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Vitamins & Minerals
Buxbaum Clinical Correlates
18
Biochemistry
Professional
03/08/2013

Additional Biochemistry Flashcards

 


 

Cards

Term
Wilson's Disease
Definition
Cu poisoning caused by autosomal recessive disease

defect leads to reduced biliary excretion

copper accumulates in liver, brain, & cornea

*Kayser-Fleisher rings

-treat with Chelation therapy
Term
Menke's Kinky Hair Syndrome
Definition
X-linked Genetic Disease

fatal by age 3, defect in Cu-ATPase transporter

mimics both copper deficiency & toxicity

-copper accumulates in intestine, spleen, muscle, & kidney
Term
Zinc Deficiency
Definition
functions in numerous enzymes in RNA/DNA-polymerases

*Not found in leavened bread (common in Middle East)

Loss of appetite/taste/smell & PATCHY HAIR LOSS
Term
Acrodermatitis Enteropathica
Definition
Autosomal failure to produce Zn-binding protein

*Treat with high oral doses, compensates for reduced absorption efficiency
Term
Keshan Disease
Definition
Selenium deficiency

Cardiomyopathy characterized by multifocal necrosis, fibrous replacement, myocytolisis

*Se-supplementation can prevent progress of disease
Term
Kashin-Beck Disease
Definition
Osteoarthritis in pre-adolescence caused by Se-deficiency

Necrotic degeneration of chondrocytes, dwarfism, joint deformation
Term
Retinoids
Definition
Deficiency: night blindness, xerophthalmia (dry eyes), failure to produce tears, keratomalacia, BITOTs SPOTS, rupture cornea

Tooth enamel destruction, lack of sense of taste

*Toxicity:
-Diets high in Liver!

Headaches, drowsiness, loss of hair, skeletal pain, resorption of bone, diarrhea
Term
Tocopherol
Definition
Deficiency:
-Flaky skin, weak muscle, liver degeneration, hemolysis, increased lipofuscin formation
-Cancer, Sterility

Toxicity: GI distress, nausea, diarrhea, failure of blood clotting
Term
AVED
Definition
Ataxia & Vitamin E Deficiency

-inability of liver to pass tocopherol into blood stream
-severe neurological defects
Term
Phylloquinone/Menaquinone
Definition
Vitamin K

Deficiency: hemorrhaging, stomach pain, bone malformation, deposition of Ca salts in arteries

Toxicity: hemolytic anemia, jaundice, mental retardation

*Phylloquinone administered in treatment of Warfarin poisoning (d-CON)
Term
Thiamin
Definition
Vitamin B1

Beri-beri = ketoacidosis, from inhibition of transketolase

*Pyruvate dehydrogenase, ketoglutarate dehydrogenase, Transketolase

Deficiency: weakness, wasting of muscles, uncoordinated movements, convulsions, confusion, tachycardia, high serum pyruvate
*Numbess of legs, nausea, anorexia

*inaudible cry in infants
Term
Riboflavin
Definition
Vitamin B2

-prosthetic group of oxidoreductases

Deficiency: hypochondriasis, cheilosis, glossitis, sore throat, growth retardation, fatty dermatitis, NORMOCYTIC ANEMIA
Term
Niacin
Definition
Vitamin B3 --> synthesized from Tryptophan

Nicotinamide Deficiency: Pellagra (diarrhea, dermatitis, dementia, death)
-also caused from diets high in Leu, Ileu

Nicotinic Acid Toxicity: VASODILATOR
-flushed skin, tachycardia, hypoglycemia, tingling
Term
Pantothenic Acid
Definition
Vitamin B5


*component of CoA

-functions in FA-synthesis
Term
Pyridoxine
Definition
Vitamin B6

*Required for Transaminase (in Pyridoxal-Phosphate form)

Deficiency: weakness, difficulty walking, HYPOCRHOMIC ANEMIA, insomnia
-Increased Oxalate in urine
-piercing cry in babies
Term
Biotin
Definition
Vitamin B7

*Required for Acetyl-CoA carboxylase, production of Malonyl-CoA
*Required for Pyruvate carboxylase for synthesis of oxaloacetate

-Deficiency: Maculosquamous dermatitis, alopecia, low appetite, nausea, depression, seizures, glossitis
-AVIDin in Eggs AVIDly binds Biotin, inhibiting it
Term
Folic Acid
Definition
*Must be converted to THF for bioactivity

-Required for DNA/RNA synthesis, functions as a C1-carrier

-Deficiency: MEGAloblastic anemia, weak immune system
*NO neurological symptoms

-Toxicity: interferes with Zn uptake
Term
Cobalamin
Definition
Vitamin B12

*Required for Methylmalonyl-CoA mutase
-deficiency = methylmalonic aciduria

-Megaloblastic anemia from failure to produce IF
-Pernicious Anemia --> destruction of Parietal Cells
-Peripheral Neuropathy, dizziness, hyperbilirubinemia
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