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32 Cards in this Set

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Absorption of Water Soluble Vitamins vs Fat Soluble Vitamins

directly in the blood vs. into the lymph then the blood



Transport of Water Sol vs Fat Sol Vitamins

travel freely vs many require protein carriers

In the cells associated with fat

Storage of Fat Sol Vitamins

circulate freely in water-filled parts of the body

Storage of Water Sol Vitamins

kidneys detect then remove excess in urine

excretion of water soluble vitamins

less readily excreted, tend to remain in fat storage sites, some fecal excretion

excretion of fat soluble vitamins

possible to reach toxic levels when consumed from supplements/needed in frequent doses (1-3 days)

toxicity of WSV/frequency requirements

likely to reach toxic levels when consumed from supplements/needed in periodic doses (weeks or months)

toxicity of FSV/frequency requirements

retinoids

Vit A form that come from animal products


include: retinol, retinal, retinoic acid, retinyl ester

main form of Vit A in foods

retinyl palmitate (retinyl ester)

carotenoids

plant form of Vit A (precursor)/can be cleaved centrally to form two molecules of retinal or eccentrically to form different metabolites

lycopene, alpha carotene, beta carotene, lutein

various plant carotenoids

retinal dehydrogenase

enzyme responsible for converting retinal to the active form of Vit A (retinoic acid)

retinol dehydrogenase

converts retinol to retinal

retinal reductase

converts retinal to retinol

retinyl ester hydrolase

converts retinyl ester (storage form of Vit A) to retinol

LRAT

lecithin retinol acyl transferase; catalyze the formation of the storage form of Vit A (retinol -> retinyl ester)

Main Functions of Vitamin A

Plays a role in the vision cycle


maintenance of epithelial and mucosal cells


immunity


bone and tooth development


cell differentiation


reproduction/pattern forming in embryogenesis



Vitamin A and alcohol use

EtOH competitively inhibits Vit A oxidation to retinoic acid, enhances CYP450 enzymes that catabolize Vit A, alters retinoid homeostasis by increasing Vit A mobilization from liver to extrahepatic tissues

Vitamin A Deficiency

hypovitaminosis A

Symptoms of Vitamin A deficiency

night blindness, total blindness, corneal drying, hardened epithelial cells on the eye, softening of the cornea, corneal degeneration and blindness

Vitamin A Toxicity

hypervitaminosis A


large intake of Vit A over a long period of time (eskimos); Vit A analog medications (Accutane, Retin-A)

Symptoms of Vitamin A Toxicity

hair loss, bone and muscle pain, headache, visual impairment, liver damage (most significant and possible permanent); can be teratogenic (spontaneous abortion or birth defects)

Energy Releasing B Vitamins

Thiamin (B1), Riboflavin (B2), Niacin (B3), pantothenic acid, biotin, pyridoxine (B6)

Hematopoietic B Vitamins

Folate, cyanocobalamin (B12), pyridoxine (B6), panthothenic acid

B vitamin stored in the liver

cyanocobalamin (B12)

Vitamin B6

functions in protein and nitrogen metabolism (decarboxylation and transamination rxns); CHO and lipid metabolism, neurotransmitter and heme synthesis, conversion of Trp to Niacin, xtural rearrangement of aa's (racemase)


usually Schiff base reactions

Best sources of B6

fortified cereals, broccoli, tomato juice, banana, watermelon

B6 absorption

must be dephosphorylated to be absorbed


absorption occurs via passive diffusion (unique)


travels to liver where it is converted to PLP by FMN dependent oxidase (rephosphorylated)

B6 Assessments

static: blood test, serum PLP


indirect: measure xanthurenic acid in the urine following Trp load


fxnal: measure RBC transaminase activity before and after addition of B6

microcytic hypochromic anemia

disease caused by B6 deficiency, rate limiting step in heme synthesis is B6 dependent


lack of heme = inability to transport O2

Deficiency and Toxicity of B6

elderly = at risk group, alcoholism


toxicity Sx=neuropathies (UL=100mg/d)