“…Due to the limited knowledge in the area of carotenoid metabolites, functioning as ligands of nuclear hormone ligands and further signalling, it should be discussed whether more ligands and more nuclear hormone mediated signalling is purely seen as beneficial or might also be seen as detrimental for human health. RAR-mediated signalling is responsible for a large variety of physiologically mediated pathways, ranging from central physiological pathways such as the induction of differentiation (352,353) , apoptosis (354,355) , cell cycle control (356)(357)(358) , lipid homeostasis (187,359,360) and proliferation (352,361) , which are of high importance for processes of embryonic development (362,363) , reproduction (364,365) , epidermal homeostasis and regeneration (366,367) , immune responses (368,369) and maintenance of bone, brain, nervous and cardiovascular functions (370)(371)(372) . Too low or too high levels of endogenous ATRA (373) , due to a dysfunctional or stressed retinoid homeostasis, while hard to define what the upper and lower threshold levels are, were seen to be risk factors for various previously mentioned physiological functions and are associated with further disease development, where retinoid signalling is dysfunctional.…”