IOVS Journal of Clinical Investigation
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(Investigative Ophthalmology and Visual Science. 2004;45:3234-3243.)
© 2004 by The Association for Research in Vision and Ophthalmology, Inc.
DOI:  10.1167/iovs.02-1243

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Nutritional Manipulation of Primate Retinas, I: Effects of Lutein or Zeaxanthin Supplements on Serum and Macular Pigment in Xanthophyll-Free Rhesus Monkeys

Martha Neuringer,1,2 Marita M. Sandstrom,3,4 Elizabeth J. Johnson,5 and D. Max Snodderly3,4,6,7

1From the Division of Neuroscience, Oregon National Primate Research Center, and the 2Departments of Medicine and Ophthalmology, Oregon Health and Science University, Portland, Oregon; 3The Schepens Eye Research Institute, the 4Department of Ophthalmology, and the 6Program in Neuroscience, Harvard Medical School, Boston, Massachusetts; and the 5Jean Mayer USDA Human Nutrition Research Center on Aging at Tufts University, Boston, Massachusetts.

PURPOSE. The xanthophylls lutein (L) and zeaxanthin (Z) are the primary components of macular pigment (MP) and may protect the macula from age-related degeneration (AMD). In this study, L or Z was fed to rhesus monkeys reared on xanthophyll-free diets to follow the accumulation of serum carotenoids and MP over time.

METHODS. Eighteen rhesus monkeys were fed xanthophyll-free semipurified diets from birth until 7 to 16 years. The diets of six were then supplemented with pure L and six with pure Z at 3.9 µmol/kg per day (2.2 mg/kg per day) for 24 to 56 weeks. At baseline and 4- to 12-week intervals during supplementation, serum carotenoids were measured by HPLC, and MP density was estimated by two-wavelength reflectometry. Serum carotenoids and MP were also measured in monkeys fed a stock diet.

RESULTS. Monkeys fed xanthophyll-free diets had no L or Z in serum and no detectable MP. During supplementation, serum L or Z increased rapidly over the first 4 weeks and from 16 weeks onward maintained similar levels, both several times higher than in stock-diet–fed monkeys. The central peak of MP optical density increased to a relatively steady level by 24 to 32 weeks in both L- and Z-fed groups. Rhesus monkeys fed a stock diet had lower blood concentrations of L than those found in humans and other nonhuman primates.

CONCLUSIONS. Rhesus monkeys respond to either dietary L or Z supplementation with increases in serum xanthophylls and MP, even after life-long xanthophyll deficiency. These animals provide a potential model to study mechanisms of protection from AMD.





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