VITAMINS & MINERALS Flashcards
Major site of storage of fat-soluble vitamins in the body
Liver
Liver cell responsible for vitamin A storage and liver fibrosis when activated
Stellate cells of Ito (perisinusoidal space)
Storage period of vitamin A in the liver
6 months
The only 2 water-soluble vitamins that is mainly stored in the liver
Vitamin B9
Vitamin B12
Storage period of vitamin B9 in the body
3-4 months
Storage period of vitamin B12 in the body
3-12 months
Richest source of vitamin A and vitamin D
Halibut (fish) liver oil
Richest plant source of vitamin A
Carrot
Major source of vitamin D
Endogenous synthesis from 7- dehydrocholesterol via ultraviolet ray B (UVB)
This form of vitamin K is mainly derived from dietary sources
Phylloquinone (Vitamin K1)
This form of vitamin K is synthesized by intestinal bacterial flora
Menaquinone (Vitamin K2)
This form of SYNTHETIC, WATER- SOLUBLE vitamin K is found in supplements
Menadione (Vitamin K3)
These vitamins are synthesized by intestinal microflora
These vitamins are synthesized by intestinal microflora
This vitamin can be derived from tryptophan
Niacin
This is the only water-soluble vitamin not derived from plant sources
Cobalamin (Vitamin B12)
Most prevalent form of carotenoid
β-carotene
Carotenoid used to protect against macular degeneration
Lutein
Carotenoid used to protect against prostate cancer
Lycopene
Vitamin A deficiency can lead to this form of metaplasia in GI and respiratory tracts
Squamous metaplasia (columnar → squamous)
Most common vitamin deficiency worldwide;
Most common cause of preventable blindness worldwide
Vitamin A deficiency
Earliest sign of vitamin A deficiency
Loss of sensitivity to green light
Earliest symptom of vitamin A deficiency
Nyctalopia (night blindness)
Most abundant form of vitamin D in blood circulation; Analyte used in determining the vitamin D status of the patient
25-hydroxy (OH)- cholecalciferol
Most biologically active form of vitamin D
1,25-(OH)2-cholecalciferol (Calcitriol)
Inactive form of vitamin D which isproduced by the kidneys when there is high level of Ca2+ in circulation
24,25-(OH)2-cholecalciferol (Calcitroic acid)
Vitamin D can be used to prevent infections caused by this agent
Mycobacterium tuberculosis
Vitamin D has antiproliferative effects against these cancers
Colon cancer
Breast cancer Prostate cancer
Vitamin D deficiency presentation in children BEFORE closure of epiphysis
Rickets
Vitamin D deficiency presentation in children AFTER closure of epiphysis
Osteomalacia
Vitamins and minerals with antioxidant properties
Vitamin A Vitamin C Vitamin E Zinc Selenium
Most powerful naturally occurring antioxidant
Vitamin E
High levels of Vitamin E may interfere with the effects of this vitamin
Vitamin K
This enzyme is absent in humans and other primates causing inability to convert glucose to vitamin C
Gulonolactone oxidase
Salient features of scurvy
Swollen gums
Poor wound healing
Bleeding diathesis
Corkscrew hair
Triad of REVERSBLE symptoms seen in Wernicke encephalopathy
Confusion
Ophthalmoplegia
Ataxia
IRREVERSIBLE symptoms seen in Korsakoff syndrome
Confabulation
Personality changes
Memory loss
Damaged CNS structures in Wernicke-Korsakoff syndrome
Mammillary bodies,
Medial dorsal nucleus of
thalamus
2Cs of vitamin B2 deficiency
Cheilosis,
Corneal vascularization
Conversion ratio of tryptophan to niacin
60 mg tryptophan = 1 mg niacin
Vitamins required in the synthesis of niacin from tryptophan
Vitamin B2
Vitamin B6
Effect of niacin to cholesterol profile
Decreases VLDL
Increases HDL
3Ds of vitamin B3 deficiency
Diarrhea
Dermatitis
Dementia
Classical form of dermatitis seen in C3/C4 dermatome area in patients with vitamin B3 deficiency
Casal necklace
Conditions increasing the risk for vitamin B3 deficiency
Hartnup disease
Carcinoid syndrome
Isoniazid use
Prominent features of vitamin B3 toxicity
Podagra
Hepatotoxicity
Facial flushing
Vitamin B5 deficiency causes this condition
Gopalan’s burning feet syndrome (nutritional
melalgia)
This is the only enzyme needing vitamin B6 which is not associated with amino acid metabolism
Glycogen phosphorylase (for glycogenolysis)
Toxicity of vitamin B6
Sensory neuropathy
RDA of this vitamin depends on protein intake
Vitamin B6
Substance found in raw egg whites (and in some antibiotics) that avidly binds to biotin → functional deficiency
Avidin
Site of vitamin B9 absorption
Jejunum
Site of vitamin B12 absorption
Ileum
Laboratory parameter that distinguishes vitamin B12 deficiency from vitamin B9 deficiency
Vitamin B12 deficiency: ↑ methylmalonic acid Vitamin B9 deficiency:
Normal methylmalonic acid
Folic acid supplementation to pregnant women with NO HISTORY OF OFFSPRING WITH NTDs
400 ug
Folic acid supplementation to pregnant women with HISTORY OF OFFSPRING WITH NTDs
4000 ug
Salivary protein that binds to freed vitamin B12 in the stomach
Haptocorrin (transcobalamin I)
Stomach protein that binds to freed vitamin B12 in the duodenum
Intrinsic factor
Receptors that allow the endocytosis of vitamin B12- intrinsic factor complex
Cubilin receptors of ileal enterocytes
Transport protein of vitamin B12 in circulation
Transcobalamin II
The site of absorption of iron
Proximal duodenum
This form of iron is favored for absorption across the luminal side of the enterocytes
Ferrous (Fe2+) iron
This vitamin favors the reduction of ferric iron to ferrous iron
This vitamin favors the reduction of ferric iron to ferrous iron
This protein is responsible for transferring iron across the basolateral membrane of enterocytes to the circulation
Ferroportin
This form of iron is favored when it is being transported in the plasma by transferrin
Ferric (Fe3+) iron
Chief regulator of systemic iron homeostasis
Hepcidin
This water-soluble substance serves as an indicator of iron body stores
Ferritin
This water-insoluble substance serves as an index of iron overload
Hemosiderin
Classic triad of hemochromatosis
Cirrhosis
Diabetes mellitus
Bronzing
Kayser-Fleischer rings seen in Wilson disease are deposited in this layer of the cornea
Descemet membrane
Autosomal recessives disorder causing ↓ zinc absorption
Acrodermatitis enteropathica
Mineral that stabilizes the structure of insulin; Deficiency of this mineral causes impaired spermatogenesis
Zinc
Mineral that potentiates the action of insulin
Chromium
Endemic, reversible cardiomyopathy seen in patients with Se deficiency
Keshan cardiomyopathy
Prominent feature of Se toxicity
Garlic breath