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S2M1-Fat Soluble Vitamins
Ross University
54
Biology
Professional
01/21/2010

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Term
What are the Fat soluble vitamins?
Definition
A, D, E, K
Term
All fat soluble vitamins are derived from which molecule type?
Definition
Isoprenoids
Term
Retinoids are what type of vitamin? (1 letter)
Definition
A
Term
What is the function of Vitamin A?
Definition
Night Vision and:

1. Epithelia of mucus membrane, without Vit. A it will cause karatinization
2. bone formation: osteoblasts and osteoclasts
3. Wound healing
4. Reproduction: Sperm formation in males, and maintenance in pregnancy
Term
Which retinoid allows for improved night vision?
Definition
11-cis-retinal, which is a component of rhodopsin...allows for visual purple
It is light sensitive, and is converted to all-trans-retinal (visual yellow) in the presence of light.
Term
Describe the rxns to obtain retinoic acid
Definition
Retinol (alcohol) to Retinal (aldehyde): this occurs through a reversible redox rxn.

Retinal is then irreversibly converted to retinoic acid
Term
Which retinoid is a morphogenic hormone? what is meant by that term?
Definition
Retinoic acid is a morphogenic hormone which means that it contributes to the development of epithelia and bones
Term
Why is retinoic acid not recommended for pregnant women?
Definition
REtinoic acid could be used for acne treatment, however should not be used on pregnant women because it is a morphogenic hormone which means that it will influence the growth and devleopment of the fetus.....possibly leading to celft palate
Term
What is carotin?
Definition
2 molecules of retinol covalently linked. Its uptake is controlled so it is safer to take in. Plants provide carotin
Term
What is the clinical significance of Beta Carotin
Definition
It has been shown to interfere with the progression of some cancers.
Term
What are food sources for vitamin A?
Definition
1. green and yellow veggies
2. egg yolk
3. milk
4. liver
5. synthetic carotene often found in soft drinks
Term
What are the signs of Vitamin A deficiency?
Definition
1. Eye damage (night blindness)
2. Keratomalacia (eye disorder leading to dry cornea)
3. Bitots Spots
4. blindness
5. skin damage
6. infetility
7. Immune deficiency
Term
What are the signs of vitamin A toxicity?
Definition
1. Cleft palate (embryogenesis, mother taking retinoic acid during pregnancy)
2. diarrhea
3. bone resorption
4. headache
5. nausea
6. peeling skin
7. hair loss
Term
An infant presents with hydrocephalus, hyperiritability and a cleft palate, which vitamin might he be deficient in?
Definition
Vitamin A
Term
What is Stargardt disease
Definition
A mutation/problem with the ABC-R transporter. All-trans-retinol cannot be converted to cis retinal in the retinal rods, so the ABC-R transporter protein takes it into the blood stream where it can be converted. IF the transporter is mutated then we have an accumulation of all-trans retinal which causes stargardts adn leads to blindness.
Term
A genetic eye disorder that can cause progressive vision loss
Definition
autosomal macular dystrophy
Term
disease where night blindness leads to tunnel vision...patient usually does not become legally blind
Definition
retinitis pigmentosa
Term
which genetic diseases are associated with vitamin metabolism?
Definition
1. Stargardts disease
2. autosomal macular dystrophy
3. retinitis pigmentosa
Term
Which protein is retinoic acid bound to in blood?
Definition
albumin
Term
What is CRABP?
Definition
Cellular retinoic acid binding protein, which is where the target cells bind
Term
Calictriole is what type of vitamin?
Definition
D
Term
For the synthesis of cholecalciferol in skin (vitamin D) what is absolutely necessary?
Definition
sunlight
Term
What is the name of the vitamin D supplement found in yeast?
Definition
ergocalciferole
Term
What is the function of vitamin D?
Definition
stimulates absorption of ca+ and phosphate in the gut and its resorption in the kidney and its release from bone. It is in high need during hte last two months of prgnancy and during lactation.
Term
which vitamin is necessary for hte last two months of pregnancy.... particuarly for bone formation?
Definition
D
Term
Which vitamin contributes to night blindness?
Definition
A
Term
A patient presents with nausea, peeling skin, and hair loss, which vitamin might she be deficient in?
Definition
A
Term
What are good sources for vitamin D?
Definition
1.liver
2.certain fish
3. yeast
4. milk
Term
Lactose intolerance can contribute to deficiency of what vitamin?
Definition
D
Term
Weak bones and teeth are indiciation of a deficiency of what vitamin?
Definition
D
Term
osteomalacia is typical in what vitamin deficiency?
Definition
D
Term
low muscle tonus, and bone and teeth malformation is characteristic of deficiency of what vitamin?
Definition
D
Term
A child presents with hypercalcemia, weight loss and failure to grow and sensitivty to devleoping alergies toxicity of which vitamin might contribute?
Definition
D
Term
Tocopherol is which vitamin?
Definition
E
Term
How does vitamin E protect the cell membrane
Definition
It prevents the oxidation of polyunsaturated Fatty acids (PUFA) especially in red blood cells and in the lungs
Term
What is the most active tocopherol (vitamin E)
Definition
alpha tocopherol
Term
Describe the functions of vitamin E
Definition
-antioxidant
- radical scavanger
- protect vitamins C and A against oxidation during storage
Term
What is a great source of vitamin E (6)?
Definition
plant oils, nuts, wheat germ, asparagus, mango, spinach
Term
spinach is a great source of which vitamin
Definition
E
Term
flaky skin, weak muscle (nutritional muscular dystrophy, muscle fiber fragmentation),
liver degeneration, loss of membrane function, hemolysis (resulting in anemia),
increased lipofuscin formation are all signs of deficiency in what vitamin?
Definition
E
Term
Toxicity of vitamin E is rare, however, what are the symptoms?
Definition
gastrointestinal distress, nausea, failure of blood clotting, diarrhea
Term
What is AVED and which vitamin is it associated with?
Definition
ataxia and vitamin E deficiency, the inability of liver to pass vitamin E into the blood stream which can cause severe neurological defects
Term
Vitamin K is most important for which function
Definition
Koagulation (coagulation)
Term
What is the synthetic vitamin K
Definition
K3: menadione
Term
Which type of vitamin K is found in plants?
Definition
Phylloquinone
Term
Whcih type of vitamin K is found in meats and bacteria?
Definition
menaquinone
Term
What is warfarin
Definition
It is a vitamin K antagonist, which is used as a blood thinner (anti coagulants) and as a rat poison

Acts on vitamin K epoxide reductase which normally works to to convert the epoxide form of vitamin K back to the active reduced form
Term
Vitamin K is required for blood clotting factors, what does it do?
Definition
It converts Glu to Gla which creates a Ca2+ binding site for the protein.
It does this for the following clotting factors:
II: prothrombin
VII: proconvertin
IX: thromboplastin
X: Stuart Cofactor
and
Osteoclacin
Term
What are sources of Vitamin K?
Definition
Intestinal flora provides about 50% of vitamin K
Green leafy vegetables
Term
Why is it that treating a patient with broadband antibiotics can cause vitamin K deficiency?
Definition
Because of the vitamin K we need is provided by our intestinal flora, and a broadband antibiotic could work against this flora killing it off and diminishing our vitamin K production.
Term
Can vitamin K be used as an antidote for warfarin poisoning?
Definition
yes
Term
A patient presents with hemorhhaging and Ca2+ deposits in the arteries, also complains of stomach pains and and shows signs of bone malformation, which vitamin might this patient be deficient in?
Definition
K
Term
Toxicity of vitamin K can cause what chain of events to occur?
Definition
hemolytic anemia-> jaundice->kernicterus=>poisoning of brain by billiruben
Term
HDN is associated with which vitamin
Definition
Late onset hemorrhagic disease of the newborn, bay be caused by subclinical liver problems
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