Niacin Flashcards

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1
Q

Two forms occur in foods (equal vitamin activity):

A
  • Nicotinic acid
  • Nicotinamide (also called niacinamide) (major form in blood)
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2
Q

Niacin in Plants
- present in food in ___ ____
- covalently bound to complex ___
- largely ________ in cereals eg maize
- is very _______ to heating and
oxidation
- water ______
- ______ available than animal sources

A
  • free form
  • CHO
  • unavailable
  • stable
  • soluble
  • less
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3
Q

Niacin in Animals
- mainly occurs as the _______
_______: _____ & _____

A
  • nicotinamide, nucleotides: NAD+ & NADP+
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3
Q

Digestion & Absorption of Niacin
- NAD and NADP first need to be converted to _________ to enable absorption
- main site of f nicotinic acid and nicotinamide absorption - _____ _____
- _______ _______ with typical dietary intakes
- ________ _____ with pharmacological doses
- large intestine - ______ _____ absorbed by __-_______ high-affinity transporter

A
  • nicotinamide
  • small intestine
  • Carrier facilitated
  • Passive diffusion
  • Nicotinic acid, Na-dependent
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3
Q

Transport & Storage of Niacin
In the blood:
- _______ transported in the blood _____
- _______ ____ can be bound to plasma ______
In the Tissue Cells:
* Readily enters most cells by _____ _____ (needs a transporter for kidney tubules & red blood cells)
* ________ used for the synthesis by all tissues of NAD+/NADH and NADP+/NADPH
* ______ ___ can also be used by the liver
Storage:
* ___ _____ ____ stores niacin

A
  • Nicotinamide, freely
  • Nicotinic acid, proteins
  • simple diffusion
  • Nicotinamide
  • Nicotinic acid
  • No single organ
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4
Q

Niacin Functions
* Component of ______ used in macronutrient & energy ______
* Role in reactions involved in _____ _____, __________ and ________
* Role in reactions involved in _______ ________

A
  • coenzymes, metabolism
  • DNA repair, replication and
    transcription
  • calcium mobilisation
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5
Q

Redox Functions
* _________ is the _______ _____ of NAD+ and NADP+
* NAD+ and NADP+ are coenzymes in a wide variety of
_________ and _______ reactions in energy yielding
metabolism
* ~ _____ enzymes require NAD+ or NADP+

A
  • Nicotinamide, reactive moiety
  • oxidation and reduction
  • 200
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6
Q

Functions of NAD+/NADH:
* NAD+ acts as an electron ______ in energy yielding metabolism
* The resultant NADH is _____ by the ______ electron transport chain
* Also participates in other oxidative reactions e.g. _______, _______ ___ ____ ___ in the citric acid cycle
→ Essential role in production of ____ & production of energy

A
  • acceptor
  • oxidised, mitochondrial
  • glycolysis, oxidation of acetyl coA
  • ATP
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7
Q

Functions of NADP+/NADPH
* _____ agent (donates hydrogen) in many biosynthetic pathways e.g. synthesis of ___, _______, ______ ______

A
  • Reducing
  • FAs, cholesterol, steroid hormones
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8
Q

Niacin Functions for Specific Nutrients
1. CHO metabolism
* ________ (anaerobic) requires _ dehydrogenase enzymes
* ____ _______ (aerobic) requires _ dehydrogenase enzymes
* electrons generated from NAD+ metabolism are then transported down the electron transport
chain with further release of ___; finally combined with molecular oxygen to form ______

A
  • glycolysis, 2
  • TCA cycle, 3
  • ATP
  • water
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9
Q

Niacin Functions for Specific Nutrients
2. FA metabolism
* ______ is required in reductive biosynthesis of fatty acids, cholesterol & steroid hormones from
acetyl CoA

A
  • NADPH, reductive
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10
Q

Niacin Functions for Specific Nutrients
3. AA metabolism
* _____ is required with ______ dehydrogenase in oxidative ______ of glutamate (end
product of most AA __________) to _-_______ and _____ ions – recycled or excreted as urea

A
  • NAD+, glutamate, deamination, transamination’s, a-ketoglutarate, NH4+
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11
Q

Niacin Functions for Specific Nutrients
4. Other functions:
* oxidation of _____
* activation of _____ (which is essential for all cell division)
* ______, ______ __ and ______ regeneration

A
  • ethanol
  • folate
  • Glutathione, vitamin C and thioredoxin
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12
Q

DNA Repair & Ca Functions of Niacin
* NAD+ is a source of ___-_____ in transfer reactions
involved in ____ repair, replication and transcription
* NAD+ is the precursor of ___ second messengers that act
to _____ the release of _______ from intracellular stores
in response to ________

A
  • ADP-ribose, DNA
  • two, increase, calcium, hormones
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13
Q

Niacin Deficiency:
- ______
* characteristic red, scaly, itchy skin rash on areas exposed to sun
* ‘Casal’s collar’
* later skin becomes dark & rough, hence name
* pelle (‘skin’) agra (‘sour/rough’)
- __________
* + inflamed tongue (glossitis) & mouth, denuded lips, difficulty swallowing
- _______/_______ (severe cases)
* anxiety, depression, ‘burning feet’, hallucinations
* due to serotonin deficiency (see Kynurenine pathway)
- _____ (if untreated)

A
  • Dermatitis
  • Diarrhoea
  • Delirium/Dementia
  • Death
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14
Q

People with pellagra have increase breakdown of _______ in skin

A

increase, histidine

15
Q

Causes of Deficiency
- Corn staple – low availability of niacin
* low dietary intake of preformed niacin
* so increased reliance on trp as source of niacin
* but maize protein is also low in trp
- Poverty – low intake of protein foods
* unvaried diet, high protein foods expensive
* low intake of _________
- Different medications and malabsorption conditions, including:
* Isoniazid (TB drug) binds to vitamin B6↓ niacin synthesis via Kynurenine pathway
* Malabsorption due to diarrhoea, inflammatory bowel disease etc

A
  • tryptophan
16
Q

Assessment of Niacin Status
* Urinary excretion of metabolites e.g. N’ methyl nicotinamide or N’ methyl
nicotinamide/1 g of creatinine
* ______ or __ indicators e.g. NAD and NAD:NADP in rbc

A
  • Urinary
  • Serum or rbc