Minerals II Flashcards
What is the role of chromium?
Blood glucose and insulin
What is the role of Cu?
Utilization of iron stores, lipids, collagen, neurotransmitter synthesis
What is the role of fluoride?
Thyroid hormone synthesis
What is the role of iodine?
Thyroid hormone synthesis
What is the role of Fe?
Component of Hb
Deficiency in chromium results in what?
Glucose intolerance
Glu and lipid metabolism abnormalities
Deficiency in copper results in what?
Anemia
Neutropenia
Bone abnormalities
Deficiency in fluoride results in what?
Dental caries
Bone problems
Deficiency in Iodine results in what?
Thyroid enlargement
Cretinism
Increased lipids
Deficiency in Fe results in what?
Anemia
Palpitations
Dysphagia
What are the sources of chromium?
Fruits
Veggies
What are the sources of Cu?
Meat/fish
grains
What are the sources of Fluoride?
Meat
Grains
What are the sources of Iodine?
Iodized salt
Seafood
What are the sources of Fe?
Meat
Veggies
What is the role of Mn?
Brain function
Collagen
Urea synthesis
What is the role of Mb?
Metabolism of purines/pyrimidines
What is the role of Se?
Protects cells against destruction by hydrogen peroxide free radicals
What is the role of Zn?
Energy metabolism, protein synthesis
Collagen synthesis
Deficiency of Mn results in what?
Impaired growth
Skeletal abnormalities
Impaired CNS
Deficiency of Mb results in what?
Hypermethioninemia
Sulfite excretion
Deficiency of Se results in what?
Myalgia
Cardiac myopathy
Cell fragility
Deficiency of Zn results in what?
Poor wound healing
Changes in hair skin, nails
What are the sources of Mn?
Wheat
fruit
meat
What are the sources of Mb?
Soybeans
lentils
What are the sources of Se?
Grains
Meat
What are the sources of Zn?
Wheat
Meat
True or false: Fe is required by almost every cell
True
What is the point of regulation for Fe?
Absorption
What are the non-heme enhancers of Fe?
Acids
Sugars
What type of Fe is only found in animal sources?
Heme
What is the enzymatic function of Fe?
Mono-oxygenases
Dioxygenases
What is the interaction of Fe with ascorbic acid?
Enhances non-heme Fe absorption
What is the interaction of Fe with Cu?
Fe dependent on Cu to be mobilized
What is the interaction of Zn with Fe?
Fe decreases Zn absorption
What is the interaction of Vit A with Fe?
Reduced vit A alters tissue distribution
What is the interaction of Pb with Fe?
Inhibits activity of heme synthesis
What is the interaction between Fe and Se?
Fe deficiency associated with decreased [selenium]
What is the most common dietary deficiency?
Fe
True or false: pica is a symptom of anemia
True
Why are infants susceptible to Fe deficiency anemia?
Fe content low in milk
Why are pregnant women susceptible to Fe deficiency anemia?
Baby takes all Fe
True or false: Fe deficiency can occur without anemia
True
What are the lab findings of anemia (other than the obvious)?
Microcytic anemia
Increased TIBC
What are the symptoms of Fe toxicity?
Emesis
Diarrhea
What are the chronic causes of Fe overload?
hemolytic anemia
Hemochromatosis
What is the treatment for Fe overload?
Frequent phlebotomy and chelation
What are the three parts of the body that house Zn?
Liver
Kidney
Muscle
What are the drugs that decreased Zn absorption? Why?
Antacids
H2 receptor blockers
Increased acidity lower release of Zn
What are the Zn dependent enzymes?
Alcohol dehydrogenase
Superoxide dismutase
Carbonic anhydrase
IF a wound does not heal, then what should be administered?
Vit C
Zn
Zn supplementation can improve what two broad functions of the immune system?
Antioxidant levels
CD4 count
What is the relationship of Zn to Vit A?
Decreased mobilization of retinol from the liver
What is the relationship between Zn and Cu absorption?
Decreases Cu absorption
What may replace Zn in enzyme necessary for heme synthesis?
Pb
Zn is required in digestion of what mineral?
Folate
What happens in Zn poisoning?
Decreases Cu and Hb
What are the two different oxidation states of Cu (and their names)?
Cu1 (cuprous)
Cu2 (cupric)
What is the role of ceruloplasmin?
Needed for Fe mobilization
What is the metal that cytochrome C contains?
Cu
What is the metal that superoxide dismutase needs?
Cu
What is the metal that tyrosinase needs?
Cu
What is the interaction between Fe and Cu?
Cu need for Fe metabolism
What is the interaction between Mb and Cu?
Cu excretion rises and Mb intakes increases
What is the interaction between Se and Cu?
Cu deficiency decreases selenium-dependent enzyme function
True or false: Cu deficiency is rare in the US
True
What is the cause of Wilson’s disease?
Defective transporter required for Cu biliary excretion
What is the cause of Menkes syndrome?
Defect in transporter that transports Cu to the fetus or through the intestines after birth
What are the symptoms of Cu poisoning?
N/v/d
Hematuria
Jaundice
What are the symptoms of Menkes syndrome?
Kinky white hair + Growth retardation
What is the function of selenium?
p450
DNA repair
Se serves as a cofactor for what enzyme?
Glutathione peroxidase
Se has a role in metabolism of what mineral?
I
Cu deficiency leads to what problem with Se?
Decreased activity of Se-dependent enzymes
What is Keshan’s disease?
Cardiomyopathy involving cardiogenic shock, CHF, necrosis of heart
What is Kashin’s-Beck’s disease?
Osteoarthropathy
Degeneration and necrosis of joints
What are the symptoms of selenosis?
N/v fatigue
hair and nail loss
Iodine is needed for the synthesis of what?
Thyroid hormone
Iodine deficiency results in what?
Hypothyroidism (goiter, decreased cold tolerance)
Why is Iodine toxicity rare?
Easily excreted in urine
What are the complications of iodine toxicity?
Hyperthyroidism (graves disease, weight loss, heat intolerance)
Fluoride reduce the uptake of what minerals? (4)
Al
Ca
Mg
Cl
Fluoride increases the uptake of what minerals?
phosphate
Sulfate
What are the symptoms of fluoride toxicity?
Changes in bone, kidney and nerve function
What is the interaction between Cr and Fe
Cr may displace Fe
What is the role of Cr in glucose intolerance?
Binds to nicotinic acid and AA
What is picolinic acid, and what is the problem with it?
Cr supplement, may cause DNa damage
What is the role of Mn?
Enzyme activator
Modulator of second messengers
What are the symptoms of Mn deficiency?
N/v/dermatitis
What are the symptoms of Mn toxicity?
Liver failure
Parkinson-like symptoms
What happens when DM pts are supplemented with Cr?
Lowers BG and HbA1C
What metal is a potent antagonist of molybdenum?
Tungsten
What is the usual cause of molybdenum deficiency?
high intake of sulfur, Cu
Molybdenum deficiency is associated with what cancer?
Esophageal
What are the toxic effects of molybdenum?
High uric acid concentration
What are the six ultratrace elements?
Ni Si V As B Co
What is the role of Ni?
Membrane/enzyme activity
What is the role of Si?
Formation of CT and bone matrix
What is the role of V?
Glucose and lipid reproductive performance
Deficiency in Ni results in what?
Liver problems, anemia
Deficiency in Si results in what?
Decreased collagen
Deficiency in V results in what?
Reduce growth
What is the function of arsenic?
Growth and iron use
What is the function of B?
Bone composition
What is the function of Co?
B12 structure
What is the function of Li?
Enzymes?
Low Li in water is associated with what?
Suicide, homicide
Al toxicity results in what?
Renal encephalopathy
Cd toxicity results in what?
Kidney problems
Anemia
Hg toxicity results in what?
Ataxia
Visual problems
MR
Pb toxicity leads to what?
Neurological, kidney, and hematological changes
What is the effect of Pb on Fe?
Inhibits heme synthesis
What is the interaction between vitamin A and Zn?
Zn needed for Synthesis of retinol binding protein
What is the interaction between Zn and folate?
Zn deficiency = folate deficiency
What is the effect of high Zn levels on Cu? Hb?
Lowers Cu, therefor lowering Hb levels
What is the role of ceruloplasmin?
Transports Cu, needed for Fe utilization
Cr may displace which other metal?
Fe