Nutrition and Antioxidants Flashcards

1
Q

Is vitamin E (lipid/water) soluble?

A

lipid

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2
Q

Is Vitamin C (lipid/water) soluble?

A

water

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3
Q

Define Reactive Oxygen Species (ROS)

A

superoxide and its subsequent products

-O2 will often steal an electron from reduced metals, flavins, quinols, etc become “superoxide” or O2-

  • very reactive
  • will combine with anything
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4
Q

Give example of a Reactive Nitrogen Species.

A

gas hormone nitric oxide (NO)

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5
Q

Give some examples of Reactive Oxygen Species.

A
Superoxide (O2-)
Hydrogen Peroxide (H2O2)
Hydroxyl radical (OH-)
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6
Q

Oxidative and Nitrosative damage are commonly linked with disease either as a cause or side-effect.

A

FYI

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7
Q

What are four ways that oxidative and nitrosative stress can damage biological molecules?

A
  1. Modification of structure and function of CARBOHYDRATES
  2. Modification of structure and function of PROTEINS
  3. Modification of LIPID (peroxidation)
  4. Modification of individual NUCLEOTIDE BASES
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8
Q

How do ROS damage lipids?

A

ROS can led to chain reaction due to oxygen reacting with lipid.

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9
Q

Why are aldehydes so reactive?

A

create crosslinks between proteins

ex) formaldehyde

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10
Q

Patient is suffering from ischemia/reperfusion injury. Damage is primarily caused by:

A

initial return of oxygen to normal levels

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11
Q

LDLs are protected from oxidative modification in systemic circulation due to presence of circulating anti-oxidants. What happens when LDLs are trapped in the sub-endothelial space?

A

ROS reacts with LDL and leads to oxidized LDL (oxLDL).

oxLDL

  • is a chemoattractant to circulating monocytes
  • contributes to endothelial dysfunction
  • further ROS formation
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12
Q

How does cytochrome C function in mitochondrial injury?

A

acts as an apoptic signal

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13
Q

Iron can play the following roles:

A

role in many enzymes

  • catalysis
  • electron transfer
  • oxygen transport
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14
Q

What reaction can iron catalyze?

A

Haber-Weiss-Fenton reactions

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15
Q

Describe the reactions that iron can undergo.

A

oxidation
reduction

Leo (lose electron Oxidized)
Ger (gain electron Reduced)

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16
Q

How is iron stored in the body?

A

ferritin
hemosiderin
(mostly in liver)

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17
Q

How much iron is required per day to maintain stores with a mixed diet?

A

8 mg per day

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18
Q

How is iron taken up by the body?

A

transferrin - specific cell membrane receptors on target cells

Tf-receptor complex is internalized by receptor-mediated endocytosis

Fe is released by acidification

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19
Q

How is non-heme taken up by the body?

A

Stimulated:
Vit C
organic acids
Heme

Inhibited:
black tea
cocoa
chamomile

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20
Q

What happens in the presence of iron excess?

A

hemochromatosis (hereditary defect)

hemosiderosis (dietary overload)

  • alcohol in excess
  • children ingesting Fe supplements

Oxidative stress

Decrese absorption of thyrozine, tetracycline, ciprofaloxacin

possible heart disease

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21
Q

What can lead to iron deficiency?

A

diet deficiencies
infection (H. pylori)
inflammation
other vitamin deficiencies (Vit C)

Result: anemias
- can exacerbated other problems (lead poisoning)

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22
Q

What are some defense mechanisms that protect against oxidative stress?

A
Chemical:
Vitamin C
Vitamin E
B-carotene
Glutathione
Bilirubin

Enzymatic:
Super Oxide Dismutase (SOD)
catalase
peroxidases

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23
Q

Why does the cell have different redox active organic components?

A

Can donate or accept electrons at different electrical potentials

Overlap allows a wide range of reactions

24
Q

Which enzymes protect you from ROS?

A

superoxide dismutase
catalase
peroxidases

25
Q

Which chemicals protect you from ROS?

A

bilirubin
glutathione
Vitamin C
Vitamin E

26
Q

Describe glutathione.

A

Small, modified tripeptide reversible oxidized/reduced
-thiol group

  • good source of eletroncs to reduce ROS
  • regenerated w/electron from NADPH by Glutathione reductase
27
Q

What is the concentration of glutathione?

A

[millimolar]

28
Q

What is the MAIN function of Vitamin E?

A

antioxidant - stops propagation of free-radical damage in membranes

29
Q

Vitamin E will be deficient when there is ?

A

fat malabsorption

30
Q

Bile acids are essential for which vitamin to be absorbed?

A

Vitamin E

31
Q

Where is the bulk of Vitamin E stored?

A

adipose tissue

32
Q

A deficiency in Vitamin E lease to?

A

retinitis pigmentosa

neurological symptoms

33
Q

What is the RDA of Vitamin E?

A

15 mg/day

** does not accumulate in the liver to toxic levels

34
Q

Scavenges oxygen and free radicals

A

Reducing reagent

35
Q

A-tocopherol deficiency can lead to ?

A

ataxia

36
Q

Bioavailability of Vitamin E depends on what 2 things?

A

bile acids
fat content of food
ex) 2x as available when taken with milk vs. orange guide

37
Q

How is Vitamin E oxidized?

A

by w-oxidation by cytochrome P450

38
Q

What is used to regenerate reduced Vitamin E?

A

Vitamin C

39
Q

List three functions of Vitamin C

A

antioxidant
collagen biosynthesis
-proline
-lysine

Synthesis of:

  • adrenal hormones
  • drug metabolism
  • folate metabolism
  • stimulation iron uptake
40
Q

How many electrons can Vitamin C donate?

A

2

41
Q

How can Vitamin C be regenerated?

A

number of different enzymes using electrons from NAD(P)H or by glutathione

42
Q

What is the first thing that is oxidized in plasma under oxidative stress?

A

Vitamin C

43
Q

How does Vitamin C accumulate?

A

intracellularly via specific transporters AND by at least 4 glucose transporters (GLUT 1-4)

44
Q

What is a result of Vitamin C deficiency?

A

Scurvy

45
Q

How does Scurvy present?

A

connective tissue in muscle, skin, blood vessels

hemorrhagia
bleeding gums
weakness
poor wound healing or bone healing

46
Q

What is the RDA for Vitamin C?

A

60 mg/day

47
Q

What can excess (megadoses) of Vitamin C cause?

A

hypoglycemia
kidney stones
indigestion
dissolve teeth enamel (chewable forms)

48
Q

$21 to 25 billion dollars is spent on supplements each year yet most are not supported by?

A

larger, randomized trials

49
Q

Present evidence on the use of multivitamins (MVMs) is ?

A

insufficient

50
Q

In the primary prevention of total cancer incidence or cancer mortality, Vitamin C, E or beta carotene offer?

A

no overall benefit

51
Q

Regarding cardiovascular events among women with high risk for CVD, ascorbic acid, Vitamin E or beta carotene offer?

A

no overall effect

52
Q

Evaluating the risk of prostate or total cancer, the use of Vitamin E or C offers?

A

no overall effect

53
Q

The risk of major cardiovascular events in men, the use of Vitamin E or C offer?

A

no overall effect

54
Q

Higher plasma Vitamin C levels and fruit and vegetable intake were associated with

A

decreased risk of diabetes

55
Q

The groups most vulnerable to inadequacy of one or more nutrients are?

A
  • older adults
  • pregnant women
  • people who are food insecure
  • alcohol-dependent individuals
  • strict vegetarians and vegans
  • increased needs due to health conditions
  • chronic use of medication that decreases nutrient absorption or changes metabolism
56
Q

What benefit could pharmacologic doses of ascorbate provide?

A

prooxidant and decrease growth of aggressive tumor xenografts (in mice)

57
Q

What was the effective concentration (sufficient to kill 50% of tumor cells) of ascorbate?

A

<10mM for 75% of tumor cells tested