Vitamins: B-complex, C Flashcards

1
Q

PYRIDOXINE - Vitamin B6 Includes three compounds which are ____ derivatives:

____(____ form)

____ (___ form)

____ (____ form)

A

Includes three compounds which are pyridine derivatives: Pyridoxal (Aldehyde form) Pyridoxine (Alcohol form) Pyridoxamine (Amine form)

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2
Q

Active Coenzyme Form

____ _____ (___ )

All three forms of pyridoxine can be converted to the active coenzyme form by ____

A

Pyridoxal phosphate (PLP) All three forms of pyridoxine can be converted to the active coenzyme form by phosphorylation.

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3
Q

Primary Role of PLP in the Body

As a coenzyme, pyridoxine is involved in more than ___ enzymatic reactions.

A

Primary Role of PLP in the Body As a coenzyme, pyridoxine is involved in more than 100 enzymatic reactions.

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4
Q

Primary Functions of Pyridoxine

Reactions related to

___ ___metabolism

___ ___ and ____ metabolism

Conversion of ___ to ____

Synthesis of____

Synthesis of ____

Maintenance of ___ ___

A

Reactions related to amino acid metabolism Fatty acid and glucose metabolism Conversion of tryptophan to niacin Synthesis of neurotransmitters Synthesis of heme (part of hemoglobin) Maintenance of immune system

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5
Q

RDA for Pyridoxine Males and Females (19-50 yrs) ___mg/day

Tolerable upper level (TUL): ___mg/day

A

Males and Females (19-50 yrs) 1.3mg/day Tolerable upper level (TUL): 100mg/day

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6
Q

Factors that Affect Pyridoxine Requirement

____ such as____ (used to treat Parkinson’s disease) and ____.

___ consumption

____ in pregnant women

A

Medications such as L-DOPA (used to treat Parkinson’s disease) and Isoniazid. Alcohol consumption Preeclampsia in pregnant women

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7
Q

Deficiency Early symptoms: -

____ ____ ____

A

Early symptoms: - Weakness - Irritability - Insomnia

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8
Q

Advanced symptoms (particularly in i___s and ____n): -

____(microcytic, hypochromic) -

___ ___

___ ___ ___

_____

A

Advanced symptoms (particularly in infants and children): - Anemia (microcytic, hypochromic) - Growth failure - Impaired motor function - Convulsions

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9
Q

Food Sources Protein rich foods Veggies/Fruits

A

Protein rich foods Veggies/Fruits

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10
Q

Significant Food Sources of Pyridoxine

___
___

_____

____
___

A

Meat Fish Poultry Legumes Bananas

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11
Q

Clinical Applications

___
____
____
____
____
____
____

A

Premenstrual syndrome (PMS)

Gestational diabetes

Carpal tunnel syndrome

Hyperemesis Gravidarum (nausea associated with pregnancy)

Meds: Patients receiving drugs such as Isoniazid, Cycloserine, Penicillamine

Alzheimer’s disease

ADHD (Attention deficit-hyperactivity disorder).

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12
Q

Pantothenic Acid

Greek word “pantothen” meaning, “__ ___”.

Ample supply of this vitamin is present in __ ___

. Deficiency of this vitamin is ___

A

Greek word “pantothen” meaning, “every side”. Ample supply of this vitamin is present in all foods. Deficiency of this vitamin is unlikely.

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13
Q

Primary Function

Pantothenic acid is an essential component of ______

. Acetyl coenzyme A or acetyl Co A is an important molecule that participates in many ____ reactions.

Its primary function is to____ the ___ atoms within the____ group to the _____(TCA cycle) to be ___ for production of ___

A

Pantothenic acid is an essential component of acetyl coenzyme A. Acetyl coenzyme A or acetyl Co A is an important molecule that participates in many biochemical reactions. Its primary function is to transfer the carbon atoms within the acetyl group to the citric acid cycle (TCA cycle) to be oxidized for production of energy.

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14
Q

Metabolic Pathways Involving B Vitamins

A

Metabolic Pathways Involving B Vitamins

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15
Q

RDA - _____

Adequate intake (AI) – ___

A

Adequate intake (AI) – 5mg/day

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16
Q

Biotin

___ ___ are one of the most nutrient-dense sources of biotin.

A

Egg yolks are one of the most nutrient-dense sources of biotin.

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17
Q

Avidin Definition:

A ___ found in ___ ___ ___ that can__ __ and inhibit ___; cooking destroys ___

A

Definition: A protein found in raw egg whites that can bind biotin and inhibit absorption; cooking destroys avidin.

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18
Q

Functions of Biotin Essential ___ for ___ carboxylase enzymes:

  • ___ ____ carboxylase
  • ____ carboxylase
  • ___ ___ carboxylase

___ ____ ____carboxylase

Specific roles in ____, __ __ synthesis, and catabolism of ____

A

Essential cofactor for four carboxylase enzymes: - Acetyl Co A carboxylase - Pyruvate carboxylase - Propionyl Co A carboxylase - Beta-methylcrotonyl Co A carboxylase Specific roles in gluconeogenesis, fatty acid synthesis, and catabolism of glucose

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19
Q

Folic Acid (Folate, Folacin)

Primary Function

Primary coenzyme form is ___ ____

___ of___ ___ fragments

Metabolism of ____, ___ and ___

Vital for ___ ___

Synthesis of __s and ____ (essential for cell division)

A

Folic Acid (Folate, Folacin) Primary coenzyme form is tetrahydrofolate (THF) Transfer of one-carbon fragments Metabolism of serine, methionine and histidine Vital for DNA metabolism Synthesis of purines and pyrimidines (essential for cell division)

20
Q

RDA for Folate Males and Females (____ yrs.): _____

A

Males and Females (19-70 yrs.): 400 µg/day

21
Q

Folate and ___ ___ Defects

A

Folate and Neural Tube Defects

22
Q

Deficiency

____ ____ (red blood cells are ____ than normal and not ___ ___)

_____ abnormalities (___, ____, etc.)

A

Megaloblastic anemia (red blood cells are larger than normal and not fully developed) Gastrointestinal abnormalities (diarrhea, malabsorption, etc.)

23
Q

Food Sources

_____
____
____
_____

A

Food Sources

Leafy Green Veggies (spinach/broccoli)

Legumes (black beans, kidney beans, black eyed peas)

Liver

Fruits (Oranges)

24
Q

Clinical Applications

Prevention of ___ __ ___

  • ___ ___
  • _____ (absence of part of____).

Possible prevention of___ ___ (along with other B-vitamins).

Control of plasma ______.

Treatment of ____ diseases.

A

Prevention of neural tube defects (NTDs) - Spina bifida - Anencephaly (absence of part of brain). Possible prevention of heart disease (along with other B-vitamins). Control of plasma homocysteinemia. Treatment of thrombotic diseases.

25
Clinical Applications (continued) Treatment of \_\_\_\_ Possible prevention of ___ \_\_\_ Many other clinical conditions
Treatment of depression Possible prevention of Alzheimer’s disease Many other clinical conditions
26
VITAMIN B12 - Cobalamin Several Chemical Forms \_\_\_\_cobalamin \_\_\_cobalamin \_\_\_\_cobalamin \_\_\_\_cobalamin \*:
Methylcobalamin\* Cyanocobalamin Hydroxycobalamin Adenosylcobalamin \*
27
Relationship with Folate Both vitamins are essential for normal\_\_\_ ___ \_\_\_formation. Deficiency of both vitamins leads to ____ \_\_\_\_
Both vitamins are essential for normal red blood cell formation. Deficiency of both vitamins leads to megaloblastic anemia.
28
Unique Function of Cobalamin \_\_\_ function: maintenance of ___ \_\_\_ that insulates nerve fibers. Deficiency of cobalamin is a risk factor for ____ disease that can cause\_\_\_ \_\_\_
Nerve function: maintenance of myelin sheath that insulates nerve fibers. Deficiency of cobalamin is a risk factor for neurodegenerative disease that can cause irreversible damage.
29
The B-Vitamins: In Concert Many ____ relationships of several B-vitamins. Supplements of ___ \_\_\_\_ and ___ may lower\_\_\_ \_\_\_\_which may be a marker for ___ \_\_\_
Many interdependent relationships of several B-vitamins. Supplements of cobalamin, pyridoxine and folate may lower plasma homocysteine which may be a marker for heart disease.
30
Absorption of Cobalamin Vitamin B12 in \_\_\_ \_\_\_ protein in ___ \_\_\_ B12 released as food is digested in \_\_\_ B12 R protein ___ formed in ___ pH, protecting B12 from ___ \_\_\_ Intrinsic factor released from ___ \_\_\_ in \_\_\_ \_\_\_ from \_\_\_ \_\_\_ __ released by trypsin B12-IF: B12 intrinsic factor ___ formed. This is needed for __ \_\_\_ B12 absorbed into ___ and bound to __ \_\_\_, ____ \_\_\_
Absorption of Cobalamin Absorption of Colbalmin: Vitamin B12 in food. R Protein in salivary glands B12 released as food is digested in stomach B12 R protein link formed in acid pH, protecting B12 from intestinal bacteria Intrinsic factor released from parietal cells in stomach Trypsin from pancreas R protein released by trypsin B12-IF: B12 intrinsic factor link formed. This is needed for B12 absorption B12 absorbed into blood and bound to transport protein, transcobalamin II
31
Pernicious Anemia \_\_\_\_ or ___ of ___ \_\_\_ which is synthesized in the \_\_\_. Some people (over 60 mostly) may develop ___ \_\_\_and hence lack of intrinsic factor. Rarely, some individuals may inherit a __ \_\_\_ for intrinsic factor.
Absence or deficiency of intrinsic factor which is synthesized in the stomach. Some people (over 60 mostly) may develop atrophic gastritis and hence lack of intrinsic factor. Rarely, some individuals may inherit a defective gene for intrinsic factor.
32
Deficiency of Cobalamin \_\_\_ \_\_\_ \_\_\_\_ patients
Elderly Alcoholics Gastrectomy patients
33
Megaloblastic Anemia
Megaloblastic Anemia
34
RDA for Cobalamin Adults (males & females) – \_\_\_\_\_
Adults (males & females) – 2.4 µg/day
35
Food Sources
Food Sources FISH/Seafood
36
Treatment of Megaloblastic Anemia Diagnose\_\_\_\_of anemia Treat with appropriate\_\_\_ - \_\_\_, ___ or both
Diagnose cause of anemia Treat with appropriate vitamin - Folate, Cobalamin or both
37
Vitamin C – Ascorbic Acid Primary Role Formation of \_\_\_\_(involved in several ___ \_\_\_). Necessary for normal ___ and \_\_\_
Formation of collagen (involved in several enzymatic reactions). Necessary for normal growth and development.
38
Formation of Strong ___ \_\_\_ Vitamin C Present: Collagen is ____ (\_\_\_\_) by ____ enzyme need Vit C as cofactor.
Formation of Strong Connective Tissue Vitamin C Present: Collagen is Hydroxylated (Proline) by hydroxylase enzyme need Vit C as cofactor.
39
Other Roles Synthesis of \_\_\_\_ Synthesis of \_\_\_ Absorption of \_\_\_ \_\_\_\_
Synthesis of catecholamines Synthesis of thyroxine Absorption of iron Antioxidant
40
RDA for Vitamin C Adults (males & females):\_\_\_\_\_ Smokers:\_\_\_\_\_
Adults (males & females): 60 mg/day Smokers: 100 mg/day
41
Deficiency of Vitamin C - Scurvy Worldwide, scurvy is associated with ____ and \_\_\_\_ Symptoms of scurvy include: \_\_\_, ___ \_\_\_ \_\_\_ \_\_\_ \_\_\_ \_\_\_ \_\_\_ ___ \_\_ \_\_\_\_ ____ such as ___ and\_\_\_
Worldwide, scurvy is associated with poverty and malnutrition. Symptoms of scurvy include: Rough, brown skin Scorbutic gums Pinpoint hemorrhages Poor wound healing Psychological signs such as hysteria and depression
42
Food Sources C G S T B P
Citrus Fruits Green Peppers Strawberries Tomatoes Broccili Sweet and White Potatoes
43
Clinical Applications Common\_\_\_ and ____ infections \_\_\_\_ \_\_\_\_ disease \_\_\_\_
Common cold and respiratory infections Stress Cardiovascular disease Cancer
44
Alcohol and B and C-Vitamins \_\_\_\_\_ can have an adverse influence on metabolism of B-vitamins.
Alcohol can have an adverse influence on metabolism of B-vitamins.
45
Vitamin C Supplements and\_\_\_ \_\_\_\_
Vitamin C Supplements and Dental Surgery?
46
Arguments for Vitamin C and B-Vitamin Supplements
Arguments for Vitamin C and B-Vitamin Supplements