Las Vitaminas Flashcards

1
Q

Vitamins ?

A

organic compounds essential in small quantities to normal metabolism and must be supplied through diet

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2
Q

water-soluble vitamins ?

A

B1: Thiamine

B2: Riboflavin

B6: Pyridoxine

B12: Cobalamin

Niacin

Pantothenic acid

Folic acid

Biotin

Lipoic acid

Vitamin C: ascorbic acid

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3
Q

Fat-soluble vitamins

A

DEAK vitamin A: Retinol

Vitamin D: Cholecalciferol

vitamin E: alpha-tocopherol

vitamin K: phylloquinone

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4
Q

what are “activated carriers” ?

A

The activated carriers store energy in an easily exchangeable form, either as a readily transferable chemical group or as high-energy electrons, and they can serve a dual role as a source of both energy and chemical groups in biosynthetic reactions. For historical reasons, these molecules are also sometimes referred to as coenzymes. The most important of the activated carrier molecules are ATP and two molecules that are closely related to each other, NADH and NADPH

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5
Q

what is the reaction that takes place in the pyruvate dehydrogenase complex?

A

Pyruvate + coA + NAD+ –> acetyl coA + CO2 + NADH+ H+

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6
Q

the coenzymes involved in the pyruvate dehydrogenase complex ?

A

a total of 5 co-enzymes are involved in the PDC

thiamine/TPP> aldehyde group carrier that decarboxylates alpha keto acids

lipoic acid/lipoamide > acyl group carrier

pantothenic acid/coA> acyl group carrier

Riboflavin/FAD> oxidizing agent

Niacin/NAD+> oxidizing agent

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7
Q

function of TPP ?

A

TPP is a coenzyme derived from vitamin B1 (thiamine)

it functions as a carrier of an aldehyde group formed in the decarboxylation of alpha keto acids.

the TPP carbanion attacks the carbonyl carbon of pyruvate, CO2 is released –> hydroxy-ethyl TPP forms

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8
Q

other enzymes TPP is involved in ?

A

pyruvate dehydrogenase complex

alpha-ketoglutarate dehydrogenase complex

transketolase (pentose phosphate pathway and calvin cycle)

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9
Q

why might thiamine defieciency cause disease. Mention two thiamine (B1) deficiency diseases and elaborate on them.

A

Beriberi

Thiamine pyrophosphate, the biologically active form of thiamine, acts as a coenzyme in carbohydrate metabolism through the decarboxylation of alpha ketoacids. It also takes part in the formation of glucose by acting as a coenzyme for the transketolase in the pentose monophosphate pathway. transketolase connects the pentose phosphate pathway to glycolysis, feeding excess sugar phosphates into the main carbohydrate metabolic pathways. Its presence is necessary for the production of NADPH, especially in tissues actively engaged in biosyntheses,thiamine deficiency would disrupt carbohydrate metabolism and the production of NADPH stores and pentose sugars necessary for nucleotide synthesis.

symptoms:loss of appetite, constipation, nausea, depression, peripheral neuropathy, irritability, fatigue

confusion; ataxia (loss of control of bodily movements); confabulation; hallucinations; nystagmus(involuntary eye movements)

if genetic predisposition entails that your transketolase isoform(involved in the pentose phosphate pathway) has a low affinity for TPP, you are susceptible to WK syndrome

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10
Q

lipoic acid function ?

A

lipoic acid is covalently bound to a lysine residue on the host enzyme via an amide bond. in pyruvate dehydrogenase complex, ionized hydroxy-ethyl TPP attacks lipoamide –> acetyllipoamide (the new acetyl carrier) while hydroxy-ethyl TPP reverts back to TPP carbanion.

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11
Q

enzymes in which lipoamide is used ?

A

pyruvate dehydrogenase complex

alpha-ketoglutarate dehydrogenase

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12
Q

how is lipoic acid a major site for arsenic poisoning ?

A

arsenic binds reduced lipoic acid (dihydrolipoic acid) and oxidizes it, creating an inactivated protein complex incapable of receiving the acetyl group from hydroxy-ethyl TPP.

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13
Q

pantothenic acid and coenzyme A ?

give an enzyme example in which it’s used

A

Pantothenic acid is a component of coenzyme A. This coenzyme functions in the transfer of acyl groups such as in succinyl CoA and fatty acyl CoA.

what basically happens is that coA comes and forms a thioester linkage with an acyl group, splitting one compound into two.

CoA functions in the pyruvate dehydrogenase thiolase: it forms a thioester linkage with the acetyl group on the acetyl-lipoamide, freeing the dihydrolipoamide and forming acetyl coA.

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14
Q

how coA functions in fatty acid degradation ?

A

shortens the fatty acyl coA by a two carbon unit via forming a thioester linkage

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15
Q

lipoamide deficiency ?

A

Deficiency is very rare and symptoms are similar to other vitamin B deficiencies.

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16
Q

describe what happens in going from pyruvate into acetyl coA involving TPP, lipoamide, pantothenate (coA)

A
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17
Q

the vitamin niacin gives rise to what coenzymes ?

A
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18
Q

examples of enzymes in which NADH/NADPH are utilized ?

A

alpha ketoglutarate dehydrogenase (TCA cycle) NAD+

puruvate dehydrogenase NAD+

fatty acid synthase complex NADPH (reducing agent) for the two reduction steps

glucose-6-phosphate in the pentose phosphate pathway NADP+ used as oxidizing agent

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19
Q

dietary deficiency of niacin ?

A

ietary deficiency of niacin associated with the “3 D’s”: dermatitis, diarrhea, and dementia > Pellagra

skin; digstive system; nervous system

NAD is the sole substrate for PARP enzymes involved in DNA repair activity in response to DNA strand breaks; thus, NAD is critical for genome stability.

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20
Q

compare the relative ratios of NAD+/NADPH in the cell

A

Inside the cell the ratio of NAD+ to NADH is kept high, whereas the ratio of NADP+ to NADPH is kept low. This provides plenty of NAD+ to act as an oxidizing agent and plenty of NADPH to act as a reducing agent as required for their special roles in catabolism and anabolism, respectively.

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21
Q

Riboflavin/ Vitamin B2 derivatives ?

A

FMN and FAD are tightly bound coenzymes (prosthetic groups) in flavoproteins that catalyze many oxidation-reduction reactions involved in metabolism of fats, proteins, and carbohydrates.

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22
Q

examples of enzymes in which flavoproteins are used ?

A

succinate dehydrogenase [FAD]:

functions in both ETC and TCA cycle where succinate is oxidized into fumarate , reducing FAD into FADH

NADH-Q oxidoreductase (Complex I) [FMN]:

NADH is oxidized into NAD+ , transferring the electrons to FMN which in turn reduces Q into QH2

Acyl-CoA dehydrogenase [FAD]:

Beta oxidation !

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23
Q

B2 deficiency ?

A

Deficiency typically associated with deficiency of other vitamins in addition (malnutrition): cracked red lips, angular cheilitis, dry skin, iron-deficiency anemia, photophobia > ariboflavinosis

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24
Q

how does the cell discriminate between the NADH/FADH2 reserves within it ?

A

NAD+ receives a proton and 2 electrons to be fully reduced. while FADH2 receives two protons and two electrons to get fully reduced

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25
Q

go over pyruvate dehydrogenase complex again ?

A
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26
Q

Biotin ?

A

Biotin is a coenzyme in carboxylation reactions where it acts as a carrier of activated carbon dioxide (ATP-dependent step). Biotin is covalently bound to lysine in the biotin-dependent enzyme (prosthetic group). Carboxylation reactions occur in the metabolism of fatty acids as well as in gluconeogenesis.

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27
Q

enzymes in which biotin is used ?

A

phosphoenolpyruvate carboxylase: converts PEP into oxaloacetate

acetyl-CoA carboxylase: to make malonyl coA which later adds to acetyl coA in a condensation rxn in fatty acid synthesis

propionyl-CoA carboxylase: to create methyl malonyl coA and later succinyl coA (metabolism of odd chain fatty acids)

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28
Q

phosphoenolpyruvate carboxylase: converts PEP into oxaloacetate

A

anaplerotic role: To increase flux through TCA cycle, some of the PEP is converted to oxaloacetate by PEP carboxylase. Since the citric acid cycle intermediates provide a hub for metabolism, increasing flux is important for the biosynthesis of many molecules, such as for example amino acids.

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29
Q

acetyl-CoA carboxylase

A

rate-limiting step of fatty acid synthesis

to make malonyl coA which later adds to acetyl coA in a condensation rxn in fatty acid synthesis

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30
Q

propionyl-CoA carboxylase

A

to create methyl malonyl coA and later succinyl coA (metabolism of odd chain fatty acids)

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31
Q

pyruvate carboxylase

A

converts pyruvate into oxaloacetate

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32
Q

Pyridoxine ?

A

Vitamin B6 : Pyridoxal Phosphate (PLP) is the prosthetic group on all aminotransferases. Binds the donated amino group (Schiff base) and donates this amino group to the acceptor α-keto acid, producing an amino acid. Also deamination, decarboxylation, and condensation reactions involved in amino acid metabolism. Participates as a coenzyme in glycogen phosphorylation.

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33
Q

three enzymes in which pyridoxine/B6 is involved ?

A

Aminotransferases

glycogen phosphorylase- rate limiting step in glycogenolysis

serine dehydratase- goes from serine to pyruvate

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34
Q

B6 deficiency ?

A

Deficiency typically associated with pediatric malnutrition and symptoms include seizures, irritability, angular cheilitis –>B6 deficiency

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35
Q

connect amino acids to alpha keto acids with respect to body needs

A

cell running low on one redeems from the other

36
Q

the two enzymes in the body that use B12 ?

A

Vitamin B12 is required for only two essential enzymatic reactions: methionine synthesis and isomerization of methylmalonyl CoA derived from the metabolism of odd-numbered fatty acids.

methionine synthase (aka homocysteine methyltransferase)

methylmalonyl-CoA mutase> in the metabolism of odd chain fatty acids : converts methyl malonyl into succinyl coA

37
Q

B12 deficiency ?

A

Deficiency associated with a buildup of abnormal fatty acids which eventually affect cell membranes leading to severe neurological defects. Also can cause a secondary deficiency in folic acid leading to megaloblastic anemia

38
Q

link B12 deficiency to folic acid deficiency and megaloblastic anemia.

A

B12 deficiency —> loss of B12 DEPENDENT folate recycling —> folate deficiency —> megaloblastic anemia
BUT: if folate supplementation is present, DNA and RBC sythesis would no longer be folate dependent —> MASKING effect—> B12 pathologies compromised

39
Q

contrast megaloblastic anemia with pernicious anemia.

A

Megaloblastic anemia (or megaloblastic anaemia) is an anemia (of macrocytic classification) that results from inhibition of DNA synthesis during red blood cell production due to folate deficiency. When DNA synthesis is impaired, the cell cycle cannot progress from the G2 growth stage to the mitosis (M) stage. This leads to continuing cell growth without division, which presents as macrocytosis.RBC’s stay in the enlarged, macrocytic form.

B12 is Absorbed in the GI tract after binding to intrinsic factor. In the absence of this glycoprotein, dietary B12 is not absorbed and the resulting anemia is called pernicious anemia.

40
Q

folic acid used in ?

A

one-carbon metabolism and in the biosynthesis of purines and thymine.

41
Q

methyl trap ?

A

when B12 is deficient: THF is no longer regenerated from 5-methyl THF —> and folate is ultimately trapped in this form—> no enough folate to be converted to 5,10-MTHF for adequate DNA and RBC production: folate deficiency

42
Q

N5-N10-ch2-THF ?

A

the C1-donor in the reactions catalyzed by thymidylate synthase. It also acts as a cofactor in the synthesis of serine from glycine via the enzyme serine hydroxymethyl transferase.

43
Q

most common vitamin deficiency in the US ?

A

folate deficiency is estimated to be the most common vitamin deficiency in the US. Deficiency is associated with loss of appetite, weight loss, weakness, irritability, megaloblastic anemia. In women with folate deficiency who become pregnant have increased risk of spina bifida (incomplete closure of the neural tube) during development.

A protective effect of folate against the development of neural tube defects (NTDs), specifically, anencephaly and spina bifida, is now well recognized

44
Q

folic acid and cobalamin- the big picture of 1-carbon metabolism ?

A
45
Q

folic acid and nucleotide synthesis:

enzyme involved ?

intermediates ?

A
46
Q

methotrexate ?

A
47
Q

folate and cancer diagnosis ?

A
48
Q

mention the group carried and the vitamin precursor

A
49
Q

A specific antioxidant required in the formation of hydroxy-modified amino acids ?

A

Vitamin C (Ascorbic Acid)

por ejemplo:

prolyl hydroxylase

lysyl hydroxylase

50
Q

vitamin C deficiency ?

A

Deficiency leads to an unstable collagen triple helix so tissues with high collagen turnover are preferentially affected:

bleeding gums, easy bruising, slow wound healing, anemia, osteoporosis –> scurvy

51
Q

biologically active form of Beta carotene ?

A

Rhetinol (vitamin A) is interconverted into Retinal; which is the photosensitive pigment in rhodopsin (in photoreceptor cells of the retina). Retinal could be irreversibly oxidized into rhetinoic acid, which is an important Ligand for nuclear hormone receptors that regulate gene expression (suppress keratin production for example). Controls patterning in embryogenesis.

52
Q

vitamin A deficiency ?

A

Deficiency of vitamin A can lead to night blindness, xerophthalmia, hyperkeratosis, anemia. Prolonged deficiency results in sterility and blindness.

*no vision, no tears, thick skin, no kids, anemia *

53
Q

hypervitaminosis A ?

A

dry skin, pruritic(itchy) skin, liver dysfunction osteoporosis on the long run

High levels during pregnancy can lead to congential malformations in the fetus.

54
Q

why has the recommended dietary allowance (RDA) of vitamin A decrease ?

A

remeber that water-soluble vitamins could be easily gotten rid of via urine.

Since vitamin A is fat soluble, depletion of stores is slow. RDA recently decreased by 50% since original RDA actually can cause a slight hypervitaminosis A.

55
Q

APL ?

A

Acute promeylocytic anemia: a cancer of the white blood cells. In APL, there is an abnormal accumulation of immature granulocytes (WBC’s) called promyelocytes. caused by a chromosomal translocation involving rhetinoic acid receptor alpha (RAR_alpha) on chromosome 17.

56
Q

APL treatment ?

A

Treatment with ATRA (all-trans rhetinoic acid) dissociates the ##NCOR-HDACL complex from RAR and allows DNA transcription and differentiation of the immature leukemic promyelocytes into mature granulocytes by targeting the oncogenic transcription factor and its aberrant action.

*all trans rhetinoic acid removes some weird complex from RAR and allows transcription and differentiation of mature WBC’s by targeting the aberrant oncogene.

57
Q

frequncy of hypervitaminosis?

A

With few exceptions, like some vitamins from B complex, hypervitaminosis usually occurs more with fat-soluble vitamins (D, E, K and A or ‘DEKA’), which are stored in the liver and fatty tissues of the body. These vitamins build up and remain for a longer time in the body than water-soluble vitamins.

58
Q

vitamin D endogenous synthesis route ?

A

7-dehydrocholesterol is converted into cholecalciferol via UV light in the skin; cholecalciferol is then converted into D3 in the liver; D3 is then converted into the active form of the vitamin CALCITRIOL in the kidney where it binds a receptor in the cytoplasm–> the ligand-receptor complex translocates to the nucleus where it acts as a transcription factor promoting the expression of a gene encoding a calcium binding protein. Calcitriol increases the level of calcium (Ca2+) in the blood by increasing the uptake of calcium from the gut into the blood, and possibly increasing the release of calcium into the blood from bone (resorption).

59
Q

calcitriol

A
60
Q

vitamin D dietary sources ?

A

D2 (ergocalciferol) from plants

D3 (cholecalciferol) from animals

61
Q

vitamin D deficiency ?

A

Vitamin D deficiency typically arises from low exposure to sunlight and leads to decreased absorption of dietary calcium. Poor mineralization of developing bone in

children leads to rickets

in adults leads to osteomalacia

More common in northern latitudes since UV exposure decreases (less conversion of 7-dehydrocholesterol).

62
Q

vitamin A overdose ?

A

As with Vitamin A, Vitamin D overdose can cause problems. Hypercalcemia is the major complication with its constellation of symptoms: anorexia, nausea, polyuria (production of abnormally large volumes of dilute urine), weakness, pruritus, renal failure.

63
Q

vitamin E ?

A

Tocopherols function as antioxidants, scavenging free radicals to protect from nonenzymatic oxidation of cellular components such as polyunsaturated fatty acids.

64
Q

vitamin k chief significance ?

A

Vitamin K1 (phylloquinone) is required in the hepatic synthesis of prothrombin and the blood clotting factors VII, IX, and X. Vitamin K-dependent carboxylation of glutamate residues on these proteins is required for their maturation. Without γ- carboxyglutamate, these clotting factors cannot be activated.

65
Q

vitamin K deficiency ?

A

Dietary deficiency is uncommon since resident microbes in the large intestine can provide sufficient Vitamin K2 (menaquinone).

66
Q

warfarin business ?

A

The anticoagulant Warfarin (Coumadin) blocks the action of VKOR thereby decreasing the amount of mature clotting factors and subsequent risk for thrombosis.

67
Q

overdose on K ?

A

High doses of Vitamin K3 (menadione) are toxic (allergic reactions, hemolytic anemia, hepatotoxicity).

68
Q

mythbuster (MB) #1

Vitamin C can prevent and/or ameliorate the common cold

A

22 double-blind studies conducted since 1970 have found no statistical validity to cold prevention. Only a handful of studies reported some lessening of cold severity.

69
Q

Vitamin E has beneficial effects in the prevention and treatment of cardiovascular disease due to its antioxidant properties

A

2005 Heart Outcomes Prevention Evaluation trials: 10,000 patients 55 and older with vascular disease or diabetes found no benefit from taking 400 I.U.’s of vitamin E daily for 7 years. In fact, risk of heart failure increased.

70
Q

Daily multivitamin supplement has beneficial effects in the prevention of cardiovascular disease and cancer.

A

Large cohort study (involving over 180,000 people) concluded that taking a daily multivitamin had no correlation with overall mortality or specific health conditions such as cardiovascular disease and cancer.

71
Q

summary

A
72
Q

Beriberi ?

A

thiamine deficiency

loss of appetite, constipation, nausea, depression, peripheral neuropathy, irritability, fatigue –> beriberi

73
Q

Wernicke-Korsakoff Syndrome (alcoholic encephalopathy) ?

A

thiamine deficiency that results due to a transketolase isoform (pentose phosphate pathway) that has a low affinity for TPP

74
Q

Major target of arsenic poisoning ?

A

lipoamide

75
Q

Pellagra ?

A

Dietary deficiency of niacin associated with the “3 D’s”: dermatitis, diarrhea, and dementia –> pellagra.

skin; digestive system, and the nervous system

76
Q

cracked red lips, angular cheilitis, dry skin, iron-deficiency anemia, photophobia

A

ariboflavinosis: riboflavin deficiency B2

77
Q

megaloblastic anemia ?

A

folate deficiency

78
Q

pernicious anemia

A

absence of the intrinsic factor necessary for B12 absorption

79
Q

bleeding gums, easy bruising, slow wound healing, anemia, osteoporosis

A

scurvy ! vitamin C deficiency

80
Q

acute promyelocytic leukemia

A

chromosomal translocation involving rhetinoic acid receptor alpha on chromosome 17; treated with all-trans-rhetinoic-acid

81
Q

rickets and osteomalacia

A

vitamin D deficiency

82
Q

hypercalcemia

A

vitamin D overdose

83
Q
A
84
Q
A
85
Q
A
86
Q
A