Nutrition Flashcards
Cofactor for methionine synthase
B12
Sources of B12
Animal products
When does vitamin B12 deficiency develops
After 4 to 5 years of absent intake
Subacute combined degeneration is due to deficiency of what vitamin
B12
Vitamin B1 (thiamine) is a cofactor for what type of enzymes
Dehydrogenases
- Pyruvate dehydrogenase (glycolysis-TCA cycle)
- alpha-ketoglutarate dehydrogenase (TCA cycle)
- Branched-chain ketoacid dehydrogenase (metabolism of valine, leucine, and isoleucine)
- Transketolase (HMP shunt)
Diseases caused by vitamin B1 deficiency
- Wernicke-Korsakoff syndrome: triad of ataxia, nystagmus, and ophthalmoplegia (Wernicke) with confabulation (korsakoff)
- Dry beri-beri: polineuritis, SYMMETRICAL muscle wasting
- Wet beri-beri: high-output cardiac failure (dilated cardiomyopathy), edema
Part of the CNS damaged by vitamin B1 deficiency
- MAMMILLARY BODIES
2. Medial dorsal nucleus of the thalamus
Laboratory diagnosis of vitamin B1 deficiency
Increase in RBC transketolase activity following vitamin B1 administration
Niacin is synthesized from which aminoacid
Tryptophan
Pathogenesis of Hartnup disease
Deficiency of neutral aminoacid (tryptophan) transporters in proximal renal tubular cells and on enterocytes, leading to neutral aminoaciduria and decreased absorption from the gut
*Can lead to pellagra-like symptoms
4 D’s of pellagra
- Diarrhea
- Dermatitis (C3/C4 circumferential “broad collar” rash - Casal necklace, and hyperpigmentation of sun-exposed limbs)
- Dementia
- Death
Pyridoxine (vitamin B6) is a cofactor for…
- Aminotransferase reactions (ALT and AST)
- Delta aminolevulinate synthase (rate-limiting enzyme in heme synthesis)
- Glycogen phosphorylase
- Synthesis of cystathionine
Most common cause of pyridoxine deficiency
Isoniazid
Clinical manifestations of pyridoxine deficiency
- SIDEROBLASTIC ANEMIA
- PERIPHERAL NEUROPATHY
- Cheilosis/stomatitis
- Convulsions
Function of biotin (vitamin B7)
Cofactor for carboxylation enzymes (adding of a 1-carbon group)
- Pyruvate carboxylase (pyruvate to oxaloacetate)
- Acetyl-CoA carboxylase (acetyl-CoA to malonyl-CoA)
- Propionyl-CoA carboxylase (propionyl-CoA to methylmalonyl-CoA)
Folate stores in the body can cover its need for how long
3 to 4 months
Most important clinical manifestations of folic acid deficiency
- Macrocytic megaloblastic anemia (with hypersegmented neutrophils)
- Homocysteinemia
- Neural tube defects (pregnant women)
Common signs and symptoms to all B-complex deficiencies
- Dermatitis
- Glossitis
- Diarrhea