Vitamin B9/Folate Flashcards

1
Q

When was Folate discovered

A

1870s and 80s by Mitchell

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2
Q

How was folate discovered

A

finding a cure for megaloblastic anemia

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3
Q

What are some excellent sources of folate

A

cooked lentils, spinach, asparagus, brocolli

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4
Q

What are some good sources of folate

A

brussel sprouts, greens, kidney beans

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5
Q

what is folate structure

A

3 part: 2-amino-4 hydroxypteridine, 2-para-aminobenzoic acid (PABA) and glutamic acid

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6
Q

How are glutamates connected to PABA

A

gamma peptide bonds

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7
Q

what is folic acid structure

A

monoglutamate (only one glutamate attached to PABA)

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8
Q

Folate digestion is based on an exopeptidase in the brush border dependent on what mineral

A

zinc

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9
Q

what transporter is used in the intestines to transport folate

A

proton-coupled folate transporter (PCFT)

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10
Q

PCFT is

A

facilitated, has high affinitiy, is found in proximal jejunum and duodenum

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11
Q

Folate is digested by these enzymes

A

folate hydrolases, pteroylpolyglutamate hydrolases, folly gamma glutamyl conjugases, and carboxypeptidases.

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12
Q

How much folate is stored and where is most of it stored

A

7-30mg, 50% stored in liver

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13
Q

what is folate deficiency called

A

megaloblastic macrocytic anemia

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14
Q

what are the s/s of folate deficiency

A

fatigue, headaches, weakness, irritability, difficult concentrating, shortness of breath, heart palpitations, bright red tongue, glossitis, short villi height in GI

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15
Q

what are the s/s of folate toxicity

A

15g has shown insomnia, malaise, irritability, GI distress.

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16
Q

what is the RDA for folate

A

400ug DFE

17
Q

what is the folate RDA for pregnant women

A

600ug DFE

18
Q

what is the folate RDA for lactating women

A

500ug DFE

19
Q

what are the folate TUL for adults

A

1,000ug of synthetic folic acid

20
Q

how are some ways to assess status of folate

A

plasma folate, serum folate, FIGLU excretion measured from 6-hr urine collection after histidine intake, deoxyuridine supression test, plasma homocysteine concentrations.

21
Q

What is 1 DFE (equation)

A

1 DRE = ug food folate + (1.7 x ug folic acid)

22
Q

1 DFE of folic acid supplement/ fortified foods

A

0.6 ug

23
Q

1 DFE of folic acid supplement on an empty stomach

A

0.5ug