Week 8 Flashcards

1
Q

the body can make vitamin D in presence of UVB from what?

A

from cholesterol

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2
Q

Vitamin D is what type of hormone?

A

conditional

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3
Q

The vitamin D found in food and supplements…

A

ergocalciferol (D2): supplements

Cholecalciferol (D3): Food

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4
Q

What is the active form of Vitamin D?

A

1-25-dihydroxycholecalciferol
or
calcitriol

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5
Q

describe the absorption and transport of Vitamin D?

A

Micelles + enterocytes: dependent on bile and pancreatic lipase

Into chylomicrons, through lymphatic system and into circulation to the liver

Transported from liver via lipoproteins (VLDL, LDL, HDL) for tissue delivery

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6
Q

What the conversion of Vitamin D to its active form regulated by?

A

the parathyroid hormone

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7
Q

Where is vitamin D stored?

A

Adipose tissue, liver, and kidney

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8
Q

How is vitamin D excreted?

A

small about in urine

mainly in bile and feces

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9
Q

What are the functions of vitamin D?

A
  1. Calcium and phosphorus homeostasis
  2. Role in regulation of renin, insulin, parathyroid hormone secretion
  3. Cell differentiation
  4. Role in regulation of immune function
  5. Protection against diabetes type 2, cancer, dementia
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10
Q

What does vitamin D deficiency look like in children and adults?

A

In children: rickets.

Adults: osteomalacia = soft bones

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11
Q

What can vitamin D deficiency be related to?

A
  • season
  • location
  • ageing skin
  • liver and kidney disease
  • dark skin
  • intestinal disease (absorption issues)
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12
Q

What are the two forms of vitamin K?

A

Phylloquinones (K1)

Menaquinones (K2)

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13
Q

How much vitamin K is absorbed from dietary intake?

where is it absorbed and how?

A

80%

in small intestines by via micelle

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14
Q

Describe the transport of vitamin K?

A

Taken in chylomicrons through the lymphatic system to the circulation

Bacterial menaquinones absorbed in colon by passive diffusion

Transported via lipoproteins (VLDL and LDL) in the blood stream

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15
Q

Where is vitamin K stored?

A

some in the liver

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16
Q

How is vitamin K excreted?

A

Mainly via bile in feceas

but small amount in urine

17
Q

What are the functions of vitamin K?

2

A
  1. Co-factor for blood clotting factors synthesis: conversion of preprothrombin to prothrombin
  2. Bone health: vitamin K-dependent proteins are synthesised in the bone and part of bone structure
18
Q

What is the difference between the intrinsic and extrinsic pathway for activating prothrombin?

A

intrinsic pathway,
vitamin K converts pre-prothrombin to prothrombin and then activates prothrombin

extrinsic pathway
Vitamin K only activates prothrombin

19
Q

How might vitamin K deficiency occur and what impact might this have?

A

High-dose (supplemental) vitamin A interferes with vitamin K absorption from GIT

High-dose (supplemental) vitamin E interferes with vitamin K activity on clotting factors