Nutrient chapter

Vitamin E

Vitamin E comprises related tocopherols and tocotrienols. Follow their transport, membrane protection, deficiency effects and nutrient interactions. Individual forms and experimental outcomes have separate records.

110 recorded mechanisms · 24 availability situations · 5 preserved sources. Draft and verified records are labeled separately.

The mechanisms

What the sources say this nutrient does, one relationship at a time. Plain wording comes first; the technical statement follows.

  1. Co-incubation with tocopherol significantly impaired cholecalciferol uptake in Caco-2 cells.

    Alpha-tocopherol → Intestinal cholecalciferol uptake source_derived_draftungraded
    Experimental context and source evidence
    cross_nutrient
    true
    evidence_location
    Primary abstract, Methods and results; exact incubation concentrations/durations unavailable in abstract.
    experimental_model
    Caco-2 apical uptake assay
    exposure
    Tocopherol and cholecalciferol co-incubation; dose/time unavailable in primary abstract.
    limitations
    The primary abstract says tocopherol; the authors' subsequent primary paper identifies it as alpha-tocopherol. No evidence here warrants separating normal oral supplements or diagnosing D malabsorption.
    nutrient
    Vitamin D2 and D3 · Vitamin D2 and D3
    nutrient_topic
    Vitamin D2 and D3 research collection; topical membership is not evidence of a direct dietary effect. · Vitamin D2 and D3
    organism
    Homo sapiens
    plain_language
    Vitamin E competed with D3 uptake in an intestinal cell model.
    primary_references
    [reboul2011] Vitamin D intestinal absorption is not a simple passive diffusion: evidences for involvement of cholesterol transporters. (2011). https://pubmed.ncbi.nlm.nih.gov/21280209/ DOI: 10.1002/mnfr.201000553 [goncalves2015] Fat-soluble vitamin intestinal absorption: absorption sites in the intestine and interactions for absorption. (2015). https://pubmed.ncbi.nlm.nih.gov/25442537/ DOI: 10.1016/j.foodchem.2014.09.021
    tissue_or_cell_type
    Caco-2 intestinal epithelial model

    Vitamin D2 and D3: mechanisms, deficiency and nutrient interactions (2026-09-17) · lines 211–225

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Caco-2 apical uptake assay · source_derived_draft · unverified_draft

    ### vd-act-tocopherol-uptake-competition Co-incubation with tocopherol significantly impaired cholecalciferol uptake in Caco-2 cells. Condition category: normal nutrient_topic: Vitamin D2 and D3 research collection; topical membership is not evidence of a direct dietary effect. plain_language: Vitamin E competed with D3 uptake in an intestinal cell model. organism: Homo sapiens tissue_or_cell_type: Caco-2 intestinal epithelial model experimental_model: Caco-2 apical uptake assay limitations: The primary abstract says tocopherol; the authors' subsequent primary paper identifies it as alpha-tocopherol. No evidence here warrants separating normal oral supplements or diagnosing D malabsorption. exposure: Tocopherol and cholecalciferol co-incubation; dose/time unavailable in primary abstract. cross_nutrient: true evidence_location: Primary abstract, Methods and results; exact incubation concentrations/durations unavailable in abstract. nutrient: Vitamin D2 and D3 [reboul2011] Vitamin D intestinal absorption is not a simple passive diffusion: evidences for involvement of cholesterol transporters. (2011). https://pubmed.ncbi.nlm.nih.gov/21280209/ DOI: 10.1002/mnfr.201000553 [goncalves2015] Fat-soluble vitamin intestinal absorption: absorption sites in the intestine and interactions for absorption. (2015). https://pubmed.ncbi.nlm.nih.gov/25442537/ DOI: 10.1016/j.foodchem.2014.09.021
    Complete structured claim and evidence
  2. Isx-deficient mice had higher hepatic alpha-tocopherol; the Isx/Bco2 double mutant showed about twice wild-type levels.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    cross_nutrient
    Retinoid/ISX control of a shared intestinal transporter affects vitamin E status.
    evidence_location
    Figure 7
    experimental_model
    Isx, Bco1, Bco2 and Scarb1 mouse mutants; promoter binding and controlled diets.
    exposure
    Females; ten weeks of AIN93G with 75 IU vitamin E/kg, with or without 50 mg zeaxanthin/kg.
    limitations
    Accumulation is not a clinical benefit; compound mutants had a larger effect than Isx single mutants.
    nutrient_topic
    Vitamin A research collection; topical membership is not evidence of a direct dietary effect. · Vitamin A
    organism
    Mus musculus
    outcome
    Isx-deficient mice had higher hepatic alpha-tocopherol; the Isx/Bco2 double mutant showed about twice wild-type levels.
    plain_language
    Disrupting vitamin A feedback also changed vitamin E accumulation.
    primary_references
    [va-widjajaadhi-2015] A genetic dissection of intestinal fat-soluble vitamin and carotenoid absorption (2015). https://pmc.ncbi.nlm.nih.gov/articles/PMC4424956/ DOI: 10.1093/hmg/ddv072
    tissue_or_cell_type
    Jejunum and liver
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    Vitamin A: forms, mechanisms, deficiency and excess (2026-09-17) · lines 302–315

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Isx, Bco1, Bco2 and Scarb1 mouse mutants; promoter binding and controlled diets. · source_derived_draft · unverified_draft

    ### va-isx-loss-tocopherol Isx-deficient mice had higher hepatic alpha-tocopherol; the Isx/Bco2 double mutant showed about twice wild-type levels. Condition category: machinery_impairment nutrient_topic: Vitamin A research collection; topical membership is not evidence of a direct dietary effect. plain_language: Disrupting vitamin A feedback also changed vitamin E accumulation. organism: Mus musculus tissue_or_cell_type: Jejunum and liver experimental_model: Isx, Bco1, Bco2 and Scarb1 mouse mutants; promoter binding and controlled diets. limitations: Accumulation is not a clinical benefit; compound mutants had a larger effect than Isx single mutants. exposure: Females; ten weeks of AIN93G with 75 IU vitamin E/kg, with or without 50 mg zeaxanthin/kg. outcome: Isx-deficient mice had higher hepatic alpha-tocopherol; the Isx/Bco2 double mutant showed about twice wild-type levels. evidence_location: Figure 7 cross_nutrient: Retinoid/ISX control of a shared intestinal transporter affects vitamin E status. [va-widjajaadhi-2015] A genetic dissection of intestinal fat-soluble vitamin and carotenoid absorption (2015). https://pmc.ncbi.nlm.nih.gov/articles/PMC4424956/ DOI: 10.1093/hmg/ddv072
    Complete structured claim and evidence
  3. Aqueous ascorbate reduced bilayer alpha-tocopheroxyl radical back to alpha-tocopherol in oxidizing soybean phosphatidylcholine liposomes; the reported apparent bimolecular rate constant was about 2 × 10^5 M^-1 s^-1 under those conditions.

    L-Ascorbate → Alpha-tocopherol source_derived_draftungraded
    Experimental context and source evidence
    cross_nutrient
    true
    evidence_location
    Primary abstract radical accessibility and kinetic result
    experimental_model
    Soybean L-alpha-phosphatidylcholine liposomes undergoing Fe(III)-triethylenetetramine-initiated peroxidation; EPR, optical and polarographic measurements
    exposure
    Aqueous ascorbic acid described as physiological concentration in abstract (exact dose unavailable); bilayer alpha-tocopheroxyl radical detected at 10^-8–10^-7 M.
    limitations
    Membrane composition, radical initiator and assay conditions determine kinetics; no human clinical benefit or universal membrane rate is established.
    nutrient_topic
    Vitamin C research collection; topical membership is not evidence of a direct dietary effect. · Vitamin C
    organism
    Glycine max lipid preparation; cell-free
    plain_language
    Vitamin C recycled the vitamin E radical back into vitamin E across this artificial membrane-water interface.
    primary_references
    [c-reg-scarpa] Formation of alpha-tocopherol radical and recycling of alpha-tocopherol by ascorbate during peroxidation of phosphatidylcholine liposomes. An electron paramagnetic resonance study. (1984). https://pubmed.ncbi.nlm.nih.gov/6089911/ DOI: 10.1016/0304-4165(84)90070-9
    tissue_or_cell_type
    Artificial liposomes

    Vitamin C: mechanisms, deficiency and nutrient interactions (2026-09-17) · lines 1201–1213

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Soybean L-alpha-phosphatidylcholine liposomes undergoing Fe(III)-triethylenetetramine-initiated peroxidation; EPR, optical and polarographic measurements · source_derived_draft · unverified_draft

    ### c-reg-tocopherol-radical-recycling Aqueous ascorbate reduced bilayer alpha-tocopheroxyl radical back to alpha-tocopherol in oxidizing soybean phosphatidylcholine liposomes; the reported apparent bimolecular rate constant was about 2 × 10^5 M^-1 s^-1 under those conditions. Condition category: normal nutrient_topic: Vitamin C research collection; topical membership is not evidence of a direct dietary effect. plain_language: Vitamin C recycled the vitamin E radical back into vitamin E across this artificial membrane-water interface. organism: Glycine max lipid preparation; cell-free tissue_or_cell_type: Artificial liposomes experimental_model: Soybean L-alpha-phosphatidylcholine liposomes undergoing Fe(III)-triethylenetetramine-initiated peroxidation; EPR, optical and polarographic measurements limitations: Membrane composition, radical initiator and assay conditions determine kinetics; no human clinical benefit or universal membrane rate is established. exposure: Aqueous ascorbic acid described as physiological concentration in abstract (exact dose unavailable); bilayer alpha-tocopheroxyl radical detected at 10^-8–10^-7 M. cross_nutrient: true evidence_location: Primary abstract radical accessibility and kinetic result [c-reg-scarpa] Formation of alpha-tocopherol radical and recycling of alpha-tocopherol by ascorbate during peroxidation of phosphatidylcholine liposomes. An electron paramagnetic resonance study. (1984). https://pubmed.ncbi.nlm.nih.gov/6089911/ DOI: 10.1016/0304-4165(84)90070-9
    Complete structured claim and evidence
  4. The inhibitory effect of alpha-tocopherol on liposome lipid peroxidation persisted while aqueous ascorbic acid remained available, consistent with continued tocopherol-radical recycling.

    L-Ascorbate → Lipid peroxidation source_derived_draftungraded
    Experimental context and source evidence
    cross_nutrient
    true
    evidence_location
    Primary abstract final result
    experimental_model
    Soybean L-alpha-phosphatidylcholine liposomes undergoing Fe(III)-triethylenetetramine-initiated peroxidation; EPR, optical and polarographic measurements
    exposure
    Aqueous ascorbic acid described as physiological concentration in abstract (exact dose unavailable); bilayer alpha-tocopheroxyl radical detected at 10^-8–10^-7 M.
    limitations
    This persistence endpoint is separate from the radical-reduction reaction and does not establish a supplementation effect in people.
    nutrient_topic
    Vitamin C research collection; topical membership is not evidence of a direct dietary effect. · Vitamin C
    organism
    Glycine max lipid preparation; cell-free
    plain_language
    Vitamin C prolonged vitamin E’s protection against oxidation in the liposome experiment.
    primary_references
    [c-reg-scarpa] Formation of alpha-tocopherol radical and recycling of alpha-tocopherol by ascorbate during peroxidation of phosphatidylcholine liposomes. An electron paramagnetic resonance study. (1984). https://pubmed.ncbi.nlm.nih.gov/6089911/ DOI: 10.1016/0304-4165(84)90070-9
    tissue_or_cell_type
    Artificial liposomes

    Vitamin C: mechanisms, deficiency and nutrient interactions (2026-09-17) · lines 1215–1227

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Soybean L-alpha-phosphatidylcholine liposomes undergoing Fe(III)-triethylenetetramine-initiated peroxidation; EPR, optical and polarographic measurements · source_derived_draft · unverified_draft

    ### c-reg-tocopherol-antiperoxidation-persistence The inhibitory effect of alpha-tocopherol on liposome lipid peroxidation persisted while aqueous ascorbic acid remained available, consistent with continued tocopherol-radical recycling. Condition category: normal nutrient_topic: Vitamin C research collection; topical membership is not evidence of a direct dietary effect. plain_language: Vitamin C prolonged vitamin E’s protection against oxidation in the liposome experiment. organism: Glycine max lipid preparation; cell-free tissue_or_cell_type: Artificial liposomes experimental_model: Soybean L-alpha-phosphatidylcholine liposomes undergoing Fe(III)-triethylenetetramine-initiated peroxidation; EPR, optical and polarographic measurements limitations: This persistence endpoint is separate from the radical-reduction reaction and does not establish a supplementation effect in people. exposure: Aqueous ascorbic acid described as physiological concentration in abstract (exact dose unavailable); bilayer alpha-tocopheroxyl radical detected at 10^-8–10^-7 M. cross_nutrient: true evidence_location: Primary abstract final result [c-reg-scarpa] Formation of alpha-tocopherol radical and recycling of alpha-tocopherol by ascorbate during peroxidation of phosphatidylcholine liposomes. An electron paramagnetic resonance study. (1984). https://pubmed.ncbi.nlm.nih.gov/6089911/ DOI: 10.1016/0304-4165(84)90070-9
    Complete structured claim and evidence
  5. Another defense changes how vulnerable cells are to GPX4 loss.

    FSP1 reduces CoQ and supplies a lipid-radical defense operating in parallel with GPX4.

    FSP1 → Reduced CoQ10 source_derived_draftliterature_reviewed:direct_experimental
    Experimental context and source evidence
    cell_type
    Experimental cultured cells
    experimental_model
    Cell genetics and biochemical experiments
    limitations
    Capacity and dependence vary by cell; not a universal dietary threshold.
    organism
    Human cell models

    Selenium: literature corrections and mechanism additions · lines 1492–1502

    Metabolic Ledger literature curation, 17 September 2026; primary papers linked individually · supports · Cell genetics and biochemical experiments · secondary_verified · secondary_verified

    ## fsp1-parallel Another defense changes how vulnerable cells are to GPX4 loss. FSP1 reduces CoQ and supplies a lipid-radical defense operating in parallel with GPX4. Organism: Human cell models Cell type: Experimental cultured cells Experimental model: Cell genetics and biochemical experiments Limitations: Capacity and dependence vary by cell; not a universal dietary threshold. Primary reference: [The CoQ oxidoreductase FSP1 acts parallel to GPX4 to inhibit ferroptosis](https://www.nature.com/articles/s41586-019-1705-2)
    Complete structured claim and evidence
  6. Replacing selenium with sulfur retains some function but weakens peroxide resistance.

    GPX4 Sec-to-Cys substitution retains context-dependent residual function but increases peroxide-induced inactivation and ferroptosis susceptibility.

    GPX4 Sec-to-Cys variant → Ferroptosis source_derived_draftliterature_reviewed:direct_experimental
    Experimental context and source evidence
    cell_type
    Knock-in tissues and derived/engineered cells
    experimental_model
    Gpx4 Sec-to-Cys knock-in mice, tissue assays and cell peroxide challenges
    limitations
    Tissue PCOOH activity was undetectable in reported brain/kidney assays; mutation is not nutritional deficiency.
    organism
    Mus musculus

    Selenium: literature corrections and mechanism additions · lines 1263–1273

    Metabolic Ledger literature curation, 17 September 2026; primary papers linked individually · supports · Gpx4 Sec-to-Cys knock-in mice, tissue assays and cell peroxide challenges · secondary_verified · secondary_verified

    ## gpx4-cys-vulnerability Replacing selenium with sulfur retains some function but weakens peroxide resistance. GPX4 Sec-to-Cys substitution retains context-dependent residual function but increases peroxide-induced inactivation and ferroptosis susceptibility. Organism: Mus musculus Cell type: Knock-in tissues and derived/engineered cells Experimental model: Gpx4 Sec-to-Cys knock-in mice, tissue assays and cell peroxide challenges Limitations: Tissue PCOOH activity was undetectable in reported brain/kidney assays; mutation is not nutritional deficiency. Primary reference: [Selenium Utilization by GPX4 Is Required to Prevent Hydroperoxide-Induced Ferroptosis](https://pubmed.ncbi.nlm.nih.gov/29290465/)
    Complete structured claim and evidence
  7. ACSL4 prepares the fatty acid for membrane incorporation.

    ACSL4 activates arachidonic acid to arachidonoyl-CoA upstream of phospholipid incorporation.

    ACSL4 → arachidonoyl-CoA source_derived_draftliterature_reviewed:direct_experimental
    Experimental context and source evidence
    cell_type
    Experimental cell models
    experimental_model
    Cell genetic perturbation, mouse lung epithelial Lpcat3 knockdown, redox lipidomics
    limitations
    Not proof of ACSL4 dependence in every ferroptosis model.
    organism
    Mus musculus

    Selenium: literature corrections and mechanism additions · lines 1215–1225

    Metabolic Ledger literature curation, 17 September 2026; primary papers linked individually · supports · Cell genetic perturbation, mouse lung epithelial Lpcat3 knockdown, redox lipidomics · secondary_verified · secondary_verified

    ## acsl4-activation ACSL4 prepares the fatty acid for membrane incorporation. ACSL4 activates arachidonic acid to arachidonoyl-CoA upstream of phospholipid incorporation. Organism: Mus musculus Cell type: Experimental cell models Experimental model: Cell genetic perturbation, mouse lung epithelial Lpcat3 knockdown, redox lipidomics Limitations: Not proof of ACSL4 dependence in every ferroptosis model. Primary reference: [Oxidized arachidonic and adrenic PEs navigate cells to ferroptosis](https://pubmed.ncbi.nlm.nih.gov/27842066/)
    Complete structured claim and evidence
  8. Membrane incorporation follows fatty-acid activation.

    LPCAT3-mediated acyl incorporation contributes to arachidonoyl PE formation after fatty-acid activation.

    LPCAT3 → PE-AA source_derived_draftliterature_reviewed:direct_experimental
    Experimental context and source evidence
    cell_type
    Lung epithelial cells
    experimental_model
    Cell genetic perturbation, mouse lung epithelial Lpcat3 knockdown, redox lipidomics
    limitations
    Substrate preference and ferroptosis dependence vary by cell.
    organism
    Mus musculus

    Selenium: literature corrections and mechanism additions · lines 1227–1237

    Metabolic Ledger literature curation, 17 September 2026; primary papers linked individually · supports · Cell genetic perturbation, mouse lung epithelial Lpcat3 knockdown, redox lipidomics · secondary_verified · secondary_verified

    ## lpcat3-incorporation Membrane incorporation follows fatty-acid activation. LPCAT3-mediated acyl incorporation contributes to arachidonoyl PE formation after fatty-acid activation. Organism: Mus musculus Cell type: Lung epithelial cells Experimental model: Cell genetic perturbation, mouse lung epithelial Lpcat3 knockdown, redox lipidomics Limitations: Substrate preference and ferroptosis dependence vary by cell. Primary reference: [Oxidized arachidonic and adrenic PEs navigate cells to ferroptosis](https://pubmed.ncbi.nlm.nih.gov/27842066/)
    Complete structured claim and evidence
  9. Beta-carotene increased lung-cancer incidence in the male-smoker trial; alpha-tocopherol did not show a significant interaction with this effect.

    All-trans-beta-carotene → Lung cancer incidence source_derived_draftungraded
    Experimental context and source evidence
    cross_nutrient
    Carotene/vitamin E/tobacco context.
    experimental_model
    29,133 male smokers; factorial randomized trial.
    exposure
    20 mg/day beta-carotene, 5-8 years; study exposure only.
    limitations
    Supplement exposure is not equivalent to eating carotenoid-rich foods; the molecular cause was not isolated.
    nutrient_topic
    Vitamin A research collection; topical membership is not evidence of a direct dietary effect. · Vitamin A
    organism
    Homo sapiens
    plain_language
    The proposed antioxidant benefit did not predict the actual outcome.
    primary_references
    [va-atbc1994] The effect of vitamin E and beta carotene on the incidence of lung cancer and other cancers in male smokers (1994). https://pubmed.ncbi.nlm.nih.gov/8127329/ DOI: 10.1056/nejm199404143301501
    tissue_or_cell_type
    Clinical lung-cancer incidence

    Vitamin A: forms, mechanisms, deficiency and excess (2026-09-17) · lines 1718–1729

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · 29,133 male smokers; factorial randomized trial. · source_derived_draft · unverified_draft

    ### va-atbc-carotene-lung-cancer Beta-carotene increased lung-cancer incidence in the male-smoker trial; alpha-tocopherol did not show a significant interaction with this effect. Condition category: normal nutrient_topic: Vitamin A research collection; topical membership is not evidence of a direct dietary effect. plain_language: The proposed antioxidant benefit did not predict the actual outcome. organism: Homo sapiens tissue_or_cell_type: Clinical lung-cancer incidence experimental_model: 29,133 male smokers; factorial randomized trial. limitations: Supplement exposure is not equivalent to eating carotenoid-rich foods; the molecular cause was not isolated. cross_nutrient: Carotene/vitamin E/tobacco context. exposure: 20 mg/day beta-carotene, 5-8 years; study exposure only. [va-atbc1994] The effect of vitamin E and beta carotene on the incidence of lung cancer and other cancers in male smokers (1994). https://pubmed.ncbi.nlm.nih.gov/8127329/ DOI: 10.1056/nejm199404143301501
    Complete structured claim and evidence
  10. In a rat alpha-TTP membrane-transfer competition assay, SRR-alpha-tocopherol had relative affinity 10.5% of RRR-alpha-tocopherol (100%).

    Experimental context and source evidence
    cross_nutrient
    false
    experimental_model
    Purified rat liver protein and membrane-transfer competition
    exposure
    37 °C, 30 min; Table 1 competition-derived affinity.
    limitations
    Relative transfer competition, not a direct Kd or human clinical efficacy ratio.
    nutrient_topic
    Vitamin E research collection; topical membership is not evidence of a direct dietary effect. · Vitamin E
    organism
    Rattus norvegicus
    plain_language
    Rat alpha-TTP distinguished this form from RRR-alpha-tocopherol.
    primary_references
    [hosomi1997] Affinity for alpha-tocopherol transfer protein as a determinant of the biological activities of vitamin E analogs. (1997). https://pubmed.ncbi.nlm.nih.gov/9199513/ DOI: 10.1016/s0014-5793(97)00499-7
    tissue_or_cell_type
    Liver protein/liposomes

    Vitamin E: transport, membrane protection and nutrient interactions (2026-09-17) · lines 142–153

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Purified rat liver protein and membrane-transfer competition · source_derived_draft · unverified_draft

    ### ve-transport-rat-ttp-affinity-srr-alpha-tocopherol In a rat alpha-TTP membrane-transfer competition assay, SRR-alpha-tocopherol had relative affinity 10.5% of RRR-alpha-tocopherol (100%). Condition category: normal nutrient_topic: Vitamin E research collection; topical membership is not evidence of a direct dietary effect. plain_language: Rat alpha-TTP distinguished this form from RRR-alpha-tocopherol. organism: Rattus norvegicus tissue_or_cell_type: Liver protein/liposomes experimental_model: Purified rat liver protein and membrane-transfer competition limitations: Relative transfer competition, not a direct Kd or human clinical efficacy ratio. exposure: 37 °C, 30 min; Table 1 competition-derived affinity. cross_nutrient: false [hosomi1997] Affinity for alpha-tocopherol transfer protein as a determinant of the biological activities of vitamin E analogs. (1997). https://pubmed.ncbi.nlm.nih.gov/9199513/ DOI: 10.1016/s0014-5793(97)00499-7
    Complete structured claim and evidence
  11. In a rat alpha-TTP membrane-transfer competition assay, gamma-tocopherol had relative affinity 8.9% of RRR-alpha-tocopherol (100%).

    Experimental context and source evidence
    cross_nutrient
    false
    experimental_model
    Purified rat liver protein and membrane-transfer competition
    exposure
    37 °C, 30 min; Table 1 competition-derived affinity.
    limitations
    Relative transfer competition, not a direct Kd or human clinical efficacy ratio.
    nutrient_topic
    Vitamin E research collection; topical membership is not evidence of a direct dietary effect. · Vitamin E
    organism
    Rattus norvegicus
    plain_language
    Rat alpha-TTP distinguished this form from RRR-alpha-tocopherol.
    primary_references
    [hosomi1997] Affinity for alpha-tocopherol transfer protein as a determinant of the biological activities of vitamin E analogs. (1997). https://pubmed.ncbi.nlm.nih.gov/9199513/ DOI: 10.1016/s0014-5793(97)00499-7
    tissue_or_cell_type
    Liver protein/liposomes

    Vitamin E: transport, membrane protection and nutrient interactions (2026-09-17) · lines 155–166

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Purified rat liver protein and membrane-transfer competition · source_derived_draft · unverified_draft

    ### ve-transport-rat-ttp-affinity-gamma-tocopherol In a rat alpha-TTP membrane-transfer competition assay, gamma-tocopherol had relative affinity 8.9% of RRR-alpha-tocopherol (100%). Condition category: normal nutrient_topic: Vitamin E research collection; topical membership is not evidence of a direct dietary effect. plain_language: Rat alpha-TTP distinguished this form from RRR-alpha-tocopherol. organism: Rattus norvegicus tissue_or_cell_type: Liver protein/liposomes experimental_model: Purified rat liver protein and membrane-transfer competition limitations: Relative transfer competition, not a direct Kd or human clinical efficacy ratio. exposure: 37 °C, 30 min; Table 1 competition-derived affinity. cross_nutrient: false [hosomi1997] Affinity for alpha-tocopherol transfer protein as a determinant of the biological activities of vitamin E analogs. (1997). https://pubmed.ncbi.nlm.nih.gov/9199513/ DOI: 10.1016/s0014-5793(97)00499-7
    Complete structured claim and evidence
  12. In a rat alpha-TTP membrane-transfer competition assay, alpha-tocotrienol had relative affinity 12.4% of RRR-alpha-tocopherol (100%).

    Experimental context and source evidence
    cross_nutrient
    false
    experimental_model
    Purified rat liver protein and membrane-transfer competition
    exposure
    37 °C, 30 min; Table 1 competition-derived affinity.
    limitations
    Relative transfer competition, not a direct Kd or human clinical efficacy ratio.
    nutrient_topic
    Vitamin E research collection; topical membership is not evidence of a direct dietary effect. · Vitamin E
    organism
    Rattus norvegicus
    plain_language
    Rat alpha-TTP distinguished this form from RRR-alpha-tocopherol.
    primary_references
    [hosomi1997] Affinity for alpha-tocopherol transfer protein as a determinant of the biological activities of vitamin E analogs. (1997). https://pubmed.ncbi.nlm.nih.gov/9199513/ DOI: 10.1016/s0014-5793(97)00499-7
    tissue_or_cell_type
    Liver protein/liposomes

    Vitamin E: transport, membrane protection and nutrient interactions (2026-09-17) · lines 168–179

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Purified rat liver protein and membrane-transfer competition · source_derived_draft · unverified_draft

    ### ve-transport-rat-ttp-affinity-alpha-tocotrienol In a rat alpha-TTP membrane-transfer competition assay, alpha-tocotrienol had relative affinity 12.4% of RRR-alpha-tocopherol (100%). Condition category: normal nutrient_topic: Vitamin E research collection; topical membership is not evidence of a direct dietary effect. plain_language: Rat alpha-TTP distinguished this form from RRR-alpha-tocopherol. organism: Rattus norvegicus tissue_or_cell_type: Liver protein/liposomes experimental_model: Purified rat liver protein and membrane-transfer competition limitations: Relative transfer competition, not a direct Kd or human clinical efficacy ratio. exposure: 37 °C, 30 min; Table 1 competition-derived affinity. cross_nutrient: false [hosomi1997] Affinity for alpha-tocopherol transfer protein as a determinant of the biological activities of vitamin E analogs. (1997). https://pubmed.ncbi.nlm.nih.gov/9199513/ DOI: 10.1016/s0014-5793(97)00499-7
    Complete structured claim and evidence
  13. Blocking SR-BI with an extracellular antibody or BLT1 reduced RRR-alpha-tocopherol uptake by human Caco-2 TC7 cells.

    Experimental context and source evidence
    cross_nutrient
    false
    experimental_model
    Differentiated Caco-2 TC7 monolayers
    exposure
    60-min pretreatment: antibody 3.75 µg/mL or BLT1 10 µM; 40 µM micellar RRR-alpha-tocopherol for 60 min.
    limitations
    Inhibitor/antibody evidence; contribution under these conditions is not the sole absorption route.
    nutrient_topic
    Vitamin E research collection; topical membership is not evidence of a direct dietary effect. · Vitamin E
    organism
    Homo sapiens
    plain_language
    SR-BI helped these intestinal cells take up vitamin E.
    primary_references
    [reboul2006] Scavenger receptor class B type I (SR-BI) is involved in vitamin E transport across the enterocyte. (2006). https://pubmed.ncbi.nlm.nih.gov/16380385/ DOI: 10.1074/jbc.m509042200
    tissue_or_cell_type
    Intestinal epithelial cell model

    Vitamin E: transport, membrane protection and nutrient interactions (2026-09-17) · lines 181–192

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Differentiated Caco-2 TC7 monolayers · source_derived_draft · unverified_draft

    ### ve-transport-scarb1-uptake Blocking SR-BI with an extracellular antibody or BLT1 reduced RRR-alpha-tocopherol uptake by human Caco-2 TC7 cells. Condition category: normal nutrient_topic: Vitamin E research collection; topical membership is not evidence of a direct dietary effect. plain_language: SR-BI helped these intestinal cells take up vitamin E. organism: Homo sapiens tissue_or_cell_type: Intestinal epithelial cell model experimental_model: Differentiated Caco-2 TC7 monolayers limitations: Inhibitor/antibody evidence; contribution under these conditions is not the sole absorption route. exposure: 60-min pretreatment: antibody 3.75 µg/mL or BLT1 10 µM; 40 µM micellar RRR-alpha-tocopherol for 60 min. cross_nutrient: false [reboul2006] Scavenger receptor class B type I (SR-BI) is involved in vitamin E transport across the enterocyte. (2006). https://pubmed.ncbi.nlm.nih.gov/16380385/ DOI: 10.1074/jbc.m509042200
    Complete structured claim and evidence
  14. SR-BI antibody or BLT1 reduced RRR-alpha-tocopherol efflux from loaded Caco-2 TC7 cells into apical vitamin-free mixed micelles.

    Experimental context and source evidence
    cross_nutrient
    false
    experimental_model
    Preloaded Caco-2 TC7 monolayers
    exposure
    Tocopherol-preloaded cells; apical acceptor micelles; time-course Figure 4.
    limitations
    Apical return is distinct from basolateral secretion; acceptor availability affects the result.
    nutrient_topic
    Vitamin E research collection; topical membership is not evidence of a direct dietary effect. · Vitamin E
    organism
    Homo sapiens
    plain_language
    The same receptor also helped vitamin E leave toward the gut-facing side.
    primary_references
    [reboul2006] Scavenger receptor class B type I (SR-BI) is involved in vitamin E transport across the enterocyte. (2006). https://pubmed.ncbi.nlm.nih.gov/16380385/ DOI: 10.1074/jbc.m509042200
    tissue_or_cell_type
    Intestinal epithelial cell model

    Vitamin E: transport, membrane protection and nutrient interactions (2026-09-17) · lines 194–205

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Preloaded Caco-2 TC7 monolayers · source_derived_draft · unverified_draft

    ### ve-transport-scarb1-apical-efflux SR-BI antibody or BLT1 reduced RRR-alpha-tocopherol efflux from loaded Caco-2 TC7 cells into apical vitamin-free mixed micelles. Condition category: normal nutrient_topic: Vitamin E research collection; topical membership is not evidence of a direct dietary effect. plain_language: The same receptor also helped vitamin E leave toward the gut-facing side. organism: Homo sapiens tissue_or_cell_type: Intestinal epithelial cell model experimental_model: Preloaded Caco-2 TC7 monolayers limitations: Apical return is distinct from basolateral secretion; acceptor availability affects the result. exposure: Tocopherol-preloaded cells; apical acceptor micelles; time-course Figure 4. cross_nutrient: false [reboul2006] Scavenger receptor class B type I (SR-BI) is involved in vitamin E transport across the enterocyte. (2006). https://pubmed.ncbi.nlm.nih.gov/16380385/ DOI: 10.1074/jbc.m509042200
    Complete structured claim and evidence
  15. Human NPC1L1 overexpression increased alpha-tocopherol uptake, which was inhibited by ezetimibe.

    Experimental context and source evidence
    cross_nutrient
    false
    experimental_model
    Human NPC1L1 overexpression uptake assay
    exposure
    NPC1L1 expression with alpha-tocopherol and ezetimibe; dose/time not reported in abstract.
    limitations
    Cell experiment does not establish a clinical vitamin E deficiency from ezetimibe.
    nutrient_topic
    Vitamin E research collection; topical membership is not evidence of a direct dietary effect. · Vitamin E
    organism
    Human protein in cultured cells
    plain_language
    The cholesterol transporter NPC1L1 can also take up vitamin E.
    primary_references
    [narushima2008] Niemann-pick C1-like 1 mediates alpha-tocopherol transport. (2008). https://pubmed.ncbi.nlm.nih.gov/18403720/ DOI: 10.1124/mol.107.043034
    tissue_or_cell_type
    Cellular uptake model

    Vitamin E: transport, membrane protection and nutrient interactions (2026-09-17) · lines 207–218

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Human NPC1L1 overexpression uptake assay · source_derived_draft · unverified_draft

    ### ve-transport-npc1l1-uptake Human NPC1L1 overexpression increased alpha-tocopherol uptake, which was inhibited by ezetimibe. Condition category: normal nutrient_topic: Vitamin E research collection; topical membership is not evidence of a direct dietary effect. plain_language: The cholesterol transporter NPC1L1 can also take up vitamin E. organism: Human protein in cultured cells tissue_or_cell_type: Cellular uptake model experimental_model: Human NPC1L1 overexpression uptake assay limitations: Cell experiment does not establish a clinical vitamin E deficiency from ezetimibe. exposure: NPC1L1 expression with alpha-tocopherol and ezetimibe; dose/time not reported in abstract. cross_nutrient: false [narushima2008] Niemann-pick C1-like 1 mediates alpha-tocopherol transport. (2008). https://pubmed.ncbi.nlm.nih.gov/18403720/ DOI: 10.1124/mol.107.043034
    Complete structured claim and evidence
  16. Cholesterol inhibited human NPC1L1-mediated alpha-tocopherol uptake in mutual substrate-interaction experiments.

    Cholesterol → Intestinal alpha-tocopherol uptake source_derived_draftungraded
    Experimental context and source evidence
    cross_nutrient
    true
    experimental_model
    Human NPC1L1 overexpression co-substrate assay
    exposure
    Cholesterol and alpha-tocopherol co-incubation; concentrations unavailable in abstract.
    limitations
    No dietary cholesterol threshold or universal supplement-spacing rule follows.
    nutrient_topic
    Vitamin E research collection; topical membership is not evidence of a direct dietary effect. · Vitamin E
    organism
    Human protein in cultured cells
    plain_language
    Cholesterol changed vitamin E uptake through their shared transporter.
    primary_references
    [narushima2008] Niemann-pick C1-like 1 mediates alpha-tocopherol transport. (2008). https://pubmed.ncbi.nlm.nih.gov/18403720/ DOI: 10.1124/mol.107.043034
    tissue_or_cell_type
    Cellular uptake model

    Vitamin E: transport, membrane protection and nutrient interactions (2026-09-17) · lines 220–231

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Human NPC1L1 overexpression co-substrate assay · source_derived_draft · unverified_draft

    ### ve-transport-npc1l1-cholesterol-competition Cholesterol inhibited human NPC1L1-mediated alpha-tocopherol uptake in mutual substrate-interaction experiments. Condition category: normal nutrient_topic: Vitamin E research collection; topical membership is not evidence of a direct dietary effect. plain_language: Cholesterol changed vitamin E uptake through their shared transporter. organism: Human protein in cultured cells tissue_or_cell_type: Cellular uptake model experimental_model: Human NPC1L1 overexpression co-substrate assay limitations: No dietary cholesterol threshold or universal supplement-spacing rule follows. exposure: Cholesterol and alpha-tocopherol co-incubation; concentrations unavailable in abstract. cross_nutrient: true [narushima2008] Niemann-pick C1-like 1 mediates alpha-tocopherol transport. (2008). https://pubmed.ncbi.nlm.nih.gov/18403720/ DOI: 10.1124/mol.107.043034
    Complete structured claim and evidence
  17. Rat NPC1L1 overexpression mediated alpha-tocopherol uptake but did not mediate retinol uptake in the tested Caco-2 system.

    Experimental context and source evidence
    cross_nutrient
    true
    experimental_model
    Rat NPC1L1-overexpressing human Caco-2 cells
    exposure
    Retinol compared with alpha-tocopherol uptake; dose/time not reported in abstract.
    limitations
    Substrate-specific negative result; does not prove vitamins A and E cannot interact through other routes.
    nutrient_topic
    Vitamin E research collection; topical membership is not evidence of a direct dietary effect. · Vitamin E
    organism
    Rattus norvegicus protein; Homo sapiens cells
    plain_language
    This vitamin E uptake route did not carry retinol in the same assay.
    primary_references
    [narushima2008] Niemann-pick C1-like 1 mediates alpha-tocopherol transport. (2008). https://pubmed.ncbi.nlm.nih.gov/18403720/ DOI: 10.1124/mol.107.043034
    tissue_or_cell_type
    Intestinal epithelial cell model

    Vitamin E: transport, membrane protection and nutrient interactions (2026-09-17) · lines 233–244

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Rat NPC1L1-overexpressing human Caco-2 cells · source_derived_draft · unverified_draft

    ### ve-transport-rat-npc1l1-retinol-negative Rat NPC1L1 overexpression mediated alpha-tocopherol uptake but did not mediate retinol uptake in the tested Caco-2 system. Condition category: normal nutrient_topic: Vitamin E research collection; topical membership is not evidence of a direct dietary effect. plain_language: This vitamin E uptake route did not carry retinol in the same assay. organism: Rattus norvegicus protein; Homo sapiens cells tissue_or_cell_type: Intestinal epithelial cell model experimental_model: Rat NPC1L1-overexpressing human Caco-2 cells limitations: Substrate-specific negative result; does not prove vitamins A and E cannot interact through other routes. exposure: Retinol compared with alpha-tocopherol uptake; dose/time not reported in abstract. cross_nutrient: true [narushima2008] Niemann-pick C1-like 1 mediates alpha-tocopherol transport. (2008). https://pubmed.ncbi.nlm.nih.gov/18403720/ DOI: 10.1124/mol.107.043034
    Complete structured claim and evidence
  18. Primary enterocytes from Mttp-deficient mice secreted less alpha-tocopherol with chylomicrons.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    cross_nutrient
    false
    experimental_model
    Primary Mttp-deficient mouse enterocytes
    exposure
    Mttp deficiency; radiolabeled alpha-tocopherol; exact genotype induction and incubation details unavailable in abstract.
    limitations
    Genetic machinery impairment, not low dietary vitamin E; HDL secretion is a distinct route.
    nutrient_topic
    Vitamin E research collection; topical membership is not evidence of a direct dietary effect. · Vitamin E
    organism
    Mus musculus
    plain_language
    A chylomicron assembly defect reduced one major vitamin E export route.
    primary_references
    [anwar2007] Mechanisms involved in vitamin E transport by primary enterocytes and in vivo absorption. (2007). https://pubmed.ncbi.nlm.nih.gov/17582142/ DOI: 10.1194/jlr.m700207-jlr200
    tissue_or_cell_type
    Small-intestinal enterocytes
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    Vitamin E: transport, membrane protection and nutrient interactions (2026-09-17) · lines 246–257

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Primary Mttp-deficient mouse enterocytes · source_derived_draft · unverified_draft

    ### ve-transport-mttp-chylomicron-loss Primary enterocytes from Mttp-deficient mice secreted less alpha-tocopherol with chylomicrons. Condition category: machinery_impairment nutrient_topic: Vitamin E research collection; topical membership is not evidence of a direct dietary effect. plain_language: A chylomicron assembly defect reduced one major vitamin E export route. organism: Mus musculus tissue_or_cell_type: Small-intestinal enterocytes experimental_model: Primary Mttp-deficient mouse enterocytes limitations: Genetic machinery impairment, not low dietary vitamin E; HDL secretion is a distinct route. exposure: Mttp deficiency; radiolabeled alpha-tocopherol; exact genotype induction and incubation details unavailable in abstract. cross_nutrient: false [anwar2007] Mechanisms involved in vitamin E transport by primary enterocytes and in vivo absorption. (2007). https://pubmed.ncbi.nlm.nih.gov/17582142/ DOI: 10.1194/jlr.m700207-jlr200
    Complete structured claim and evidence
  19. Primary rodent enterocytes secreted alpha-tocopherol with HDL even without exogenous lipid; this secretion was not reduced by MTP inhibition.

    Experimental context and source evidence
    cross_nutrient
    false
    experimental_model
    Primary rat/mouse enterocyte lipoprotein fractionation
    exposure
    Radiolabeled alpha-tocopherol; exogenous lipid omission and MTP inhibition comparisons.
    limitations
    Demonstrates a route, not adequate whole-body compensation for impaired chylomicron assembly.
    nutrient_topic
    Vitamin E research collection; topical membership is not evidence of a direct dietary effect. · Vitamin E
    organism
    Rattus norvegicus and Mus musculus
    plain_language
    A separate HDL-associated export route remained available in the experiment.
    primary_references
    [anwar2007] Mechanisms involved in vitamin E transport by primary enterocytes and in vivo absorption. (2007). https://pubmed.ncbi.nlm.nih.gov/17582142/ DOI: 10.1194/jlr.m700207-jlr200
    tissue_or_cell_type
    Small-intestinal enterocytes

    Vitamin E: transport, membrane protection and nutrient interactions (2026-09-17) · lines 259–270

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Primary rat/mouse enterocyte lipoprotein fractionation · source_derived_draft · unverified_draft

    ### ve-transport-hdl-route-mtp-independent Primary rodent enterocytes secreted alpha-tocopherol with HDL even without exogenous lipid; this secretion was not reduced by MTP inhibition. Condition category: normal nutrient_topic: Vitamin E research collection; topical membership is not evidence of a direct dietary effect. plain_language: A separate HDL-associated export route remained available in the experiment. organism: Rattus norvegicus and Mus musculus tissue_or_cell_type: Small-intestinal enterocytes experimental_model: Primary rat/mouse enterocyte lipoprotein fractionation limitations: Demonstrates a route, not adequate whole-body compensation for impaired chylomicron assembly. exposure: Radiolabeled alpha-tocopherol; exogenous lipid omission and MTP inhibition comparisons. cross_nutrient: false [anwar2007] Mechanisms involved in vitamin E transport by primary enterocytes and in vivo absorption. (2007). https://pubmed.ncbi.nlm.nih.gov/17582142/ DOI: 10.1194/jlr.m700207-jlr200
    Complete structured claim and evidence
  20. Expression of human ABCA1 in BHK cells increased alpha-tocopherol efflux to apoA-I.

    Experimental context and source evidence
    cross_nutrient
    false
    experimental_model
    Human ABCA1 gain of function in BHK cells
    exposure
    Radiolabeled alpha-tocopherol; 2-hour efflux to 5 µg/mL apoA-I with 1 mg/mL BSA.
    limitations
    Engineered cell assay; does not identify ABCA1 as the only vitamin E exporter.
    nutrient_topic
    Vitamin E research collection; topical membership is not evidence of a direct dietary effect. · Vitamin E
    organism
    Human protein in hamster cells
    plain_language
    ABCA1 helped transfer cellular vitamin E to an extracellular lipoprotein protein.
    primary_references
    [oram2001] ATP-binding cassette transporter A1 mediates cellular secretion of alpha-tocopherol. (2001). https://pubmed.ncbi.nlm.nih.gov/11546785/ DOI: 10.1074/jbc.m106984200
    tissue_or_cell_type
    BHK kidney-derived cell line

    Vitamin E: transport, membrane protection and nutrient interactions (2026-09-17) · lines 272–283

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Human ABCA1 gain of function in BHK cells · source_derived_draft · unverified_draft

    ### ve-transport-abca1-apoa1-efflux Expression of human ABCA1 in BHK cells increased alpha-tocopherol efflux to apoA-I. Condition category: normal nutrient_topic: Vitamin E research collection; topical membership is not evidence of a direct dietary effect. plain_language: ABCA1 helped transfer cellular vitamin E to an extracellular lipoprotein protein. organism: Human protein in hamster cells tissue_or_cell_type: BHK kidney-derived cell line experimental_model: Human ABCA1 gain of function in BHK cells limitations: Engineered cell assay; does not identify ABCA1 as the only vitamin E exporter. exposure: Radiolabeled alpha-tocopherol; 2-hour efflux to 5 µg/mL apoA-I with 1 mg/mL BSA. cross_nutrient: false [oram2001] ATP-binding cassette transporter A1 mediates cellular secretion of alpha-tocopherol. (2001). https://pubmed.ncbi.nlm.nih.gov/11546785/ DOI: 10.1074/jbc.m106984200
    Complete structured claim and evidence
  21. ApoA-I failed to remove alpha-tocopherol from Tangier disease fibroblasts with nonfunctional ABCA1.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    cross_nutrient
    false
    experimental_model
    Normal versus Tangier disease fibroblasts
    exposure
    Radiolabeled alpha-tocopherol; cholesterol/8-bromo-cAMP pretreatment; 6-hour apoA-I efflux assay.
    limitations
    Patient-cell machinery defect; not dietary deprivation or a claim that all HDL-mediated efflux is absent.
    nutrient_topic
    Vitamin E research collection; topical membership is not evidence of a direct dietary effect. · Vitamin E
    organism
    Homo sapiens
    plain_language
    An inherited transporter defect blocked this vitamin E export route in patient cells.
    primary_references
    [oram2001] ATP-binding cassette transporter A1 mediates cellular secretion of alpha-tocopherol. (2001). https://pubmed.ncbi.nlm.nih.gov/11546785/ DOI: 10.1074/jbc.m106984200
    tissue_or_cell_type
    Cultured fibroblasts
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    Vitamin E: transport, membrane protection and nutrient interactions (2026-09-17) · lines 285–296

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Normal versus Tangier disease fibroblasts · source_derived_draft · unverified_draft

    ### ve-transport-abca1-tangier-efflux-loss ApoA-I failed to remove alpha-tocopherol from Tangier disease fibroblasts with nonfunctional ABCA1. Condition category: machinery_impairment nutrient_topic: Vitamin E research collection; topical membership is not evidence of a direct dietary effect. plain_language: An inherited transporter defect blocked this vitamin E export route in patient cells. organism: Homo sapiens tissue_or_cell_type: Cultured fibroblasts experimental_model: Normal versus Tangier disease fibroblasts limitations: Patient-cell machinery defect; not dietary deprivation or a claim that all HDL-mediated efflux is absent. exposure: Radiolabeled alpha-tocopherol; cholesterol/8-bromo-cAMP pretreatment; 6-hour apoA-I efflux assay. cross_nutrient: false [oram2001] ATP-binding cassette transporter A1 mediates cellular secretion of alpha-tocopherol. (2001). https://pubmed.ncbi.nlm.nih.gov/11546785/ DOI: 10.1074/jbc.m106984200
    Complete structured claim and evidence
  22. After equal oral labeled RRR- and SRR-alpha-tocopheryl acetate, the human chylomicron fraction contained similar concentrations of the two tocopherol stereoisomers.

    Experimental context and source evidence
    cross_nutrient
    false
    experimental_model
    Human stable-isotope oral study with lipoprotein fractionation
    exposure
    Four subjects received equal paired doses of labeled RRR and SRR acetate ester with breakfast: 40, 50, 75 or 75 mg of each ester; samples through 76 hours.
    limitations
    Small tracer study; fraction enrichment alone does not prove the molecular sorting step or clinical benefit.
    nutrient_topic
    Vitamin E research collection; topical membership is not evidence of a direct dietary effect. · Vitamin E
    organism
    Homo sapiens
    plain_language
    Early chylomicron delivery did not strongly distinguish the two tested stereoisomers.
    primary_references
    [traber1990] RRR- and SRR-alpha-tocopherols are secreted without discrimination in human chylomicrons, but RRR-alpha-tocopherol is preferentially secreted in very low density lipoproteins. (1990). https://pubmed.ncbi.nlm.nih.gov/2351872/ DOI: 10.1016/s0022-2275(20)42836-6
    tissue_or_cell_type
    Plasma chylomicron or VLDL fractions

    Vitamin E: transport, membrane protection and nutrient interactions (2026-09-17) · lines 298–309

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Human stable-isotope oral study with lipoprotein fractionation · source_derived_draft · unverified_draft

    ### ve-transport-chylomicron-stereoisomers After equal oral labeled RRR- and SRR-alpha-tocopheryl acetate, the human chylomicron fraction contained similar concentrations of the two tocopherol stereoisomers. Condition category: normal nutrient_topic: Vitamin E research collection; topical membership is not evidence of a direct dietary effect. plain_language: Early chylomicron delivery did not strongly distinguish the two tested stereoisomers. organism: Homo sapiens tissue_or_cell_type: Plasma chylomicron or VLDL fractions experimental_model: Human stable-isotope oral study with lipoprotein fractionation limitations: Small tracer study; fraction enrichment alone does not prove the molecular sorting step or clinical benefit. exposure: Four subjects received equal paired doses of labeled RRR and SRR acetate ester with breakfast: 40, 50, 75 or 75 mg of each ester; samples through 76 hours. cross_nutrient: false [traber1990] RRR- and SRR-alpha-tocopherols are secreted without discrimination in human chylomicrons, but RRR-alpha-tocopherol is preferentially secreted in very low density lipoproteins. (1990). https://pubmed.ncbi.nlm.nih.gov/2351872/ DOI: 10.1016/s0022-2275(20)42836-6
    Complete structured claim and evidence
  23. After equal oral labeled RRR- and SRR-alpha-tocopheryl acetate, human VLDL became enriched in RRR-alpha-tocopherol relative to SRR-alpha-tocopherol by 11 hours.

    Experimental context and source evidence
    cross_nutrient
    false
    experimental_model
    Human stable-isotope oral study with lipoprotein fractionation
    exposure
    Four subjects received equal paired doses of labeled RRR and SRR acetate ester with breakfast: 40, 50, 75 or 75 mg of each ester; samples through 76 hours.
    limitations
    Small tracer study; fraction enrichment alone does not prove the molecular sorting step or clinical benefit.
    nutrient_topic
    Vitamin E research collection; topical membership is not evidence of a direct dietary effect. · Vitamin E
    organism
    Homo sapiens
    plain_language
    A later lipoprotein fraction favored the RRR form.
    primary_references
    [traber1990] RRR- and SRR-alpha-tocopherols are secreted without discrimination in human chylomicrons, but RRR-alpha-tocopherol is preferentially secreted in very low density lipoproteins. (1990). https://pubmed.ncbi.nlm.nih.gov/2351872/ DOI: 10.1016/s0022-2275(20)42836-6
    tissue_or_cell_type
    Plasma chylomicron or VLDL fractions

    Vitamin E: transport, membrane protection and nutrient interactions (2026-09-17) · lines 311–322

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Human stable-isotope oral study with lipoprotein fractionation · source_derived_draft · unverified_draft

    ### ve-transport-vldl-stereoisomers After equal oral labeled RRR- and SRR-alpha-tocopheryl acetate, human VLDL became enriched in RRR-alpha-tocopherol relative to SRR-alpha-tocopherol by 11 hours. Condition category: normal nutrient_topic: Vitamin E research collection; topical membership is not evidence of a direct dietary effect. plain_language: A later lipoprotein fraction favored the RRR form. organism: Homo sapiens tissue_or_cell_type: Plasma chylomicron or VLDL fractions experimental_model: Human stable-isotope oral study with lipoprotein fractionation limitations: Small tracer study; fraction enrichment alone does not prove the molecular sorting step or clinical benefit. exposure: Four subjects received equal paired doses of labeled RRR and SRR acetate ester with breakfast: 40, 50, 75 or 75 mg of each ester; samples through 76 hours. cross_nutrient: false [traber1990] RRR- and SRR-alpha-tocopherols are secreted without discrimination in human chylomicrons, but RRR-alpha-tocopherol is preferentially secreted in very low density lipoproteins. (1990). https://pubmed.ncbi.nlm.nih.gov/2351872/ DOI: 10.1016/s0022-2275(20)42836-6
    Complete structured claim and evidence
  24. The deposited mouse alpha-TTP complex contains alpha-tocopherol and PI(4,5)P2, with phosphoinositide binding at the protein surface linked to opening of its ligand pocket.

    Experimental context and source evidence
    cross_nutrient
    false
    experimental_model
    X-ray complex PDB 3W68
    exposure
    Crystallized protein with alpha-tocopherol and PI(4,5)P2.
    limitations
    Structure is mouse protein; no dietary phosphorus requirement or human affinity value is inferred.
    nutrient_topic
    Vitamin E research collection; topical membership is not evidence of a direct dietary effect. · Vitamin E
    organism
    Mus musculus protein
    plain_language
    A membrane phosphoinositide interacts with the vitamin E transfer protein.
    primary_references
    [kono2013] Impaired α-TTP-PIPs interaction underlies familial vitamin E deficiency. (2013). https://pubmed.ncbi.nlm.nih.gov/23599266/ DOI: 10.1126/science.1233508
    tissue_or_cell_type
    Purified protein-lipid complex

    Vitamin E: transport, membrane protection and nutrient interactions (2026-09-17) · lines 324–335

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · X-ray complex PDB 3W68 · source_derived_draft · unverified_draft

    ### ve-transport-mouse-ttp-pip2-binding The deposited mouse alpha-TTP complex contains alpha-tocopherol and PI(4,5)P2, with phosphoinositide binding at the protein surface linked to opening of its ligand pocket. Condition category: normal nutrient_topic: Vitamin E research collection; topical membership is not evidence of a direct dietary effect. plain_language: A membrane phosphoinositide interacts with the vitamin E transfer protein. organism: Mus musculus protein tissue_or_cell_type: Purified protein-lipid complex experimental_model: X-ray complex PDB 3W68 limitations: Structure is mouse protein; no dietary phosphorus requirement or human affinity value is inferred. exposure: Crystallized protein with alpha-tocopherol and PI(4,5)P2. cross_nutrient: false [kono2013] Impaired α-TTP-PIPs interaction underlies familial vitamin E deficiency. (2013). https://pubmed.ncbi.nlm.nih.gov/23599266/ DOI: 10.1126/science.1233508
    Complete structured claim and evidence
  25. Adding alpha-tocopherol to vitamin E-depleted rat hepatoma cells expressing human TTP changed its punctate perinuclear distribution to a diffuse cellular pattern.

    Experimental context and source evidence
    availability_state
    nutrient_deficiency Imported condition classification; unverified.
    cross_nutrient
    false
    experimental_model
    Human TTP expressed in depleted McARH7777 cells; Figure 2A
    exposure
    More than 10 passages in alpha-tocopherol-free defined serum; 35 µM serum-complexed d-alpha-tocopherol for 24 hours.
    limitations
    Depletion/repletion model with overexpressed human protein; localization is not a clinical deficiency threshold.
    nutrient_topic
    Vitamin E research collection; topical membership is not evidence of a direct dietary effect. · Vitamin E
    organism
    Rattus norvegicus cells; Homo sapiens protein
    plain_language
    Vitamin E supply changed where its transfer protein accumulated in these cells.
    primary_references
    [chung2016] Vitamin E and Phosphoinositides Regulate the Intracellular Localization of the Hepatic α-Tocopherol Transfer Protein. (2016). https://pubmed.ncbi.nlm.nih.gov/27307040/ DOI: 10.1074/jbc.m116.734210
    tissue_or_cell_type
    Hepatoma cells
    trigger_kind
    nutrient_deficiency Imported condition classification; unverified.

    Vitamin E: transport, membrane protection and nutrient interactions (2026-09-17) · lines 337–348

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Human TTP expressed in depleted McARH7777 cells; Figure 2A · source_derived_draft · unverified_draft

    ### ve-transport-depletion-repletion-ttp-localization Adding alpha-tocopherol to vitamin E-depleted rat hepatoma cells expressing human TTP changed its punctate perinuclear distribution to a diffuse cellular pattern. Condition category: nutrient_deficiency nutrient_topic: Vitamin E research collection; topical membership is not evidence of a direct dietary effect. plain_language: Vitamin E supply changed where its transfer protein accumulated in these cells. organism: Rattus norvegicus cells; Homo sapiens protein tissue_or_cell_type: Hepatoma cells experimental_model: Human TTP expressed in depleted McARH7777 cells; Figure 2A limitations: Depletion/repletion model with overexpressed human protein; localization is not a clinical deficiency threshold. exposure: More than 10 passages in alpha-tocopherol-free defined serum; 35 µM serum-complexed d-alpha-tocopherol for 24 hours. cross_nutrient: false [chung2016] Vitamin E and Phosphoinositides Regulate the Intracellular Localization of the Hepatic α-Tocopherol Transfer Protein. (2016). https://pubmed.ncbi.nlm.nih.gov/27307040/ DOI: 10.1074/jbc.m116.734210
    Complete structured claim and evidence
  26. Human TTP(R221W) remained punctate after alpha-tocopherol treatment in rat McARH7777 cells, unlike wild-type TTP.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    cross_nutrient
    false
    experimental_model
    Human wild-type versus R221W TTP expression; Figure 2B
    exposure
    35 µM serum-complexed alpha-tocopherol for 24 hours after medium depletion.
    limitations
    Mutation contrast is machinery impairment; this does not establish that supplementation cannot help AVED clinically.
    nutrient_topic
    Vitamin E research collection; topical membership is not evidence of a direct dietary effect. · Vitamin E
    organism
    Human proteins in Rattus norvegicus cells
    plain_language
    An AVED-associated variant failed to change location when vitamin E was supplied.
    primary_references
    [chung2016] Vitamin E and Phosphoinositides Regulate the Intracellular Localization of the Hepatic α-Tocopherol Transfer Protein. (2016). https://pubmed.ncbi.nlm.nih.gov/27307040/ DOI: 10.1074/jbc.m116.734210
    tissue_or_cell_type
    Hepatoma cells
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    Vitamin E: transport, membrane protection and nutrient interactions (2026-09-17) · lines 350–361

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Human wild-type versus R221W TTP expression; Figure 2B · source_derived_draft · unverified_draft

    ### ve-transport-r221w-localization Human TTP(R221W) remained punctate after alpha-tocopherol treatment in rat McARH7777 cells, unlike wild-type TTP. Condition category: machinery_impairment nutrient_topic: Vitamin E research collection; topical membership is not evidence of a direct dietary effect. plain_language: An AVED-associated variant failed to change location when vitamin E was supplied. organism: Human proteins in Rattus norvegicus cells tissue_or_cell_type: Hepatoma cells experimental_model: Human wild-type versus R221W TTP expression; Figure 2B limitations: Mutation contrast is machinery impairment; this does not establish that supplementation cannot help AVED clinically. exposure: 35 µM serum-complexed alpha-tocopherol for 24 hours after medium depletion. cross_nutrient: false [chung2016] Vitamin E and Phosphoinositides Regulate the Intracellular Localization of the Hepatic α-Tocopherol Transfer Protein. (2016). https://pubmed.ncbi.nlm.nih.gov/27307040/ DOI: 10.1074/jbc.m116.734210
    Complete structured claim and evidence
  27. Engineered depletion of plasma-membrane PI(4,5)P2 impaired TTP-dependent NBD-alpha-tocopherol secretion in McARH7777 cells.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    cross_nutrient
    false
    experimental_model
    Human TTP-expressing cells with membrane-targeted inositol phosphatase; Figure 5
    exposure
    IPP-CAAX expression; pulse loading with 10 µM serum-complexed NBD-alpha-tocopherol.
    limitations
    Phosphoinositide machinery perturbation and fluorescent analog; not dietary phosphorus or vitamin E deprivation as the causal contrast.
    nutrient_topic
    Vitamin E research collection; topical membership is not evidence of a direct dietary effect. · Vitamin E
    organism
    Rattus norvegicus cells; Homo sapiens TTP
    plain_language
    A membrane lipid signal was needed for efficient reporter export.
    primary_references
    [chung2016] Vitamin E and Phosphoinositides Regulate the Intracellular Localization of the Hepatic α-Tocopherol Transfer Protein. (2016). https://pubmed.ncbi.nlm.nih.gov/27307040/ DOI: 10.1074/jbc.m116.734210
    tissue_or_cell_type
    Hepatoma cells
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    Vitamin E: transport, membrane protection and nutrient interactions (2026-09-17) · lines 363–374

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Human TTP-expressing cells with membrane-targeted inositol phosphatase; Figure 5 · source_derived_draft · unverified_draft

    ### ve-transport-pip2-depletion-ttp-export Engineered depletion of plasma-membrane PI(4,5)P2 impaired TTP-dependent NBD-alpha-tocopherol secretion in McARH7777 cells. Condition category: machinery_impairment nutrient_topic: Vitamin E research collection; topical membership is not evidence of a direct dietary effect. plain_language: A membrane lipid signal was needed for efficient reporter export. organism: Rattus norvegicus cells; Homo sapiens TTP tissue_or_cell_type: Hepatoma cells experimental_model: Human TTP-expressing cells with membrane-targeted inositol phosphatase; Figure 5 limitations: Phosphoinositide machinery perturbation and fluorescent analog; not dietary phosphorus or vitamin E deprivation as the causal contrast. exposure: IPP-CAAX expression; pulse loading with 10 µM serum-complexed NBD-alpha-tocopherol. cross_nutrient: false [chung2016] Vitamin E and Phosphoinositides Regulate the Intracellular Localization of the Hepatic α-Tocopherol Transfer Protein. (2016). https://pubmed.ncbi.nlm.nih.gov/27307040/ DOI: 10.1074/jbc.m116.734210
    Complete structured claim and evidence
  28. Co-immunoprecipitation/Western blot experiments identified an association of sheep alpha-TTP with Rab8a in a liver/primary-hepatocyte study.

    Experimental context and source evidence
    cross_nutrient
    false
    experimental_model
    Co-IP/Western blot validation in sheep liver/hepatocyte study
    exposure
    Endogenous interaction profiling and validation; exact pull-down exposures not assigned from accessible sections.
    limitations
    Association is not proof of direct binary binding or a defined stable complex; no human nutritional outcome is inferred.
    nutrient_topic
    Vitamin E research collection; topical membership is not evidence of a direct dietary effect. · Vitamin E
    organism
    Ovis aries
    plain_language
    The sheep study linked this trafficking protein with alpha-TTP.
    primary_references
    [jian2025] Rab8a and Vps35 influence intracellular transport of vitamin E via α-Tocopherol transport protein in hepatocytes. (2025). https://pubmed.ncbi.nlm.nih.gov/40258550/ DOI: 10.1016/j.ijbiomac.2025.143021
    tissue_or_cell_type
    Liver and newborn male Australian White sheep primary hepatocytes

    Vitamin E: transport, membrane protection and nutrient interactions (2026-09-17) · lines 376–387

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Co-IP/Western blot validation in sheep liver/hepatocyte study · source_derived_draft · unverified_draft

    ### ve-transport-sheep-ttp-rab8a Co-immunoprecipitation/Western blot experiments identified an association of sheep alpha-TTP with Rab8a in a liver/primary-hepatocyte study. Condition category: normal nutrient_topic: Vitamin E research collection; topical membership is not evidence of a direct dietary effect. plain_language: The sheep study linked this trafficking protein with alpha-TTP. organism: Ovis aries tissue_or_cell_type: Liver and newborn male Australian White sheep primary hepatocytes experimental_model: Co-IP/Western blot validation in sheep liver/hepatocyte study limitations: Association is not proof of direct binary binding or a defined stable complex; no human nutritional outcome is inferred. exposure: Endogenous interaction profiling and validation; exact pull-down exposures not assigned from accessible sections. cross_nutrient: false [jian2025] Rab8a and Vps35 influence intracellular transport of vitamin E via α-Tocopherol transport protein in hepatocytes. (2025). https://pubmed.ncbi.nlm.nih.gov/40258550/ DOI: 10.1016/j.ijbiomac.2025.143021
    Complete structured claim and evidence
  29. Co-immunoprecipitation/Western blot experiments identified an association of sheep alpha-TTP with Vps35 in a liver/primary-hepatocyte study.

    Experimental context and source evidence
    cross_nutrient
    false
    experimental_model
    Co-IP/Western blot validation in sheep liver/hepatocyte study
    exposure
    Endogenous interaction profiling and validation; exact pull-down exposures not assigned from accessible sections.
    limitations
    Association is not proof of direct binary binding or a defined stable complex; no human nutritional outcome is inferred.
    nutrient_topic
    Vitamin E research collection; topical membership is not evidence of a direct dietary effect. · Vitamin E
    organism
    Ovis aries
    plain_language
    The sheep study linked this trafficking protein with alpha-TTP.
    primary_references
    [jian2025] Rab8a and Vps35 influence intracellular transport of vitamin E via α-Tocopherol transport protein in hepatocytes. (2025). https://pubmed.ncbi.nlm.nih.gov/40258550/ DOI: 10.1016/j.ijbiomac.2025.143021
    tissue_or_cell_type
    Liver and newborn male Australian White sheep primary hepatocytes

    Vitamin E: transport, membrane protection and nutrient interactions (2026-09-17) · lines 389–400

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Co-IP/Western blot validation in sheep liver/hepatocyte study · source_derived_draft · unverified_draft

    ### ve-transport-sheep-ttp-vps35 Co-immunoprecipitation/Western blot experiments identified an association of sheep alpha-TTP with Vps35 in a liver/primary-hepatocyte study. Condition category: normal nutrient_topic: Vitamin E research collection; topical membership is not evidence of a direct dietary effect. plain_language: The sheep study linked this trafficking protein with alpha-TTP. organism: Ovis aries tissue_or_cell_type: Liver and newborn male Australian White sheep primary hepatocytes experimental_model: Co-IP/Western blot validation in sheep liver/hepatocyte study limitations: Association is not proof of direct binary binding or a defined stable complex; no human nutritional outcome is inferred. exposure: Endogenous interaction profiling and validation; exact pull-down exposures not assigned from accessible sections. cross_nutrient: false [jian2025] Rab8a and Vps35 influence intracellular transport of vitamin E via α-Tocopherol transport protein in hepatocytes. (2025). https://pubmed.ncbi.nlm.nih.gov/40258550/ DOI: 10.1016/j.ijbiomac.2025.143021
    Complete structured claim and evidence
  30. Recombinant human CYP4F2 catalyzed terminal side-chain hydroxylation of alpha-tocopherol to its 13′-hydroxy product.

    Experimental context and source evidence
    cross_nutrient
    false
    experimental_model
    Recombinant human P450 enzyme comparison
    exposure
    alpha-Tocopherol substrate with NADPH; quantitative incubation details not assigned here.
    limitations
    Initial oxidation only; other enzymes perform subsequent side-chain shortening.
    nutrient_topic
    Vitamin E research collection; topical membership is not evidence of a direct dietary effect. · Vitamin E
    organism
    Human protein in recombinant microsomes
    plain_language
    CYP4F2 begins breakdown of this tocopherol form.
    primary_references
    [sontag2002] Cytochrome P450 omega-hydroxylase pathway of tocopherol catabolism. Novel mechanism of regulation of vitamin E status. (2002). https://pubmed.ncbi.nlm.nih.gov/11997390/ DOI: 10.1074/jbc.m201466200
    tissue_or_cell_type
    Microsomal enzyme preparation

    Vitamin E: transport, membrane protection and nutrient interactions (2026-09-17) · lines 402–413

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Recombinant human P450 enzyme comparison · source_derived_draft · unverified_draft

    ### ve-transport-cyp4f2-alpha-hydroxylation Recombinant human CYP4F2 catalyzed terminal side-chain hydroxylation of alpha-tocopherol to its 13′-hydroxy product. Condition category: normal nutrient_topic: Vitamin E research collection; topical membership is not evidence of a direct dietary effect. plain_language: CYP4F2 begins breakdown of this tocopherol form. organism: Human protein in recombinant microsomes tissue_or_cell_type: Microsomal enzyme preparation experimental_model: Recombinant human P450 enzyme comparison limitations: Initial oxidation only; other enzymes perform subsequent side-chain shortening. exposure: alpha-Tocopherol substrate with NADPH; quantitative incubation details not assigned here. cross_nutrient: false [sontag2002] Cytochrome P450 omega-hydroxylase pathway of tocopherol catabolism. Novel mechanism of regulation of vitamin E status. (2002). https://pubmed.ncbi.nlm.nih.gov/11997390/ DOI: 10.1074/jbc.m201466200
    Complete structured claim and evidence
  31. Recombinant human CYP4F2 catalyzed terminal side-chain hydroxylation of gamma-tocopherol to its 13′-hydroxy product.

    Experimental context and source evidence
    cross_nutrient
    false
    experimental_model
    Recombinant human P450 enzyme comparison
    exposure
    gamma-Tocopherol substrate with NADPH; quantitative incubation details not assigned here.
    limitations
    Initial oxidation only; other enzymes perform subsequent side-chain shortening.
    nutrient_topic
    Vitamin E research collection; topical membership is not evidence of a direct dietary effect. · Vitamin E
    organism
    Human protein in recombinant microsomes
    plain_language
    CYP4F2 begins breakdown of this tocopherol form.
    primary_references
    [sontag2002] Cytochrome P450 omega-hydroxylase pathway of tocopherol catabolism. Novel mechanism of regulation of vitamin E status. (2002). https://pubmed.ncbi.nlm.nih.gov/11997390/ DOI: 10.1074/jbc.m201466200
    tissue_or_cell_type
    Microsomal enzyme preparation

    Vitamin E: transport, membrane protection and nutrient interactions (2026-09-17) · lines 415–426

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Recombinant human P450 enzyme comparison · source_derived_draft · unverified_draft

    ### ve-transport-cyp4f2-gamma-hydroxylation Recombinant human CYP4F2 catalyzed terminal side-chain hydroxylation of gamma-tocopherol to its 13′-hydroxy product. Condition category: normal nutrient_topic: Vitamin E research collection; topical membership is not evidence of a direct dietary effect. plain_language: CYP4F2 begins breakdown of this tocopherol form. organism: Human protein in recombinant microsomes tissue_or_cell_type: Microsomal enzyme preparation experimental_model: Recombinant human P450 enzyme comparison limitations: Initial oxidation only; other enzymes perform subsequent side-chain shortening. exposure: gamma-Tocopherol substrate with NADPH; quantitative incubation details not assigned here. cross_nutrient: false [sontag2002] Cytochrome P450 omega-hydroxylase pathway of tocopherol catabolism. Novel mechanism of regulation of vitamin E status. (2002). https://pubmed.ncbi.nlm.nih.gov/11997390/ DOI: 10.1074/jbc.m201466200
    Complete structured claim and evidence
  32. HepG2 cultures exposed to gamma-tocopherol produced side-chain oxidation/shortening intermediates culminating in gamma-CEHC, identified by GC-MS.

    Gamma-tocopherol → Gamma-carboxyethyl hydroxychromanol source_derived_draftungraded
    Experimental context and source evidence
    cross_nutrient
    false
    experimental_model
    HepG2 metabolite profiling
    exposure
    50 µM gamma-tocopherol; primary Figure 1.
    limitations
    Pathway-level conversion; not a one-step CYP4F2 reaction or a human excretion-rate estimate.
    nutrient_topic
    Vitamin E research collection; topical membership is not evidence of a direct dietary effect. · Vitamin E
    organism
    Homo sapiens
    plain_language
    Several metabolic steps convert gamma-tocopherol into a shorter-chain product.
    primary_references
    [sontag2002] Cytochrome P450 omega-hydroxylase pathway of tocopherol catabolism. Novel mechanism of regulation of vitamin E status. (2002). https://pubmed.ncbi.nlm.nih.gov/11997390/ DOI: 10.1074/jbc.m201466200
    tissue_or_cell_type
    Hepatoma cells

    Vitamin E: transport, membrane protection and nutrient interactions (2026-09-17) · lines 428–439

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · HepG2 metabolite profiling · source_derived_draft · unverified_draft

    ### ve-transport-gamma-multistep-cehc HepG2 cultures exposed to gamma-tocopherol produced side-chain oxidation/shortening intermediates culminating in gamma-CEHC, identified by GC-MS. Condition category: normal nutrient_topic: Vitamin E research collection; topical membership is not evidence of a direct dietary effect. plain_language: Several metabolic steps convert gamma-tocopherol into a shorter-chain product. organism: Homo sapiens tissue_or_cell_type: Hepatoma cells experimental_model: HepG2 metabolite profiling limitations: Pathway-level conversion; not a one-step CYP4F2 reaction or a human excretion-rate estimate. exposure: 50 µM gamma-tocopherol; primary Figure 1. cross_nutrient: false [sontag2002] Cytochrome P450 omega-hydroxylase pathway of tocopherol catabolism. Novel mechanism of regulation of vitamin E status. (2002). https://pubmed.ncbi.nlm.nih.gov/11997390/ DOI: 10.1074/jbc.m201466200
    Complete structured claim and evidence
  33. Rat liver microsomes formed initial alpha- and gamma-tocopherol side-chain oxidation products with NADPH but not without it.

    NADPH → Microsomal tocopherol omega-hydroxylation source_derived_draftungraded
    Experimental context and source evidence
    cross_nutrient
    true
    experimental_model
    Cofactor omission/addition; Figure 6
    exposure
    0.5 mM NADPH; reaction followed for 80 minutes.
    limitations
    Direct NADPH dependence; no dietary niacin or riboflavin shortage, universal supplement combination or magnesium requirement was tested.
    nutrient_topic
    Vitamin E research collection; topical membership is not evidence of a direct dietary effect. · Vitamin E
    organism
    Rattus norvegicus
    plain_language
    The initial microsomal oxidation required a reducing cofactor.
    primary_references
    [sontag2002] Cytochrome P450 omega-hydroxylase pathway of tocopherol catabolism. Novel mechanism of regulation of vitamin E status. (2002). https://pubmed.ncbi.nlm.nih.gov/11997390/ DOI: 10.1074/jbc.m201466200
    tissue_or_cell_type
    Liver microsomes

    Vitamin E: transport, membrane protection and nutrient interactions (2026-09-17) · lines 441–452

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Cofactor omission/addition; Figure 6 · source_derived_draft · unverified_draft

    ### ve-transport-nadph-microsomal-oxidation Rat liver microsomes formed initial alpha- and gamma-tocopherol side-chain oxidation products with NADPH but not without it. Condition category: normal nutrient_topic: Vitamin E research collection; topical membership is not evidence of a direct dietary effect. plain_language: The initial microsomal oxidation required a reducing cofactor. organism: Rattus norvegicus tissue_or_cell_type: Liver microsomes experimental_model: Cofactor omission/addition; Figure 6 limitations: Direct NADPH dependence; no dietary niacin or riboflavin shortage, universal supplement combination or magnesium requirement was tested. exposure: 0.5 mM NADPH; reaction followed for 80 minutes. cross_nutrient: true [sontag2002] Cytochrome P450 omega-hydroxylase pathway of tocopherol catabolism. Novel mechanism of regulation of vitamin E status. (2002). https://pubmed.ncbi.nlm.nih.gov/11997390/ DOI: 10.1074/jbc.m201466200
    Complete structured claim and evidence
  34. Human CYP4F2-expressing microsomes hydroxylated phylloquinone, demonstrating substrate overlap with tocopherol catabolism.

    Human cytochrome P450 4F2 → Omega-hydroxyphylloquinone source_derived_draftungraded
    Experimental context and source evidence
    cross_nutrient
    true
    experimental_model
    Recombinant CYP4F2 kinetic assay
    exposure
    25 pmol CYP4F2; labeled phylloquinone 1–100 µM; 1 mM NADPH; 30 min at 37 °C.
    limitations
    Shared substrate use alone does not imply vitamin E accelerates vitamin K depletion.
    nutrient_topic
    Vitamin E research collection; topical membership is not evidence of a direct dietary effect. · Vitamin E
    organism
    Human protein in insect microsomes
    plain_language
    Vitamins E and K1 share an initial catabolic enzyme.
    primary_references
    [farley2013] ω-Hydroxylation of phylloquinone by CYP4F2 is not increased by α-tocopherol. (2013). https://pubmed.ncbi.nlm.nih.gov/23650179/ DOI: 10.1002/mnfr.201200797
    tissue_or_cell_type
    Microsomal enzyme preparation

    Vitamin E: transport, membrane protection and nutrient interactions (2026-09-17) · lines 454–465

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Recombinant CYP4F2 kinetic assay · source_derived_draft · unverified_draft

    ### ve-transport-cyp4f2-k1-hydroxylation Human CYP4F2-expressing microsomes hydroxylated phylloquinone, demonstrating substrate overlap with tocopherol catabolism. Condition category: normal nutrient_topic: Vitamin E research collection; topical membership is not evidence of a direct dietary effect. plain_language: Vitamins E and K1 share an initial catabolic enzyme. organism: Human protein in insect microsomes tissue_or_cell_type: Microsomal enzyme preparation experimental_model: Recombinant CYP4F2 kinetic assay limitations: Shared substrate use alone does not imply vitamin E accelerates vitamin K depletion. exposure: 25 pmol CYP4F2; labeled phylloquinone 1–100 µM; 1 mM NADPH; 30 min at 37 °C. cross_nutrient: true [farley2013] ω-Hydroxylation of phylloquinone by CYP4F2 is not increased by α-tocopherol. (2013). https://pubmed.ncbi.nlm.nih.gov/23650179/ DOI: 10.1002/mnfr.201200797
    Complete structured claim and evidence
  35. Alpha-tocopherol did not increase phylloquinone omega-hydroxylation in CYP4F2 microsomes; the study reported a slight decrease in apparent phylloquinone Vmax.

    Experimental context and source evidence
    cross_nutrient
    true
    experimental_model
    Recombinant human CYP4F2 co-substrate kinetics
    exposure
    Labeled phylloquinone 0–50 µM with RRR-alpha-tocopherol 0–50 µM or SRR-alpha-tocopherol 0–100 µM; 30 min, 37 °C, 1 mM NADPH.
    limitations
    Does not exclude other mechanisms of vitamin E–K interaction in animals or humans.
    nutrient_topic
    Vitamin E research collection; topical membership is not evidence of a direct dietary effect. · Vitamin E
    organism
    Human protein in insect microsomes
    plain_language
    This assay did not support faster vitamin K1 breakdown caused by alpha-tocopherol.
    primary_references
    [farley2013] ω-Hydroxylation of phylloquinone by CYP4F2 is not increased by α-tocopherol. (2013). https://pubmed.ncbi.nlm.nih.gov/23650179/ DOI: 10.1002/mnfr.201200797
    tissue_or_cell_type
    Microsomal enzyme preparation

    Vitamin E: transport, membrane protection and nutrient interactions (2026-09-17) · lines 467–478

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Recombinant human CYP4F2 co-substrate kinetics · source_derived_draft · unverified_draft

    ### ve-transport-alpha-does-not-activate-k1-catabolism Alpha-tocopherol did not increase phylloquinone omega-hydroxylation in CYP4F2 microsomes; the study reported a slight decrease in apparent phylloquinone Vmax. Condition category: normal nutrient_topic: Vitamin E research collection; topical membership is not evidence of a direct dietary effect. plain_language: This assay did not support faster vitamin K1 breakdown caused by alpha-tocopherol. organism: Human protein in insect microsomes tissue_or_cell_type: Microsomal enzyme preparation experimental_model: Recombinant human CYP4F2 co-substrate kinetics limitations: Does not exclude other mechanisms of vitamin E–K interaction in animals or humans. exposure: Labeled phylloquinone 0–50 µM with RRR-alpha-tocopherol 0–50 µM or SRR-alpha-tocopherol 0–100 µM; 30 min, 37 °C, 1 mM NADPH. cross_nutrient: true [farley2013] ω-Hydroxylation of phylloquinone by CYP4F2 is not increased by α-tocopherol. (2013). https://pubmed.ncbi.nlm.nih.gov/23650179/ DOI: 10.1002/mnfr.201200797
    Complete structured claim and evidence
  36. In azo-initiated methyl linoleate oxidation in solution, alpha-tocopherol interrupted the radical chain; the reported inhibition rate constant was 5.1 × 10^5 M^-1 s^-1 at 37 °C, with kinetics consistent with trapping two peroxyl radicals per molecule under those conditions.

    Alpha-tocopherol → Lipid peroxyl radicals source_derived_draftungraded
    Experimental context and source evidence
    cross_nutrient
    false
    evidence_location
    Primary abstract
    experimental_model
    Solution autoxidation kinetics
    exposure
    Azo initiators; 37 °C.
    limitations
    Solution-specific kinetics and inferred stoichiometry, not a universal membrane rate.
    nutrient_topic
    Vitamin E research collection; topical membership is not evidence of a direct dietary effect. · Vitamin E
    organism
    Cell-free
    plain_language
    Vitamin E intercepted radicals that would otherwise continue oxidizing this fatty-acid ester.
    primary_references
    [ver-niki1984] Inhibition of oxidation of methyl linoleate in solution by vitamin E and vitamin C. (1984). https://pubmed.ncbi.nlm.nih.gov/6706998/ DOI: 10.1016/s0021-9258(17)43026-2
    tissue_or_cell_type
    Organic solution

    Vitamin E: transport, membrane protection and nutrient interactions (2026-09-17) · lines 480–492

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Solution autoxidation kinetics · source_derived_draft · unverified_draft

    ### ver-peroxyl-trapping In azo-initiated methyl linoleate oxidation in solution, alpha-tocopherol interrupted the radical chain; the reported inhibition rate constant was 5.1 × 10^5 M^-1 s^-1 at 37 °C, with kinetics consistent with trapping two peroxyl radicals per molecule under those conditions. Condition category: normal nutrient_topic: Vitamin E research collection; topical membership is not evidence of a direct dietary effect. plain_language: Vitamin E intercepted radicals that would otherwise continue oxidizing this fatty-acid ester. organism: Cell-free tissue_or_cell_type: Organic solution experimental_model: Solution autoxidation kinetics limitations: Solution-specific kinetics and inferred stoichiometry, not a universal membrane rate. exposure: Azo initiators; 37 °C. cross_nutrient: false evidence_location: Primary abstract [ver-niki1984] Inhibition of oxidation of methyl linoleate in solution by vitamin E and vitamin C. (1984). https://pubmed.ncbi.nlm.nih.gov/6706998/ DOI: 10.1016/s0021-9258(17)43026-2
    Complete structured claim and evidence
  37. Electron paramagnetic resonance detected alpha-tocopheroxyl radical at approximately 10^-8–10^-7 M during Fe(III)-complex-initiated oxidation of soybean phosphatidylcholine liposomes containing alpha-tocopherol.

    Alpha-tocopherol → Alpha-tocopheroxyl radical source_derived_draftungraded
    Experimental context and source evidence
    cross_nutrient
    false
    evidence_location
    Primary abstract
    experimental_model
    EPR with optical and oxygen-consumption measurements
    exposure
    Fe(III)-triethylenetetramine initiator.
    limitations
    Artificial membrane system; does not quantify in vivo radical abundance.
    nutrient_topic
    Vitamin E research collection; topical membership is not evidence of a direct dietary effect. · Vitamin E
    organism
    Cell-free soybean lipid preparation
    plain_language
    The experiment directly observed the vitamin E radical intermediate inside an artificial membrane.
    primary_references
    [ver-scarpa1984-reuse] Formation of alpha-tocopherol radical and recycling of alpha-tocopherol by ascorbate during peroxidation of phosphatidylcholine liposomes. An electron paramagnetic resonance study. (1984). https://pubmed.ncbi.nlm.nih.gov/6089911/ DOI: 10.1016/0304-4165(84)90070-9
    tissue_or_cell_type
    Phosphatidylcholine liposomes

    Vitamin E: transport, membrane protection and nutrient interactions (2026-09-17) · lines 494–506

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · EPR with optical and oxygen-consumption measurements · source_derived_draft · unverified_draft

    ### ver-tocopheroxyl-detection Electron paramagnetic resonance detected alpha-tocopheroxyl radical at approximately 10^-8–10^-7 M during Fe(III)-complex-initiated oxidation of soybean phosphatidylcholine liposomes containing alpha-tocopherol. Condition category: normal nutrient_topic: Vitamin E research collection; topical membership is not evidence of a direct dietary effect. plain_language: The experiment directly observed the vitamin E radical intermediate inside an artificial membrane. organism: Cell-free soybean lipid preparation tissue_or_cell_type: Phosphatidylcholine liposomes experimental_model: EPR with optical and oxygen-consumption measurements limitations: Artificial membrane system; does not quantify in vivo radical abundance. exposure: Fe(III)-triethylenetetramine initiator. cross_nutrient: false evidence_location: Primary abstract [ver-scarpa1984-reuse] Formation of alpha-tocopherol radical and recycling of alpha-tocopherol by ascorbate during peroxidation of phosphatidylcholine liposomes. An electron paramagnetic resonance study. (1984). https://pubmed.ncbi.nlm.nih.gov/6089911/ DOI: 10.1016/0304-4165(84)90070-9
    Complete structured claim and evidence
  38. Ubiquinol-10 reduced alpha-tocopheroxyl to alpha-tocopherol in stopped-flow solution experiments, with second-order rate constants of 3.74 × 10^5 M^-1 s^-1 in benzene and 2.15 × 10^5 M^-1 s^-1 in ethanol at 25 °C.

    Reduced CoQ10 → Alpha-tocopherol source_derived_draftungraded
    Experimental context and source evidence
    cross_nutrient
    true
    evidence_location
    Primary abstract
    experimental_model
    Stopped-flow spectrophotometry
    exposure
    25 °C; reduced CoQ10.
    limitations
    No direct tissue flux or oral CoQ10 effect was measured.
    nutrient_topic
    Vitamin E research collection; topical membership is not evidence of a direct dietary effect. · Vitamin E
    organism
    Cell-free
    plain_language
    Reduced CoQ10 recycled the vitamin E radical in these chemical assays.
    primary_references
    [ver-mukai1990] Stopped-flow kinetic study of the regeneration reaction of tocopheroxyl radical by reduced ubiquinone-10 in solution. (1990). https://pubmed.ncbi.nlm.nih.gov/2383582/ DOI: 10.1016/0304-4165(90)90176-w
    tissue_or_cell_type
    Benzene or ethanol solution

    Vitamin E: transport, membrane protection and nutrient interactions (2026-09-17) · lines 508–520

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Stopped-flow spectrophotometry · source_derived_draft · unverified_draft

    ### ver-ubiquinol-regeneration Ubiquinol-10 reduced alpha-tocopheroxyl to alpha-tocopherol in stopped-flow solution experiments, with second-order rate constants of 3.74 × 10^5 M^-1 s^-1 in benzene and 2.15 × 10^5 M^-1 s^-1 in ethanol at 25 °C. Condition category: normal nutrient_topic: Vitamin E research collection; topical membership is not evidence of a direct dietary effect. plain_language: Reduced CoQ10 recycled the vitamin E radical in these chemical assays. organism: Cell-free tissue_or_cell_type: Benzene or ethanol solution experimental_model: Stopped-flow spectrophotometry limitations: No direct tissue flux or oral CoQ10 effect was measured. exposure: 25 °C; reduced CoQ10. cross_nutrient: true evidence_location: Primary abstract [ver-mukai1990] Stopped-flow kinetic study of the regeneration reaction of tocopheroxyl radical by reduced ubiquinone-10 in solution. (1990). https://pubmed.ncbi.nlm.nih.gov/2383582/ DOI: 10.1016/0304-4165(90)90176-w
    Complete structured claim and evidence
  39. The same solution study detected no reaction of oxidized ubiquinone-10 with tocopheroxyl radicals, distinguishing it from the active reduced ubiquinol-10 form.

    Ubiquinone-10 → Alpha-tocopherol source_derived_draftungraded
    Experimental context and source evidence
    cross_nutrient
    true
    evidence_location
    Primary abstract
    experimental_model
    Stopped-flow comparison of CoQ10 redox states
    exposure
    Oxidized ubiquinone-10 comparator.
    limitations
    A non-detected reaction under these assay conditions is not an assertion that cellular CoQ cannot first be reduced.
    nutrient_topic
    Vitamin E research collection; topical membership is not evidence of a direct dietary effect. · Vitamin E
    organism
    Cell-free
    plain_language
    CoQ10 needed to be in its reduced state for the measured recycling reaction.
    primary_references
    [ver-mukai1990] Stopped-flow kinetic study of the regeneration reaction of tocopheroxyl radical by reduced ubiquinone-10 in solution. (1990). https://pubmed.ncbi.nlm.nih.gov/2383582/ DOI: 10.1016/0304-4165(90)90176-w
    tissue_or_cell_type
    Chemical solution

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    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Stopped-flow comparison of CoQ10 redox states · source_derived_draft · unverified_draft

    ### ver-oxidized-coq-no-regeneration The same solution study detected no reaction of oxidized ubiquinone-10 with tocopheroxyl radicals, distinguishing it from the active reduced ubiquinol-10 form. Condition category: normal nutrient_topic: Vitamin E research collection; topical membership is not evidence of a direct dietary effect. plain_language: CoQ10 needed to be in its reduced state for the measured recycling reaction. organism: Cell-free tissue_or_cell_type: Chemical solution experimental_model: Stopped-flow comparison of CoQ10 redox states limitations: A non-detected reaction under these assay conditions is not an assertion that cellular CoQ cannot first be reduced. exposure: Oxidized ubiquinone-10 comparator. cross_nutrient: true evidence_location: Primary abstract [ver-mukai1990] Stopped-flow kinetic study of the regeneration reaction of tocopheroxyl radical by reduced ubiquinone-10 in solution. (1990). https://pubmed.ncbi.nlm.nih.gov/2383582/ DOI: 10.1016/0304-4165(90)90176-w
    Complete structured claim and evidence
  40. Vitamin K1 hydroquinone reacted with alpha-tocopheroxyl in stopped-flow assays; it regenerated vitamin E more rapidly than ubiquinol-10 across the tested ethanol, benzene and isopropanol/water solvent systems.

    Experimental context and source evidence
    cross_nutrient
    true
    evidence_location
    Primary abstract
    experimental_model
    Biological hydroquinone comparison
    exposure
    Reduced K1; isopropanol/water 5:1 v/v and separate organic solvents.
    limitations
    Does not establish dietary K/E synergy, clinical benefit or competition in coagulation.
    nutrient_topic
    Vitamin E research collection; topical membership is not evidence of a direct dietary effect. · Vitamin E
    organism
    Cell-free
    plain_language
    The reduced form of vitamin K1 recycled vitamin E in solution.
    primary_references
    [ver-mukai1992] Stopped-flow kinetic study of vitamin E regeneration reaction with biological hydroquinones (reduced forms of ubiquinone, vitamin K, and tocopherolquinone) in solution. (1992). https://pubmed.ncbi.nlm.nih.gov/1429580/ DOI: 10.1016/s0021-9258(18)41666-3
    tissue_or_cell_type
    Chemical solutions

    Vitamin E: transport, membrane protection and nutrient interactions (2026-09-17) · lines 536–548

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Biological hydroquinone comparison · source_derived_draft · unverified_draft

    ### ver-phylloquinol-regeneration Vitamin K1 hydroquinone reacted with alpha-tocopheroxyl in stopped-flow assays; it regenerated vitamin E more rapidly than ubiquinol-10 across the tested ethanol, benzene and isopropanol/water solvent systems. Condition category: normal nutrient_topic: Vitamin E research collection; topical membership is not evidence of a direct dietary effect. plain_language: The reduced form of vitamin K1 recycled vitamin E in solution. organism: Cell-free tissue_or_cell_type: Chemical solutions experimental_model: Biological hydroquinone comparison limitations: Does not establish dietary K/E synergy, clinical benefit or competition in coagulation. exposure: Reduced K1; isopropanol/water 5:1 v/v and separate organic solvents. cross_nutrient: true evidence_location: Primary abstract [ver-mukai1992] Stopped-flow kinetic study of vitamin E regeneration reaction with biological hydroquinones (reduced forms of ubiquinone, vitamin K, and tocopherolquinone) in solution. (1992). https://pubmed.ncbi.nlm.nih.gov/1429580/ DOI: 10.1016/s0021-9258(18)41666-3
    Complete structured claim and evidence
  41. Purified PHGPX (GPX4) with glutathione reduced phospholipid hydroperoxides within photooxidized human erythrocyte ghost membranes to alcohol products without prior phospholipase cleavage.

    GPX4 → Phospholipid hydroperoxides source_derived_draftungraded
    Experimental context and source evidence
    cross_nutrient
    true
    evidence_location
    Primary abstract
    experimental_model
    Rose-bengal photoperoxidation followed by enzyme treatment
    exposure
    GSH/PHGPX after photooxidation.
    limitations
    Purified-enzyme preparation; distinguishes peroxide removal from vitamin E radical trapping.
    nutrient_topic
    Vitamin E research collection; topical membership is not evidence of a direct dietary effect. · Vitamin E
    organism
    Human-derived cell-free membranes
    plain_language
    GPX4 removed peroxide groups from membrane phospholipids using glutathione.
    primary_references
    [ver-thomas1990] Protective action of phospholipid hydroperoxide glutathione peroxidase against membrane-damaging lipid peroxidation. In situ reduction of phospholipid and cholesterol hydroperoxides. (1990). https://pubmed.ncbi.nlm.nih.gov/2294113/ DOI: 10.1016/s0021-9258(19)40252-4
    tissue_or_cell_type
    Erythrocyte ghosts

    Vitamin E: transport, membrane protection and nutrient interactions (2026-09-17) · lines 550–562

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Rose-bengal photoperoxidation followed by enzyme treatment · source_derived_draft · unverified_draft

    ### ver-gpx4-pl-hydroperoxide-reduction Purified PHGPX (GPX4) with glutathione reduced phospholipid hydroperoxides within photooxidized human erythrocyte ghost membranes to alcohol products without prior phospholipase cleavage. Condition category: normal nutrient_topic: Vitamin E research collection; topical membership is not evidence of a direct dietary effect. plain_language: GPX4 removed peroxide groups from membrane phospholipids using glutathione. organism: Human-derived cell-free membranes tissue_or_cell_type: Erythrocyte ghosts experimental_model: Rose-bengal photoperoxidation followed by enzyme treatment limitations: Purified-enzyme preparation; distinguishes peroxide removal from vitamin E radical trapping. exposure: GSH/PHGPX after photooxidation. cross_nutrient: true evidence_location: Primary abstract [ver-thomas1990] Protective action of phospholipid hydroperoxide glutathione peroxidase against membrane-damaging lipid peroxidation. In situ reduction of phospholipid and cholesterol hydroperoxides. (1990). https://pubmed.ncbi.nlm.nih.gov/2294113/ DOI: 10.1016/s0021-9258(19)40252-4
    Complete structured claim and evidence
  42. GSH/PHGPX reduced membrane cholesterol hydroperoxides, predominantly the photo-generated 5-alpha product, to diol-like products; cholesterol hydroperoxide decay was about one-sixth the phospholipid hydroperoxide decay rate in the ghost-membrane assay.

    GPX4 → Cholesterol hydroperoxides source_derived_draftungraded
    Experimental context and source evidence
    cross_nutrient
    true
    evidence_location
    Primary abstract
    experimental_model
    Radiolabeled sterol analysis in erythrocyte ghosts
    exposure
    Photooxidation followed by GSH/PHGPX.
    limitations
    Product co-migration and assay-specific relative kinetics; no universal cellular rate.
    nutrient_topic
    Vitamin E research collection; topical membership is not evidence of a direct dietary effect. · Vitamin E
    organism
    Human-derived cell-free membranes
    plain_language
    The enzyme also removed peroxide groups from oxidized cholesterol, more slowly than from phospholipids in this preparation.
    primary_references
    [ver-thomas1990] Protective action of phospholipid hydroperoxide glutathione peroxidase against membrane-damaging lipid peroxidation. In situ reduction of phospholipid and cholesterol hydroperoxides. (1990). https://pubmed.ncbi.nlm.nih.gov/2294113/ DOI: 10.1016/s0021-9258(19)40252-4
    tissue_or_cell_type
    Erythrocyte ghosts

    Vitamin E: transport, membrane protection and nutrient interactions (2026-09-17) · lines 564–576

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Radiolabeled sterol analysis in erythrocyte ghosts · source_derived_draft · unverified_draft

    ### ver-gpx4-cholesterol-hydroperoxide GSH/PHGPX reduced membrane cholesterol hydroperoxides, predominantly the photo-generated 5-alpha product, to diol-like products; cholesterol hydroperoxide decay was about one-sixth the phospholipid hydroperoxide decay rate in the ghost-membrane assay. Condition category: normal nutrient_topic: Vitamin E research collection; topical membership is not evidence of a direct dietary effect. plain_language: The enzyme also removed peroxide groups from oxidized cholesterol, more slowly than from phospholipids in this preparation. organism: Human-derived cell-free membranes tissue_or_cell_type: Erythrocyte ghosts experimental_model: Radiolabeled sterol analysis in erythrocyte ghosts limitations: Product co-migration and assay-specific relative kinetics; no universal cellular rate. exposure: Photooxidation followed by GSH/PHGPX. cross_nutrient: true evidence_location: Primary abstract [ver-thomas1990] Protective action of phospholipid hydroperoxide glutathione peroxidase against membrane-damaging lipid peroxidation. In situ reduction of phospholipid and cholesterol hydroperoxides. (1990). https://pubmed.ncbi.nlm.nih.gov/2294113/ DOI: 10.1016/s0021-9258(19)40252-4
    Complete structured claim and evidence
  43. GSH/PHGPX pretreatment completely suppressed the subsequent radical-peroxidation burst when photooxidized erythrocyte ghosts were challenged with ascorbate/iron or xanthine/xanthine-oxidase/iron.

    GPX4 → Lipid peroxidation source_derived_draftungraded
    Experimental context and source evidence
    cross_nutrient
    true
    evidence_location
    Primary abstract
    experimental_model
    Sequential peroxide reduction and iron challenge
    exposure
    Photoperoxidation → GSH/PHGPX → iron-dependent challenge.
    limitations
    Ascorbate participates in this deliberately pro-oxidizing assay; this is not evidence that normal vitamin C intake damages membranes.
    nutrient_topic
    Vitamin E research collection; topical membership is not evidence of a direct dietary effect. · Vitamin E
    organism
    Human-derived cell-free membranes
    plain_language
    Removing membrane hydroperoxides prevented an iron-driven burst of further oxidation.
    primary_references
    [ver-thomas1990] Protective action of phospholipid hydroperoxide glutathione peroxidase against membrane-damaging lipid peroxidation. In situ reduction of phospholipid and cholesterol hydroperoxides. (1990). https://pubmed.ncbi.nlm.nih.gov/2294113/ DOI: 10.1016/s0021-9258(19)40252-4
    tissue_or_cell_type
    Erythrocyte ghosts

    Vitamin E: transport, membrane protection and nutrient interactions (2026-09-17) · lines 578–590

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Sequential peroxide reduction and iron challenge · source_derived_draft · unverified_draft

    ### ver-peroxide-removal-iron-burst GSH/PHGPX pretreatment completely suppressed the subsequent radical-peroxidation burst when photooxidized erythrocyte ghosts were challenged with ascorbate/iron or xanthine/xanthine-oxidase/iron. Condition category: normal nutrient_topic: Vitamin E research collection; topical membership is not evidence of a direct dietary effect. plain_language: Removing membrane hydroperoxides prevented an iron-driven burst of further oxidation. organism: Human-derived cell-free membranes tissue_or_cell_type: Erythrocyte ghosts experimental_model: Sequential peroxide reduction and iron challenge limitations: Ascorbate participates in this deliberately pro-oxidizing assay; this is not evidence that normal vitamin C intake damages membranes. exposure: Photoperoxidation → GSH/PHGPX → iron-dependent challenge. cross_nutrient: true evidence_location: Primary abstract [ver-thomas1990] Protective action of phospholipid hydroperoxide glutathione peroxidase against membrane-damaging lipid peroxidation. In situ reduction of phospholipid and cholesterol hydroperoxides. (1990). https://pubmed.ncbi.nlm.nih.gov/2294113/ DOI: 10.1016/s0021-9258(19)40252-4
    Complete structured claim and evidence
  44. At a physiological vitamin E-to-phospholipid ratio, inhibition of iron-dependent lipid peroxidation in rat liver microsomes and dispersed microsomal lipids was observed only when PHGPX (GPX4) and glutathione were also present.

    Alpha-tocopherol → Lipid peroxidation source_derived_draftungraded
    Experimental context and source evidence
    cross_nutrient
    true
    evidence_location
    Primary abstract
    experimental_model
    Microsomes and Triton-dispersed lipid micelles
    exposure
    Iron-dependent peroxidation; physiological vitamin E:phospholipid ratio as reported in abstract.
    limitations
    Exact concentrations are not available in the inspected abstract. Model-specific dependence does not imply every membrane requires added GPX4 to show E protection.
    nutrient_topic
    Vitamin E research collection; topical membership is not evidence of a direct dietary effect. · Vitamin E
    organism
    Rattus norvegicus
    plain_language
    Vitamin E protection depended on peroxide removal by the GPX4/glutathione system in these preparations.
    primary_references
    [ver-maiorino1989] Microsomal lipid peroxidation: effect of vitamin E and its functional interaction with phospholipid hydroperoxide glutathione peroxidase. (1989). https://pubmed.ncbi.nlm.nih.gov/2586229/ DOI: 10.1007/bf02535211
    tissue_or_cell_type
    Liver microsomal lipids

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    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Microsomes and Triton-dispersed lipid micelles · source_derived_draft · unverified_draft

    ### ver-gpx4-gsh-tocopherol-cooperation At a physiological vitamin E-to-phospholipid ratio, inhibition of iron-dependent lipid peroxidation in rat liver microsomes and dispersed microsomal lipids was observed only when PHGPX (GPX4) and glutathione were also present. Condition category: normal nutrient_topic: Vitamin E research collection; topical membership is not evidence of a direct dietary effect. plain_language: Vitamin E protection depended on peroxide removal by the GPX4/glutathione system in these preparations. organism: Rattus norvegicus tissue_or_cell_type: Liver microsomal lipids experimental_model: Microsomes and Triton-dispersed lipid micelles limitations: Exact concentrations are not available in the inspected abstract. Model-specific dependence does not imply every membrane requires added GPX4 to show E protection. exposure: Iron-dependent peroxidation; physiological vitamin E:phospholipid ratio as reported in abstract. cross_nutrient: true evidence_location: Primary abstract [ver-maiorino1989] Microsomal lipid peroxidation: effect of vitamin E and its functional interaction with phospholipid hydroperoxide glutathione peroxidase. (1989). https://pubmed.ncbi.nlm.nih.gov/2586229/ DOI: 10.1007/bf02535211
    Complete structured claim and evidence
  45. Maternal dietary supplementation with 500 IU/kg DL-alpha-tocopheryl acetate through gestation and nursing allowed Alb-Cre;Gpx4fl/fl pups to survive to weaning, whereas liver-specific Gpx4-null pups on standard chow died within 48 hours after birth.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    cross_nutrient
    true
    evidence_location
    Results/Table 2; standard-chow comparison Table 1
    experimental_model
    Alb-Cre conditional Gpx4 deletion and maternal diet
    exposure
    500 IU/kg DL-alpha-tocopheryl acetate during gestation/lactation; weaning at 3 weeks.
    limitations
    Alb-Cre Gpx4 loss is machinery impairment, not selenium deficiency; mouse survival rescue does not establish human substitutability.
    nutrient_topic
    Vitamin E research collection; topical membership is not evidence of a direct dietary effect. · Vitamin E
    organism
    Mus musculus
    plain_language
    Extra dietary vitamin E rescued early survival in mice lacking liver GPX4.
    primary_references
    [ver-carlson2016] Glutathione peroxidase 4 and vitamin E cooperatively prevent hepatocellular degeneration. (2016). https://pubmed.ncbi.nlm.nih.gov/27262435/ DOI: 10.1016/j.redox.2016.05.003
    tissue_or_cell_type
    Hepatocytes and whole-animal survival
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

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    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Alb-Cre conditional Gpx4 deletion and maternal diet · source_derived_draft · unverified_draft

    ### ver-liver-gpx4-e-rescue Maternal dietary supplementation with 500 IU/kg DL-alpha-tocopheryl acetate through gestation and nursing allowed Alb-Cre;Gpx4fl/fl pups to survive to weaning, whereas liver-specific Gpx4-null pups on standard chow died within 48 hours after birth. Condition category: machinery_impairment nutrient_topic: Vitamin E research collection; topical membership is not evidence of a direct dietary effect. plain_language: Extra dietary vitamin E rescued early survival in mice lacking liver GPX4. organism: Mus musculus tissue_or_cell_type: Hepatocytes and whole-animal survival experimental_model: Alb-Cre conditional Gpx4 deletion and maternal diet limitations: Alb-Cre Gpx4 loss is machinery impairment, not selenium deficiency; mouse survival rescue does not establish human substitutability. exposure: 500 IU/kg DL-alpha-tocopheryl acetate during gestation/lactation; weaning at 3 weeks. cross_nutrient: true evidence_location: Results/Table 2; standard-chow comparison Table 1 [ver-carlson2016] Glutathione peroxidase 4 and vitamin E cooperatively prevent hepatocellular degeneration. (2016). https://pubmed.ncbi.nlm.nih.gov/27262435/ DOI: 10.1016/j.redox.2016.05.003
    Complete structured claim and evidence
  46. After six weeks on vitamin E-enriched diets, switching liver-specific Gpx4-null mice to vitamin E-deficient diet caused extensive hepatocellular necrosis and loss of the prior survival rescue; control genotypes survived the monitored 78 days after withdrawal.

    Hepatocyte-directed GPX4 loss → Hepatocyte necrosis source_derived_draftungraded
    Experimental context and source evidence
    availability_state
    nutrient_deficiency Imported condition classification; unverified.
    cross_nutrient
    true
    evidence_location
    Figures 4–5
    experimental_model
    Diet withdrawal after developmental rescue
    exposure
    E-enriched diet through 6 weeks; subsequent E withdrawal; necrosis examined after 3 weeks.
    limitations
    Alb-Cre Gpx4 loss is machinery impairment, not selenium deficiency; mouse survival rescue does not establish human substitutability.
    nutrient_topic
    Vitamin E research collection; topical membership is not evidence of a direct dietary effect. · Vitamin E
    organism
    Mus musculus
    plain_language
    The rescued mice remained dependent on continued vitamin E supply.
    primary_references
    [ver-carlson2016] Glutathione peroxidase 4 and vitamin E cooperatively prevent hepatocellular degeneration. (2016). https://pubmed.ncbi.nlm.nih.gov/27262435/ DOI: 10.1016/j.redox.2016.05.003
    tissue_or_cell_type
    Liver
    trigger_kind
    nutrient_deficiency Imported condition classification; unverified.

    Vitamin E: transport, membrane protection and nutrient interactions (2026-09-17) · lines 620–632

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Diet withdrawal after developmental rescue · source_derived_draft · unverified_draft

    ### ver-liver-gpx4-e-withdrawal After six weeks on vitamin E-enriched diets, switching liver-specific Gpx4-null mice to vitamin E-deficient diet caused extensive hepatocellular necrosis and loss of the prior survival rescue; control genotypes survived the monitored 78 days after withdrawal. Condition category: nutrient_deficiency nutrient_topic: Vitamin E research collection; topical membership is not evidence of a direct dietary effect. plain_language: The rescued mice remained dependent on continued vitamin E supply. organism: Mus musculus tissue_or_cell_type: Liver experimental_model: Diet withdrawal after developmental rescue limitations: Alb-Cre Gpx4 loss is machinery impairment, not selenium deficiency; mouse survival rescue does not establish human substitutability. exposure: E-enriched diet through 6 weeks; subsequent E withdrawal; necrosis examined after 3 weeks. cross_nutrient: true evidence_location: Figures 4–5 [ver-carlson2016] Glutathione peroxidase 4 and vitamin E cooperatively prevent hepatocellular degeneration. (2016). https://pubmed.ncbi.nlm.nih.gov/27262435/ DOI: 10.1016/j.redox.2016.05.003
    Complete structured claim and evidence
  47. Endothelium-specific Gpx4 deletion produced no obvious impairment of vascular homeostasis in mice maintained on a normal diet in the reported study.

    Endothelium-directed GPX4 loss → Vascular homeostasis source_derived_draftungraded
    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    cross_nutrient
    true
    evidence_location
    Primary abstract
    experimental_model
    Endothelial Gpx4 conditional deletion
    exposure
    Normal diet; no quantitative vitamin E content assigned from abstract.
    limitations
    Primary abstract only; vascular and survival endpoints in one mouse deletion model, not general human deficiency or dosing evidence.
    nutrient_topic
    Vitamin E research collection; topical membership is not evidence of a direct dietary effect. · Vitamin E
    organism
    Mus musculus
    plain_language
    Loss of endothelial GPX4 alone did not produce an obvious vascular phenotype under the normal-diet conditions tested.
    primary_references
    [ver-wortmann2013] Combined deficiency in glutathione peroxidase 4 and vitamin E causes multiorgan thrombus formation and early death in mice. (2013). https://pubmed.ncbi.nlm.nih.gov/23770613/ DOI: 10.1161/circresaha.113.279984
    tissue_or_cell_type
    Vascular endothelium
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

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    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Endothelial Gpx4 conditional deletion · source_derived_draft · unverified_draft

    ### ver-endo-gpx4-normal-diet Endothelium-specific Gpx4 deletion produced no obvious impairment of vascular homeostasis in mice maintained on a normal diet in the reported study. Condition category: machinery_impairment nutrient_topic: Vitamin E research collection; topical membership is not evidence of a direct dietary effect. plain_language: Loss of endothelial GPX4 alone did not produce an obvious vascular phenotype under the normal-diet conditions tested. organism: Mus musculus tissue_or_cell_type: Vascular endothelium experimental_model: Endothelial Gpx4 conditional deletion limitations: Primary abstract only; vascular and survival endpoints in one mouse deletion model, not general human deficiency or dosing evidence. exposure: Normal diet; no quantitative vitamin E content assigned from abstract. cross_nutrient: true evidence_location: Primary abstract [ver-wortmann2013] Combined deficiency in glutathione peroxidase 4 and vitamin E causes multiorgan thrombus formation and early death in mice. (2013). https://pubmed.ncbi.nlm.nih.gov/23770613/ DOI: 10.1161/circresaha.113.279984
    Complete structured claim and evidence
  48. Six weeks of vitamin E-depleted diet before inducible endothelial Gpx4 deletion led to endothelial detachment and cell death in multiple mouse organs, accompanied by thrombosis and approximately 80% knockout mortality.

    Experimental context and source evidence
    availability_state
    nutrient_deficiency Imported condition classification; unverified.
    cross_nutrient
    true
    evidence_location
    Primary abstract
    experimental_model
    Combined dietary depletion and 4-hydroxytamoxifen-induced deletion
    exposure
    Six-week vitamin E depletion preceding Gpx4 deletion.
    limitations
    Primary abstract only; vascular and survival endpoints in one mouse deletion model, not general human deficiency or dosing evidence.
    nutrient_topic
    Vitamin E research collection; topical membership is not evidence of a direct dietary effect. · Vitamin E
    organism
    Mus musculus
    plain_language
    Removing dietary vitamin E exposed severe vascular injury in mice whose endothelial GPX4 was then deleted.
    primary_references
    [ver-wortmann2013] Combined deficiency in glutathione peroxidase 4 and vitamin E causes multiorgan thrombus formation and early death in mice. (2013). https://pubmed.ncbi.nlm.nih.gov/23770613/ DOI: 10.1161/circresaha.113.279984
    tissue_or_cell_type
    Multiorgan vascular endothelium
    trigger_kind
    nutrient_deficiency Imported condition classification; unverified.

    Vitamin E: transport, membrane protection and nutrient interactions (2026-09-17) · lines 648–660

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Combined dietary depletion and 4-hydroxytamoxifen-induced deletion · source_derived_draft · unverified_draft

    ### ver-endo-combined-e-gpx4-loss Six weeks of vitamin E-depleted diet before inducible endothelial Gpx4 deletion led to endothelial detachment and cell death in multiple mouse organs, accompanied by thrombosis and approximately 80% knockout mortality. Condition category: nutrient_deficiency nutrient_topic: Vitamin E research collection; topical membership is not evidence of a direct dietary effect. plain_language: Removing dietary vitamin E exposed severe vascular injury in mice whose endothelial GPX4 was then deleted. organism: Mus musculus tissue_or_cell_type: Multiorgan vascular endothelium experimental_model: Combined dietary depletion and 4-hydroxytamoxifen-induced deletion limitations: Primary abstract only; vascular and survival endpoints in one mouse deletion model, not general human deficiency or dosing evidence. exposure: Six-week vitamin E depletion preceding Gpx4 deletion. cross_nutrient: true evidence_location: Primary abstract [ver-wortmann2013] Combined deficiency in glutathione peroxidase 4 and vitamin E causes multiorgan thrombus formation and early death in mice. (2013). https://pubmed.ncbi.nlm.nih.gov/23770613/ DOI: 10.1161/circresaha.113.279984
    Complete structured claim and evidence
  49. Loading C2C12 cells with 200 µM alpha-tocopherol for 18 hours reduced FM1-43 entry after laser injury in calcium-containing buffer, consistent with faster membrane resealing.

    All-rac-alpha-tocopherol → Plasma membrane repair source_derived_draftungraded
    Experimental context and source evidence
    cross_nutrient
    true
    evidence_location
    Figure 1a–b
    experimental_model
    Laser wounding and time-resolved dye exclusion
    exposure
    200 µM racemic alpha-tocopherol (96% pure) for 18 h, washed; 1.2 mM extracellular calcium.
    limitations
    Pharmacologic cell loading; not a dietary intake equivalent.
    nutrient_topic
    Vitamin E research collection; topical membership is not evidence of a direct dietary effect. · Vitamin E
    organism
    Mus musculus
    plain_language
    Vitamin E loading helped cultured muscle-line cells close laser-induced membrane wounds.
    primary_references
    [ver-howard2011] Promotion of plasma membrane repair by vitamin E. (2011). https://pubmed.ncbi.nlm.nih.gov/22186893/ DOI: 10.1038/ncomms1594
    tissue_or_cell_type
    C2C12 myoblasts

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    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Laser wounding and time-resolved dye exclusion · source_derived_draft · unverified_draft

    ### ver-c2c12-membrane-repair Loading C2C12 cells with 200 µM alpha-tocopherol for 18 hours reduced FM1-43 entry after laser injury in calcium-containing buffer, consistent with faster membrane resealing. Condition category: normal nutrient_topic: Vitamin E research collection; topical membership is not evidence of a direct dietary effect. plain_language: Vitamin E loading helped cultured muscle-line cells close laser-induced membrane wounds. organism: Mus musculus tissue_or_cell_type: C2C12 myoblasts experimental_model: Laser wounding and time-resolved dye exclusion limitations: Pharmacologic cell loading; not a dietary intake equivalent. exposure: 200 µM racemic alpha-tocopherol (96% pure) for 18 h, washed; 1.2 mM extracellular calcium. cross_nutrient: true evidence_location: Figure 1a–b [ver-howard2011] Promotion of plasma membrane repair by vitamin E. (2011). https://pubmed.ncbi.nlm.nih.gov/22186893/ DOI: 10.1038/ncomms1594
    Complete structured claim and evidence
  50. Alpha-tocopherol-loaded HeLa cells still failed to restrict dye entry after laser injury when extracellular calcium was omitted, despite improved repair in calcium-containing buffer.

    Calcium ion → Plasma membrane repair source_derived_draftungraded
    Experimental context and source evidence
    cross_nutrient
    true
    evidence_location
    Figure 1c
    experimental_model
    Laser wounding with extracellular calcium control
    exposure
    200 µM racemic alpha-tocopherol (96% pure) for 24 h; with versus without added extracellular calcium.
    limitations
    Acute assay calcium removal is not dietary calcium deficiency; does not identify the calcium sensor.
    nutrient_topic
    Vitamin E research collection; topical membership is not evidence of a direct dietary effect. · Vitamin E
    organism
    Homo sapiens
    plain_language
    Vitamin E loading did not eliminate the need for extracellular calcium during membrane repair.
    primary_references
    [ver-howard2011] Promotion of plasma membrane repair by vitamin E. (2011). https://pubmed.ncbi.nlm.nih.gov/22186893/ DOI: 10.1038/ncomms1594
    tissue_or_cell_type
    HeLa cells

    Vitamin E: transport, membrane protection and nutrient interactions (2026-09-17) · lines 676–688

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Laser wounding with extracellular calcium control · source_derived_draft · unverified_draft

    ### ver-repair-extracellular-calcium Alpha-tocopherol-loaded HeLa cells still failed to restrict dye entry after laser injury when extracellular calcium was omitted, despite improved repair in calcium-containing buffer. Condition category: normal nutrient_topic: Vitamin E research collection; topical membership is not evidence of a direct dietary effect. plain_language: Vitamin E loading did not eliminate the need for extracellular calcium during membrane repair. organism: Homo sapiens tissue_or_cell_type: HeLa cells experimental_model: Laser wounding with extracellular calcium control limitations: Acute assay calcium removal is not dietary calcium deficiency; does not identify the calcium sensor. exposure: 200 µM racemic alpha-tocopherol (96% pure) for 24 h; with versus without added extracellular calcium. cross_nutrient: true evidence_location: Figure 1c [ver-howard2011] Promotion of plasma membrane repair by vitamin E. (2011). https://pubmed.ncbi.nlm.nih.gov/22186893/ DOI: 10.1038/ncomms1594
    Complete structured claim and evidence
  51. Pretreatment of BS-C-1 cells with 200 µM alpha-tocopherol for 24 hours prevented the membrane-repair defect caused by 1 mM hydrogen peroxide during laser injury.

    All-rac-alpha-tocopherol → Plasma membrane repair source_derived_draftungraded
    Experimental context and source evidence
    cross_nutrient
    false
    evidence_location
    Figure 4a–b
    experimental_model
    Oxidant challenge during laser-wound assay
    exposure
    200 µM racemic alpha-tocopherol (96% pure), 24 h; 1 mM H2O2 during injury.
    limitations
    Oxidant and loading concentrations are experimental; no specific fusion protein target was identified.
    nutrient_topic
    Vitamin E research collection; topical membership is not evidence of a direct dietary effect. · Vitamin E
    organism
    African green monkey-derived cell line
    plain_language
    Vitamin E loading protected the repair response against this oxidant challenge.
    primary_references
    [ver-howard2011] Promotion of plasma membrane repair by vitamin E. (2011). https://pubmed.ncbi.nlm.nih.gov/22186893/ DOI: 10.1038/ncomms1594
    tissue_or_cell_type
    BS-C-1 kidney epithelial cells

    Vitamin E: transport, membrane protection and nutrient interactions (2026-09-17) · lines 690–702

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Oxidant challenge during laser-wound assay · source_derived_draft · unverified_draft

    ### ver-oxidant-challenged-repair Pretreatment of BS-C-1 cells with 200 µM alpha-tocopherol for 24 hours prevented the membrane-repair defect caused by 1 mM hydrogen peroxide during laser injury. Condition category: normal nutrient_topic: Vitamin E research collection; topical membership is not evidence of a direct dietary effect. plain_language: Vitamin E loading protected the repair response against this oxidant challenge. organism: African green monkey-derived cell line tissue_or_cell_type: BS-C-1 kidney epithelial cells experimental_model: Oxidant challenge during laser-wound assay limitations: Oxidant and loading concentrations are experimental; no specific fusion protein target was identified. exposure: 200 µM racemic alpha-tocopherol (96% pure), 24 h; 1 mM H2O2 during injury. cross_nutrient: false evidence_location: Figure 4a–b [ver-howard2011] Promotion of plasma membrane repair by vitamin E. (2011). https://pubmed.ncbi.nlm.nih.gov/22186893/ DOI: 10.1038/ncomms1594
    Complete structured claim and evidence
  52. Following 11 months on vitamin E-stripped chow, rat flexor digitorum brevis fibers displayed continued dye influx after controlled laser injury; normal chow and alpha-tocopherol-add-back controls resealed more effectively.

    Alpha-tocopherol → Plasma membrane repair source_derived_draftungraded
    Experimental context and source evidence
    availability_state
    nutrient_deficiency Imported condition classification; unverified.
    cross_nutrient
    false
    evidence_location
    Methods; Figure 3
    experimental_model
    Dietary depletion with chow and add-back controls; laser assay
    exposure
    Male Sprague-Dawley rats started diets at 4 weeks; assay at 11-month diet interval.
    limitations
    Long-term rat dietary deprivation and controlled wound assays; not evidence that ordinary supplementation improves muscle performance in replete people.
    nutrient_topic
    Vitamin E research collection; topical membership is not evidence of a direct dietary effect. · Vitamin E
    organism
    Rattus norvegicus
    plain_language
    Long-term vitamin E deprivation impaired muscle-fiber wound repair in rats.
    primary_references
    [ver-labazi2015] The antioxidant requirement for plasma membrane repair in skeletal muscle. (2015). https://pubmed.ncbi.nlm.nih.gov/25843658/ DOI: 10.1016/j.freeradbiomed.2015.03.016
    tissue_or_cell_type
    Flexor digitorum brevis muscle
    trigger_kind
    nutrient_deficiency Imported condition classification; unverified.

    Vitamin E: transport, membrane protection and nutrient interactions (2026-09-17) · lines 704–716

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Dietary depletion with chow and add-back controls; laser assay · source_derived_draft · unverified_draft

    ### ver-diet-e-muscle-repair-failure Following 11 months on vitamin E-stripped chow, rat flexor digitorum brevis fibers displayed continued dye influx after controlled laser injury; normal chow and alpha-tocopherol-add-back controls resealed more effectively. Condition category: nutrient_deficiency nutrient_topic: Vitamin E research collection; topical membership is not evidence of a direct dietary effect. plain_language: Long-term vitamin E deprivation impaired muscle-fiber wound repair in rats. organism: Rattus norvegicus tissue_or_cell_type: Flexor digitorum brevis muscle experimental_model: Dietary depletion with chow and add-back controls; laser assay limitations: Long-term rat dietary deprivation and controlled wound assays; not evidence that ordinary supplementation improves muscle performance in replete people. exposure: Male Sprague-Dawley rats started diets at 4 weeks; assay at 11-month diet interval. cross_nutrient: false evidence_location: Methods; Figure 3 [ver-labazi2015] The antioxidant requirement for plasma membrane repair in skeletal muscle. (2015). https://pubmed.ncbi.nlm.nih.gov/25843658/ DOI: 10.1016/j.freeradbiomed.2015.03.016
    Complete structured claim and evidence
  53. In mouse embryonic fibroblasts subjected to 48-hour inducible Gpx4 deletion, 200 µM alpha-tocopherol supplementation for the preceding 24 hours prevented the pronounced laser-wound repair defect.

    Alpha-tocopherol → Plasma membrane repair source_derived_draftungraded
    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    cross_nutrient
    true
    evidence_location
    Figure 4d; Methods
    experimental_model
    Tamoxifen-inducible Gpx4 deletion with re-expression controls
    exposure
    1 µM tamoxifen for 48 h; 200 µM alpha-tocopherol for 24 h before repair assay.
    limitations
    Genetic GPX4 loss, not nutritional selenium deficiency; repair mechanism downstream of oxidation was not resolved.
    nutrient_topic
    Vitamin E research collection; topical membership is not evidence of a direct dietary effect. · Vitamin E
    organism
    Mus musculus
    plain_language
    Vitamin E loading rescued membrane resealing after GPX4 deletion in these fibroblasts.
    primary_references
    [ver-labazi2015] The antioxidant requirement for plasma membrane repair in skeletal muscle. (2015). https://pubmed.ncbi.nlm.nih.gov/25843658/ DOI: 10.1016/j.freeradbiomed.2015.03.016
    tissue_or_cell_type
    Embryonic fibroblasts
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    Vitamin E: transport, membrane protection and nutrient interactions (2026-09-17) · lines 718–730

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Tamoxifen-inducible Gpx4 deletion with re-expression controls · source_derived_draft · unverified_draft

    ### ver-gpx4-fibroblast-repair-rescue In mouse embryonic fibroblasts subjected to 48-hour inducible Gpx4 deletion, 200 µM alpha-tocopherol supplementation for the preceding 24 hours prevented the pronounced laser-wound repair defect. Condition category: machinery_impairment nutrient_topic: Vitamin E research collection; topical membership is not evidence of a direct dietary effect. plain_language: Vitamin E loading rescued membrane resealing after GPX4 deletion in these fibroblasts. organism: Mus musculus tissue_or_cell_type: Embryonic fibroblasts experimental_model: Tamoxifen-inducible Gpx4 deletion with re-expression controls limitations: Genetic GPX4 loss, not nutritional selenium deficiency; repair mechanism downstream of oxidation was not resolved. exposure: 1 µM tamoxifen for 48 h; 200 µM alpha-tocopherol for 24 h before repair assay. cross_nutrient: true evidence_location: Figure 4d; Methods [ver-labazi2015] The antioxidant requirement for plasma membrane repair in skeletal muscle. (2015). https://pubmed.ncbi.nlm.nih.gov/25843658/ DOI: 10.1016/j.freeradbiomed.2015.03.016
    Complete structured claim and evidence
  54. After nine months on a diet without added vitamin E, zebrafish brain PC(16:0/22:6) was about one-third lower than in fish receiving 500 mg RRR-alpha-tocopheryl acetate/kg diet (4.3 versus 6.5 mg/g).

    Alpha-tocopherol → PC(16:0/22:6) source_derived_draftungraded
    Experimental context and source evidence
    availability_state
    nutrient_deficiency Imported condition classification; unverified.
    cross_nutrient
    true
    evidence_location
    Primary abstract
    experimental_model
    Defined-diet comparison and brain lipidomics
    exposure
    9 months; no added E versus 500 mg RRR-alpha-tocopheryl acetate/kg.
    limitations
    Adult zebrafish dietary comparison; lipid abundance and oxidation product measurements do not by themselves prove causal remodeling flux or human neuroprotection.
    nutrient_topic
    Vitamin E research collection; topical membership is not evidence of a direct dietary effect. · Vitamin E
    organism
    Danio rerio
    plain_language
    Vitamin E depletion was associated with loss of a DHA-containing membrane lipid.
    primary_references
    [ver-choi2015] Novel function of vitamin E in regulation of zebrafish (Danio rerio) brain lysophospholipids discovered using lipidomics. (2015). https://pubmed.ncbi.nlm.nih.gov/25855633/ DOI: 10.1194/jlr.m058941
    tissue_or_cell_type
    Adult brain
    trigger_kind
    nutrient_deficiency Imported condition classification; unverified.

    Vitamin E: transport, membrane protection and nutrient interactions (2026-09-17) · lines 732–744

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Defined-diet comparison and brain lipidomics · source_derived_draft · unverified_draft

    ### ver-dha-pc-depletion After nine months on a diet without added vitamin E, zebrafish brain PC(16:0/22:6) was about one-third lower than in fish receiving 500 mg RRR-alpha-tocopheryl acetate/kg diet (4.3 versus 6.5 mg/g). Condition category: nutrient_deficiency nutrient_topic: Vitamin E research collection; topical membership is not evidence of a direct dietary effect. plain_language: Vitamin E depletion was associated with loss of a DHA-containing membrane lipid. organism: Danio rerio tissue_or_cell_type: Adult brain experimental_model: Defined-diet comparison and brain lipidomics limitations: Adult zebrafish dietary comparison; lipid abundance and oxidation product measurements do not by themselves prove causal remodeling flux or human neuroprotection. exposure: 9 months; no added E versus 500 mg RRR-alpha-tocopheryl acetate/kg. cross_nutrient: true evidence_location: Primary abstract [ver-choi2015] Novel function of vitamin E in regulation of zebrafish (Danio rerio) brain lysophospholipids discovered using lipidomics. (2015). https://pubmed.ncbi.nlm.nih.gov/25855633/ DOI: 10.1194/jlr.m058941
    Complete structured claim and evidence
  55. Vitamin E-depleted zebrafish brains contained more hydroxy-DHA-PC 38:6 than supplemented-diet controls, consistent with increased oxidation of DHA-containing phosphatidylcholine.

    Alpha-tocopherol → Hydroxy-DHA-PC 38:6 source_derived_draftungraded
    Experimental context and source evidence
    availability_state
    nutrient_deficiency Imported condition classification; unverified.
    cross_nutrient
    true
    evidence_location
    Primary abstract
    experimental_model
    Defined-diet comparison and brain lipidomics
    exposure
    9 months; no added E versus 500 mg RRR-alpha-tocopheryl acetate/kg.
    limitations
    Adult zebrafish dietary comparison; lipid abundance and oxidation product measurements do not by themselves prove causal remodeling flux or human neuroprotection.
    nutrient_topic
    Vitamin E research collection; topical membership is not evidence of a direct dietary effect. · Vitamin E
    organism
    Danio rerio
    plain_language
    An oxidized DHA-containing lipid accumulated in the vitamin E-depleted brains.
    primary_references
    [ver-choi2015] Novel function of vitamin E in regulation of zebrafish (Danio rerio) brain lysophospholipids discovered using lipidomics. (2015). https://pubmed.ncbi.nlm.nih.gov/25855633/ DOI: 10.1194/jlr.m058941
    tissue_or_cell_type
    Adult brain
    trigger_kind
    nutrient_deficiency Imported condition classification; unverified.

    Vitamin E: transport, membrane protection and nutrient interactions (2026-09-17) · lines 746–758

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Defined-diet comparison and brain lipidomics · source_derived_draft · unverified_draft

    ### ver-dha-pc-oxidation Vitamin E-depleted zebrafish brains contained more hydroxy-DHA-PC 38:6 than supplemented-diet controls, consistent with increased oxidation of DHA-containing phosphatidylcholine. Condition category: nutrient_deficiency nutrient_topic: Vitamin E research collection; topical membership is not evidence of a direct dietary effect. plain_language: An oxidized DHA-containing lipid accumulated in the vitamin E-depleted brains. organism: Danio rerio tissue_or_cell_type: Adult brain experimental_model: Defined-diet comparison and brain lipidomics limitations: Adult zebrafish dietary comparison; lipid abundance and oxidation product measurements do not by themselves prove causal remodeling flux or human neuroprotection. exposure: 9 months; no added E versus 500 mg RRR-alpha-tocopheryl acetate/kg. cross_nutrient: true evidence_location: Primary abstract [ver-choi2015] Novel function of vitamin E in regulation of zebrafish (Danio rerio) brain lysophospholipids discovered using lipidomics. (2015). https://pubmed.ncbi.nlm.nih.gov/25855633/ DOI: 10.1194/jlr.m058941
    Complete structured claim and evidence
  56. Embryos from vitamin E-depleted zebrafish parents incorporated more water-18O label into LPC 22:6 and three DHA-containing phosphatidylcholines during 48–72 hours post-fertilization than vitamin E-sufficient controls, supporting increased acyl turnover.

    Alpha-tocopherol → DHA phospholipid remodeling source_derived_draftungraded
    Experimental context and source evidence
    availability_state
    nutrient_deficiency Imported condition classification; unverified.
    cross_nutrient
    true
    evidence_location
    Figure 7; isotope-labeling Methods
    experimental_model
    Parental diet manipulation and stable-isotope lipidomics
    exposure
    Parents fed no added E or 500 mg RRR-alpha-tocopheryl acetate/kg for ≥80 days; embryos incubated in 40% H2(18)O from 48 to 72 hpf.
    limitations
    Embryos rely on maternally deposited nutrients; whole-embryo tracing does not directly measure brain delivery or prove a particular repair enzyme.
    nutrient_topic
    Vitamin E research collection; topical membership is not evidence of a direct dietary effect. · Vitamin E
    organism
    Danio rerio
    plain_language
    Labeled-water tracing showed faster turnover of selected DHA lipids during vitamin E depletion.
    primary_references
    [ver-mcdougall2016] Lipidomics and H2(18)O labeling techniques reveal increased remodeling of DHA-containing membrane phospholipids associated with abnormal locomotor responses in α-tocopherol deficient zebrafish (danio rerio) embryos. (2016). https://pubmed.ncbi.nlm.nih.gov/26774753/ DOI: 10.1016/j.redox.2016.01.004
    tissue_or_cell_type
    Whole embryos
    trigger_kind
    nutrient_deficiency Imported condition classification; unverified.

    Vitamin E: transport, membrane protection and nutrient interactions (2026-09-17) · lines 760–772

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Parental diet manipulation and stable-isotope lipidomics · source_derived_draft · unverified_draft

    ### ver-dha-remodeling-flux Embryos from vitamin E-depleted zebrafish parents incorporated more water-18O label into LPC 22:6 and three DHA-containing phosphatidylcholines during 48–72 hours post-fertilization than vitamin E-sufficient controls, supporting increased acyl turnover. Condition category: nutrient_deficiency nutrient_topic: Vitamin E research collection; topical membership is not evidence of a direct dietary effect. plain_language: Labeled-water tracing showed faster turnover of selected DHA lipids during vitamin E depletion. organism: Danio rerio tissue_or_cell_type: Whole embryos experimental_model: Parental diet manipulation and stable-isotope lipidomics limitations: Embryos rely on maternally deposited nutrients; whole-embryo tracing does not directly measure brain delivery or prove a particular repair enzyme. exposure: Parents fed no added E or 500 mg RRR-alpha-tocopheryl acetate/kg for ≥80 days; embryos incubated in 40% H2(18)O from 48 to 72 hpf. cross_nutrient: true evidence_location: Figure 7; isotope-labeling Methods [ver-mcdougall2016] Lipidomics and H2(18)O labeling techniques reveal increased remodeling of DHA-containing membrane phospholipids associated with abnormal locomotor responses in α-tocopherol deficient zebrafish (danio rerio) embryos. (2016). https://pubmed.ncbi.nlm.nih.gov/26774753/ DOI: 10.1016/j.redox.2016.01.004
    Complete structured claim and evidence
  57. In Pfa1 mouse fibroblasts with inducible Gpx4 deletion, alpha-tocotrienol preserved viability at an EC50 of 0.12 µM compared with 2.0 µM for alpha-tocopherol over 72 hours.

    Alpha-tocotrienol → Ferroptosis source_derived_draftungraded
    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    cross_nutrient
    true
    evidence_location
    Figure 3
    experimental_model
    Inducible Gpx4 deletion and resazurin viability assay
    exposure
    1 µM 4-hydroxytamoxifen for 72 h; tocotrienol 0–10 µM and tocopherol 0–100 µM.
    limitations
    Potency in cell assays does not establish nutritional equivalence or human efficacy; the study also detected toxicity at higher concentrations, with tocotrienols toxic at lower concentrations than tocopherols.
    nutrient_topic
    Vitamin E research collection; topical membership is not evidence of a direct dietary effect. · Vitamin E
    organism
    Mus musculus
    plain_language
    Alpha-tocotrienol was more potent than alpha-tocopherol in this GPX4-deletion cell-rescue assay.
    primary_references
    [ver-yang2026] Tocotrienols exhibit superior ferroptosis inhibition over tocopherols. (2026). https://pubmed.ncbi.nlm.nih.gov/41501350/ DOI: 10.1038/s41598-025-34673-1
    tissue_or_cell_type
    Pfa1 embryonic fibroblasts
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    Vitamin E: transport, membrane protection and nutrient interactions (2026-09-17) · lines 774–786

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Inducible Gpx4 deletion and resazurin viability assay · source_derived_draft · unverified_draft

    ### ver-alpha-t3-gpx4-rescue-potency In Pfa1 mouse fibroblasts with inducible Gpx4 deletion, alpha-tocotrienol preserved viability at an EC50 of 0.12 µM compared with 2.0 µM for alpha-tocopherol over 72 hours. Condition category: machinery_impairment nutrient_topic: Vitamin E research collection; topical membership is not evidence of a direct dietary effect. plain_language: Alpha-tocotrienol was more potent than alpha-tocopherol in this GPX4-deletion cell-rescue assay. organism: Mus musculus tissue_or_cell_type: Pfa1 embryonic fibroblasts experimental_model: Inducible Gpx4 deletion and resazurin viability assay limitations: Potency in cell assays does not establish nutritional equivalence or human efficacy; the study also detected toxicity at higher concentrations, with tocotrienols toxic at lower concentrations than tocopherols. exposure: 1 µM 4-hydroxytamoxifen for 72 h; tocotrienol 0–10 µM and tocopherol 0–100 µM. cross_nutrient: true evidence_location: Figure 3 [ver-yang2026] Tocotrienols exhibit superior ferroptosis inhibition over tocopherols. (2026). https://pubmed.ncbi.nlm.nih.gov/41501350/ DOI: 10.1038/s41598-025-34673-1
    Complete structured claim and evidence
  58. Alpha-tocotrienol suppressed AAPH-initiated liposomal oxidation more strongly than alpha-tocopherol in the study’s FENIX assay, which tracked competitive oxidation of a fluorescent reporter.

    Alpha-tocotrienol → Lipid peroxidation source_derived_draftungraded
    Experimental context and source evidence
    cross_nutrient
    false
    evidence_location
    Figure 4A; FENIX Methods
    experimental_model
    Cell-free fluorescence-enabled inhibited autoxidation
    exposure
    Vitamin E forms tested at 1, 10 and 100 µM; 1 mM lipid, 1 mM AAPH, 37 °C.
    limitations
    Potency in cell assays does not establish nutritional equivalence or human efficacy; the study also detected toxicity at higher concentrations, with tocotrienols toxic at lower concentrations than tocopherols. Fluorescent reporter kinetics are not a universal radical-trapping rate constant.
    nutrient_topic
    Vitamin E research collection; topical membership is not evidence of a direct dietary effect. · Vitamin E
    organism
    Cell-free
    plain_language
    The two alpha forms differed in protection of artificial lipid membranes.
    primary_references
    [ver-yang2026] Tocotrienols exhibit superior ferroptosis inhibition over tocopherols. (2026). https://pubmed.ncbi.nlm.nih.gov/41501350/ DOI: 10.1038/s41598-025-34673-1
    tissue_or_cell_type
    Phosphatidylcholine liposomes

    Vitamin E: transport, membrane protection and nutrient interactions (2026-09-17) · lines 788–800

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Cell-free fluorescence-enabled inhibited autoxidation · source_derived_draft · unverified_draft

    ### ver-alpha-t3-liposomal-oxidation Alpha-tocotrienol suppressed AAPH-initiated liposomal oxidation more strongly than alpha-tocopherol in the study’s FENIX assay, which tracked competitive oxidation of a fluorescent reporter. Condition category: normal nutrient_topic: Vitamin E research collection; topical membership is not evidence of a direct dietary effect. plain_language: The two alpha forms differed in protection of artificial lipid membranes. organism: Cell-free tissue_or_cell_type: Phosphatidylcholine liposomes experimental_model: Cell-free fluorescence-enabled inhibited autoxidation limitations: Potency in cell assays does not establish nutritional equivalence or human efficacy; the study also detected toxicity at higher concentrations, with tocotrienols toxic at lower concentrations than tocopherols. Fluorescent reporter kinetics are not a universal radical-trapping rate constant. exposure: Vitamin E forms tested at 1, 10 and 100 µM; 1 mM lipid, 1 mM AAPH, 37 °C. cross_nutrient: false evidence_location: Figure 4A; FENIX Methods [ver-yang2026] Tocotrienols exhibit superior ferroptosis inhibition over tocopherols. (2026). https://pubmed.ncbi.nlm.nih.gov/41501350/ DOI: 10.1038/s41598-025-34673-1
    Complete structured claim and evidence
  59. In HT-1080 cells challenged with the GPX4 inhibitor RSL3, alpha-tocotrienol suppressed the oxidized C11-BODIPY signal at lower tested concentrations than alpha-tocopherol.

    Alpha-tocotrienol → Lipid peroxidation source_derived_draftungraded
    Experimental context and source evidence
    cross_nutrient
    true
    evidence_location
    Figure 4B
    experimental_model
    RSL3 challenge and flow-cytometric C11-BODIPY assay
    exposure
    E forms at 1 and 30 µM for 1 h before 0.5 µM RSL3 for 2 h.
    limitations
    Potency in cell assays does not establish nutritional equivalence or human efficacy; the study also detected toxicity at higher concentrations, with tocotrienols toxic at lower concentrations than tocopherols. Probe oxidation is not a chemically resolved inventory of endogenous phospholipid products.
    nutrient_topic
    Vitamin E research collection; topical membership is not evidence of a direct dietary effect. · Vitamin E
    organism
    Homo sapiens
    plain_language
    Alpha-tocotrienol more effectively limited the lipid-oxidation reporter in this cancer-cell assay.
    primary_references
    [ver-yang2026] Tocotrienols exhibit superior ferroptosis inhibition over tocopherols. (2026). https://pubmed.ncbi.nlm.nih.gov/41501350/ DOI: 10.1038/s41598-025-34673-1
    tissue_or_cell_type
    HT-1080 fibrosarcoma cells

    Vitamin E: transport, membrane protection and nutrient interactions (2026-09-17) · lines 802–814

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · RSL3 challenge and flow-cytometric C11-BODIPY assay · source_derived_draft · unverified_draft

    ### ver-alpha-t3-cellular-oxidation In HT-1080 cells challenged with the GPX4 inhibitor RSL3, alpha-tocotrienol suppressed the oxidized C11-BODIPY signal at lower tested concentrations than alpha-tocopherol. Condition category: normal nutrient_topic: Vitamin E research collection; topical membership is not evidence of a direct dietary effect. plain_language: Alpha-tocotrienol more effectively limited the lipid-oxidation reporter in this cancer-cell assay. organism: Homo sapiens tissue_or_cell_type: HT-1080 fibrosarcoma cells experimental_model: RSL3 challenge and flow-cytometric C11-BODIPY assay limitations: Potency in cell assays does not establish nutritional equivalence or human efficacy; the study also detected toxicity at higher concentrations, with tocotrienols toxic at lower concentrations than tocopherols. Probe oxidation is not a chemically resolved inventory of endogenous phospholipid products. exposure: E forms at 1 and 30 µM for 1 h before 0.5 µM RSL3 for 2 h. cross_nutrient: true evidence_location: Figure 4B [ver-yang2026] Tocotrienols exhibit superior ferroptosis inhibition over tocopherols. (2026). https://pubmed.ncbi.nlm.nih.gov/41501350/ DOI: 10.1038/s41598-025-34673-1
    Complete structured claim and evidence
  60. SIN-1 exposure converted gamma-tocopherol to 5-nitro-gamma-tocopherol in soybean phosphatidylcholine liposomes and isolated human LDL. Product yields were approximately 50% and 75%, respectively; alpha-tocopherol did not prevent gamma nitration.

    Gamma-tocopherol → 5-Nitro-gamma-tocopherol source_derived_draftungraded
    Experimental context and source evidence
    cross_nutrient
    false
    experimental_model
    HPLC analysis of tocopherols and nitration products
    exposure
    Liposomes: 20 mM phosphatidylcholine, 20 µM tocopherol and 1 mM SIN-1 at 37°C. LDL: 0.2 mM SIN-1; Figure 3 initial gamma-tocopherol 0.98 µM.
    limitations
    This identifies a stable nitration product, not every reactive intermediate or clinical anti-inflammatory efficacy. Liposome-versus-LDL antioxidant rankings differed.
    nutrient_topic
    Vitamin E research collection; topical membership is not evidence of a direct dietary effect. · Vitamin E
    organism
    Cell-free and Homo sapiens-derived LDL
    plain_language
    Gamma-tocopherol captured nitrating chemistry as a measurable nitrogen-containing product in artificial membranes and isolated blood lipoproteins.
    primary_references
    [christen1997] gamma-tocopherol traps mutagenic electrophiles such as NO(X) and complements alpha-tocopherol: physiological implications. (1997). https://pubmed.ncbi.nlm.nih.gov/9096373/ DOI: 10.1073/pnas.94.7.3217
    tissue_or_cell_type
    Soybean phosphatidylcholine liposomes; isolated plasma LDL

    Vitamin E: transport, membrane protection and nutrient interactions (2026-09-17) · lines 816–827

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · HPLC analysis of tocopherols and nitration products · source_derived_draft · unverified_draft

    ### e-sig-gamma-nitro-product SIN-1 exposure converted gamma-tocopherol to 5-nitro-gamma-tocopherol in soybean phosphatidylcholine liposomes and isolated human LDL. Product yields were approximately 50% and 75%, respectively; alpha-tocopherol did not prevent gamma nitration. Condition category: normal nutrient_topic: Vitamin E research collection; topical membership is not evidence of a direct dietary effect. plain_language: Gamma-tocopherol captured nitrating chemistry as a measurable nitrogen-containing product in artificial membranes and isolated blood lipoproteins. organism: Cell-free and Homo sapiens-derived LDL tissue_or_cell_type: Soybean phosphatidylcholine liposomes; isolated plasma LDL experimental_model: HPLC analysis of tocopherols and nitration products limitations: This identifies a stable nitration product, not every reactive intermediate or clinical anti-inflammatory efficacy. Liposome-versus-LDL antioxidant rankings differed. exposure: Liposomes: 20 mM phosphatidylcholine, 20 µM tocopherol and 1 mM SIN-1 at 37°C. LDL: 0.2 mM SIN-1; Figure 3 initial gamma-tocopherol 0.98 µM. cross_nutrient: false [christen1997] gamma-tocopherol traps mutagenic electrophiles such as NO(X) and complements alpha-tocopherol: physiological implications. (1997). https://pubmed.ncbi.nlm.nih.gov/9096373/ DOI: 10.1073/pnas.94.7.3217
    Complete structured claim and evidence
  61. Gamma-tocopherol reduced LPS-stimulated PGE2 in mouse RAW264.7 macrophages with an apparent IC50 of 7.5 µM. COX-2 protein expression was not reduced in the tested 10 and 40 µM groups.

    Gamma-tocopherol → Prostaglandin E2 source_derived_draftungraded
    Experimental context and source evidence
    cross_nutrient
    false
    experimental_model
    Stimulated RAW264.7 culture; PGE2 assay and immunoblot
    exposure
    8–14 h tocopherol pretreatment in 0.5% FBS-DMEM, then 0.1 µg/mL LPS for 14 h.
    limitations
    A cellular product endpoint does not establish direct parent-vitamin binding to COX-2, exclude metabolism, or predict human supplement benefit.
    nutrient_topic
    Vitamin E research collection; topical membership is not evidence of a direct dietary effect. · Vitamin E
    organism
    Mus musculus
    plain_language
    Gamma-tocopherol lowered this inflammatory lipid signal in cultured mouse immune cells without reducing the measured amount of COX-2 protein.
    primary_references
    [jiang2000] gamma-tocopherol and its major metabolite, in contrast to alpha-tocopherol, inhibit cyclooxygenase activity in macrophages and epithelial cells. (2000). https://pubmed.ncbi.nlm.nih.gov/11005841/ DOI: 10.1073/pnas.200357097
    tissue_or_cell_type
    Macrophage cell line

    Vitamin E: transport, membrane protection and nutrient interactions (2026-09-17) · lines 829–840

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Stimulated RAW264.7 culture; PGE2 assay and immunoblot · source_derived_draft · unverified_draft

    ### e-sig-gamma-macrophage-pge2 Gamma-tocopherol reduced LPS-stimulated PGE2 in mouse RAW264.7 macrophages with an apparent IC50 of 7.5 µM. COX-2 protein expression was not reduced in the tested 10 and 40 µM groups. Condition category: normal nutrient_topic: Vitamin E research collection; topical membership is not evidence of a direct dietary effect. plain_language: Gamma-tocopherol lowered this inflammatory lipid signal in cultured mouse immune cells without reducing the measured amount of COX-2 protein. organism: Mus musculus tissue_or_cell_type: Macrophage cell line experimental_model: Stimulated RAW264.7 culture; PGE2 assay and immunoblot limitations: A cellular product endpoint does not establish direct parent-vitamin binding to COX-2, exclude metabolism, or predict human supplement benefit. exposure: 8–14 h tocopherol pretreatment in 0.5% FBS-DMEM, then 0.1 µg/mL LPS for 14 h. cross_nutrient: false [jiang2000] gamma-tocopherol and its major metabolite, in contrast to alpha-tocopherol, inhibit cyclooxygenase activity in macrophages and epithelial cells. (2000). https://pubmed.ncbi.nlm.nih.gov/11005841/ DOI: 10.1073/pnas.200357097
    Complete structured claim and evidence
  62. Gamma-CEHC suppressed cytokine-stimulated PGE2 in A549 cells, with an apparent IC50 near 30 µM. It also inhibited PGE2 after only 1 h exposure of COX-2-preinduced cells before arachidonic acid addition.

    Gamma-carboxyethyl hydroxychromanol → Prostaglandin E2 source_derived_draftungraded
    Experimental context and source evidence
    cross_nutrient
    false
    experimental_model
    A549 culture and preinduced cellular COX assay
    exposure
    IL-1β 10 ng/mL for 24 h; postinduction gamma-CEHC 1 h, then 5 or 15 µM arachidonic acid for 10 min at 37°C.
    limitations
    Cancer-derived culture, not treatment evidence. Intact-cell IC50 and purified COX inhibition are distinct measurements; increasing substrate weakened inhibition.
    nutrient_topic
    Vitamin E research collection; topical membership is not evidence of a direct dietary effect. · Vitamin E
    organism
    Homo sapiens
    plain_language
    A breakdown product of gamma-tocopherol reduced prostaglandin production in a human lung cell model, including after brief exposure.
    primary_references
    [jiang2000] gamma-tocopherol and its major metabolite, in contrast to alpha-tocopherol, inhibit cyclooxygenase activity in macrophages and epithelial cells. (2000). https://pubmed.ncbi.nlm.nih.gov/11005841/ DOI: 10.1073/pnas.200357097
    tissue_or_cell_type
    Lung epithelial carcinoma cell line

    Vitamin E: transport, membrane protection and nutrient interactions (2026-09-17) · lines 842–853

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · A549 culture and preinduced cellular COX assay · source_derived_draft · unverified_draft

    ### e-sig-cehc-a549-pge2 Gamma-CEHC suppressed cytokine-stimulated PGE2 in A549 cells, with an apparent IC50 near 30 µM. It also inhibited PGE2 after only 1 h exposure of COX-2-preinduced cells before arachidonic acid addition. Condition category: normal nutrient_topic: Vitamin E research collection; topical membership is not evidence of a direct dietary effect. plain_language: A breakdown product of gamma-tocopherol reduced prostaglandin production in a human lung cell model, including after brief exposure. organism: Homo sapiens tissue_or_cell_type: Lung epithelial carcinoma cell line experimental_model: A549 culture and preinduced cellular COX assay limitations: Cancer-derived culture, not treatment evidence. Intact-cell IC50 and purified COX inhibition are distinct measurements; increasing substrate weakened inhibition. exposure: IL-1β 10 ng/mL for 24 h; postinduction gamma-CEHC 1 h, then 5 or 15 µM arachidonic acid for 10 min at 37°C. cross_nutrient: false [jiang2000] gamma-tocopherol and its major metabolite, in contrast to alpha-tocopherol, inhibit cyclooxygenase activity in macrophages and epithelial cells. (2000). https://pubmed.ncbi.nlm.nih.gov/11005841/ DOI: 10.1073/pnas.200357097
    Complete structured claim and evidence
  63. Delta-tocopherol-13′-carboxychromanol competitively inhibited purified ovine COX-1 cyclooxygenase activity with a reported Ki of 3.9 µM, measured by initial oxygen consumption while varying arachidonic acid.

    Experimental context and source evidence
    cross_nutrient
    false
    experimental_model
    Purified-enzyme oxygen-electrode kinetics
    exposure
    13′-COOH 0, 7.5, 15 or 25 µM; arachidonic acid 6–200 µM in Tris pH 8 with 1 µM hematin, phenol and EDTA.
    limitations
    Purified enzyme kinetics do not establish human anti-inflammatory benefit. Cyclooxygenase and peroxidase activities must not be conflated.
    nutrient_topic
    Vitamin E research collection; topical membership is not evidence of a direct dietary effect. · Vitamin E
    organism
    Ovis aries
    plain_language
    The long-chain delta-tocopherol metabolite interfered with this purified enzyme’s use of arachidonic acid.
    primary_references
    [jiang2008] Long-chain carboxychromanols, metabolites of vitamin E, are potent inhibitors of cyclooxygenases. (2008). https://pubmed.ncbi.nlm.nih.gov/19074288/ DOI: 10.1073/pnas.0810962106
    tissue_or_cell_type
    Cell-free enzyme

    Vitamin E: transport, membrane protection and nutrient interactions (2026-09-17) · lines 855–866

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Purified-enzyme oxygen-electrode kinetics · source_derived_draft · unverified_draft

    ### e-sig-delta-acid-cox1 Delta-tocopherol-13′-carboxychromanol competitively inhibited purified ovine COX-1 cyclooxygenase activity with a reported Ki of 3.9 µM, measured by initial oxygen consumption while varying arachidonic acid. Condition category: normal nutrient_topic: Vitamin E research collection; topical membership is not evidence of a direct dietary effect. plain_language: The long-chain delta-tocopherol metabolite interfered with this purified enzyme’s use of arachidonic acid. organism: Ovis aries tissue_or_cell_type: Cell-free enzyme experimental_model: Purified-enzyme oxygen-electrode kinetics limitations: Purified enzyme kinetics do not establish human anti-inflammatory benefit. Cyclooxygenase and peroxidase activities must not be conflated. exposure: 13′-COOH 0, 7.5, 15 or 25 µM; arachidonic acid 6–200 µM in Tris pH 8 with 1 µM hematin, phenol and EDTA. cross_nutrient: false [jiang2008] Long-chain carboxychromanols, metabolites of vitamin E, are potent inhibitors of cyclooxygenases. (2008). https://pubmed.ncbi.nlm.nih.gov/19074288/ DOI: 10.1073/pnas.0810962106
    Complete structured claim and evidence
  64. Delta-tocopherol-13′-carboxychromanol competitively inhibited purified human COX-2 cyclooxygenase activity with a reported Ki of 10.7 µM, measured by initial oxygen consumption while varying arachidonic acid.

    Experimental context and source evidence
    cross_nutrient
    false
    experimental_model
    Purified-enzyme oxygen-electrode kinetics
    exposure
    13′-COOH 0, 7.5, 15 or 25 µM; arachidonic acid 6–200 µM in Tris pH 8 with 1 µM hematin, phenol and EDTA.
    limitations
    Purified enzyme kinetics do not establish human anti-inflammatory benefit. Cyclooxygenase and peroxidase activities must not be conflated.
    nutrient_topic
    Vitamin E research collection; topical membership is not evidence of a direct dietary effect. · Vitamin E
    organism
    Homo sapiens
    plain_language
    The long-chain delta-tocopherol metabolite interfered with this purified enzyme’s use of arachidonic acid.
    primary_references
    [jiang2008] Long-chain carboxychromanols, metabolites of vitamin E, are potent inhibitors of cyclooxygenases. (2008). https://pubmed.ncbi.nlm.nih.gov/19074288/ DOI: 10.1073/pnas.0810962106
    tissue_or_cell_type
    Cell-free enzyme

    Vitamin E: transport, membrane protection and nutrient interactions (2026-09-17) · lines 868–879

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Purified-enzyme oxygen-electrode kinetics · source_derived_draft · unverified_draft

    ### e-sig-delta-acid-cox2 Delta-tocopherol-13′-carboxychromanol competitively inhibited purified human COX-2 cyclooxygenase activity with a reported Ki of 10.7 µM, measured by initial oxygen consumption while varying arachidonic acid. Condition category: normal nutrient_topic: Vitamin E research collection; topical membership is not evidence of a direct dietary effect. plain_language: The long-chain delta-tocopherol metabolite interfered with this purified enzyme’s use of arachidonic acid. organism: Homo sapiens tissue_or_cell_type: Cell-free enzyme experimental_model: Purified-enzyme oxygen-electrode kinetics limitations: Purified enzyme kinetics do not establish human anti-inflammatory benefit. Cyclooxygenase and peroxidase activities must not be conflated. exposure: 13′-COOH 0, 7.5, 15 or 25 µM; arachidonic acid 6–200 µM in Tris pH 8 with 1 µM hematin, phenol and EDTA. cross_nutrient: false [jiang2008] Long-chain carboxychromanols, metabolites of vitamin E, are potent inhibitors of cyclooxygenases. (2008). https://pubmed.ncbi.nlm.nih.gov/19074288/ DOI: 10.1073/pnas.0810962106
    Complete structured claim and evidence
  65. Delta-tocopherol at 50 µM inhibited LTB4 production stimulated by S1P or LPA in differentiated HL-60 cells, but did not inhibit the response to fMLP under the tested conditions.

    Delta-tocopherol → Leukotriene B4 source_derived_draftungraded
    Experimental context and source evidence
    cross_nutrient
    false
    experimental_model
    DMSO-differentiated human HL-60 neutrophil-like cells
    exposure
    10 min pretreatment; S1P 50 µM, LPA 100 µM or fMLP 1 µM for 10 min.
    limitations
    Stimulus specificity precludes a universal anti-inflammatory claim. High-dose lipid stimuli and transformed cells limit extrapolation.
    nutrient_topic
    Vitamin E research collection; topical membership is not evidence of a direct dietary effect. · Vitamin E
    organism
    Homo sapiens
    plain_language
    Delta-tocopherol reduced leukotriene output only for some ways of activating these cells.
    primary_references
    [jiang2011] Natural forms of vitamin E and 13'-carboxychromanol, a long-chain vitamin E metabolite, inhibit leukotriene generation from stimulated neutrophils by blocking calcium influx and suppressing 5-lipoxygenase activity, respectively. (2011). https://pubmed.ncbi.nlm.nih.gov/21169551/ DOI: 10.4049/jimmunol.1002342
    tissue_or_cell_type
    Neutrophil-like leukemia-derived cell culture

    Vitamin E: transport, membrane protection and nutrient interactions (2026-09-17) · lines 881–892

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · DMSO-differentiated human HL-60 neutrophil-like cells · source_derived_draft · unverified_draft

    ### e-sig-delta-ltb4-stimulus Delta-tocopherol at 50 µM inhibited LTB4 production stimulated by S1P or LPA in differentiated HL-60 cells, but did not inhibit the response to fMLP under the tested conditions. Condition category: normal nutrient_topic: Vitamin E research collection; topical membership is not evidence of a direct dietary effect. plain_language: Delta-tocopherol reduced leukotriene output only for some ways of activating these cells. organism: Homo sapiens tissue_or_cell_type: Neutrophil-like leukemia-derived cell culture experimental_model: DMSO-differentiated human HL-60 neutrophil-like cells limitations: Stimulus specificity precludes a universal anti-inflammatory claim. High-dose lipid stimuli and transformed cells limit extrapolation. exposure: 10 min pretreatment; S1P 50 µM, LPA 100 µM or fMLP 1 µM for 10 min. cross_nutrient: false [jiang2011] Natural forms of vitamin E and 13'-carboxychromanol, a long-chain vitamin E metabolite, inhibit leukotriene generation from stimulated neutrophils by blocking calcium influx and suppressing 5-lipoxygenase activity, respectively. (2011). https://pubmed.ncbi.nlm.nih.gov/21169551/ DOI: 10.4049/jimmunol.1002342
    Complete structured claim and evidence
  66. Delta-tocopherol at 50 µM diminished A23187-triggered extracellular calcium entry in differentiated HL-60 cells, monitored with fluo-4 after calcium was added to calcium-free buffer.

    Delta-tocopherol → Stimulus-induced calcium influx source_derived_draftungraded
    Experimental context and source evidence
    cross_nutrient
    true
    experimental_model
    DMSO-differentiated human HL-60 neutrophil-like cells; fluo-4 fluorescence
    exposure
    2 µM fluo-4 AM loading; 50 µM delta-tocopherol for 10 min; A23187 0.5 µM before extracellular calcium addition.
    limitations
    Methods and figure caption disagree on added calcium units (mM versus µM). No specific calcium channel was identified; membrane stabilization remains a proposed explanation.
    nutrient_topic
    Vitamin E research collection; topical membership is not evidence of a direct dietary effect. · Vitamin E
    organism
    Homo sapiens
    plain_language
    Delta-tocopherol reduced calcium entry caused by an experimental ion carrier in this cell model.
    primary_references
    [jiang2011] Natural forms of vitamin E and 13'-carboxychromanol, a long-chain vitamin E metabolite, inhibit leukotriene generation from stimulated neutrophils by blocking calcium influx and suppressing 5-lipoxygenase activity, respectively. (2011). https://pubmed.ncbi.nlm.nih.gov/21169551/ DOI: 10.4049/jimmunol.1002342
    tissue_or_cell_type
    Neutrophil-like leukemia-derived cell culture

    Vitamin E: transport, membrane protection and nutrient interactions (2026-09-17) · lines 894–905

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · DMSO-differentiated human HL-60 neutrophil-like cells; fluo-4 fluorescence · source_derived_draft · unverified_draft

    ### e-sig-delta-calcium-influx Delta-tocopherol at 50 µM diminished A23187-triggered extracellular calcium entry in differentiated HL-60 cells, monitored with fluo-4 after calcium was added to calcium-free buffer. Condition category: normal nutrient_topic: Vitamin E research collection; topical membership is not evidence of a direct dietary effect. plain_language: Delta-tocopherol reduced calcium entry caused by an experimental ion carrier in this cell model. organism: Homo sapiens tissue_or_cell_type: Neutrophil-like leukemia-derived cell culture experimental_model: DMSO-differentiated human HL-60 neutrophil-like cells; fluo-4 fluorescence limitations: Methods and figure caption disagree on added calcium units (mM versus µM). No specific calcium channel was identified; membrane stabilization remains a proposed explanation. exposure: 2 µM fluo-4 AM loading; 50 µM delta-tocopherol for 10 min; A23187 0.5 µM before extracellular calcium addition. cross_nutrient: true [jiang2011] Natural forms of vitamin E and 13'-carboxychromanol, a long-chain vitamin E metabolite, inhibit leukotriene generation from stimulated neutrophils by blocking calcium influx and suppressing 5-lipoxygenase activity, respectively. (2011). https://pubmed.ncbi.nlm.nih.gov/21169551/ DOI: 10.4049/jimmunol.1002342
    Complete structured claim and evidence
  67. Delta-tocopherol pretreatment largely prevented A23187-induced redistribution of 5-LOX from cytosolic to nuclear fractions in differentiated HL-60 cells.

    Experimental context and source evidence
    cross_nutrient
    false
    experimental_model
    DMSO-differentiated human HL-60 neutrophil-like cells; fractionation and immunoblot
    exposure
    50 µM delta-tocopherol for 10 min followed by 2.5 µM A23187 for 15 min.
    limitations
    Fractionation is a localization assay, not proof of direct enzyme inhibition; purified 5-LOX was unaffected by tocopherols at 50 µM in this paper.
    nutrient_topic
    Vitamin E research collection; topical membership is not evidence of a direct dietary effect. · Vitamin E
    organism
    Homo sapiens
    plain_language
    Delta-tocopherol kept much of the enzyme from moving to the cell location associated with leukotriene production.
    primary_references
    [jiang2011] Natural forms of vitamin E and 13'-carboxychromanol, a long-chain vitamin E metabolite, inhibit leukotriene generation from stimulated neutrophils by blocking calcium influx and suppressing 5-lipoxygenase activity, respectively. (2011). https://pubmed.ncbi.nlm.nih.gov/21169551/ DOI: 10.4049/jimmunol.1002342
    tissue_or_cell_type
    Neutrophil-like leukemia-derived cell culture

    Vitamin E: transport, membrane protection and nutrient interactions (2026-09-17) · lines 907–918

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · DMSO-differentiated human HL-60 neutrophil-like cells; fractionation and immunoblot · source_derived_draft · unverified_draft

    ### e-sig-delta-lox-translocation Delta-tocopherol pretreatment largely prevented A23187-induced redistribution of 5-LOX from cytosolic to nuclear fractions in differentiated HL-60 cells. Condition category: normal nutrient_topic: Vitamin E research collection; topical membership is not evidence of a direct dietary effect. plain_language: Delta-tocopherol kept much of the enzyme from moving to the cell location associated with leukotriene production. organism: Homo sapiens tissue_or_cell_type: Neutrophil-like leukemia-derived cell culture experimental_model: DMSO-differentiated human HL-60 neutrophil-like cells; fractionation and immunoblot limitations: Fractionation is a localization assay, not proof of direct enzyme inhibition; purified 5-LOX was unaffected by tocopherols at 50 µM in this paper. exposure: 50 µM delta-tocopherol for 10 min followed by 2.5 µM A23187 for 15 min. cross_nutrient: false [jiang2011] Natural forms of vitamin E and 13'-carboxychromanol, a long-chain vitamin E metabolite, inhibit leukotriene generation from stimulated neutrophils by blocking calcium influx and suppressing 5-lipoxygenase activity, respectively. (2011). https://pubmed.ncbi.nlm.nih.gov/21169551/ DOI: 10.4049/jimmunol.1002342
    Complete structured claim and evidence
  68. Delta-tocopherol-13′-carboxychromanol inhibited human recombinant 5-LOX with IC50 0.5–1 µM in a hydroperoxide-sensitive FOX assay; parent alpha-, gamma- and delta-tocopherols did not inhibit at 50 µM.

    Experimental context and source evidence
    cross_nutrient
    false
    experimental_model
    Human recombinant 5-LOX and FOX endpoint
    exposure
    4 min preincubation; arachidonic acid 75 µM; FOX absorbance at 560 and 575 nm.
    limitations
    FOX reports oxidation products, not binding-site structure. Potency depends on assay conditions; later papers use other assays.
    nutrient_topic
    Vitamin E research collection; topical membership is not evidence of a direct dietary effect. · Vitamin E
    organism
    Homo sapiens
    plain_language
    The long-chain metabolite inhibited the isolated leukotriene-producing enzyme much more strongly than the parent tocopherols in this assay.
    primary_references
    [jiang2011] Natural forms of vitamin E and 13'-carboxychromanol, a long-chain vitamin E metabolite, inhibit leukotriene generation from stimulated neutrophils by blocking calcium influx and suppressing 5-lipoxygenase activity, respectively. (2011). https://pubmed.ncbi.nlm.nih.gov/21169551/ DOI: 10.4049/jimmunol.1002342
    tissue_or_cell_type
    Cell-free enzyme

    Vitamin E: transport, membrane protection and nutrient interactions (2026-09-17) · lines 920–931

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Human recombinant 5-LOX and FOX endpoint · source_derived_draft · unverified_draft

    ### e-sig-delta-acid-lox Delta-tocopherol-13′-carboxychromanol inhibited human recombinant 5-LOX with IC50 0.5–1 µM in a hydroperoxide-sensitive FOX assay; parent alpha-, gamma- and delta-tocopherols did not inhibit at 50 µM. Condition category: normal nutrient_topic: Vitamin E research collection; topical membership is not evidence of a direct dietary effect. plain_language: The long-chain metabolite inhibited the isolated leukotriene-producing enzyme much more strongly than the parent tocopherols in this assay. organism: Homo sapiens tissue_or_cell_type: Cell-free enzyme experimental_model: Human recombinant 5-LOX and FOX endpoint limitations: FOX reports oxidation products, not binding-site structure. Potency depends on assay conditions; later papers use other assays. exposure: 4 min preincubation; arachidonic acid 75 µM; FOX absorbance at 560 and 575 nm. cross_nutrient: false [jiang2011] Natural forms of vitamin E and 13'-carboxychromanol, a long-chain vitamin E metabolite, inhibit leukotriene generation from stimulated neutrophils by blocking calcium influx and suppressing 5-lipoxygenase activity, respectively. (2011). https://pubmed.ncbi.nlm.nih.gov/21169551/ DOI: 10.4049/jimmunol.1002342
    Complete structured claim and evidence
  69. RRR-alpha-tocopherol at 0.1–10 µM inhibited cofactor-dependent recombinant human PKC alpha activity in phosphatidylserine-containing assays.

    RRR-alpha-tocopherol → Protein kinase C alpha (PRKCA) source_derived_draftungraded
    Experimental context and source evidence
    cross_nutrient
    true
    experimental_model
    Recombinant HIS-tagged human PKC alpha biochemical assay
    exposure
    15 ng PKC alpha; 2 mM CaCl2; phosphatidylserine 15–60 µg/mL; 5 min pretreatment, 30 min kinase assay.
    limitations
    Effect depends on reconstituted lipid composition and activation mode; it is not a clinical dosing claim.
    nutrient_topic
    Vitamin E research collection; topical membership is not evidence of a direct dietary effect. · Vitamin E
    organism
    Homo sapiens
    plain_language
    Natural alpha-tocopherol reduced PKC alpha activity in a purified system containing its lipid and calcium cofactors.
    primary_references
    [mccary2012] Vitamin E isoforms directly bind PKCα and differentially regulate activation of PKCα. (2012). https://pubmed.ncbi.nlm.nih.gov/21933153/ DOI: 10.1042/bj20111318
    tissue_or_cell_type
    Cell-free enzyme

    Vitamin E: transport, membrane protection and nutrient interactions (2026-09-17) · lines 933–944

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Recombinant HIS-tagged human PKC alpha biochemical assay · source_derived_draft · unverified_draft

    ### e-sig-alpha-pkc-cofactor RRR-alpha-tocopherol at 0.1–10 µM inhibited cofactor-dependent recombinant human PKC alpha activity in phosphatidylserine-containing assays. Condition category: normal nutrient_topic: Vitamin E research collection; topical membership is not evidence of a direct dietary effect. plain_language: Natural alpha-tocopherol reduced PKC alpha activity in a purified system containing its lipid and calcium cofactors. organism: Homo sapiens tissue_or_cell_type: Cell-free enzyme experimental_model: Recombinant HIS-tagged human PKC alpha biochemical assay limitations: Effect depends on reconstituted lipid composition and activation mode; it is not a clinical dosing claim. exposure: 15 ng PKC alpha; 2 mM CaCl2; phosphatidylserine 15–60 µg/mL; 5 min pretreatment, 30 min kinase assay. cross_nutrient: true [mccary2012] Vitamin E isoforms directly bind PKCα and differentially regulate activation of PKCα. (2012). https://pubmed.ncbi.nlm.nih.gov/21933153/ DOI: 10.1042/bj20111318
    Complete structured claim and evidence
  70. RRR-gamma-tocopherol at 1 µM increased recombinant human PKC alpha activity with 15–30 µg/mL phosphatidylserine and calcium; it did not increase the low activity in the absence of phosphatidylserine.

    RRR-gamma-tocopherol → Protein kinase C alpha (PRKCA) source_derived_draftungraded
    Experimental context and source evidence
    cross_nutrient
    true
    experimental_model
    Recombinant HIS-tagged human PKC alpha biochemical assay
    exposure
    1 µM gamma-tocopherol; 2 mM CaCl2; 15–30 µg/mL phosphatidylserine; 5 min pretreatment, 30 min kinase assay.
    limitations
    Small biochemical activation is not equivalent to uniformly increased inflammation in people; oxidative activation shows a different response.
    nutrient_topic
    Vitamin E research collection; topical membership is not evidence of a direct dietary effect. · Vitamin E
    organism
    Homo sapiens
    plain_language
    Natural gamma-tocopherol increased this kinase’s activity only when the required lipid cofactor was present.
    primary_references
    [mccary2012] Vitamin E isoforms directly bind PKCα and differentially regulate activation of PKCα. (2012). https://pubmed.ncbi.nlm.nih.gov/21933153/ DOI: 10.1042/bj20111318
    tissue_or_cell_type
    Cell-free enzyme

    Vitamin E: transport, membrane protection and nutrient interactions (2026-09-17) · lines 946–957

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Recombinant HIS-tagged human PKC alpha biochemical assay · source_derived_draft · unverified_draft

    ### e-sig-gamma-pkc-cofactor RRR-gamma-tocopherol at 1 µM increased recombinant human PKC alpha activity with 15–30 µg/mL phosphatidylserine and calcium; it did not increase the low activity in the absence of phosphatidylserine. Condition category: normal nutrient_topic: Vitamin E research collection; topical membership is not evidence of a direct dietary effect. plain_language: Natural gamma-tocopherol increased this kinase’s activity only when the required lipid cofactor was present. organism: Homo sapiens tissue_or_cell_type: Cell-free enzyme experimental_model: Recombinant HIS-tagged human PKC alpha biochemical assay limitations: Small biochemical activation is not equivalent to uniformly increased inflammation in people; oxidative activation shows a different response. exposure: 1 µM gamma-tocopherol; 2 mM CaCl2; 15–30 µg/mL phosphatidylserine; 5 min pretreatment, 30 min kinase assay. cross_nutrient: true [mccary2012] Vitamin E isoforms directly bind PKCα and differentially regulate activation of PKCα. (2012). https://pubmed.ncbi.nlm.nih.gov/21933153/ DOI: 10.1042/bj20111318
    Complete structured claim and evidence
  71. RRR-alpha-tocopherol at 0.01 µM inhibited peroxide/iron-induced activation of recombinant PKC alpha; gamma-tocopherol required 0.1 µM for significant inhibition in the same assay.

    RRR-alpha-tocopherol → Protein kinase C alpha (PRKCA) source_derived_draftungraded
    Experimental context and source evidence
    cross_nutrient
    true
    experimental_model
    Recombinant HIS-tagged human PKC alpha biochemical assay with iron and peroxide
    exposure
    15 ng dialyzed PKC alpha; 45 µM FeCl2; 1 or 10 mM H2O2 activation for 2 min, stopped with 9 mM DTT; no PS or calcium cofactors.
    limitations
    Millimolar peroxide in a cell-free reaction is not normal intracellular exposure. This is distinct from cofactor-dependent gamma activation.
    nutrient_topic
    Vitamin E research collection; topical membership is not evidence of a direct dietary effect. · Vitamin E
    organism
    Homo sapiens
    plain_language
    Both natural tocopherols reduced oxidative activation of this kinase, with alpha active at a lower tested concentration.
    primary_references
    [mccary2012] Vitamin E isoforms directly bind PKCα and differentially regulate activation of PKCα. (2012). https://pubmed.ncbi.nlm.nih.gov/21933153/ DOI: 10.1042/bj20111318
    tissue_or_cell_type
    Cell-free enzyme

    Vitamin E: transport, membrane protection and nutrient interactions (2026-09-17) · lines 959–970

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Recombinant HIS-tagged human PKC alpha biochemical assay with iron and peroxide · source_derived_draft · unverified_draft

    ### e-sig-alpha-pkc-oxidative RRR-alpha-tocopherol at 0.01 µM inhibited peroxide/iron-induced activation of recombinant PKC alpha; gamma-tocopherol required 0.1 µM for significant inhibition in the same assay. Condition category: normal nutrient_topic: Vitamin E research collection; topical membership is not evidence of a direct dietary effect. plain_language: Both natural tocopherols reduced oxidative activation of this kinase, with alpha active at a lower tested concentration. organism: Homo sapiens tissue_or_cell_type: Cell-free enzyme experimental_model: Recombinant HIS-tagged human PKC alpha biochemical assay with iron and peroxide limitations: Millimolar peroxide in a cell-free reaction is not normal intracellular exposure. This is distinct from cofactor-dependent gamma activation. exposure: 15 ng dialyzed PKC alpha; 45 µM FeCl2; 1 or 10 mM H2O2 activation for 2 min, stopped with 9 mM DTT; no PS or calcium cofactors. cross_nutrient: true [mccary2012] Vitamin E isoforms directly bind PKCα and differentially regulate activation of PKCα. (2012). https://pubmed.ncbi.nlm.nih.gov/21933153/ DOI: 10.1042/bj20111318
    Complete structured claim and evidence
  72. NBD-alpha-tocopherol bound recombinant human PKC alpha in solution: fluorescence increased at 1 µM probe, and 5 µM was used in competition assays with 0.1 µM enzyme.

    NBD-alpha-tocopherol → Protein kinase C alpha (PRKCA) source_derived_draftungraded
    Experimental context and source evidence
    cross_nutrient
    false
    experimental_model
    Fluorescence ligand binding in solution
    exposure
    0.1 µM PKC alpha; 1–5 µM NBD-alpha-tocopherol; 30 min at room temperature; 1% ethanol buffer.
    limitations
    The fluorophore reports a hydrophobic environment. Competition controls support specific binding, but the labeled probe is distinct from native tocopherol.
    nutrient_topic
    Vitamin E research collection; topical membership is not evidence of a direct dietary effect. · Vitamin E
    organism
    Homo sapiens
    plain_language
    A fluorescently tagged vitamin E probe associated directly with purified PKC alpha.
    primary_references
    [mccary2012] Vitamin E isoforms directly bind PKCα and differentially regulate activation of PKCα. (2012). https://pubmed.ncbi.nlm.nih.gov/21933153/ DOI: 10.1042/bj20111318
    tissue_or_cell_type
    Cell-free enzyme

    Vitamin E: transport, membrane protection and nutrient interactions (2026-09-17) · lines 972–983

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Fluorescence ligand binding in solution · source_derived_draft · unverified_draft

    ### e-sig-nbd-pkc-binding NBD-alpha-tocopherol bound recombinant human PKC alpha in solution: fluorescence increased at 1 µM probe, and 5 µM was used in competition assays with 0.1 µM enzyme. Condition category: normal nutrient_topic: Vitamin E research collection; topical membership is not evidence of a direct dietary effect. plain_language: A fluorescently tagged vitamin E probe associated directly with purified PKC alpha. organism: Homo sapiens tissue_or_cell_type: Cell-free enzyme experimental_model: Fluorescence ligand binding in solution limitations: The fluorophore reports a hydrophobic environment. Competition controls support specific binding, but the labeled probe is distinct from native tocopherol. exposure: 0.1 µM PKC alpha; 1–5 µM NBD-alpha-tocopherol; 30 min at room temperature; 1% ethanol buffer. cross_nutrient: false [mccary2012] Vitamin E isoforms directly bind PKCα and differentially regulate activation of PKCα. (2012). https://pubmed.ncbi.nlm.nih.gov/21933153/ DOI: 10.1042/bj20111318
    Complete structured claim and evidence
  73. Retinol competed with 5 µM NBD-alpha-tocopherol for binding to 0.1 µM recombinant PKC alpha, whereas phosphatidylserine and cholesterol did not compete in the same study.

    Experimental context and source evidence
    cross_nutrient
    true
    experimental_model
    Fluorescence competition assay, Figure 6G
    exposure
    5 µM NBD-alpha-tocopherol; 0.1 µM PKC alpha; retinol concentration series; 30 min at room temperature, 1% ethanol.
    limitations
    Exact retinol axis values were not extracted; this is direct in-vitro competition, not demonstrated competition between dietary vitamins in human tissues.
    nutrient_topic
    Vitamin E research collection; topical membership is not evidence of a direct dietary effect. · Vitamin E
    organism
    Homo sapiens
    plain_language
    Vitamin A alcohol competed with the labeled vitamin E probe for association with this purified kinase.
    primary_references
    [mccary2012] Vitamin E isoforms directly bind PKCα and differentially regulate activation of PKCα. (2012). https://pubmed.ncbi.nlm.nih.gov/21933153/ DOI: 10.1042/bj20111318
    tissue_or_cell_type
    Cell-free enzyme

    Vitamin E: transport, membrane protection and nutrient interactions (2026-09-17) · lines 985–996

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Fluorescence competition assay, Figure 6G · source_derived_draft · unverified_draft

    ### e-sig-retinol-pkc-competition Retinol competed with 5 µM NBD-alpha-tocopherol for binding to 0.1 µM recombinant PKC alpha, whereas phosphatidylserine and cholesterol did not compete in the same study. Condition category: normal nutrient_topic: Vitamin E research collection; topical membership is not evidence of a direct dietary effect. plain_language: Vitamin A alcohol competed with the labeled vitamin E probe for association with this purified kinase. organism: Homo sapiens tissue_or_cell_type: Cell-free enzyme experimental_model: Fluorescence competition assay, Figure 6G limitations: Exact retinol axis values were not extracted; this is direct in-vitro competition, not demonstrated competition between dietary vitamins in human tissues. exposure: 5 µM NBD-alpha-tocopherol; 0.1 µM PKC alpha; retinol concentration series; 30 min at room temperature, 1% ethanol. cross_nutrient: true [mccary2012] Vitamin E isoforms directly bind PKCα and differentially regulate activation of PKCα. (2012). https://pubmed.ncbi.nlm.nih.gov/21933153/ DOI: 10.1042/bj20111318
    Complete structured claim and evidence
  74. Adding 1 mol% alpha-tocopherol enhanced isolated PKC alpha C2-domain association with phosphatidylserine-containing lipid surfaces by surface plasmon resonance. Tocopherol without phosphatidylserine did not support binding.

    Experimental context and source evidence
    cross_nutrient
    false
    experimental_model
    Surface plasmon resonance with recombinant C2 domain and lipid vesicles
    exposure
    Base lipid composition 70:20:10 mol%; alpha-tocopherol at 1 mol% replacing POPC; no-PS control had 10 mol% tocopherol.
    limitations
    A membrane association endpoint is distinct from kinase activation. No direct C2-domain binding to free tocopherol is claimed.
    nutrient_topic
    Vitamin E research collection; topical membership is not evidence of a direct dietary effect. · Vitamin E
    organism
    Recombinant construct; species not independently stated
    plain_language
    Alpha-tocopherol changed how the kinase’s membrane-binding domain associated with a membrane containing phosphatidylserine.
    primary_references
    [mccary2012] Vitamin E isoforms directly bind PKCα and differentially regulate activation of PKCα. (2012). https://pubmed.ncbi.nlm.nih.gov/21933153/ DOI: 10.1042/bj20111318
    tissue_or_cell_type
    Artificial POPC/POPE/POPS membrane

    Vitamin E: transport, membrane protection and nutrient interactions (2026-09-17) · lines 998–1009

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Surface plasmon resonance with recombinant C2 domain and lipid vesicles · source_derived_draft · unverified_draft

    ### e-sig-alpha-pkc-ps-association Adding 1 mol% alpha-tocopherol enhanced isolated PKC alpha C2-domain association with phosphatidylserine-containing lipid surfaces by surface plasmon resonance. Tocopherol without phosphatidylserine did not support binding. Condition category: normal nutrient_topic: Vitamin E research collection; topical membership is not evidence of a direct dietary effect. plain_language: Alpha-tocopherol changed how the kinase’s membrane-binding domain associated with a membrane containing phosphatidylserine. organism: Recombinant construct; species not independently stated tissue_or_cell_type: Artificial POPC/POPE/POPS membrane experimental_model: Surface plasmon resonance with recombinant C2 domain and lipid vesicles limitations: A membrane association endpoint is distinct from kinase activation. No direct C2-domain binding to free tocopherol is claimed. exposure: Base lipid composition 70:20:10 mol%; alpha-tocopherol at 1 mol% replacing POPC; no-PS control had 10 mol% tocopherol. cross_nutrient: false [mccary2012] Vitamin E isoforms directly bind PKCα and differentially regulate activation of PKCα. (2012). https://pubmed.ncbi.nlm.nih.gov/21933153/ DOI: 10.1042/bj20111318
    Complete structured claim and evidence
  75. Alpha-tocopherol-13′-carboxychromanol inhibited 5-LO product formation in activated human polymorphonuclear leukocytes with an IC50 of approximately 0.08 µM, compared with 0.27 µM for isolated recombinant human 5-LO.

    Experimental context and source evidence
    cross_nutrient
    false
    experimental_model
    Primary human PMNL and recombinant enzyme, Table 1
    exposure
    10 min compound pretreatment at 37°C; PMNL in PBS pH 7.4, 1 mg/mL glucose and 1 mM CaCl2, stimulated with 2.5 µM A23187 and/or 20 µM arachidonic acid for 10 min; IC50 80 nM.
    limitations
    Potency cannot be equated with oral vitamin E dosing. The activated leukocyte IC50 differs greatly from parent alpha-tocopherol and from other laboratories’ assay results.
    nutrient_topic
    Vitamin E research collection; topical membership is not evidence of a direct dietary effect. · Vitamin E
    organism
    Homo sapiens
    plain_language
    The alpha-tocopherol metabolite reduced leukotriene-pathway enzyme output in isolated human immune cells.
    primary_references
    [pein2018] Endogenous metabolites of vitamin E limit inflammation by targeting 5-lipoxygenase. (2018). https://pubmed.ncbi.nlm.nih.gov/30237488/ DOI: 10.1038/s41467-018-06158-5
    tissue_or_cell_type
    Isolated blood polymorphonuclear leukocytes and cell-free enzyme

    Vitamin E: transport, membrane protection and nutrient interactions (2026-09-17) · lines 1011–1022

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Primary human PMNL and recombinant enzyme, Table 1 · source_derived_draft · unverified_draft

    ### e-sig-alpha-acid-leukocyte-lox Alpha-tocopherol-13′-carboxychromanol inhibited 5-LO product formation in activated human polymorphonuclear leukocytes with an IC50 of approximately 0.08 µM, compared with 0.27 µM for isolated recombinant human 5-LO. Condition category: normal nutrient_topic: Vitamin E research collection; topical membership is not evidence of a direct dietary effect. plain_language: The alpha-tocopherol metabolite reduced leukotriene-pathway enzyme output in isolated human immune cells. organism: Homo sapiens tissue_or_cell_type: Isolated blood polymorphonuclear leukocytes and cell-free enzyme experimental_model: Primary human PMNL and recombinant enzyme, Table 1 limitations: Potency cannot be equated with oral vitamin E dosing. The activated leukocyte IC50 differs greatly from parent alpha-tocopherol and from other laboratories’ assay results. exposure: 10 min compound pretreatment at 37°C; PMNL in PBS pH 7.4, 1 mg/mL glucose and 1 mM CaCl2, stimulated with 2.5 µM A23187 and/or 20 µM arachidonic acid for 10 min; IC50 80 nM. cross_nutrient: false [pein2018] Endogenous metabolites of vitamin E limit inflammation by targeting 5-lipoxygenase. (2018). https://pubmed.ncbi.nlm.nih.gov/30237488/ DOI: 10.1038/s41467-018-06158-5
    Complete structured claim and evidence
  76. Pein and colleagues interpreted delta-tocotrienol-13′-carboxychromanol inhibition of human 5-LO as reversible and allosteric: activity inhibition persisted when arachidonic acid was varied, and immobilized metabolite captured the enzyme despite excess arachidonic acid.

    Experimental context and source evidence
    cross_nutrient
    false
    experimental_model
    Purified human 5-LO; substrate variation, dilution and immobilized-ligand pull-down
    exposure
    Purified 5-LO 0.5 µg in PBS pH 7.4, EDTA 1 mM and ATP 1 mM; 10 min compound preincubation at 4°C, then 5–80 µM arachidonic acid and 2 mM CaCl2 at 37°C. Reported IC50 35–40 nM; pull-down competitor arachidonic acid 100 µM.
    limitations
    Binding-site assignment combines biochemical evidence with docking and mutagenesis, not a solved inhibitor-bound structure. Park 2022 explicitly disputes the noncompetitive interpretation.
    nutrient_topic
    Vitamin E research collection; topical membership is not evidence of a direct dietary effect. · Vitamin E
    organism
    Homo sapiens
    plain_language
    One study concluded that this tocotrienol metabolite inhibits 5-lipoxygenase at a site distinct from the usual fatty-acid binding site.
    primary_references
    [pein2018] Endogenous metabolites of vitamin E limit inflammation by targeting 5-lipoxygenase. (2018). https://pubmed.ncbi.nlm.nih.gov/30237488/ DOI: 10.1038/s41467-018-06158-5
    tissue_or_cell_type
    Cell-free enzyme

    Vitamin E: transport, membrane protection and nutrient interactions (2026-09-17) · lines 1024–1035

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Purified human 5-LO; substrate variation, dilution and immobilized-ligand pull-down · source_derived_draft · unverified_draft

    ### e-sig-delta-te-acid-allosteric Pein and colleagues interpreted delta-tocotrienol-13′-carboxychromanol inhibition of human 5-LO as reversible and allosteric: activity inhibition persisted when arachidonic acid was varied, and immobilized metabolite captured the enzyme despite excess arachidonic acid. Condition category: normal nutrient_topic: Vitamin E research collection; topical membership is not evidence of a direct dietary effect. plain_language: One study concluded that this tocotrienol metabolite inhibits 5-lipoxygenase at a site distinct from the usual fatty-acid binding site. organism: Homo sapiens tissue_or_cell_type: Cell-free enzyme experimental_model: Purified human 5-LO; substrate variation, dilution and immobilized-ligand pull-down limitations: Binding-site assignment combines biochemical evidence with docking and mutagenesis, not a solved inhibitor-bound structure. Park 2022 explicitly disputes the noncompetitive interpretation. exposure: Purified 5-LO 0.5 µg in PBS pH 7.4, EDTA 1 mM and ATP 1 mM; 10 min compound preincubation at 4°C, then 5–80 µM arachidonic acid and 2 mM CaCl2 at 37°C. Reported IC50 35–40 nM; pull-down competitor arachidonic acid 100 µM. cross_nutrient: false [pein2018] Endogenous metabolites of vitamin E limit inflammation by targeting 5-lipoxygenase. (2018). https://pubmed.ncbi.nlm.nih.gov/30237488/ DOI: 10.1038/s41467-018-06158-5
    Complete structured claim and evidence
  77. Park and colleagues classified Delta-tocotrienol-13′-carboxychromanol as a competitive inhibitor of human recombinant 5-LOX, with Ki 0.8 µM; oxygen-consumption kinetics showed increased apparent substrate requirement without an apparent decrease in Vmax.

    Experimental context and source evidence
    cross_nutrient
    false
    experimental_model
    Human recombinant 5-LOX oxygen-electrode initial-rate kinetics
    exposure
    10 min inhibitor preincubation; arachidonic acid 5–50 µM in 50 mM Tris pH 7.4 and 0.4 mM CaCl2; reported substrate Km 2.1 µM.
    limitations
    Kinetic classification is not a solved binding structure. The delta-tocotrienol metabolite result conflicts with Pein’s allosteric interpretation; differing IC50 values alone are not treated as conflicts.
    nutrient_topic
    Vitamin E research collection; topical membership is not evidence of a direct dietary effect. · Vitamin E
    organism
    Homo sapiens
    plain_language
    Kinetic measurements in this study indicated competition between this compound and arachidonic acid at 5-lipoxygenase.
    primary_references
    [park2022] Different forms of vitamin E and metabolite 13'-carboxychromanols inhibit cyclooxygenase-1 and its catalyzed thromboxane in platelets, and tocotrienols and 13'-carboxychromanols are competitive inhibitors of 5-lipoxygenase. (2022). https://pubmed.ncbi.nlm.nih.gov/34710615/ DOI: 10.1016/j.jnutbio.2021.108884
    tissue_or_cell_type
    Cell-free enzyme

    Vitamin E: transport, membrane protection and nutrient interactions (2026-09-17) · lines 1037–1048

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Human recombinant 5-LOX oxygen-electrode initial-rate kinetics · source_derived_draft · unverified_draft

    ### e-sig-delta-te-acid-competitive Park and colleagues classified Delta-tocotrienol-13′-carboxychromanol as a competitive inhibitor of human recombinant 5-LOX, with Ki 0.8 µM; oxygen-consumption kinetics showed increased apparent substrate requirement without an apparent decrease in Vmax. Condition category: normal nutrient_topic: Vitamin E research collection; topical membership is not evidence of a direct dietary effect. plain_language: Kinetic measurements in this study indicated competition between this compound and arachidonic acid at 5-lipoxygenase. organism: Homo sapiens tissue_or_cell_type: Cell-free enzyme experimental_model: Human recombinant 5-LOX oxygen-electrode initial-rate kinetics limitations: Kinetic classification is not a solved binding structure. The delta-tocotrienol metabolite result conflicts with Pein’s allosteric interpretation; differing IC50 values alone are not treated as conflicts. exposure: 10 min inhibitor preincubation; arachidonic acid 5–50 µM in 50 mM Tris pH 7.4 and 0.4 mM CaCl2; reported substrate Km 2.1 µM. cross_nutrient: false [park2022] Different forms of vitamin E and metabolite 13'-carboxychromanols inhibit cyclooxygenase-1 and its catalyzed thromboxane in platelets, and tocotrienols and 13'-carboxychromanols are competitive inhibitors of 5-lipoxygenase. (2022). https://pubmed.ncbi.nlm.nih.gov/34710615/ DOI: 10.1016/j.jnutbio.2021.108884
    Complete structured claim and evidence
  78. Park and colleagues classified Delta-tocopherol-13′-carboxychromanol as a competitive inhibitor of human recombinant 5-LOX, with Ki 1.6 µM; oxygen-consumption kinetics showed increased apparent substrate requirement without an apparent decrease in Vmax.

    Experimental context and source evidence
    cross_nutrient
    false
    experimental_model
    Human recombinant 5-LOX oxygen-electrode initial-rate kinetics
    exposure
    10 min inhibitor preincubation; arachidonic acid 5–50 µM in 50 mM Tris pH 7.4 and 0.4 mM CaCl2; reported substrate Km 2.1 µM.
    limitations
    Kinetic classification is not a solved binding structure. The delta-tocotrienol metabolite result conflicts with Pein’s allosteric interpretation; differing IC50 values alone are not treated as conflicts.
    nutrient_topic
    Vitamin E research collection; topical membership is not evidence of a direct dietary effect. · Vitamin E
    organism
    Homo sapiens
    plain_language
    Kinetic measurements in this study indicated competition between this compound and arachidonic acid at 5-lipoxygenase.
    primary_references
    [park2022] Different forms of vitamin E and metabolite 13'-carboxychromanols inhibit cyclooxygenase-1 and its catalyzed thromboxane in platelets, and tocotrienols and 13'-carboxychromanols are competitive inhibitors of 5-lipoxygenase. (2022). https://pubmed.ncbi.nlm.nih.gov/34710615/ DOI: 10.1016/j.jnutbio.2021.108884
    tissue_or_cell_type
    Cell-free enzyme

    Vitamin E: transport, membrane protection and nutrient interactions (2026-09-17) · lines 1050–1061

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Human recombinant 5-LOX oxygen-electrode initial-rate kinetics · source_derived_draft · unverified_draft

    ### e-sig-delta-acid-competitive Park and colleagues classified Delta-tocopherol-13′-carboxychromanol as a competitive inhibitor of human recombinant 5-LOX, with Ki 1.6 µM; oxygen-consumption kinetics showed increased apparent substrate requirement without an apparent decrease in Vmax. Condition category: normal nutrient_topic: Vitamin E research collection; topical membership is not evidence of a direct dietary effect. plain_language: Kinetic measurements in this study indicated competition between this compound and arachidonic acid at 5-lipoxygenase. organism: Homo sapiens tissue_or_cell_type: Cell-free enzyme experimental_model: Human recombinant 5-LOX oxygen-electrode initial-rate kinetics limitations: Kinetic classification is not a solved binding structure. The delta-tocotrienol metabolite result conflicts with Pein’s allosteric interpretation; differing IC50 values alone are not treated as conflicts. exposure: 10 min inhibitor preincubation; arachidonic acid 5–50 µM in 50 mM Tris pH 7.4 and 0.4 mM CaCl2; reported substrate Km 2.1 µM. cross_nutrient: false [park2022] Different forms of vitamin E and metabolite 13'-carboxychromanols inhibit cyclooxygenase-1 and its catalyzed thromboxane in platelets, and tocotrienols and 13'-carboxychromanols are competitive inhibitors of 5-lipoxygenase. (2022). https://pubmed.ncbi.nlm.nih.gov/34710615/ DOI: 10.1016/j.jnutbio.2021.108884
    Complete structured claim and evidence
  79. Park and colleagues classified Delta-tocotrienol as a competitive inhibitor of human recombinant 5-LOX, with Ki 2.2 µM; oxygen-consumption kinetics showed increased apparent substrate requirement without an apparent decrease in Vmax.

    Experimental context and source evidence
    cross_nutrient
    false
    experimental_model
    Human recombinant 5-LOX oxygen-electrode initial-rate kinetics
    exposure
    10 min inhibitor preincubation; arachidonic acid 5–50 µM in 50 mM Tris pH 7.4 and 0.4 mM CaCl2; reported substrate Km 2.1 µM.
    limitations
    Kinetic classification is not a solved binding structure. The delta-tocotrienol metabolite result conflicts with Pein’s allosteric interpretation; differing IC50 values alone are not treated as conflicts.
    nutrient_topic
    Vitamin E research collection; topical membership is not evidence of a direct dietary effect. · Vitamin E
    organism
    Homo sapiens
    plain_language
    Kinetic measurements in this study indicated competition between this compound and arachidonic acid at 5-lipoxygenase.
    primary_references
    [park2022] Different forms of vitamin E and metabolite 13'-carboxychromanols inhibit cyclooxygenase-1 and its catalyzed thromboxane in platelets, and tocotrienols and 13'-carboxychromanols are competitive inhibitors of 5-lipoxygenase. (2022). https://pubmed.ncbi.nlm.nih.gov/34710615/ DOI: 10.1016/j.jnutbio.2021.108884
    tissue_or_cell_type
    Cell-free enzyme

    Vitamin E: transport, membrane protection and nutrient interactions (2026-09-17) · lines 1063–1074

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Human recombinant 5-LOX oxygen-electrode initial-rate kinetics · source_derived_draft · unverified_draft

    ### e-sig-delta-te-competitive Park and colleagues classified Delta-tocotrienol as a competitive inhibitor of human recombinant 5-LOX, with Ki 2.2 µM; oxygen-consumption kinetics showed increased apparent substrate requirement without an apparent decrease in Vmax. Condition category: normal nutrient_topic: Vitamin E research collection; topical membership is not evidence of a direct dietary effect. plain_language: Kinetic measurements in this study indicated competition between this compound and arachidonic acid at 5-lipoxygenase. organism: Homo sapiens tissue_or_cell_type: Cell-free enzyme experimental_model: Human recombinant 5-LOX oxygen-electrode initial-rate kinetics limitations: Kinetic classification is not a solved binding structure. The delta-tocotrienol metabolite result conflicts with Pein’s allosteric interpretation; differing IC50 values alone are not treated as conflicts. exposure: 10 min inhibitor preincubation; arachidonic acid 5–50 µM in 50 mM Tris pH 7.4 and 0.4 mM CaCl2; reported substrate Km 2.1 µM. cross_nutrient: false [park2022] Different forms of vitamin E and metabolite 13'-carboxychromanols inhibit cyclooxygenase-1 and its catalyzed thromboxane in platelets, and tocotrienols and 13'-carboxychromanols are competitive inhibitors of 5-lipoxygenase. (2022). https://pubmed.ncbi.nlm.nih.gov/34710615/ DOI: 10.1016/j.jnutbio.2021.108884
    Complete structured claim and evidence
  80. Delta-tocopherol-13′-carboxychromanol reduced A23187-stimulated TXB2 output from washed rat platelets, with the metabolite experiments reporting IC50 values in the 1.5–2.5 µM range.

    Experimental context and source evidence
    cross_nutrient
    false
    experimental_model
    Washed rat platelet stimulation and TXB2 enzyme immunoassay
    exposure
    25 min compound preincubation at 37°C; 1–2 µM A23187 with 1–2 mM CaCl2 for 10 min.
    limitations
    TXB2 is a stable surrogate for TXA2 production; neither clinical bleeding nor platelet aggregation was measured in this endpoint. Isolated rat platelets do not establish human antithrombotic benefit.
    nutrient_topic
    Vitamin E research collection; topical membership is not evidence of a direct dietary effect. · Vitamin E
    organism
    Rattus norvegicus
    plain_language
    The metabolite reduced a measured marker of thromboxane production in isolated rat platelets.
    primary_references
    [park2022] Different forms of vitamin E and metabolite 13'-carboxychromanols inhibit cyclooxygenase-1 and its catalyzed thromboxane in platelets, and tocotrienols and 13'-carboxychromanols are competitive inhibitors of 5-lipoxygenase. (2022). https://pubmed.ncbi.nlm.nih.gov/34710615/ DOI: 10.1016/j.jnutbio.2021.108884
    tissue_or_cell_type
    Isolated blood platelets

    Vitamin E: transport, membrane protection and nutrient interactions (2026-09-17) · lines 1076–1087

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Washed rat platelet stimulation and TXB2 enzyme immunoassay · source_derived_draft · unverified_draft

    ### e-sig-delta-acid-platelet-txb2 Delta-tocopherol-13′-carboxychromanol reduced A23187-stimulated TXB2 output from washed rat platelets, with the metabolite experiments reporting IC50 values in the 1.5–2.5 µM range. Condition category: normal nutrient_topic: Vitamin E research collection; topical membership is not evidence of a direct dietary effect. plain_language: The metabolite reduced a measured marker of thromboxane production in isolated rat platelets. organism: Rattus norvegicus tissue_or_cell_type: Isolated blood platelets experimental_model: Washed rat platelet stimulation and TXB2 enzyme immunoassay limitations: TXB2 is a stable surrogate for TXA2 production; neither clinical bleeding nor platelet aggregation was measured in this endpoint. Isolated rat platelets do not establish human antithrombotic benefit. exposure: 25 min compound preincubation at 37°C; 1–2 µM A23187 with 1–2 mM CaCl2 for 10 min. cross_nutrient: false [park2022] Different forms of vitamin E and metabolite 13'-carboxychromanols inhibit cyclooxygenase-1 and its catalyzed thromboxane in platelets, and tocotrienols and 13'-carboxychromanols are competitive inhibitors of 5-lipoxygenase. (2022). https://pubmed.ncbi.nlm.nih.gov/34710615/ DOI: 10.1016/j.jnutbio.2021.108884
    Complete structured claim and evidence
  81. Gamma-tocopherol inhibited human recombinant COX-1 in a prostaglandin-product assay, with the tested non-alpha vitamin E forms showing IC50 values of 1–2.5 µM. Parent vitamin E forms did not significantly inhibit COX-2 in the same system.

    Gamma-tocopherol → Cyclooxygenase-1 (PTGS1) source_derived_draftungraded
    Experimental context and source evidence
    cross_nutrient
    false
    experimental_model
    Recombinant human COX enzyme assay; PGF2alpha readout after chemical reduction
    exposure
    10 min compound preincubation; arachidonic acid 5 µM for 2 min; stannous chloride converted PG intermediates to PGF2alpha for ELISA.
    limitations
    This assay differs from older ovine COX-1/oxygen-electrode work; species and substrate differences preclude labeling every potency discrepancy as a contradiction.
    nutrient_topic
    Vitamin E research collection; topical membership is not evidence of a direct dietary effect. · Vitamin E
    organism
    Homo sapiens
    plain_language
    Gamma-tocopherol reduced activity of purified human COX-1 under these assay conditions.
    primary_references
    [park2022] Different forms of vitamin E and metabolite 13'-carboxychromanols inhibit cyclooxygenase-1 and its catalyzed thromboxane in platelets, and tocotrienols and 13'-carboxychromanols are competitive inhibitors of 5-lipoxygenase. (2022). https://pubmed.ncbi.nlm.nih.gov/34710615/ DOI: 10.1016/j.jnutbio.2021.108884
    tissue_or_cell_type
    Cell-free enzyme

    Vitamin E: transport, membrane protection and nutrient interactions (2026-09-17) · lines 1089–1100

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Recombinant human COX enzyme assay; PGF2alpha readout after chemical reduction · source_derived_draft · unverified_draft

    ### e-sig-gamma-human-cox1 Gamma-tocopherol inhibited human recombinant COX-1 in a prostaglandin-product assay, with the tested non-alpha vitamin E forms showing IC50 values of 1–2.5 µM. Parent vitamin E forms did not significantly inhibit COX-2 in the same system. Condition category: normal nutrient_topic: Vitamin E research collection; topical membership is not evidence of a direct dietary effect. plain_language: Gamma-tocopherol reduced activity of purified human COX-1 under these assay conditions. organism: Homo sapiens tissue_or_cell_type: Cell-free enzyme experimental_model: Recombinant human COX enzyme assay; PGF2alpha readout after chemical reduction limitations: This assay differs from older ovine COX-1/oxygen-electrode work; species and substrate differences preclude labeling every potency discrepancy as a contradiction. exposure: 10 min compound preincubation; arachidonic acid 5 µM for 2 min; stannous chloride converted PG intermediates to PGF2alpha for ELISA. cross_nutrient: false [park2022] Different forms of vitamin E and metabolite 13'-carboxychromanols inhibit cyclooxygenase-1 and its catalyzed thromboxane in platelets, and tocotrienols and 13'-carboxychromanols are competitive inhibitors of 5-lipoxygenase. (2022). https://pubmed.ncbi.nlm.nih.gov/34710615/ DOI: 10.1016/j.jnutbio.2021.108884
    Complete structured claim and evidence
  82. In HepG2 cells, gamma-tocotrienol inhibited incorporation of [14C]acetate into cholesterol with approximately 50% inhibition at 2 µM and maximal approximately 80% inhibition within 6 h, while incorporation of [3H]mevalonate was not inhibited.

    Gamma-tocotrienol → Cholesterol biosynthesis source_derived_draftungraded
    Experimental context and source evidence
    cross_nutrient
    false
    experimental_model
    Radiolabeled precursor incorporation in HepG2 cells
    exposure
    Gamma-tocotrienol approximately 2 µM for half-maximal inhibition; response developed within 6 h.
    limitations
    Primary abstract only; media and viability protocol unavailable. Tracer localization supports action upstream of mevalonate use, not a human cholesterol-lowering recommendation.
    nutrient_topic
    Vitamin E research collection; topical membership is not evidence of a direct dietary effect. · Vitamin E
    organism
    Homo sapiens
    plain_language
    Gamma-tocotrienol reduced cholesterol production from an early precursor, while leaving production from the later precursor mevalonate intact in cultured liver cells.
    primary_references
    [parker1993] Tocotrienols regulate cholesterol production in mammalian cells by post-transcriptional suppression of 3-hydroxy-3-methylglutaryl-coenzyme A reductase. (1993). https://pubmed.ncbi.nlm.nih.gov/8388388/ DOI: 10.1016/s0021-9258(18)82115-9
    tissue_or_cell_type
    Hepatoma cell culture

    Vitamin E: transport, membrane protection and nutrient interactions (2026-09-17) · lines 1102–1113

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Radiolabeled precursor incorporation in HepG2 cells · source_derived_draft · unverified_draft

    ### e-sig-gamma-te-cholesterol In HepG2 cells, gamma-tocotrienol inhibited incorporation of [14C]acetate into cholesterol with approximately 50% inhibition at 2 µM and maximal approximately 80% inhibition within 6 h, while incorporation of [3H]mevalonate was not inhibited. Condition category: normal nutrient_topic: Vitamin E research collection; topical membership is not evidence of a direct dietary effect. plain_language: Gamma-tocotrienol reduced cholesterol production from an early precursor, while leaving production from the later precursor mevalonate intact in cultured liver cells. organism: Homo sapiens tissue_or_cell_type: Hepatoma cell culture experimental_model: Radiolabeled precursor incorporation in HepG2 cells limitations: Primary abstract only; media and viability protocol unavailable. Tracer localization supports action upstream of mevalonate use, not a human cholesterol-lowering recommendation. exposure: Gamma-tocotrienol approximately 2 µM for half-maximal inhibition; response developed within 6 h. cross_nutrient: false [parker1993] Tocotrienols regulate cholesterol production in mammalian cells by post-transcriptional suppression of 3-hydroxy-3-methylglutaryl-coenzyme A reductase. (1993). https://pubmed.ncbi.nlm.nih.gov/8388388/ DOI: 10.1016/s0021-9258(18)82115-9
    Complete structured claim and evidence
  83. At 10 µM gamma-tocotrienol, HepG2 HMG-CoA reductase degradation increased 2.4-fold and its half-life fell from 3.73 to 1.59 h, measured by [35S]methionine pulse-chase and immunoprecipitation.

    Experimental context and source evidence
    cross_nutrient
    false
    experimental_model
    Radiolabeled protein pulse-chase and HMGCR immunoprecipitation
    exposure
    10 µM gamma-tocotrienol; reported HMGCR half-life 3.73 h control versus 1.59 h treated.
    limitations
    Primary abstract only; these data do not by themselves identify Insig proteins or prove direct binding to the reductase. Human supplementation effects cannot be inferred.
    nutrient_topic
    Vitamin E research collection; topical membership is not evidence of a direct dietary effect. · Vitamin E
    organism
    Homo sapiens
    plain_language
    Gamma-tocotrienol made the cholesterol-synthesis enzyme turn over faster in cultured human liver tumor cells.
    primary_references
    [parker1993] Tocotrienols regulate cholesterol production in mammalian cells by post-transcriptional suppression of 3-hydroxy-3-methylglutaryl-coenzyme A reductase. (1993). https://pubmed.ncbi.nlm.nih.gov/8388388/ DOI: 10.1016/s0021-9258(18)82115-9
    tissue_or_cell_type
    Hepatoma cell culture

    Vitamin E: transport, membrane protection and nutrient interactions (2026-09-17) · lines 1115–1126

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Radiolabeled protein pulse-chase and HMGCR immunoprecipitation · source_derived_draft · unverified_draft

    ### e-sig-gamma-te-hmgcr-turnover At 10 µM gamma-tocotrienol, HepG2 HMG-CoA reductase degradation increased 2.4-fold and its half-life fell from 3.73 to 1.59 h, measured by [35S]methionine pulse-chase and immunoprecipitation. Condition category: normal nutrient_topic: Vitamin E research collection; topical membership is not evidence of a direct dietary effect. plain_language: Gamma-tocotrienol made the cholesterol-synthesis enzyme turn over faster in cultured human liver tumor cells. organism: Homo sapiens tissue_or_cell_type: Hepatoma cell culture experimental_model: Radiolabeled protein pulse-chase and HMGCR immunoprecipitation limitations: Primary abstract only; these data do not by themselves identify Insig proteins or prove direct binding to the reductase. Human supplementation effects cannot be inferred. exposure: 10 µM gamma-tocotrienol; reported HMGCR half-life 3.73 h control versus 1.59 h treated. cross_nutrient: false [parker1993] Tocotrienols regulate cholesterol production in mammalian cells by post-transcriptional suppression of 3-hydroxy-3-methylglutaryl-coenzyme A reductase. (1993). https://pubmed.ncbi.nlm.nih.gov/8388388/ DOI: 10.1016/s0021-9258(18)82115-9
    Complete structured claim and evidence
  84. Delta-tocotrienol stimulated HMG-CoA reductase ubiquitination in isolated SV-589 fibroblast membrane fractions supplemented with ubiquitin-activating enzyme; gamma-tocotrienol showed the same activity. The reconstituted result supported action without further tocotrienol metabolism.

    Delta-tocotrienol → HMG-CoA reductase ubiquitination source_derived_draftungraded
    Experimental context and source evidence
    cross_nutrient
    false
    experimental_model
    Isolated membranes from sterol-depleted SV-589 human fibroblasts; FLAG-ubiquitin and purified E1 assay
    exposure
    Figure 5B: purified E1 5 µg/mL, FLAG-ubiquitin 0.1 mg/mL, ubiquitin-aldehyde 0.01 mg/mL and ATP-regenerating system; tocotrienol concentration not fully retrieved.
    limitations
    The assay does not prove direct molecular binding of tocotrienol to HMGCR or INSIG. No human cholesterol outcome follows from this reconstituted experiment.
    nutrient_topic
    Vitamin E research collection; topical membership is not evidence of a direct dietary effect. · Vitamin E
    organism
    Homo sapiens
    plain_language
    These tocotrienols promoted attachment of degradation tags to the cholesterol-synthesis enzyme in isolated cell membranes.
    primary_references
    [song2006] Insig-dependent ubiquitination and degradation of 3-hydroxy-3-methylglutaryl coenzyme a reductase stimulated by delta- and gamma-tocotrienols. (2006). https://pubmed.ncbi.nlm.nih.gov/16831864/ DOI: 10.1074/jbc.m605575200
    tissue_or_cell_type
    Fibroblast-derived membrane fractions

    Vitamin E: transport, membrane protection and nutrient interactions (2026-09-17) · lines 1128–1139

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Isolated membranes from sterol-depleted SV-589 human fibroblasts; FLAG-ubiquitin and purified E1 assay · source_derived_draft · unverified_draft

    ### e-sig-delta-te-hmgcr-ubiquitination Delta-tocotrienol stimulated HMG-CoA reductase ubiquitination in isolated SV-589 fibroblast membrane fractions supplemented with ubiquitin-activating enzyme; gamma-tocotrienol showed the same activity. The reconstituted result supported action without further tocotrienol metabolism. Condition category: normal nutrient_topic: Vitamin E research collection; topical membership is not evidence of a direct dietary effect. plain_language: These tocotrienols promoted attachment of degradation tags to the cholesterol-synthesis enzyme in isolated cell membranes. organism: Homo sapiens tissue_or_cell_type: Fibroblast-derived membrane fractions experimental_model: Isolated membranes from sterol-depleted SV-589 human fibroblasts; FLAG-ubiquitin and purified E1 assay limitations: The assay does not prove direct molecular binding of tocotrienol to HMGCR or INSIG. No human cholesterol outcome follows from this reconstituted experiment. exposure: Figure 5B: purified E1 5 µg/mL, FLAG-ubiquitin 0.1 mg/mL, ubiquitin-aldehyde 0.01 mg/mL and ATP-regenerating system; tocotrienol concentration not fully retrieved. cross_nutrient: false [song2006] Insig-dependent ubiquitination and degradation of 3-hydroxy-3-methylglutaryl coenzyme a reductase stimulated by delta- and gamma-tocotrienols. (2006). https://pubmed.ncbi.nlm.nih.gov/16831864/ DOI: 10.1074/jbc.m605575200
    Complete structured claim and evidence
  85. Combined RNAi against INSIG1 and INSIG2 abolished gamma- and delta-tocotrienol-stimulated degradation of endogenous HMG-CoA reductase in sterol-depleted SV-589 fibroblasts supplied with 10 mM mevalonate.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    cross_nutrient
    false
    experimental_model
    Combined INSIG1/INSIG2 RNA interference in immortalized human SV-589 fibroblasts
    exposure
    Sterol depletion 16 h; gamma- or delta-tocotrienol plus 10 mM mevalonate for 5 h; tocotrienol concentration not retrieved from the accessible Figure 3 text.
    limitations
    Combined knockdown establishes a machinery requirement in this model, not the unique role of either INSIG isoform or nutritional deficiency. Does not quantify viability or predict supplement benefit.
    nutrient_topic
    Vitamin E research collection; topical membership is not evidence of a direct dietary effect. · Vitamin E
    organism
    Homo sapiens
    plain_language
    Removing both INSIG regulators prevented these tocotrienols from accelerating loss of the reductase protein in this cell experiment.
    primary_references
    [song2006] Insig-dependent ubiquitination and degradation of 3-hydroxy-3-methylglutaryl coenzyme a reductase stimulated by delta- and gamma-tocotrienols. (2006). https://pubmed.ncbi.nlm.nih.gov/16831864/ DOI: 10.1074/jbc.m605575200
    tissue_or_cell_type
    Human fibroblast cell culture
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    Vitamin E: transport, membrane protection and nutrient interactions (2026-09-17) · lines 1141–1152

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Combined INSIG1/INSIG2 RNA interference in immortalized human SV-589 fibroblasts · source_derived_draft · unverified_draft

    ### e-sig-insig-depletion-hmgcr-turnover Combined RNAi against INSIG1 and INSIG2 abolished gamma- and delta-tocotrienol-stimulated degradation of endogenous HMG-CoA reductase in sterol-depleted SV-589 fibroblasts supplied with 10 mM mevalonate. Condition category: machinery_impairment nutrient_topic: Vitamin E research collection; topical membership is not evidence of a direct dietary effect. plain_language: Removing both INSIG regulators prevented these tocotrienols from accelerating loss of the reductase protein in this cell experiment. organism: Homo sapiens tissue_or_cell_type: Human fibroblast cell culture experimental_model: Combined INSIG1/INSIG2 RNA interference in immortalized human SV-589 fibroblasts limitations: Combined knockdown establishes a machinery requirement in this model, not the unique role of either INSIG isoform or nutritional deficiency. Does not quantify viability or predict supplement benefit. exposure: Sterol depletion 16 h; gamma- or delta-tocotrienol plus 10 mM mevalonate for 5 h; tocotrienol concentration not retrieved from the accessible Figure 3 text. cross_nutrient: false [song2006] Insig-dependent ubiquitination and degradation of 3-hydroxy-3-methylglutaryl coenzyme a reductase stimulated by delta- and gamma-tocotrienols. (2006). https://pubmed.ncbi.nlm.nih.gov/16831864/ DOI: 10.1074/jbc.m605575200
    Complete structured claim and evidence
  86. Serum vitamin E normalized during one year of supplementation in the 24-patient AVED cohort.

    Vitamin E → Circulating alpha-tocopherol concentration source_derived_draftungraded
    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    cross_nutrient
    false
    experimental_model
    Uncontrolled one-year supplementation study; 24 genetically investigated AVED patients
    exposure
    Vitamin E 800 mg/day for one year; formulation stereochemistry not specified in the retrieved abstract.
    limitations
    Small uncontrolled genetic-disease cohort; no inference of complete reversal, a general population dose or isolated dietary deficiency.
    nutrient_topic
    Vitamin E research collection; topical membership is not evidence of a direct dietary effect. · Vitamin E
    organism
    Homo sapiens
    plain_language
    Extra vitamin E restored the blood measurement despite the inherited transport disorder.
    primary_references
    [e-clin-aved2001] Effect of vitamin E supplementation in patients with ataxia with vitamin E deficiency. (2001). https://pubmed.ncbi.nlm.nih.gov/11554913/ DOI: 10.1046/j.1468-1331.2001.00273.x
    tissue_or_cell_type
    Nervous system and serum
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    Vitamin E: transport, membrane protection and nutrient interactions (2026-09-17) · lines 1154–1165

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Uncontrolled one-year supplementation study; 24 genetically investigated AVED patients · source_derived_draft · unverified_draft

    ### e-clin-aved-serum Serum vitamin E normalized during one year of supplementation in the 24-patient AVED cohort. Condition category: machinery_impairment nutrient_topic: Vitamin E research collection; topical membership is not evidence of a direct dietary effect. plain_language: Extra vitamin E restored the blood measurement despite the inherited transport disorder. organism: Homo sapiens tissue_or_cell_type: Nervous system and serum experimental_model: Uncontrolled one-year supplementation study; 24 genetically investigated AVED patients limitations: Small uncontrolled genetic-disease cohort; no inference of complete reversal, a general population dose or isolated dietary deficiency. exposure: Vitamin E 800 mg/day for one year; formulation stereochemistry not specified in the retrieved abstract. cross_nutrient: false [e-clin-aved2001] Effect of vitamin E supplementation in patients with ataxia with vitamin E deficiency. (2001). https://pubmed.ncbi.nlm.nih.gov/11554913/ DOI: 10.1046/j.1468-1331.2001.00273.x
    Complete structured claim and evidence
  87. Ataxia Rating Scale scores improved modestly but significantly after one year of vitamin E in the AVED cohort; results were better with shorter disease duration.

    Vitamin E → Cerebellar ataxia severity source_derived_draftungraded
    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    cross_nutrient
    false
    experimental_model
    Uncontrolled one-year supplementation study; 24 genetically investigated AVED patients
    exposure
    Vitamin E 800 mg/day for one year; formulation stereochemistry not specified in the retrieved abstract.
    limitations
    Small uncontrolled genetic-disease cohort; no inference of complete reversal, a general population dose or isolated dietary deficiency.
    nutrient_topic
    Vitamin E research collection; topical membership is not evidence of a direct dietary effect. · Vitamin E
    organism
    Homo sapiens
    plain_language
    Treating the inherited vitamin E shortage modestly improved coordination in this study.
    primary_references
    [e-clin-aved2001] Effect of vitamin E supplementation in patients with ataxia with vitamin E deficiency. (2001). https://pubmed.ncbi.nlm.nih.gov/11554913/ DOI: 10.1046/j.1468-1331.2001.00273.x
    tissue_or_cell_type
    Nervous system and serum
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    Vitamin E: transport, membrane protection and nutrient interactions (2026-09-17) · lines 1167–1178

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Uncontrolled one-year supplementation study; 24 genetically investigated AVED patients · source_derived_draft · unverified_draft

    ### e-clin-aved-ataxia Ataxia Rating Scale scores improved modestly but significantly after one year of vitamin E in the AVED cohort; results were better with shorter disease duration. Condition category: machinery_impairment nutrient_topic: Vitamin E research collection; topical membership is not evidence of a direct dietary effect. plain_language: Treating the inherited vitamin E shortage modestly improved coordination in this study. organism: Homo sapiens tissue_or_cell_type: Nervous system and serum experimental_model: Uncontrolled one-year supplementation study; 24 genetically investigated AVED patients limitations: Small uncontrolled genetic-disease cohort; no inference of complete reversal, a general population dose or isolated dietary deficiency. exposure: Vitamin E 800 mg/day for one year; formulation stereochemistry not specified in the retrieved abstract. cross_nutrient: false [e-clin-aved2001] Effect of vitamin E supplementation in patients with ataxia with vitamin E deficiency. (2001). https://pubmed.ncbi.nlm.nih.gov/11554913/ DOI: 10.1046/j.1468-1331.2001.00273.x
    Complete structured claim and evidence
  88. Absent reflexes and posterior-column disturbances persisted despite normalization of serum vitamin E during AVED supplementation.

    Vitamin E → AVED reflex and posterior-column deficits source_derived_draftungraded
    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    cross_nutrient
    false
    experimental_model
    Uncontrolled one-year supplementation study; 24 genetically investigated AVED patients
    exposure
    Vitamin E 800 mg/day for one year; formulation stereochemistry not specified in the retrieved abstract.
    limitations
    Small uncontrolled genetic-disease cohort; no inference of complete reversal, a general population dose or isolated dietary deficiency.
    nutrient_topic
    Vitamin E research collection; topical membership is not evidence of a direct dietary effect. · Vitamin E
    organism
    Homo sapiens
    plain_language
    Correcting the blood level did not reverse every established nerve deficit.
    primary_references
    [e-clin-aved2001] Effect of vitamin E supplementation in patients with ataxia with vitamin E deficiency. (2001). https://pubmed.ncbi.nlm.nih.gov/11554913/ DOI: 10.1046/j.1468-1331.2001.00273.x
    tissue_or_cell_type
    Nervous system and serum
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    Vitamin E: transport, membrane protection and nutrient interactions (2026-09-17) · lines 1180–1191

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Uncontrolled one-year supplementation study; 24 genetically investigated AVED patients · source_derived_draft · unverified_draft

    ### e-clin-aved-residual-deficits Absent reflexes and posterior-column disturbances persisted despite normalization of serum vitamin E during AVED supplementation. Condition category: machinery_impairment nutrient_topic: Vitamin E research collection; topical membership is not evidence of a direct dietary effect. plain_language: Correcting the blood level did not reverse every established nerve deficit. organism: Homo sapiens tissue_or_cell_type: Nervous system and serum experimental_model: Uncontrolled one-year supplementation study; 24 genetically investigated AVED patients limitations: Small uncontrolled genetic-disease cohort; no inference of complete reversal, a general population dose or isolated dietary deficiency. exposure: Vitamin E 800 mg/day for one year; formulation stereochemistry not specified in the retrieved abstract. cross_nutrient: false [e-clin-aved2001] Effect of vitamin E supplementation in patients with ataxia with vitamin E deficiency. (2001). https://pubmed.ncbi.nlm.nih.gov/11554913/ DOI: 10.1046/j.1468-1331.2001.00273.x
    Complete structured claim and evidence
  89. In the historical premature-infant series, blood vitamin E below 0.6 mg/100 mL was associated with greater hydrogen-peroxide-induced erythrocyte hemolysis.

    Experimental context and source evidence
    availability_state
    biomarker_context Imported condition classification; unverified.
    cross_nutrient
    false
    experimental_model
    Historical clinical series of 50 premature infants aged 6–8 weeks
    exposure
    Blood vitamin E and hydrogen-peroxide hemolysis were assessed; oral vitamin E 10 mg/day was administered.
    limitations
    Historical feeding conditions and infant ages; an ex vivo hemolysis assay is not a universal explanation for anemia of prematurity. Formulation not specified in the abstract. The reported concentration is specific to this study, not a universal cellular adequacy threshold.
    nutrient_topic
    Vitamin E research collection; topical membership is not evidence of a direct dietary effect. · Vitamin E
    organism
    Homo sapiens
    plain_language
    In this infant study, a low vitamin E reading accompanied fragile red cells in a peroxide test.
    primary_references
    [e-clin-lo1973] Vitamin E and haemolytic anaemia in premature infants. (1973). https://pubmed.ncbi.nlm.nih.gov/4739911/ DOI: 10.1136/adc.48.5.360
    tissue_or_cell_type
    Blood and erythrocytes
    trigger_kind
    biomarker_context Imported condition classification; unverified.

    Vitamin E: transport, membrane protection and nutrient interactions (2026-09-17) · lines 1193–1204

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Historical clinical series of 50 premature infants aged 6–8 weeks · source_derived_draft · unverified_draft

    ### e-clin-infant-peroxide-association In the historical premature-infant series, blood vitamin E below 0.6 mg/100 mL was associated with greater hydrogen-peroxide-induced erythrocyte hemolysis. Condition category: biomarker_context nutrient_topic: Vitamin E research collection; topical membership is not evidence of a direct dietary effect. plain_language: In this infant study, a low vitamin E reading accompanied fragile red cells in a peroxide test. organism: Homo sapiens tissue_or_cell_type: Blood and erythrocytes experimental_model: Historical clinical series of 50 premature infants aged 6–8 weeks limitations: Historical feeding conditions and infant ages; an ex vivo hemolysis assay is not a universal explanation for anemia of prematurity. Formulation not specified in the abstract. The reported concentration is specific to this study, not a universal cellular adequacy threshold. exposure: Blood vitamin E and hydrogen-peroxide hemolysis were assessed; oral vitamin E 10 mg/day was administered. cross_nutrient: false [e-clin-lo1973] Vitamin E and haemolytic anaemia in premature infants. (1973). https://pubmed.ncbi.nlm.nih.gov/4739911/ DOI: 10.1136/adc.48.5.360
    Complete structured claim and evidence
  90. Peroxide hemolysis normalized within days of oral vitamin E administration and rising blood vitamin E in the premature-infant series.

    Vitamin E → Erythrocyte peroxide-induced hemolysis source_derived_draftungraded
    Experimental context and source evidence
    availability_state
    nutrient_deficiency Imported condition classification; unverified.
    cross_nutrient
    false
    experimental_model
    Historical clinical series of 50 premature infants aged 6–8 weeks
    exposure
    Blood vitamin E and hydrogen-peroxide hemolysis were assessed; oral vitamin E 10 mg/day was administered.
    limitations
    Historical feeding conditions and infant ages; an ex vivo hemolysis assay is not a universal explanation for anemia of prematurity. Formulation not specified in the abstract.
    nutrient_topic
    Vitamin E research collection; topical membership is not evidence of a direct dietary effect. · Vitamin E
    organism
    Homo sapiens
    plain_language
    Restoring vitamin E reduced red-cell fragility in the tested infants.
    primary_references
    [e-clin-lo1973] Vitamin E and haemolytic anaemia in premature infants. (1973). https://pubmed.ncbi.nlm.nih.gov/4739911/ DOI: 10.1136/adc.48.5.360
    tissue_or_cell_type
    Blood and erythrocytes
    trigger_kind
    nutrient_deficiency Imported condition classification; unverified.

    Vitamin E: transport, membrane protection and nutrient interactions (2026-09-17) · lines 1206–1217

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Historical clinical series of 50 premature infants aged 6–8 weeks · source_derived_draft · unverified_draft

    ### e-clin-infant-peroxide-repletion Peroxide hemolysis normalized within days of oral vitamin E administration and rising blood vitamin E in the premature-infant series. Condition category: nutrient_deficiency nutrient_topic: Vitamin E research collection; topical membership is not evidence of a direct dietary effect. plain_language: Restoring vitamin E reduced red-cell fragility in the tested infants. organism: Homo sapiens tissue_or_cell_type: Blood and erythrocytes experimental_model: Historical clinical series of 50 premature infants aged 6–8 weeks limitations: Historical feeding conditions and infant ages; an ex vivo hemolysis assay is not a universal explanation for anemia of prematurity. Formulation not specified in the abstract. exposure: Blood vitamin E and hydrogen-peroxide hemolysis were assessed; oral vitamin E 10 mg/day was administered. cross_nutrient: false [e-clin-lo1973] Vitamin E and haemolytic anaemia in premature infants. (1973). https://pubmed.ncbi.nlm.nih.gov/4739911/ DOI: 10.1136/adc.48.5.360
    Complete structured claim and evidence
  91. No infant developed clinical or hematological vitamin E-deficiency signs during the ten-week trial when feeds maintained the reported E:PUFA balance and no supplemental iron was given.

    Vitamin E → Premature-infant anemia source_derived_draftungraded
    Experimental context and source evidence
    cross_nutrient
    true
    experimental_model
    Ten-week double-blind feeding trial; 42 premature infants
    exposure
    Placebo, 5 or 15 mg/day extra vitamin E; all feeds had E:PUFA at least 0.6, and no supplemental iron was given.
    limitations
    These findings are bounded by the contemporary feeds and absence of supplemental iron; they do not refute hemolysis in actual vitamin E deficiency. The design does not isolate iron as a causal modifier or establish the reported ratio as a universal recommendation.
    nutrient_topic
    Vitamin E research collection; topical membership is not evidence of a direct dietary effect. · Vitamin E
    organism
    Homo sapiens
    plain_language
    Early anemia was not automatically a vitamin E-shortage syndrome under these feeding conditions.
    primary_references
    [e-clin-neonatal1987] The early anaemia of the premature infant: is there a place for vitamin E supplementation? (1986). https://pubmed.ncbi.nlm.nih.gov/3676185/ DOI: 10.1079/bjn19860090
    tissue_or_cell_type
    Blood and erythrocytes

    Vitamin E: transport, membrane protection and nutrient interactions (2026-09-17) · lines 1219–1230

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Ten-week double-blind feeding trial; 42 premature infants · source_derived_draft · unverified_draft

    ### e-clin-adequate-infant-feeds No infant developed clinical or hematological vitamin E-deficiency signs during the ten-week trial when feeds maintained the reported E:PUFA balance and no supplemental iron was given. Condition category: normal nutrient_topic: Vitamin E research collection; topical membership is not evidence of a direct dietary effect. plain_language: Early anemia was not automatically a vitamin E-shortage syndrome under these feeding conditions. organism: Homo sapiens tissue_or_cell_type: Blood and erythrocytes experimental_model: Ten-week double-blind feeding trial; 42 premature infants limitations: These findings are bounded by the contemporary feeds and absence of supplemental iron; they do not refute hemolysis in actual vitamin E deficiency. The design does not isolate iron as a causal modifier or establish the reported ratio as a universal recommendation. exposure: Placebo, 5 or 15 mg/day extra vitamin E; all feeds had E:PUFA at least 0.6, and no supplemental iron was given. cross_nutrient: true [e-clin-neonatal1987] The early anaemia of the premature infant: is there a place for vitamin E supplementation? (1986). https://pubmed.ncbi.nlm.nih.gov/3676185/ DOI: 10.1079/bjn19860090
    Complete structured claim and evidence
  92. Among 59 specimens with alpha-tocopherol below 5 mg/L, 28 were reclassified within the study lipid-ratio reference interval after cholesterol and triglycerides were considered.

    Cholesterol → Vitamin E status classification source_derived_draftungraded
    Experimental context and source evidence
    availability_state
    biomarker_context Imported condition classification; unverified.
    cross_nutrient
    false
    experimental_model
    Original patient-specimen laboratory analysis within an article indexed as review
    exposure
    Lipid-adjusted assessment; reference specimens n=307; low-concentration subset n=59.
    limitations
    Laboratory reclassification, not a direct tissue-deficiency gold standard. The abstract has an apparent typo in a separate high-concentration denominator; that statistic is not used here.
    nutrient_topic
    Vitamin E research collection; topical membership is not evidence of a direct dietary effect. · Vitamin E
    organism
    Homo sapiens
    plain_language
    A low vitamin E concentration can look different once blood lipids are considered.
    primary_references
    [e-clin-winbauer1999] Evaluating serum alpha-tocopherol (vitamin E) in terms of a lipid ratio. (1999). https://pubmed.ncbi.nlm.nih.gov/10440582/
    tissue_or_cell_type
    Serum
    trigger_kind
    biomarker_context Imported condition classification; unverified.

    Vitamin E: transport, membrane protection and nutrient interactions (2026-09-17) · lines 1232–1243

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Original patient-specimen laboratory analysis within an article indexed as review · source_derived_draft · unverified_draft

    ### e-clin-lipid-ratio-reclassification Among 59 specimens with alpha-tocopherol below 5 mg/L, 28 were reclassified within the study lipid-ratio reference interval after cholesterol and triglycerides were considered. Condition category: biomarker_context nutrient_topic: Vitamin E research collection; topical membership is not evidence of a direct dietary effect. plain_language: A low vitamin E concentration can look different once blood lipids are considered. organism: Homo sapiens tissue_or_cell_type: Serum experimental_model: Original patient-specimen laboratory analysis within an article indexed as review limitations: Laboratory reclassification, not a direct tissue-deficiency gold standard. The abstract has an apparent typo in a separate high-concentration denominator; that statistic is not used here. exposure: Lipid-adjusted assessment; reference specimens n=307; low-concentration subset n=59. cross_nutrient: false [e-clin-winbauer1999] Evaluating serum alpha-tocopherol (vitamin E) in terms of a lipid ratio. (1999). https://pubmed.ncbi.nlm.nih.gov/10440582/
    Complete structured claim and evidence
  93. In the cirrhosis cohort, cholesterol normalization classified fewer patients as vitamin E deficient than absolute concentrations; the authors cautioned that the ratio could obscure reduced status in advanced liver disease.

    Cholesterol → Vitamin E status classification source_derived_draftungraded
    Experimental context and source evidence
    availability_state
    biomarker_context Imported condition classification; unverified.
    cross_nutrient
    false
    experimental_model
    Observational comparison of 85 cirrhosis and 50 noncirrhotic liver-disease patients
    exposure
    Absolute vitamin E compared with vitamin E/cholesterol ratio using study-specific healthy-control reference limits.
    limitations
    No direct tissue adequacy test. Cirrhosis changes lipid handling; neither an absolute concentration nor a normalized ratio alone establishes cellular function.
    nutrient_topic
    Vitamin E research collection; topical membership is not evidence of a direct dietary effect. · Vitamin E
    organism
    Homo sapiens
    plain_language
    Lipid correction is useful context, but it can also conceal a problem when liver disease changes both measurements.
    primary_references
    [e-clin-cirrhosis1999] Vitamin E status in patients with liver cirrhosis: normal or deficient? (1999). https://pubmed.ncbi.nlm.nih.gov/9920150/ DOI: 10.1016/s0026-0495(99)90015-x
    tissue_or_cell_type
    Serum and liver-disease context
    trigger_kind
    biomarker_context Imported condition classification; unverified.

    Vitamin E: transport, membrane protection and nutrient interactions (2026-09-17) · lines 1245–1256

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Observational comparison of 85 cirrhosis and 50 noncirrhotic liver-disease patients · source_derived_draft · unverified_draft

    ### e-clin-cirrhosis-ratio-boundary In the cirrhosis cohort, cholesterol normalization classified fewer patients as vitamin E deficient than absolute concentrations; the authors cautioned that the ratio could obscure reduced status in advanced liver disease. Condition category: biomarker_context nutrient_topic: Vitamin E research collection; topical membership is not evidence of a direct dietary effect. plain_language: Lipid correction is useful context, but it can also conceal a problem when liver disease changes both measurements. organism: Homo sapiens tissue_or_cell_type: Serum and liver-disease context experimental_model: Observational comparison of 85 cirrhosis and 50 noncirrhotic liver-disease patients limitations: No direct tissue adequacy test. Cirrhosis changes lipid handling; neither an absolute concentration nor a normalized ratio alone establishes cellular function. exposure: Absolute vitamin E compared with vitamin E/cholesterol ratio using study-specific healthy-control reference limits. cross_nutrient: false [e-clin-cirrhosis1999] Vitamin E status in patients with liver cirrhosis: normal or deficient? (1999). https://pubmed.ncbi.nlm.nih.gov/9920150/ DOI: 10.1016/s0026-0495(99)90015-x
    Complete structured claim and evidence
  94. High-dose RRR-alpha-tocopherol increased PIVKA-II in both 12-week adult trials: mean values rose from 1.7 to 11.9 ng/mL and from 1.8 to 5.3 ng/mL.

    Experimental context and source evidence
    cross_nutrient
    true
    experimental_model
    Two independent 12-week randomized trials; 38 adults with rheumatoid arthritis and 32 healthy men
    exposure
    RRR-alpha-tocopherol 1000 IU/day; participants were not receiving oral anticoagulant therapy.
    limitations
    Biochemical marker study, not a bleeding-events trial. The study does not identify CYP4F2 activation, direct GGCX inhibition or clinical vitamin K deficiency as the causal route.
    nutrient_topic
    Vitamin E research collection; topical membership is not evidence of a direct dietary effect. · Vitamin E
    organism
    Homo sapiens
    plain_language
    High-dose vitamin E altered a vitamin K-dependent clotting-protein marker.
    primary_references
    [e-clin-booth2004] Effect of vitamin E supplementation on vitamin K status in adults with normal coagulation status. (2004). https://pubmed.ncbi.nlm.nih.gov/15213041/ DOI: 10.1093/ajcn/80.1.143
    tissue_or_cell_type
    Circulation and vitamin K-dependent carboxylation

    Vitamin E: transport, membrane protection and nutrient interactions (2026-09-17) · lines 1258–1269

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Two independent 12-week randomized trials; 38 adults with rheumatoid arthritis and 32 healthy men · source_derived_draft · unverified_draft

    ### e-clin-vitamin-k-pivka High-dose RRR-alpha-tocopherol increased PIVKA-II in both 12-week adult trials: mean values rose from 1.7 to 11.9 ng/mL and from 1.8 to 5.3 ng/mL. Condition category: normal nutrient_topic: Vitamin E research collection; topical membership is not evidence of a direct dietary effect. plain_language: High-dose vitamin E altered a vitamin K-dependent clotting-protein marker. organism: Homo sapiens tissue_or_cell_type: Circulation and vitamin K-dependent carboxylation experimental_model: Two independent 12-week randomized trials; 38 adults with rheumatoid arthritis and 32 healthy men limitations: Biochemical marker study, not a bleeding-events trial. The study does not identify CYP4F2 activation, direct GGCX inhibition or clinical vitamin K deficiency as the causal route. exposure: RRR-alpha-tocopherol 1000 IU/day; participants were not receiving oral anticoagulant therapy. cross_nutrient: true [e-clin-booth2004] Effect of vitamin E supplementation on vitamin K status in adults with normal coagulation status. (2004). https://pubmed.ncbi.nlm.nih.gov/15213041/ DOI: 10.1093/ajcn/80.1.143
    Complete structured claim and evidence
  95. Plasma phylloquinone and percentage undercarboxylated osteocalcin did not change significantly with vitamin E supplementation despite increased PIVKA-II.

    RRR-alpha-tocopherol → Undercarboxylated osteocalcin source_derived_draftungraded
    Experimental context and source evidence
    cross_nutrient
    true
    experimental_model
    Two independent 12-week randomized trials; 38 adults with rheumatoid arthritis and 32 healthy men
    exposure
    RRR-alpha-tocopherol 1000 IU/day; participants were not receiving oral anticoagulant therapy.
    limitations
    Biochemical marker study, not a bleeding-events trial. The study does not identify CYP4F2 activation, direct GGCX inhibition or clinical vitamin K deficiency as the causal route.
    nutrient_topic
    Vitamin E research collection; topical membership is not evidence of a direct dietary effect. · Vitamin E
    organism
    Homo sapiens
    plain_language
    The vitamin K-related markers did not all respond in the same way.
    primary_references
    [e-clin-booth2004] Effect of vitamin E supplementation on vitamin K status in adults with normal coagulation status. (2004). https://pubmed.ncbi.nlm.nih.gov/15213041/ DOI: 10.1093/ajcn/80.1.143
    tissue_or_cell_type
    Circulation and vitamin K-dependent carboxylation

    Vitamin E: transport, membrane protection and nutrient interactions (2026-09-17) · lines 1271–1282

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Two independent 12-week randomized trials; 38 adults with rheumatoid arthritis and 32 healthy men · source_derived_draft · unverified_draft

    ### e-clin-vitamin-k-marker-boundary Plasma phylloquinone and percentage undercarboxylated osteocalcin did not change significantly with vitamin E supplementation despite increased PIVKA-II. Condition category: normal nutrient_topic: Vitamin E research collection; topical membership is not evidence of a direct dietary effect. plain_language: The vitamin K-related markers did not all respond in the same way. organism: Homo sapiens tissue_or_cell_type: Circulation and vitamin K-dependent carboxylation experimental_model: Two independent 12-week randomized trials; 38 adults with rheumatoid arthritis and 32 healthy men limitations: Biochemical marker study, not a bleeding-events trial. The study does not identify CYP4F2 activation, direct GGCX inhibition or clinical vitamin K deficiency as the causal route. exposure: RRR-alpha-tocopherol 1000 IU/day; participants were not receiving oral anticoagulant therapy. cross_nutrient: true [e-clin-booth2004] Effect of vitamin E supplementation on vitamin K status in adults with normal coagulation status. (2004). https://pubmed.ncbi.nlm.nih.gov/15213041/ DOI: 10.1093/ajcn/80.1.143
    Complete structured claim and evidence
  96. In SELECT, vitamin E alone increased prostate-cancer incidence relative to placebo (HR 1.17, 99% CI 1.004–1.36); the absolute increase was 1.6 cases per 1000 person-years.

    Experimental context and source evidence
    cross_nutrient
    true
    experimental_model
    SELECT randomized factorial prevention trial; 34887 men in primary analysis, 35533 originally randomized
    exposure
    All-rac-alpha-tocopheryl acetate 400 IU/day; selenium arm 200 micrograms/day selenium as L-selenomethionine; supplements stopped in 2008, follow-up continued to July 2011.
    limitations
    Trial-specific formulation, dose and population; does not establish the effect of food intake or of every vitamin E form. Group results cannot identify an intracellular mechanism.
    nutrient_topic
    Vitamin E research collection; topical membership is not evidence of a direct dietary effect. · Vitamin E
    organism
    Homo sapiens
    plain_language
    The tested high-dose vitamin E preparation increased prostate-cancer diagnoses in this trial.
    primary_references
    [e-clin-select2011] Vitamin E and the risk of prostate cancer: the Selenium and Vitamin E Cancer Prevention Trial (SELECT). (2011). https://pubmed.ncbi.nlm.nih.gov/21990298/ DOI: 10.1001/jama.2011.1437
    tissue_or_cell_type
    Prostate and whole-person outcomes

    Vitamin E: transport, membrane protection and nutrient interactions (2026-09-17) · lines 1284–1295

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · SELECT randomized factorial prevention trial; 34887 men in primary analysis, 35533 originally randomized · source_derived_draft · unverified_draft

    ### e-clin-select-prostate-incidence In SELECT, vitamin E alone increased prostate-cancer incidence relative to placebo (HR 1.17, 99% CI 1.004–1.36); the absolute increase was 1.6 cases per 1000 person-years. Condition category: normal nutrient_topic: Vitamin E research collection; topical membership is not evidence of a direct dietary effect. plain_language: The tested high-dose vitamin E preparation increased prostate-cancer diagnoses in this trial. organism: Homo sapiens tissue_or_cell_type: Prostate and whole-person outcomes experimental_model: SELECT randomized factorial prevention trial; 34887 men in primary analysis, 35533 originally randomized limitations: Trial-specific formulation, dose and population; does not establish the effect of food intake or of every vitamin E form. Group results cannot identify an intracellular mechanism. exposure: All-rac-alpha-tocopheryl acetate 400 IU/day; selenium arm 200 micrograms/day selenium as L-selenomethionine; supplements stopped in 2008, follow-up continued to July 2011. cross_nutrient: true [e-clin-select2011] Vitamin E and the risk of prostate cancer: the Selenium and Vitamin E Cancer Prevention Trial (SELECT). (2011). https://pubmed.ncbi.nlm.nih.gov/21990298/ DOI: 10.1001/jama.2011.1437
    Complete structured claim and evidence
  97. SELECT did not demonstrate prostate-cancer prevention with vitamin E plus selenium (HR 1.05, 99% CI 0.89–1.22 versus placebo).

    Experimental context and source evidence
    cross_nutrient
    true
    experimental_model
    SELECT randomized factorial prevention trial; 34887 men in primary analysis, 35533 originally randomized
    exposure
    All-rac-alpha-tocopheryl acetate 400 IU/day; selenium arm 200 micrograms/day selenium as L-selenomethionine; supplements stopped in 2008, follow-up continued to July 2011.
    limitations
    Trial-specific formulation, dose and population; does not establish the effect of food intake or of every vitamin E form. Group results cannot identify an intracellular mechanism. The nonsignificant combination estimate is not proof that selenium mechanistically neutralizes vitamin E-associated harm.
    nutrient_topic
    Vitamin E research collection; topical membership is not evidence of a direct dietary effect. · Vitamin E
    organism
    Homo sapiens
    plain_language
    Adding selenium did not demonstrate a prostate-cancer prevention benefit.
    primary_references
    [e-clin-select2011] Vitamin E and the risk of prostate cancer: the Selenium and Vitamin E Cancer Prevention Trial (SELECT). (2011). https://pubmed.ncbi.nlm.nih.gov/21990298/ DOI: 10.1001/jama.2011.1437
    tissue_or_cell_type
    Prostate and whole-person outcomes

    Vitamin E: transport, membrane protection and nutrient interactions (2026-09-17) · lines 1297–1308

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · SELECT randomized factorial prevention trial; 34887 men in primary analysis, 35533 originally randomized · source_derived_draft · unverified_draft

    ### e-clin-select-combination-boundary SELECT did not demonstrate prostate-cancer prevention with vitamin E plus selenium (HR 1.05, 99% CI 0.89–1.22 versus placebo). Condition category: normal nutrient_topic: Vitamin E research collection; topical membership is not evidence of a direct dietary effect. plain_language: Adding selenium did not demonstrate a prostate-cancer prevention benefit. organism: Homo sapiens tissue_or_cell_type: Prostate and whole-person outcomes experimental_model: SELECT randomized factorial prevention trial; 34887 men in primary analysis, 35533 originally randomized limitations: Trial-specific formulation, dose and population; does not establish the effect of food intake or of every vitamin E form. Group results cannot identify an intracellular mechanism. The nonsignificant combination estimate is not proof that selenium mechanistically neutralizes vitamin E-associated harm. exposure: All-rac-alpha-tocopheryl acetate 400 IU/day; selenium arm 200 micrograms/day selenium as L-selenomethionine; supplements stopped in 2008, follow-up continued to July 2011. cross_nutrient: true [e-clin-select2011] Vitamin E and the risk of prostate cancer: the Selenium and Vitamin E Cancer Prevention Trial (SELECT). (2011). https://pubmed.ncbi.nlm.nih.gov/21990298/ DOI: 10.1001/jama.2011.1437
    Complete structured claim and evidence
  98. In the SELECT secondary analysis, vitamin E alone increased total prostate-cancer risk by 63% among men below the 40th percentile of baseline toenail selenium; a significant effect was not found above that split.

    Experimental context and source evidence
    availability_state
    biomarker_context Imported condition classification; unverified.
    cross_nutrient
    true
    experimental_model
    Secondary case-cohort analysis nested within SELECT; 1739 total cases and 3117 sampled cohort members
    exposure
    Trial supplementation analyzed by baseline toenail selenium; E-alone comparison used below versus at/above the 40th percentile.
    limitations
    Exploratory subgroup thresholds are cohort percentiles, not deficiency thresholds; baseline selenium was not randomized. Does not justify adding selenium to make high-dose vitamin E safe.
    nutrient_topic
    Vitamin E research collection; topical membership is not evidence of a direct dietary effect. · Vitamin E
    organism
    Homo sapiens
    plain_language
    Baseline selenium measurements helped identify different trial outcomes, but did not establish a safe supplement combination.
    primary_references
    [e-clin-select2014] Baseline selenium status and effects of selenium and vitamin e supplementation on prostate cancer risk. (2014). https://pubmed.ncbi.nlm.nih.gov/24563519/ DOI: 10.1093/jnci/djt456
    tissue_or_cell_type
    Prostate and toenail selenium biomarker
    trigger_kind
    biomarker_context Imported condition classification; unverified.

    Vitamin E: transport, membrane protection and nutrient interactions (2026-09-17) · lines 1310–1321

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Secondary case-cohort analysis nested within SELECT; 1739 total cases and 3117 sampled cohort members · source_derived_draft · unverified_draft

    ### e-clin-select-baseline-selenium In the SELECT secondary analysis, vitamin E alone increased total prostate-cancer risk by 63% among men below the 40th percentile of baseline toenail selenium; a significant effect was not found above that split. Condition category: biomarker_context nutrient_topic: Vitamin E research collection; topical membership is not evidence of a direct dietary effect. plain_language: Baseline selenium measurements helped identify different trial outcomes, but did not establish a safe supplement combination. organism: Homo sapiens tissue_or_cell_type: Prostate and toenail selenium biomarker experimental_model: Secondary case-cohort analysis nested within SELECT; 1739 total cases and 3117 sampled cohort members limitations: Exploratory subgroup thresholds are cohort percentiles, not deficiency thresholds; baseline selenium was not randomized. Does not justify adding selenium to make high-dose vitamin E safe. exposure: Trial supplementation analyzed by baseline toenail selenium; E-alone comparison used below versus at/above the 40th percentile. cross_nutrient: true [e-clin-select2014] Baseline selenium status and effects of selenium and vitamin e supplementation on prostate cancer risk. (2014). https://pubmed.ncbi.nlm.nih.gov/24563519/ DOI: 10.1093/jnci/djt456
    Complete structured claim and evidence
  99. The ATBC secondary analysis found 32% lower prostate-cancer incidence among men assigned alpha-tocopherol versus those not assigned it.

    Alpha-tocopherol → Prostate cancer incidence source_derived_draftungraded
    Experimental context and source evidence
    cross_nutrient
    true
    experimental_model
    ATBC randomized factorial trial secondary prostate-cancer endpoint; 29133 Finnish male smokers aged 50–69
    exposure
    Alpha-tocopherol 50 mg/day with or without beta-carotene 20 mg/day; median 6.1 years.
    limitations
    Secondary cancer endpoint in male smokers; differs from SELECT in dose, population and ascertainment. An opposite trial result is not automatically a same-condition biological contradiction. This result and SELECT must retain their different populations and regimens; neither supplies the molecular explanation for their difference.
    nutrient_topic
    Vitamin E research collection; topical membership is not evidence of a direct dietary effect. · Vitamin E
    organism
    Homo sapiens
    plain_language
    A lower-dose trial in male smokers found fewer prostate-cancer diagnoses.
    primary_references
    [e-clin-atbc1998] Prostate cancer and supplementation with alpha-tocopherol and beta-carotene: incidence and mortality in a controlled trial. (1998). https://pubmed.ncbi.nlm.nih.gov/9521168/ DOI: 10.1093/jnci/90.6.440
    tissue_or_cell_type
    Prostate and whole-person outcomes

    Vitamin E: transport, membrane protection and nutrient interactions (2026-09-17) · lines 1323–1334

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · ATBC randomized factorial trial secondary prostate-cancer endpoint; 29133 Finnish male smokers aged 50–69 · source_derived_draft · unverified_draft

    ### e-clin-atbc-prostate-incidence The ATBC secondary analysis found 32% lower prostate-cancer incidence among men assigned alpha-tocopherol versus those not assigned it. Condition category: normal nutrient_topic: Vitamin E research collection; topical membership is not evidence of a direct dietary effect. plain_language: A lower-dose trial in male smokers found fewer prostate-cancer diagnoses. organism: Homo sapiens tissue_or_cell_type: Prostate and whole-person outcomes experimental_model: ATBC randomized factorial trial secondary prostate-cancer endpoint; 29133 Finnish male smokers aged 50–69 limitations: Secondary cancer endpoint in male smokers; differs from SELECT in dose, population and ascertainment. An opposite trial result is not automatically a same-condition biological contradiction. This result and SELECT must retain their different populations and regimens; neither supplies the molecular explanation for their difference. exposure: Alpha-tocopherol 50 mg/day with or without beta-carotene 20 mg/day; median 6.1 years. cross_nutrient: true [e-clin-atbc1998] Prostate cancer and supplementation with alpha-tocopherol and beta-carotene: incidence and mortality in a controlled trial. (1998). https://pubmed.ncbi.nlm.nih.gov/9521168/ DOI: 10.1093/jnci/90.6.440
    Complete structured claim and evidence
  100. Prostate-cancer mortality was 41% lower in ATBC participants assigned alpha-tocopherol, with a reported confidence interval extending from a 65% to a 1% reduction.

    Alpha-tocopherol → Prostate cancer mortality source_derived_draftungraded
    Experimental context and source evidence
    cross_nutrient
    false
    experimental_model
    ATBC randomized factorial trial secondary prostate-cancer endpoint; 29133 Finnish male smokers aged 50–69
    exposure
    Alpha-tocopherol 50 mg/day with or without beta-carotene 20 mg/day; median 6.1 years.
    limitations
    Secondary cancer endpoint in male smokers; differs from SELECT in dose, population and ascertainment. An opposite trial result is not automatically a same-condition biological contradiction.
    nutrient_topic
    Vitamin E research collection; topical membership is not evidence of a direct dietary effect. · Vitamin E
    organism
    Homo sapiens
    plain_language
    The smoker trial also reported fewer prostate-cancer deaths, with substantial uncertainty around the estimate.
    primary_references
    [e-clin-atbc1998] Prostate cancer and supplementation with alpha-tocopherol and beta-carotene: incidence and mortality in a controlled trial. (1998). https://pubmed.ncbi.nlm.nih.gov/9521168/ DOI: 10.1093/jnci/90.6.440
    tissue_or_cell_type
    Prostate and whole-person outcomes

    Vitamin E: transport, membrane protection and nutrient interactions (2026-09-17) · lines 1336–1347

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · ATBC randomized factorial trial secondary prostate-cancer endpoint; 29133 Finnish male smokers aged 50–69 · source_derived_draft · unverified_draft

    ### e-clin-atbc-prostate-mortality Prostate-cancer mortality was 41% lower in ATBC participants assigned alpha-tocopherol, with a reported confidence interval extending from a 65% to a 1% reduction. Condition category: normal nutrient_topic: Vitamin E research collection; topical membership is not evidence of a direct dietary effect. plain_language: The smoker trial also reported fewer prostate-cancer deaths, with substantial uncertainty around the estimate. organism: Homo sapiens tissue_or_cell_type: Prostate and whole-person outcomes experimental_model: ATBC randomized factorial trial secondary prostate-cancer endpoint; 29133 Finnish male smokers aged 50–69 limitations: Secondary cancer endpoint in male smokers; differs from SELECT in dose, population and ascertainment. An opposite trial result is not automatically a same-condition biological contradiction. exposure: Alpha-tocopherol 50 mg/day with or without beta-carotene 20 mg/day; median 6.1 years. cross_nutrient: false [e-clin-atbc1998] Prostate cancer and supplementation with alpha-tocopherol and beta-carotene: incidence and mortality in a controlled trial. (1998). https://pubmed.ncbi.nlm.nih.gov/9521168/ DOI: 10.1093/jnci/90.6.440
    Complete structured claim and evidence
  101. Vitamin E did not reduce major cardiovascular events in PHS II (HR 1.01, 95% CI 0.90–1.13).

    All-rac-alpha-tocopherol → Major cardiovascular events source_derived_draftungraded
    Experimental context and source evidence
    cross_nutrient
    true
    experimental_model
    Physicians Health Study II randomized factorial trial; 14641 male US physicians aged at least 50
    exposure
    Synthetic alpha-tocopherol 400 IU on alternate days, with factorial vitamin C 500 mg/day; mean follow-up 8 years.
    limitations
    Mostly primary prevention in male physicians; historical regimen is not nutritional repletion. Primary Methods specify synthetic alpha-tocopherol; no unverified ester identity is attached.
    nutrient_topic
    Vitamin E research collection; topical membership is not evidence of a direct dietary effect. · Vitamin E
    organism
    Homo sapiens
    plain_language
    The tested vitamin E regimen did not prevent major cardiovascular events in these men.
    primary_references
    [e-clin-phs2008] Vitamins E and C in the prevention of cardiovascular disease in men: the Physicians' Health Study II randomized controlled trial. (2008). https://pubmed.ncbi.nlm.nih.gov/18997197/ DOI: 10.1001/jama.2008.600
    tissue_or_cell_type
    Cardiovascular clinical events

    Vitamin E: transport, membrane protection and nutrient interactions (2026-09-17) · lines 1349–1360

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Physicians Health Study II randomized factorial trial; 14641 male US physicians aged at least 50 · source_derived_draft · unverified_draft

    ### e-clin-phs-cardiovascular Vitamin E did not reduce major cardiovascular events in PHS II (HR 1.01, 95% CI 0.90–1.13). Condition category: normal nutrient_topic: Vitamin E research collection; topical membership is not evidence of a direct dietary effect. plain_language: The tested vitamin E regimen did not prevent major cardiovascular events in these men. organism: Homo sapiens tissue_or_cell_type: Cardiovascular clinical events experimental_model: Physicians Health Study II randomized factorial trial; 14641 male US physicians aged at least 50 limitations: Mostly primary prevention in male physicians; historical regimen is not nutritional repletion. Primary Methods specify synthetic alpha-tocopherol; no unverified ester identity is attached. exposure: Synthetic alpha-tocopherol 400 IU on alternate days, with factorial vitamin C 500 mg/day; mean follow-up 8 years. cross_nutrient: true [e-clin-phs2008] Vitamins E and C in the prevention of cardiovascular disease in men: the Physicians' Health Study II randomized controlled trial. (2008). https://pubmed.ncbi.nlm.nih.gov/18997197/ DOI: 10.1001/jama.2008.600
    Complete structured claim and evidence
  102. PHS II found increased hemorrhagic-stroke incidence with vitamin E assignment (HR 1.74, 95% CI 1.04–2.91).

    Experimental context and source evidence
    cross_nutrient
    false
    experimental_model
    Physicians Health Study II randomized factorial trial; 14641 male US physicians aged at least 50
    exposure
    Synthetic alpha-tocopherol 400 IU on alternate days, with factorial vitamin C 500 mg/day; mean follow-up 8 years.
    limitations
    Mostly primary prevention in male physicians; historical regimen is not nutritional repletion. Primary Methods specify synthetic alpha-tocopherol; no unverified ester identity is attached. The clinical endpoint does not prove that altered vitamin K metabolism caused these events.
    nutrient_topic
    Vitamin E research collection; topical membership is not evidence of a direct dietary effect. · Vitamin E
    organism
    Homo sapiens
    plain_language
    A bleeding-related stroke outcome increased in this trial.
    primary_references
    [e-clin-phs2008] Vitamins E and C in the prevention of cardiovascular disease in men: the Physicians' Health Study II randomized controlled trial. (2008). https://pubmed.ncbi.nlm.nih.gov/18997197/ DOI: 10.1001/jama.2008.600
    tissue_or_cell_type
    Cardiovascular clinical events

    Vitamin E: transport, membrane protection and nutrient interactions (2026-09-17) · lines 1362–1373

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Physicians Health Study II randomized factorial trial; 14641 male US physicians aged at least 50 · source_derived_draft · unverified_draft

    ### e-clin-phs-hemorrhagic-stroke PHS II found increased hemorrhagic-stroke incidence with vitamin E assignment (HR 1.74, 95% CI 1.04–2.91). Condition category: normal nutrient_topic: Vitamin E research collection; topical membership is not evidence of a direct dietary effect. plain_language: A bleeding-related stroke outcome increased in this trial. organism: Homo sapiens tissue_or_cell_type: Cardiovascular clinical events experimental_model: Physicians Health Study II randomized factorial trial; 14641 male US physicians aged at least 50 limitations: Mostly primary prevention in male physicians; historical regimen is not nutritional repletion. Primary Methods specify synthetic alpha-tocopherol; no unverified ester identity is attached. The clinical endpoint does not prove that altered vitamin K metabolism caused these events. exposure: Synthetic alpha-tocopherol 400 IU on alternate days, with factorial vitamin C 500 mg/day; mean follow-up 8 years. cross_nutrient: false [e-clin-phs2008] Vitamins E and C in the prevention of cardiovascular disease in men: the Physicians' Health Study II randomized controlled trial. (2008). https://pubmed.ncbi.nlm.nih.gov/18997197/ DOI: 10.1001/jama.2008.600
    Complete structured claim and evidence
  103. In HOPE/HOPE-TOO, vitamin E did not reduce major cardiovascular events (RR 1.04, 95% CI 0.96–1.14).

    Vitamin E → Major cardiovascular events source_derived_draftungraded
    Experimental context and source evidence
    cross_nutrient
    false
    experimental_model
    HOPE/HOPE-TOO randomized trial and extension in vascular disease or diabetes; initial n=9541
    exposure
    Natural-source vitamin E 400 IU/day; median follow-up 7 years; extension included ongoing treatment and passive follow-up.
    limitations
    High-risk population and extension participation limits. Heart failure was a secondary outcome; no specific molecular cause is established by the trial. Natural-source vitamin E is reported; an exact ester identity is not inferred from the abstract.
    nutrient_topic
    Vitamin E research collection; topical membership is not evidence of a direct dietary effect. · Vitamin E
    organism
    Homo sapiens
    plain_language
    Longer supplementation did not lower major cardiovascular events in the studied high-risk patients.
    primary_references
    [e-clin-hope2005] Effects of long-term vitamin E supplementation on cardiovascular events and cancer: a randomized controlled trial. (2005). https://pubmed.ncbi.nlm.nih.gov/15769967/ DOI: 10.1001/jama.293.11.1338
    tissue_or_cell_type
    Cardiovascular clinical events

    Vitamin E: transport, membrane protection and nutrient interactions (2026-09-17) · lines 1375–1386

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · HOPE/HOPE-TOO randomized trial and extension in vascular disease or diabetes; initial n=9541 · source_derived_draft · unverified_draft

    ### e-clin-hope-cardiovascular In HOPE/HOPE-TOO, vitamin E did not reduce major cardiovascular events (RR 1.04, 95% CI 0.96–1.14). Condition category: normal nutrient_topic: Vitamin E research collection; topical membership is not evidence of a direct dietary effect. plain_language: Longer supplementation did not lower major cardiovascular events in the studied high-risk patients. organism: Homo sapiens tissue_or_cell_type: Cardiovascular clinical events experimental_model: HOPE/HOPE-TOO randomized trial and extension in vascular disease or diabetes; initial n=9541 limitations: High-risk population and extension participation limits. Heart failure was a secondary outcome; no specific molecular cause is established by the trial. Natural-source vitamin E is reported; an exact ester identity is not inferred from the abstract. exposure: Natural-source vitamin E 400 IU/day; median follow-up 7 years; extension included ongoing treatment and passive follow-up. cross_nutrient: false [e-clin-hope2005] Effects of long-term vitamin E supplementation on cardiovascular events and cancer: a randomized controlled trial. (2005). https://pubmed.ncbi.nlm.nih.gov/15769967/ DOI: 10.1001/jama.293.11.1338
    Complete structured claim and evidence
  104. Vitamin E assignment was associated with more heart failure in HOPE/HOPE-TOO (RR 1.13, 95% CI 1.01–1.26).

    Vitamin E → Heart failure incidence source_derived_draftungraded
    Experimental context and source evidence
    cross_nutrient
    false
    experimental_model
    HOPE/HOPE-TOO randomized trial and extension in vascular disease or diabetes; initial n=9541
    exposure
    Natural-source vitamin E 400 IU/day; median follow-up 7 years; extension included ongoing treatment and passive follow-up.
    limitations
    High-risk population and extension participation limits. Heart failure was a secondary outcome; no specific molecular cause is established by the trial. Natural-source vitamin E is reported; an exact ester identity is not inferred from the abstract.
    nutrient_topic
    Vitamin E research collection; topical membership is not evidence of a direct dietary effect. · Vitamin E
    organism
    Homo sapiens
    plain_language
    Heart failure was more frequent with the tested regimen in this high-risk trial.
    primary_references
    [e-clin-hope2005] Effects of long-term vitamin E supplementation on cardiovascular events and cancer: a randomized controlled trial. (2005). https://pubmed.ncbi.nlm.nih.gov/15769967/ DOI: 10.1001/jama.293.11.1338
    tissue_or_cell_type
    Cardiovascular clinical events

    Vitamin E: transport, membrane protection and nutrient interactions (2026-09-17) · lines 1388–1399

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · HOPE/HOPE-TOO randomized trial and extension in vascular disease or diabetes; initial n=9541 · source_derived_draft · unverified_draft

    ### e-clin-hope-heart-failure Vitamin E assignment was associated with more heart failure in HOPE/HOPE-TOO (RR 1.13, 95% CI 1.01–1.26). Condition category: normal nutrient_topic: Vitamin E research collection; topical membership is not evidence of a direct dietary effect. plain_language: Heart failure was more frequent with the tested regimen in this high-risk trial. organism: Homo sapiens tissue_or_cell_type: Cardiovascular clinical events experimental_model: HOPE/HOPE-TOO randomized trial and extension in vascular disease or diabetes; initial n=9541 limitations: High-risk population and extension participation limits. Heart failure was a secondary outcome; no specific molecular cause is established by the trial. Natural-source vitamin E is reported; an exact ester identity is not inferred from the abstract. exposure: Natural-source vitamin E 400 IU/day; median follow-up 7 years; extension included ongoing treatment and passive follow-up. cross_nutrient: false [e-clin-hope2005] Effects of long-term vitamin E supplementation on cardiovascular events and cancer: a randomized controlled trial. (2005). https://pubmed.ncbi.nlm.nih.gov/15769967/ DOI: 10.1001/jama.293.11.1338
    Complete structured claim and evidence
  105. PIVENS met its histological improvement endpoint in 43% of vitamin E recipients versus 19% of placebo recipients (P=0.001).

    Experimental context and source evidence
    cross_nutrient
    false
    experimental_model
    PIVENS randomized double-blind trial; 247 adults with biopsy-confirmed NASH without diabetes
    exposure
    RRR-alpha-tocopherol 800 IU/day for 96 weeks; E group n=84, placebo n=83.
    limitations
    Histological endpoints in a defined nondiabetic NASH population, not proof of general liver benefit, fibrosis reversal, cirrhosis prevention or long-term survival benefit.
    nutrient_topic
    Vitamin E research collection; topical membership is not evidence of a direct dietary effect. · Vitamin E
    organism
    Homo sapiens
    plain_language
    The studied vitamin E treatment improved a defined liver-biopsy outcome in adults with NASH without diabetes.
    primary_references
    [e-clin-pivens2010] Pioglitazone, vitamin E, or placebo for nonalcoholic steatohepatitis. (2010). https://pubmed.ncbi.nlm.nih.gov/20427778/ DOI: 10.1056/nejmoa0907929
    tissue_or_cell_type
    Liver biopsy

    Vitamin E: transport, membrane protection and nutrient interactions (2026-09-17) · lines 1401–1412

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · PIVENS randomized double-blind trial; 247 adults with biopsy-confirmed NASH without diabetes · source_derived_draft · unverified_draft

    ### e-clin-pivens-histology PIVENS met its histological improvement endpoint in 43% of vitamin E recipients versus 19% of placebo recipients (P=0.001). Condition category: normal nutrient_topic: Vitamin E research collection; topical membership is not evidence of a direct dietary effect. plain_language: The studied vitamin E treatment improved a defined liver-biopsy outcome in adults with NASH without diabetes. organism: Homo sapiens tissue_or_cell_type: Liver biopsy experimental_model: PIVENS randomized double-blind trial; 247 adults with biopsy-confirmed NASH without diabetes limitations: Histological endpoints in a defined nondiabetic NASH population, not proof of general liver benefit, fibrosis reversal, cirrhosis prevention or long-term survival benefit. exposure: RRR-alpha-tocopherol 800 IU/day for 96 weeks; E group n=84, placebo n=83. cross_nutrient: false [e-clin-pivens2010] Pioglitazone, vitamin E, or placebo for nonalcoholic steatohepatitis. (2010). https://pubmed.ncbi.nlm.nih.gov/20427778/ DOI: 10.1056/nejmoa0907929
    Complete structured claim and evidence
  106. Vitamin E did not significantly improve fibrosis scores in PIVENS (P=0.24 versus placebo).

    RRR-alpha-tocopherol → Hepatic fibrosis score source_derived_draftungraded
    Experimental context and source evidence
    cross_nutrient
    false
    experimental_model
    PIVENS randomized double-blind trial; 247 adults with biopsy-confirmed NASH without diabetes
    exposure
    RRR-alpha-tocopherol 800 IU/day for 96 weeks; E group n=84, placebo n=83.
    limitations
    Histological endpoints in a defined nondiabetic NASH population, not proof of general liver benefit, fibrosis reversal, cirrhosis prevention or long-term survival benefit.
    nutrient_topic
    Vitamin E research collection; topical membership is not evidence of a direct dietary effect. · Vitamin E
    organism
    Homo sapiens
    plain_language
    The liver-biopsy benefit did not establish fibrosis reversal.
    primary_references
    [e-clin-pivens2010] Pioglitazone, vitamin E, or placebo for nonalcoholic steatohepatitis. (2010). https://pubmed.ncbi.nlm.nih.gov/20427778/ DOI: 10.1056/nejmoa0907929
    tissue_or_cell_type
    Liver biopsy

    Vitamin E: transport, membrane protection and nutrient interactions (2026-09-17) · lines 1414–1425

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · PIVENS randomized double-blind trial; 247 adults with biopsy-confirmed NASH without diabetes · source_derived_draft · unverified_draft

    ### e-clin-pivens-fibrosis Vitamin E did not significantly improve fibrosis scores in PIVENS (P=0.24 versus placebo). Condition category: normal nutrient_topic: Vitamin E research collection; topical membership is not evidence of a direct dietary effect. plain_language: The liver-biopsy benefit did not establish fibrosis reversal. organism: Homo sapiens tissue_or_cell_type: Liver biopsy experimental_model: PIVENS randomized double-blind trial; 247 adults with biopsy-confirmed NASH without diabetes limitations: Histological endpoints in a defined nondiabetic NASH population, not proof of general liver benefit, fibrosis reversal, cirrhosis prevention or long-term survival benefit. exposure: RRR-alpha-tocopherol 800 IU/day for 96 weeks; E group n=84, placebo n=83. cross_nutrient: false [e-clin-pivens2010] Pioglitazone, vitamin E, or placebo for nonalcoholic steatohepatitis. (2010). https://pubmed.ncbi.nlm.nih.gov/20427778/ DOI: 10.1056/nejmoa0907929
    Complete structured claim and evidence
  107. TONIC did not meet its primary sustained-ALT endpoint with vitamin E: 15/58 children (26%) responded versus 10/58 (17%) with placebo (P=0.26).

    Experimental context and source evidence
    cross_nutrient
    false
    experimental_model
    TONIC randomized double-blind trial; 173 children aged 8–17 with biopsy-confirmed NAFLD
    exposure
    RRR-alpha-tocopherol 400 IU twice daily for 96 weeks; E and placebo groups n=58 each.
    limitations
    Primary sustained-ALT endpoint and secondary histology must remain distinct. Not evidence for every child, every liver condition or long-term clinical outcome.
    nutrient_topic
    Vitamin E research collection; topical membership is not evidence of a direct dietary effect. · Vitamin E
    organism
    Homo sapiens
    plain_language
    The pediatric trial did not achieve its primary liver-enzyme outcome.
    primary_references
    [e-clin-tonic2011] Effect of vitamin E or metformin for treatment of nonalcoholic fatty liver disease in children and adolescents: the TONIC randomized controlled trial. (2011). https://pubmed.ncbi.nlm.nih.gov/21521847/ DOI: 10.1001/jama.2011.520
    tissue_or_cell_type
    Liver enzymes and biopsy

    Vitamin E: transport, membrane protection and nutrient interactions (2026-09-17) · lines 1427–1438

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · TONIC randomized double-blind trial; 173 children aged 8–17 with biopsy-confirmed NAFLD · source_derived_draft · unverified_draft

    ### e-clin-tonic-alt TONIC did not meet its primary sustained-ALT endpoint with vitamin E: 15/58 children (26%) responded versus 10/58 (17%) with placebo (P=0.26). Condition category: normal nutrient_topic: Vitamin E research collection; topical membership is not evidence of a direct dietary effect. plain_language: The pediatric trial did not achieve its primary liver-enzyme outcome. organism: Homo sapiens tissue_or_cell_type: Liver enzymes and biopsy experimental_model: TONIC randomized double-blind trial; 173 children aged 8–17 with biopsy-confirmed NAFLD limitations: Primary sustained-ALT endpoint and secondary histology must remain distinct. Not evidence for every child, every liver condition or long-term clinical outcome. exposure: RRR-alpha-tocopherol 400 IU twice daily for 96 weeks; E and placebo groups n=58 each. cross_nutrient: false [e-clin-tonic2011] Effect of vitamin E or metformin for treatment of nonalcoholic fatty liver disease in children and adolescents: the TONIC randomized controlled trial. (2011). https://pubmed.ncbi.nlm.nih.gov/21521847/ DOI: 10.1001/jama.2011.520
    Complete structured claim and evidence
  108. Among children with NASH in TONIC, resolution at 96 weeks occurred in 25/43 (58%) receiving vitamin E versus 11/39 (28%) receiving placebo (P=0.006).

    RRR-alpha-tocopherol → Steatohepatitis resolution source_derived_draftungraded
    Experimental context and source evidence
    cross_nutrient
    false
    experimental_model
    TONIC randomized double-blind trial; 173 children aged 8–17 with biopsy-confirmed NAFLD
    exposure
    RRR-alpha-tocopherol 400 IU twice daily for 96 weeks; E and placebo groups n=58 each.
    limitations
    Primary sustained-ALT endpoint and secondary histology must remain distinct. Not evidence for every child, every liver condition or long-term clinical outcome.
    nutrient_topic
    Vitamin E research collection; topical membership is not evidence of a direct dietary effect. · Vitamin E
    organism
    Homo sapiens
    plain_language
    A secondary biopsy outcome improved even though the primary enzyme outcome did not.
    primary_references
    [e-clin-tonic2011] Effect of vitamin E or metformin for treatment of nonalcoholic fatty liver disease in children and adolescents: the TONIC randomized controlled trial. (2011). https://pubmed.ncbi.nlm.nih.gov/21521847/ DOI: 10.1001/jama.2011.520
    tissue_or_cell_type
    Liver enzymes and biopsy

    Vitamin E: transport, membrane protection and nutrient interactions (2026-09-17) · lines 1440–1451

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · TONIC randomized double-blind trial; 173 children aged 8–17 with biopsy-confirmed NAFLD · source_derived_draft · unverified_draft

    ### e-clin-tonic-histology Among children with NASH in TONIC, resolution at 96 weeks occurred in 25/43 (58%) receiving vitamin E versus 11/39 (28%) receiving placebo (P=0.006). Condition category: normal nutrient_topic: Vitamin E research collection; topical membership is not evidence of a direct dietary effect. plain_language: A secondary biopsy outcome improved even though the primary enzyme outcome did not. organism: Homo sapiens tissue_or_cell_type: Liver enzymes and biopsy experimental_model: TONIC randomized double-blind trial; 173 children aged 8–17 with biopsy-confirmed NAFLD limitations: Primary sustained-ALT endpoint and secondary histology must remain distinct. Not evidence for every child, every liver condition or long-term clinical outcome. exposure: RRR-alpha-tocopherol 400 IU twice daily for 96 weeks; E and placebo groups n=58 each. cross_nutrient: false [e-clin-tonic2011] Effect of vitamin E or metformin for treatment of nonalcoholic fatty liver disease in children and adolescents: the TONIC randomized controlled trial. (2011). https://pubmed.ncbi.nlm.nih.gov/21521847/ DOI: 10.1001/jama.2011.520
    Complete structured claim and evidence
  109. The six-patient abetalipoproteinemia report noted that vitamin A alone had not prevented or arrested the retinal lesion, whereas long-term regimens including vitamin E modified its course.

    Vitamin A → Retinal function in abetalipoproteinemia source_derived_draftungraded
    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    cross_nutrient
    true
    experimental_model
    Six-patient long-term abetalipoproteinemia case series
    exposure
    Large oral vitamin E doses for 12–18 years alongside low-fat diet and other fat-soluble vitamins; exact dose absent from the abstract.
    limitations
    Uncontrolled co-treatment series; cannot isolate vitamin E effect or demonstrate nutrient synergy. Genetic lipid transport disease differs from simple low intake.
    nutrient_topic
    Vitamin E research collection; topical membership is not evidence of a direct dietary effect. · Vitamin E
    organism
    Homo sapiens
    plain_language
    In this transport disease, vitamin A alone did not substitute for the broader treatment that included vitamin E.
    primary_references
    [e-clin-retina1986] Oral vitamin E supplements can prevent the retinopathy of abetalipoproteinaemia. (1986). https://pubmed.ncbi.nlm.nih.gov/3954973/ DOI: 10.1136/bjo.70.3.166
    tissue_or_cell_type
    Retina
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    Vitamin E: transport, membrane protection and nutrient interactions (2026-09-17) · lines 1453–1464

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Six-patient long-term abetalipoproteinemia case series · source_derived_draft · unverified_draft

    ### e-clin-abetalipo-a-alone The six-patient abetalipoproteinemia report noted that vitamin A alone had not prevented or arrested the retinal lesion, whereas long-term regimens including vitamin E modified its course. Condition category: machinery_impairment nutrient_topic: Vitamin E research collection; topical membership is not evidence of a direct dietary effect. plain_language: In this transport disease, vitamin A alone did not substitute for the broader treatment that included vitamin E. organism: Homo sapiens tissue_or_cell_type: Retina experimental_model: Six-patient long-term abetalipoproteinemia case series limitations: Uncontrolled co-treatment series; cannot isolate vitamin E effect or demonstrate nutrient synergy. Genetic lipid transport disease differs from simple low intake. exposure: Large oral vitamin E doses for 12–18 years alongside low-fat diet and other fat-soluble vitamins; exact dose absent from the abstract. cross_nutrient: true [e-clin-retina1986] Oral vitamin E supplements can prevent the retinopathy of abetalipoproteinaemia. (1986). https://pubmed.ncbi.nlm.nih.gov/3954973/ DOI: 10.1136/bjo.70.3.166
    Complete structured claim and evidence
  110. Despite combined vitamin A and E treatment, 11 of 13 ABL/HBL patients had subnormal mixed cone-rod electroretinogram amplitudes at long-term follow-up.

    Vitamin E → Retinal function in abetalipoproteinemia source_derived_draftungraded
    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    cross_nutrient
    true
    experimental_model
    Longitudinal treated cohort; 10 abetalipoproteinemia and 3 homozygous hypobetalipoproteinemia patients
    exposure
    Combined oral vitamins A and E; mean 11.7 years follow-up, range 4–20; exact doses unavailable in abstract.
    limitations
    No randomized A-only, E-only or untreated comparator. Residual retinal disease is compatible with partial benefit; it is not proof that supplementation has no effect.
    nutrient_topic
    Vitamin E research collection; topical membership is not evidence of a direct dietary effect. · Vitamin E
    organism
    Homo sapiens
    plain_language
    Combined treatment did not fully prevent retinal abnormalities in every patient.
    primary_references
    [e-clin-retina2001] Long-term assessment of combined vitamin A and E treatment for the prevention of retinal degeneration in abetalipoproteinaemia and hypobetalipoproteinaemia patients. (2001). https://pubmed.ncbi.nlm.nih.gov/11767031/ DOI: 10.1038/eye.2001.167
    tissue_or_cell_type
    Retina
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    Vitamin E: transport, membrane protection and nutrient interactions (2026-09-17) · lines 1466–1477

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Longitudinal treated cohort; 10 abetalipoproteinemia and 3 homozygous hypobetalipoproteinemia patients · source_derived_draft · unverified_draft

    ### e-clin-abetalipo-residual-retinopathy Despite combined vitamin A and E treatment, 11 of 13 ABL/HBL patients had subnormal mixed cone-rod electroretinogram amplitudes at long-term follow-up. Condition category: machinery_impairment nutrient_topic: Vitamin E research collection; topical membership is not evidence of a direct dietary effect. plain_language: Combined treatment did not fully prevent retinal abnormalities in every patient. organism: Homo sapiens tissue_or_cell_type: Retina experimental_model: Longitudinal treated cohort; 10 abetalipoproteinemia and 3 homozygous hypobetalipoproteinemia patients limitations: No randomized A-only, E-only or untreated comparator. Residual retinal disease is compatible with partial benefit; it is not proof that supplementation has no effect. exposure: Combined oral vitamins A and E; mean 11.7 years follow-up, range 4–20; exact doses unavailable in abstract. cross_nutrient: true [e-clin-retina2001] Long-term assessment of combined vitamin A and E treatment for the prevention of retinal degeneration in abetalipoproteinaemia and hypobetalipoproteinaemia patients. (2001). https://pubmed.ncbi.nlm.nih.gov/11767031/ DOI: 10.1038/eye.2001.167
    Complete structured claim and evidence

Availability and dependencies

Each situation shows the normal role first, then what the sources report under a specific condition. A shortfall in the diet, a fault in the machinery, and a low blood reading are kept separate because they are not the same thing.

Mttp loss impairs chylomicron vitamin E export

Condition: machinery_impairment · Mttp deficiency

Normal role: MTP supports chylomicron assembly.

Recorded consequence: Reduced chylomicron-associated vitamin E secretion.

Scope: Mouse enterocytes

Nonfunctional ABCA1 impairs apoA-I-directed vitamin E export

Condition: machinery_impairment · Nonfunctional ABCA1

Normal role: ABCA1 supports transfer to apoA-I.

Recorded consequence: ApoA-I failed to remove alpha-tocopherol.

Scope: Human Tangier fibroblasts

Vitamin E depletion changes TTP localization

Condition: nutrient_deficiency · Serial passage in verified alpha-tocopherol-free medium

Normal role: TTP distribution responds to vitamin E availability.

Recorded consequence: Perinuclear puncta redistribute after repletion.

Scope: Rat hepatoma cells expressing human TTP

R221W impairs ligand-responsive TTP redistribution

Condition: machinery_impairment · Human R221W substitution

Normal role: Wild-type TTP redistributes after vitamin E supply.

Recorded consequence: Persistently punctate distribution after alpha-tocopherol.

Scope: Rat hepatoma cells expressing human TTP variants

Membrane PIP2 depletion impairs TTP-dependent reporter export

Condition: machinery_impairment · Membrane-targeted inositol 5′-phosphatase expression

Normal role: Plasma-membrane PIP2 supports TTP function.

Recorded consequence: Reduced reporter secretion.

Scope: Rat hepatoma cells with human TTP

Hepatocyte GPX4 loss and dietary vitamin E

Condition: machinery_impairment · Alb-Cre-mediated Gpx4 deletion

Normal role: Alpha-tocopherol limits lipid radical propagation alongside other redox defenses.

Recorded consequence: Liver viability becomes strongly diet-dependent.

Scope: C57BL/6-background mice, hepatocytes.

Vitamin E withdrawal after liver GPX4 rescue

Condition: nutrient_deficiency · Dietary vitamin E removal in Alb-Cre;Gpx4fl/fl mice

Normal role: Alpha-tocopherol limits lipid radical propagation alongside other redox defenses.

Recorded consequence: Hepatocyte necrosis and mortality.

Scope: Combined supply withdrawal and pre-existing hepatocyte gene deletion.

Endothelial GPX4 loss on normal diet

Condition: machinery_impairment · Endothelium-specific Gpx4 deletion

Normal role: Alpha-tocopherol limits lipid radical propagation alongside other redox defenses.

Recorded consequence: No obvious vascular phenotype reported.

Scope: Normal-diet mouse model; restricted to measured endpoints.

Vitamin E depletion with endothelial GPX4 loss

Condition: nutrient_deficiency · Six-week E-depleted diet followed by Gpx4 deletion

Normal role: Alpha-tocopherol limits lipid radical propagation alongside other redox defenses.

Recorded consequence: Endothelial injury, thrombosis and early death.

Scope: Combined perturbation in mice.

Vitamin E depletion and myofiber repair

Condition: nutrient_deficiency · Vitamin E-stripped chow over 11 months

Normal role: Alpha-tocopherol limits lipid radical propagation alongside other redox defenses.

Recorded consequence: Failure to restrict post-wound dye entry.

Scope: Male rat skeletal muscle; controlled injury.

Fibroblast GPX4 loss and repair

Condition: machinery_impairment · Inducible Gpx4 deletion

Normal role: Alpha-tocopherol limits lipid radical propagation alongside other redox defenses.

Recorded consequence: Repair fails unless supported by antioxidant loading.

Scope: Cultured mouse embryonic fibroblasts.

Vitamin E depletion and brain DHA lipids

Condition: nutrient_deficiency · Nine months of diet without added vitamin E

Normal role: Alpha-tocopherol limits lipid radical propagation alongside other redox defenses.

Recorded consequence: DHA-PC declines and hydroxylated DHA-PC increases.

Scope: Adult zebrafish brain.

Embryonic vitamin E depletion and DHA turnover

Condition: nutrient_deficiency · Parental vitamin E depletion before spawning

Normal role: Alpha-tocopherol limits lipid radical propagation alongside other redox defenses.

Recorded consequence: Greater isotope incorporation into selected DHA lipids.

Scope: Yolk-supported zebrafish embryos, 48–72 hpf.

Vitamin E forms after GPX4 deletion

Condition: machinery_impairment · 4-hydroxytamoxifen-induced Gpx4 deletion

Normal role: Alpha-tocopherol limits lipid radical propagation alongside other redox defenses.

Recorded consequence: Vitamin E forms differ in rescue potency.

Scope: Pfa1 mouse embryonic fibroblasts.

INSIG depletion blocks tocotrienol-dependent reductase turnover

Condition: machinery_impairment · Combined INSIG1/INSIG2 RNA interference under the reported sterol-depleted cell-culture conditions.

Normal role: INSIG machinery enables regulated HMG-CoA reductase ubiquitination and degradation.

Recorded consequence: Gamma/delta-tocotrienol-stimulated reductase degradation was abolished.

Scope: Genetic perturbation in cultured cells with 10 mM mevalonate, not a dietary vitamin E deficiency.

Extra vitamin E restored the blood measurement despite the inherited transport disorder.

Condition: machinery_impairment · Inherited alpha-tocopherol transfer-protein defect with low serum vitamin E and no intestinal malabsorption.

Normal role: Hepatic transfer machinery maintains circulating vitamin E availability.

Recorded consequence: Serum vitamin E normalized during one year of supplementation in the 24-patient AVED cohort.

Scope: Uncontrolled one-year supplementation study; 24 genetically investigated AVED patients; Vitamin E 800 mg/day for one year; formulation stereochemistry not specified in the retrieved abstract.

Treating the inherited vitamin E shortage modestly improved coordination in this study.

Condition: machinery_impairment · AVED neurological disease associated with defective vitamin E handling.

Normal role: Adequate delivery of vitamin E supports long-term nervous-system function.

Recorded consequence: Ataxia Rating Scale scores improved modestly but significantly after one year of vitamin E in the AVED cohort; results were better with shorter disease duration.

Scope: Uncontrolled one-year supplementation study; 24 genetically investigated AVED patients; Vitamin E 800 mg/day for one year; formulation stereochemistry not specified in the retrieved abstract.

Correcting the blood level did not reverse every established nerve deficit.

Condition: machinery_impairment · Established neurological deficits in genetically determined AVED.

Normal role: Intact nerve pathways support reflexes and position-sense signaling.

Recorded consequence: Absent reflexes and posterior-column disturbances persisted despite normalization of serum vitamin E during AVED supplementation.

Scope: Uncontrolled one-year supplementation study; 24 genetically investigated AVED patients; Vitamin E 800 mg/day for one year; formulation stereochemistry not specified in the retrieved abstract.

In this infant study, a low vitamin E reading accompanied fragile red cells in a peroxide test.

Condition: biomarker_context · Low measured blood vitamin E in 6–8-week-old premature infants.

Normal role: Membrane antioxidant protection limits oxidant-associated red-cell damage.

Recorded consequence: In the historical premature-infant series, blood vitamin E below 0.6 mg/100 mL was associated with greater hydrogen-peroxide-induced erythrocyte hemolysis.

Scope: Historical clinical series of 50 premature infants aged 6–8 weeks; Blood vitamin E and hydrogen-peroxide hemolysis were assessed; oral vitamin E 10 mg/day was administered.

Restoring vitamin E reduced red-cell fragility in the tested infants.

Condition: nutrient_deficiency · Low vitamin E availability in the historical premature-infant feeding setting.

Normal role: Available vitamin E supports resistance to membrane oxidation.

Recorded consequence: Peroxide hemolysis normalized within days of oral vitamin E administration and rising blood vitamin E in the premature-infant series.

Scope: Historical clinical series of 50 premature infants aged 6–8 weeks; Blood vitamin E and hydrogen-peroxide hemolysis were assessed; oral vitamin E 10 mg/day was administered.

A low vitamin E concentration can look different once blood lipids are considered.

Condition: biomarker_context · An apparently low serum alpha-tocopherol concentration assessed alongside circulating lipids.

Normal role: Lipoproteins carry tocopherol; their abundance affects the circulating measurement.

Recorded consequence: Among 59 specimens with alpha-tocopherol below 5 mg/L, 28 were reclassified within the study lipid-ratio reference interval after cholesterol and triglycerides were considered.

Scope: Original patient-specimen laboratory analysis within an article indexed as review; Lipid-adjusted assessment; reference specimens n=307; low-concentration subset n=59.

Lipid correction is useful context, but it can also conceal a problem when liver disease changes both measurements.

Condition: biomarker_context · Cirrhosis-associated changes in serum tocopherol and cholesterol.

Normal role: Blood biomarkers should be interpreted in the context of the transport and disease state.

Recorded consequence: In the cirrhosis cohort, cholesterol normalization classified fewer patients as vitamin E deficient than absolute concentrations; the authors cautioned that the ratio could obscure reduced status in advanced liver disease.

Scope: Observational comparison of 85 cirrhosis and 50 noncirrhotic liver-disease patients; Absolute vitamin E compared with vitamin E/cholesterol ratio using study-specific healthy-control reference limits.

In this transport disease, vitamin A alone did not substitute for the broader treatment that included vitamin E.

Condition: machinery_impairment · Inherited lipoprotein assembly and lipid-soluble nutrient transport failure in abetalipoproteinemia.

Normal role: Lipid-soluble nutrients must be delivered to the retina through functioning transport systems.

Recorded consequence: The six-patient abetalipoproteinemia report noted that vitamin A alone had not prevented or arrested the retinal lesion, whereas long-term regimens including vitamin E modified its course.

Scope: Six-patient long-term abetalipoproteinemia case series; Large oral vitamin E doses for 12–18 years alongside low-fat diet and other fat-soluble vitamins; exact dose absent from the abstract.

Combined treatment did not fully prevent retinal abnormalities in every patient.

Condition: machinery_impairment · Abetalipoproteinemia or homozygous hypobetalipoproteinemia with inherited lipid-transport impairment.

Normal role: Nutrient delivery and intact retinal machinery together support visual function.

Recorded consequence: Despite combined vitamin A and E treatment, 11 of 13 ABL/HBL patients had subnormal mixed cone-rod electroretinogram amplitudes at long-term follow-up.

Scope: Longitudinal treated cohort; 10 abetalipoproteinemia and 3 homozygous hypobetalipoproteinemia patients; Combined oral vitamins A and E; mean 11.7 years follow-up, range 4–20; exact doses unavailable in abstract.

The sources

Every document behind this chapter is preserved word for word. Open one to read it in full with its recorded conflicts marked in place.

  • Selenium: literature corrections and mechanism additionsMetabolic Ledger literature curation, 17 September 2026; primary papers linked individually · secondary_verifiedRead preserved source
  • Vitamin A: forms, mechanisms, deficiency and excess (2026-09-17)AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · unverified_draftRead preserved source
  • Vitamin C: mechanisms, deficiency and nutrient interactions (2026-09-17)AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · unverified_draftRead preserved source
  • Vitamin D2 and D3: mechanisms, deficiency and nutrient interactions (2026-09-17)AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · unverified_draftRead preserved source
  • Vitamin E: transport, membrane protection and nutrient interactions (2026-09-17)AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · unverified_draftRead preserved source

Recorded disagreements

Where two sources say different things, both are kept and the difference is explained. You can discuss a disagreement or propose a mechanism that might account for it.

  • Does delta-tocotrienol-13′-COOH inhibit 5-LOX allosterically or competitively?The same metabolite and human 5-LOX receive different mechanistic classifications. Park 2022 explicitly challenges the published allosteric interpretation; this goes beyond different potency estimates.Read the recorded disagreement

Open questions in this collection

Questions the curators could not answer from the sources in front of them, kept here with the reason each one is still open. These are gaps in this collection, not findings or proof that no one has studied them.

  • Which biological mechanisms explain differing vitamin E outcomes across prevention trials?Formulation, dose, smoking, baseline status and outcome ascertainment differ; these trials do not identify a single causal reconciliation.
  • Which molecular step causes increased PIVKA-II during high-dose vitamin E exposure?The human marker trial did not localize the route; shared CYP4F2 metabolism does not by itself demonstrate increased vitamin K clearance.
  • Which blood measure best reflects tissue vitamin E function in advanced liver disease?Lipid adjustment changes classification but disease changes both numerator and denominator; direct tissue validation is lacking in the recorded cohorts.
  • How much established neurological or retinal damage is reversible after vitamin E delivery is restored?The human cohorts show partial responses and residual deficits, with small samples, co-treatments and no randomized timing comparison.
  • Do gamma/delta tocopherols or tocotrienols reproduce the clinical outcomes of the alpha-tocopherol preparations studied here?These trials primarily studied alpha forms; biological form differences prohibit substituting their outcomes for other forms without direct studies.
  • Which redox system limits vitamin E recycling in a particular living human tissue?Solution regeneration kinetics and cell FSP1 activity do not quantify tissue-specific flux through ascorbate and CoQ pathways.
  • Which membrane-repair component is protected by alpha-tocopherol?Repair rescue and peroxide sensitivity support a redox contribution but do not identify a unique fusion protein, lipid species or transcriptional target.
  • Do the 2026 alpha-tocotrienol potency differences improve human outcomes?Genetic and pharmacological cell assays do not establish absorption, tissue exposure, safe supplementation or clinical superiority.
  • How strongly do these pathways operate after ordinary dietary intake in humans?Most evidence comes from purified proteins, isolated cells, micromolar exposure or transformed cell lines; mediator assays do not establish clinical supplement benefit.
  • Is PP2A activation the dominant explanation for cellular alpha-tocopherol effects on PKC?Ricciarelli 1998 (PMID 9693126, metadata cached) reports direct in-vitro PP2A activation and proposes a cellular link, but dose-resolved full methods were unavailable. No broad PP2A causal claim or false conflict against the different reconstituted McCary assay is added.
  • Which dose and assay conditions best reproduce the INSIG dependency of tocotrienol-mediated HMGCR turnover?The primary Song 2006 abstract and indexed experimental text support the dependency, but the exact tocotrienol concentrations for the scoped Figure 3 and 5 experiments were not fully retrieved.
  • Transport and catabolism evidence does not establish equal human nutritional activity for all eight vitamin E forms.Different forms, stereoisomers and ester precursors are preserved; cell/rat affinity ratios are not human efficacy ratios.
  • The route from TTP-dependent hepatocyte export to individual circulating lipoprotein pools remains incompletely resolved by this selected evidence.Isolated cell efflux and human lipoprotein tracer enrichment do not identify every intervening molecular step.
  • Direct binary binding and transport direction for the sheep TTP–Rab8a/Vps35 associations remain unassigned here.Co-immunoprecipitation supports association; the accessible knockdown abstract does not provide directional quantitative results.
  • The mechanism of vitamin E-associated vitamin K effects cannot be reduced to activation of CYP4F2.The directly tested microsomal interaction was not stimulatory; clinical and tissue pathways require separate evidence.
  • Dietary niacin, riboflavin and magnesium effects on vitamin E catabolic capacity are not established by the cofactor assay.NADPH omission/addition tests the immediate chemical requirement, not nutrient-status effects in vivo.
  • This is a bounded primary-source transport collection, not an exhaustive review of every recent trafficking model.Recent primary coverage includes the 2025 sheep study; species and expression-system differences prevent universal localization claims.

Chapters are assembled from supplied drafts and curated literature summaries. Statements remain unverified against the primary studies, and the ledger is not medical advice.

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