niacin Flashcards

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1
Q

why is niacin needed

A

as its the other form of redox cofactor

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2
Q

niacin exists in what 2 forms

A

NAD
NADP
We cant absorb in NAD and NADP true cofactor form

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3
Q

why does niacin need to be mobile

A

as It participates in reaction, enzyme takes it off and it reacts somewhere else so it needs to be mobile

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4
Q

what forms can be absorb niacin in and explain absorption

A

in nicotinic acid and nicotinamide form

absorbed as free nicotinic acid in stomach and small intestine or nicotinamide in small intestine

NAD/NADP in food hydrolysed by enzymes

absorption is facilitated (contribution of passive at high concentrations)

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5
Q

there is poor bioavailability of nicacin when

A

where covalently bound to complex proteins or carbohydrates (e.g. corn, wheat, maize etc.)

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6
Q

bioavailability of niacin can be increased by what

A

treatment in lime-water (nixtamalization; calcium hydroxide; alkaline)
As alkaline solution releases cofactor. This is done in Mexican foods. Such as in cornflour

Lime water is solution of calcium hydroxide

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7
Q

in food niacin is found in what form, explain

A

found in cofactor form so has to be hydrolysed into absorbable form of nicotinic acid or nicotinamide

Cofactors are strongly covalently bound to carbs or proteins, so difficult to remove cofactors and make niacin source available

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8
Q

niacin sources

A

yellowfin tuna
lamb liver
chicken breast
peanuts
pork chop
rib of beef
sunflower seeds
portobello mushrooms

Commonly associated with cereal.
Fruit and veg only have trace amounts of niacin
legumes are good sources of niacin

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9
Q

describe niacin in cereal

A

Commonly associated with cereal. But the source is bioavailable (as not in absorbable form)
In wholewheat most niacin is bioavailable

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10
Q

what do we need niacin for

A

NAD: redox reactions
(energy production)so in ATP synthesis

glycolysis (converts glycose into pyruvate)

pyruvate dehydrogenase

TCA cycle

b-oxidation(pathway that degrades fatty acids)

production of lactate
(NADH)

production of excretory metabolite of
vitamin B6 (pyridoxal to pyridoxic acid)

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11
Q

what is NADPH involved with

A

NADPH: redox reactions
(lipid biosynthesis;
anti-oxidative defence of cells(so protect from antioxidant defence system)

fatty acid synthesis

cholesterol/steroid synthesis

synthesis of deoxyribonucleotides

regeneration of antioxidants
(glutathione, vitamin C and
thioredoxin)

folate metabolism (THF, methyl-THF, methylene THF)

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12
Q

importance of supplying enough tryptophan in diet

A

we can use to synthesis niacin and not be reliant on diet to supply niacin

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13
Q

what are the nicotinic acid equivalents

A

= niacin + potential niacin

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14
Q

nicotinamide can be synthesised by what and where

A

from tryptophan in liver

60 mg tryptophan equivalent to 1 mg of dietary niacin

generally, 10-12.6 mg tryptophan per gram of dietary protein

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15
Q

tryptophan sources

A

pumpkin and squash seeds
roasted soybeans
reduced fat mozzarella
lamb shoulder
chicken breast
tuna (cooked)
crab (cooked)
eggs
white beans

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16
Q

what are the EAR and RNI for niacin

A

EAR 5.5 mg/1000 kcal
RNI 6.6 mg/1000 kcal

17
Q

what are the RNIs for males and females for niacin

A

RNI males = 17 mg/d
RNI females = 13 mg/d

18
Q

how much niacin do the median intakes of protein for males and females supply

A

84 g/d males (17.64 mg niacin equival.)
61.8 g/d females (12.98 mg niacin equival.)

19
Q

explain the percentage of niacin excretion in the body processes

A

normally excrete 20% to 30% of niacin intake as N-methylnicotinamide
and 40% to 60% as N-methyl-2-pyridone-5-carboxamide in the urine.

20
Q

what happens to excretion of pyridone compared to methylnicotinamide in niacin deficiency

A

excretion of pyridone falls more than methylnicotinamide.

21
Q

methylnicotinamide ratio useful indicator of what

A

pyridone: methylnicotinamide ratio useful indicator. Less than one indicative of deficiency.

22
Q

what happens to, erythrocyte ratio of NAD:NADP, during deficiency

A

seems to be preserved in favour of NAD in deficiency (indicated by NAD:NADP < 1.0).

23
Q

niacin deficiency is called what

A

pellagra

24
Q

what happens from pellagra

A

Dermatitis
Dementia
Diarrhoea
Death

Dermatitis similar to sunburn (see Casal’s collar) and also occurs around pressure points (e.g. elbows)

Neurological:

Headache, apathy, memory loss, peripheral neuritis, paralysis of extremities

Gastrointestinal:

Glossitis, stomatitis, nausea, vomiting, diarrhoea

25
Q

what can pellagra be promoted by

A

treatment of tuberculosis (e.g. isoniazid)

malabsorption (e.g. IBD)

Hartnup disease – malabsorption of tryptophan absorption

26
Q

what is used to treat hyperlipo-proteinaemia

A

large doses of nicotinic acid (6 g/d)