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Iodine, Vitamin A, some RDI
vitamin A, iodine, some RDI
54
Nutrition
Undergraduate 2
03/30/2014

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Cards

Term
What are the fat-soluble vitamins?
Definition
ADEK
Term
What are the essential macrominerals?
Definition
Ca
P
Mb
Na
Cl
K
Term
What are the essential microminerals?
Definition
Fe
I
Zn
Se
Cu
Mn
Mo
Co
F (controversial)
Term
What are the functions of micronutrients?
Definition
-cofactors in enzymatic reactions
-metalloenzymes (e.g. Fe in redox rxns)
-Binding & transport
-Oxidant defense
-Hormone & Cell Signaling Functions
-Structural Roles
-various brain functions
Term
What are Group I Mictronutrients?
Definition
Control type II steroid hormone receptors

iodide, Vit A, Vit D
Term
What are Group II Micronutrients?
Definition
work together in oxidant defense

Vit E
Selenium
Vit C
Term
What are Group III Micronutrients?
Definition
they act as enzyme cofactors

e.g. thiamin, niacin, riboflavin, biotin, pantothenic acid, B12, B6 folate
Term
What are Group IV Micronutrients?
Definition
iron, copper & zinc
Term
What is the main distinction between vitamins & minerals?
Definition
vitamins are organic, minerals are inorganic
Term
What are the characteristics for classification as a vitamin?
Definition
1. exogenous supply is required
2. needed in small amounts
3. organic
4. distinct structure & function from fats, sugars & AA's
5. performs at least 1 unique & essential biochemical function
6. characteristic disease results when it is lacking, poorly absorbed or poorly used
Term
What are steroid hormone receptors?
Definition
intracellular proteins which bind to hormones & become transcription factors
Term
What are the two types of steroid hormone receptors? Where are they localized in the cell, and what do they bind to?
Definition
Type I: cytosolic, respond to estrogens, testosterone, progesterone, glucocorticoids

Type II: nuclear, bind to steroid & non-steroid ligands e.g. thyroid hormone retinoic acid, calcitriol
Term
What is the circulating form of iodine?
Definition
iodide
Term
How does iodide move from the GIT into the bloodstream?
Definition
passive diffusion through transporters
Term
How does iodide enter the thyroid?
Definition
active transporters
Term
Describe the action of the thyroid gland & TSH
Definition
1. Iodide is incorporated into hormones T3 & T4 by post-translational modification
2. T4 is targeted to liver, converted to T3
3. T3 from thyroid & liver interacts with THR, regulates metabolic rate
4. If T3 levels are low, pituitary releases TSH
5. TSH signals for increased T3 & T4 production
Term
What happens if there is not enough iodide available to support the demand for T3 hormone?
Definition
metabolic rate decreases, pituitary will continue to secrete thyroid stimulating hormone (TSH) which leads to hyperplasia of the thyroid (goiter)
Term
What is more regulated, the release of T3 directly from the thyroid, or the conversion T4 stored in the liver to T3?
Definition
direct release from thyroid
Term
What is the bioactive form of thyroid hormone?
Definition
T3
Term
If thyroid hormone receptors do not have any bound T3, what happens?
Definition
gene expression / production of growth hormone is suppressed (THR acts as a repressor)
Term
What is cretinism?
Definition
irreversible mental retardation from fetal hypothyroidism
Term
True or False

Both goiter & cretinism are curable
Definition
False

Goiter is, cretanism is not.
Term
What protein is modified in the synthesis of T3 & T4?
Definition
thyroglobulin
Term
Describe the synthesis of intermediates and their action during the early stages of T3/T4 synthesis
Definition
-iodide + hydrogen form iodide intermediates
-intermediates cause iodination & polymerization of tyrosine residues on surface of thyroglobulin
Term
What does TSH do?
Definition
-increases thyroglobulin synthesis
-increases iodide peroxidase activity
-increases proteolysis of modified thyroglobulin/release of T3 & T4
Term
What is a provitamin?
Definition
organic compound from a plant/animal source which is ingested and will either be directly used, or converted to an active metabolic form or storage form
Term
True or False

The conversion of retinal to retinol is reversible
Definition
true
Term
True or False

the conversion of retinol to retinoic acid is reversible
Definition
false
Term
What can retinol be converted to?
Definition
retinoic acid or retinyl palmitate
Term
What are the 2 possible fates of beta carotene?
Definition
1. go to chylomicron for storage
2. converted to retinyl palmitate to form retinol
Term
True or False

Dietary carotenoids can can cause vitamin A toxicity
Definition
False

High levels of Vit A will downregulate the conversion of B-carotene to retinol, it will instead be sent to chylomicrons for storage
Term
What is the inactive form of retinol?
Definition
retinol-RBP
Term
What is hypercarotenosis?
Definition
high levels of beta carotene stored in adipose tissue can cause subcutaneous fat to turn yellow/orange
Term
Describe the passage of beta carotene/Vit A through the body to its target tissue, assuming that it will not be stored in adipose tissue
Definition
-B carotene is converted to retinal, then to retinol, then to retinyl palmitate in stellate cells
-retinyl palmitate is converted to retinol, which binds to RBP
-retinol is released from RBP when needed and targeted to the necessary tissue
-tissue converts retinol to 11-cis-retinal or retinoic acid
Term
What are stellate cells?
Definition
fibroblasts which store vitamin A
Term
What pigment in the rod cells of retina is important in night vision
Definition
rhodopsin
Term
Describe the importance of Vit A status on the formation of rhodopsin
Definition
Vit A is eventually converted into all-trans retiinol and then 11-cis retinal, combines with opsin forms, rhodopsin
Term
What happens when light strikes rhodopsin pigment in the retina?
Definition
-11-cis retinal is converted to all-trans retinol
-all trans form cannot interact with opsin, degradation into free opsin & free all-trans retinal occurs
-degradation releases nerve impulse into optic nerve which enables night vision
Term
What happens when animals are fed only retinoic acid?
Definition
-retinoic acid cannot be converted back to retinol or retinal
-rhodopsin cannot be formed
-poor night vision
Term
What is effect of Vit A deficiency on vision?
Definition
-poor night blindness (no rhodopsin formed)
-build up of keratin in conjunctiva
Term
What is the effect of Vit K deficiency on growth, fertility & fetal development?
Definition
-impaired growth of long bones, tooth decay -decreased sperm formation -increased fetal resorption -fetal developmental defects due to impaired cell differentiation
Term
What is effect of Vit A deficiency on epithelial cell differentiation?
Definition
poor differentiation of various cells for different functions e.g. lungs, trachea, cornea, sclera, GIT, esophagus, skin

-can cause blindness, life threatening infections
Term
True or False

Fetal developmental defects are a risk with both too little & too much Vitamin A
Definition
true
Term
What are the effects of excessive Vit A intake?
Definition
-retinyl palmitate is stored in stellate cells of the liver
-cells get filled to capacity, can cause liver cell death & liver failure
Term
True o False

Excessive Vit A intake can be lethal
Definition
true
Term
What is the importance of retinoic acid signaling?
Definition
-RA can bind to various receptors, heterodimerize with other receptors etc. to regulate growth pathways & cell differentiation
Term
What is EAR?
Definition
estimate average requirement

-meets the needs of 1/2 the population
Term
What is RDA?
Definition
recommended daily allowance

-meets the needs of 97-98% of the population
Term
What is AI?
Definition
adequate intake

-used when an EAR & RDA cannot be determined, estimates the amount required to promote health
Term
True or False

A nutrient has either an RDA or an AI but never both
Definition
true
Term
What is UL?
Definition
tolerable upper intake level

-highest possible intake of a nutrient with no risk of adverse health effects
Term
What is AMDR?
Definition
acceptable macronutrient distribution range

-% range of protein, fat & CHO that is associated with reduced risk of chronic disease while providing adequate intake of essential nutrients
Term
What is TI? Is a larger or smaller TI better? At what point is a TI considered to be problematic for population health?
Definition
Therapeutic Index

UL/RDA
-proportionate safety range for nutrient intake
-the bigger the better
-less than 10 is problematic
Term
What is RAE?
Definition
Retinol Activity Equivalents

ug of dietary retinol + (ug dietary b carotene /12) + (ug other carotenoids / 24)
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