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HUN4221 test 3
Copper
25
Health Care
Undergraduate 4
04/21/2009

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Cards

Term
Copper states
Definition
found in body in both Cu+1 (cuprous) and Cu+2 (cupric)
Term
Cu food sources
Definition
seafood, liver, legumes, nuts and seeds best sources
Term
Cu absorption
Definition
exact mechanism not defined yet, 25-50% absorbed, absorbed in jejunum and stomach
Term
Cu absorption enhancers
Definition
histidine, methionine, cysteine, glutathione, citrate
Term
Cu absorption inhibitors
Definition
phytate, Zn, Fe, Mb, P/Ca, vitamin c
Term
Cu transport: portal circualtion
Definition
albumin, trancuprien, amino acids
Term
Cu transport: liver
Definition
Ceruloplasmin (Cp) 6 Cu to 1 Cp, 90-95% of plasma Cu,
Term
Cu storage
Definition
75-150 mg in body, liver ~15%, muscle ~40%
Term
Cu excretion
Definition
~97% of losses, lost through sloughed cells, unabsorbed Cu, bile
Term
Cu functions
Definition
metalloenzymes: ceruloplasmin, Cu-Zn superoxide dismutases, cytochrome C oxidase, lysyl oxidase, dopamine monooygenase, tyrosine oxidase, amine oxidase, peptidylglycine a-amidating monooxygenase
Term
ceruloplasmin
Definition
mediates transport of Fe, oxidizes Fe to Fe3+ so it can bind to transferrin,
Term
Cu-Zn superoxide dismutase
Definition
anitoxidant, prevents elevated superoxide anion which results in free radicals
Term
cytochrome c oxidase
Definition
terminal electron transport enzyme, ATP generation
Term
lysyl oxidase
Definition
oxidative deamination of lysyl residues, initiates intra and interchain cross links, stabilizes connective tissue against proteolytic degradation
Term
dopamine monooxygenase
Definition
changes dopamine into norepinepherine
Term
tyrosine oxidase
Definition
oxidizes tyrosine into melanin
Term
Cu status assessment
Definition
severe deficiency symptoms low plasma and urine conc., Cp sensitive to acute inflammation, CuZn SOD considered best functional indicator
Term
populations at risk of Cu deficiency
Definition
preterm infants, infants recovering from malnutrition, severe burn victims
Term
Cu deficiency characteristics
Definition
anemia(refractory to Fe supplements), neutropenia, hypopigmentation, anatomical & functional abnormalities of skeleton, cardiovascular, immune system dysfunction, neurological
Term
Menkes' disease (Cu deficiency)
Definition
X-linked mutation in atp7a gene, transport out of intestine and extrahepatic tissues is impaired
Term
Menkes' disease physical characteristics
Definition
stubby white hair, slow growth, degeneration of brain tissue, hypothermia, seizures, defective arterial walls, depigmentation of hair & skin, death at young age
Term
Wilson's disease (Cu overload)
Definition
autosomal recessive mutation of Atp7b gene, Cu overload in tissues requiring transporter (liver & kidney),
Term
Wilson's disease symptoms
Definition
toxic accumulation of unbound Cu leads to hemolytic anemia & organ damage (liver, kidney, brain, cornea)
Term
Wilson's disease treatment
Definition
Pencillamine (chelation therapy), Zinc treatment (decreases Cu absorption)
Term
Cu recommendations
Definition
adults-900 mcg/d, pregnant-1000 mcg/d, lactation-1300 mcg/d, UL-10 mg/d
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