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56 Cards in this Set

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General description of vitamins


(Purpose/Structure/Function)

-Support nutritional health (small amts needed for proper body function)


-Organic, macronutrients


-Work as individual units (don't form polymers)


-Assist other enzymes (No E received from their catalysis)



1) What is one way that vitamins are categorized?


2) Why is this important?

1. Solubility.


-Water Soluble (B Vits & C Vits)


-Fat Soluble (Vits DEAK)


2. Solubility affects absorption, transport, excretion, and storage


-Water soluble: Move directly into blood, excess is peed out


-Fat soluble: Enter lymph, then blood (many require transport protein in blood). Require bile for digestion & absorption


Fat soluble is stored in liver and adipose tissue more than water sol., so water sol. must be eaten more regularly (Fat sol. will lead to more toxic outcomes b/c we already have a certain amt stored)

B1

Thiamine


Needs to be pyrophosphorylated to be functional (Funct. form=Thiamine pyrophosphate (TPP))



What are 4 types of rxns is Thiamine involved in?

-Carboxylase/decarboxylase rxns (most important)


-Transferase rxns


-Synthesis of acetylcholine and GABA (GABA binds to receptor stimulating IPSP, hyperpol)


-Important in conversion of pyruvate to acetyl-CoA

How can we become deficient in B1?



Malnourished, alcoholic (ethanol inhibits absorption and TPP formation), prolonged cooking destroys thiamine, thiamine leaches into H2O when boiling food


What 2 diseases are associated with Thiamine deficiency?

1.Wernicke-Korsakoff Syndrome shows up in alcoholics (Sxs: loss of appetite, depression, unsteadiness, memory loss, abnormal walk/stance)


2. Beriberi (2 forms)


-Dry: effects PNS (sensory, motor, reflex impairment)


-Wet: effects cardiovascular system


(one form is rarely seen w/out the other)

B2

Riboflavin
-Serves as a coenzyme in energy metabolism


-Flavin aspect of:


FMN (Flavin Mononucleotide)


FAD (Flavin adenine dinucleotide)

What type of rxns is Riboflavin involved in?

Redox rxns, 2 e-s transferred

What happens if there's a deficiency in B2?

-Oral, ocular, genital manifestations


(Angular chelitis (inflammed around mouth), photophobia (sensitivity to light), scrotal dermatitis)

What can destroy Riboflavin?

-Ultraviolet light and irradiation


(Ex. Milk in opaque containers)


-Not destroyed by cooking

B3

Niacin


-Found in 2 structural forms: Nicotinic acid and Nicotinamide (<-one normally found in blood)


Both forms can be converted into the other


-Niacin is used in metabolic rxns (redox rxns, transfer of 1e-)


Ex: NAD, NADP


-Niacin is made by consumption and by our body ONLY after protein synthesis needs are met, b/c it's made from tryptophan in the liver (B3 is needed from diet, bodily production is NOT enough)



1. What are the cofactors needed for our body to make niacin from tryptophan?


2. How is this related to Niacin deficiency?

1. Thiamine, Riboflavin, Iron, Vit B6


2. If you're deficient in any one of these, Niacin deficiency can occur IF you aren't getting B3 through diet or supplements

What happens if we don't have enough Niacin?


-Pellagra: (4Ds) Diarrhea, Dermatitis, Dementia, Death


-Hartnup's Disease: Defect in the kidneys and intestines - they can't absorb or reabsorb tryptophan


-Other sxs: nausea, Skin&mouth lesions, anemia, tiredness (B3 is involved in NAD, which is involved in E production)



B3 Toxicity

Niacin Flush


-Red rash


-Itchy tingly sensation


-W/prolonged B3 consumption, it can be painful




Toxicity caused by supplements that cause high levels of nicotinic acid

B5

Pantothenic Acid


-Part of Coenzyme A (CoA) chem. structure


-Very rare to have deficiency & toxicity

Which vitamin is directly effected by alcohol consumption?

B1 (Thiamine)

B6

Pyridoxine (3 forms - all can be phosphorylated)


-Pyridoxal (Functional one)


-Pyridoxine (Most common in diet)


-Pyridoxamine




Functional form: PLP (pyridoxal phosphate)



What types of rxns is Pyridoxine involved in?

-a.a. metab. (Transamination/deamination, transfer/removal of a.a. groups)


-Glycogen metabolism


-Conversion of tryptophan to niacin or serotonin


-Synthesis of heme, nucleic acids, & some lipids

How can [B6] be effected?/What can B6 deficiency cause?

-Dietary deficiency is rare


-B/c B6 is important for trans & deamination, if we consume a high protein diet, we'll need to take in more B6 (need more pyridoxine)


If you don't consume more B6, you experience depression, irritability, and confusion


-Alcohol & isoniazid (med for TB) effect ability to take up B6


-Low B6 can cause low B3

B6 toxicity

Only comes from supplementation, which can cause irreversible nerve degradation causing pain and numbness in extremities



B7

Biotin


Coenzyme that carries activated CO2



What rxns is Biotin involved in?

-Carboxylase & decarboxylase rxns


-TCA cycle/citric acid cycle


-Gluconeogenesis


-Fatty acid synthesis


-Participates in synthesis of isoleucine and valine

Biotin deficiency

-Very rare


-Can be induced. Eat 2 raw egg whites daily for several months. Egg whites have a protein that binds biotin


-Sterile intestinal tract can cause it (GI bacteria produce biotin)

B9

Folate/Folic Acid (2 active forms)


-Dihydrofolate (DHF) and tetrahydrofolate (THF)


-Transfers single carbon componenents during metabolism (Ex: methyl groups)



What rxns is folate involved in?

-Converting B12 to active coenzyme form


-Production of nucleotides


-Aids in cell division, specifically of fetus


-Important in RBC formation (b/c they require a lot of DNA)

What happens if not enough B9 around?

Since it usually prevents neural tube defects (Spina Bifida), folate supplementation should be taken 1 month before conception


-However ~50% of pregnancies are unplanned, so US gov fortified grain products w/folic acid


-Fortification did lower Spina Bifida occurrence, but can mask VitB12 deficiency (usually B12 helps activate folate)

B12

Colbalamin


-Usually B12 is w/in a protein. To get B12 out of protein to be absorbed/used, our stomach acid denatures protein


-In the small intestine, cells release intrinsic factor protein that binds B12. ONLY upon binding can our cells take up B12


-B12 is recycled; if we stopped eating meat today, we could last about 6 yrs before seeing a deficiency


-We store some B12 in liver (one of the only water soluble vits that is stored)

What rxns is B12 involved in?

-B12 & Folate depend on each other for activation (Unactive forms: B9 methyl., B12 unmethyl; so B9 can give a methyl to B12 and they both become activated) However, B9 can be activated through interaction w/other molecules, while B12 can ONLY be activated by folate. So, if you have a B9 deficiency, you'll have a B12 deficiency


-Regeneration of methionine


-Synthesis of fatty acids


-Synthesis of DNA & RNA

Why do vegans need supplementation for B12?

No B12 is made by plants. B12 can't be received from their diet b/c we only get it from animal sources whose bacteria in their digestive system made B12

Cobalamin deficiency

Pernicious anemia (type of megloblastic anemia/RBCs look huge); one cause is that B12 isn't there to help activate folate (needed for RBC production)



How can you get B12 deficiency?

-Inadequate absorption/lack of HCL or intrinsic factor


-Vegan diet


-Excessive alcohol intake (dec. GI absorp.)


-Tape worms


-Folate supplementation can mask B12 deficiency

If someone is B12 deficient because they can't produce intrinsic factor, would giving them B12 supplement help?

No, b/c they still can't bind B12 to allow it to absorb in small intestine

Vitamin C, what rxns is it involved with?

-#1 role: antioxidant (inhibits ox. of molecules) defends against ROS - reactive oxidation species


-Involved in redox rxns (protects against free rads by grabbing extra e- from them)


-Deactivates histamine



What happens if you have a VitC deficiency?

-ROS present at high levels


-Scurvy (could take 1-6 months to appear): Gum bleeding around teeth and capillaries under skin break easily


-Smokers require more VitC

Vitamin C

Ascorbic Acid


-Cofactor in collagen formation (matrix for bone and tooth formation)


-Cofactor in other rxns


Conversion of tryptophan to serotonin


Conversion of tyrosine to NE

Vitamin A

-Stored in the liver (1-2yrs worth)


-Precursor form = beta carotene (cutting beta carotene in half produces 2 VitAs, spec. Retinal)


-There are 3 forms: Retinol, Retinal, Retinoic Acid (together called the retinoids, each has a diff. bodily function)


Retinol: supports reproduction


Retinal: Vision


Retinoic acid: growth regulation





Vitamin A in animals/plants vs our body

We get VitA from animals in more stable form, retinyl esters. We store it as retinyl esters in our body also. Beta-carotine is the plant form.


Our body converts rentinyl esters to retinol and beta carotine to retinal. Retinol & retinal can be converted into one another. Retinal can convert into retinoic acid, can't go back.







Describe vitA in blood

-Needs a transport protein=retinol binding protein (RBP)


-Cell receptors for vitA take them from blood to cell as it circulates

Retinal

-Form of vitA


-Helps maintain a clear cornea/crystal clear window


-Helps with retina (photosenstive cells, made up of rhodopsin = opsin & retinal, when light hits rhodopsin, it goes from cis conf. to trans/linear form, this causes opsin to change shape and opsin interacts w/cell membrane, stimulates signal sent to brain to say we say light/have vision)

Retinoic Acid

-Form of VitA


-Binds to cytoplasmic retinoic acid receptor after entering cell, together they act as a transcription factor (can turn on genes-retinoic acid response elements)


-Important in making and producting skin and mucosal cells

Retinol

-Important in reproduction & growth, spec. sperm dvlmnt, normal fetal dvlmnt, growth of children (bone remodeling=VitA helps in dismantling)



Beta-caotene

-Precursor of VitA


-By itself, has antioxidant function, helps to protect from ROS

VitA deficiency

-More susceptible to infectious diseases (b/c its important in protein synthesis, antibodies)


-Night blindness (not enough retinal to retina, ppl don't quickly recover from bright flash)


-Blindness/xerophthalmia (lack of VitA to front of eye - opaque, cloudy cornea)

VitA Toxicity

-Only develops when our retinol binding protein is full, then the other VitA is free floating, which acts as an oxidant and damages cells


-Comes from supplements, foods high in VitA, fortified foods, pre-formed vitA from animal sources (already converted to retinal)


-Wknd bone (VitA promotes dismantling/VitA can interfere with VitD)


-Birth defects (cell death in spinal cord; ppl using actutane/Retin-A need to have preg. test before)


-Usually conversion of beta-carotene to VitA is insufficient for toxicity, but if we overconsume beta-carotene in supplements, it can go from antioxidant to pro-oxididant (it can produce O2 radicals). If we overconsume from food, we can have yellow skin (not harmful)


-Children are more vulnerable (they're small)



Vitamin D

-Non-essential nutrient


-Two things needed to start VitD production:


1. Sunlight starts process of turning 7-DHC in skin to pre-VitD


2. Add some OH groups ( 2 hydroxylation rxns), occurs in liver and kidneys



VitD toxicity

-No toxicity can come from too much sun b/c sunlight degrades VitD precursor w/prelonged exposure (will degrade pre-VitD)


-We only need 5-10 mins in summer sun 2-3 times/wk; what can effect time? Skin color, latitude, season, time of day

What does VitD do in our body?

-Works as a hormone


-If blood Ca2+ levels low>PTH activated>VitD activated>VitD goes stimulates (1)Kidney Ca reabsorption (2)Intestines: absorb Ca (3)Dismantles bone to release Ca


-If high blood Ca2+>activates calcitonin>blocks VitD>(1)Kidneys pee out Ca (2)Intestines don't need to absorb Ca (3)Bone reassembles - Ca added to bone

Causes of VitD deficiency

-Common, but hard to detect by visual obs.


-Contributing factors: dark skin, breast feeding w/out supplementation (giving vitD to baby), lack of sunlight, not using fortified milk (vitD helps Ca absorb)



What can vitD deficiency lead to?

-VitD deficiency causes a Ca2+ deficiency


-In children, Rickets: bones don't calcify normally (bones bend)


-In adults, Osteomalacia: soft, brittle bones (leads to osteoporosis)

VitD toxicity

-Most likely to have toxic effects, esp. in children


-Cause: Supplements


-Too much vitD, raises blood Ca conc. (leads to formation of kidney stones, hardened BVs, can cause death)

Which form of VitA are animal derived vitA precursors converted to?

Retinol

Vitamin E

-Part of cmpd group tocopherol


-There are 4 types, only alpha form is active in humans


-Acts as antioxidant, esp. for lipids-stops free radicals from producing more radicals, protects cells and their membranes, Helps w/heart disease-protects against LDL & reduces inflammation


-Liver regualates VitE concentration

VitE deficiency

- Primary deficiency is rare (from diet)


- Secondary deficiency can occur (Ex. can't absorb fat b/c of cystic fibrosis)


- RBCs can break open (erythrocyte hemolysis) b/c lipids in membrane are damaged


-Thrombocytosis due to cell lysis


-Edema - water flows to solutes released from cell lysis

VitE toxicity

-Comes from supplementation


-Extremely high doses can interfere with VitK which can lead to hemorrhages (VitK usually stops hemorrhages)

Vitamin K

-Helps with blood clotting (activates some clotting factors 2, 7, 9, 10, and thrombin). To activate, Glutamate residues of factors must be carboxylated (CO2 added). VitK helps w/addition


-Metab. of bone proteins, spec. osteocalcin, which helps with amt of Ca in bones (must have CO2 added to Glu to be functional)


If low in VitK, you'll have a low bone density b/c not enough Ca put into bones

VitK deficiency

-Primary deficiency is rare b/c GI bacteria make half of our daily amt


-Secondary deficiency possible


1. Ex. fat absorption prob. - can't make bile


2. Ex. Some drugs disrupt VitK synthesis & action A) antibiotics (can destroy bacteria making VitK) B) anticoagulants (Warfarin example: warfarin blocks VKORC1-VitK epoxide reductase- so that it can't turn ox. VitK to reduced form = less available vitK/VitK can't be recycled)