Component

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.

13 recorded relationships. Experimental role, claim status and evidence remain attached to each record.

How nutrients influence it

Every nutrient with a recorded effect on this component, credited to the nutrient that acted rather than the chapter that recorded it. Open a nutrient to see the findings and the conditions they were measured under.

How nutrients reach it in more than one step

Chains of two or more recorded steps that end here, grouped by the nutrient they start from. Each step is a separate finding, so a chain is a route a mechanism could take, not proof that it does.

Tracing routes…

What it does

Every recorded relationship this component is part of, grouped by its role. Plain wording comes first; the technical statement follows.

Recorded relationships

What it acts on

  1. Combined vitamin E plus C pretreatment prevented guanidinoacetate-associated inhibition of creatine kinase and sodium/potassium ATPase.

    Vitamin E → Creatine kinase catalytic activity source_derived_draftungraded
    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_span
    {"source_cache": "artifacts/creatine-research/17407807.abstract.txt", "locator": "Exact primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "6174f6169ebf6ca7e61bc61642e38841a9089aecdd278ad8fb2f2221cf847c35", "start_char": 0, "end_char": 1929, "text_sha256": "6174f6169ebf6ca7e61bc61642e38841a9089aecdd278ad8fb2f2221cf847c35"}
    experimental_model
    Acute guanidinoacetate exposure with biochemical assays and antioxidant pretreatment
    exposure
    Intrastriatal guanidinoacetate and in-vitro assays; taurine or combined vitamins E plus C pretreatment
    limitations
    Acute experimental precursor toxicity is not a human supplement trial or proof that antioxidant treatment corrects GAMT deficiency. Vitamin E and C were combined.
    nutrient_topic
    Creatine research collection; topical membership is not evidence of a direct dietary effect. · Creatine
    organism
    Young rats and rat striatal preparations
    plain_language
    The study tested two antioxidant vitamins together; it did not establish either vitamin as an effective treatment on its own.
    primary_references
    [creatine-p17407807] Evidence that the inhibitory effects of guanidinoacetate on the activities of the respiratory chain, Na+,K+-ATPase and creatine kinase can be differentially prevented by taurine and vitamins E and C administration in rat striatum in vivo. (2007). https://pubmed.ncbi.nlm.nih.gov/17407807/ DOI: 10.1016/j.bbadis.2007.02.005
    tissue_or_cell_type
    Striatum
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    Creatine: synthesis, transport, phosphocreatine energetics and nutrient interactions (2026-09-17) · lines 789–800

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Acute guanidinoacetate exposure with biochemical assays and antioxidant pretreatment · source_derived_draft · unverified_draft

    ### creatine-vitamins-gaa-ck Combined vitamin E plus C pretreatment prevented guanidinoacetate-associated inhibition of creatine kinase and sodium/potassium ATPase. Condition category: machinery_impairment nutrient_topic: Creatine research collection; topical membership is not evidence of a direct dietary effect. plain_language: The study tested two antioxidant vitamins together; it did not establish either vitamin as an effective treatment on its own. organism: Young rats and rat striatal preparations tissue_or_cell_type: Striatum experimental_model: Acute guanidinoacetate exposure with biochemical assays and antioxidant pretreatment limitations: Acute experimental precursor toxicity is not a human supplement trial or proof that antioxidant treatment corrects GAMT deficiency. Vitamin E and C were combined. exposure: Intrastriatal guanidinoacetate and in-vitro assays; taurine or combined vitamins E plus C pretreatment evidence_span: {"source_cache": "artifacts/creatine-research/17407807.abstract.txt", "locator": "Exact primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "6174f6169ebf6ca7e61bc61642e38841a9089aecdd278ad8fb2f2221cf847c35", "start_char": 0, "end_char": 1929, "text_sha256": "6174f6169ebf6ca7e61bc61642e38841a9089aecdd278ad8fb2f2221cf847c35"} [creatine-p17407807] Evidence that the inhibitory effects of guanidinoacetate on the activities of the respiratory chain, Na+,K+-ATPase and creatine kinase can be differentially prevented by taurine and vitamins E and C administration in rat striatum in vivo. (2007). https://pubmed.ncbi.nlm.nih.gov/17407807/ DOI: 10.1016/j.bbadis.2007.02.005
    Complete structured claim and evidence
  2. Combined vitamin E plus C pretreatment prevented the rise in the lipid-peroxidation readout after guanidinoacetate exposure.

    Vitamin E → Rat striatal lipid peroxidation readout source_derived_draftungraded
    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_span
    {"source_cache": "artifacts/creatine-research/17407807.abstract.txt", "locator": "Exact primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "6174f6169ebf6ca7e61bc61642e38841a9089aecdd278ad8fb2f2221cf847c35", "start_char": 0, "end_char": 1929, "text_sha256": "6174f6169ebf6ca7e61bc61642e38841a9089aecdd278ad8fb2f2221cf847c35"}
    experimental_model
    Acute guanidinoacetate exposure with biochemical assays and antioxidant pretreatment
    exposure
    Intrastriatal guanidinoacetate and in-vitro assays; taurine or combined vitamins E plus C pretreatment
    limitations
    Acute experimental precursor toxicity is not a human supplement trial or proof that antioxidant treatment corrects GAMT deficiency. Vitamin E and C were combined.
    nutrient_topic
    Creatine research collection; topical membership is not evidence of a direct dietary effect. · Creatine
    organism
    Young rats and rat striatal preparations
    plain_language
    Oxidative damage markers were altered in this preparation, alongside the enzyme effects.
    primary_references
    [creatine-p17407807] Evidence that the inhibitory effects of guanidinoacetate on the activities of the respiratory chain, Na+,K+-ATPase and creatine kinase can be differentially prevented by taurine and vitamins E and C administration in rat striatum in vivo. (2007). https://pubmed.ncbi.nlm.nih.gov/17407807/ DOI: 10.1016/j.bbadis.2007.02.005
    tissue_or_cell_type
    Striatum
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    Creatine: synthesis, transport, phosphocreatine energetics and nutrient interactions (2026-09-17) · lines 802–813

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Acute guanidinoacetate exposure with biochemical assays and antioxidant pretreatment · source_derived_draft · unverified_draft

    ### creatine-vitamins-gaa-oxidation Combined vitamin E plus C pretreatment prevented the rise in the lipid-peroxidation readout after guanidinoacetate exposure. Condition category: machinery_impairment nutrient_topic: Creatine research collection; topical membership is not evidence of a direct dietary effect. plain_language: Oxidative damage markers were altered in this preparation, alongside the enzyme effects. organism: Young rats and rat striatal preparations tissue_or_cell_type: Striatum experimental_model: Acute guanidinoacetate exposure with biochemical assays and antioxidant pretreatment limitations: Acute experimental precursor toxicity is not a human supplement trial or proof that antioxidant treatment corrects GAMT deficiency. Vitamin E and C were combined. exposure: Intrastriatal guanidinoacetate and in-vitro assays; taurine or combined vitamins E plus C pretreatment evidence_span: {"source_cache": "artifacts/creatine-research/17407807.abstract.txt", "locator": "Exact primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "6174f6169ebf6ca7e61bc61642e38841a9089aecdd278ad8fb2f2221cf847c35", "start_char": 0, "end_char": 1929, "text_sha256": "6174f6169ebf6ca7e61bc61642e38841a9089aecdd278ad8fb2f2221cf847c35"} [creatine-p17407807] Evidence that the inhibitory effects of guanidinoacetate on the activities of the respiratory chain, Na+,K+-ATPase and creatine kinase can be differentially prevented by taurine and vitamins E and C administration in rat striatum in vivo. (2007). https://pubmed.ncbi.nlm.nih.gov/17407807/ DOI: 10.1016/j.bbadis.2007.02.005
    Complete structured claim and evidence
  3. 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
  4. 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
  5. 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
  6. 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
  7. 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
  8. 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
  9. 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
  10. 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

Where it participates (unsigned role)

  1. Neither CoQ dose slowed UPDRS worsening versus placebo; the trial stopped for futility.

    Experimental context and source evidence
    evidence_span
    {"source_cache": "artifacts/coq10-research/24664227.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "b1f301e82d4650432dab586db0be51f96e131f3c6084af9aebde932e8072676b", "start_char": 0, "end_char": 3023, "text_sha256": "b1f301e82d4650432dab586db0be51f96e131f3c6084af9aebde932e8072676b"}
    experimental_model
    Randomized double-blind phase III trial
    exposure
    CoQ10 1200 or 2400 mg/day; all groups received 1200 IU/day vitamin E
    limitations
    Vitamin E was a common background intervention; this comparison cannot identify its independent effect.
    nutrient_topic
    Coenzyme Q10 research collection; topical membership is not evidence of a direct dietary effect. · Coenzyme Q10 / CoQ10 redox system
    organism
    600 early-Parkinson patients
    plain_language
    A plausible mitochondrial mechanism did not translate into slower Parkinson progression in this trial.
    primary_references
    [coq10-p24664227] A randomized clinical trial of high-dosage coenzyme Q10 in early Parkinson disease: no evidence of benefit. (2014). https://pubmed.ncbi.nlm.nih.gov/24664227/ DOI: 10.1001/jamaneurol.2014.131
    tissue_or_cell_type
    UPDRS progression

    Coenzyme Q10: biosynthesis, electron transfer, antioxidant recycling and nutrient interactions (2026-09-17) · lines 1217–1228

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Randomized double-blind phase III trial · source_derived_draft · unverified_draft

    ### coq10-parkinson-null Neither CoQ dose slowed UPDRS worsening versus placebo; the trial stopped for futility. Condition category: normal nutrient_topic: Coenzyme Q10 research collection; topical membership is not evidence of a direct dietary effect. plain_language: A plausible mitochondrial mechanism did not translate into slower Parkinson progression in this trial. organism: 600 early-Parkinson patients tissue_or_cell_type: UPDRS progression experimental_model: Randomized double-blind phase III trial limitations: Vitamin E was a common background intervention; this comparison cannot identify its independent effect. exposure: CoQ10 1200 or 2400 mg/day; all groups received 1200 IU/day vitamin E evidence_span: {"source_cache": "artifacts/coq10-research/24664227.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "b1f301e82d4650432dab586db0be51f96e131f3c6084af9aebde932e8072676b", "start_char": 0, "end_char": 3023, "text_sha256": "b1f301e82d4650432dab586db0be51f96e131f3c6084af9aebde932e8072676b"} [coq10-p24664227] A randomized clinical trial of high-dosage coenzyme Q10 in early Parkinson disease: no evidence of benefit. (2014). https://pubmed.ncbi.nlm.nih.gov/24664227/ DOI: 10.1001/jamaneurol.2014.131
    Complete structured claim and evidence
  2. Primary L+Z versus placebo comparison gave HR 0.90 (98.7% CI 0.76–1.07; P=0.12).

    Experimental context and source evidence
    evidence_span
    {"source_cache": "artifacts/lutein-research/23644932.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "1bd379926e56d7243222c2ef69d6367b74aede2b02faabfb77fadcbadf95008f", "start_char": 0, "end_char": 3037, "text_sha256": "1bd379926e56d7243222c2ef69d6367b74aede2b02faabfb77fadcbadf95008f"}
    experimental_model
    AREDS2 phase 3 factorial randomized trial
    exposure
    Lutein 10 mg + zeaxanthin 2 mg daily; background AREDS formula; median five years
    limitations
    Combination and background treatment prevent attribution to lutein alone; primary contrast differs from replacement and main-effects analyses. Published correction 10.1001/jama.2013.6403 changes the Table 3 lung-neoplasm row label and Table 4 lung-neoplasm entries. These records use the indexed abstract and do not reproduce the uncorrected Table 4. Correction: https://jamanetwork.com/journals/jama/fullarticle/1710434 .
    nutrient_topic
    Lutein research collection; topical membership is not evidence of a direct dietary effect. · Lutein
    organism
    4203 adults aged 50–85 at elevated AMD progression risk
    plain_language
    Adding the pair did not meet the primary statistical threshold.
    primary_references
    [lutein-p23644932] Lutein + zeaxanthin and omega-3 fatty acids for age-related macular degeneration: the Age-Related Eye Disease Study 2 (AREDS2) randomized clinical trial. (2013). https://pubmed.ncbi.nlm.nih.gov/23644932/ DOI: 10.1001/jama.2013.4997
    tissue_or_cell_type
    Eyes with large drusen and/or fellow-eye advanced AMD

    Lutein: metabolism, signaling and nutrient connections (2026-09-17) · lines 723–734

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · AREDS2 phase 3 factorial randomized trial · source_derived_draft · unverified_draft

    ### lutein-areds-primary-null Primary L+Z versus placebo comparison gave HR 0.90 (98.7% CI 0.76–1.07; P=0.12). Condition category: normal nutrient_topic: Lutein research collection; topical membership is not evidence of a direct dietary effect. plain_language: Adding the pair did not meet the primary statistical threshold. organism: 4203 adults aged 50–85 at elevated AMD progression risk tissue_or_cell_type: Eyes with large drusen and/or fellow-eye advanced AMD experimental_model: AREDS2 phase 3 factorial randomized trial limitations: Combination and background treatment prevent attribution to lutein alone; primary contrast differs from replacement and main-effects analyses. Published correction 10.1001/jama.2013.6403 changes the Table 3 lung-neoplasm row label and Table 4 lung-neoplasm entries. These records use the indexed abstract and do not reproduce the uncorrected Table 4. Correction: https://jamanetwork.com/journals/jama/fullarticle/1710434 . exposure: Lutein 10 mg + zeaxanthin 2 mg daily; background AREDS formula; median five years evidence_span: {"source_cache": "artifacts/lutein-research/23644932.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "1bd379926e56d7243222c2ef69d6367b74aede2b02faabfb77fadcbadf95008f", "start_char": 0, "end_char": 3037, "text_sha256": "1bd379926e56d7243222c2ef69d6367b74aede2b02faabfb77fadcbadf95008f"} [lutein-p23644932] Lutein + zeaxanthin and omega-3 fatty acids for age-related macular degeneration: the Age-Related Eye Disease Study 2 (AREDS2) randomized clinical trial. (2013). https://pubmed.ncbi.nlm.nih.gov/23644932/ DOI: 10.1001/jama.2013.4997
    Complete structured claim and evidence
  3. 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

In the sources

Preserved passages that mention this component, quoted exactly. Open one to read it in context.

    This is a research prototype built from draft material. It is not medical advice, and its statements still await verification against the original studies.

    Evidence, AI assistance and curation standards