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Metabolic Nutrition
Vit B1
33
Health Care
Undergraduate 4
02/06/2011

Additional Health Care Flashcards

 


 

Cards

Term
Thiamin
Definition

*B1

*Water-soluble

Term
Thiamin Structure
Definition
[image]
Term
Thiamin - Sources
Definition

*Whole (unrefined), enriched or fortified grains

*Yeast

*Wheat germ

*Meat (Pork)

*Legumes

*Nuts

*Green vegetables (peas, asparagus, okra)

 

*Supplements: thiamin HCL, thiamin nitrate

 

Term
Thiamin – forms
Definition

*In our body, thiamin exists as free thiamin and various phosphorylated forms:

 

*Thiamin monophosphate (TMP)

*Thiamin pyrophosphate (TPP) or thiamin diphosphate (TDP)

*Thiamin triphosphate (TTP)

 

*Free form in plants

 

*~95% of thiamin occurs in phosphorylated form with 80-85% as TPP in animal products

Term
Digestion
Definition

*TPP is hydrolyzed by intestinal phosphatases to free thiamin b4 absorption

 

 

Term
Digestion
Definition
[image]
Term
Thiamin- absorption
Definition

*Absorption rate from foods is high

 

*Anti-thiamin factors:

 

*Thiaminases- cleave thiamin, make it inactive (raw fish, shellfish) (thermolabile- cooking inactivates it so thiamin can be absorbed)

 

*Thiamin antagonists- inactivate thiamin by oxyreductive process (caffeine and tannic acid) (thermostable)

Term
Thiamin - absorption
Definition

*Free thiamin absorbed in small intestine

 

*Low concentrations: active transport (ThTr1 and ThTr2 found in variety of tissues: thiamin/H+ antiport carrier system)

 

*At high concentrations: passive diffusion

Term
Thiamin - Transport
Definition

*Transport across basolateral membrane: thiamin/H+ antiport system

 

*In the blood, 90% of thiamin is transported by RBCs

*Once in RBC, thiamin is phosphorylated to TPP

 

*Remaining 10% is found as free thiamin bound to albumin or as TMP

Term
Phosphorylation
Definition
[image]
Term
Thiamin - Storage
Definition

*Little storage, most is functional

 

*Half is in skeletal muscle

Term
Excretion
Definition

*Excess thiamin, TPP, TMP are excreted either intact or catabolized for urinary excretion

 

*Methylene bridge btwn pyrimidine and thiazole is catabolized generating metabolites

Term
Thiamin - Functions
Definition

*Coenzyme function

-Energy transformation

-Synthesis of pentoses and NADPH

 

*Noncoenzyme function

-TPP is important in membrane and nerve conduction: important in transmission of Na+/K+ channels and aCH receptors

 

Term
Thiamin – coenzyme function
Definition

*TPP functions in energy transformation as a coenzyme with:

 

-Pyruvate DH

-Alpha-KG DH

-BC alpha-KA DH

-Transketolases (for NADPH and pentose synthesis)

Term
TPP coenzyme in Energy Transformation
Definition

*Thiamin catalyzes the oxidative decarboxylation rxns for:

Pyruvate DH, alpha-KG DH, BC alpha-KAD

Term
TPP oxidative phosphorylation
Definition
[image]
Term
Oxidative decarboxylation of pyruvate by PDH
Definition
[image]
Term
TPP in TCA 
Definition
[image]
Term
Decarboxylation of BCAA in skeletal muscle requires TPP
Definition
[image]
Term
What happens if TPP-required rxns are inhibited?
Definition

*ATP synthesis and Acetyl CoA needed for FA and cholesterol synthesis is decreased

 

*Accumulation of pyruvate, alpha-KG, and BCAAs in blood

 

*This accumulation can lead to ketoacidosis 

Term
About 50% of Body Thiamin is in Skeletal Muscle—Why?
Definition

*Because that's where BCAA are metabolized

 

*Skeletal Muscle is very metabolically active (PDH, TCA need Thiamin)

Term

Synthesis of Pentoses and NADPH

Definition

*TPP is a coenzyme for transketolase

 

*A key enzyme in PPP- necessary for making ribose and regenerating NADPH

 

Term
Pentose Phosphate Pathway
Definition
[image]
Term
TPP Involvement in Pathways
Definition
[image]
Term
DRI
Definition

*RDA Men: 1.2mg/d

 

*RDA Women: 1.1mg/d

 

*Determined:

-RDA= EAR + 20%

 

*Men have more muscle, are more metabolically active

 

Term
Assessment of Nutriture
Definition

*Erythrocyte transketolase activity:

-Stimulate activity by adding the substrate ribose-5-p or xyulose-5-p w/ or w/o thiamin

-If an increase in enzymatic activity by >25% with thiamin supplementation = deficiency

 

*Blood pyruvate, alpha-KG, or thiamin

*Thiamin in urine

Term
BeriBeri
Definition

*Early symptoms= vague

-Fatigue, irritability, poor memory, loss of appetite, sleep disturbances, abdominal discomfort, weight loss

 

*As deficiency worsens

-Cardiovas sys and neurological symptoms

 

*Dry, Wet, Acute

 

Term
Dry BeriBeri
Definition

*Found mostly in older adults bc of chronic low thiamin intakes

 

*Nerve and muscle abnormalities

-Prickling sensation in toes

-Burning sensation in feet, leg cramps, pain

-Muscles my become weak and atrophy

Term
Wet BeriBeri
Definition

*Heart abnormalities 

 

*Heart pumps more blood and beats faster

-Blood vessels widen= edema in legs/lungs = decrease in blood pressure = shock and death 

Term
Acute (aka  infantile) BeriBeri
Definition

*In infants who are breastfed by a mom who has a thiamin def

 

*Symptoms in baby:

-Anorexia, vomiting, lactic acidosis, altered heart rate, lack of reflexes

Term
WernickeKorsakoff syndrome
Definition

*Thiamin def is often associated with alcoholism in western countries:

-Due to decrease in food intake, liver damage and a decrease in thiamin absorption

 

*Causes brain abnormalities:

-Wernickes: ophthalmoplegia, nystagmus, ataxia

-Korsakoff: loss of short-term memory, confusion

 

Term
Wernickes
Definition

*Ophthalmoplegia: paralysis of ocular muscles

 

*Nystagmus: constant involuntary eye movement

 

*Ataxia: impaired muscle coordination

Term
Toxicity
Definition

*Low risk of toxicity- due to limit on absorption by brush border

 

*UL: not established

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