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30 Cards in this Set

  • Front
  • Back
Vitamin A
deficiency
night blindness (rhodopsin),
xerophthalmia,

bitots spots,
growth & mental retardation,
impairment of immune system,


hyperkeratosis

Vitamin A
functions
forms rhodopsin -> vision,
epithelial differentiation,
bone growth,
spermatogenesis,
blocking fetal resorption
Vitamin C
functions
coenzyme for hydroxylation, esp. during collagen synthesis
antioxidant
Vitamin C
deficiency
scurvy (dec. collagen):
sore, spongy gums,
loose teeth,
fragile blood vessels + anemia,
swollen joints
Vitamin D
functions
promotes bone mineralization:
+ GI uptake of Ca
+ renal reabsorption of Ca
+ Ca mobilization from bone



gene expression

Vitamin D
deficiency
rickets - children
osteomalacia - adults
Vitamin D deficiency causes
impaired availibility



impaired hydroxylation in liver




impaired kidney production of 1,25(OH)2D3

Vitamin D people at risk of def.

Breast fed infants




dark skin




elderly




covering of exposed skin




fat malabsorption syndromes




IBD

Vitamin E
functions

α-tocopherol



antioxidant

-protects PUFA from per-oxidation


-decrease oxidation of LDL




affects cholesterol metabolism

Vitamin E
deficiency

Causes:Malnutrition


fat metabolism disorders

α-TPP defect


RBC fragility -> hemolytic anemia
(rare)

muscle pain

Vitamin K
functions
blood clotting factors
(via Glu carboxylation)



carboxylation of the bone protein osteocalcin

Vitamin K
deficiency
hemorrhage disease in newborn

easy bruising



long term AB use




High doses of Vit A and E

biotin functions (B7)
cofactor for carboxylations:
pyruvate -> oxaloacetate
acetyl-CoA -> malonyl-CoA
biotin(B7)
deficiency
dermatitis, enteritis

depression


numbness and tingling
(rare, 20+ egg whites)

thiamine (B₁)
functions

Precursor of thiamine pyrophosphate (TPP)

cofactor for:
pyruvate -> acetyl CoA
α-ketoglutarate -> succinyl CoA
ribose 5-P -> glyceraldehyde 3-P
thiamine (B₁)
deficiency
Beriberi (polished rice):
Infants - tachycardia, vomiting, convulsions
Adults (dry) - neuropathy, mental Δ
Adults (wet) - same + cardiomyopathy/CHF/edema

Wernicke-Korsakoff (EtOH): apathy, dec. memory, rhythmic eye movements
riboflavin (B₂)
functions
FAD, FMN cofactors
riboflavin (B₂)
deficiency
angular stomatitis,
ariboflavinosis

inflamination of lips, cracking of the corner of mouth


dry scaly skin
corneal vascularization

niacin (B₃)
functions
NAD, NADP cofactors

can be derived from tryptophan + B₆
niacin (B₃)
deficiency
slows metabolism

pellagra: diarrhea, dermatitis,
dementia, death

pantethenate (B₅)
functions
component of CoA (acetylation)

component of acyl carrier protein


metabolism of carbohydrate via tca cycle

pantethenate (B₅)


deficiency

numbness


tingling of hands and feet


vomiting and fatigue

pyridoxine (B₆)
functions
cofactor for transamination
cofactor of glycogen phosphorylase
pyridoxine (B₆)
deficiency
glossitis, convulsions, mental Δ, periph. neuropathy

primary cause: isoniazid (TB)

common in alcoholics

cobalamin (B₁₂)
functions
synthesis of methionine
synthesis of succinyl CoA
cobalamin (B₁₂)
absorption
requires intrinsic factor,
absorbed in terminal ileum,
stored in liver

Schilling test detects deficiency
cobalamin (B₁₂)
deficiency
megaloblastic anemia,
CNS symptoms

skin hypersensitivity

causes: pernicious anemia (dec. IF),
poor absorption (sprue, enteritis),
absent ileum (Crohn's),
severe vegetarian diet

folic acid (B9)


functions

Coenzyme in single carbon transfer reactions


synthesis of SAM


synthesis of AA

folic acid (B9)


deficiency

megaloblastic anaemia


plasma homocysteine increase


neutrophils become hypersegmented


In preggers: low birth weight, neutral tube defects

Recommendation of folic acid for 1 month preconception and 1st trimester

400mcg/day