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Clinical Guide to Fish Medicine


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D functions in calcium homeostasis and is important for the development of skeletal tissues and cellular differentiation (NRC 2011). Vitamin D can be sourced from plants (ergocalciferol or vitamin D2) and animals (cholecalciferol or vitamin D3). Of these, D3 is significantly more effective than D2. Larval requirements for vitamin D seem to be significantly higher than those of juvenile fish. Toxicity can result in vertebral deformities, so further research is warranted before recommendations of high intakes for larval fish are made (Hamre et al. 2013).

      Within the family of vitamin E molecules, α‐tocopherol is the most biologically active form of the tocopherols and tocotrienols. These serve as antioxidants, stabilize membranes, affect eicosanoid signaling and cellular proliferation, and modulate immune responses. Efficacy of vitamin E as an antioxidant is dependent on levels of other antioxidants such as vitamin C and selenium‐based glutathione systems. When the latter are low, vitamin E can become a pro‐oxidant (Hamre 2011). As an antioxidant, vitamin E protects PUFAs at an approximate ratio of 1 molecule vitamin E:1000 molecules PUFA, with higher levels of unsaturation requiring more protection (Schwarz et al. 1988; Hamre 2011). This is why nutrient requirements for vitamin E are often described in relation to the PUFA content of the diet. This is particularly critical for fish, where diets are often rich in PUFA. Vitamin E requirements in most experiments are determined based on maximal growth rates. When other parameters are used (e.g. red blood cell fragility, immune responses), higher requirements are predicted. For example, Malabar grouper (Epinephelus malabaricus) required 60–100 mg D,L‐α‐tocopheryl acetate/kg diet for growth and up to 800 mg/kg for better nonspecific immune parameters (Lin and Shiau 2005). Requirements may increase further during disease (Durve and Lovell 1982). Commercially prepared larval fish feeds may require higher vitamin E due to the large surface area, higher risk of lipid oxidation, and high level of omega‐3 PUFAs, particularly for marine fish (Hamre 2011). Very high levels of dietary vitamin E (5000–10 000 IU/kg) have been shown to promote oxidation and damage erythrocytes (NRC 2011).

      Little work has been conducted on vitamin K in fish. Existing research has been inconsistent in showing a dietary requirement or GI microbial synthesis of vitamin K in fish (NRC 2011).

      Work on B vitamins in fish is limited. Thiamine (B1) is of concern for any fish‐eating species, as thiaminases in fish tissues are activated upon death and rapidly destroy available thiamine. Thiaminase activity is particularly high in clupeids such as alewives (Alosa pseudoharengus) and capelin (Mallotus villosus), and cyprinids such as feeder goldfish (Carassius auratus). Any frozen/thawed fish should be supplemented with thiamine (Fitzsimons et al. 2005). Thiaminase activity has also been demonstrated in insects, blue‐green algae (Microcystis aeruginosa) and bacteria (Honeyfield et al. 2002). Pyridoxine (B6) may be needed in the diet during larval development, as levels in the yolk sac are depleted rapidly (Hamre et al. 2013; Saha et al. 2016).

      Choline, a vitamin‐like nutrient, is an important component of phospholipids and a precursor of the neurotransmitter acetylcholine. Most fish cannot synthesize sufficient choline and it is a common supplement in cultured fish diets, usually as choline chloride (Wilson and Poe 1988). Additionally, choline may reduce excessive lipid accumulation and the development of fatty liver, although studies have produced mixed results (Halver 2002). Some species have shown a negative correlation between dietary choline and liver lipid levels (channel catfish Ictalurus punctatus, hybrid striped bass Morone saxatilis x M. chrysops, barred knifejaw Oplegnathus fasciatus), while others have shown a positive correlation (hybrid tilapia) or no correlation (rainbow trout, yellow perch Perca flavescens, Siberian sturgeon Acipenser baerii) (Wilson and Poe 1988; Rumsey 1991; Griffin et al. 1994; Shiau and Lo 2000; Twibell and Brown 2000; Yazdani‐Sadati et al. 2014; Khosravi et al. 2015). Further studies are needed to understand the potential benefits of supplementing dietary choline.

      Minerals

      Minerals in the diet are often subdivided into:

       Macrominerals (calcium [Ca], phosphorus [P], sodium [Na], potassium [K], magnesium [Mg]).

       Trace minerals or microminerals (copper [Cu], zinc [Zn], iron [Fe], manganese [Mn], selenium [Se]).

       Ultra‐trace minerals (iodine [I], cobalt [Co], chromium [Cr], molybdenum [Mo]).

      Phosphorus is likely the most discussed mineral in fish as dietary sources are required, and because of the variability in bioavailability and the environmental impact of excreted phosphorus. Phosphorus may be present in the diet from plant, animal, or chemical sources. Plant‐based forms are often complexed with phytic acid (e.g. phytate‐P) which generally has very low bioavailability to fish. A notable exception is Nile tilapia which can digest some phytate‐P (Kumar et al. 2012). Undigested phytate‐P can form complexes with other nutrients (e.g. Zn), reducing their bioavailability, and can contribute to algal blooms when excreted. Efforts to improve phytate‐P digestibility have been a focus of extensive research in fish nutrition. Exogenous phytase enzymes may be provided in the diet to improve phytate‐P digestibility, although efficacy varies. For example, agastric species such as the common carp (Cyprinus carpio) have a higher GI pH and most phytase enzymes have little effect unless dietary acidifiers or neutral pH‐active phytase enzymes are used (Kumar et al. 2012; Lemos and Tacon 2016).