NUTR 2105 Lecture 10: Chapter 10 Water-Soluble Vitamins

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There are nine water-soluble vitamins
Vitamin C
Eight B-complex vitamins
Initially thought to be one vitamin
§
Years of research uncovered it was several substances
Thiamin
Riboflavin
Niacin
Vitamin B6
Folate
Vitamin B12
Pantothenic acid
Biotin
§
Easily destroyed by heat, light, and oxidation
Traits of water-soluble vitamins vs fat-soluble vitamins
-
Digesting and Absorbing Water-Soluble Vitamins
-
Primary Functions of Water-Soluble Vitamins
B vitamins act as co-enzymes in many metabolic processes
Act as coenzymes to catalyze the enzyme to build or break apart
compounds
§
Transform carbs, proteins, and fats to ATP
Thiamin
Riboflavin
Niacin
Pantothenic acid
Biotin
Vitamin B6
§
B Vitamins Function as Coenzymes
§
Water-soluble vitamins in other critical roles:
Antioxidant: vitamin C
Nerve function: thiamin
Protein synthesis: niacin
Formation of red blood cells: folate and vitamin B12
Several B vitamins promote heart health
§
B Vitamins Function in Energy Metabolism
§
-
Thiamin (B1)
First B vitamin discovered
Casimir Funk identified thiamin as the curative factor in unpolished
rice in 1911
§
Dietary form converted to active coenzyme form thiamin pyrophosphate
(TPP)
It is destroyed in basic; acid solution protect it
Absorption
In jejunum by passive diffusion
§
Active transport is used w/ low intakes
§
Transported through the blood and excreted through urine
§
Structures of Thiamin and Thiamin Pyrophosphate
Metabolic Functions
Produces ATP from carbohydrate metabolism
TPP activates decarboxylase to remove a carbon from
pyruvate; forms acetyl CoA
TPP-dependent enzymes convert alpha-ketoglutarate to
succinyl CoA in the TCA cycle
§
Converts branched-chain amino acids to acetyl CoA
§
Makes pentoses used to synthesize DNA and RNA (so can't make
those w/o thiamin)
§
Transmission of nerve impulses (non-metabolic function)
§
The Function of Thiamin Pyrophosphate in Energy Metabolism
§
Daily Needs and Food Sources of Thiamin
Major food sources:
Enriched and fortified foods (remember these add back
vitamins b1, b2, and b3)
Whole-grain foods
Lean pork (ham and bacon)
§
Thiamin Toxicity
No known toxicity
§
Thiamin Deficiency
Berbiberi
Symptoms include loss of appetite, weight loss, confusion,
muscle weakness, peripheral neuropathy
Classifications
Wet: edema and congestive heart failure
®
Dry: muscle wasting w/o edema or nerve degeneration
®
§
Wernicke-Korsakoff syndrome
Caused by chronic alcohol abuse
§
Causes of deficiency:
Inadequate dietary intake
Malabsorption
Alcoholism
Prolonged diarrhea
Times of increased need w/ too little intake
Pregnancy and lactation
®
§
-
Riboflavin (B2)
Composed of a side chain and ring structure
Two coenzyme forms
Flavin mononucleotide (FMN)
§
Flavin adenine dinucleotide (FAD)
§
Stable during cooking except in the presence of UV light
Absorption
Attached to proteins in food
§
Released in the presence of hydrochloric acid in the stomach
§
Absorbed by active transport in the small intestine
§
Structures of Riboflavin and the Coenzyme Forms of FAD and FMN
Metabolic Functions
Participates in energy metabolism through oxidation
FAD and FMN accept hydrogen ions (H+)
FADH2 transports electrons to the electron transport chain to
make ATP
Participates in beta-oxidation
Participates in oxidation-reduction reactions that protect cells
from oxidative stress
§
Enhances the function of other B vitamins
§
Role of FAD in the TCA Cycle
§
Daily Needs and Food Sources
Major food sources
Milk
Yogurt
Enriched and fortified cereals and grains
§
Riboflavin Toxicity
None; excessive amounts are excreted in urine
§
Riboflavin Deficiency
Ariboflavinosis
Cells in tissues lining the throat, mouth, tongue, and lips
become inflamed or swollen
Sore throat, stomatitis, glossitis, cheilosis
§
In elderly, reduced conversion of vitamin B6 to its active form
§
Altered iron metabolism and the synthesis of hemoglobin
§
-
Niacin (B3)
Two active forms derived from food
Nicotinic acid and nicotinamide
§
Converted to active coenzymes
Nicotinamide adenine dinucleotide (NAD+)
§
Nicotinamide adenine dinucleotide phosphate (NADP+)
§
Bioavailability
Less available in plant foods (wheat or corn)
§
More available in dairy foods and meat
§
Absorbed in the small intestine by simple diffusion
Circulates through the blood to the liver
§
Structures of Niacin and its Coenzyme Forms NAD+ and NAPD+
Metabolic Functions
Coenzyme in oxidation-reduction reactions
Glucose, protein, fat, and alcohol metabolism
Folate and vitamin C metabolism
§
Keeps skin cells healthy and digestive system functioning properly
§
In therapeutic doses:
Lowers total cholesterol in the blood by lowering Lp(a)
lipoprotein
Lowers triglycerides
Raises HDL cholesterol
§
Niacin Functions as NAD+ in Energy Metabolism
§
Daily Needs and Food Sources
Can be synthesized by the body from amino acid tryptophan
60 mg of tryptophan = 1 niacin equivalent (NE)
Conversion requires riboflavin, vitamin B6, and iron
§
Major food sources
Meats, fish, poultry
Enriched and fortified grains and cereals
Amino acid tryptophan
§
Stable in foods
Not destroyed by hear or UV light
Can leach if food is cooked or soaked in water
§
Niacin Toxicity
No known cause except excess supplements or too many overly
fortified foods which can cause:
Reddish coloring of face, arms, and chest
Nausea, vomiting
Heartburn
Liver toxicity
Raised blood glucose levels
§
Niacin Deficiency
Pellagra (disease of the 4 D's)
Dermatitis (drying of skin)
Diarrhea
Dementia
Death
§
-
Pantothenic Acid
Part of compound coenzyme A, which then used to make acetyl CoA
Sometimes referred to as B5
Absorption
In the small intestine
§
If intake is high: passive diffusion
§
If intake is low: active transport
§
Acetyl CoA is not stored, but high concentrations are found in the liver,
kidney, adrenal glands, and brain
Structures of Pantothenic Acid and Coenzyme A
Metabolic Functions
Part of coenzyme A used in fat, carb, and protein metabolism
Fat: synthesizes fatty acids and converts them to energy
Carb: converts pyruvate to acetyl CoA
Protein: converts amino acids to substrates in the TCA cycle
§
Synthesis of:
Cholesterol
Steroid hormones
Neurotransmitter acetylcholine
§
Pantothenic Acid and Energy Metabolism
§
Daily Needs and Food Sources
Major food sources
Widespread in a large variety of foods (so won't ask)
Largest amount in:
Whole-grain cereals
®
Nuts and legumes, peanut butter
®
Meat, milk, and eggs
®
Can be destroyed by heat, so processed foods (canned
vegetables, fish, meat) are lowered than fresh foods
b/c found in like all foods, but b/c destroyed by heat,
better source is fresh foods that aren't processed
®
§
Pantothenic Acid Toxicity
No known toxicity
§
Pantothenic Acid Deficiency
Rare.
May experience:
Fatigue
®
Nausea
®
Vomiting
®
Numbness
®
Muscle cramps
®
Difficulty walking
®
§
-
Biotin
Made of sulfur-containing double rings and a side chain
Absorption
Biotinidase removes biotin from food
§
Active transport in the small intestine
§
Absorbed into the liver
§
Metabolic functions
Coenzyme for enzymes involved in energy metabolism (adds
oxygen)
Synthesis of fatty acids
Replenishes oxaloacetate from pyruvate
Amino acid metabolism
§
DNA replication and transcription of genes
§
Cell development and growth
Maintenance of healthy hair and nails (referred to beauty
vitamin, see this on mastering)
§
The Role of Biotin as a Coenzyme in Energy Metabolism
§
Daily Needs and Food Sources
Major food sources
Peanuts*
Yeast
Liver and other organ meats
Bacteria in the GI tract
Egg yolks
Whole grains
Fish
So note yes we do make it in our gut, but we don't know how
much
§
Biotin Toxicity
Rare
§
Biotin Deficiency
Seen with:
Overconsumption of raw egg whites (>12/ day for a
prolonged time); avidin in raw egg can bind to biotin and
cause deficiency symptoms
Total parenteral nutrition
Impaired absorption
Rare genetic disorders
§
Symptoms include hair loss, depression, conjuctivitis, dermatitis,
lethargy, hallucinations
§
-
Vitamin B6
Collective name for several related compounds
Absorption
75% bioavailable
§
All forms absorbed in small intestine by passive diffusion
§
Bound to albumin and transported to the liver (where it is
activated)
§
Active form
Pyridoxal phosphate (PLP)
Stored mostly in the muscle, some in the liver (instead of
being excreted)
§
Metabolic Functions
Coenzyme for more than 100 enzymes
Most involved in protein metabolism
§
Amino acid metabolism
PLP needed in transamination to form nonessential amino
acids
§
Carb metabolism
Glyconeolysis and gluconeogenesis
§
Makes hemoglobin for red blood cells
§
Keeps immune and nervous systems healthy
§
May reduce risk for heart disease (help conversion of hemocysteine
to methionine like B12; not letting homocysteine build up)
§
Reduces nausea and vomiting
§
Daily Needs and Food Sources
Variety of food sources
Ready-to-eat cereals
Meat, fish, poultry
Fruits and vegetables
Nuts and other legumes
§
Vitamin B6 Toxicity
It attaches to enzymes in the muscle and other tissues and will
remain in the body. It can reach toxic levels, usually due to excess
intake of supplements
Nerve damage
Difficulty walking
Tingling in legs and feet
§
Large doses do not cure carpal tunnel syndrome
§
Vitamin B6 Deficiency
Deficiency symptoms
Sore tongue
Inflammation of the skin
Depression
confusion
§
Microcytic hypochromic anemia
Red blood cells are small and pale
§
Often caused by excessive alcohol consumption
§
-
Folate
Is found in many foods
Folic acid is the synthetic form added to foods and in supplements
Most folate in foods is in the polyglutamate form
Absorption
All but one glutamate is removed to form monoglutamate during
digestion
§
In the small intestine, 5-methyl-tetrahydrofolate is formed and
transported to the liver
§
Active form: tetrahydrofolate
Structure of Folate and its Coenzyme Form
Digestion of Folate
What is Folate?
Bioavailability
Folic acid is more bioavailable than folate
Folate is destroyed w/ exposure to heat and light
Raw foods have more folate than cooked foods
Some foods contain enzymes that inhibit folate availability
Beans, legumes, and cabbage
®
§
Metabolic Functions
Transfers single-carbon compounds (ex. Methyl) to form new
compounds (ex. Through methylation to repair and/ or code for
DNA, which kind of goes to next point)
§
DNA and amino acid synthesis
§
Homocysteine metabolism
§
Assists in neural tube development to prevent:
Neural tube defects
Anencephaly
Spina bifida
§
May prevent cancer and heart disease
§
Daily Needs
Dietary Folate Equivalents (DFE)
Unit used to define the RDA for folate
Accounts for differences in absorption b/w synthetic folate
and folate in food
Synthetic folate acid if absorbed 1.7x more efficiently than
natural folate
§
Food Sources
Major food sources: think foliage (leaves)
Dark green leafy vegetables, legumes, and seeds
Enriched pasta, rich, and cereals
Liver
§
Folate Toxicity
No risk from eating foods w/ folate
§
Excess intake from fortified food or supplements can mask a B12
deficiency
§
Folate Deficiency
Interferes w/ normal red blood cell division
§
Megaloblasts --> macrocytes --> macrocytic anemia
Red blood cells are abnormally large
§
Macrocytic anemia
Symptoms
Fatigue
®
Weakness
®
Irritability
®
Shortness of breath
®
§
-
Vitamin B12
Also called cobalamin
Two forms
Both forms contain cobalt
§
Absorption
What is Vitamin 12 (cont'd)?
Stored mostly in liver
§
Excreted through the bile and urine
§
Deficiency can take years to develop
§
Metabolic Functions
Two enzymes (don't need to know)
Methylcobalamin: converts hemocysteine to methionine;
prevents homocysteine buildup
Deoxyadenosylcobalamin: helps form succinyl CoA during the
TCA cycle
§
Activates folate
§
Synthesis of new cells, especially red blood cells
§
Maintains myelin sheath of nerve tissue
§
Catabolism of amino acids and fatty acids for energy metabolism
§
Daily Needs
Bioavailability
Absorption decreases w/ age
Atropic gastritis:
Vitamin B12 is not released from the protein in
food
Bacterial overgrowth reduces vitamin B12
absorption
®
Absorption of the synthetic form is not hindered
®
Insufficient factor and gastric bypass can inhibit
absorption
®
Microwave cooking reduces the active form by 30-40%
§
Food Sources
Grains*, meats, dairy
This is why vegans have an issue (see point below)
§
Vitamin B12 Toxicity
No known risks
§
Absorption decreases w/ higher intakes
§
Vitamin B12 Deficiency
Causes
Low intake, as w/ vegan diets
Malabsorption w/o adequate HCl
Insufficient pancreatic enzymes, IF (intrinsic factor)
Gastric bypass
§
Symptoms
Macrocytic anemia
Due to folate deficiency
®
Pernicious anemia
B12 deficiency
®
Fatigue
®
Shortness of breath
®
Long-term consequence
Permanent nerve damage (tingling and numbness
in arms and legs)
®
§
-
Vitamin C
Also known as ascorbic acid
Humans lack the enzyme to make vitamin C
Absorption
Small intestine by active transport
§
Higher intakes absorbed by simple diffusion in the stomach and
small intestine
§
Absorption decreases 50% w/ intakes > 1g ***
So don't take it in larger amounts b/c decrease bioavailability
§
Excreted through kidneys
§
Not stored in the body
§
Metabolic Functions
Collagen synthesis
Occurs by hydroxylation reactions
Always see it in night cream and anti-aging creams
Also in research: in drinks/ gels/ jello concoctions for injured
athlets
§
Antioxidant
Reduces risk for heart disease and cancer
Accepts or donates electrons to balance free radicals
§
Iron absorption is enhanced **
Plant sources of nonheme iron
§
Functions of Vitamin C
Helps to maintain the immune system
Promotes white blood cell synthesis
§
May reduce the body's response to stress
When stressed, cortisol is released but also vitamin C so they
believe that may be released to balance levels?
§
Aids in the conversion of tryptophan and tyrosine to serotonin and
norepinephrine
§
Aids in the synthesis of thyroxine
§
Converts cholesterol to bile
§
Assists w/ histamine breakdown
§
Daily Needs and Food Sources
Vitamin C Toxicity
Consuming > 3,000 mg can cause nausea, stomach cramps, and
diarrhea
When popping airborne's and stuff when flu/ cold season,
when get upset stomach: vitamin C over-consumption/
toxicity
§
Overconsumption can lead to:
Kidney stones
False positive or false negative medical tests
§
Those w/ hemochromatosis (iron-loading disorder) should avoid
excess amounts
§
Vitamin C Deficiency
Scurvy
Bleeding gums
Coiled or curly arm hairs
Wounds won't heal
Rough rash
§
Prevented w/ 10 mg of vitamin C/ day
§
-
Other Vitamin-Like Compounds (WON'T BE TESTED ON)
Some compounds may not be classified as vitamins but are essential to
overall health
Often synthesized in adequate amounts in the body
May become essential under certain circumstances, such as during illness
or chronic disease
Include the following:
Choline
Not classified as a vitamin, though grouped w/ the B vitamins
Major functions
Part of phospholipid that makes up the cell wall
®
Liver metabolism
®
Precursor to acetylcholine
®
Participated in nerve transmission
®
Assists in the transport of lipids
®
Fetal development
®
Can be synthesized by the body
Major food sources
Animal sources: milk, liver, eggs
®
Peanuts
®
Toxicity
Excess from supplements can cause sweating, vomiting,
hypotension, fishy odor
§
Carnitine, lipoic acid, and inositol can all be synthesized by the body
§
Carnitine
Needed to properly utilize fat
Major food sources
Meat and dairy products
®
§
Lipoic acid
Helps cells generate energy
Potential antioxidant effects
§
Inositol
Keeps cell membranes healthy
Found in plant sources
§
-
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There are nine water-soluble vitamins
Vitamin C
Eight B-complex vitamins
Initially thought to be one vitamin
§
Years of research uncovered it was several substances
Thiamin
Riboflavin
Niacin
Vitamin B6
Folate
Vitamin B12
Pantothenic acid
Biotin
§
Easily destroyed by heat, light, and oxidation
Traits of water-soluble vitamins vs fat-soluble vitamins
-
Digesting and Absorbing Water-Soluble Vitamins
-
Primary Functions of Water-Soluble Vitamins
B vitamins act as co-enzymes in many metabolic processes
Act as coenzymes to catalyze the enzyme to build or break apart
compounds
§
Transform carbs, proteins, and fats to ATP
Thiamin
Riboflavin
Niacin
Pantothenic acid
Biotin
Vitamin B6
§
B Vitamins Function as Coenzymes
§
Water-soluble vitamins in other critical roles:
Antioxidant: vitamin C
Nerve function: thiamin
Protein synthesis: niacin
Formation of red blood cells: folate and vitamin B12
Several B vitamins promote heart health
§
B Vitamins Function in Energy Metabolism
§
-
Thiamin (B1)
First B vitamin discovered
Casimir Funk identified thiamin as the curative factor in unpolished
rice in 1911
§
Dietary form converted to active coenzyme form thiamin pyrophosphate
(TPP)
It is destroyed in basic; acid solution protect it
Absorption
In jejunum by passive diffusion
§
Active transport is used w/ low intakes
§
Transported through the blood and excreted through urine
§
Structures of Thiamin and Thiamin Pyrophosphate
Metabolic Functions
Produces ATP from carbohydrate metabolism
TPP activates decarboxylase to remove a carbon from
pyruvate; forms acetyl CoA
TPP-dependent enzymes convert alpha-ketoglutarate to
succinyl CoA in the TCA cycle
§
Converts branched-chain amino acids to acetyl CoA
§
Makes pentoses used to synthesize DNA and RNA (so can't make
those w/o thiamin)
§
Transmission of nerve impulses (non-metabolic function)
§
The Function of Thiamin Pyrophosphate in Energy Metabolism
§
Daily Needs and Food Sources of Thiamin
Major food sources:
Enriched and fortified foods (remember these add back
vitamins b1, b2, and b3)
Whole-grain foods
Lean pork (ham and bacon)
§
Thiamin Toxicity
No known toxicity
§
Thiamin Deficiency
Berbiberi
Symptoms include loss of appetite, weight loss, confusion,
muscle weakness, peripheral neuropathy
Classifications
Wet: edema and congestive heart failure
®
Dry: muscle wasting w/o edema or nerve degeneration
®
§
Wernicke-Korsakoff syndrome
Caused by chronic alcohol abuse
§
Causes of deficiency:
Inadequate dietary intake
Malabsorption
Alcoholism
Prolonged diarrhea
Times of increased need w/ too little intake
Pregnancy and lactation
®
§
-
Riboflavin (B2)
Composed of a side chain and ring structure
Two coenzyme forms
Flavin mononucleotide (FMN)
§
Flavin adenine dinucleotide (FAD)
§
Stable during cooking except in the presence of UV light
Absorption
Attached to proteins in food
§
Released in the presence of hydrochloric acid in the stomach
§
Absorbed by active transport in the small intestine
§
Structures of Riboflavin and the Coenzyme Forms of FAD and FMN
Metabolic Functions
Participates in energy metabolism through oxidation
FAD and FMN accept hydrogen ions (H+)
FADH2 transports electrons to the electron transport chain to
make ATP
Participates in beta-oxidation
Participates in oxidation-reduction reactions that protect cells
from oxidative stress
§
Enhances the function of other B vitamins
§
Role of FAD in the TCA Cycle
§
Daily Needs and Food Sources
Major food sources
Milk
Yogurt
Enriched and fortified cereals and grains
§
Riboflavin Toxicity
None; excessive amounts are excreted in urine
§
Riboflavin Deficiency
Ariboflavinosis
Cells in tissues lining the throat, mouth, tongue, and lips
become inflamed or swollen
Sore throat, stomatitis, glossitis, cheilosis
§
In elderly, reduced conversion of vitamin B6 to its active form
§
Altered iron metabolism and the synthesis of hemoglobin
§
-
Niacin (B3)
Two active forms derived from food
Nicotinic acid and nicotinamide
§
Converted to active coenzymes
Nicotinamide adenine dinucleotide (NAD+)
§
Nicotinamide adenine dinucleotide phosphate (NADP+)
§
Bioavailability
Less available in plant foods (wheat or corn)
§
More available in dairy foods and meat
§
Absorbed in the small intestine by simple diffusion
Circulates through the blood to the liver
§
Structures of Niacin and its Coenzyme Forms NAD+ and NAPD+
Metabolic Functions
Coenzyme in oxidation-reduction reactions
Glucose, protein, fat, and alcohol metabolism
Folate and vitamin C metabolism
§
Keeps skin cells healthy and digestive system functioning properly
§
In therapeutic doses:
Lowers total cholesterol in the blood by lowering Lp(a)
lipoprotein
Lowers triglycerides
Raises HDL cholesterol
§
Niacin Functions as NAD+ in Energy Metabolism
§
Daily Needs and Food Sources
Can be synthesized by the body from amino acid tryptophan
60 mg of tryptophan = 1 niacin equivalent (NE)
Conversion requires riboflavin, vitamin B6, and iron
§
Major food sources
Meats, fish, poultry
Enriched and fortified grains and cereals
Amino acid tryptophan
§
Stable in foods
Not destroyed by hear or UV light
Can leach if food is cooked or soaked in water
§
Niacin Toxicity
No known cause except excess supplements or too many overly
fortified foods which can cause:
Reddish coloring of face, arms, and chest
Nausea, vomiting
Heartburn
Liver toxicity
Raised blood glucose levels
§
Niacin Deficiency
Pellagra (disease of the 4 D's)
Dermatitis (drying of skin)
Diarrhea
Dementia
Death
§
-
Pantothenic Acid
Part of compound coenzyme A, which then used to make acetyl CoA
Sometimes referred to as B5
Absorption
In the small intestine
§
If intake is high: passive diffusion
§
If intake is low: active transport
§
Acetyl CoA is not stored, but high concentrations are found in the liver,
kidney, adrenal glands, and brain
Structures of Pantothenic Acid and Coenzyme A
Metabolic Functions
Part of coenzyme A used in fat, carb, and protein metabolism
Fat: synthesizes fatty acids and converts them to energy
Carb: converts pyruvate to acetyl CoA
Protein: converts amino acids to substrates in the TCA cycle
§
Synthesis of:
Cholesterol
Steroid hormones
Neurotransmitter acetylcholine
§
Pantothenic Acid and Energy Metabolism
§
Daily Needs and Food Sources
Major food sources
Widespread in a large variety of foods (so won't ask)
Largest amount in:
Whole-grain cereals
®
Nuts and legumes, peanut butter
®
Meat, milk, and eggs
®
Can be destroyed by heat, so processed foods (canned
vegetables, fish, meat) are lowered than fresh foods
b/c found in like all foods, but b/c destroyed by heat,
better source is fresh foods that aren't processed
®
§
Pantothenic Acid Toxicity
No known toxicity
§
Pantothenic Acid Deficiency
Rare.
May experience:
Fatigue
®
Nausea
®
Vomiting
®
Numbness
®
Muscle cramps
®
Difficulty walking
®
§
-
Biotin
Made of sulfur-containing double rings and a side chain
Absorption
Biotinidase removes biotin from food
§
Active transport in the small intestine
§
Absorbed into the liver
§
Metabolic functions
Coenzyme for enzymes involved in energy metabolism (adds
oxygen)
Synthesis of fatty acids
Replenishes oxaloacetate from pyruvate
Amino acid metabolism
§
DNA replication and transcription of genes
§
Cell development and growth
Maintenance of healthy hair and nails (referred to beauty
vitamin, see this on mastering)
§
The Role of Biotin as a Coenzyme in Energy Metabolism
§
Daily Needs and Food Sources
Major food sources
Peanuts*
Yeast
Liver and other organ meats
Bacteria in the GI tract
Egg yolks
Whole grains
Fish
So note yes we do make it in our gut, but we don't know how
much
§
Biotin Toxicity
Rare
§
Biotin Deficiency
Seen with:
Overconsumption of raw egg whites (>12/ day for a
prolonged time); avidin in raw egg can bind to biotin and
cause deficiency symptoms
Total parenteral nutrition
Impaired absorption
Rare genetic disorders
§
Symptoms include hair loss, depression, conjuctivitis, dermatitis,
lethargy, hallucinations
§
-
Vitamin B6
Collective name for several related compounds
Absorption
75% bioavailable
§
All forms absorbed in small intestine by passive diffusion
§
Bound to albumin and transported to the liver (where it is
activated)
§
Active form
Pyridoxal phosphate (PLP)
Stored mostly in the muscle, some in the liver (instead of
being excreted)
§
Metabolic Functions
Coenzyme for more than 100 enzymes
Most involved in protein metabolism
§
Amino acid metabolism
PLP needed in transamination to form nonessential amino
acids
§
Carb metabolism
Glyconeolysis and gluconeogenesis
§
Makes hemoglobin for red blood cells
§
Keeps immune and nervous systems healthy
§
May reduce risk for heart disease (help conversion of hemocysteine
to methionine like B12; not letting homocysteine build up)
§
Reduces nausea and vomiting
§
Daily Needs and Food Sources
Variety of food sources
Ready-to-eat cereals
Meat, fish, poultry
Fruits and vegetables
Nuts and other legumes
§
Vitamin B6 Toxicity
It attaches to enzymes in the muscle and other tissues and will
remain in the body. It can reach toxic levels, usually due to excess
intake of supplements
Nerve damage
Difficulty walking
Tingling in legs and feet
§
Large doses do not cure carpal tunnel syndrome
§
Vitamin B6 Deficiency
Deficiency symptoms
Sore tongue
Inflammation of the skin
Depression
confusion
§
Microcytic hypochromic anemia
Red blood cells are small and pale
§
Often caused by excessive alcohol consumption
§
-
Folate
Is found in many foods
Folic acid is the synthetic form added to foods and in supplements
Most folate in foods is in the polyglutamate form
Absorption
All but one glutamate is removed to form monoglutamate during
digestion
§
In the small intestine, 5-methyl-tetrahydrofolate is formed and
transported to the liver
§
Active form: tetrahydrofolate
Structure of Folate and its Coenzyme Form
Digestion of Folate
What is Folate?
Bioavailability
Folic acid is more bioavailable than folate
Folate is destroyed w/ exposure to heat and light
Raw foods have more folate than cooked foods
Some foods contain enzymes that inhibit folate availability
Beans, legumes, and cabbage
®
§
Metabolic Functions
Transfers single-carbon compounds (ex. Methyl) to form new
compounds (ex. Through methylation to repair and/ or code for
DNA, which kind of goes to next point)
§
DNA and amino acid synthesis
§
Homocysteine metabolism
§
Assists in neural tube development to prevent:
Neural tube defects
Anencephaly
Spina bifida
§
May prevent cancer and heart disease
§
Daily Needs
Dietary Folate Equivalents (DFE)
Unit used to define the RDA for folate
Accounts for differences in absorption b/w synthetic folate
and folate in food
Synthetic folate acid if absorbed 1.7x more efficiently than
natural folate
§
Food Sources
Major food sources: think foliage (leaves)
Dark green leafy vegetables, legumes, and seeds
Enriched pasta, rich, and cereals
Liver
§
Folate Toxicity
No risk from eating foods w/ folate
§
Excess intake from fortified food or supplements can mask a B12
deficiency
§
Folate Deficiency
Interferes w/ normal red blood cell division
§
Megaloblasts --> macrocytes --> macrocytic anemia
Red blood cells are abnormally large
§
Macrocytic anemia
Symptoms
Fatigue
®
Weakness
®
Irritability
®
Shortness of breath
®
§
-
Vitamin B12
Also called cobalamin
Two forms
Both forms contain cobalt
§
Absorption
What is Vitamin 12 (cont'd)?
Stored mostly in liver
§
Excreted through the bile and urine
§
Deficiency can take years to develop
§
Metabolic Functions
Two enzymes (don't need to know)
Methylcobalamin: converts hemocysteine to methionine;
prevents homocysteine buildup
Deoxyadenosylcobalamin: helps form succinyl CoA during the
TCA cycle
§
Activates folate
§
Synthesis of new cells, especially red blood cells
§
Maintains myelin sheath of nerve tissue
§
Catabolism of amino acids and fatty acids for energy metabolism
§
Daily Needs
Bioavailability
Absorption decreases w/ age
Atropic gastritis:
Vitamin B12 is not released from the protein in
food
Bacterial overgrowth reduces vitamin B12
absorption
®
Absorption of the synthetic form is not hindered
®
Insufficient factor and gastric bypass can inhibit
absorption
®
Microwave cooking reduces the active form by 30-40%
§
Food Sources
Grains*, meats, dairy
This is why vegans have an issue (see point below)
§
Vitamin B12 Toxicity
No known risks
§
Absorption decreases w/ higher intakes
§
Vitamin B12 Deficiency
Causes
Low intake, as w/ vegan diets
Malabsorption w/o adequate HCl
Insufficient pancreatic enzymes, IF (intrinsic factor)
Gastric bypass
§
Symptoms
Macrocytic anemia
Due to folate deficiency
®
Pernicious anemia
B12 deficiency
®
Fatigue
®
Shortness of breath
®
Long-term consequence
Permanent nerve damage (tingling and numbness
in arms and legs)
®
§
-
Vitamin C
Also known as ascorbic acid
Humans lack the enzyme to make vitamin C
Absorption
Small intestine by active transport
§
Higher intakes absorbed by simple diffusion in the stomach and
small intestine
§
Absorption decreases 50% w/ intakes > 1g ***
So don't take it in larger amounts b/c decrease bioavailability
§
Excreted through kidneys
§
Not stored in the body
§
Metabolic Functions
Collagen synthesis
Occurs by hydroxylation reactions
Always see it in night cream and anti-aging creams
Also in research: in drinks/ gels/ jello concoctions for injured
athlets
§
Antioxidant
Reduces risk for heart disease and cancer
Accepts or donates electrons to balance free radicals
§
Iron absorption is enhanced **
Plant sources of nonheme iron
§
Functions of Vitamin C
Helps to maintain the immune system
Promotes white blood cell synthesis
§
May reduce the body's response to stress
When stressed, cortisol is released but also vitamin C so they
believe that may be released to balance levels?
§
Aids in the conversion of tryptophan and tyrosine to serotonin and
norepinephrine
§
Aids in the synthesis of thyroxine
§
Converts cholesterol to bile
§
Assists w/ histamine breakdown
§
Daily Needs and Food Sources
Vitamin C Toxicity
Consuming > 3,000 mg can cause nausea, stomach cramps, and
diarrhea
When popping airborne's and stuff when flu/ cold season,
when get upset stomach: vitamin C over-consumption/
toxicity
§
Overconsumption can lead to:
Kidney stones
False positive or false negative medical tests
§
Those w/ hemochromatosis (iron-loading disorder) should avoid
excess amounts
§
Vitamin C Deficiency
Scurvy
Bleeding gums
Coiled or curly arm hairs
Wounds won't heal
Rough rash
§
Prevented w/ 10 mg of vitamin C/ day
§
-
Other Vitamin-Like Compounds (WON'T BE TESTED ON)
Some compounds may not be classified as vitamins but are essential to
overall health
Often synthesized in adequate amounts in the body
May become essential under certain circumstances, such as during illness
or chronic disease
Include the following:
Choline
Not classified as a vitamin, though grouped w/ the B vitamins
Major functions
Part of phospholipid that makes up the cell wall
®
Liver metabolism
®
Precursor to acetylcholine
®
Participated in nerve transmission
®
Assists in the transport of lipids
®
Fetal development
®
Can be synthesized by the body
Major food sources
Animal sources: milk, liver, eggs
®
Peanuts
®
Toxicity
Excess from supplements can cause sweating, vomiting,
hypotension, fishy odor
§
Carnitine, lipoic acid, and inositol can all be synthesized by the body
§
Carnitine
Needed to properly utilize fat
Major food sources
Meat and dairy products
®
§
Lipoic acid
Helps cells generate energy
Potential antioxidant effects
§
Inositol
Keeps cell membranes healthy
Found in plant sources
§
-
Chpt. 10 Water-Soluble Vitamins
Friday, March 16, 2018 1:35 PM
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There are nine water-soluble vitamins
Vitamin C
Eight B-complex vitamins
Initially thought to be one vitamin
§
Years of research uncovered it was several substances
Thiamin
Riboflavin
Niacin
Vitamin B6
Folate
Vitamin B12
Pantothenic acid
Biotin
§
Easily destroyed by heat, light, and oxidation
Traits of water-soluble vitamins vs fat-soluble vitamins
-
Digesting and Absorbing Water-Soluble Vitamins
-
Primary Functions of Water-Soluble Vitamins
B vitamins act as co-enzymes in many metabolic processes
Act as coenzymes to catalyze the enzyme to build or break apart
compounds
§
Transform carbs, proteins, and fats to ATP
Thiamin
Riboflavin
Niacin
Pantothenic acid
Biotin
Vitamin B6
§
B Vitamins Function as Coenzymes
§
Water-soluble vitamins in other critical roles:
Antioxidant: vitamin C
Nerve function: thiamin
Protein synthesis: niacin
Formation of red blood cells: folate and vitamin B12
Several B vitamins promote heart health
§
B Vitamins Function in Energy Metabolism
§
-
Thiamin (B1)
First B vitamin discovered
Casimir Funk identified thiamin as the curative factor in unpolished
rice in 1911
§
Dietary form converted to active coenzyme form thiamin pyrophosphate
(TPP)
It is destroyed in basic; acid solution protect it
Absorption
In jejunum by passive diffusion
§
Active transport is used w/ low intakes
§
Transported through the blood and excreted through urine
§
Structures of Thiamin and Thiamin Pyrophosphate
Metabolic Functions
Produces ATP from carbohydrate metabolism
TPP activates decarboxylase to remove a carbon from
pyruvate; forms acetyl CoA
TPP-dependent enzymes convert alpha-ketoglutarate to
succinyl CoA in the TCA cycle
§
Converts branched-chain amino acids to acetyl CoA
§
Makes pentoses used to synthesize DNA and RNA (so can't make
those w/o thiamin)
§
Transmission of nerve impulses (non-metabolic function)
§
The Function of Thiamin Pyrophosphate in Energy Metabolism
§
Daily Needs and Food Sources of Thiamin
Major food sources:
Enriched and fortified foods (remember these add back
vitamins b1, b2, and b3)
Whole-grain foods
Lean pork (ham and bacon)
§
Thiamin Toxicity
No known toxicity
§
Thiamin Deficiency
Berbiberi
Symptoms include loss of appetite, weight loss, confusion,
muscle weakness, peripheral neuropathy
Classifications
Wet: edema and congestive heart failure
®
Dry: muscle wasting w/o edema or nerve degeneration
®
§
Wernicke-Korsakoff syndrome
Caused by chronic alcohol abuse
§
Causes of deficiency:
Inadequate dietary intake
Malabsorption
Alcoholism
Prolonged diarrhea
Times of increased need w/ too little intake
Pregnancy and lactation
®
§
-
Riboflavin (B2)
Composed of a side chain and ring structure
Two coenzyme forms
Flavin mononucleotide (FMN)
§
Flavin adenine dinucleotide (FAD)
§
Stable during cooking except in the presence of UV light
Absorption
Attached to proteins in food
§
Released in the presence of hydrochloric acid in the stomach
§
Absorbed by active transport in the small intestine
§
Structures of Riboflavin and the Coenzyme Forms of FAD and FMN
Metabolic Functions
Participates in energy metabolism through oxidation
FAD and FMN accept hydrogen ions (H+)
FADH2 transports electrons to the electron transport chain to
make ATP
Participates in beta-oxidation
Participates in oxidation-reduction reactions that protect cells
from oxidative stress
§
Enhances the function of other B vitamins
§
Role of FAD in the TCA Cycle
§
Daily Needs and Food Sources
Major food sources
Milk
Yogurt
Enriched and fortified cereals and grains
§
Riboflavin Toxicity
None; excessive amounts are excreted in urine
§
Riboflavin Deficiency
Ariboflavinosis
Cells in tissues lining the throat, mouth, tongue, and lips
become inflamed or swollen
Sore throat, stomatitis, glossitis, cheilosis
§
In elderly, reduced conversion of vitamin B6 to its active form
§
Altered iron metabolism and the synthesis of hemoglobin
§
-
Niacin (B3)
Two active forms derived from food
Nicotinic acid and nicotinamide
§
Converted to active coenzymes
Nicotinamide adenine dinucleotide (NAD+)
§
Nicotinamide adenine dinucleotide phosphate (NADP+)
§
Bioavailability
Less available in plant foods (wheat or corn)
§
More available in dairy foods and meat
§
Absorbed in the small intestine by simple diffusion
Circulates through the blood to the liver
§
Structures of Niacin and its Coenzyme Forms NAD+ and NAPD+
Metabolic Functions
Coenzyme in oxidation-reduction reactions
Glucose, protein, fat, and alcohol metabolism
Folate and vitamin C metabolism
§
Keeps skin cells healthy and digestive system functioning properly
§
In therapeutic doses:
Lowers total cholesterol in the blood by lowering Lp(a)
lipoprotein
Lowers triglycerides
Raises HDL cholesterol
§
Niacin Functions as NAD+ in Energy Metabolism
§
Daily Needs and Food Sources
Can be synthesized by the body from amino acid tryptophan
60 mg of tryptophan = 1 niacin equivalent (NE)
Conversion requires riboflavin, vitamin B6, and iron
§
Major food sources
Meats, fish, poultry
Enriched and fortified grains and cereals
Amino acid tryptophan
§
Stable in foods
Not destroyed by hear or UV light
Can leach if food is cooked or soaked in water
§
Niacin Toxicity
No known cause except excess supplements or too many overly
fortified foods which can cause:
Reddish coloring of face, arms, and chest
Nausea, vomiting
Heartburn
Liver toxicity
Raised blood glucose levels
§
Niacin Deficiency
Pellagra (disease of the 4 D's)
Dermatitis (drying of skin)
Diarrhea
Dementia
Death
§
-
Pantothenic Acid
Part of compound coenzyme A, which then used to make acetyl CoA
Sometimes referred to as B5
Absorption
In the small intestine
§
If intake is high: passive diffusion
§
If intake is low: active transport
§
Acetyl CoA is not stored, but high concentrations are found in the liver,
kidney, adrenal glands, and brain
Structures of Pantothenic Acid and Coenzyme A
Metabolic Functions
Part of coenzyme A used in fat, carb, and protein metabolism
Fat: synthesizes fatty acids and converts them to energy
Carb: converts pyruvate to acetyl CoA
Protein: converts amino acids to substrates in the TCA cycle
§
Synthesis of:
Cholesterol
Steroid hormones
Neurotransmitter acetylcholine
§
Pantothenic Acid and Energy Metabolism
§
Daily Needs and Food Sources
Major food sources
Widespread in a large variety of foods (so won't ask)
Largest amount in:
Whole-grain cereals
®
Nuts and legumes, peanut butter
®
Meat, milk, and eggs
®
Can be destroyed by heat, so processed foods (canned
vegetables, fish, meat) are lowered than fresh foods
b/c found in like all foods, but b/c destroyed by heat,
better source is fresh foods that aren't processed
®
§
Pantothenic Acid Toxicity
No known toxicity
§
Pantothenic Acid Deficiency
Rare.
May experience:
Fatigue
®
Nausea
®
Vomiting
®
Numbness
®
Muscle cramps
®
Difficulty walking
®
§
-
Biotin
Made of sulfur-containing double rings and a side chain
Absorption
Biotinidase removes biotin from food
§
Active transport in the small intestine
§
Absorbed into the liver
§
Metabolic functions
Coenzyme for enzymes involved in energy metabolism (adds
oxygen)
Synthesis of fatty acids
Replenishes oxaloacetate from pyruvate
Amino acid metabolism
§
DNA replication and transcription of genes
§
Cell development and growth
Maintenance of healthy hair and nails (referred to beauty
vitamin, see this on mastering)
§
The Role of Biotin as a Coenzyme in Energy Metabolism
§
Daily Needs and Food Sources
Major food sources
Peanuts*
Yeast
Liver and other organ meats
Bacteria in the GI tract
Egg yolks
Whole grains
Fish
So note yes we do make it in our gut, but we don't know how
much
§
Biotin Toxicity
Rare
§
Biotin Deficiency
Seen with:
Overconsumption of raw egg whites (>12/ day for a
prolonged time); avidin in raw egg can bind to biotin and
cause deficiency symptoms
Total parenteral nutrition
Impaired absorption
Rare genetic disorders
§
Symptoms include hair loss, depression, conjuctivitis, dermatitis,
lethargy, hallucinations
§
-
Vitamin B6
Collective name for several related compounds
Absorption
75% bioavailable
§
All forms absorbed in small intestine by passive diffusion
§
Bound to albumin and transported to the liver (where it is
activated)
§
Active form
Pyridoxal phosphate (PLP)
Stored mostly in the muscle, some in the liver (instead of
being excreted)
§
Metabolic Functions
Coenzyme for more than 100 enzymes
Most involved in protein metabolism
§
Amino acid metabolism
PLP needed in transamination to form nonessential amino
acids
§
Carb metabolism
Glyconeolysis and gluconeogenesis
§
Makes hemoglobin for red blood cells
§
Keeps immune and nervous systems healthy
§
May reduce risk for heart disease (help conversion of hemocysteine
to methionine like B12; not letting homocysteine build up)
§
Reduces nausea and vomiting
§
Daily Needs and Food Sources
Variety of food sources
Ready-to-eat cereals
Meat, fish, poultry
Fruits and vegetables
Nuts and other legumes
§
Vitamin B6 Toxicity
It attaches to enzymes in the muscle and other tissues and will
remain in the body. It can reach toxic levels, usually due to excess
intake of supplements
Nerve damage
Difficulty walking
Tingling in legs and feet
§
Large doses do not cure carpal tunnel syndrome
§
Vitamin B6 Deficiency
Deficiency symptoms
Sore tongue
Inflammation of the skin
Depression
confusion
§
Microcytic hypochromic anemia
Red blood cells are small and pale
§
Often caused by excessive alcohol consumption
§
-
Folate
Is found in many foods
Folic acid is the synthetic form added to foods and in supplements
Most folate in foods is in the polyglutamate form
Absorption
All but one glutamate is removed to form monoglutamate during
digestion
§
In the small intestine, 5-methyl-tetrahydrofolate is formed and
transported to the liver
§
Active form: tetrahydrofolate
Structure of Folate and its Coenzyme Form
Digestion of Folate
What is Folate?
Bioavailability
Folic acid is more bioavailable than folate
Folate is destroyed w/ exposure to heat and light
Raw foods have more folate than cooked foods
Some foods contain enzymes that inhibit folate availability
Beans, legumes, and cabbage
®
§
Metabolic Functions
Transfers single-carbon compounds (ex. Methyl) to form new
compounds (ex. Through methylation to repair and/ or code for
DNA, which kind of goes to next point)
§
DNA and amino acid synthesis
§
Homocysteine metabolism
§
Assists in neural tube development to prevent:
Neural tube defects
Anencephaly
Spina bifida
§
May prevent cancer and heart disease
§
Daily Needs
Dietary Folate Equivalents (DFE)
Unit used to define the RDA for folate
Accounts for differences in absorption b/w synthetic folate
and folate in food
Synthetic folate acid if absorbed 1.7x more efficiently than
natural folate
§
Food Sources
Major food sources: think foliage (leaves)
Dark green leafy vegetables, legumes, and seeds
Enriched pasta, rich, and cereals
Liver
§
Folate Toxicity
No risk from eating foods w/ folate
§
Excess intake from fortified food or supplements can mask a B12
deficiency
§
Folate Deficiency
Interferes w/ normal red blood cell division
§
Megaloblasts --> macrocytes --> macrocytic anemia
Red blood cells are abnormally large
§
Macrocytic anemia
Symptoms
Fatigue
®
Weakness
®
Irritability
®
Shortness of breath
®
§
-
Vitamin B12
Also called cobalamin
Two forms
Both forms contain cobalt
§
Absorption
What is Vitamin 12 (cont'd)?
Stored mostly in liver
§
Excreted through the bile and urine
§
Deficiency can take years to develop
§
Metabolic Functions
Two enzymes (don't need to know)
Methylcobalamin: converts hemocysteine to methionine;
prevents homocysteine buildup
Deoxyadenosylcobalamin: helps form succinyl CoA during the
TCA cycle
§
Activates folate
§
Synthesis of new cells, especially red blood cells
§
Maintains myelin sheath of nerve tissue
§
Catabolism of amino acids and fatty acids for energy metabolism
§
Daily Needs
Bioavailability
Absorption decreases w/ age
Atropic gastritis:
Vitamin B12 is not released from the protein in
food
Bacterial overgrowth reduces vitamin B12
absorption
®
Absorption of the synthetic form is not hindered
®
Insufficient factor and gastric bypass can inhibit
absorption
®
Microwave cooking reduces the active form by 30-40%
§
Food Sources
Grains*, meats, dairy
This is why vegans have an issue (see point below)
§
Vitamin B12 Toxicity
No known risks
§
Absorption decreases w/ higher intakes
§
Vitamin B12 Deficiency
Causes
Low intake, as w/ vegan diets
Malabsorption w/o adequate HCl
Insufficient pancreatic enzymes, IF (intrinsic factor)
Gastric bypass
§
Symptoms
Macrocytic anemia
Due to folate deficiency
®
Pernicious anemia
B12 deficiency
®
Fatigue
®
Shortness of breath
®
Long-term consequence
Permanent nerve damage (tingling and numbness
in arms and legs)
®
§
-
Vitamin C
Also known as ascorbic acid
Humans lack the enzyme to make vitamin C
Absorption
Small intestine by active transport
§
Higher intakes absorbed by simple diffusion in the stomach and
small intestine
§
Absorption decreases 50% w/ intakes > 1g ***
So don't take it in larger amounts b/c decrease bioavailability
§
Excreted through kidneys
§
Not stored in the body
§
Metabolic Functions
Collagen synthesis
Occurs by hydroxylation reactions
Always see it in night cream and anti-aging creams
Also in research: in drinks/ gels/ jello concoctions for injured
athlets
§
Antioxidant
Reduces risk for heart disease and cancer
Accepts or donates electrons to balance free radicals
§
Iron absorption is enhanced **
Plant sources of nonheme iron
§
Functions of Vitamin C
Helps to maintain the immune system
Promotes white blood cell synthesis
§
May reduce the body's response to stress
When stressed, cortisol is released but also vitamin C so they
believe that may be released to balance levels?
§
Aids in the conversion of tryptophan and tyrosine to serotonin and
norepinephrine
§
Aids in the synthesis of thyroxine
§
Converts cholesterol to bile
§
Assists w/ histamine breakdown
§
Daily Needs and Food Sources
Vitamin C Toxicity
Consuming > 3,000 mg can cause nausea, stomach cramps, and
diarrhea
When popping airborne's and stuff when flu/ cold season,
when get upset stomach: vitamin C over-consumption/
toxicity
§
Overconsumption can lead to:
Kidney stones
False positive or false negative medical tests
§
Those w/ hemochromatosis (iron-loading disorder) should avoid
excess amounts
§
Vitamin C Deficiency
Scurvy
Bleeding gums
Coiled or curly arm hairs
Wounds won't heal
Rough rash
§
Prevented w/ 10 mg of vitamin C/ day
§
-
Other Vitamin-Like Compounds (WON'T BE TESTED ON)
Some compounds may not be classified as vitamins but are essential to
overall health
Often synthesized in adequate amounts in the body
May become essential under certain circumstances, such as during illness
or chronic disease
Include the following:
Choline
Not classified as a vitamin, though grouped w/ the B vitamins
Major functions
Part of phospholipid that makes up the cell wall
®
Liver metabolism
®
Precursor to acetylcholine
®
Participated in nerve transmission
®
Assists in the transport of lipids
®
Fetal development
®
Can be synthesized by the body
Major food sources
Animal sources: milk, liver, eggs
®
Peanuts
®
Toxicity
Excess from supplements can cause sweating, vomiting,
hypotension, fishy odor
§
Carnitine, lipoic acid, and inositol can all be synthesized by the body
§
Carnitine
Needed to properly utilize fat
Major food sources
Meat and dairy products
®
§
Lipoic acid
Helps cells generate energy
Potential antioxidant effects
§
Inositol
Keeps cell membranes healthy
Found in plant sources
§
-
Chpt. 10 Water-Soluble Vitamins
Friday, March 16, 2018 1:35 PM
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Document Summary

Years of research uncovered it was several substances. B vitamins act as co-enzymes in many metabolic processes. Act as coenzymes to catalyze the enzyme to build or break apart compounds. Formation of red blood cells: folate and vitamin b12. Casimir funk identified thiamin as the curative factor in unpolished rice in 1911. Dietary form converted to active coenzyme form thiamin pyrophosphate (tpp) It is destroyed in basic; acid solution protect it. Transported through the blood and excreted through urine. Tpp activates decarboxylase to remove a carbon from pyruvate; forms acetyl coa. Tpp-dependent enzymes convert alpha-ketoglutarate to succinyl coa in the tca cycle. Makes pentoses used to synthesize dna and rna (so can"t make those w/o thiamin) The function of thiamin pyrophosphate in energy metabolism. Enriched and fortified foods (remember these add back vitamins b1, b2, and b3) Symptoms include loss of appetite, weight loss, confusion, muscle weakness, peripheral neuropathy. Dry: muscle wasting w/o edema or nerve degeneration.

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