Exam 2 (Trace minerals [Fe, Zn, Cu, F]) Flashcards
What makes a mineral a trace mineral?
Require 1-100 mg/day
Trace minerals
Fe, Zn, Cu, F
Trace minerals
Fe, Zn, Cu, F
The majority of the Fe stored in the body is in ________
Hemoglobin (65%)
Iron from animal products that is part of a “globin”. Absrobed using a carrier protein
Heme iron
Protein that absorbs heme iron
Heme carrier protein 1
Iron from plants and supplements. Reduced in the small intestine and absorbed using a generic divalent mineral transporter
Nonheme iron
Vitamin required to absorb nonheme Fe
Vitamin C
What is sued to break down heme Fe in the body?
Pepsin in the stomach and proteases in the small intestine
T/F Heme Fe is absorbed by activated transport using the heme carrier ATPase pump
FALSE.
Heme Fe is absorbed by facilitated diffusion using the heme carrier protein 1 (hcp1)
After absorption into the enterocyte, what enzyme is used to release the Fe from the heme?
Heme oxygenase
T/F Heme Fe and nonheme Fe have the same charge
FALSE.
Heme Fe = +2
Nonheme Fe = +3
Enzyme in the small intestine used to turn Fe+3 into Fe+2 so the Fe can be absorbed
Ferrireductase
What vitamin does Ferrireductase require to absorb Fe in the small intestine?
Vitamin C
Why must Fe be bound to a protein at all times in the body?
Fe is highly reactive
If the body does not need the absorbed Fe right away, it will be bound by _______ in the _________
Ferritin
Enterocyte
If the Fe bound to ferritin is not used by the body in 2-3 days, what happens to it?
It is sloughed off with the lining of the small intestine
If the body needs the Fe bound to ferritin, how does the Fe get past the basolateral membrane? Does this have any change on the charge of the Fe?
Gets across basolateral membrane by the protein Terroportin.
Moving across the basolateral membrane changes the Fe from +2 to +3
What does Ferroportin require to get Fe across the basolateral membrane?
Copper
What picks up the Fe+3 after it is transported across the membrane by ferroportin? Where does the Fe go then?
Fe +3 is picked up by Transferrin and sent to the liver, spleen, and bone marrow
Two ways iron is stored in the body
1) Made into myoglobin and hemoglobin
OR
2) Bound to ferritin for storage in the liver, spleen, and bone marrow
When iron stores are low, ferritin levels are _____ while transferrin levels are ______
Ferritin = low Transferrin = high
We don’t want the Fe bound to ferritin, we want it absorbed and bound to transferrin so it can deliver to places all over the body that need it
When iron stores are high, ferritin levels are ______ while transferrin levels are ____
Ferritin = high Transferrin = low
Fe is very reactive, so it must be bound to a protein like ferritin until the body needs its. We don’t want to absorb the highly reactive Fe and send it around the body, so we keep it bound to ferritin until it sloughs off with the small intestine lining
When iron stores are high, ferritin levels are ______ while transferrin levels are ____
Ferritin = high Transferrin = low
Fe is very reactive, so it must be bound to a protein like ferritin until the body needs its. We don’t want to absorb the highly reactive Fe and send it around the body, so we keep it bound to ferritin until it sloughs off with the small intestine lining
When iron stores are high, ferritin levels are ______ while transferrin levels are ____
Ferritin = high Transferrin = low
Fe is very reactive, so it must be bound to a protein like ferritin until the body needs its. We don’t want to absorb the highly reactive Fe and send it around the body, so we keep it bound to ferritin until it sloughs off with the small intestine lining
Functions of Fe
1) Heme proteins (hemoglobin and myoglobin = transports and/or stores Oxygen)
2) Heme enzymes (cytochromes = ETS, cytochrome P-450 = Drug detoxification, and Catalase = hydrogen peroxide metabolism)
Fe can be found in Complex II of the ETS
FALSE.
Part of Complex III and IV (cytochrome c and a+a3)
Peroxide enzymes that require Fe
Catalase
Myeloperoxidase
Where are the peroxide enzymes found?
Peroxisomes of cell and white blood cells
T/F Fe is the only vitamin/mineral that is required more by women then men
True
RDA for Fe in men and women
Men = 8 mg/day Women = 18 mg/day
Sources of Fe
Seafood, lean meat, poultry, legumes, vegetables, black strap molasses, dried fruits, and whole grain or enriched breads
Most common nutritional deficiency in the U.S.
Iron deficiency
Symptoms of an iron deficiency
Pallor, fatigue, decreased cognition, short attention span, and depressed immune system
Iron supplementation can cause a _____ depletion. This is why we can’t take these two supplements at the same time
Zinc (or Copper)
Symptom of iron toxicity
Organ damage (iron deposition and creation of free radical = Fe+3, +OH, and -OH)
RQ: Which class of enzymes is required for digestion of heme iron prior to absorption?
Hydrolase
Proteases are hydrolases
RQ: Which carrier protein is synthesized in both the SI and the liver?
Ferritin
RQ: Which compound from chocolate can decrease iron absorption?
Oxalate
RQ: Which compound does not contain a heme? A) Heme Fe B) Catalase C) Myoglobin D) Cytochrome p450 2C17
B) Catalase
RQ: What patient is most likely to have an iron deficiency?
15 year old female gymnast
RQ: What patient is most likely to have an iron deficiency?
15 year old female gymnast
RQ: When a patient presents with an Fe deficiency, which blood protein is elevated?
Transferrin
RQ: Which mineral deficiency may lead to an iron deficiency?
Copper
Required by ferriportin to absorb iron
RQ: Severe Fe deficiency may lead to impaired activation of Vitamin ___
D
Need cytochrome P450 enzymes, which requires Fe
RQ: Severe Fe deficiency may lead to impaired activation of Vitamin ___
D
Need cytochrome P450 enzymes, which requires Fe
Functions of Zinc
1) Cofactor (>300 enzymes, especially matrix metalloproteinases (MMP’s))
2) Cell growth and replication (concentrated in the cell nucleus)
3) Bone formation (required for osteoblast activity)
4) Immune function (shortens duration of colds)
5) Insulin secretion
Zinc is used as a cofactor for the enzyme _______, which is used to quench free radicals found in the ______
Superoxide dismutase (SOD) Cytosol
Folate contains many glutamic acid residues which are removed by this zinc dependent enzyme in the brush border
Conjugase
T/F Zinc has not been shown to decrease the duration of a cold
FALSE. Zinc acetate (>75 mg/day) has been shown to decrease the duration of a cold by 42%
Sources of Zn
Seafood (#1)
Legumes
Meat
Dairy
Signs/Symptoms of a Zn deficiency
- Taste problems
- Alopecia
- Decreased growth
- Poor wound healing
- Dermatitis
- Delayed sexual maturation
- Impaired immune function (low NK cells)
Symptoms of Zn toxicity
- Metallic taste
- Headache
- Nausea
- Vomiting
- Copper deficiency
RQ: Zn is required for digestion of _______ and ________
Folate and Protein
RQ: Zn is required to release _____ from the liver
Vitamin A
RQ: Which compound decreases Zn absorption?
Iron
RQ: What is the best source of Zn?
Seafood
RQ: What is a clinical indicator of a Zn deficiency?
Diminished taste mechanism
Copper containing glycoprotein. An oxidative enzyme
Ceruloplasmin
Functions of Copper
Cofactor
1) Fe transport out of the enterocyte (ceruloplasmin)
2) Metabolism of superoxide, catecholamines, serotonin
3) Synthesis of ATP (cytochrome C) and peptide hormones (amine oxidases)
4) Cross linking of collagen (lysyl oxidase)
How does Fe+2 change to Fe+3 when it is brought out of the enterocyte?
Ceruloplasmin-Cu+2 oxidizes the Fe+2 to Fe+3 while ites crossing attached to ferroportin while making itself into Ceruloplasmin-Cu+1
T/F Cytochrome C contains 3 copper atoms per molecule
True
Sources of Cu
- Oysters
- Nuts and seeds
- Legumes
- Cocoa
- Dried fruits
- Meat
Sources of Cu
- Oysters
- Nuts and seeds
- Legumes
- Cocoa
- Dried fruits
- Meat
Symptoms of a Cu deficiency
- Anemia
- Depigmentation of skin and hair
- Bone demineralization
- Neutropenia (impaired immunity)
Symptoms of Cu toxicity
- Nausea
- Vomiting
- Gastric pain
- Jaundice
- Kidney damage (little to no urine output)
Genetic condition that causes an inability to excrete Cu (therefore Cu toxicity). What is the hallmark symptom of this condition?
Wilson’s disease
Kayser-Fleischer rings around the cornea
RQ: Which AOX enzyme required both Zn and Cu?
Cytosolic superoxide dismutase
RQ: Supplements of __________ decrease Cu absorption, while ________ supplements increase Cu excretion
Zn decreases Cu absorption
Molybdenum increase Cu secretion
RQ: Genetic disorder associated with an increase in Cu excretion leading to deficiency
Menkes syndrome
Functions of Fluoride
1) Prevention of dental caries
2) Bone health
F facilitates crystallization of __ and ___ as ______, which is more acid resistant than hydroxyapatite
Ca
P
Fluoroapatite
T/F Fluoride can decrease vertebral fracture risk by 70% and nonvertebral fracture risk by 50%
True
Sources of F
- Fluoridated water
- Fluoridated toothpaste
- Tea (depends on brew and type = black > green > white)
T/F Fluoridation has only decreased cavities by 15%
FALSE.
It has decreased cavities by >50%
F deficiency symptoms
- Dental caries
- Osteoporosis
Chronic symptoms of Fluorosis
Fluorosis = Fluoride toxicity
- Mottling of teeth
- Pitting of bones
Acute symptoms of Fluorosis
- Nausea
- Vomiting
- Diarrhea
- Heart arrhythmias
- Death