Vit E Flashcards

1
Q

What is the umbrella term for the Vitamin E family? what are the two main types?

A

Tocochromanols
-Tocopherols and tocotrienols
-structurally similar compounds which exhibit RRR-alpha-tocopherol activity

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2
Q

Which isomer of Vitamin E is the most bioactive?

A

RRR-α-tocopherol

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3
Q

What structural difference exists between tocopherols and tocotrienols?

A

Tocopherols have a saturated phytyl tail, while tocotrienols have an unsaturated tail (three double bonds)

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4
Q

What part of the Vitamin E molecule reacts with radicals?

A

The chromanol head

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5
Q

How does sythetic vs natural vit E structure differ?

A

The steriochemistry at various positions can be S or R, while in natural vit E it is always R (all methyl groups flipped up)

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6
Q

what 4 things impact biological activity of Vit E?

A

1) prescence of double bonds in phytyl tail
2) location of methyl groups on phenolic ring
3) configuration at the 3 chiral centers
4) esterification of the phenolic ring

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7
Q

How is tocochromanol digestion / absorption affected?

A

dependent on lipid digestion/absorption
-absorbed into entorocyte by facilitated and passive transport

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8
Q

How is tocopherol released from synthetic tocopherol?

A

Pancreatic esterase cleaves synthetic forms to free tocopherol

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9
Q

What 5 things impact bioavailibility of vit E?

A

1) food matrix
2) lipid content in meal
3) type of lipid
4) competition of alpha-TP with other isomers, micronutrients, or polyphenolics
5) alcohol consumption

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10
Q

What is the primary function of α-Tocopherol Transfer Protein (α-TTP)?

A

To selectively bind and transfer α-tocopherol between membranes and tissues

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11
Q

How is Vit E transported?

A

In chylomicrons

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12
Q

What condition is associated with mutations in the TTPA gene? what is the impact? what are symptoms?

A

Primary vit E deficiency :Ataxia with Isolated Vitamin E Deficiency (AVED)
-inadequate distribution of Vit E to peripheral tissues (absoprtion / lipoprotein transport of vit E is normal)
-impaired vibration sense, ataxia, dysarthria

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13
Q

What is a major pathway for Vitamin E catabolism? explain why tocochromanol metabolism is selective.

A

Tocopherol-ω-Oxidation
-metabolism is selective in order to conserve α-tocopherol and clear out excess /less active forms
-conjugated metabolites generated using CYP450 to increase clearance of other isomers

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14
Q

Where is 90% of body vitamin E stored? what does this mean for vit E utilization? where else is it stored and how does utilization differ?

A

Membranes (helps with stability)
-white adipose tissue
-very immobile pool; slow release

Vit E is also stored in the liver and in RBC membranes
-readily availible for redistribution to be able to maintain membrane levels + sequester free radicals

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15
Q

Why is Vit E storedin adrenal tissue?

A

Hormone synthesis causes oxidized species
-vit E present to act as antioxidant

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16
Q

how does the amount of dietary tocopherol isomers reflect plasma levels? what is the impact of suplements?

A

The diet has highest amounts of g-tocopherol, s-tocopherol, but it is lowest in plasma

20-30uM of a-tocopherol
-low amounts of other forms

Supplements show minimal plasma changes due to tight regulation

17
Q

What is the primary role of Vitamin E as an antioxidant?

A

To quench free radicals and ROS made from metabolic pathways

18
Q

Explain how oxidation of free radicals occurs. what are the steps?

A

1) lipid radicals are formed when OH reacts with FA

2) rxn of lipid radical with O2 generates a lipid peroxide radical

3) radicals abstract H from other molecules, forming more radicals

19
Q

what is a lipophilic antioxidant?

A

antioxidant localized in lipid-bilayer (donates its H to quench unpaired e- radical)
-stabilizes cell membrane

Tocopherol reacts w peroxyl lipid radicals

20
Q

How does vit E work as a lipophillic antioxidant?

A

Vit E has a way higher affinity for LOO * / LOOH than cholesterol and FA
- effective at [low]
-recycled by carotenoids and vit C

21
Q

What other vitamins can help recycle vit E?

A

glutathione, vit C, carotenoids
- carotenoids step in when vit C is low

22
Q

what is a physiological role of tocochromanols?

A

1) antioxidant in steroid synthesis
2) spermatogenesis
3) placenta development

23
Q

What are rich dietary sources of Vitamin E (tocochromanols)?

A

Oil seeds and vegetable oils, processed products made from these oils, leafy green vegetables, fortified breakfast cereals

Examples include olive, sunflower, and canola oil; almonds, hazelnuts, red pepper/broccoli, mangoes / papaya

24
Q

In what portion of food are tocopherols predominantly found?

A

In the lipid portion of membranes

This suggests a close tie to fat content in food.

25
What is the RDA for α-tocopherol for adults? what is the RDA for lactating women?
1) 15mg/day 2) 19mg / day
26
What is the UL for Vit E? what are symptoms of toxicity?
1000mg - relatively non toxic due to quick metabolism and excretion -symptoms = inhibition of blood clotting and vit K action and reduction in other nutrients metabolized by CYP450
27
How does the [Vit E] change in breast milk?
higher levels of Vit E are present in less mature breast milk (highest in first 3 days) colostrum = 6.2mg/day transitional =4.7 mature = 2.7 (below RDA for infants which is 4mg/day)
28
What populations often show inadequate dietary intake of α-tocopherol? what is a reason for this?
First Nations, Métis, Dene, Inuit, and Yukon communities -loss of traditional food intake which are rich sources of Vit E (blubbler, liver and flesh of marine animals)
29
What is the normal plasma α-tocopherol concentration? what is the threshold for plasma levels?
20–30 μM -50-60μM is max threshold
30
What is the RBC Hemolytic Fragility Test used for? what is the H2O2 test?
To assess RBC susceptibility to oxidative damage -increased levels of vit E decreased levels of H2O2 lipid oxidation
31
What are symptoms of Vitamin E deficiency? what may cause deficiency?
fatigue, muscle weakness, slow tissue healing, miscarriage -Deficiencies are rare but may be caused by lipid malabsorption or other nutrient deficiencies ## Footnote Serum α-TOH < 12 μM indicates deficiency.
32
What populations are at risk for tocochromanol deficiency?
familial alpha-TTP deficiency, liver disease, premature infants, smokers (decreased plasma vit E) -associated with ataxia (loss of body movements), and erythrocyte hemolysis-anemia
33
What nutrient interactions are important with Vitamin E?
Selenium (GSH peroxidase) , Vitamin C (complimentary action), β-Carotene (Vit E inhibits absorption in SI) , Vitamin K (impairs absorption)
34
What is the therapeutic role of α-tocopherol? what are the conclusions made about this?
Often explored in antioxidant therapy for conditions with oxidative stress -various conclusions made about the effectiveness- may work better in conjunction with other nutrients -not effective as a supplement alone due to high dose -reductions seen in all cause mortality with a normal level of intake