Exam -Thiamine Flashcards

1
Q

supplement label for thiamine

A

converts carbs, proteins, fats to energy

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2
Q

where is thiamine found

A

many foods including meats, whole fortified or enriched grain products

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3
Q

what destroys thiamine

A

heat
alkaline environment

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4
Q

how does thiamine exist in plants

A

free form

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5
Q

how does thiamine exist in animals

A

phosphorylated form - active form (TPP)

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6
Q

what must occur to TPP to be absorbed

A

phosphate group must be removed

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7
Q

where does absorption occur

A

small intestine

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8
Q

what is absorption controlled by

A

thiamine transporters

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9
Q

how is TPP found in plasma

A

free form or bound to albumin

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10
Q

what is TPP

A

thiamine pyrophosphate

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11
Q

TPP production

A

thiamine undegoes enzyme reaction catalyzed by thiamine diphosphokinase to become TPP

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12
Q

what is thiamine an important cofactor for

A

many enzymes:
pyruvate dehydrogenase
alpha-ketoglutarate dehydrogenase

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13
Q

what are the 2 key oxidative decarboxylation steps that TPP is important in

A
  1. pyruvate dehydrogenase complex
  2. alpha-ketoglutarate dehydrogenase complex
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14
Q

what do pyruvate dehydrogenase and alpha-ketoglutarate dehydrogenase require as cofactors

A

TPP
FAD
NAD
CoA

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15
Q

what phase of the hexose monophosphate shunt is thiamine required for

A

the non-oxidative phase

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16
Q

what do thiamine deficiencies interfere with

A

critical energy metabolism pathways - ultimately prevents ATP production and acetyl-CoA synthesis
accumulation of pyruvate, lactate and alpha-ketoglutarate in the blood

17
Q

dry beriberi

A

in adults due to chronic low thiamine intake - muscle weakness and affects nervous system

18
Q

wet beriberi

A

in children and young adults - more serious than dry and affects cardiovascular system

19
Q

acute beriberi

A

in infants
anorexia, vomiting, lactic acidosis, death

20
Q

who is susceptible to thiamine deficiency

A

chronic alcoholism
people who depend on polished white rice as major food source

21
Q

does thiamine have an upper limit

A

no