First Half Flashcards

1
Q

What is an alternative name for cobalamine and what are it’s deficiency symptoms

A

Vitamin B12; megaloblastic anemia, nerve degeneration, fatigue, increased homocysteine leading to increased risk of CVD

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2
Q

What is molecule is vitamin D3 synthesized from and what disease could be potentially reversed using vitamin D3?

A

Cholecalciferol (needs to be converted to calcitriol to be active); can be used to treat rickets

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3
Q

What kind of antioxidants are tocopherol and carotenoids?

A

They are fat soluble antioxidants. (membranes and lipoproteins)

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4
Q

What structure is Niacin (vitamin B3) a part of?

A

It can be found in NAD(P)+/NAD(P)H

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5
Q

What are the deficiency symptoms of Niacin? Do they appear immediately?

A

Pellagra; Widespread damage to body and appears as dementia, delirium, diarrhea, dermatitis and death.
No, they appear about 2 months after the deficiency starts

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6
Q

T/F

Pyridoxal is the active form of vitamin B6

A

F, PLP (phosphorlyated pyridoxal) is the active form.

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7
Q

Vitamin B6 deficiency can lead to convulsions in both infants and adults; name some additional symptoms that appear in adults.

A

anemia and dermatitis.

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8
Q

T/F Vitamin B6 has no upper limit.

A

F, Vitamin B6 has an upper limit with toxicity symptoms of irreversible nerve damage

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9
Q

Riboflavin(B2) is used to make _________, by adding ________. This substrate is involved in what processes?

A

FAD
ADP
Involved in redox reactions including theTCA cycle, FA oxidation, dehydrogenation

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10
Q

T/F Nicotinamide is derived from the vitamin Niacin.

A

F, Tryptophan is a source for nicotinamide.

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11
Q

What is the active form of Thiamine and what is its reactive group?

A

TPP (Thiamine pyrophosphate); The thiazole ring is the reactive group.

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12
Q

What is TPP involved in?

A

Decarboxylation reactions

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13
Q

What is the biomarker for vitamin B1?

A

Transketolase activity - Transketolase depends on TPP as a cofactor so its activity is a good indicator of whether there were sufficient levels of TPP

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14
Q

What are the deficiency symptoms of vitamin B1 and how does alcohol impact this?

A

after 1-2 weeks, leads to beriberi: Victim is very weak, poorly coordinated, thin, apathetic, loss of short-term memory. Alcohol consumption inhibits absorption and increases excretion of B1 increasing chance of deficiency

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15
Q

What are some hormones that can be targeted by diet medicine and how do they work?

A

Norepinephrine and seratonin. Block norepinephrine reuptake and induce seratonin responses leading to a feeling of satiety (appetite suppression)

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16
Q

T/F The multistep conversion of D3 to its active form occurs in the skin then liver then kidneys

A

T, Provitamin D to D3(cholecalciferol) in skin using UV, to hydroxy-D3 (calcidiol) in the liver, to dihydroxy-D3 (calcitriol) in the kidneys.

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17
Q

What are the ideal conditions for the conversion of Vit D to D3 using UV?

A

Young, fair skin people in low smog areas.

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18
Q

Is calcidiol or calcitriol more stable?

A

calcidiol remains stable for weeks compared to the 12-24 hours of calcitriol.

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19
Q

Which proteins are involved in iron transport and in what order are they used?

A

Ferritin binds iron
Ferroportin transports the iron out of the absorptive cells
Transferrin is the transport protein found in blood
Transferrin receptor is used by cells to uptake iron

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20
Q

What protein reduces blood iron levels?

A

Hepcidin: it degrades ferroportin, preventing the release of iron from absorptive cells

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21
Q

How does hepcidin behave during an infection?

A

It is upregulated so that the pathogens have less iron to grow.

22
Q

PLP is involved in transamination. Which functional groups are involved in the reaction? What intermediate is formed during the transamination?

A

The aldehyde group is the main reactive group. An adjacent alcohol can add to stabilization
Schiff base is formed

23
Q

Niacin is a part of NAD and is involved in redox reactions. In addition to this, what can Niacin be used for?

A

It is also used to treat Atherosclerosis.
Megadoses 1.5-2 gm/day decrease LDL and increase HDL. However, can lead to toxicity: flushing, swollen tongue, GI problems and liver damage.

24
Q

Rhodopsin is found in the eye and is involved in sight. When exposed to light, what conformation change is seen?

A

The cis-Retinal in rhodopsin is converted into trans-Retinal causing it to separate from opsin.

25
Q

What is needed to regenerate rhodopsin?

A

The conversion of trans-retinal back into cis-retinal is needed. A deficiency of retinal would slow this regeneration. Therefore Vitamin A is important for vision

26
Q

T/F

Vitamin C is found in high levels in the eye and is involved in the conversion of retinal into rhodopsin.

A

F. It is found in high levels in the eyes but is involved the removal of free radicals.

27
Q

What are the 3 parts of folic acid?

A

Pteridine, Para-aminobenzoic acid, and glutamate

28
Q

Sodium and Potassium are pumped across the membrane through the use of a atpase. Which is found in higher concentrations inside the cell? Which is higher outside the cell?

A

Potassium in

Sodium out

29
Q

What is the role of Cl- and where is it found mostly?

A

Found outside the cell. It is used to balance the charge of K and Na

30
Q

Is the average intake of K and Cl high or low relative to the adequate intake?

A

The average intake of K is too low while the opposite is true for Cl

31
Q

What are the symptoms of potassium deficiency?

A

1st: loss of appetite, muscle cramps, confusion
Eventually: heart stops.

32
Q

What are the AI, UL, and average intake of Na?

A

AI: 1.5 g/d (adults

33
Q

What is the relationship between sodium and Hypertension?

A

High sodium intake with HT greatly increases the risk of HBP and CVD

34
Q

What is the calcium RDA for 18-19 y old?

A

1.2 - 1.3 g

35
Q

What is the max amount of calcium that should be consumed per meal?

A

500 mg/meal for women

400 mg/meal for men

36
Q

What are the risk factors of Osteoporosis?

A
  • long term deficiency in Ca intake!
  • estrogen loss (menopause or amenorrhea from food disorders).!
  • inactivity (weight bearing & resistance training increase Ca bone)!
  • genetics
  • increasing age-women loose on average 2-6 inches in height over 30 years!
  • high sodium, caffeine, & alcohol intake and smoking
  • cola (diet or regular). Affects women but not men.
37
Q

What group has the highest risk for osteoporosis? Lowest?

A

Highest: Asian women
Lowest: African men

38
Q

What can be done to prevent osteoporosis?

A

weight bearing exercise & adequate Ca/D in diet!

39
Q

How is the average phosphorus intake relative to the RDA?

A

higher

40
Q

What are the symptoms of excess and deficient Phosphorus?

A

Excess: impaired kidney function & vascular damage.
Deficient: bone loss, poor growth & tooth development, rickets in children. Problem in alcoholics

41
Q

How is the average Magnesium intake relative to the RDA?

A

Lower

42
Q

What are the symptoms of excess and deficient Magnesium?

A

Excess: None for normal food, but 350 mg/day from supplement diarrhea & kidney failure.
Deficient: neuronal and cardiac problems

43
Q

Which hormones are involved in maintaining calcium homeostasis?

A

For increasing blood calcium, parathyroid hormone: Vit D levels, Ca mobilization from bones, Ca retention by kidneys, Ca uptake by intestines.
For decreasing blood calcium, calcitonin: Opposite of PTH

44
Q

What is the difference between a food intolerance and a food allergy

A

A food allergy invokes an immune response while a food intolerance doest not. A severe allergic response can lead to anaphylaxis.

45
Q

Name some factors that promote the absorption of non-heme iron.

A
Gastric acid (helps with solubilization)
Vit C (reduces Fe3+ to Fe2+ and forms chelate)
Meat protein (2-3X better absorption relative to egg protein, mxn unknown)
46
Q

What is the predominant form of iron in plants and animals? What % is absorbed?

A

non-heme or mineral iron. 2-10% absorbed.

47
Q

Name some factors that inhibit the absorption of non-heme iron?

A

phytic acid, oxalic acid, tannins in tea and coffee, low gastric acid, some antacids

48
Q

Why does the loss of epithelial cells from the lining of the GI track reduce iron absorption?

A

These cells are involved in the actual absorption of iron. If they are gone, iron cannot be absorbed.

49
Q

What mineral does Thyroxine contain?

A

Iodide

50
Q

What are some processes that require folic acid?

A

conversion of homocysteine to methionine
proper spine development in the developing fetus
synthesis of dTMP for DNA synthesis