Vitamin B1 (Thiamine) Flashcards
Also called Thiamine (B1)
Aneurine
Active form of Thiamine
Thiamine Pyrophosphate (Thiamine Diphosphate)
Coenzyme role of Thiamine Pyrophosphate
DECARBOXYLATION reaction of alpha keto acids and branched amino acids
Pyruvate dehydrogenase
Alpha ketoglutarate dehydrogenase
Branched chain ketoacid dehydrogenase
Trans Ketolase
Deficiency of Vitamin B1 (Thiamine)
WET BERIBERI - high output cardiac failure
DRY BERIBERI - peripheral and central nervous system
Wernicke’s Encephalopathy (reversible) - confusion, ophthalmoplegia, ataxia
Korsakoff Encephalopathy (irreversible) - dementia, confabulation
Biochemical assessment of thiamin deficiency
Reduced Erythrocyte Transketolase activity
Urinary Thiamine Excretion
Acute life threatening neurologic condition
Wernicke’s Encephalopathy
Amnestic disorder d.t. chronic alcohol consumption
Korsakoff Encephalopathy
Combination of Wernicke encephalopathy and Korsakoff syndrome
Wernicke-Korsakoff syndrome
-damage to MEDIAL DORSAL NUCLEUS of THALAMUS, MAMMILLARY BODIES
Vitamin deficiency that can cause LACTIC ACIDOSIS
Thiamine
Thiamine requirement increases in excessive intake of
Carbohydrate