Water Soluble Vitamins Flashcards

1
Q

7 POSSIBLE RISKS FOR DEFICIENCY

A
  1. Is the dietary INTAKE adequate /sufficient?
  2. Is the nutrient AVAILABLE for absorption? (i.e. is digestion of food optimal?)
  3. Is ABSORPTION optimal?
  4. Is CONVERSION to the biologically active form optimal?
  5. Is the nutrient AVAILABLE to the cells? (i.e. are transport proteins available to
    take it to the cells)
  6. Is EXCRETION increased?
  7. Are there any reason for INCREASED REQUIREMENTS?
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

list all water soluble vitamins

A
Vitamins of “B complex” group:
– B1: thiamin
– B2: riboflavin
– B3: niacin
– B5: pantothenic acid
– B6: pyridoxine
– B7: biotin
– B9: folate
– B12: cobalamin
• Choline
• Vitamin C: ascorbic acid
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

list all water soluble vitamins and their coenzyme

A
Vitamins of “B complex” group:
– B1: thiamin TTP
– B2: riboflavin FAD FMN
– B3: niacin NAD NADP
– B5: pantothenic acid CoA
– B6: pyridoxine PLP
– B7: biotin biotin 
– B9: folate THFA
– B12: cobalamin 5deoxycobalamine 
• Choline choline 
• Vitamin C: ascorbic acid
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Thiamine is required for what reaction?

A
Required for
decarboxylation
reactions: removal of a
COOH groups, and
release of 1 molecule of
carbon dioxide in the
process.
- Required in the “link
reaction” where
pyruvate is converted to
acetyl CoA; and in the
CAC
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

antagonist of thiamine and food sources

A
Mandatory fortification in bread-making
flour
• Found in a wide variety of foods, but
some foods contain thiamin antagonists,
which lower its bioavailability:
- Raw fish, shellfish: contain thiaminase,
an enzyme that destroys thiamin
- Brussel sprouts, and beets contain
compounds that oxidise thiamin
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Deficiency thiamine

A

Deficiency 1- Beriberi •

2- Wernicke-Korsakoff syndrome: cerebral beriberi in alcoholism. •

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

RIboflavin digestion absorption transport

A

Digestion-Absorption
• HCl in stomach releases riboflavin bound to dietary compounds
• Free riboflavin absorbed via active transport or diffusion depending on
concentration. Only 60-65% of intake is absorbed
Transport
• Transported by protein carriers in the blood
• Converted to the coenzyme forms (FAD or FMN) in most tissues
Storage
• Small amount stored in liver, kidneys, heart
Excretion
• Excess excreted in urine: will cause bright yellow urine when taken as supplement

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

RIboflavin 6 functions

A

Key roles in energy metabolism in the CAC + ETC: FAD and FMN shuttle hydrogen
atoms into the electron transport chain
2. FAD required in the CAC (as per below)
3. In beta-oxidation: conversion of fatty acids to acetyl CoA requires fatty-acyl
dehydrogenase, which requires FAD
4. The reduction of glutathione (part of endogenous non-enzymatic antioxidant
system) requires the activity of an FAD-dependent enzyme: glutathione reductase
5. The formation of niacin (vitamin B3) from tryptophan (amino acid) requires FAD
6. Formation of the vitamin B6 coenzyme form (PLP) requires FMN

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Deficiency

A

Affects mouth, skin, red blood cells
• Signs/symptoms: glossitis, angular stomatitis (pictures), scaly
skin, anemia, fatigue, headaches
• RBC riboflavin and glutathione reductase concentrations
indicate riboflavin status (biomarker)
• Increased risk: chronic alcoholism, malabsorption
syndromes, use of contraceptive pill, high stress, elderlies

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Food sources of riboflavin

A
bundant in dairy milk products
• In small amount in mushrooms, green
leafy vegetables, broccoli, and
asparagus
• Present in enriched white bread,
crackers, eggs, meat, and liver
• Exposure to light causes rapid
breakdown:
- Opaque paper and plastic containers
should be used to package riboflavinrich foods (e.g. milk)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Absorption transport storage niacin

A

Digestion-Absorption
• Niacin bioavailability is low in grain, especially corn: tightly bound to protein; less than
30% can be absorbed.
Soaking corn in lime water [calcium hydroxide in water to increase alkalinity] can
improve bioavailability. This method is used where corn is a staple food
• Some absorption occurs in stomach, but mainly in small intestine: active transport
and passive diffusion depending on concentration available
• Endogenous synthesis can occur with tryptophan as precursor
Transport and activation
• Converted to coenzymes form in all tissues: NAD+ and NADP+
Storage
• Limited storage in liver
Excretion
• Excess excreted in urine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Functions of naicin

A
Required in over 200 reactions of cellular metabolism
2. Required in oxidation-reduction reactions as NAD+ and NADP+
3. Catabolism of carbohydrate (pyruvate => lactate pathway), fat, and protein
4. NAD+ : Electron acceptor
in glycolysis and in the CAC
5. In gluconeogenesis: required to
produce oxaloacetate
6. Alcohol dehydrogenase”
removes hydrogen => NAD is
the electron acceptor
7. NADPH+H+ : Important
co-enzyme in
lipogenesis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

deficiency in niacin

A
Deficiency
• Pellagra: pelle “skin”; agra
“rough” (in Italian)
• Widespread effects given
the widespread functions of niacin
-Dermatitis, diarrhea, dementia, death
(if not treated): “the 4D’s”
-Red rash on skin exposed to sunlight
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Niacin sources

A

Niacin can be endogenously synthesised from
dietary tryptophan (not an efficient process
however + tryptophan is an EAA => needed
elsewhere)
• 60 mg tryptophan = 1 mg niacin
• 1 g of protein = 10 mg tryptophan
• The RDI is therefore expressed as niacin
equivalents, i.e. it includes the niacin that can
be made endogenously from dietary
tryptophan
• Note: certain cereals (sorghum) contain niacin
synthesis inhibitors

Main dietry sources : chicken , tuna , salmon, peanut butter , almomds , fortified rice bread ceral

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Pathoic acid functions

A

. Essential as coenzyme A for the formation of
acetyl CoA in all energy production
pathways (entry into the CAC)
2. Acetyl CoA is the building block in the
synthesis of cholesterol, fatty acids, steroid
hormones, bile acids
3. Pantothenic acid is part of acyl-carrier
proteins; shuttle fatty acids through the
pathway of fatty acid elongation: adding of
carbon atoms in lipogenesis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

pantothoaic acid deficiency

A

Deficiency is rare because found in a large variety of foods
Symptoms of deficiency may include: headaches, burning feet fatigue, impaired
muscle coordination, GIT disturbances

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

DIgestion, absorption TRANSPORT, STORAGE AND EXCRETION OF PYRIDOXINE

A

Digestion-Absorption
• Present in food in the coenzyme form pyridoxal phosphate (PLP). Converted to
B6 for absorption. The animal source form is more readily absorbed (availability?)
• Passive diffusion in small intestine
• Can also be absorption in the coenzyme form if a lot is available
Transport
• Portal vein to the liver
• Active form PLP made in the liver, circulates bound to albumin to tissues
Storage
• Muscle tissue is main storage site
Excretion
• Excess excreted in urine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Pyridoxine functions

A

1- PLP is necessary for over 100 enzymatic
reactions, especially involving nitrogen
groups
2- PLP required in almost all amino acids
metabolism: required in amino acid
transamination for synthesis of non-essential
amino acids
3- Required in glycogenolysis: maintaining
blood glucose levels during short-term fasting
4- Required in the synthesis of key metabolic
compounds:
- Haeme ring
- Histamine
- Neurotransmitters: serotonin (from
tryptophan), dopamine and adrenaline
(from tyrosine), and GABA (from glutamic
acid)
- Production of niacin from tryptophan
5- Gene expression regulation
6- Modulation of effects of steroid hormones
7- Involved in immune function regulation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Pyridoxine deficiency

A
Deficiency
• Oily dermatitis
• Microcytic hypochromic anemia (small and
pale RBC: due to reduced haeme and
haemoglobin synthesis)
• Convulsions, depression, confusion (due to
altered neurotransmitters synthesis)
• Individuals at risk of deficiency
- Very poor diet, malabsorption issues
- Chronic alcoholism: increased acetaldehyde
from alcohol metabolism blocks the
formation of PLP in the liver
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

pyridoxine toxcicity

A
Toxicity: Risk of permanent nerve
damage (walking difficulties,
peripheral neuropathy)
• Caution when using multiple
supplements daily: B6 is found in
hair/nail, anti-PMS, multivitamins,
sports and body-building specific
supplements
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

pyridoxine sources

A
pinto beans 
pistachious 
oatmeal
although plant sources less readily absorbed \
tuna 
turkey nuggets
beef
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Biotin ABSORPTION, TRANSPORT, STORAGE AND EXCRETION

A

Digestion-Absorption
• Found in food as free biotin or biocytin: bound to the AA lysine in protein
• Biotinidase unbinds biotin for absorption
• Free biotin absorbed by active transport (sodium dependent carrier)
• Bioavailability greater in eggs and meat sources
• Some minor microbial production in large intestine
• Generally biologically active as biotin (this is an exception to the coenzyme rule)
Storage
• Minimally stored in liver, muscle, brain
Excretion
• Excretion mainly via urine, some in bile

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

functions of biotin

A

Required in carboxylation reactions: coenzyme of carboxylase enzymes:
carboxylation of acetyl-CoA to form malonyl CoA at the start of lipogenesis
2. Required for metabolism of carbohydrates, fats and proteins, and formation of
CAC intermediates
3. Catabolism of branched-chain amino acids: ketogenic BCAA to make acetyl-CoA
4. Involved in DNA folding in the nucleus: biotin binds to histone that facilitate DNA
folding => gene stability
5. Involved in the production of oxaloacetate from pyruvate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

biotin deficiency

A

Deficiency
• Skin rash, patchy hair loss, convulsions, impaired
growth after birth
May be due to:
• Biotinidase enzyme deficiency (genetic polymorphism)
• Excessive consumption of raw egg-white (>12 per
day). Contains avidin: a glycoprotein with high specific
affinity for biotin. Inhibits biotin absorption in the small
intestine. Cooking egg-white denatures avidin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

sources biotin

A

chicken liver
peanuts
salmon

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Folate vs follic acid

A

Folate in natural food contains 3 components:
- Pteridine ring, para-aminobenzoic acid (PABA) and
1 or more glutamates or glutamic acids E.g. 1
glutamate = folate monoglutamate
• 90% of food folate contain 3 or more glutamates
= polyglutamate
• Folic acid = synthetic source of folate: used in fortified foods
and supplements
- Pteroic acid + 1glutamate
- More stable than folate
- Presents in the right form for optimal absorption
=> 100% bioavailable on empty stomach

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

ABSORPTION, TRANSPORT, STORAGE AND EXCRETION OF FOLATE

A

Digestion-Absorption
• Food processing destroys 50-90% of folate (heat, oxidation, light)
• Polyglutamates must be broken down in the GIT to monoglutamates by folate
conjugase for absorption (zinc dependent)
• Folate monoglutamate: absorbed by active transport in small intestine
• Folic acid (supplements and in fortified food): passive diffusion
• Coenzyme = tetrahydrofolate / tetrahydrofolic acid (= THF / THFA)
Activation
Conversion to coenzyme occurs in the enterocytes for folate and in the liver for folic
acid by dihydrofolate reductase
Transport
• Circulates in many forms: the main form is 5-methyl THFA (5 Me-THFA)
• Converted back to polyglutamates in cells (traps folate inside cells)
Storage: significant amount stored in the liver (about 500–20,000 µg, equal to several
months supply) = > an exception for water soluble vitamins
Excretion via urine and feaces

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

Folate functions

A

Central role as coenzyme THFA: cell division, proliferation, and maintenance of new cells

  1. DNA synthesis and repair:
    - Addition of methylene group (CH2) by THFA to nucleotide uracil to become thymine
    - Synthesis of adenine and guanine
  2. Formation of serotonin, adrenaline, dopamine
  3. Amino acid metabolism: in transamination by accepting 1-carbon groups
  4. Conversion of homocysteine to methionine in collaboration with vitamin B12
  5. THFA is “recycled” by vitamin B12 (see further into the lecture why this is important)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

Folate deficiency

A

Signs & symptoms
• DNA synthesis and repair impaired: affects
especially the rapidly dividing cells, e.g. RBC and
GIT cells
=> In bone marrow, precursor cells cannot
form new DNA => large immature RBC=
megaloblastic (or macrocytic) anemia:
fatigue, weakness, shortness of breath
=> In GIT: poor absorption of nutrients, as GIT
cells are poorly renewed or formed =>
diarrhea, deficiency of micronutrients
Deficiency of folate peri-conception and during early stages of pregnancy: increased
risk of neural tube defect in unborn child; e.g. spinabifida
Common causes of deficiencies
• Poor absorption (i.e. due to polymorphism
in folate conjugase: less polyglutamates to
monoglutamate conversion => less
absorption)
• Alcoholism: alcohol interferes with folate
conjugase
• Polymorphism in dihydrofolate reductase
(conversion to active form THFA)
• Vitamin B12 deficiency (needed to
“recycle” THFA)
• Methotrexate (anti cancer-recurrence
medication) is a folate antagonist to
reduce the proliferation of cancer cells;
but also affects healthy cell

30
Q

folate toxicity

A
Toxicity: associated with 1 mg daily of
folic acid and above (not with food
sources as there is limited absorption
with food folate)
• Increased carcinogenesis because of
DNA damage
• Adverse reproductive and
developmental effects
• May mask vitamin B12 deficiency: B12
deficiency leads to the same type of
anemia, but B12 deficiency comes
also with severe permanent
neurological damage if not
addressed
31
Q

cobalamine sources and forms

A
  • Plants do not make cobalamin
  • Algae and fermented soy products may contain a pseudo B12 that is not useable as
    active B12 in humans, UNLESS the product is B12 fortified, or specific bacteria are
    present in the fermented food)
  • Synthetic form = cyanocobalamin
  • Natural form = cobalamin
32
Q

ABSORPTION, TRANSPORT, STORAGE AND EXCRETION OF COBALAMIN

A

Digestion- Absorption
• Cobalamin is bound to protein in food, e.g. meat
• Bioavailability from food sources may vary: 11% in liver, 24-40% in egg-fish, >60% in
mutton /chicken
• Cobalamin released by action of HCl and pepsin in stomach
• Free cobalamin binds to R-protein in the stomach (produced by salivary cells + parietal
cells)
• In small intestine, pancreatic proteases release cobalamin from R-protein
• Free cobalamin binds to intrinsic factor (IF) (produced by parietal cells)
• IF + B12 travel to, and are absorbed at, the terminal ileum by endocytosis via cubilin.
Cellular uptake via endocytosis
• Absorption is increased with increased intake
• Small amount also absorbed by passive diffusion
Transport: Taken to the liver and body cells bound to trans-cobalamin proteins 1,2 and 3.
Storage: liver, enough for 2-3 years: ~2500 µg (another exception in water soluble
vitamins)
Excretion: very little in urine, some excretion via bile, but most is recycled via
enterohepatic circulation (with bile salts reabsorption)
Two coenzymes of cobalamin are formed in the liver
1. 5-deoxy-adenosyl-cobalamin
2. Methyl-cobalamin: formed when 5-methyl-tetrahydrofolate donates a methyl
group to cobalamin

33
Q

steps in clb absorption

A
CLB+P hcl pepsin R slivary enzyme 
CLB+R r protien from perateil cels 
IF stomach 
small intestine past pancreas
CLB+IF
mucosal layer 
CLB+TCH
portal system 
CLB and TCH seperated 
what could go wrong? 
- can't sever CLB and P (achlorohydria) 
lack of IF 
exocrine falire can sperate CLB+R
genetic disorders involving plasma transport
34
Q

function cobalamine

A

B12 is required as coenzyme to primarily two enzymes:
1) L-methylmalonyl-coenzyme A mutase and
2) Methionine synthase
1) 5-Deoxyadenosylcobalamin required by L-methylmalonylcoenzyme A mutase to catalyse the conversion of Lmethylmalonyl-Co A to succinyl-coenzyme A. Succinyl-CoA enters
the CAC for energy production
If this reaction does not occur, L-methylmalonyl CoA is
converted to methylmalonic acid (MMA). Excess MMA results in
synthesis of abnormal myelin fatty acids. These abnormal fatty
acids are incorporated as part of the weak myelin sheath in the
nervous system. Abnormal myelination / demyelination can
occur: severe CNS and PNS dysfunctions may develop
2) B12 is also required as coenzyme
(methyl-cobalamin) methionine
synthase function
• The conversion of homocysteine to
methionine is performed by
methionine synthase, requiring
methyl-cobalamin
• Homocysteine accepts a methyl
group from methyl-cobalamin
• Since methyl-cobalamin formation
depends on folate, if both or either
folate and B12 are low in supply,
homocysteine builds up

35
Q

wht is homosysteine

A

An amino-acid not found in the diet, and not one of the 20
amino acids used by the body in protein synthesis
- Produced from methionine (AA issued from dietary protein)
- Travels in the blood linked to LDL cholesterol
- To be removed:
– Re-forms into methionine via re-methylation requiring
folate and cobalamin
– Can reform methionine when receiving a methyl group
from betaine
– Forms cysteine via trans-sulfuration, requiring vitamin B6
- If protein intake is high, and vitamins B6, folic acid and B12
are low, homocysteine builds-up
=> Hyper-homocysteinemia
Elevated circulating levels of homocysteine have been associated with increased
risk of CVD and cardiac events at 12 µM concentration
• Note: an observation of association is not a demonstration of causal relationship
• Homocysteine concentration >15 µM was associated with:
- Increased rate of heart attack x 3
- Endothelial cells damage, blood clotting mechanisms disruption (increased
clotting)
- Promotion of smooth muscle cells growth
- Decline in cognition function
- Lower cerebral white matter
• However: Whilst folate and B12 supplementations have reduced circulating
homocysteine levels, this did not reduce CVD risk in clinical follow-up studies.
Hence causation of homocysteine was not demonstrated.

36
Q

cobalamine and folate

A

5-Me-THFA requires cobalamin for conversion to THFA by transfer of its methyl group. In the
process, folate is now in its coenzyme form for DNA synthesis (for example). In the same
process, cobalamin is activated to its coenzyme form and can act as coenzyme to methionine
synthase to convert homocysteine to methionine by transfer of the methyl group.
Therefore if one of these two vitamins is lacking, the other is “trapped” in its inactive form,
resulting is various symptoms of apparent deficiency.

37
Q

cobalamine deficiency

A
Deficiency
Signs and symptoms
• Megaloblastic /macrocytic RBC (like in
folate deficiency) and anemia
• Overtime: paresthesia, severe nerve
degeneration (loss of myelin sheath)
• Poor concentration /memory,
dementia
• Hyper-homocysteinemia
38
Q

casues cobalamine deficiency

A
Causes of deficiency:
Pernicious anemia (= leading to death):
death within 2-5 years due to the lack of
mature RBC
Þ End stage of an autoimmune
inflammation of the stomach; may be
caused by H. pilori = atrophic gastritis ,
resulting in destruction of cells:
progressive decreased secretion of HCl
and pepsinogen, impaired release of
cobalamin
Þ Antibodies to intrinsic factor (IF) bind to
IF preventing formation of the IF-B12
complex, thus inhibiting vitamin B12
absorption
Other causes of deficiency:
• Absence of R-protein (from stomach
and saliva)
• Poor binding of the IF-B12 complex
(receptor polymorphism)
• Presence of B12 consuming bacteria in
the ilium
• Anti-acid medications: reduced HCl
production => reduced freeing of B12
• Atrophic gastritis resulting from ageing,
=> parietal cells loose function
• Crohn’s and Coeliac‘s disease
• Vegan or other exclusion diets without
supplementing or using fortified
products
• Metformin (T2DM medication): interferes
with B12 absorption
39
Q

cobalamine sources

A

clam chowder
oysers
liver
basically only meat products expet soy and tempeh

40
Q

choline ABSORPTION, TRANSPORT, STORAGE AND EXCRETION

A

Not technically a “vitamin” => can be synthesized by the liver
• Does not function as a coenzyme
• Present in large amounts in the body
Absorption
• Small intestine via a transport protein
Transport
• From liver, circulates free to other tissues, uptake in
cells by diffusion and via carrier proteins
(blood brain barrier)
Storage
• Small amount in the liver
Excretion
• Mostly oxidised in the liver as betaine
• Excess excreted via the urine

41
Q

choline functions

A
Is part of phospholipids
(phosphatidylcholine), lipoproteins, cell
membranes, sphingomyelin
2. Precursor of acetylcholine: essential in
brain and muscle function as
neurotransmitter
3. Homocysteine metabolism: methyl donor
in the conversion of homocysteine to
methionine as betaine
42
Q

choline upper level and deficiency

A
Upper Level: 3.5g
• Intake above this level associated with
“fishy” body odor, low blood pressure,
vomiting, salivation, sweating, and GIT
effects
Deficiency
• Fatty liver, kidney and liver damage;
therefore deemed essential despite liver
production is possible
43
Q

choline sources

A

fish meat eggs dairy

44
Q

ascorbic cid ABSORPTION, TRANSPORT, STORAGE AND EXCRETION OF ASCORBIC ACID

A
Absorption
• Small intestine
• Ascorbic acid: active transport
• Dehydro-ascorbic acid: facilitated
diffusion, then reduced to ascorbic acid
• 70-90% absorbed at intake between 30-
100 mg dosage; absorption declines at
greater dosage (in single dosage)
Transport
As ascorbic acid in the blood
Storage
• Pituitary gland, adrenal glands, WBC,
eyes, brain
• Body pool of 300 to 400 mg at any
one time
Excretion
• Excess filtered by kidneys and
excreted via the urine, rapid
excretion in urine above 100 mg /day
• Conserved by kidneys when in short
supply
45
Q

ascorbic acid functions

A

Primary functions:
1. Electron donor to free radicals, nonspecific reducing agent
2. Cofactor to metalloenzymes: keeps the
metal ions in metalloenzymes in the
reduced form. This allows
metalloenzymes’ activity, which metal
co-factors are oxidised in reactions
- Examples of metalloenzymes:
glutathione peroxidase (Se); alcohol
dehydrogenase (Zn); superoxide
dismustase (Cu, Mn, Zn)
3. “Recycles” vitamin E and dehydroascorbic acid by reducing them
4. Assists in non-heme iron absorption (by
reduction to ferrous iron form)
Collagen synthesis: proline and lysine in the protein strands are hydroxylated to form
hydroxyproline and hydroxylysine by lysil and prolyl hydroxylases.
This allows for the triple helix of strong collagen to form.
Ascorbic acid keeps the iron in prolyl and lysil hydroxylases in the reduced (ferrous,
Fe2+) form => formation of strong collagen.
6. Involved as reducing agent in carnitine, bile acids, neurotransmitters, cholesterol,
corticosteroids, aldosterone, adiponectin synthesis

46
Q

vitamin C deficiency upper level

A
Deficiency
Scurvy:
• Inadequate synthesis of strong collagen
• 20-40 days of deficiency for initial
symptoms to appear:
- Fatigue
- Hemorrhages around hair follicles
- Bleeding gums/joints
- Poor wound healing
- Diarrhea: poor integrity of GIT cells
- Depression
- Fatal if untreated
Upper Level 1 gram
But it is not possible to obtain a true UL as
requirements and side effects of high
dose (bloating, diarrhea, stomach
inflammation) vary according to vitamin
C and health status of individuals.
Above this amount, risk of kidney stones
when there is predisposition
47
Q

vitamin C and collagen

A

Collagen synthesis: proline and lysine in the protein strands are hydroxylated to form
hydroxyproline and hydroxylysine by lysil and prolyl hydroxylases.
This allows for the triple helix of strong collagen to form.
Ascorbic acid keeps the iron in prolyl and lysil hydroxylases in the reduced (ferrous,
Fe2+) form => formation of strong collagen.

48
Q

The riboflavin coenzymes have___________ functions in cellular metabolism.
.
Antioxidative

  1. Oxidation and reduction
  2. Carboxylation
  3. Chelating
  4. Decarboxylation
A

Correct2.

Oxidation and reduction

49
Q

Biotin is primarily needed in ___________:

Answers:
1.
Glycogenolysis

  1. Dehydroxylation
  2. Carboxylation
  3. Decarboxylation
  4. Hydroxylatio
A

Correct3.

Carboxylation

50
Q

Megaloblastic anemia develops as a result of deficiencies of ________ and/or _____.

  1. Folate; cobalamin
  2. Vitamin C; folate
  3. Pyridoxine; cobalamin
  4. Cobalamin; riboflavin
  5. Pyridoxine; folate
A

Correct1.

Folate; cobalamin

51
Q

Pernicious anemia results from ____________ deficiency. Which of the following are factors which may interfere with the absorption of this vitamin?

Selected Answer:

Answers:
1.
Folate; vegan diets.

  1. Folate; defective R-protein synthesis.
  2. Cobalamin; defective lingual lipase and pancreatic amylase.
  3. Cobalamin; meat diets.
  4. Cobalamin; surgical removal of the ileum.
A

Correct5.

Cobalamin; surgical removal of the ileum.

52
Q

A painful, red, inflamed tongue may be caused by a lack of ________.

Selected Answer:

Answers:
1.
Riboflavin

  1. Niacin
  2. Thiamin
  3. Pantothenic acid
  4. Pyridoxine
A

Correct1.

Riboflavin

53
Q

A protein in raw egg called _______ is known to prevent absorption of_________.

Selected Answer:
1.
Avidin; biotin

Answers:
Correct1.
Avidin; biotin

  1. Avidin; riboflavin
  2. Biotin; avidin
  3. Casein; avidin
  4. Riboflavin; biotin
A

Correct1.

Avidin; biotin

54
Q

The cells most sensitive to a deficiency of dietary folate are cells that _________such as __________.

Selected Answer:
4.
Have a short life span and rapid turnover rate; cells of the GIT.

Answers:
1.
Are part of the nervous system; neurocytes.

  1. Don’t contain chromosomal DNA; mitochondria.
  2. Have to last a lifetime; hair follicles cells.

Correct4.
Have a short life span and rapid turnover rate; cells of the GIT.

  1. Function as part of the immune system; skin cells.
A

Correct4.

Have a short life span and rapid turnover rate; cells of the GIT.

55
Q

The primary function of vitamin C in cellular metabolism is to:

Selected Answer:

Answers:
1.
Add hydroxyl groups to the amino acids for collage formation.

  1. Promote gene expression of endogenous antioxidant enzymes.
  2. Act as a non specific reducing agent.
  3. Reduce vitamin K.
  4. Maintain iron in its reduced form in the formation of collagen.

Response Feedback:
In all functions of ascorbic acid, you will note that it reduces metal ions or molecules

A

3.

Act as a non specific reducing agent.

56
Q

The best source of thiamin in the average diet is:

Selected Answer:

Answers:
1.
Pork, whole grains, legumes.

  1. Poultry, meat, fish.
  2. Root vegetables and cheddar cheese.
  3. Milk, grains, eggs.
  4. Tryptophan.
A

Correct1.

Pork, whole grains, legume

57
Q

The best food sources of pyridoxine are:

Answers:
1.
Milk and dairy products.

  1. Breads and cereals.
  2. Eggs and dired fruit.
  3. Green and colourful vegetables.
  4. Meat, fish, poultry.
A

Correct5.

Meat, fish, poultry.

58
Q

One of Vitamin C’s function is to maintain ions in metalloenzymes in the _________form.

Selected Answer:

Answers:
1.
Coenzyme

  1. Metal
  2. Oxidised
  3. Reduced
  4. Organic
A

Correct4.

Reduced

59
Q

The water soluble vitamin that has the most significant liver stores is:

Selected Answer:

Answers:
1.
Choline

  1. Folate
  2. Niacin
  3. Vitamin B12
  4. Biotin
A

Correct4.

Vitamin B12

60
Q

Which of the following B-vitamins is found in the widest variety of foods (i.e. from different food groups such as vegetables, grains, meat)?

Selected Answer:

Answers:
1.
Riboflavin

  1. Niacin
  2. Pantothenic acid
  3. Cobalamin
  4. Thiamin
A

Correct3.

Pantothenic acid

61
Q

For best absorption of vitamin C, one should consume at least 1000mg at once.
True or False

A

false

62
Q

The symptoms of vitamin C deficiency include glossitis and angular stomatitis.

A

false

63
Q

A major role of folate in cellular metabolism is the:

Answers:
1.
Synthesis of blood vessels.

  1. Formation of glucose from galactose and fructose.
    1. Synthesis of steroid hormones.
  2. Conversion of polyunsaturated fatty acids to saturated fatty acids.
    1. Synthesis of purine and pyrimidine bases.
A

Correct5.

Synthesis of purine and pyrimidine bases.

64
Q

Cobalamin deficiency may result in the following consequences (select all that apply for full mark).

Answers:
1.
A decrease in THFA availability.

  1. A build-up in homocysteine.
  2. A build-up of methionine.
  3. A decrease in homocysteine.
  4. A decrease in 5-methyl-tetrahydrofolate.

Response Feedback:
When cobalamin is not present, folate may remain “trapped” in its non co-enzyme form. 5-methyl THFA donates the methyl group to cobalamin to form me-cobalamin (active form), and in the process becomes active (THFA). Review the homocysteine metabolism diagram

A

Correct1.
A decrease in THFA availability.

Correct2.
A build-up in homocysteine

65
Q

Pyridoxine is largely required in _________metabolism as well as in _____________.

Answers:
1.
Fatty acids; electron transport chain

  1. None of these are correct
  2. Amino acids; gluconeogenesis
  3. Fatty acids; ketogenesis
  4. All of these are correct
A

Correct3.

Amino acids; gluconeogenesis

66
Q

Irreversible nerve damage may be caused by excessive intake of _______ .

Answers:
1.
Niacin

  1. Folate
  2. Cobalamin
  3. Pyridoxine
  4. Biotin
A

Correct4.

Pyridoxine

67
Q

he form of folate that is best absorbed is the:

Selected Answer:
Correct2.
Monoglutamate form found in supplements and fortified foods.

Answers:
1.
Polyglutamate form found naturally in green leafy vegetables.

  1. Monoglutamate form found in supplements and fortified foods.
  2. Monoglutamate form found mainly in natural foods.
  3. Oxidized form found mainly in plant foods.
  4. Polyglutamate form found in supplements and fortified foods.
A

Correct2.

Monoglutamate form found in supplements and fortified foods.

68
Q

A major role of vitamin B-12 in cellular metabolism is:

Selected Answer:
1.
Transfer of a methyl group to the amino acid homocysteine, forming the amino acid methionine.

  1. In transamination reactions, allowing the synthesis of nonessential amino acids.
  2. In the heme ring formation to avoid anemias.
  3. Transfer of a methyl group to the pyrimidine uracil, forming the pyrimidine thymine.
  4. As an electron acceptor, allowing function of the electron transport chain
A

Correct1.

Transfer of a methyl group to the amino acid homocysteine, forming the amino acid methionine.

69
Q

Pernicious anemia is treated most efficaciously by:

Selected Answer:

  1. A high dose multi-vitamin B complex to provide a balanced supply of all B vitamins.
  2. A diet high in milk and dairy products.
  3. Oral supplementation of folic acid.
  4. Eating lots of green leafy vegetables.
  5. Regular intramuscular injections of vitamin B12.
A

Correct5.

Regular intramuscular injections of vitamin B12.

70
Q

Most B-vitamins function as: __________ in _________ metabolism.

Answers:
1.
Coenzymes; free-radical

  1. Cofactors; antioxidant
  2. Cofactors; energy
  3. Antibodies; immune
  4. Coenzymes; energy
A

Correct5.

Coenzymes; energy

71
Q

Folate and cobalamin deficiencies both lead to anemia. In these deficiencies, the red blood cells are:

  1. Megaloblastic
  2. Hypochromic
  3. Macrochromic
  4. Microcytic
  5. 1 and 4 are correct
A

Correct1.
Megaloblastic

Response Feedback:
Red blood cells remain immature and enlarged due to the lack of folate and cobalamin