vit B6 Flashcards

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1
Q

what forms can vit B 6 be found in

A

pyridoxine
(plants & supplements)

pyridoxal(animal sources)
pyridoxamine

all also exist in phosphorylated form

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2
Q

vit B6 kinase and phosphatase reactions

A

dephosphorylated by alkaline phosphatase (Zn-dependent) in intestine

absorbed by active transport only in dephosphorlylated state (pyridoxine; pyridoxal & pyridoxamine)

liver converts to pyridoxal phosphate, main form in circulation (90%)

also formed by erythrocytes, and bound to haemoglobin

absorbed into tissues in phosphate-free form (alkaline phosphatase in blood)

oxidase in vitamin B6 metabolism dependent on riboflavin status

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3
Q

what is PLP

A

cofactor in amino acid metabolism and of glycogen phosphorylase

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4
Q

what is the Noncoenzyme role in regulating actions of steroids

A

Binds to lysine on steroid receptors to reduce binding of steroid hormones e.g oestrogen; testosterone; cortisol

So, diminish action of steroids

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5
Q

what is the excretory metabolite

A

4-pyridoxic acid
(< 30 µm/d = deficiency)

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6
Q

recent intake of 4-pyridoxic acid is in what

A

urine

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7
Q

plasma PLP measurement values for deficiency and adequate intakes

A

< 20 nmol/l = deficiency
> 30 nmol/l = adequacy

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8
Q

what converts pyridoxal to 4-pyridoxic acid

A

aldehyde oxidase

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9
Q

what are the value requirements of vit B6 in relation to amino acid metabolism
EAR=
RNI=

A

EAR = 13 ug/g protein
RNI = 15 ug/g protein

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10
Q

what is the RNI for vit B6 for males and for females

A

RNI male 1.4 mg/d
RNI female1.2 mg/d

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11
Q

diets high in what can cause vit B6 deficiency

A

protein

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12
Q

name some good sources of vit B6

A

meat – steak; salmon; chicken; liver; whole grain products;

Vegetables; some fruits e.g. bananas; nuts; egg yolk; yeast

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13
Q

what percentage of vit B6 is lost in refining cereals

A

90 %

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14
Q

what are symptoms of vit B6 deficiency

A

fatigue, glossitis, stomatitis, anaemia, hyperhomocysteinaemia

convulsions (infants – severe heat treatment of milk)

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15
Q

what groups are at risk of vit B6 deficiency

A

elderly, alcoholics, certain drug therapies (e.g. isoniazid, anti-convulsants, corticosteroids), asthmatics (theophylline).

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16
Q

describe toxicity in terms of vit B 6

A

high doses advocated in certain medical conditions e.g. carpal tunnel syndrome; nausea & vomiting in pregnancy (maximum 200 mg/day)

17
Q

high doses of vit B6 are used in treatment for what

A

tuberculosis (maximum 200 mg/d)

18
Q

pyridoxine at high levels causes what

A

neurotoxicity