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62 Cards in this Set
- Front
- Back
Cofactor for: pyruvate dehydrogenase (decarboxylation) & in PPP, a-ketoglutarate dehydrogenase
Maintains neural membrane & nerve conduction |
Thiamine (Vitamin B1)
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Polyneuropathy "dry beriberi", dilated cardiomyopathy "wet beriberi", Wernicke-Korsakoff syndrome
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Thiamine (Vitamin B1)
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What is the active form of Riboflavin (Vitamin B2)?
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Flavin mononucl (FMN), flavin adenine dinucleotide (FAD); cofactor in oxidation and reduction
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What is the active form of Pantothenic Acid (Vitamin B5)?
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Coenzyme A
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What is the function of Coenzyme A?
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Carbohydrate and fat metabolism
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Deficient in Alcoholics
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Thiamine (B1), Riboflavin (B2), Niacin (B3), Pyridoxine (B6), Folic Acid (B9)
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Deficiency in Riboflavin (Vitamin B2) causes?
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Cheilosis (inflammation of lips, scaling and fissures at the corners of the mouth), angular stomatitis, glossitis, dermatitis, corneal cascularization
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Dry beriberi
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Vitamin B1 deficiency; polyneuritis, symmetrical muscle wasting
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Wet Beriberi
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Vitamin B1 deficiency; High output cardiac failure (DCM), edema
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Wernicke-Korsakoff
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Confusion, opthalmoplegia, ataxia
confabulation, personality change, memory loss Damage to medial dorsal nucleus of thalamus, mammillary bodies |
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Function of Naicin (Vitamin B3)
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"*NADH: generated during degrad of carbs, fats, AA's, and nucleic acids. Electron carrier from TCA cycle to ETC
*NADPH: generated by G-6-P dehydrogenase in PP shunt. Used in synth rxns for carbs, fats, AA, nucl acids" |
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Pellagra-three D's: diarrhea, dermatitis, dementia
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Vitamin B3 (Niacin deficiency); also can cause glossitis
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Toxicity of Niacin (B3)
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Facial Flushing (d/t pharm treatment of hyperlipidemia), gastric irritation, rashes
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Coenzyme involved in: 1.) AA degrad/conver to other important molecules, 2.) Glycogen degradation, 3.) Porphyrin synthesis
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Vitamin B6 Pyridoxine
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Deficiency of Vitamin B6 pyridoxine d/t
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Alcoholics
Kidney Disease Isoniazid tx for TB |
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Vitamin B6 (pyridoxine) deficiency leads to?
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Cheilosis, angular stomatitis, glossitis, dermatitis, peripheral neuropathy, microcytic hypochromic anemia, confusion and irritability
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Carboxylase cofactor (pyruvate carboxylase, acetyl CoA carboxylase)
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Biotin (B7)
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Raw Egg Whites
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Leads to Biotin (B7) deficiency
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Deficiency in B7 (niacin) deficiency leads to...
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"Infants -> poor growth, neuro disorders
Infants & adults -> dermatitis, hair loss (alopecia)" |
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Function of Folate (B9)
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Carrier of one carbon units for: 1.) purine synth, 2.) dTMP synth, 3.) conver of homocysteine to methionine for S-adenosylmethionine synthesis
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Methotrexate
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Causes folate deficiency-->megaloblastic anemia, leukopenia, fetal neural tube defects, glossitis
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What B vitamin has none in plants?
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Vitamin B12 (Cobalamin)
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What B Vitamin Need Intrinsic factor to be absorbed in the illeum?
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Cobalamin (Vitamin B12)
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What two reactions does Vit B12 help complete?
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methionine synthase, methylmalonyl-CoA mutase; myelination
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What are the causes of Vit B12 deficiency?
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Impaired absorption (IF deficency, Ileal resection), incr requirment, decr intake, tapeworm (Diphyllobothrium latum)
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Deficiency in VitB12 causes
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megaloblastic anemai, neural tube defects, neural degeneration (dorsal and lateral tract demyelination, parasthesias, spastic paraparesis, sensory ataxia)
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Antioxidant, cofacter (enzymes reducing metal ions-facilitates iron absorption), post-translational mod of proteins (collagen), synth. of neurotransmitters / hormones
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Vitamin C (ascorbic acid)
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Deficiency in Vit C causes?
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Scurvy: Easy bruising, corkscrew hair, petechial hemorrhages; If on a high Vit C diet, you need to reduce the dosage slowly
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Antioxidant (savanges free radicals). Distribution is via chylomicrons
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Vitamin E (Tocopherol)
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Vitamin E deficiency and treatment?
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irritability, edema, hemolytic anemia (fragility of erythrocytes)
Treatment for Alzheimer's Disease |
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Vitamin K (Phylloquinones)
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"Post-translational modification - gamma-carboxylation of glutamic acid necessary for Coag factors 2, 7, 9, 10, Proteins S and C
Distribution is via chylomicrons" |
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Causes in Vit K deficiency
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Rare, except w/ Warfarin tx, malabsorpt syndr, broad spect Abx, lack of gut flora (neonates), Chr liver dis
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impaired vision, squamous metaplasia, renal/urinary calculi, predispostion to pulmonary infections, diarrhea
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Vit A deficiency
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Function of Vitamin A
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Antioxidant; constituent of visual pigments; essential for normal differentiation of epithelial cells
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Vitamin D function
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"Controls expression of vit D responsive genes, maintain Ca & Phosphate levels, etc.
Distribution is via chylomicrons" |
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Vitamin D deficiency leads to?
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Rickets-> bowed legs, frontal bossing, pigeon breast
Osteomal -> soft, painful, bendable, bones. Osteoporsis, dowager's hump |
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Iron function
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Part of heme (Hb & myoglobin), Fe+sulfur complex req by aconitase (TCA cycle), enzyme co-factor
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Iron deficiency leads to
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Iron def anemia, impaired cognition & work capacity, immune def
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Toxicity of Iron leads to
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Hemachromatosis, abnormal deposition (liver, pancreas, heart, skin)
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Where is Zinc absorbed?
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Jejunum
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Component of enzymes involved in metabolism, gene expression, spermatogenesis, skin maintenance & wound healing
What vitamin/mineral |
Zinc
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rash, anorexia, diarrhea, growth retardation, depressed wound healing and immune response, decreased adult hair
What vitamin? |
Zinc
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Causes of zine deficiency?
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Diabetes, renal dz, malabsorption, IV feeding, burn patients
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Iodine deficiency leads to?
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goiter (also can be d/t toxicity), cretinism (dwarfism, mental retardation, bone deformation), myxedema (adults w/ dry skin, swelling around nose and lips)
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Oxidation rxns incl ETC (cyto C oxidase, tyrosinase), neurotransmitter regulation, antioxidants, collagen crosslink enzymes, devo of vascular & skeletal structures & CNS
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Copper function
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microcytic hypochromic anemia, muscle weakness, neurological defects, neutropenia
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Copper deficiency
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Toxicity of Cu
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Wilson's disease
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What minerals are absorbed in the stomach?
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Iodine, Fluoride, and Copper (copper also in the duodenum)
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Toxicity of fluoride leads to?
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Mottle tooth enamel
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Deficiency in fluoride leads to?
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Cavities
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"Component of glutathione peroxidase
Antioxidant w/ vit E Regulates thyroid horm action" |
Selenium
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Deficiency in Selenium causes?
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Myopathy, cardiomyopathy
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Toxicity of selenium?
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hair and nail damage/loss; tooth decay, neuropathy
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What are the energy releasing vitamins
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B1, B2, B3, B5, B7
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What vitamin is involved in amino acid metabolism
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B6 (pyridoxine)
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Biotin is absorbed?
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in the large intestine
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Vit B12 is absorbed
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in the illeum
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Vitamins involved in Post-translational modification
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Vitamin C and Vitamin K
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Fat soluble vitamins
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D, E, A, K
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Vitamin K is absorbed
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in the large intestine, duodenum, jejunum
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Vit D is absorbed in
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duodenum, jejunum, ileum
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Where is Vit A stored?
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Liver stellate (Ito) cells; retinyl esters
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