B vitamins Flashcards

1
Q

What vitamin is the coenzyme for the decarboxylation of alpha keto acids (CAC and glycolysis) and for transketolase reactions (PPP). Making it essential for the conversion of carbohydrates to CO2 and energy and the normal functioning of the nervous system, skeletal muscles and heart. In order to perform its coenzyme functions.

A

B1 (Thiamin)

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2
Q

Needs in life cycle for B1?

A

There is a slight increase in need of Thiamin (B1) during each life cycle stage. Slight increase during pregnancy. Pregnancy and lactation needs stay the same.

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3
Q

What is needed for B1 absorption?

A

Magnesium

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4
Q

What can be more toxic with B1 deficiency?

A

Alpha-lipoic acid (ALA)

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5
Q

Food sources for B1?

A
Seeds
Nuts
wheat germ
rice bran
legumes
meats (such as liver and pork)
egg yolks
poultry
fish
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6
Q

What reduces B1 content?

A
Sunlight
sulfites and nitrates
cooking
thiaminase (an enzyme found in raw seafood)
tannins (found in tea and coffee)
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7
Q

What reduces the bioavailability of B1?

A

Reduced by concurrent consumption of ethanol, anti- thiamin factors, dietary fats and acidic beverages; exposure to radiation; and a number of medications.

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8
Q

B1 deficiency causes?

A

Chronic thiamin deficiency produces various forms of beriberi, with megaloblastic anemia, lactic acidosis, and branched-chain ketoaciduria; dry beriberi affects the nervous system, wet beriberi affects the heart and circulation. Chronic thiamin deficiency combined with alcoholism often produces the Korsakoff Syndrome of mental confusion, memory loss, delusions, and amnesia or Wernicke Disease (apathy, delusion, and delirium). These may appear concurrently as Wernicke-Korsakoff Syndrome (alcoholic dementia).

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9
Q

B1 drug-nutrient interactions?

A

alcohol, oral contraceptives, loop diurectics

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10
Q

What vitamin is required for the function of the electron transport chain and other reduction reactions, oxidation of amino acids and fatty acids, hydroxylation reactions of hepatic drug detoxification, condensation of acetate or pyruvate and coenzyme A to form acetyl CoA, and one-carbon transfers.

A

B2 the precursor for synthesis of flavin adenine dinucleotide (FAD)

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11
Q

Life cycle needs for B2?

A

There is a slight increase in need during each life cycle stage. Males 14 years of age or more need more than females 14 years of age or more. Slight increase during pregnancy. Lactation needs are slightly greater than pregnancy.

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12
Q

Nutrient partners for B2?

A
  • HCL and enzymes-frees B2 from protein
  • albumin, fibrinogen, and globulin-B2 is transported in the plasma via these.
  • Flavokinase and FAD synthetase
  • Aldosterone and thyroid hormone accelerate the conversion of riboflavin to coenzyme forms.
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13
Q

Nutrient Inhibitors for B2?

A

Calcium

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14
Q

B2 deficiency causes what issues to other nutrients?

A

-Alters iron metabolism
- can affect many enzyme systems such as:
• conversion of B6 to PLP
• Synthesis of NAD and NADP from trytophan
• The enzyme MTHFR (Methylene Tetrahydrofolate Reductase), which is required for maintaining folate coenzymes, and is needed for the conversion of methionine from homocysteine

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15
Q

What are higher levels of B2 associated with?

A

associated with decreased homocysteine (mainly

in those homozygous for C677T polymorphism and also in those with low folate intake)

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16
Q

Food sources for B2?

A
cheese
yogurt
eggs
meat
poultry
fish
beans
spinach
whole grains
nuts
currants
asparagus
broccoli
avocados
brussels sprouts
The riboflavin content of foods is reduced by cooking, Pasteurization, evaporation, irradiation, drying, storage in clear glass bottles, sunlight, and milling.
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17
Q

What reduces the bioavailability of B2?

A
  • reduced by cooking, Pasteurization, evaporation, irradiation, drying, storage in clear glass bottles, sunlight, and milling.
  • Antimalarial drugs interfere with riboflavin bioavailability.
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18
Q

Drug-nutrient interactions for B2?

A
•	alcohol inhibits absorption
•	Doxorubicin (Adriamycin)
•	Tricyclic antidepressants
•	Oral contraceptives 
•	Antipsychotic (chlorpromazine)
•	Anticonvulsants 
•	Antimalarial medication, Quinacrine and the chemotherapy agent, Doxorubin can
decreased the incorporation of riboflavin into FAD and FMN.
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19
Q

B2 deficiency

A

Signs and symptoms of riboflavin deficiency include:
• Sore throat
• Redness and swelling of the mucosa in the mouth and throat
• Cheilosis (cracks and sores on the outside of the lips
• Angular stomatitis (cracks, sores at the corners of the mouth)
• Glossitis (inflammation and redness of the tongue)
• Seborrheic dermatitis (moist, scaly skin rash/inflammation)
• blurred vision
• light sensitivity
• eczema on the face and genitalia.

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20
Q

What vitamin is required for required for the synthesis of high-energy phosphate compounds, carbohydrate metabolism (glycolysis and the hexose monophosphate shunt), DNA metabolism (pyrimidine and purine biosyntheis), fatty acid oxidation, lipolysis, lipogenesis, cholesterol metabolism, vitamin metabolism, thyroxine synthesis, steroid synthesis, and norepinephrine and epinephrine synthesis.

A

B3

The major role of NADH, formed from NAD, is to transfer its electrons from metabolic intermediates through the electron transport chain (Figure 3.25), thereby producing ATP.

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21
Q

Life cycle needs for B3?

A

There is a slight increase in need during each life cycle stage. Increase during pregnancy and lactation. Pregnancy has a slight increase amount compared to lactation.

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22
Q

Nutrient partners for B3?

A

B2 for Synthesis of NAD and NADP from trytophan

and then trytophan

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23
Q

Food sources for B3?

A
eggs
meat (especially liver)
fish
milk and cheese
potatoes
corn and corn products
broccoli
tomatoes
carrots
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24
Q

Deficiency for B3?

A
Pellagra:
Pellagra is known clinically by the ‘4Ds’:
•	Dermatitis
•	Dementia
•	Diarrhea
•	Death
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25
Q

Toxicity for B3?

A

Niacin is known to be safe at daily intakes up to 2 grams, although some individuals may experience facial flushing and mild discomfort at intakes greater than 500 mg.

Daily intakes greater than 1 gram inhibit VLDL production and may reduce serum total cholesterol concentration.

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26
Q

Drug-Nutrient Interactions for B3?

A

Sulfinpyrazone (for gout)- nicotinic acid may interfere with its therapeutic effects
5-Fluoracil – long-term treatment causes pellagra-like symptoms for which supplemental vitamin B3 may be needed.
Isoniazid is a niacin antagonist, so supplement away from each other.
Oral contraceptives with estrogen – decrease dietary need for niacin as they lead to increased niacin synthesis from tryptophan.
Aspirin- coadministration with nicotinic acid can decrease the incidence of skin flushing (but not niacin-induced itching or tingling).
Anticonvulsants – long-term use can lead to niacin deficiency, so supplement 100 mg twice daily (BID) to prevent deficiency. Niacin can inhibit the metabolism of some anticonvulsants (carbamazepine & primidone) which, in theory, could render these drugs more toxic.

27
Q

What vitamin plays a critical role in the utilization of fats and carbohydrates, in the oxidation/reduction reactions of energy production, in the manufacture of adrenal hormones and in the metabolism of red blood cells (following its conversion to coenzyme A).

A

B5

28
Q

Life cycle needs for B5?

A

There is a slight increase in need during each life cycle stage. Increase during pregnancy and lactation. Lactation has a slight increase amount compared to Pregnancy.

29
Q

What vitamin deficiency increases the requirement for B5 in the diet?

A

Copper deficiency

30
Q

Food Sources for B5?

A
yeast
whole grains
egg yolks
organ meats (liver, heart, kidney)
potatoes
peas
beans
saltwater fish.
31
Q

B5 deficiency?

A

fatigue, nausea, and “burning feet syndrome” (numbness and shooting pains in the feet).

32
Q

B5 toxicity?

A

There is no known upper safe limit of pantothenic acid intake (daily intakes of up to 10 g are safe). Large intakes may accelerate wound healing and reduce joint inflammation.

33
Q

Drug-Nutrient Interactions for B5?

A

Oral contraceptives

34
Q

What reduces the amount of B5 in foods?

A

exposure to light, storage of milk in cartons or glass bottles, heat, evaporation, pasteurization, canning, cooking, and milling.

35
Q

What vitamin is essential, after its conversion to (PLP), for protein and amino acid metabolism, neurotransmitter synthesis within the nervous system, immune system function, the synthesis of hormones, heme synthesis, the differentiation of red blood cells and the remethylation of tetrahydrofolate after conversion of (methyltetrahydrofolate + homocysteine) to (tetrahydrofolate + methionine).

A

B6

36
Q

What is required for absorption of B6?

A

Dephosphorylation is required for absorption. This is performed by a brush border enzyme, alkaline phosphatase, or other intestinal phosphatases, yielding PN, PL or PM. (Note that alkaline phosphatase is zinc-dependent.)

37
Q

Nutrient partners for B6?

A

alkaline phosphatase is zinc-dependent, Mg, B9, Iron

B6 helps:
L-Tryptophan
L-Tyrosine
Mg

38
Q

Nutrient inhibitors for B6?

A

B9, alcohol, excess leucine can impair the conversion of tryptophan to nicotinic acid

39
Q

Life cycle needs for B6?

A

There is a slight increase in need during each life cycle stage. Increase during pregnancy and lactation. Lactation has a slight increase amount compared to Pregnancy.

40
Q

Food sources for B6?

A
Brewer’s yeast
liver
eggs
fish
wheat germ
nuts
beans
avocados
bananas
carrots
peas
Chickpeas, fish(salmon), and chicken (light meat)
41
Q

What reduces the bioavailability of B6?

A

The bioavailability of vitamin B6 is reduced by food processing, large amounts of dietary
fiber, oral contraceptives, hydrazine dyes, drugs (isoniazid, hydralazine, dopamine,
penicillamine), and concurrent consumption of alcohol.

42
Q

B6 deficiency?

A

Chronic vitamin B6 deficiency produces dermatitis, anemia, irritability, fatigue, insomnia, nervousness, tingling in the hands and feet, convulsions, and brain wave abnormalities.

43
Q

B6 toxicity?

A

Vitamin B6 is relatively nontoxic. A few nervous system reactions have been reported with daily intakes of 2 to 6 grams. Large intakes have been used to enhance immune system function and may be useful for amelioration of the symptoms of premenstrual syndrome, carpal tunnel syndrome and asthma and for the prevention of kidney stones. Along with vitamin B12 and folate, vitamin B6 can reduce plasma homocysteine concentrations.

44
Q

Drug-Nutrient Interactions for B6?

A
  • Amitriptyline (for depression)
  • Anticonvulsants (epilepsy)
  • Chemotherapy
  • Oral Contraceptives
  • Cycloserine
  • Gentamicin
  • Hydralazine
45
Q

What vitamin is necessary for the metabolism of carbohydrates, fats, and protein?

A

B7

46
Q

Life cycle needs for B7?

A

Increase for each life cycle. More needs during lactation.

47
Q

What reduces the bioavailability of B7?

A

antibiotics and concurrent consumption of alcohol.

48
Q

What does raw eggs contain that inhibits the absorption of B7?

A

Avidin

49
Q

Food sources for B7

A
chicken
lamb
pork
beef
veal liver
brewers yeast
soybeans
milk
cheese
saltwater fish
whole wheat flour
and rice bran.
50
Q

B7 deficiency?

A

Chronic biotin deficiency produces dry scaly skin, nausea, anorexia, and, in adults, seborrhea; in infants under 6 months, seborrhea and alopecia.

51
Q

B7 toxicity?

A

There is no known upper safe limit of biotin intake (daily intakes up to at least 10 mg are safe). Large amounts of biotin may promote strong nails and healthy hair and may aid in the treatment of seborrhea and diabetes.

52
Q

What vitamin is required for one-carbon metabolism and the prevention of neural tube defects.
Megaloblastic anemia, Amino acid metabolism.

A

B9

53
Q

Nutrient partners for B9?

A
  • Zinc because the brush border carboxypeptidase cleaves the polyglutamate into monoglutamate. This needs to happen so that it’s absorbed.
  • Enhanced by gastric HCL
54
Q

Nutrient inhibitors for B9?

A
  • Alcohol inhibit folate absorption

* Inhibitors in foods such as legumes, lentils, cabbage, and oranges

55
Q

Food sources for B9?

A
yeast
liver
pork
chicken liver
alfalfa
green leafy spinach
56
Q

T or F? The bioavailability of folate is markedly increased when ingested as synthetic folic acid.

A

T

57
Q

B9 deficiency?

A

Chronic folate deficiency produces neural tube

defects (in utero) and megaloblastic anemia (in children and adults).

58
Q

B9 toxicity?

A

There is no known upper safe limit of folate intake (up to daily intakes of 15 milligrams). Large amounts of
folate may prevent cervical dysplasia, colorectal cancer and depression. Along with vitamins B6 and B12, folate can reduce plasma homocysteine concentrations.

Folate in dietary supplements or fortified foods is in the form of highly bioavailable folic acid.

59
Q

What reduces the bioavailability of B9?

A

The bioavailability of dietary folate is reduced by anticonvulsant drugs, Dilantin, barbituates, antimalarial drugs, chemotherapeutic agents (such as methotrexate and aminopterin), oral contraceptives, estrogens, and concurrent consumption of alcohol.

60
Q

What vitamin is vital for healthy blood formation and nervous system function because it is required for one-carbon methyl group transfers from methionine to methyl group acceptors, fatty acid oxidation, DNA synthesis, cell division and red blood cell differentiation.

A

Vitamin B12 (cobalamin)

61
Q

Inhibitors of B12?

A

Lack of Intrinsic Factor and/or HCL

Folate may increase B12 requirements and exacerbate neurological signs/symptoms of vitamin B 12 deficiency

62
Q

Food sources for B12?

A

meat, fish, eggs, cheese, milk, liver, and kidney.

63
Q

B12 deficiency?

A

Chronic vitamin B12 deficiency produces pernicious anemia, impaired nervous system function, confusion, depression, memory loss, impaired leg and finger coordination, psychosis, peripheral neuritis, moodiness, secondary folate deficiency and elevated urinary excretion of methylmalonic acid.

64
Q

B12 toxicity?

A

There is no known upper safe limit of vitamin B12 intake (up to daily intakes of 20 mg). Large amounts of vitamin B12 may be useful in the treatment of anemia, anxiety and depression; along with vitamin B6 and folate, vitamin B12 can reduce plasma homocysteine concentrations.