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thiamine active form
pyrophosphate
thiamine physiological function
breaks carbon - carbon and carbon-heteroatom bonds
thiamine therapeutic uses
thiamine deficiencies
thiamine deficiency causes what?
beriberi
wernicke-korsakoff
riboflavin active form
FMN (via kinase)
FAD (via synthetase)
riboflavin physiological function
redox reactions (1 or 2 electron transfer)
riboflavin therapeutic uses
riboflavin deficiency
corneal ectasia
keratoconus
riboflavin deficiency causes?
ariboflavinosis
niacin active form
NAD+
NADP+
niacin physiological function
redox reactions (hydride acceptor)
niacin therapeutic uses
niacin deficiency
lipid and triglyceride lowering
niacin deficiency
pellagra
pantothenic acid active form
CoA
ACP
pantothenic acid physiological function
acyl carrier
degradation of fatty acids
involved in biochemical reactions in mitochondria (with B1 and B3)
pantothenic acid therapeutic use
pantothenic acid deficiency
pyridoxine active form
phosphorylate products
pyridoxine physiological functions
amino acid carrier
may be involved in transamination and decarboxylation reactions
pyridoxine therapeutic use
pyridoxine deficiency
morning sickness
pyridoxine deficiency causes
neuropathy
sideroblastic anemia
pellagra due to lower tryptophan and B3 production
biotin active form
biotin bound to BCCP via a lysine
biotin physiological function
carboxylation in a number of biochemical reactions
biotin therapeutic use
biotin deficiency
folate active form
tetrahydrofolate
folate physiological function
1 carbon carrier added to THF in a reaction involving PLP (B6)
important for DNA synthesis
folate therapeutic use
folate deficiency
leucovorin is used with methotrexate as rescue therapy
leucovorin is used with 5-FU to improve efficacy
folate deficiency causes
megaloblastic anemia
neural tube defects
cobalamin active form
cobalamin
cobalamin physiological function
transfer of functional groups
methionine biosynthesis (with B9)
cobalamin therapeutic use
cobalamin deficiency
pernicious anemia
cobalamin deficiency causes
megaloblastic anemia
nerve damage
cobalamin deficiency can be caused by
pernicious anemia
ascorbic acid active form
ascorbic acid
ascorbic acid physiological function
cofactor in redox reactions (recycle metals)
leads to hydroxylation
ascorbic acid therapeutic use
ascorbic acid deficiency
enhance absorption of non-heme iron
ascorbic acid deficiency causes
scurvy
retinoid active form
all retinoids
retinoid physiological function
cell differentiation, bone growth reproduction, inflammation
produces rhodopsin for vision
retinoid therapeutic use
acne
kaposiās syndrome
psoriasis
9-cis-retinoic acid indication
kaposiās syndrome
retinoic acid indication
acne
acitretin indication
psoriasis
trifarotene indication
acne
vitamin a deficiency can cause
nigh blindness
dry and scaly skin
overgrowth of teeth and bone in infants
vitamin a toxicity can cause
NV
headaches
blurred vision
bulging of fontanelle
cholecalciferol active form
calcitriol
cholecalciferol physiological functions
bone growth and formation
increases calcium and phosphate levels
cholecalciferol therapeutic uses
vitamin d deficiency
cholecaciferol deficiency can cause
rickets
cholecalciferol toxicity can cause
raised calcium levels
anorexia
weight loss
heart arrhythmia
tocopherol active form
tocopherol
tocopherol physiological function
antioxidant
inhibitor of protein kinase C
changes inn immune inflammatory mediator expression
tocopherol therapeutic use
vitamin E deficiency
hemolytic and megaloblastic anemia
tocopherol deficiency can cause
peripheral neuroapthy
retina damage
muscle weakness
phylloquinone active form
phyloooquinone
phylloquinone physiological function
acitvation of clotting factors
aids in binding calcium
phylloquinone therapeutic use
vitamin K deficiency
given to newborns
warfarin overdose
reduce postop bruising
vitamin k deficiency can cause
excessive bleeding
calcium physiological function
vascular function
muscle function
structural integrity of bones
calcium deficiency can cause
osteoporosis
hypocalcemia (nerve, muscle, heart function)
calcium toxicity can cause
hypercalcemia
hyperparathryoidism
affect absorption of zinc and iron
iron physiological function
redox reaction
oxygen carrier
iron deficiency can cause
anemia
iron toxicity can cause
NV
constipation
system failure, convulsions, coma, and death
potassium physiological fuction
neurotransmission
contraction
vascular tone
signaling
potassium deficiency can cause
muscle weakness
heart arrhythmia
potassium toxicity can cause
lethal heart arrhythmias
sodium physiological functions
maintain extracellular volume and osmalarity
determinant of action potentials
sodium toxicity can cause
hypertension
kidney disease
cardiovascular disease
thiamine sources
brown or enriched white rice
fortified cereals-grains
thiamine supplements
multivitamins: 1.2 mg
single: 500 mg
thiamine absorption
active absorption via thiamine transporters and passive diffusion
thiamine distribution
transporters for entry into tissues and CNS
thiamine excretion
renally
riboflavin sources
dairy products
meat
vegetables
eggs
fortified cereals-grains
biosynthesized in microflora
riboflavin supplements
multivitamin: 1.5-2mg
single: 100 mg