1. Introduction
Vitamin D is a biologically active compound found mainly in the forms of ergocalciferol (vitamin D
2), cholecalciferol (vitamin D
3) and 25-hydroxycholecalciferol (25(OH)D
3) (
Scheme 1). Vitamin D
3 is a micronutrient, essential for maintaining the overall health and wellness of humans, as it is associated with bone health and immune system boosting [
1]. It plays a key role in calcium absorption [
2] and has been proposed to act against cancer cell growth [
3]. In addition to that, vitamin D
3 has been linked with lower risk of developing multiple sclerosis and rheumatoid arthritis, as well as type 1 and type 2 diabetes mellitus [
4]. The protective effect of vitamin D
3 against SARS-CoV-2 has also been examined and showed that the vitamin can potentially prevent severe illness [
5]. Vitamin D
3 can be photosynthesized through skin exposure to ultraviolet radiation [
6] or ingested through foods and supplements. However, vitamin D
3 deficiency is a global concern [
7]. Supplementation, as well as consumption of foods rich in vitamin D
3 can aid to cope with this phenomenon.
Supplements are available in different forms, such as tablets, capsules or oil-emulsified drops [
9]. Vitamin D
3 in supplements may be encapsulated in microcapsules, micelles or liposomes to increase its bioavailability [
10,
11,
12]. A meta-analysis of several clinical studies concluded that vitamin D
3 bioavailability is better in oil vehicles (capsules or liquid) than in powder tablets (cellulose or lactose) or ethanol [
13]. However, another study testing oil and tablets, showed that they were equally efficient in raising serum 25-hydroxyvitamin D, though the authors speculated that these results may be due to the timing of measuring serum concentrations [
14].
Foods can either naturally contain vitamin D
3, as in fish and eggs, or be fortified with the vitamin, such as milk, orange juice, plant oils, flour, bread and cereals. Different food matrices can result in different bioaccessibility and bioavailability of the vitamin. The structure of the food matrix, the amount and type of dietary lipids (chain length, degree of saturation), as well as the dietary fibres can affect the final bioavailability [
8,
15]. Foods fortified with vitamin D
3 have demonstrated comparable effectiveness to supplements in increasing serum 25(OH)D
3 levels [
16,
17]. It has also been suggested that vitamin D
3 absorption is protein-mediated at low concentrations, as those found in dietary sources, while in high pharmacological concentrations the absorption mechanism shifts to passive diffusion [
18]. The differences encountered between different foods and supplements indicate that research on various matrices is necessary.
When the vitamin D
3-containing matrix is ingested, it undergoes physiological conditions encountered during digestion, including enzyme activity and pH fluctuations. The digestive process is initiated in the mouth with amylase catalysing starch hydrolysis, followed by the stomach, where proteins and lipids are hydrolysed by pepsin and gastric lipase, forming gastric chyme [
19]. As gastric chyme moves to the intestine, pancreatin further breaks down the food with assistance from intestinal peristaltic movements. Pepsin and trypsin may play a role in releasing vitamin D
3 from its food matrix by disrupting the binding of proteins to vitamin D
3. Digestive enzymes in the duodenum, including amylase, lipase, and protease, continue to liberate vitamin D
3 from its food matrix [
15]. The released vitamin D
3 integrates into mixed micelles formed during digestion, consisting of phospholipids, cholesterol, lipid digestion products, and bile salts [
8,
15,
20]. The composition of mixed micelles is influenced by the types of lipids present during digestion [
21,
22].
The pH variation is another critical factor that might impact the final bioaccessibility of vitamin D
3. Lower pH has been shown to lead in decreasing stability of vitamin D
3 [
23]. Vitamin D
3 is isomerized to isotachysterol at acidic pH [
24]. Encapsulation of the vitamin has been proposed to protect it from degradation in different pH values [
25]. Many encapsulation techniques and materials, such as β-lactoglobulin [
26], ovalbumin-pectin nanocomplexes [
27], gum arabic, maltodextrin, whey protein concentrate and soy isolate protein [
28] has been used to produce systems that are stable in different pH conditions [
25]. Food intake alters the basal gastric pH. Different composition of foods result in varying gastric pH values, which may take up to 3 hours to return to basal levels [
29]. Consequently, supplements taken after different foods or during fasting may encounter different gastric pH conditions. The timing of supplement intake following food consumption can also lead to variations in the encountered pH values [
30].
The aim of this research was to investigate the influence of diverse matrices (including natural foods with vitamin D3 with or without heat treatment, fortified foods, and supplements) on the fate of vitamin D3 at different stages along the gastrointestinal (GI) tract. Using the INFOGEST protocol, these matrices underwent in vitro digestion and vitamin content was determined at different stages of the protocol to evaluate its bioaccessibility. Additionally, the study investigated the effect of gastric pH by testing four different pH values to simulate conditions during fasting and various food consumption. The findings from this research contribute to a deeper understanding on how each digestion stage influences vitamin D3 and the impact of gastric pH variations on its bioaccessibility.
3. Discussion
Supplements and foods containing vitamin D
3, either naturally or fortified, can be used to battle vitamin D
3 deficiency [
37,
38]. When ingested, vitamin D
3 is exposed to the GI tract conditions, which can affect the stability of the vitamin and its final bioaccessibility.
Of the three commercial supplements, the oil-based liquid drops had the highest vitamin content. In vitro digestion of supplements showed a higher BI for the oil-based liquid drops, followed by the capsule and the tablet, which is in accordance with previous studies testing vitamin D
3 bioavailability [
13]. Vitamin D
3 is a lipophilic vitamin, which is more stable in oil vehicles [
23].
Tablets exhibited higher gastric losses compared to capsules and liquid supplements, with the intestinal stage exerting a more significant impact on the vitamin content of the tablet. Conversely, for capsules, the gastric stage had a more pronounced effect. In the case of the liquid supplement, there was a decrease in content from the initial to the gastric stage, followed by an increase from the gastric to the intestinal stage. This phenomenon may be attributed to the enhanced release of the vitamin from its matrix during this stage, potentially facilitated by the action of pancreatin on the oil matrix (sunflower oil). A similar behavior was noted for carotenoids, as they were undetected in the gastric stage but present in measurable concentrations during the intestinal stage. The authors attributed this outcome partly to the presence of pancreatin in the intestinal stage [
39]. Additionally, the antioxidant capacity of α-tocopherol present as an additive in the liquid supplement may have protected vitamin D
3 from degradation during in vitro digestion [
40]. Differences in the initial concentrations among supplements might also contribute to the different behavior during digestion. Previous research has shown that the BI of omega-3 supplements can be dependent on the initial concentration of the lipophilic components [
41].
Heat treatment can adversely affect vitamin D
3 content of foods by decreasing it, depending on the method of heating [
42,
43]. In our study, thermal processing of egg and salmon decreased vitamin D
3 content, with egg being more affected than salmon (42% vs 25% decrease, respectively). Vitamin D
3, as a lipophilic vitamin, may be better protected in salmon than eggs, as salmon has a greater lipid content. This can result in a greater retention of vitamin D
3 in salmon after thermal processing. Vitamin D
3 converts to pre-vitamin D
3 reversibly when heated, especially in higher temperatures [
44]. The reversibility of this conversion may be the explanation of the increase observed in gastric step of both eggs and salmon, after the heat treatment.
Eggs and salmon had lower vitamin D
3 content than fortified foods, as it was expected. Salmon had higher content than eggs, as shown in other studies [
33]. From the fortified foods, milk had the higher content, followed by the cereals and sour cherry juice. Foods exhibited higher BIs than supplements, apart from milk which had a rather low BI, closer to those of supplements. Previous research has shown that naturally formulated vitamin D
3 extracted from agricultural products had higher bioaccessibility than synthetic vitamin D
3 [
45]. An investigation on vitamin E bioaccessibility revealed that the incorporation of vitamin E-loaded Pickering emulsions into foods led to an increased bioaccessibility of the vitamin, surpassing the bioaccessibility observed when the emulsion was digested alone. This observation was attributed to the natural presence of macronutrients in foods [
46]. These findings are in accordance with our results concerning the better bioaccessibility of vitamin D
3 from foods.
In natural foods, the gastric phase showed a beneficial impact, leading to an increase in vitamin D
3 content, while intestinal phase adversely affected the vitamin’s content. The observed increase during the gastric step may be due to the release of the vitamin from the food matrix, which made it available for detection. The percentage increase in gastric step was higher than percentage decrease in intestinal step, which indicates that the gastric step had a greater effect in vitamin D
3 content. The intrinsic antioxidant mechanisms of fish tissue may have acted as a protective agent for vitamin D
3. Greater lipid oxidation may cause degradation of the vitamin [
47,
48]. Enzymatic antioxidants in fish, such as glutathione peroxidase (GPx) can reduce lipid peroxides [
49], thus protecting vitamin D
3 by decreasing lipid oxidation. Vitamin C and vitamin E, which act as antioxidants, are also present in fish tissue [
50]. These vitamins may have also functioned as protective agents against vitamin D
3 degradation. Regarding eggs, their digestion causes the release of amino acids and antioxidant peptides, which raise their anti-oxidative capacity, while preserving the bioaccessibility of egg’s naturally occurring antioxidants, zeaxanthin, and lutein [
51,
52,
53]. That phenomenon may have aided in vitamin D
3 protection present in eggs during digestion.
Among the fortified foods, milk exhibited a notable reduction in vitamin D
3 content from the initial to gastric step. However, the decrease from the gastric to intestinal step was comparatively minimal and lacked statistical significance. This suggests that, like natural foods, the gastric step had a more pronounced impact on milk. Previous studies have shown low bioaccessibility of vitamin D
3 from milk [
54,
55]. Bioaccessibility of vitamin D
3 in milk has been found to vary in different types of milk (skim, partially defatted, whole and infant formula milk) [
54], indicating the possible role not only of fat content, but also the type of fats present in the matrix. The low bioaccessibility may also be attributed to the interference of calcium with vitamin D
3 absorption. Previous research in fortified plant-based milk has shown that calcium forms insoluble calcium soaps that trap the vitamin [
56]. Similar results were obtained for water-in-oil-in-water emulsions, where vitamin D
3 bioaccessibility was reduced in the presence of calcium [
57]. Furthermore, vitamin D
3 can bind to milk proteins, such as β-lactoglobulin and β-casein, in both acidic and alkaline conditions with different binding affinities [
58]. This may also have resulted in decreased bioaccessibility, as vitamin D
3 may not be able to be separated from the milk proteins during saponification and extraction.
Vitamin D
3 content in cereals decreased to the gastric stage compared to the initial content, while for the sour cherry juice a slight increase after the gastric stage was observed. After the intestinal stage, there was an increase in content compared to gastric content for both foods. A study on vitamin D
3 bioaccessibility from test meals showed that semolina meal had the highest bioaccessibility [
59], though not as high as in our study. The cereals used in this study contained whole wheat flour and corn semolina, which are high in antioxidants [
60],[
61]. A study on in vitro digestion of juice extracts found that the content of some phenolic acids and flavonoids increased either during the gastric stage or the intestinal stage, as well as for some monosaccharides and oligosaccharides, which was attributed to the increased release during digestion [
62]. The antioxidant capacity of these compounds during digestion was maintained at elevated levels. Antioxidants have been shown to protect vitamin D
3 against degradation [
40,
63]. The behavior of the vitamin during cereals and juice digestion can be attributed to the increased release of vitamin D
3 during digestion as well as the antioxidant capacity of phenolic acids and flavonoids present in cereals and juice, which may have acted as protective agents against vitamin D
3 degradation.
Regarding the effect of pH on vitamin D
3 liquid supplement, there were two main observations: in the gastric phase, the lower the pH, the higher the decrease in D
3. On the other hand, exposure to lower pH at the gastric phase led to higher content of vitamin D
3 in the intestinal phase, i.e. higher when the matrix was exposed to pH 1 and lower when exposed to pH 7. A study on vitamin D
3 stability in aqueous solution found that lower pH had a negative effect on its stability [
23]
. Stability and content of vitamin D
3 in GI tract may be affected by lipid oxidation, hydrolysis and enzyme action. Metal ions, present in the gastric chyme, can also destabilize vitamin D
3, as its degradation may be catalyzed by them [
23]. In this case, the matrix of the supplement consists of sunflower seed oil, which is not affected by pepsin present in the gastric phase, as pepsin is a proteolytic enzyme [
64]. The decreased content at low pH values can, also, be attributed to the faster primary oxidation of sunflower seed oil in lower pH values, as lipid oxidation can affect vitamin D
3 by promoting its degradation [
47,
48]. Intestinal content is affected more from gastric pH changes. Lower pH leads to greater lipid hydrolysis and release of free fatty acids, which are mixed micelles’ structural components [
20]. More free fatty acids can form more mixed micelles available to incorporate vitamin D
3 that may lead to better bioaccessibility. A study found that sunflower oil hydrophilicity increases as the pH decreases [
65]. Decreased hydrophobicity may affect mixed micelles formation regarding their size, shape and stability, which by extension can affect the vitamin’s bioaccessibility. The increased content of vitamin D
3 in intestine could also be attributed to the isomerization processes taking place during different pH values. Vitamin D
3 is isomerized to isotachysterol under acidic conditions [
44], as well as lumisterol and tachysterol [
34]. The isomerization to tachysterol and lumisterol can be reversed and pre-vitamin D
3 is formed [
66], which is then converted to vitamin D
3. The lower pH in gastric stage may have caused the vitamin’s isomerization (
Figure S5 - Supplementary file). As the gastric pH increases the isomerization processes can be of smaller magnitude. This phenomenon in combination with the lipid oxidation may explain the decrease in D
3 content in gastric phase, as well as the corresponding increase observed in the intestinal stage. However, it is important to exercise caution when interpreting these findings, as vitamin D
3 is prone to isomerization and degradation under diverse conditions. This makes its stability in food products potentially uncertain and its analysis challenging. Early studies suggest that factors like substrate/reactant ratio, solvents, and time can have varying impacts on the generation pathway of vitamin D isomers [
44].
This research highlighted that Vitamin D3 is more bioaccessible from foods than supplements, and its bioaccessibility is susceptible to changes in gastric pH. Even though exposure to low gastric pH values i.e. pH=1 led to lower detected vitamin D3 content, the corresponding intestinal content was significantly increased. The mechanism(s) behind this phenomenon should be further explored. It is crucial to comprehend the behavior and stability of vitamin D3 during digestion, as its effectiveness when consumed through foods or supplements relies on its bioaccessibility. Understanding how vitamin D3 interacts with other components in the digestive system and under GI conditions is essential for developing supplements and foods that optimize its stability and absorption.