30 Questions
What is the result of vitamin E deficiency on erythrocytes?
Sensitivity to undergo membrane rupture
What is the role of γ-carboxyglutamic acid residues in the body?
They are good chelators that allow proteins to bind Ca2+
What is the main reason for vitamin K deficiency in newborns?
Sterile intestines
What is the characteristic of water-soluble vitamins?
They are excreted once their concentration is high
What is the result of vitamin K deficiency in adults?
Hypoprothrombinemia
What is the purpose of vitamin K supplementation in newborns?
To prevent hemorrhagic disease
What is the effect of vitamin E deficiency on the immune system?
It leads to immunodeficiency
What is the result of folic acid deficiency on erythrocyte development?
Arrests at the precursor stage due to lack of purine and pyrimidine nucleotides for DNA synthesis
What is the effect of vitamin B12 deficiency on the myelin sheath of neurons?
It becomes chemically unstable and damaged
What is the role of vitamin C in the absorption of iron?
It reduces iron to the ferrous state
What is the consequence of impaired hydroxylation of proline and lysine due to vitamin C deficiency?
All of the above
What is the role of vitamin C in the prevention of cold?
It decreases the production of histamine
What is the consequence of folic acid deficiency during pregnancy or lactation?
Increased demand for folic acid
What is the consequence of vitamin B12 deficiency on the nervous system?
Neuropathy and peripheral nerve damage
What is the role of pyridoxine (B6) in the body?
Part of a coenzyme used in transamination, deamination, and decarboxylation
What is the result of a mild pyridoxine (B6) deficiency?
Irritability, nervousness, and depression
Which of the following is a significant source of biotin (B7)?
Widespread in foods and produced by GI bacteria
What is the chief function of pantothenic acid (B5) in the body?
Part of coenzyme A, used in energy metabolism
What is the main function of tetrahydropholate?
Transfer of a single carbon atom
What is the result of a severe pyridoxine (B6) deficiency?
Peripheral neuropathy and convulsions
Which of the following is a deficiency symptom of biotin (B7)?
Depression, lethargy, hallucinations
What is the effect of pyridoxine (B6) deficiency on neurotransmitter synthesis?
Decreased synthesis of serotonin, epinephrine, norepinephrine, and GABA
What is the result of pantothenic acid (B5) deficiency?
Vomiting, nausea, stomach cramps, insomnia, fatigue, depression
What is the main function of vitamin A in the body?
Synthesis of glycoproteins and mucus secretion
What is the most important carotenoid that can be converted into vitamin A?
β-carotene
What is the main source of vitamin D?
Sunlight exposure
What is the primary antioxidant function of vitamin E?
Scavenging of reactive oxygen species (ROS)
What is the consequence of vitamin A deficiency?
Hyperkeratosis and drying of epithelial tissues
What is the role of vitamin A in the synthesis of transferrin?
Required for the synthesis of iron transport protein transferrin
What is the consequence of vitamin D deficiency?
Rickets in children and osteomalacia in adults
Study Notes
Classification of Vitamins
- Vitamins are classified into two categories: Fat Soluble Vitamins and Water Soluble Vitamins
Fat Soluble Vitamins
- Vitamin A is derived from plant carotenoids and has three active forms: Retinol, Retinal, and Retinoic acid
- Vitamin A is essential for the synthesis of glycoproteins, regulation of cell growth, and iron transport protein transferrin synthesis
- Deficiency of vitamin A leads to drying of epithelial tissues, hyperkeratosis, and anemia
- Vitamin D synthesis requires sunlight exposure
- Vitamin D deficiency leads to nutritional rickets (in children) and osteomalacia (in adults)
- Vitamin E is a naturally occurring antioxidant that refers to a family of 8 related compounds, with Tocopherol being the most active
- Vitamin E is essential for stabilizing ATP production, preventing atherosclerosis, and maintaining normal immune function
- Deficiency of vitamin E leads to neurological symptoms and increased susceptibility to infection and cancer
- Vitamin K is a Quinone derivative that helps in blood clotting and bone metabolism
- Deficiency of vitamin K leads to hypoprothrombinemia and hemorrhagic disease in newborns
Water Soluble Vitamins
- Water soluble vitamins are excreted once their concentration is high, making toxicities rare
- Deficiencies of water soluble vitamins occur relatively quickly on an inadequate diet
- Water soluble vitamins are converted to coenzymes used in pathways for energy generation or hematopoiesis
Folic Acid
- Folic acid deficiency can occur due to poor diet, chronic alcoholism, inadequate absorption, or increased demand during pregnancy or lactation
- Folic acid deficiency leads to megaloblastic anemia, characterized by weakness, tiredness, irritability, and headache
- Deficiency symptoms of folic acid include anemia, smooth red tongue, mental confusion, weakness, fatigue, and irritability
- Toxicity symptoms of folic acid include masking vitamin B12 deficiency symptoms and an increased risk of neural tube defects
Vitamin B12 (Cobalamin)
- Vitamin B12 is required for two reactions: conversion of methylmalonyl-CoA to succinyl-CoA and the methionine synthase reaction
- Deficiency symptoms of vitamin B12 include pernicious anemia, megaloblastic anemia, and neuropathy
- Deficiency of vitamin B12 leads to accumulation of methylmalonyl-CoA, which causes neuropathy
Other Water Soluble Vitamins
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Vitamin C (Ascorbic Acid) is a cofactor for mixed function oxidases involved in the hydroxylation of lysine and proline
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Deficiency of vitamin C leads to scurvy, characterized by bleeding gums, swelling joints, and impaired wound healing
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Vitamin C is required for normal leukocyte function and histamine level decrease, making it recommended for the prevention of cold
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Pyridoxine (Vitamin B6) is a coenzyme for transamination, deamination, decarboxylation, and condensation reactions
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Deficiency of pyridoxine leads to poor activity of PLP-dependent enzymes, causing deficient amino acid metabolism, lipid metabolism, and neurotransmitter synthesis
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Deficiency symptoms of pyridoxine include irritability, nervousness, depression, peripheral neuropathy, and convulsions
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Biotin (Vitamin B7) is part of a coenzyme used in energy metabolism, fat synthesis, amino acid metabolism, and glycogen synthesis
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Deficiency symptoms of biotin include depression, lethargy, hallucinations, numb or tingling sensation in the arms and legs, and hair loss
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Pantothenic Acid (Vitamin B5) is part of coenzyme A, used in energy metabolism
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Deficiency symptoms of pantothenic acid include vomiting, nausea, stomach cramps, insomnia, fatigue, depression, and irritability
Explore the classification of vitamins, focusing on fat soluble vitamins, particularly vitamin A, its active forms, and its importance in growth regulation and mucus secretion.
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