MARKETING AFRICA ISSUE 12/16 | Page 75

Vitamin A and Immunity The immune system protects the body against infection and disease. It is a complex and integrated system of cells, tissues, and organs that have specialized roles in defending against foreign substances and pathogenic microorganisms, including bacteria, viruses, and fungi. One of the earliest signs of vitamin A deficiency is night blindness, which can lead to permanent blindness if left unaddressed. Vitamin A deficiency also lowers your immune function, thereby raising your risk of complications from infectious diseases. It also contributes to Hormonal imbalances, Infertility, Mood disorders, Skin problems such as eczema and acne, and Thyroid dysfunction. Strict vegans who avoid all animalbased foods and alcoholics are two groups that tend to be more prone to vitamin A deficiency than the general population. Vitamin A-deficient individuals are vulnerable to certain infections, such as measles, malaria, and diarrheal diseases. Subclinical vitamin A deficiency might increase risk of infection as well. Infections can, in turn, lead to vitamin A deficiency in a number of different ways, for example, by reducing food intake, impairing vitamin absorption, increasing vitamin excretion, interfering with vitamin utilization, or increasing metabolic requirements of vitamin A. Consuming a well-rounded, nutrientdense diet, with plenty of vegetables and healthy fats, will go a long way toward warding off vitamin A Experimental studies in animal models, along with epidemiological studies, have shown that vitamin A deficiency leads to immunodeficiency ! and increases the risk of infectious diseases. Vitamin A and its deficiency and other serious nutrient metabolites play critical roles in both innate and adaptive immunity. imbalances. Vitamin A Benefits Your Vision Vitamin A is very important for good vision. Lutein and zeaxanthin are particularly crucial for preventing age-related macular degeneration, the most common cause of blindness among the elderly. Vitamin A affects vision primarily by regulating gene expression, but in order for this to occur, it must be activated in a twostep process, converting from retinol to retinal, and finally to retinoic acid. Retinal binds to a protein known as opsin, forming a vitamin-protein complex known as rhodopsin. Each photon of light that enters our eye and collides with rhodopsin causes the retinal to change shape and release itself from the complex. This event then translates into an electrical impulse that our optic nerve transmits to our brain. The brain synthesizes myriad such electrical impulses at every moment and interprets them as vision. While the function of opsin is to help generate visual images by binding and releasing vitamin A, opsin can only maintain its proper shape and function when it is bound to zinc. In addition, zinc supports the conversion of retinol to retinal, the form of vitamin A that binds to opsin. In innate immunity, the skin and mucosal cells of the eye and respiratory, gastrointestinal, and genitourinary tracts function as a barrier against infections. Vitamin A helps to maintain the structural and functional integrity of these mucosal cells. Thus, vitamin A deficiency compromises the integrity of this first line of defense, thereby increasing susceptibility to some types of infection, such as eye, respiratory, gastrointestinal, and genitourinary infections. Vitamin A is also crucial to the normal function of several types of immune cells important in the innate response, including natural killer (NK) cells, macrophages, and neutrophils. Moreover, vitamin A is needed for proper function of cells that mediate adaptive immunity, su ch as T and B cells; thus, vitamin A is necessary for the generation of antibody responses to specific antigens. Kepha Nyanumba is a seasoned Marketing Africa Magazine columnist working as a Consultant Nutritionist at AAR Healthcare Limited. You can engage him on this or related matters via mail: [email protected] or follow him on twitter: knyanumba, Blog: kephanyanumba.blogspot.com.