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Questions and Answers

What is the primary characteristic of fat soluble vitamins?

  • They dissolve in water and are easily excreted.
  • They are stored primarily in the liver.
  • They are required in large quantities for metabolic processes.
  • They are closely associated with transport and absorption of lipids. (correct)
  • Which vitamin is primarily absorbed through passive diffusion in the intestines?

  • Vitamin K from animal sources.
  • Vitamin K2, or menaquinone.
  • Vitamin K from supplements.
  • Vitamin K from plant sources. (correct)
  • What condition can result from a deficiency of vitamin K?

  • Improved blood clotting times.
  • Reduced absorption of lipids.
  • Excessive bone density.
  • Low serum vitamin K concentration. (correct)
  • What interferes with the absorption of vitamin K?

    <p>Excess amounts of vitamins A and E.</p> Signup and view all the answers

    What is the primary function of vitamin K in the body?

    <p>Post-translational carboxylation of specific proteins.</p> Signup and view all the answers

    What percentage of absorbed B12 in blood carriers Haptocorrin?

    <p>80%</p> Signup and view all the answers

    What is the estimated amount of B12 needed to prevent deficiency for about 3-5 years?

    <p>1 μg</p> Signup and view all the answers

    Which of the following forms of cobalamin deficiency is more prevalent?

    <p>SCCD</p> Signup and view all the answers

    What occurs to the percentage of absorbed B12 in blood when ingesting 10 μg of the vitamin?

    <p>Drops to 16%</p> Signup and view all the answers

    What role does Ferritin serve in the body?

    <p>It stores iron.</p> Signup and view all the answers

    What is the effect of H2 receptor blockers on iron absorption?

    <p>They reduce absorption.</p> Signup and view all the answers

    What is the primary carrier of heme iron during digestion?

    <p>Carrier protein</p> Signup and view all the answers

    What is the half-life of Haptocorrin in the body?

    <p>10 days</p> Signup and view all the answers

    What metal ion is uniquely associated with vitamin B12?

    <p>Cobalt</p> Signup and view all the answers

    Which of the following is a consequence of a strict vegetarian diet?

    <p>Delayed manifestation of B12 deficiency</p> Signup and view all the answers

    Which organ primarily stores vitamin B12 in the body?

    <p>Liver</p> Signup and view all the answers

    How much of the ingested dose of vitamin B12 is typically absorbed?

    <p>50-65%</p> Signup and view all the answers

    What are the two forms of vitamin B12 used in the human body?

    <p>Methylcobalamin and 5-deoxyadenosylcobalamin</p> Signup and view all the answers

    What percentage of total blood cobalamin resides as methylcobalamin?

    <p>60-80%</p> Signup and view all the answers

    Which protein in blood facilitates the transport of vitamin B12?

    <p>Transcobalamin II</p> Signup and view all the answers

    Which factor primarily contributes to vitamin B12 deficiency in the U.S.?

    <p>Inadequate absorption</p> Signup and view all the answers

    Which form of folate is the most stable?

    <p>5-methyl THF</p> Signup and view all the answers

    Where is folate primarily stored in the body?

    <p>Liver</p> Signup and view all the answers

    What percentage of folate is typically lost during processing and preparation of food?

    <p>50-80%</p> Signup and view all the answers

    Which amino acid metabolism requires folate for the synthesis of methionine from homocysteine?

    <p>Serine</p> Signup and view all the answers

    What is the tolerable upper intake level of folate?

    <p>1,000 μg/day</p> Signup and view all the answers

    Which folate form is mainly found in supplements and fortified foods?

    <p>Synthetic folic acid</p> Signup and view all the answers

    Who benefits most from increased bioavailability of synthetic folic acid compared to naturally occurring folate?

    <p>Pregnant women</p> Signup and view all the answers

    In which cells may folate involvement in cancer initiation occur?

    <p>Epithelial cells</p> Signup and view all the answers

    What condition is characterized by incomplete synthesis of red blood cells due to abnormal DNA synthesis?

    <p>Megaloblastic anemia</p> Signup and view all the answers

    Which of the following is NOT a primary function of folate in the body?

    <p>Transamination reactions</p> Signup and view all the answers

    What is the primary function of Hepcidin in iron metabolism?

    <p>Regulates the release of iron from storage sites</p> Signup and view all the answers

    Which of the following is a poor dietary source of iron?

    <p>Dairy</p> Signup and view all the answers

    What must happen to nonheme iron (Fe3+) before it can be absorbed in the intestines?

    <p>It must be hydrolyzed to Fe2+</p> Signup and view all the answers

    What is one of the adverse effects of high-dose oral iron supplements?

    <p>Constipation</p> Signup and view all the answers

    What characterizes the structure of Hepcidin?

    <p>It contains a hollow core made of 24 subunits</p> Signup and view all the answers

    Which dietary factor can hinder iron absorption due to toxicity concerns?

    <p>Polyphenols from beverages</p> Signup and view all the answers

    What is facilitated by ferroportin in iron metabolism?

    <p>Crossing the basolateral membrane of enterocytes with iron</p> Signup and view all the answers

    What can happen to free iron in the body if not managed properly?

    <p>It can become lethal due to oxidative stress</p> Signup and view all the answers

    Which condition is caused by inadequate vitamin D leading to decreased calcium absorption?

    <p>Osteomalacia</p> Signup and view all the answers

    What is the main storage form of vitamin D in the body?

    <p>Adipocytes</p> Signup and view all the answers

    Which of the following vitamins is primarily involved in preventing the oxidation of LDL cholesterol?

    <p>Vitamin E</p> Signup and view all the answers

    What is a common symptom associated with vitamin E deficiency?

    <p>Ataxia</p> Signup and view all the answers

    During which developmental periods is folate particularly important?

    <p>Pregnancy and infancy</p> Signup and view all the answers

    What effect does chronic ethanol use have on folate absorption?

    <p>Inhibits folate absorption</p> Signup and view all the answers

    What is the primary function of vitamin D in the context of calcium regulation?

    <p>Promote calcium absorption</p> Signup and view all the answers

    Which of these is a food source rich in tocopherols?

    <p>Wheat germ oil</p> Signup and view all the answers

    What is the potential consequence of vitamin D deficiency on blood calcium levels?

    <p>Decrease in calcium levels</p> Signup and view all the answers

    Which vitamin is associated with the prevention of pre-oxidation of unsaturated fatty acids?

    <p>Vitamin E</p> Signup and view all the answers

    What is a key role of calcium channel proteins in the body?

    <p>Facilitating calcium absorption</p> Signup and view all the answers

    Which of the following conditions is NOT related to vitamin E deficiency?

    <p>Osteomalacia</p> Signup and view all the answers

    What happens to cellular vitamin E levels when it becomes low?

    <p>Liver and plasma serve as available sources</p> Signup and view all the answers

    Which vitamin's requirement is based on the 2-R α-tocopherol forms?

    <p>Vitamin E</p> Signup and view all the answers

    Study Notes

    Fat Soluble Vitamins (K, A, D, E)

    • Closely linked to lipid transport and absorption
    • Incorporated into micelles
    • Transported to tissues via lipoproteins
    • Absorption can be affected by very low-fat diets
    • Primarily stored with body lipids, though storage varies

    Vitamin/Mineral Sources, Digestion, Absorption, Function, and Deficiency

    • Vitamin K:

      • Plant sources (phylloquinone, K1) & animal sources (menaquinone, K2)
      • No digestion needed for K in oils.
      • Absorbed via passive diffusion and scavenger receptor class B
      • Crucial for post-translational carboxylation of proteins and involved in blood clotting.
      • Deficiency is rare in healthy adults. Low serum VK, bleeding.
    • Vitamin A:

      • Found in liver and dairy products in retinoid form.
      • Carotenoids in plant foods.
      • Hydrolysis of esters in the small intestine by ester hydrolases is necessary.
      • Absorbed through intestinal mucosal cells as retinyl esters, carotenoids into chylomicrons via intestinal mucosal cells.
      • Crucial for vision, gene expression, and cell differentiation, growth and reproduction. Important in bone metabolism.
      • Deficiency may result in vision problems, impaired reproduction, and growth problems.
    • Vitamin D:

      • Sources include animal foods (cholecalciferol, D3) and plant ergosterol.
      • No digestion needed.
      • Absorbed via scavenger receptor class B type 1, into chylomicrons and lymph or portal blood
      • Essential for calcium and phosphorus homeostasis, cell differentiation, antiproliferative and immunomodulatory functions.
      • Deficiency leads to rickets in children and osteomalacia in adults.
    • Vitamin E:

      • Sources include plants (tocopherols, tocotrienols) and animal products (a-tocopherol).
      • Not needed for digestion, found in plasma as other vitamers not incorporated into lipoproteins, incorporated into chylomicrons.
      • Essential in cellular level to maintain integrity of membranes and lipoproteins.
      • Deficiency is rare.
    • Folate:

      • Sources include leafy greens and fortified foods.
      • Digestion is not needed for folic acid, reduced form of folate is in liver to dihydrofolate (DHF) and then to tetrahydrofolate (THF).
      • Absorbed by hydrolysis and use of certain enzymes. -Essential for DNA synthesis, amino acid metabolism, and homocysteine metabolism
      • Deficiency leads to megaloblastic and macrocytic anemia.
    • Vitamin B12 (Cobalamin):

      • Sources include animal products.
      • Digestion is needed for B12, involved in uptake by scavenger receptor class B type 1
      • Essential for nerve health and red blood cell formation, DNA synthesis.
      • Deficiency is rare in healthy adults, often caused by inadequate absorption.
    • Iron:

      • Sources are heme from animal products and non-heme from plant foods.
      • Digestion is needed since heme must be hydrolyzed by proteases. Non-heme must be reduced and hydrolyzed.
      • Absorbed in small intestine by various mechanisms.
      • Essential for oxygen transport (hemoglobin, myoglobin), cellular function, important in energy metabolism.
      • Deficiency leads to anemia.
    • Zinc:

      • Sources include animal products and plant sources.
      • Digestion needed.
      • Absorbed by various mechanisms, decreased by antacids.
      • Essential in multiple biological roles, including catalytic-structural integrity of enzymes, as well as regulatory roles such as gene expression and cell growth.
      • Deficiency can lead to various health issues.
    • Copper:

      • Sources include shellfish and organ meats
      • Transported in blood on albumin and a-2 macroglobulin.
      • Absorbed by various mechanisms, reduced by alkaline environment and phytate.
      • Essential for various enzyme activities and synthesis of important proteins like ceruloplasmin. Crucial for iron metabolism.
      • Deficiency can lead to anemia, connective tissue issues, and neurological symptoms.
      • Excess can be toxic.
    • Magnesium:

      • Sources include nuts, seeds, legumes, and whole grains.
      • Digestion not needed, but transport and absorption dependent on several mechanisms.
      • Absorbed in small intestine by various mechanisms and primarily controlled by kidneys,
      • Essential for nerve impulses, muscle function, bone health, and energy production.
      • Deficiency can lead to heart issues and neuro issues.
    • Phosphorus:

      • Sources - animal products, plants, processed foods.
      • Digestion not needed.
      • Absorbed in small intestine by passive diffusion and NPT2b (mostly in ileum).
      • Essential for energy transfer, bone health and proper function of cells and cellular activities.
      • Deficiency is rare.

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