Folate (Vitamin B9) Flashcards

1
Q

Where is folate (vitamin B9) found?

A

Found in most foods, particularly in liver and yeast, but also in green vegetables and nuts.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Folate is easily destroyed by?

A

Destroyed by cooking

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Recommended daily amount of folate is?

A

400 mcg/day - this number is slightly higher in pregnancy.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

How much folate is stored in the body? How long do stores last?

A

Body stores are similar to B12 (5-10 mg), but you use a lot more, and this means that this will only last about 3-4 months.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

In Australia, since 2009, what is being done about folate?

A

Fortifying bread with folate.
3-4 slices of bread fills up daily requirement.

Folate deficiency has fallen by 77%.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Folate is in a ________ form in food.

A

Polyglutamate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Where does folate travel through to?

A

Upper small intestine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Folate is an essential ingredient for?

A

Methyl THF used in: homocysteine -> methionine.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Folate acts an intermediate acceptor of 1 carbon units during the?

A

During the synthesis of purines and pyrimidines.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Causes of folate deficiency?

A
  • Inadequate intake
  • Malabsorption
  • Increased requirements
  • Defective utilisation
  • Hereditary
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Folate deficiency caused by inadequate intake

A

Lack of fresh food; chronic alcoholism

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Malabsorption causing folate deficiency

A

Small bowel disease (coeliac disease)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Increased requirements causing folate deficiency

A

Pregnancy and lactation, infancy, haemolytic anaemias; exfoliative skin disease; hyperthyroidism and malignancy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Defective utilisation causing folate deficiency

A

Inhibition of dihydrofolate reductase (DHFR; e.g. methotrexate, trimethoprim; pyrimethamine)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Hereditary cause of folate deficiency

A

Folate malabsorption/metabolic (enzyme) defects

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

There are enzymes (______) in the jejunum that deconjugate polyglutamate into a _____ form.

A

methyl-MHF; mono-glutamate

17
Q

Absorption of folate is via?

A

Via concentration dependent diffusion, or by an active carrier mediated transport

18
Q

Once folate is in the blood, it is bound to ____ where it is rapidly cleared by the ____ and other cells via ______.

A

Albumin, liver, membrane transport proteins

19
Q

In cells, folate is polyglutamated again (via _____) and this stops it from being?

A

Via B12; stops folate from diffusing back out into the plasma