Vitamins Overview Quiz

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Questions and Answers

Which vitamin is primarily involved in calcium and phosphate metabolism?

  • Vitamin D (correct)
  • Vitamin A
  • Vitamin K
  • Vitamin C

What deficiency is associated with inadequate vitamin K intake in newborns?

  • Night blindness
  • Hemorrhagic disease (correct)
  • Neurologic disorders
  • Rickets

What is the primary function of vitamin E in the human body?

  • Bone health
  • Antioxidant properties (correct)
  • Blood clotting
  • Vision improvement

Which of the following vitamins can result in toxicity if taken in excess?

<p>Vitamin A (B), Vitamin D (D)</p> Signup and view all the answers

What compounds are known to be precursors of vitamin A?

<p>Carotenoids (B)</p> Signup and view all the answers

Which vitamin is primarily responsible for vision and cell differentiation?

<p>Vitamin A (A)</p> Signup and view all the answers

What is the condition caused by a deficiency of vitamin D in children?

<p>Rickets (A)</p> Signup and view all the answers

What forms the visual pigment rhodopsin in the retina?

<p>11-cis retinal and opsin (C)</p> Signup and view all the answers

What is formed when pantothenate combines with cysteine?

<p>Pantetheine (A)</p> Signup and view all the answers

Which of the following processes involves CoA?

<p>Citric acid cycle (B)</p> Signup and view all the answers

What is a primary source of vitamin B12?

<p>Animal-based foods (D)</p> Signup and view all the answers

What condition results from vitamin B12 deficiency affecting folic acid metabolism?

<p>Pernicious anemia (D)</p> Signup and view all the answers

Which enzyme is NOT dependent on vitamin B12?

<p>Adenylate kinase (B)</p> Signup and view all the answers

What is the active form of folic acid?

<p>Tetrahydrofolate (B)</p> Signup and view all the answers

How can homocysteine be remethylated?

<p>Catalyzed by methionine synthase (C)</p> Signup and view all the answers

What characterizes the corrinoids that are active as vitamin B12?

<p>Contain a cobalt ion and a corrin ring (B)</p> Signup and view all the answers

What condition is associated with a deficiency of thiamin?

<p>Beriberi (B)</p> Signup and view all the answers

Which vitamin is a coenzyme for the pyruvate dehydrogenase complex?

<p>Thiamin (Vitamin B1) (D)</p> Signup and view all the answers

Which disease is characterized by confusion and changes to the eyes associated with vitamin B1 deficiency?

<p>Wernicke encephalopathy (C)</p> Signup and view all the answers

What type of beriberi is characterized by edema and cardiac failure?

<p>Wet beriberi (D)</p> Signup and view all the answers

Which syndrome is specifically linked to chronic alcohol misuse and thiamin deficiency?

<p>Korsakoff syndrome (C)</p> Signup and view all the answers

What is a common general symptom of thiamin deficiency?

<p>Loss of appetite (C)</p> Signup and view all the answers

Which vitamin deficiency leads to conditions such as glossitis and cheilosis?

<p>Riboflavin (Vitamin B2) (B)</p> Signup and view all the answers

What deficiency can lead to rickets in children?

<p>Vitamin D (D)</p> Signup and view all the answers

What is a characteristic condition of niacin deficiency?

<p>Pellagra (A)</p> Signup and view all the answers

Which form of vitamin D is generated from cholesterol in the skin upon sunlight exposure?

<p>Cholecalciferol (B)</p> Signup and view all the answers

What is the principal role of calcitriol in the body?

<p>Maintain plasma calcium concentration (A)</p> Signup and view all the answers

Which of the following conditions is NOT typically treated with vitamin D?

<p>Osteoporosis (C)</p> Signup and view all the answers

What triggers the reduction of calcitriol synthesis in the body?

<p>Elevated plasma calcium levels (B)</p> Signup and view all the answers

What is the major storage form of vitamin D in the plasma?

<p>25-hydroxy cholecalciferol (A)</p> Signup and view all the answers

Which is a consequence of excessive vitamin D intake in infants?

<p>Calcinosis (D)</p> Signup and view all the answers

In which organ is 25-hydroxy cholecalciferol primarily hydroxylated to form calcitriol?

<p>Kidney (C)</p> Signup and view all the answers

What is the primary consequence of thiamin diphosphate deficiency in relation to pyruvate?

<p>Increased lactate and pyruvate levels (D)</p> Signup and view all the answers

Which of the following is a dietary source of riboflavin?

<p>Milk and dairy products (C)</p> Signup and view all the answers

What role does riboflavin play in energy production?

<p>It is the precursor for coenzymes FMN and FAD. (D)</p> Signup and view all the answers

Which deficiency is characterized by photosensitive dermatitis, dementia, and diarrhea?

<p>Niacin deficiency (A)</p> Signup and view all the answers

How is riboflavin nutritional status generally assessed?

<p>Activation of erythrocyte glutathione reductase by FAD (A)</p> Signup and view all the answers

Which statement about niacin is correct?

<p>It has biologic activity as nicotinic acid and nicotinamide. (B)</p> Signup and view all the answers

What is a potential fatal outcome of untreated pellagra?

<p>Death (A)</p> Signup and view all the answers

What additional factors can contribute to the development of pellagra besides niacin deficiency?

<p>Deficiency of riboflavin or vitamin B6 (A)</p> Signup and view all the answers

What is the primary effect of vitamin B12 deficiency on folate metabolism?

<p>It results in functional deficiency of folate due to the accumulation of methyltetrahydrofolate. (A)</p> Signup and view all the answers

Which of the following conditions is primarily associated with deficiency of folic acid or vitamin B12?

<p>Megaloblastic anemia due to rapid cell division. (A)</p> Signup and view all the answers

What role does ascorbic acid play in enzyme function?

<p>Promotes the oxidation of copper in hydroxylation reactions. (B)</p> Signup and view all the answers

What is the primary dietary source of vitamin C for humans and other primates?

<p>Fruits and vegetables. (D)</p> Signup and view all the answers

What happens to vitamin C metabolism at intakes above approximately 100 mg/day?

<p>The body's capacity to metabolize it becomes saturated. (C)</p> Signup and view all the answers

Which activity does vitamin C NOT directly influence?

<p>Increasing vitamin B12 production. (C)</p> Signup and view all the answers

Which group of animals typically does not synthesize vitamin C?

<p>Primates and guinea pigs. (D)</p> Signup and view all the answers

What indicates a vitamin C deficiency in humans?

<p>Fragility of blood capillaries and skin changes. (A)</p> Signup and view all the answers

Flashcards

Vitamins

Organic nutrients required in small amounts for various biochemical functions that the body cannot produce; must be obtained from diet.

Lipid-soluble Vitamins

Vitamins that are hydrophobic (water-repelling) thus require fat for efficient absorption in the body.

Xerophthalmia

Deficiency in vitamin A, resulting in night blindness and a condition where the cornea becomes dry and hard.

Osteomalacia

A softening of bones in adults, often caused by vitamin D deficiency.

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Antioxidant

A substance that protects the cells of the body from damage by free radicals.

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Carotene Cleavage

The process of converting carotenoids into vitamin A.

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Rhodopsin

The visual pigment found in the rod cells of the retina, composed of 11-cis retinal and the protein opsin.

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Retinal Isomerization

The process of retinaldehyde being converted back to 11-cis retinal for rhodopsin regeneration after exposure to light.

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Rickets

Vitamin D deficiency in children, leading to weak and deformed bones due to poor calcium absorption.

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Calcitriol (1,25-diOH-D3)

The active form of vitamin D, produced by the kidneys, which directly regulates calcium levels in the body.

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Vitamin D Metabolism

The process of converting inactive forms of vitamin D (D2 and D3) into the active form, calcitriol.

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Vitamin D Deficiency

A deficiency in vitamin D that can lead to rickets in children and osteomalacia in adults.

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Calcium Homeostasis

Vitamin D's main role is to control calcium levels in the blood.

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Increased Intestinal Calcium Absorption

Calcitriol (active vitamin D) increases calcium absorption in the intestines, helping the body obtain more calcium.

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Reduced Renal Calcium Excretion

Calcitriol reduces calcium loss in the urine by stimulating reabsorption in the kidneys.

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Thiamin's role in metabolism

Thiamin diphosphate, a coenzyme, plays a key role in the oxidation of carbohydrates, particularly in the conversion of pyruvate.

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What is Beriberi?

Thiamin deficiency leads to a chronic peripheral neuropathy, affecting nerve function, especially in the legs and arms, often accompanied by heart failure and edema.

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What are the early signs of thiamin deficiency?

Loss of appetite, general fatigue, digestive problems, and numbness in limbs are common symptoms of thiamin deficiency.

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What is Wernicke's encephalopathy?

Wernicke's encephalopathy is a neurological disorder associated with thiamin deficiency, mainly caused by chronic alcohol misuse, leading to confusion, vision problems, and memory impairment.

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What are the enzyme complexes that require thiamin diphosphate?

Pyruvate dehydrogenase, α-ketoglutarate dehydrogenase, and branched-chain keto-acid dehydrogenase are all multi-enzyme complexes that rely on thiamin diphosphate for their function.

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What are the two major conditions caused by thiamin deficiency?

A deficiency of thiamin can lead to two distinct but often interconnected conditions: Wernicke's disease and Korsakoff syndrome.

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What are the different forms of Beriberi?

Dry beriberi primarily affects the peripheral nerves, causing muscle atrophy and loss of reflexes, while wet beriberi is more severe, resulting in edema due to heart failure.

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What is the main cause of Wernicke-Korsakoff syndrome?

Thiamin deficiency is particularly linked to alcohol abuse and chronic misuse, as alcohol interferes with the absorption and utilization of this vital vitamin.

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What is the role of methionine synthase in folate and vitamin B12 metabolism?

The conversion of methylene-tetrahydrofolate to methyl-tetrahydrofolate is an irreversible process, and methyl-tetrahydrofolate is the primary source of tetrahydrofolate for tissues. This makes methionine synthase crucial, bridging folate and vitamin B12 functions.

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What is the 'folate trap'?

In vitamin B12 deficiency, methionine synthase is impaired, leading to the accumulation of methyltetrahydrofolate, which traps folate in an unusable form.

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How does vitamin B12 deficiency lead to functional folate deficiency?

Vitamin B12 deficiency results in a functional deficiency of folate, even if adequate dietary folate is present because the body cannot utilize the trapped folate.

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How do folate and vitamin B12 deficiencies affect rapidly dividing cells?

Cells that divide rapidly require thymidine for DNA synthesis. Both folic acid deficiency and vitamin B12 deficiency ( leading to functional folic acid deficiency) disrupt this process.

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What causes megaloblastic anemia?

Megaloblastic anemia is a condition characterized by the production of abnormally large red blood cells, caused by impaired DNA synthesis due to folate or vitamin B12 deficiency. This affects the bone marrow, the site of red blood cell production.

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What makes vitamin C a vitamin for humans and some animals but not others?

Vitamin C is a vitamin for humans and certain animals, but other animals can synthesize it. The lack of gulonolactone oxidase, an enzyme involved in vitamin C synthesis, leads to its deficiency in these animals.

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What are the specific roles of vitamin C in enzymatic reactions?

Vitamin C plays specific roles in certain hydroxylases like dopamine -hydroxylase, which is involved in catecholamine synthesis. Ascorbic acid reduces Cu2+ to Cu+ in this process.

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What are the non-enzymatic roles of vitamin C?

In addition to its enzymatic roles, vitamin C functions as a reducing agent and an oxygen radical quencher, protecting against oxidative damage.

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What is the role of cysteine in CoA formation?

The molecule Coenzyme A (CoA) is formed by combining pantothenic acid (vitamin B5) with cysteine. This combination provides the functional component (prosthetic group) containing a sulfur atom (-SH) that is essential for CoA's role in various metabolic processes.

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What are the key metabolic processes involving CoA?

Coenzyme A (CoA) plays a crucial role in the citric acid cycle (Krebs cycle), fatty acid breakdown (oxidation), transferring acetyl groups (acetylations), and cholesterol synthesis.

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What is the role of Acyl Carrier Protein (ACP) in metabolism?

Acyl Carrier Protein (ACP) is a crucial component in the synthesis of fatty acids, helping to transport fatty acid building blocks during the process.

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Why are vegans at risk of vitamin B12 deficiency?

Although synthesized by microorganisms, vitamin B12 (cobalamin) is mainly found in foods of animal origin. This means people who follow a strict vegetarian diet (vegans) are at risk of developing vitamin B12 deficiency.

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How does vitamin B12 deficiency lead to pernicious anemia?

Pernicious anemia is a type of anemia caused by vitamin B12 deficiency, which ultimately impairs the use of folate (vitamin B9) in the body. This disruption in folate metabolism disrupts red blood cell production, leading to the release of abnormally large and immature red blood cells (megaloblasts) into the bloodstream.

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What is the active form of folic acid, and what is its role in metabolism?

The active form of folic acid (pteroyl glutamate) is tetrahydrofolate. Tetrahydrofolate is involved in various metabolic reactions, including transferring one-carbon units (methyl, formyl, etc.). These one-carbon units are crucial for synthesis of DNA, amino acids, and other essential compounds.

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How is methionine regenerated in the body, and what is the role of vitamin B12?

S-adenosylmethionine (SAM) is a crucial molecule involved in methylation reactions. It donates a methyl group to homocysteine, regenerating methionine. The regeneration of methionine is catalyzed by the enzyme methionine synthase, which requires vitamin B12 as a cofactor.

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What are some important vitamin B12-dependent enzymes?

Methylmalonyl CoA mutase, leucine aminomutase, and methionine synthase are all enzymes that require vitamin B12 for their activity. These enzymes are essential for specific metabolic processes, including fatty acid metabolism and protein synthesis.

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Thiamine Deficiency and its effects on pyruvate metabolism

Thiamin diphosphate (TPP) is a coenzyme essential for pyruvate dehydrogenase, which converts pyruvate to acetyl-CoA. Thiamine deficiency leads to impaired conversion, causing a buildup of pyruvate and lactate. This can lead to life-threatening lactic acidosis, especially for people with a high carbohydrate diet.

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Riboflavin and its role in coenzyme synthesis

Riboflavin is a precursor to FMN and FAD, important coenzymes for energy production. FMN is formed from riboflavin via phosphorylation, while FAD is further synthesized with an AMP moiety added to FMN.

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Consequences of Riboflavin deficiency

Riboflavin deficiency can lead to impaired energy production due to reduced activity of enzymes, like dihydrolipoyl dehydrogenase and succinate dehydrogenase, which rely on riboflavin derived coenzymes. However, this deficiency is typically not fatal due to efficient conservation and reutilization of tissue riboflavin.

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Niacin's role beyond being a coenzyme

The coenzyme NAD, derived from niacin, is essential for oxidation-reduction reactions and plays a role in DNA repair by providing ADP-ribose for protein and polyADP-ribosylation.

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Pellagra: Deficiency of Niacin

Pellagra is a disease caused by niacin deficiency. It is characterized by dermatitis (skin problems), dementia, and diarrhea. Untreated pellagra can be fatal. The deficiency of riboflavin or vitamin B6 can exacerbate pellagra by impairing tryptophan conversion to nicotinamide.

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Niacin: Importance and sources

Niacin is a vital nutrient that can be synthesized from tryptophan, an essential amino acid. The active forms of niacin are nicotinic acid and nicotinamide, which are essential components of the coenzymes NAD and NADP.

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Niacin: Essential for redox reactions

Niacin is crucial for the function of NAD and NADP, essential coenzymes involved in redox reactions. These coenzymes play a critical role in numerous metabolic pathways, including energy production, DNA repair, and cell signaling.

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Riboflavin deficiency: Prevalence and outcome

Riboflavin deficiency is common in developing nations where access to milk and dairy products, the main dietary sources, is limited. However, the condition is usually not fatal due to efficient conservation and reutilization of tissue riboflavin.

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Study Notes

Vitamins

  • Vitamins are organic nutrients needed in small amounts for various biochemical functions.
  • They are generally not synthesized by the body and must be obtained through diet.
  • Vitamins are classified as either fat-soluble or water-soluble.

Fat-Soluble Vitamins

  • Fat-soluble vitamins are absorbed efficiently only when fat absorption is normal.
  • They are transported in the blood through lipoproteins or specific binding proteins.
  • Fat-soluble vitamins have diverse functions.
    • Vitamin A: vision and cell differentiation
    • Vitamin D: calcium and phosphate metabolism; cell differentiation
    • Vitamin E: antioxidant
    • Vitamin K: blood clotting

Water-Soluble Vitamins

  • Water-soluble vitamins include the B vitamins and vitamin C.
  • They function mainly as enzyme cofactors.
  • Deficiency of a single B vitamin is uncommon, as poor diets typically involve multiple deficiencies.
    • Vitamin B1 (thiamine): central role in energy-yielding metabolism, especially carbohydrate metabolism
    • Vitamin B2 (riboflavin): precursor or building blocks for coenzymes (important for energy production)
    • Vitamin B3 (niacin): involved in oxidation/reduction reactions, source of ADP-ribose
    • Vitamin B5 (pantothenic acid): central role in acyl group metabolism
    • Vitamin B6 (pyridoxine): involved in amino acid metabolism
    • Vitamin B7 (biotin): transfers carbon dioxide; involved in cell cycle regulation
    • Vitamin B9 (folic acid): active form is tetrahydrofolate, one-carbon fragments, N-5 and N-10 bridge -Vitamin B12 (cobalamin): cobalamins (cobalt-containing compounds) which are growth factors, essential for microorganisms(important for many enzymatic functions).
  • Vitamin C: function in glucose metabolism/acting as an antioxidant / essential for the copper-containing hydroxylases and the α-ketoglutarate-linked iron-containing hydroxylases

Vitamin A

  • Retinoids include retinol, retinaldehyde, and retinoic acid, found in animal products.
  • Carotenoids are plant-based precursors for vitamin A.
  • Beta-carotene and other provitamin A carotenoids are cleaved in the intestinal mucosa to yield retinaldehyde, which is then reduced to retinol.

Vitamin D

  • Vitamin D's primary function is regulating calcium absorption and homeostasis.
  • Vitamin D acts by way of nuclear receptors which regulate gene expression.
  • Vitamin D regulates cell proliferation and differentiation.
  • Sufficient intake reduces risk of insulin resistance, obesity, and metabolic syndrome.
  • Dietary sources are ergocalciferol (vitamin D2) from plants and cholecalciferol (vitamin D3) from animal tissues.
  • Humans synthesize cholecalciferol through sunlight exposure.
  • Vitamin D is not biologically active, but is converted to active form through sequential hydroxylation reactions in the liver and kidney.

Vitamin E

  • Vitamin E acts as a lipid-soluble antioxidant in cell membranes and plasma lipoproteins.
  • Vitamin E is important in maintaining cell membrane fluidity and plays a role in cell signaling.
  • Common name for two types of compounds (tocopherols & tocotrienols).
  • Common name is tocopherol.

Vitamin K

  • Vitamin K is essential for carboxylation of glutamate residues in proteins, leading to γ-carboxyglutamate formation.
  • This γ-carboxyglutamate is vital for binding of blood clotting factors (VII, IX, X, C, S) to membranes.
  • Vitamin K deficiency (or warfarin use) leads to abnormal prothrombin (with little -carboxyglutamate) being released into the body.

Deficiency

  • Vitamin A deficiency can cause night blindness and xerophthalmia (corneal keratinization).
  • Vitamin A is crucial for immune cell development. Deficiency increases infectious disease susceptibility.
  • Vitamin D deficiency leads to rickets in children and osteomalacia in adults.
  • Vitamin E deficiency leads to abnormally fragile erythrocyte membranes, leading to hemolytic anemia.
  • Vitamin K deficiency can lead to bleeding issues. (Blood clotting).

Toxicity

  • Excessive intake of Vitamins A and D can lead to toxicity.
  • Vitamin A toxicity results in skeletal abnormalities, liver enlargement, and skin abnormalities.
  • Excessive Vitamin D can cause skeletal abnormalities, hypercalcemia, etc.

Additional Notes

  • Many of the vitamins are important in the prevention or treatment or of many ailments.
  • Vitamins act as either antioxidants, or components of enzymes or parts of cellular processes.

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