Midterm 1 (Lecture 4) Flashcards

1
Q

Vitamin B6

A

Six related compounds:
-Pyridoxal, pyridoxine, pyridoxamine and their phosphates
- phosphorylated in foods
- phosphate removed by intestinal enzymes before absorption
- taken up by tissues and re phosphorylated

Coenzyme form: pyridoxal phosphate (plp)
Riboflavin is needed to convert vitamin six to its coenzyme form PLP

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

Vitamin b six metabolic role

A

Amino acid metabolism: - transamination, de carboxylation, r group interconversion

Aa metabolism involved in many aspects of intermediary metabolism

4 examples to study

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

Vitamin B six metabolic role example one

A

Nervous System

  • synthesis of neurotransmitters involve PLP dependent enzymes
    Example: serotonin, dopamine
    Serotonin synthesized from tryptophan
    -Vit B six deficiency = neurological problems
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Vitamin B six metabolic role example two

A

Glycogen breakdown

Hormone function
- PLP can bind to steroid hormone receptors- in nucleus
- inhibits binding of hormone - decreases effects
- steroid responsiveness lower in vitamin B six sufficient vs deficient animals
- implications for steroid dependent diseases (could B six supplements help decrease estrogen levels ex - breast cancer)

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

Vitamin B six metabolic role example three

A

Glycogen breakdown

  • PLP involved in glycogenolysis
  • coenzyme for glycogen phosphorylase
  • key enzyme in conversion of glycogen to glucose ( could B six improve glycogen conversion and improving human performance)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Vitamin b6 metabolic role example four

A

Red blood cell formation and function

PLP involved in synthesis of heme protein
- acts as a coenzyme in heme synthesis
- heme is a component of hemoglobin
- it allows RBC to transport oxygen throughout body

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

IMINE group

A

PLP binds to the enzyme (physical interaction) as a coenzyme

The link formed between PLP and the enzyme is called an IMINE group

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

Assessing vitamin b6 status

A

assessing based off fact that build up of a substrate/metabolite means deficiency of enzyme

TRYPTOPHAN LOAD TEST
- impaired conversion to niacin
- build up of urinary kynurenic acid (derived from Kynureine pathway
- we know Kynureine needs b6 therefore build of this acid means B6 deficiency

METHIONINE LOAD TEST
- PLP dependent step in methionine metabolism
- methionine is converted to homocysteine which then builds up since PLP is needed to convert homocysteine to cysteine
- increased homocysteine

4-PYRIDOXIC ACID
- major urinary metabolism that is ABSENT with vitamin b6 deficiency

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

Vitamin B6 deficiency

A

Nervous system symptoms
- irritability, depression, confusion, sleepiness
- 1950,s formula incident ; seizures observed in infants due to manufacturing error of formula destroying B6
- dermatitis
- cheilosis (lip lesions)
- stomatitis ( inflammation of mouth and lips)

SIMILAR TO B2 deficiency BECAUSE We need B2 to make B6

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

Vitamin B6 requirement

A

Affected by
- protein intake (more Amino acids eaten means more B6 produced)
- alcoholism
- pregnancy lactation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Vitamin B6 Drug Interactions

A
  • Anti tuberculosis medications
  • anti convulsant medications

High doses of vitamin B6 can decrease efficacy of these drugs by forming complexes with them which:
- decreas3s efficacy of the drug
- decreases vitamin B6 status

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

Vitamin B6 Health and disease

A

Cardiovascular disease
- relation to homocysteine
- PLP needed for one Hcy pathway
- PLP shuttles Hcy to cysteine

Depression
- PLP dependent neurotransmitter synthesis serotonin

Premenstrual syndrome (PMS)
- vitamin B6 relieves pms (decreases hormone effects)

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

Vitamin B12

A

Largest and most complex structure of B vitamins
Cobalt central part of structure (look for Co in centre of structure)
Also called cobalamin

R group
- R = methyl
- R = adensoyl
- R = CN (supplement form)

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

Vitamin B12 - Absorption

A

Complicated process

Three phases involved in its absorption dependent on pH :
- gastric phase
- luminal phase
- mucosal phase

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

Intrinsic Factor

A

Key to vitamin B12 absorption

Glycoprotein released into stomach by parietal cells (decrease with age)

Binds vitamin B12

Allows passage into the ileum - ileum has receptor for IF vitamin B12 complex (in final phase)

Absorption than occurs in the ileum

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

Vitamin B12 Absorption gastric phase

A

Digestion of protein bound vitamin B12

Free vitamin b12 now binds with R proteins

Vitamin B12 has a higher affinity for the R proteins than the IF at this point - likely related to low PH

IF is synthesized and released by parietal cells but does not bind vitamin B12 in the stomach

17
Q

Vitamin B12 absorption Luminal and Mucosal Phase

A

Luminal Phase
- R proteins are digested
- Vitamin B12 is free
- now vitamin B12 can bind with IF

Mucosal Phase
- receptors for vitamin B12 - IF complex in ileum
- absorption occurs!

18
Q

Vitamin B12 Metabolic Role

A

Coenzyme form: methyl cobalamin
- methionine synthetase
- methionine synthesis
- Hcy to methionine
- also needs folate

Coenzyme form: adenosyl cobalamin
- methylmalonyl CoA mutate
- proprionate catabolism
- proprionate to methylmalonyl CoA to succinyl CoA- entry to TCA cycle

19
Q

Vitamin B12 Malabsoprtion

A

Atrophic gastritis
- decreased gastric acid
- age related decrease in parietal cells

Decreased intrinsic factor
- age related decrease in parietal cells

Pancreatic insufficiency
- decreased protein digestion

20
Q

Vitamin B12 deficiency

A

Elevated urinary concentrations of:
-Homocysteine (less specific)
-Methylmalonic acid

Pernicious anemia
- lack of IF; lack of absorption
- treated by bypassing GIT (IV)
- diagnosed with schilling test (cobalt is labeled)
- neurological symptoms as a result of peripheral neuropathy (memory loss, dementia, tiredness), takes time to develop, confused with “getting old”

21
Q

Vitamin B12 deficiency - relation to folate

A

Common megaloblastic anemia

Red blood cells do not develop properly

Folate can mask a vitamin b12 deficiency

Folate can rectify the anemia of a vitamin b12 deficiency but not the neurological symptoms

Can become irreversible

Breath test specifically measures b12 deficiency

22
Q

Vitamin b12 and older adults

A

Deficiency increased in elderly

Age related decrease in parietal cells
- atrophic gastritis
- reduced IF

Interactions with medications

Eating less animal product (vitamin b12 in animals only) vegans watch out

Can be masked by folate supplements

Confused with getting old

age is the most major risk factor for vitamin b12 deficiency