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Metabolic Nutrition
Vit C
54
Health Care
Undergraduate 4
02/05/2011

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Cards

Term

 

 Oxidation of glutathione

 

Definition
2 GSH  →  GSSG + 2 H+ + 2 e-
Term
Reactive Oxygen Species (ROS)
Definition

*free radicals with oxygen 

*non-radical reactive substances that harm us: ex. H2O2

*can damage cellular components

*endogenous and environmental


Term
Oxidative Stress
Definition

*imbalance btwn production of ROS and body's capability to detoxify or repair

 

Term
We Produce Our Own ROS
Definition

*Mitochondria reduces the oxygen molecules we breathe (>97%)

*O2  +  4 e- + 4 H+ → 2 H2O

*small amount is reduced by accepting a single e-, which produces superoxide anion, a ROS: O2-

Term

What causes free radicals to form?

Definition

*exercise, esp aerobic

*trans-fatty acids made with PUFAs

*smoking

*alcohol

*lack of sleep

*toxins from foods, pesticides, herbicides, chemicals and additives

*pollution

*electro-magnetic radiation

*stress- emotional/physical

 

Term
Common ROS
Definition

*Superoxide Anion: O2- 

 

*Hydrogen Peroxide: H2O2 

 

*Hydroxyl Radical: •OH

Term
O2-
Definition

*Reactive enough to attack some molecules

 

*Mobile enough to get to all parts of cells

 

*Superoxide Dismutase converts to H2O2 + O2 

Term
Superoxide Dismutase
Definition

*Extracellular and cytosolic SOD: Cu and Zn

 

*Mitochondrial SOD: Mn

Term
H2O2
Definition

*not very reactive by itself at low concentration, but can cause some damage (uncharged, freely permeable)


*Most dangerous when undergoes Fenton Rxn:

H2O2 + Fe2+ --> OH- + OH· + Fe3+

 

*functions as a iron-oxidizing agent


Term
Elimination of H2O2
Definition

*Glutathione peroxidase (GPX) found in plasma, cytoplasm, mitochondria

*H2O2 + 2 GSH  -->  GSSG + 2 H2O

*H2O2 gets reduced

*GSH gets oxidized

 

 

*Catalase mainly in cytosol and peroxisomes

*higher concentration needed for catalase activity

*2 H2O2  ->  2 H2O  + O2

Term
·OH
Definition

*most reactive species in living organisms


*can interact with almost any other chemical species


*lifetime is brief 


*not mobile


*H2O2  +  O2-  -->  O2  +  OH-  +  ·OH


*free metal ions promote this fenton rxn

Term
Endogenous Free Radical Production: a summary
Definition
[image]
Term
Vitamin C: Antioxidant
Definition

*2 e- transfers

 

* 1st loss of e- = SDHA radical (ascorbate radical)

 

*loss of 2nd e- is quick = DHA

Term

 

Interconversion of AA and DHA: 

Electrons are lost sequentially

 

Definition
[image]
Term

Vitamin C:

Antioxidant

Definition

*e- donor 

 

*reducing agent

 

*most important antioxidant in plasma and cells

 

*protects against free radicals or recycles radicals of vit E and GSH

 

*SDHA is dangerous, but DHA radical is stable and far less damaging

 

Term
Vitamin C can reduce ROS
Definition

 

AA + O2·  --> DHA + H2O2

AA + H2O2 --> DHA + 2H2O

AA + ·OH -->SDHA + H2O

 

 

 

Term
Elimination of O2-
Definition
*Vit C, Zn, Cu, and Mn = cofactors and help convert O2- to other compounds
Term
Elimination of ·OH
Definition
*produce the fairly nonreactive semidehydroascorbate radical (SDHA)
Term
Regeneration of AA
Definition

*GSH uses DHA reductase

*2SDHA radicals + 2GSH -> 2AA + GSSG

*DHA + 2GSH -> AA + GSSG

 

*Thioredoxin provides H's to DHA

*DHA + Trx-[SH]2 -> AA + Trx-S2

Term
Regeneration of AA
Definition

*Dismutation regenerates AA and DHA from SDHA

*2 SDHA radicals --> AA + DHA

 

*Niacin regenerates AA by NADP-dep reductase

*2 SDHA radicals + NAD(P)H  + H+ --> AA +   NAD(P)+

 


Term
Regeneration of AA
Definition

*Dihydrolipoic acid provides 2 H to DHA


*DHA + dihydrolipoic acid --> AA + lipoic acid

Term
Vitamin E Regeneration by vitamin C
Definition
[image]
Term
Vitamin E Regeneration by vitamin C
Definition

*Vit E: critical fat-soluble antioxidant esp important in stabilizing membranes

 

*Vit E donates an E (its antioxidant role) becoming the vit E radical

 

*Vit E regenerated when Vit C donates an E

 

*Low vit C = high lipid peroxidation

Term
Extracellular Vitamin C
Definition

*Significant antioxidant

*Protects LDL from oxidation

 

*Reduces plasma and GI tract oxidants

 

*Maintains function of WBCs and platelets

 

*Key role in iron absorption (non-heme) by maintaining iron in Fe2+ state

Term

Free Radical Theory of Disease/Aging

Definition

*Free rads- major players in a nunmber of diseases and aging

*Mitochondrial production of O2- is a major contributor to endogenous free rad formation

*O2- formation is inversely related to lifespan

*Calorie restriction associated with decreased O2- formation

*Decreased O2- formation associated with decreased oxidative tissue damage

Term
Vit. C and the Common Cold
Definition

* Conflicting Data

 

*It may reduce incidence, severity, and duration of common cold

 

*No diff btwn .05g and 1g

 

*Long term supplementation does not appear to prevent colds

Term
Vitamin C and Cancer
Definition

*Increase intake of fruits and veg - decrease risk of some cancers

 

*High Vit C intake may have protective effects against cancers: oral, pharynx, esophagus, stomach

 

*Recent study: Vit C doesn't help against breast cancer

Term
Vitamin C and Heart Disease
Definition

*High fruits and vegs, vit C and high vit C plasma concentration = decrease risk of heart disease

 

*Low vit C = increased total plasma cholestrol 

 

*High plasma vit C = high HDL

 

*Mechanisms are not clear

 

Term
Vitamin C and Cataracts
Definition

*from oxidative damage to proteins in lens

 

*high vit C may reduce cataracts and age-related macular degeneration

Term
Vitamin C and Memory 
Definition
*Guinea pigs with vit C have better memory 
Term
Vitamin C and Exercise
Definition

*Low vit C associated with higher heart rates at lactate threshold

 

*Vit C supplementation reduced incidence of post-race URTI

 

*Effects on Delayed-Onset Muscle Soreness?

Term
Interactions with Iron
Definition

*Vit C enhances the absorption of non-heme iron by reducing Fe3+ to Fe2+

 

*Excess iron can destroy the vit C

 

*Vit C stabilizes ferritin (iron storage form)

Term
Interactions with Copper
Definition

*High vit C intake can reduce serum Cu and ceruloplasmin

 

*Vit C decreases intestinal absorption of Cu

 

*Possibly cause Cu dissociation from ceruloplasmin (transport form)

Term
Interactions with Polyphenols 
Definition
*AA (in lemon) and sugar added to green tea helps the body absorb polyphenols
Term
Interactions with Aspirin
Definition
*May increase urinary loss of vitamin C
Term
Interactions with Warfarin
Definition
*May interfere with the anticoagulant effects of warfarin (coumadin)
Term
Interactions with Fluphenazine
Definition

*Aka Prolixin

 

*the co-administration of vit C and this antipsychotic agent may result in decreased plasma fluphenazine

Term

Interactions with Estrogen or

Estrogen-containing oral contraceptives

Definition
*may decrease [Vit C]
Term
Interactions with Urine Glucose
Definition

*Large dose of vit C may cause false-neg urine glucose determinations

 

*No vit C should be ingested for 48-72 hrs b4 fecal occult blood tests

 

Term
Interactions with Acetaminophen (Tylenol)
Definition

*3g of vit C with tylenol was shown to prolong the amount of time Tylenol stays in body

 

*Possibly toxic

Term
DRI
Definition

*RDA for Men: 90mg/d

 

*RDA for Women: 75mg/d

 

*Smokers: +35 mg/d

 

*Nonsmokers regularly exposed to tobacco smoke are encouraged to ensure that they meet the RDA

Term
Special Needs
Definition

*Diarrhea: increase fecal loss of vit C

 

 

Term
Special Needs
Definition
*Achlorhydria: decrease vit C absorption
Term
Special Needs
Definition

*Surgery, acute and chronic inflammatory diseases, and burns: increase body's requirement for vit C

 

 

Term
Special Needs
Definition
*Smoking: increase metabolic turnover of vit C
Term
Special Needs
Definition
*Alcoholics, elderly, institutionalized ppl, cancer patients = increased risk for vit C deficiency
Term
Deficiency
Definition

*Scurvy: can be fatal

 

*Result from impaired hydroxyproline and hydroxylysine synthesis needed for collagen formation

 

Term
Scurvy
Definition

*Bleeding gums, petechiae, sublingual hemorrhages, easy bruising, impaired wound and fracture healing

 

*First symptoms: fatigue, joint pain

 

 

Term
Toxicity
Definition

*UL: men/women: 2,000 mg/d

 

*Toxic levels can be obtained only from supplements 

 

*Supplements often have 1,000mg

Term
Toxicity
Definition

*Abdominal pain and osmotic diarrhea

 

*Osmotic diarrhea- when unabsorbed, water-soluble solutes remain in bowel

 

*Kidney stones: oxalate (vit C metabolite) is main part of stones

*Uric acid stones also risk with large doses

 

*Decreases copper absorption, iron metabolism in some ppl

 

 

Term
Assessment of Nutriture
Definition

*Blood or plasma levels of Vit C

 

*Plasma

*Deficiency: <0.2mg/dL

*Tissue Saturation: 1mg/dL

*Recommended: 0.6-0.8mg/dL

 

*WBC content of vitamin better reflects body stores, but it's difficult to perform

Term
Summary
Definition

*Humans can't synthesize vit C

 

*Vit C's ability to interconvert btwn its reduced and oxidized forms is the basis for its function in the body:

*Cofactor (monoxygenase, dioxygenase rxns)

*Vit C is an antioxidant that scavenges ROS

 

*Scurvey- classic def syndrome

 

*Toxicity= diarrhea, kidney stones

 

*Vit C and disease:

*May reduce oxidation of LDL

*May improve immune function in endurance athletes

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