Vitamins and Minerals Flashcards
Which are coenzymes used for energy generation except for: Thiamine Riboflavin Biotin Folic Acid Choline Panthothenic acid Niacin pyridoxine
Energy Generation Thiamine Riboflavin Niacin Pyridoxine Panthothenic acid biotin
Choline is classify as other water vitamins together with ascorbic acid and carnitine
Folic acid is for hematopesis
Thiamine or Vit B12 coenzyme forms:
TPP (Thiamine Pyrophosphate)
TDP (Thiamine Diphosphate
inflamation of tongue
glossitis
inflamation of corners of mouth
cheilitis
Which vitamins are use for hematopoesis
- Biotin
- Choline
- Cobalamine
- Folic Acid
Folic acid and cobalamine
These are other water vitamins except for
- Thiamine
- Ascorbic acid
- Carnitine
- Pyridoxine
- Choline
Thiamine and pyridoxine is used for energy generation
Other water vitamins
Ascorbic acid
Carnitine
Choline
TPP is a coenzyme for all except
Pyruvate Dehydrogenase alpha-ketogluterate Dehydrogenanse Tranketolase Transaldolase Pyruvate carboxylase
All except for Pyruvate carboxylase
Localized in peripheral nerve membranes and functions in the transmission of nerve impulses
Thiamin Triphosphate
Effects of thiamine or vit b12 deficiency, no pyruvate DH activity leads to:
inc pyruvate and lactate dec pyruvate and lactate inc puruvate and dec lactate dec pyruvate adn inc lactate no change in pyruvate adn lactate
inc pyruvate and lactate
Effects of thiamine or vit b12 deficiency, no alpha-ketogluterate Dehydrogenanse activity leads to:
decrease oxidative decarboxylation of alpha-ketoacids
increase oxidative decarboxylation of alpha-ketoacids
no change oxidative decarboxylation of alpha-ketoacids
decrease oxidative decarboxylation of alpha-ketoacids
Severe thiamine deficiency:
anorexia
ataxia
opthalmoplegia
beri-beri
beri-beri - severe
anorexia- mild
moderate
ataxia
opthalmoplegia
Type of beri-beri that have advance neuromuscular symtoms such as muscle atrophy, weakness and high CO failure
DRY
WET - same symptoms as dry plus EDEMA
At risk groups for thiamine deficiency:
Elderly children chronic alcoholics excessive coffee and tea drinkers restricted diet such as strict polished rich diet
all except children
Diagnosis of thiamine deficiency is the use of?
RBC tanskelotase assay
Vit B2 coenzyme forms:
PLP NAD+ NADP+ FAD FMN
Vit B2 or Riboflavin coenzyme forms
FAD Flavin adeline dinucleotide
FMH - Flavin mononucleotide
Precursor for FAD and FMN
Riboflavin
Signs and symtoms for riboflavin deficiency except
Angular cheilitis
Glossitis
Scaly dermatitis
Atraxia
Atraxia
Riboflavin partakes in the mobilization of ____
iron
low iron -> anemia
_____ is when there is slow conversion of riboflavin to FAD and FMN
Hyperthyroidsim
Niacin or Vit B3 is obtained from diet as what?
NAD
NA
NADPH
NAm
Nicotinic acid (NA) Nicotinamide (NAm)
Niacin can by synthesize from what amino acid?
Tryptophan
TRUE or FALSE
Niacin or Vit B3 can be argued as non-vitamin because vitamins cannot be synthesized from the body. Why?
TRUE because Niacin can be synthesize by tryptophan
how much mg of tryptophan need to convert 1 mg of niacin?
60mg
True or False: Synthesis of niacin requires:
PIP (pyridozal phosphate)
Vit B2 or Riboflavin
Iron
Sodium
FALSE: does not need sodium
Synthesis of niacin requires:
PIP (pyridozal phosphate)
Vit B2 or Riboflavin
Iron
Vit B3 coenzyme forms what?
PLP NAD+ NADP+ FAD FMN
Vit B3 or Niacin coenzyme forms:
NAD (Niacin adenine dinucleotide)
NADP+ (Niacin adenine dinucleotide phosphate)
This Vitamin function as an electron acceptor or H+ donors (redox rxns)
Niacin or Vit b3
___ require for poly-ADP-ribose polymerase rxns (which is part of the cellular DNA damage recognition system); regulates DNA replication , DNA repiar and cell cycle progression
PLP NAD+ NADP+ FAD FMN
NAD+
Niacin lowers LDL and TAG by direct noncompetitive inhibition of liver _____ required for TAG synthesis
DAG acyltransferase
DAG acyltransferase required for TAG synthesis leads to intracellular ______ degredation and inhibits/decrease ______ secretion
APO B
VLDL
Niacin increases HDL by its effect on what receptor?
APO B
APO A1
APO A2
APO B2
APO A1
Glossitis is from what vitamin deficiency?
Riboflavin
Niacin
both
Whaich is/are side effects of niacin therapy (>500mg)
acute liver damage = inc liver enzyme
Flushing of skin
hyperuricemia
sensory neuropathy 18
all except sensory neuropathy 18
What are dietary form of vit. b6
pyridoxine
pyridoxamine
pyridoxal
Excess (2-7g/day) of Vit B6 or pyridoxine leads to:
acute liver damage = inc liver enzyme
Flushing of skin
hyperuricemia
sensory neuropathy 18
sensory neuropathy 18
Vit B6 coenzyme forms:
PLP FAD FMN NAD NADPH
PLP - pyrodoxal phosphate
Pyridoxine converts homocysteine to ____
cysteine
One of the cofactors required for the conversion of tryptophan to NAD
PLP
Peripheral neuropathy is from what vit def?
Pyridoxine or Vit B6
Panthotenic acis or vit b5 is a main component of ___
coenzyme A
it is the phosphopantheine moiety of fatty acid synthase complex
panthotenic acid or vit b5
panthotenic acid or vit b5 is required for the metabolism of lipids,proteins and carbohydrates via ____ . and it is also required for what synthesis ?
CAC
FA and cholesterol synthesis
Biotin covalently bound to e-amino group of lysine residue in:
pyruvate (carboxylase or dehydrogenase? )
acetyl-coA (carboxylase or dehydrogenase? )
proionyl-coA (carboxylase or dehydrogenase? )
b-methycrotonyl (carboxylase or dehydrogenase? )
pyruvate carboxylase
acetyl-coA carboxylase
proionyl-coA carboxylase
b-methycrotonyl carboxylase
biotin is synthesized by
intestinal bacteria
a-lipoic acid essential coenzyme that has a major role in energy generation via the CAC
pyruvate dehydrogenase
a- keto acid dehydrogenase
a-ketoglutarate dehydrogenase
a- keto acid dehydrogenase
in cells, a-lipoic acid is reduced to this potent anti-oxidant
dihydrolipoic acid
____ increase the activity of adenylate kinase, PPAR-a, and PPAR-gamma by unknown mechanisms
pyrodoxine niacin a-lipoic acid biotin panthotenic acid
a-lipoic acid
Folic acid is made of p-aminobenzoic acid (PABA) bound to a
corrin ring
pterin rind
glutamic acids
pterin rind
glutamic acids
Folic acid is stored in the liver as what?
THF2
THF4
THF6
THF4 - tetrahydrofolate polyglutamate
Active form of folic acid
polyglutamate folic acid
polyglutamate folic acid is formed by reducing THF4 polyglutamate with this enzyme
dihydrofolate reductase
This PABA analog inhibits synthesis of folate
sulfanilamide
Cobalamin contains cobalt in the center of a
corrin ring
pterin rind
glutamic acids
corrin ring
This results to Folate deficiency except for
MEgaloblastic anemia Increase risk of birth defect Hyperhomocysteinemia Colon and Cervix CA Homocysteinemia
Homocysteinemia - def of pyridoxine or vit b6
What derivative of Vit B12 required for methione synthase
What derivative of Vit B12 required for methylmalonyl CoA mutase
Methyl
5 deoxyadenosyl
- Methyl
- 5 deoxyadenosyl
What vitamin is involve in the reaction in metabolism of thymine
Cobalmin
Vit B12 def also causes neurologic problems by
decrease expression of TNF-a and nerve growth factor
increase expression of TNF-a and nerve growth factor
decrease expression of EGF and IL-6 in CSF
increase expression of EGF and IL-6 in CSF
increase expression of TNF-a and nerve growth factor
decrease expression of EGF and IL-6 in CSF
competitive inhibitor of malonyl CoA in FA synthesis binds to ___
BCFAs
Ascorbic Acid have how many carbon compounds closely related to glucose?
2 4 6 8 12
6
What type of reaction does the Ascorbic Acid becomes a reducing agent as its main biological role.
carboxylation
hydroxylation
methylation
phosphorylation
hydroxylation
vit c functions as a reduction and hydroxylation reactions
Vit C acts as a cofactor for mixed-function oxidases that is required for the hydroxylation of this amino acids in protocollagen
Lysine Arginine Cysteine Methione Proline
Lysine and proline
Other than calcium, this vitamin helps in bone formation
Ascorbic Acid
Carnitine
Choline
vitamin c
Ascorbic acid is a cofactor for
syntheis of aminolevulnic acid synthesis of carnitine synthesis of norepinephrine synthesis of sphingolipids synthesis of serotonin synthesis of GABA
synthesis of carnitine
synthesis of norepinephrine
Pyridoxal phosphate PLP is a cofactor for
syntheis of aminolevulnic acid synthesis of carnitine synthesis of norepinephrine synthesis of sphingolipids synthesis of serotonin synthesis of GABA
syntheis of aminolevulnic acid synthesis of norepinephrine synthesis of sphingolipids synthesis of serotonin synthesis of GABA
High concentration of this vitamin is required for hydroxylation reactions of some corticoids during stress
Ascorbic Acid
Carnitine
Choline
vit c
As a non-enzymatic reducing agen, vit c enhances the utilzation of folic acid by
- aiding in the conversion of folate to tetrahydrofolate
- formation of polyglutamate derivatives for tetrahydrofolate
both
Severe s/sx of vit c deficiency
Scurvy
Scurvy is associated with
anemia osteoporosis hemorhaging increase wound healing decrease wound healing
anemia
osteoporosis
hemorhaging
decrease wound healing
Smokers should consume how many mg/day of vit c instead of how many mg/day? And what is the upper limt mg/day of vit c that can cause diarrhea?
100 mg : 60 mg : 2000mg
The major metabolite of ascorbic acid
oxalate
Vitamin required for transport of FA across mitochondrial membrane?
Ascorbic Acid
Carnitine
Choline
Carnitine
carnite acyltransferase uses carnitine to convert ____ to acetylcarnite
acetyl CoA
Food sources of carnitine
meat and milk
Acycarnitine is shuttled inside the mitochondria by a
carnitneacyltransferase I (CPT1) carnitneacyltransferase II (CPT2) carnitne-acylcarnitinetranslocase
carnitne-acylcarnitinetranslocase
Acylcarnitine is converted to acyl CoA by ___ at the inner mitochondrial membrane
carnitneacyltransferase I (CPT1) carnitneacyltransferase II (CPT2) carnitne-acylcarnitinetranslocase
carnitneacyltransferase II (CPT2)
Acyl CoA is a conjugate of ______ located at the outer mitochondrial membrame
carnitneacyltransferase I (CPT1) carnitneacyltransferase II (CPT2) carnitne-acylcarnitinetranslocase
carnitneacyltransferase I (CPT1)
This vitamins synthesis and relase an important neurotransmitter involded in memory storage adn motor control
Choline
acetylcholine
Precursor for synthesis of lecithin and sphingomyelin
Ascorbic Acid
Carnitine
Choline
Choline
note:
lecithin - phosphatidylcholine
Choline is a precursoor for the formation of this methyl donor
sphingomyelin
betaine
methyl
methione
betaine
Choline and betaine supplements appear to _____ levels in human
decrease homocysteine
increase homocysteine
decrease homocysteine
Critical in fetal development
Ascorbic Acid
Carnitine
Choline
Choline
Vitamin A anti-oxidant precursor synthesized by plants
Vitamin D precursor synthesized by plants
Vitamin D precursor synthesized by animals
7-dehydrocholesterol
Carotenoids
Ergosterol
Carotenoids - Vit A
Ergosterol - Vit D
7-dehydrocholesterol - its precurssor is cholesterol
a glycosyl donor in synthesis of glycoprotein for normal growth regulation and mucolpolysaccharides for mucus secretion
retinoic acid
retinyl phosphate
retinol
retinyl phosphate
a steroid hormone, binds to RARs and RXRs which then bind to DNA to modulate protein synthesis for regulation of cell growth and differentiation
retinoic acid
retinyl phosphate
retinol
retinoic acid
a steroid hormone converted to retinyl phosphate
retinoic acid
retinyl phosphate
retinol
retinol
Vitamin A active form except for:
Retinol palmitate
Retinal (retinaldehyde)
Retinoic Acid
Retinol
Retinol palmitate
Vitamin D most active form
Ergocalciferol Vitamin D2 Calcitriol Calidiol 1,25-dihydroxyvitamin D3 25-dihydroxyvitamin D3 1,25-dihydroxyxholecaliferol 25-dihydroxyxholecaliferol
Vit D active forms
Ergocalciferol = Vitamin D2
Most avtice form is
calcitriol = 1,25-dihydroxyvitamin D3 = 1,25-dihydroxyxholecaliferol
Vitamin A storage form
Retinol palmitate
Retinal (retinaldehyde)
Retinoic Acid
Retinol
Retinol palmitate
Vitamin A deficiency
Drying of Epithelial tissue Fissure and impaired immune system Folliculkar hyperkeratosis Anemia Xerophthalmia
All
Drying of Epithelial tissue - decrease mucus
Fissure and impaired immune system - increase susceptibility of infection
Follicular hyperkeratosis - rough skin
Anemia
Xerophthalmia - night blindedness
Dosage for vit a toxicity
20000-50000 g/day
Vitamin D storage form
Ergocalciferol Vitamin D2 Calcitriol Calidiol 1,25-dihydroxyvitamin D3 25-dihydroxyvitamin D3 1,25-dihydroxyxholecaliferol 25-dihydroxyxholecaliferol
Calidiol
25-dihydroxyvitamin D3
25-dihydroxyxholecaliferol
Is considered as a pro-hormone rather than vitamins
Niacin / Vit B3
Vitamin D
Vitamin D - pro hormone , little or no dietary requirement
Niacin can be synthesized by trypthophan hence it is considered non vitamins
Continued formation of osteoid matrix and cartilage that are improperly mineralized resulting in soft, pliable bones
RICKETS
OSTEOMALACIA
RICKETS
Demineralization of pre-existing bones, softer bones which are more susceptible to fracture
OSTEOMALACIA
Increases bone resorption and calcium absorption; may also lead to demineralization
hypercalcemia
hypercalciuria
hypercalcemia
Formation of renal stone
hypercalcemia
hypercalciuria
hypercalciuria
Vitamin E occurs in the diet as a mixture of several realated compunds called
tocopherols and totrienols
This vitamin acts as scavengers for free radicals
Vitamin E
Prevents oxidation of LDL
a-tocopherol
y-tocopherol
a-tocophero
most potent scavenger fo O2 species
a-tocopherol
y-tocopherol
a-tocophero
inactivates fat soluble electrophilic mutagens complementing gluthathione
a-tocopherol
y-tocopherol
y-tocopherol
For reactive nitrogen species
a-tocopherol
y-tocopherol
y-tocopherol
Respiratory role of Vitamin E is helps stabilize or help electron transfer to _________
Ubiquitone
Enzyme activity or transcription of vitamin E enhances heme synthesis by
- decreasing both ALA synthase and dehydratase levels
- increasing both ALA synthase and dehydrataase levels
- decreasing ALA synthase and increasing dehydratase levels
- increasing ALA synthase and decreasing dehydrataase levels
-increasing both ALA synthase and dehydrataase level
Prolonged Vit. E deficiency may be associated with this disease which is followed by neurological symtoms
malabsorption disease
y-carboxyglu residue in 3 CHON in bones taht acts as ligand for several receptor protein kinases and involved in cell cycle regulation
Osteocalcin
Gas6
matrix Gla Protein (MGP)
Gas6
y-carboxyglu residue in 3 CHON in bones that binds to hydroxyapatite crystals
Osteocalcin
Gas6
matrix Gla Protein (MGP)
Osteocalcin
y-carboxyglu residue in 3 CHON in bones that prevents vascular calcification
Osteocalcin
Gas6
matrix Gla Protein (MGP)
Gas6
matrix Gla Protein (MGP)
The only readily detectible symptom for vit k deficiency
increase coagulation time
vit k deficiency occurs in
newborn infants
obstructive jaundice
other disease leading to severe fat malabsorption
other disease leading to severe protein malabsorption
other disease leading to severe carbohydrate malabsorption
patients on long term antibiotic therapy
all except for
other disease leading to severe protein malabsorption
other disease leading to severe carbohydrate malabsorption
Vit K is a derivative of what and is essential for blood clotting
quinone
Vit K is found naturally as
K1 ( phytylmenaquinone)
K2 (multiprenylmenaquinone)
vitamin K- epoxide reductase
dicumarol
K1 ( phytylmenaquinone)
K2 (multiprenylmenaquinone)
Regeneration of active vitamin k requires \_\_\_\_\_\_ K1 ( phytylmenaquinone) K2 (multiprenylmenaquinone) vitamin K- epoxide reductase dicumarol
vitamin K- epoxide reductase
Regeneration of active vitamin k is inhibited by ______
K1 ( phytylmenaquinone)
K2 (multiprenylmenaquinone)
vitamin K- epoxide reductase
dicumarol
dicumarol
Accumulates in the liver where the clotting factors are formed
K1 ( phytylmenaquinone)
K2 (multiprenylmenaquinone)
vitamin K- epoxide reductase
dicumarol
K1 ( phytylmenaquinone)
Accumulates in the peripheral tissues and higher vitamin intake is required for saturation
K1 ( phytylmenaquinone)
K2 (multiprenylmenaquinone)
vitamin K- epoxide reductase
dicumarol
K2 (multiprenylmenaquinone)
Most abundant mineral in the body
Selenium Calcium Magnesium Iron Zinc Copper Chromium
Calcium
Prevents formation of Ca++ oxalate stones
Selenium Calcium Magnesium Iron Zinc Copper Chromium
Magnesium
Deficiency of this mineral leads to muscle cramps, osteoporosis, and increase blood pressure
Selenium Calcium Magnesium Iron Zinc Copper Chromium
Calcium
Deficiency of this mineral leads to weakness, tremors, and cardiac arrhythmias
Selenium Calcium Magnesium Iron Zinc Copper Chromium
Magnesium
Deficiency of this mineral leads to microcytic hypochromamic anemia
Selenium Calcium Magnesium Iron Zinc Copper Chromium
Iron
Deficiency of this mineral leads to poor growth and impairment of sexual development, poor wound healing, decrease taste acuity and impaired immune function
Selenium Calcium Magnesium Iron Zinc Copper Chromium
Zinc
Symptoms for the deficiency of this mineral are anemia, hypercholesterolenemia, bone demineralization and fragility of large arteries and elastin formation
Selenium Calcium Magnesium Iron Zinc Copper Chromium
Copper
This mineral decrease risk of lung , breast and bladder CA
Selenium Calcium Magnesium Iron Zinc Copper Chromium
Selenium
Deficiency of this mineral is rare in adults, may lead to impaired GIT and can be cause by diabetes
Selenium Calcium Magnesium Iron Zinc Copper Chromium
Chromium
Free Iron generates dangerous free radicals through the ___
Fenton reaction
Regulation od Iron homeostasis
inc Fe ->
inc hepcidin
decrease hepcidin
down-regulation of ferroportin ->
inc Fe
dec Fe
inc hepcidin
dec Fe
Helps in iron absoprtion
Vitamin C
Antiacids
H2 histamine blockers
Vitamin C
Decrease iron absorption
Vitamin C
Antiacids
H2 histamine blockers
Antiacids
H2 histamine blockers
When Zinc binds to MRE , What transcription factor?
MTF1
Zinc is present in ___ for normal development of taste buds
gustin
Zinc function for cytokine production by these cells
lymphocytes
monocytes
T-cells
B-Cells
monocytes and T-cells