β-carotene hydroxylases and β-carotene ketolases target the ionone rings for additional modifications, which in marine bacteria and microalgae result in astaxanthin synthesis (Fig. 1).
[1] Leo MA, Lieber CS. Alcohol, vitamin A, and beta-carotene: adverse interactions, including hepatotoxicity and carcinogenicity. Am J Clin Nutr. 1999 Jun;69(6):1071-85. [2] Maria Anna Leo Cho‐Il Kim ...
Adverse health outcomes of VAD include increased mortality, night blindness, corneal scars, blindness and measles among children, as well as night blindness among pregnant and lactating women.