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Ann Nutr Metab 2012;61:192198 Published online: November 26, 2012

DOI: 10.1159/000343124

On the Discovery of Vitamin A


Richard D. Semba
Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, Md., USA

Key Words olive oil in supporting the growth and survival of rats. The
Crystallization Discovery Isolation Synthesis Vitamin A growth-supporting accessory factor became known as fat-
soluble A in 1918 and then vitamin A in 1920. Paul Karrer
described the chemical structure of vitamin A in 1932. Harry
Abstract Holmes and Ruth Corbet isolated and crystallized vitamin A
Vitamin A is essential for normal growth, reproduction, im- in 1937. Methods for the synthesis of vitamin A came with the
munity, and vision. The characterization of vitamin A spanned work of David Adriaan van Dorp and Jozef Ferdinand Arens
a period of about 130 years. During this long, incremental in 1946 and Otto Isler and colleagues in 1947. Further work
process, there is no single event that can be called the dis- on the role of vitamin A in immunity and child survival con-
covery of vitamin A. The physiologist Franois Magendie tinued until through the 1990s.
conducted nutritional deprivation experiments with dogs in Copyright 2012 S. Karger AG, Basel
1816 that resulted in corneal ulcers and high mortality a
finding similar to the common clinical situation in poorly fed,
abandoned infants in Paris. In the 1880s, Nicolai Lunin Introduction
showed that there was an unknown substance in milk that
was essential for nutrition. Carl Socin suggested that an un- Vitamin A is a fat-soluble substance that is essential
known substance for growth in egg yolk was fat soluble. for normal growth, reproduction, immunity, and vision.
Frederick Gowland Hopkins proposed in 1906 that there A great deal of confusion surrounds the discovery of
were unsuspected dietetic factors that were necessary for vitamin A. Who discovered vitamin A? When was it dis-
life. In 1911, Wilhelm Stepp demonstrated that this essential covered? Based upon a variety of authoritative nutrition
substance in milk was fat soluble. The following year, Hop- textbooks, popular sources, and sites on the World Wide
kins showed that there were accessory factors present in Web, there are over a dozen different answers to these
astonishingly small amounts in milk that supported life. two simple questions. The contradictions arise because
Contrary to the dogma that all fats had similar nutritional the questions have a flawed premise. The objective of
value, in 1913, Elmer McCollum and Marguerite Davis at Wis- this paper is to show the developments that led to the
consin and Thomas Osborne and Lafayette Mendel at Yale characterization of vitamin A. I argue that it is impos-
showed butter and egg yolk were not equivalent to lard and sible to assign a moment of discovery of vitamin A in
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2012 S. Karger AG, Basel Richard D. Semba, MD


University of Edinburgh

02506807/12/06130192$38.00/0 Johns Hopkins University School of Medicine


Fax +41 61 306 12 34 Smith Building, M015, 400 N. Broadway
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E-Mail karger@karger.ch Accessible online at: Baltimore, MD 21287 (USA)


www.karger.com www.karger.com/anm E-Mail rdsemba@jhmi.edu
atin broth in the hospitals of Paris found it detestable and
nauseating, and complained that it could not sustain
them. Some patients died. Soon the hospital authorities
were obliged to stop serving gelatin. Thus, the fundamen-
tal question of what foods were nutritious rose from the
challenges of feeding the poor [1].
In 1816, a year notable for widespread crop failures
and famine across Europe, the physiologist Francois
Magendie (17831855) began a series of experiments
with dogs to evaluate the nutritional value of nitrogen in
foods [6]. When he fed a diet of sugar (containing no ni-
trogen) and distilled water to dogs, the animals grew
thin and developed ulcers on the cornea. The ulcers
eventually perforated, and the dogs died shortly there-
Fig. 1. Nicolai Lunin. Fig. 2. Frederick Gowland after. The pediatrician Charles-Michel Billard (1800
Hopkins. 1832) took careful note of Magendies research. Billard
frequently observed similar corneal ulcers in abandoned
infants under his care in Paris, and he raised the ques-
tion whether these eye lesions could be related to defec-
the long incremental process it took to characterize vi- tive nutrition [7].
tamin A. The argument is presented in greater detail in
my book The Vitamin A Story: Lifting the Shadow of
Death (2012) [1]. Is an Unknown Fat-Soluble Substance Vital for Life?

In 1881, Nicolai Ivanovich Lunin (18531937) (fig.1),


Early Insights from Paris in his doctoral research at the University of Dorpat in Es-
tonia, showed that adult mice could live in good health
In the early part of the 19th century in France, scien- on milk, but did not survive on a diet consisting of the
tists and philanthropists were seeking ways to feed the separate components of the milk. Lunin stated: Mice can
restive poor in Paris. The population of Paris was grow- live quite well under these conditions when receiving
ing rapidly; it almost doubled between 1800 and 1850. suitable foods (e.g. milk), however, as the above experi-
The streets in some arrondissements were crowded with ments demonstrate that they are unable to live on pro-
beggars, rag-pickers, and thieves. A small increase in the teins, fats, carbohydrates, salts, and water, it follows that
price of flour would ignite bread riots. Louis-Ren Vill- other substances indispensable for nutrition must be
erm (17821863), one of the founders of the public health present in milk besides caseinogens, fat, lactose, and salts
movement, showed that there were large disparities in [8]. Lunins mentor, Gustav von Bunge (18441920), re-
health between the rich and poor in Paris [2]. His col- stated the question in his influential textbook Lehrbuch
league, Louis-Franois Benoiston de Chteauneuf (1776 der physiologischen und pathologischen Chemie: Are
1856) reinforced the idea of health disparities when he there other substances in milk besides fats, albuminoid
demonstrated that the average lifespan was longer among matter, and carbohydrates necessary to the vital process-
the rich than the poor [3]. es? [9]. A study of the different forms of iron in the diet
An inventor, Jean-Pierre-Joseph dArcet (17771844), by another of Bunges students, Carl A. Socin, showed
developed an efficient method for manufacturing gelatin that mice fed egg yolk alone lived for nearly 100 days,
by processing bones [4]. Philanthropists seized upon the while mice fed an iron-poor diet with or without other
idea of feeding gelatin to the poor in the form of a forms of iron died within 1 month. Socin showed that
soup both on the streets and in the hospitals of Paris. there was an unknown substance in egg yolk that was es-
Thus, to make knife handles or buttons from bones was sential to life, and he speculated that this was a fat-like
considered stealing from the poor [5]. Whether gelatin substance [10]. Bunge did not pursue this investigation,
made from leftover bones was a complete food was as his main interests were related to the role of minerals
fiercely debated. The patients who were forced to eat gel- in nutrition.
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On the Discovery of Vitamin A Ann Nutr Metab 2012;61:192198 193


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Hopkins Proposes the Existence of Accessory Food
Factors
80
In 1906, the Cambridge biochemist Frederick Gow-
land Hopkins (18611947) (fig.2) spoke to the Society of
Public Analysts in London in a lecture titled The Analyst
and the Medical Man. Hopkins asserted that public ana-

Weight (g)
lysts, i.e. those charged with protecting the food supply
60
by analyzing foods for adulteration, should extend the
scope of their work and study the composition of food
itself. Hopkins hinted at some dietary studies he had con-
ducted that suggested: no animal can live upon a mix-
ture of pure protein, fat, and carbohydrate, and even
when the necessary inorganic material is carefully sup- 40
0 25 50
plied the animal still cannot flourish [11]. The dogma of Time (days)
the time, based upon the nutritional theories of Justus
von Liebig (18031873) and his contemporaries, was that
the only essential nutrients were protein, fat, carbohy-
Fig. 3. Growth curves of mice in the experiments of Frederick
drate, and minerals. Hopkins proposed that there were Gowland Hopkins. The lower curve shows the growth of 8 male
unsuspected dietetic factors that accounted for condi- rats with the basal diet, indicated by open circles. At day 18 (ver-
tions such as rickets and scurvy. tical broken line) the 8 rats were given 3 ml of milk per day, indi-
One month after his talk in London, Hopkins pub- cated by dark circles. The upper curve shows the growth of 8
lished a study in which he and his colleague Edith Will- similar rats receiving the basal diet plus milk. At day 18, these 8
rats were crossed over to the basal diet only without any addi-
cock demonstrated the existence of the essential amino tional milk.
acid tryptophan [12]. Hopkins had additional data about
unsuspected dietetic factors, but publication of these
findings was delayed due to illness. Paul Knapp (1874
1954), an ophthalmologist in Basel, continued Lunins
line of investigation with the nutritional qualities of milk 18 days of the experiment, but after they received milk
in 1909. He fed rats a diet of protein, carbohydrate, fats, each day after the 18th day, they grew at a rapid rate. This
and minerals. The animals developed conjunctivitis and graph from the experiment became well known to stu-
corneal ulceration prior to death, but the eye disease and dents and scientists, as it was subsequently reproduced in
mortality could be avoided if milk was provided in the many influential textbooks.
diet [13]. Knapp surmised that there might be something Hopkinss study was considered a landmark study in
in milk that prevented the eye lesions. the history of vitamins. Hopkins later received the Nobel
Hopkins eventually published his work on unsuspect- Prize in Physiology or Medicine in 1929, along with the
ed dietetic factors in 1912. He reported that young rats Dutch scientist Christiaan Eijkman (18581930) for the
did not grow well when fed a basal ration of protein, discovery of the vitamins [15]. In his acceptance speech
starch, cane sugar, lard, and minerals [14]. After a small in Stockholm, Hopkins humbly acknowledged that Lu-
amount of milk was added to the basal ration, they had nins study in 1881 already suggested the existence of
normal growth. The unknown factors in milk that sup- these unknown factors. Hopkins also referred to an ear-
ported life were found in astonishingly small amounts lier study from Utrecht by Cornelis Pekelharing (1848
and were termed accessory factors by Hopkins. One 1922). Pekelharing stated that milk contained unknown
graph from the study shows the growth of rats that had substances essential to life in mice but gave little experi-
received the basal ration plus milk and the basal ration mental details and no specific results [16]. Hopkins pro-
alone (fig.3). After 18 days of the experiment, Hopkins vided some early evidence for the existence of vitamins,
switched their diets so that the rats receiving the basal but his experiment was by no means definitive or spe-
diet plus milk no longer received any milk, and their cific. The nature of the accessory factors was not known,
growth subsequently stopped by about 30 days. The rats and it was unclear in 1912 whether there were one or per-
that received the basal diet alone grew poorly in the first haps many unknown essential factors in food.
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Stepp Shows that a Fat-Soluble Substance in Milk Is
Necessary for Life

Wilhelm Stepp (18821964), a young medical graduate


working under the supervision of the German chemist
Franz Hofmeister (18501922), also conducted studies on
the nutritional properties of milk. He mixed flour with
milk and formed it into dough, which he called milk-
bread; this milk-bread mixture supported normal growth
in young mice. After the milk-bread was extracted with
alcohol and ether, mice could not survive beyond 3 weeks
on the extracted milk-bread. When the substance ex-
tracted with alcohol and ether was added back to the ex-
tracted milk-bread and fed to mice, they survived nor-
Fig. 4. Elmer McCollum. Fig. 5. Lafayette Mendel.
mally. In 1909, prior to the more widely known milk
study by Hopkins, Stepp concluded that a fat-soluble sub-
stance was essential for survival [17]. After further stud-
ies published in 1911, Stepp noted: certain lipid substanc-
es present in milk, soluble in alcohol-ether, are indispens- olive oil was added, the animals died. The investigators
able for the survival of mice [18]. concluded: Our observation that ether extracts from cer-
tain sources improve the condition of animals on such
rations, strongly supports the belief that there are certain
American Investigators Show that Fats Are Not accessory articles in certain food-stuffs which are essen-
Equal in Supporting Life tial for normal growth for extended periods [21].
The following month in The Journal of Biological
Thomas Osborne (18591929) and Lafayette Mendel Chemistry, Osborne and Mendel reported that rats fed a
(18721935) conducted studies at Yale University that basal diet of isolated proteins, starch, lard, and protein-
were initially aimed at providing insight into the value of free milk grew normally for about 60 days but then de-
proteins in the diet as summarized in their 1911 mono- clined and died. The addition of butter or replacement of
graph Feeding Experiments with Isolated Food-Substances lard with butter in the diet allowed normal growth in
[19]. The following year, they noted: with respect to young rats. They concluded: In seeking for the essen-
the actual requirements of fat on the part of the healthy tial accessory factor we have, therefore, been led first to
organisms there is at present almost no definite informa- supply the cream component, in the form of butter it
tion available. Fats are, of course, commonly found pres- would seem, therefore, as if a substance exerting a marked
ent in greater or lesser abundance in every dietary; but to influence upon growth were present in butter [22].
what extent they represent an indispensable need of the
animal remains to be learned [20]. The prevailing dogma
in nutrition was that fats were similar in regard to their Exaggerated Claims of Discovery by McCollum
nutritional value.
Elmer McCollum (18791967) (fig.4), a former post- In his later writings and autobiography, McCollum
doctoral fellow of Mendel (fig.5), began to study the role claimed that he discovered vitamin A with his study in
of fats in the diet at the University of Wisconsin. In July 1913, and that this observation was promptly verified by
1913, McCollum and his assistant Marguerite Davis Osborne and Mendel [23]. McCollums contention to have
(18871967) reported in The Journal of Biological Chem- discovered vitamin A is based upon his observation that
istry that fats were not equal in value for growth in the the unidentified factor was fat soluble. However, Socin
rat. Young rats on a diet of casein, lard, lactose, starch, suggested that this unknown substance was fat soluble in
and salts grew normally if an ether extract from butter or 1891 [10] and Stepp showed that it was fat soluble in 1911
egg yolk (ether mixed with either butter or egg yolk to [18]. The fat-soluble substance found in butter and egg yolk
chemically extract substances that were soluble in ether) in these experiments actually contained three vitamins:
was added to the diet. If a similar ether extract of lard or vitamins A, D, and E, which were yet unidentified in 1913.
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On the Discovery of Vitamin A Ann Nutr Metab 2012;61:192198 195


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most important has now been identified with vitamin A
[24]. McCollum again claimed that he discovered vita-
mins A in his work A History of Nutrition: The Sequence
of Ideas in Nutrition Investigations (1957). He continued
to snub his colleagues, as he excluded many of the semi-
nal nutrition papers from his book, especially the papers
that were associated with the awarding of a Nobel Prize
[1].

Fat-Soluble A Becomes Vitamin A

In 1914, following the previous line of investigation of


Knapp, Osborne and Mendel showed that rats on a basal
Fig. 6. Paul Karrer. Fig. 7. George Wald.
diet developed inflamed eyes and diarrhea, but they re-
covered when cod liver oil or butter fat was added to the
diet [25]. In 1918, McCollum suggested that this acces-
sory food factor that supported growth and eye health be
When Hopkins was awarded a Nobel Prize in 1929 for called fat-soluble A in distinction to water-soluble B,
the discovery of the vitamins, an editorial in Time mag- later known as thiamin [26]. In 1920, Jack Cecil Drum-
azine (November 11, 1929) groused: Many a US nutri- mond (18911952), a biochemist at University College,
tionist declared last week, without carping at the Nobel London, proposed that the nomenclature of the vitamins
award to Professors Hopkins and Eijkman, that, if a fu- be changed: the substances should be spoken of as vita-
ture Nobel Prize for vitamin research is made, it should min A, B, C, etc. since not all the vitamins were chemical
go to Professor Elmer Verner McCollum, 50, head of the amines [27]. The same year, Hopkins demonstrated that
department of chemical hygiene at Johns Hopkins School vitamin A in cod liver oil could be destroyed by heat and
of Hygiene & Public Health. In the years that followed, aeration, and 2 years later McCollum et al. [28] showed
McCollum often repeated his claim that he had discov- that if cod liver oil was treated with heat and aeration, the
ered vitamin A. McCollum indeed had a reputation solution could still promote calcium deposition in bones.
among vitamin researchers, but it was not all favorable. The fat-soluble factor that played a role in bone growth
When he assumed his new position at Johns Hopkins in was first called the anti-rachitic factor and then eventu-
1917, he left the University of Wisconsin under a cloud of ally became known as vitamin D [1].
ethical impropriety and academic misconduct [1]. In or-
der to stifle what he perceived as his competitors, includ-
ing the upcoming brilliant scientist Harry Steenbock Further Characterization of Vitamin A
(18861953), McCollum stole their research notebooks,
subsequently published their data without their consent In 1931, the Swiss chemist Paul Karrer (18891971)
or acknowledgement, violated university policy by pub- (fig. 6) described the chemical structure of vitamin A
lishing without approval of the station head and dean, [29]. His achievement was recognized with a Nobel Prize
and purposely sabotaged their animal experiments [1]. In in Chemistry in 1937. Harry Holmes (18791958) and
his writings, McCollum continued to attack his rivals Ruth Corbet crystallized vitamin A in 1937 at Oberlin
who were working on vitamins, often by giving a delib- College [30]. In 1946, David Adriaan van Dorp (1915
erately distorted or false presentation of their achieve- 1995) and Jozef Ferdinand Arens (19142001) synthe-
ments [1]. sized vitamin A [31]. Otto Isler (19201992) et al. [32] at
Perhaps it is not surprising that no colleague ever Hoffmann-La Roche developed a method in 1947 for syn-
nominated McCollum for a Nobel Prize. The Nobel com- thesizing vitamin A that was adaptable for widespread
mittee made it rather clear that this door was closed, since production. An important piece of the puzzle the role
they stated in retrospect in 1937 that Hopkins had won of vitamin A in vision was solved in the early 1930s
the Nobel Prize earlier in 1929 in recognition of his dis- when the biochemist George Wald (19061997) (fig. 7)
covery of the vitamins of growth of which one of the described the relationship between vitamin A and
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University of Edinburgh
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rhodopsin in the visual cycle of the retina [33, 34], a dis- Conclusions
covery that was acknowledged with a Nobel Prize in
Physiology or Medicine in 1967. It took about 130 years from the first experiment of
Other major developments in the history of vitamin A, Magendie in 1816 to the synthesis of vitamin A in 1946
such as the elucidation of its role in immunity and child and large-scale synthesis in 1947 by Isler at Hoffmann-La
survival, were to come slowly through clinical observa- Roche, which made the vitamin available for the preven-
tions and clinical trials in the 1930s through the 1990s, tion and treatment of deficiency. This long, incremental
often through a process of repetition and confirmation process began with an initial observation that dogs would
[1, 35]. Largely through the work of investigators such as develop corneal ulcers and die if fed sugar and water.
Alfred Sommer, Keith P. West, Jr., and Gregory Hussey, There were subsequent hints that something in milk was
and the influential International Vitamin A Consultative essential for life, and that this substance was fat soluble.
Group, which was active from 1975 to 2006, vitamin A The unknown fat-soluble substance was present in milk,
supplementation became one of the basic measures for butter, egg yolk, cod liver oil, and some other foods, and
child survival in developing countries [1]. Since the in- it was variously known as fat-soluble A, the anti-xeroph-
ception of programs for vitamin A supplementation or thalmia vitamin and finally vitamin A. Deduction of the
fortification of foods, millions of lives of children have correct chemical structure of vitamin A, the isolation and
been saved through the efforts of UNICEF, the World crystallization of vitamin A and its synthesis came in the
Health Organization, non-governmental organizations, 1930s and 1940s.
and governments concerned over the high mortality of
pre-school-aged children in developing countries. Vita-
min A supplementation has been one of the most success-
ful interventions for child survival, along with basic
childhood immunizations, oral rehydration therapy, and
bed nets against malaria [1].

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