L15: Vitamins And Minerals Flashcards
Macro minerals
Sodium, potassium, calcium, magnesium, phosphate, chloride, sulphur
How many essential minerals
20
Fat-soluble vitamin deficiency
A: Night blindness, Xerophthalmia D: Rickets, Psoriasis E: Neurological deficits, peripheral neuropathy K: Bleeding F: Dry scaly rash, stunted growth
Water-soluble vitamin deficiency
These Rhythm Nearly Proved Proved Brother F Contagious
B1 (thiamine): Beri-beri B2 (riboflavin): Glossitis B3 (niacin): Pellagra B5 (pantothenic acid): Fatigue B6 (pyridoxine): Neuropathy B7 (biotin): Dermatitis B9 (folate): Neural tube defect B12 (cobalamin): Anaemia
Mineral deficiency
Sodium: dehydration Calcium: brittle bones Phosphorus: bad bones and teeth Iron: anaemia Iodine: goitre
Vitamin A function
- Vision
- Bone metabolism
- Immune function
Vitamin A metabolism
Retinol (vit A)/ Beta-carotene —> Retinal —> Retinoic acid —> bind to RAR/RXR receptor
Signs of xerophthalmia
- Bitot’s spots
2. Keratomalacia
One carbon metabolism
Important for amino acid and nucleotide metabolism:
B2 (riboflavin), B6 (pyridoxine), B9 (folate), B12 (cobalamin) are coenzyme
- DNA cycle: dTMP/DNA, purine
- Methylation cycle: Homocysteine —> Methionine
- Transsulfuration pathway: Cysteine
Vitamin D metabolism
Skin:
UVB: 7-dehydrocholesterol —> Cholecalciferol (D3)
Diet:
Ergocalciferol (D2)
Cholecalciferol / Ergocalciferol —> 25-hydroxyvitamin D (Liver) —> 1,25-dihydroxyvitamin D3 (Calcitrol) (Kidney)
Vitamin D function
- Promote absorption of Ca and Phosphate from intestine
- Promote reabsorption of Phosphate
- Promote release of Ca and Phosphate from bone
Deficiency:
- Hypocalcaemia
- Hyperparathyroidism —> excess PTH —> Increase phosphate loss, Decreased Ca deposition in bone
Vitamin K function
Blood clotting
Vitamin K epoxide cycle
Vitamin K quinol (Hydroquinone) is oxidised —> Vitamin K epoxide, in the oxidation process activate clotting factors
Vitamin K epoxide is reduced —> Vitamin K quinone —> Vitamin K quinol
Warfarin inhibit vitamin K epoxide reductase (prevent Vitamin K epoxide back to quinol) —> decrease availability of Vitamin K quinol (Reduced vitamin K)
Iodine function
Component of Thyroxine (T4) and Triiodothyronine (T3)
Iron: heme vs non-heme protein
Heme: Myoglobin, cytochrome
Non-heme: Transferrin, ferritin