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Nutrition: Vitamins and Supplements
Important vitamins and supplements
24
Biology
Professional
12/12/2009

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Term
Folic Acid
Definition
Uses: makes tetrahydrafolate, transfers single carbon groups from serine, glycine, and histidine to amino acids, purines, thimidine
Causes of folic acid deficiency: pregnancy, alcoholism, poor absorption, treatment with dihydrafolate reductase inhibitors such as methotrexate
Symptoms: Megaloblastic anemia caused by a build up of immature RBCs in bone marrow, neural tube defects
Term
Vitamin B12
Definition
Cobalmin is active form, uses corrin rings to surround cobalt
Used in odd numbered fatty acid oxidation and is a cofactor for methylmalonyl coa mutase
Used in the regeneration of homocysteine/methionine as a cofactor for homocysteine methyltransferase
Sources: can only be obtained from animal products because produced by microorganisms; found in liver, whole milk, eggs, oysters, shrimp, pork, and chicken
Deficiency is usually caused by a lack of intrinsic factor which is produced by parietal cells in the stomach to help uptake B12 in the duodenum
Symptoms: Pernicious anemia, megaloblastic anemia, CNS symptoms including dementia, difficulty with balance, depression, neuropathy. soreness of mouth and tongue also occur.
Term
Ascorbic Acid
Definition
Vitamin C
Uses: Cofactor for hydroxylation reactions especially collagen formation, major watersoluble antioxidant, helps with iron absorption
Symptoms of deficiency: blood vessel fragility, hemorrage of gingiva, nails, etc. SCURVY, bruising, petechiae around hair follicles
Term
Vitamin B6
Definition
Pyridoxine (collective term for pyridoxine, pyridoxal, and pyridoxamine; pyridoxine from plants); biologically useful as pyridoxal phosphate
Uses: cofactor for transamination (ex glutamate--> alpha ketoglutarate), Deamination (ex serine --> pyruvate + NH3), decarboxylation (ex histidine --> histamine + CO2), Condensation (ex glycine + succinyl coa in hemoglobin)
Deficiency: Rare; found in infants with formula low in B6, alcoholics, women taking oral contraceptives, ISONIAZID TX FOR TB
Symptoms: Neuropathy, glossitis
Term
Thiamine
Definition
Vitamine B1; Active form is thiamine pyrophosphate
Uses: Coenzyme for dehydrogenation reactions (ex pyruvate dehydrogenase, alpha ketoglutarate dehydrogenase) and transketolase ( r-5-p -->G-3-P in PPP)
Symptoms: BERIBERI - in children very serious, causes vomitting, nausea, tachycardia, convulsions and death; in adults causes dry skin, edema, paralysis, difficulty swallowing; mainly found in places where main food is polished rice
Wernicke Korsokoff Syndrome - mainly found in alcoholics, dry skin, nystagmus,
Term
Vitamin B3
Definition
Niacin
Uses: make NAD and NADP; used in almost every chemical reaction, NAD is especially important in degredation of AAs, FAs, alcohol, and carbs; NADP is used in FA synthesis
Symptoms: Deficiency causes PELLAGRA; 4 Ds: dermatitis, diarrhea, dementia, death
Term
Vitamin B2
Definition
Riboflavin
Uses: Make FMN and FAD; energy production, metabolism of drugs and toxins, antioxidant, protect against cataracts, maintains mucous membranes, activates B6, promotes health of hair, skin, and nails
Symptoms: Deficiency causes impaired iron absorption, mouth ulcers chialisis, purple tongue
Term
Biotin
Definition
Works with B2, B3, B6
Uses: makes glycogen, FA synthesis, and detoxification
Found: Bacteria in the intestines, food
*Blocked by raw egg white
Term
Pantothenic Acid
Definition
Uses: make CoA and acyl carries protein; cofactor for fatty acid synthase, fatty acyl coa synthase, pyruvate dehydrogenase, alpha ketoglutarate dehydrogenase
*NO RDA, rare deficiency
Sources: liver, eggs, yeast, lots of stuff
Term
Vitamin A (forms)
Definition
Retinol
related to the retinoids: retinol, retinal, retinoic acid, and derived from beta carotene
Retinol and retinal are interconvertible (oxidation produces retinal from retinol); retinoic acid made from oxidation of retinal but not interconveritable
Term
Absorption and Circulation of Vitamin A
Definition
Ingested retinol esters are digested and make free fatty acids and retinol
-Retinol is reesterified into FA chains and transported to the liver via chylomicrons
- Retinol is stored in liver
-Transported from the liver to tissues while attached to RBP
- Receptor mediated uptake in cells
- Receptor is similar to steroid hormone receptor
Term
Vitamin A (uses)
Definition
-retinoic acid main derivative except for in eyes which need RETINAL
- 11-cis-retinal binds opsin to make rhodopsin
- rhodopsin is a pigment in the eye
- light cleaves rhodopsin leaving free opsin for regeneration and 11 cis retinal
- Retinoic acid used for maintenance of epithelial tissues, growth ( deprivation causes decreased bone growth and CNS malformation)
- Retinal and Retinol important in spermatogenesis and stopping fetal reabsorption
Term
Vitamin A (sources)
Definition
liver, kidney, cream, butter, egg yolk (preformed Vit A)
dark green and yellow fruits and vegetables are sources of beta carotene
Term
Vitamin A (deficiency)
Definition
- night blindness
- dry conjuctiva/ulcerations
Term
Vitamin A (doses)
Definition
High doses: used for treatment of psoriasis and acne
- high beta carotene associated with lower heart disease, lung and skin cancers, cataracts, and macular degeneration

Toxicity: FAT SOLUBLE so highly stored, congenital malformation in pregnancy, increased intracranial pressure, cirrhotic liver, dry skin,
- excess of 7.5mg/day
- acne drug isoretinoin (accutane) causes severe birth defects
Term
Vitamin D
Definition
1,25-OHD3 is active form in body
- Ergocalciferol from plants (D2) and Cholecalciferol animals (D3)
-Formed in the skin by light and 7-dehydrocholesterol
- increased production of active D3 in kidney in response to low Ca, low phosphate, and increased parathyroid hormone
- decreased by presence of excess active D3 and calcitonin
Sources: Fatty fish, liver, egg yolk
Deficiency: in children - rickets, pigeon chest, beadling, spinal deformity, bow legs; in adults - osteomalacia
**** RDA; 200IU/DAY OR 5MG D2 (ERGOCALCIFEROL)
*** MOST TOXIC - can deposit in organs, FAT SOLUBLE, leaches from bones, loss of appetite, nausea, thirst
Term
Vitamin K
Definition
used for posttranslational modification of clotting factors 2, 5, 7, 9, 10 and prothrombin
-procoagulant
- found in cabbage, cauliflower, spinach, egg yolk, and liver; also synthesized by bacteria in the gut
- no RDA, but SUGGESTED (AI) 70-140 mg/day
TOXICITY: too much causes hemolytic anemia, jaundice in infants, toxic to membranes of RBCs
Term
Vitamin E
Definition
Family of 8 naturally occuring tocopherols, alpha-tocopherol is most active
Sources: vegetable oil, liver, eggs
RDA: 10mg/day men and 8 mg/day women
Deficiency: only in infants, no supplimentation needed
Term
Iron
Definition
essential for hemoglobin and myoglobin
Term
iodine
Definition
thyroid hormone, reduced mental and physical development, increased prenatal and perinatal mortality
Term
Estimated Average Requirement (EAR)
Definition
average daily intake estimate to meet the requirement of 50% of healthy individuals
Term
Recommended Daily Allowance (RDA)
Definition
average daily intake level sufficient to meet the nutrient requirements of nearly all individuals in a life stage and gender
Term
Adequate Intake (AI)
Definition
no rda or ear;
Term
Tolerable Upper Limit
Definition
highest avg daily intake likely to pose no risk of adverse efects to almost all individuals in a population
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