 3.4 describe vitamin A’s role in reproduction and embryonic development, while Section 1 (Background) calls it an essential micronutrient and describes its role in growth and tissue maintenance. The evidence discussed is largely from animal studies; these passages do not establish the stronger claim that vitamin A is essential for human survival at every point from embryogenesis to adulthood. (LLM, conf=0.84)

    Experimental — accuracy not yet measured
  • Several studies show a connection between maternal vitamin A deficiency and diabetes mellitus in adulthood and gestational diabetes, and vitamin A deficiency affects fetal endocrine pancreas development.

    “Moreover, several studies show a connection between maternal vitamin A deficiency and diabetes mellitus in adulthood and gestational diabetes. During pregnancy, as shown by several animal studies, vitamin A deficiency affects fetal development negatively, particularly in endocrine pancreas development, suggesting a dominant impact of this micronutrient in the diabetic pathogenesis [128,129].”

    From Maternal Overnutrition and Fetal Programming: Long-Term Metabolic, Cognitive, and Epigenetic Consequences (2026) · cites this paper as [129]

    Section 3.14 (Pancreas; page unavailable) reports that retinoic acid is required for early dorsal pancreas development in mice and that deficient signaling disrupts pancreatic specification. It does not establish an effect specifically on the fetal endocrine pancreas, and the passages do not report a connection between maternal vitamin A deficiency and adult or gestational diabetes. The section also notes that pancreatic defects were not observed as part of the vitamin A deficiency syndrome. (LLM, conf=0.86)

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  • Excess vitamin A has teratogenic effects; a vitamin A intake exceeding 10,000 UI at the beginning of the first trimester can lead to serious congenital malformations involving the central nervous system and cardiovascular system, causing miscarriage in the most serious cases.

    “It is widely known that, conversely, excess vitamin A has teratogenic effects. A vitamin A intake exceeding 10,000 UI at the beginning of the first trimester can lead to serious congenital malformations involving the central nervous system and cardiovascular system, causing miscarriage in the most serious cases.”

    From Maternal Overnutrition and Fetal Programming: Long-Term Metabolic, Cognitive, and Epigenetic Consequences (2026) · cites this paper as [129]

    Split into 2 atoms — 1 confirmed, 1 partially supported, 0 disputed, 0 misattributed, 0 unverifiable. Expand the claim to see per-atom verdicts.

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  • Vitamin A is a vital micronutrient during pregnancy for both the mother and the baby, playing a key role in vision, cell differentiation, eye health, bone formation, immune function, and embryonic development.

    “Vitamin A is a vital micronutrient during pregnancy for both the mother and the baby. It plays a key role in vision, as it is a precursor of rhodopsin, a crucial pigment in retinal photoreceptor cells. It is also involved in cell differentiation, helps preserve eye health, and prevents xerophthalmia; its deficiency remains the leading cause of avoidable blindness worldwide.”

    From Maternal Overnutrition and Fetal Programming: Long-Term Metabolic, Cognitive, and Epigenetic Consequences (2026) · cites this paper as [129]

    The Female Reproduction section says maternal vitamin A status throughout pregnancy is critical to reproductive outcome, and the Eye Development section documents its role in embryonic eye development. The cited passages do not establish the printed sentence’s specific claims about rhodopsin, xerophthalmia, or vitamin A deficiency being the leading cause of avoidable blindness worldwide. The supplied paraphrase also adds immune function, which these passages do not support. (LLM, conf=0.86)

    Experimental — accuracy not yet measured
  • Vitamin A deficiency is a major cause of anemia and influences hematopoiesis, iron metabolism, and immune function.

    “Vitamin A deficiency is a major cause of anemia. Recent studies have shown that vitamin A supplementation during pregnancy increases hemoglobin levels. Although the exact mechanism linking serum retinol levels and anemia is not yet fully understood, it is clear that vitamin A influences hematopoiesis, iron metabolism, and immune function.”

    From Maternal Overnutrition and Fetal Programming: Long-Term Metabolic, Cognitive, and Epigenetic Consequences (2026) · cites this paper as [129]

    The passages in §§2.2 and 3.1 discuss reproductive outcomes and embryonic defects from vitamin A deficiency, not anemia. Searches for anemia, hemoglobin, hematopoiesis, iron metabolism, and immune function found no passage in our copy addressing the attributed claim. (LLM, conf=0.76)

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Cited by

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Authors
Clagett-Dame, M., & Knutson, D.
Affiliations
  • Department of Biochemistry, University of Wisconsin-Madison, 433 Babcock Drive, Madison, WI 53706, USA
  • University of Wisconsin–Madison (US)
Venue
Nutrients
Publisher
MDPI AG
Published
2011-03-29
Volume
3
Issue
4
Pages
385-428
ISSN
2072-6643 (ISSN-L)
OpenAlex
W2068902736
Cited by
439
References
309
Citations by year
2026: 27 · 2025: 28 · 2024: 43 · 2023: 46 · 2022: 25 · 2021: 31 · 2020: 36 · 2019: 34 · 2018: 24 · 2017: 24 · 2016: 26 · 2015: 28 · 2014: 28 · 2013: 18 · 2012: 18
FWCI
1.94
Type
journal article
Language
en
Open access
Locations
  • Nutrients (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
  • National Institutes of Health (5p01dk014881-28)
  • National Cancer Institute (CA49837, R01CA049837)
  • National Institute of Diabetes and Digestive and Kidney Diseases (DK-14881, T32-DK-07665, T32DK007665)
Topics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Retinoids in leukemia and cellular processes
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Retinal Development and Disorders
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Birth, Development, and Health
Keywords
vitamin A, all-trans retinoic acid, reproduction, embryonic development, vitamin A deficiency, retinoic acid receptor, spermatogenesis, male genital tract, meiosis initiation, organogenesis, carotene
MeSH terms
Retinoic Acid 4-Hydroxylase, Animals, Cytochrome P-450 Enzyme System, Diet, Eye, Female, Infertility, Male, Maternal-Fetal Exchange, Oocytes, Ovary, Pregnancy, Reproduction, Spermatogenesis, Vitamin A, Vitamin A Deficiency, Organogenesis, Embryonic Development, Rats

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