Comprehensive Biochemistry Guide: Human Vitamins, Coenzymes, and Metabolic Functions

Overview of Vitamins and Enzyme Cofactors

  • Definition and Essentiality:

    • A vitamin is an organic compound required in small amounts for the proper functioning of the human body.

    • Vitamins are essential nutrients that must be obtained from dietary sources because the human body cannot synthesize them in sufficient quantities (or at all).

    • A well-balanced diet typically satisfies all standard vitamin requirements for healthy individuals.

  • Role in Conjugated Enzymes:

    • Many active enzymes in human metabolism are conjugated enzymes, consisting of two structural components:

    • Apoenzyme: The purely protein component of the conjugated enzyme.

    • Cofactor: The nonprotein component necessary for biological activity.

    • Vitamins function as organic cofactors (coenzymes or cofactor precursors) within conjugated enzymes.

    • When converted into active coenzymes, vitamins bind to apoenzymes to form functional holoenzymes, enabling catalytic transformation of substrates into products.

    • Without the precursor vitamin, coenzymes cannot be synthesized, rendering the apoenzyme nonfunctional and giving rise to deficiency symptoms.


The Role of Vitamins as Precursor Cofactors in Enzyme Function
  • Dietary Requirements and Supplementation:

    • Ingestion requirements vary widely across different vitamins and are measured in specific units (e.g., milligrams, micrograms).

    • Inadequate intake leads to specific physiological deficiency symptoms and clinical diseases.

    • Excessive consumption, particularly via high-dose dietary supplements, can result in hypervitaminosis and toxicity.

    • Vitamin supplementation is medically indicated under increased physiological demands, such as during pregnancy or recovery from illness.

  • Synthetic vs. Natural Vitamins:

    • Laboratory-manufactured synthetic vitamins are chemically identical to vitamins naturally occurring in whole food sources.

    • The human body processes synthetic and natural vitamins identically and derives equivalent biological benefits from both.

  • Classification of Vitamins:

    • There are 1313 known human vitamins, categorized into two primary chemical classes based on solubility:

    • Water-Soluble Vitamins (99 total): Vitamin C and the 88 B-complex vitamins.

    • Fat-Soluble Vitamins (44 total): Vitamins A, D, E, and K.

  • General Properties Comparison (Water-Soluble vs. Fat-Soluble):

    • Absorption: Water-soluble vitamins are absorbed directly into the bloodstream; fat-soluble vitamins enter the lymphatic system first before systemic circulation.

    • Transport: Water-soluble vitamins travel freely in blood plasma without carriers; fat-soluble vitamins often require specific protein carriers for transport.

    • Storage: Water-soluble vitamins circulate freely in fluid-filled body compartments with minimal tissue storage; fat-soluble vitamins reside in cell structures and adipose storage tissues.

    • Excretion: Excess water-soluble vitamins are excreted in urine by the kidneys; fat-soluble vitamins tend to remain sequestered in fat-storage sites.

    • Toxicity Risk: Water-soluble vitamins rarely reach toxic concentrations from dietary sources or supplements; fat-soluble vitamins present a higher toxicity risk when consumed in excess via supplements.

    • Dosage Frequency: Water-soluble vitamins require frequent, regular intake; fat-soluble vitamins can be consumed in periodic doses due to systemic storage reserves.

    • Coenzyme Relationship: Water-soluble vitamins function directly as coenzyme precursors; fat-soluble vitamins do not act as coenzymes.


General Properties of Water-Soluble and Fat-Soluble Vitamins

Water-Soluble Vitamins

  • General Characteristics:

    • Includes Vitamin C and the 88 members of the B-vitamin complex.

    • Function directly as structural components of coenzymes in essential metabolic pathways.

Vitamin C (Ascorbic Acid)

  • Biosynthesis and Species Variance:

    • Synthesized from glucose derivatives in all plant species and most animal species.

    • Humans, non-human primates, fruit bats, and guinea pigs lack L-gulonolactone oxidase and cannot biosynthesize ascorbic acid, making dietary intake essential.

  • Chemical Structure and Redox Chemistry:

    • Exists in a dynamic redox equilibrium between its reduced form (L-ascorbic acid) and its oxidized form (L-dehydroascorbic acid).

    • Oxidation involves the loss of two hydrogen atoms (2H++2e−2\text{H}^+ + 2\text{e}^-), converting two adjacent hydroxyl (-OH\text{-OH}) groups into carbonyl (=O\text{=O}) groups across an enediol double bond.


Reversible Oxidation and Reduction of L-Ascorbic Acid
  • Biochemical Functions:

    • Collagen Synthesis: Functions as an essential cosubstrate for prolyl and lysyl hydroxylase enzymes during post-translational modification in collagen synthesis (critical for skin, tendons, blood vessels, and ligaments).

    • General Antioxidant Activity: Acts as a water-soluble electron donor, regenerating metalloenzymes by reducing oxidized active-site metal ions (e.g., converting inactive Fe3+\text{Fe}^{3+} back to active Fe2+\text{Fe}^{2+}).

    • Co-Antioxidant Synergy: Regenerates the active antioxidant form of Vitamin E (tocopherol) and maintains Folate (Vitamin B9\text{B}_9) in its reduced active form.

    • Neurotransmitter Synthesis: Acts as an obligate cofactor in dopamine β\beta-hydroxylase for the biosynthesis of norepinephrine and catecholamine neurotransmitters.

  • Quantitative Dietary Sources (Content per Serving):

    • Yellow Bell Pepper (1 medium): 341 mg341\text{ mg}

    • Broccoli (1 cup): 132 mg132\text{ mg}

    • Green Bell Pepper (1 cup chopped): 120 mg120\text{ mg}

    • Papaya (1 small): 96 mg96\text{ mg}

    • Strawberries (1 cup): 85 mg85\text{ mg}

    • Oranges (1 large): 82 mg82\text{ mg}

    • Kale (1 cup): 80 mg80\text{ mg}

    • Pineapple (1 cup): 79 mg79\text{ mg}

    • Brussels Sprouts (1 cup): 74 mg74\text{ mg}

    • Kiwi (1 medium): 64 mg64\text{ mg}

    • Tomatoes (1 cup): 55 mg55\text{ mg}

    • Mango (1 cup): 22 mg22\text{ mg}


Dietary Sources of Vitamin C and Milligram Content
  • Recommended Dietary Intakes:

    • Adult Men: 90 mg/day90\text{ mg/day}

    • Adult Women: 75 mg/day75\text{ mg/day}

    • Upper Tolerable Intake Limit (UL) for Adults: 2000 mg/day2000\text{ mg/day}

  • Deficiency Conditions and Pathologies:

    • Subclinical Manifestations: Small-cell (microcytic) anemia, formation of atherosclerotic plaques, bone fragility, impaired wound healing, and progressive muscle degeneration.

    • Clinical Disease (Scurvy): Characterized by breakdown of connective tissue, swollen and bleeding gums, mucosal hemorrhages, loose teeth, delayed wound healing, and tender, swollen joints.


Severe Scurvy Presenting with Bleeding Gums and Tissue Swelling

The B-Complex Vitamins Overview

  • Functional Role:

    • The B vitamins are metabolic precursors for primary coenzymes involved in energy transduction, catabolism, and macromolecular biosynthesis.

    • Coenzymes act as temporary carriers of specific chemical groups, electrons, or hydrogen atoms during enzyme-catalyzed reactions.


Enzymatic Catalysis Facilitated by Vitamin Coenzyme
  • Comprehensive B-Vitamin Coenzyme Mapping:

    • Vitamin B1\text{B}_1 (Thiamin): Coenzyme form is Thiamin pyrophosphate (TPP).

    • Vitamin B2\text{B}_2 (Riboflavin): Coenzyme forms are Flavin adenine dinucleotide (FAD / FADH2\text{FADH}_2) and Flavin mononucleotide (FMN / FMNH2\text{FMNH}_2).

    • Vitamin B3\text{B}_3 (Niacin): Coenzyme forms are Nicotinamide adenine dinucleotide (NAD+\text{NAD}^+ / NADH) and Nicotinamide adenine dinucleotide phosphate (NADP+\text{NADP}^+ / NADPH).

    • Vitamin B5\text{B}_5 (Pantothenic acid): Coenzyme form is Coenzyme A (CoA).

    • Vitamin B6\text{B}_6 (Pyridoxine/Pyridoxal/Pyridoxamine): Coenzyme forms are Pyridoxal phosphate (PLP) and Pyridoxamine phosphate (PMP).

    • Vitamin B7\text{B}_7 (Biotin): Coenzyme form is Biotin (covalently attached as biocytin).

    • Vitamin B9\text{B}_9 (Folate): Coenzyme forms are Tetrahydrofolate (THF) and Dihydrofolate (DHF).

    • Vitamin B12\text{B}_{12} (Cobalamin): Coenzyme forms are Methylcobalamin and 5'-deoxyadenosylcobalamin.

  • Central Metabolic Pathways Integration:

    • Carbohydrate Metabolism:

    • Glycogen $ ightleftharpoons$ Glucose: Requires Pyridoxal phosphate (PLP).

    • Glucose $ ightarrow$ Pyruvate (Glycolysis): Requires NAD+\text{NAD}^+.

    • Pyruvate $ ightarrow$ Acetyl-CoA: Requires Pyruvate Dehydrogenase Complex using TPP, FAD, NAD+\text{NAD}^+, and CoA.

    • Tricarboxylic Acid (TCA) Cycle:

    • Utilizes NAD+\text{NAD}^+, TPP, FAD, and CoA at key oxidative decarboxylation steps.

    • Electron Transport Chain (ETC):

    • Complex I uses FMN and NAD+\text{NAD}^+; Complex II uses FAD to transfer high-energy electrons for ATP synthesis.

    • Lipid Metabolism:

    • Acetyl-CoA $ ightleftharpoons$ Fatty Acids: Requires Biotin, NADP+\text{NADP}^+, NAD+\text{NAD}^+, and FAD.

    • Amino Acid & One-Carbon Metabolism:

    • Interconversion of amino acids uses PLP, NAD+\text{NAD}^+, THF, and Vitamin B12\text{B}_{12}.


Metabolic Map of B-Vitamin Coenzymes in Cellular Respiration

Vitamin B1 (Thiamin)

  • Chemical Structure and Conversion:

    • Consists of a substituted pyrimidine ring linked via a methylene bridge to a thiazole ring.

    • The free form is thiamin; phosphorylation yields the active coenzyme thiamin pyrophosphate (TPP).

  • Biochemical Function:

    • Serves as a coenzyme in oxidative decarboxylation reactions and the transfer of carbonyl/carbon dioxide groups.

    • Essential for energy production in the pyruvate dehydrogenase and α\text{α}-ketoglutarate dehydrogenase reactions.

  • Dietary Sources:

    • Whole-grain breads, beans, nuts, milk, peas, pork, and rice bran.

  • Deficiency Pathology (Beriberi):

    • Early Manifestations: Nausea, severe fatigue, peripheral paresthesia, loss of knee and foot reflexes, muscle tenderness, and weakness.

    • Dry Beriberi: Characterized by severe emaciation, peripheral neuropathy, loss of reflexes, foot drop, wrist drop, and aphonia (vocal cord paralysis due to vagus nerve damage).

    • Wet Beriberi: Characterized by cardiovascular dysfunction, peripheral edema, dyspnea, orthopnea, right heart enlargement, and high-output heart failure.

    • Wernicke-Korsakoff Syndrome: Associated with severe thiamin deficiency in chronic alcoholism, leading to ophthalmoplegia, ataxia, acute confusion, coma, and death.


Clinical Manifestations of Thiamin Deficiency and Beriberi

Vitamin B2 (Riboflavin)

  • Chemical Structure and Coenzymes:

    • Composed of an isoalloxazine tricyclic ring system attached to a ribitol sugar alcohol side chain.

    • Forms two central redox coenzymes: Flavin Mononucleotide (FMN) and Flavin Adenine Dinucleotide (FAD).

  • Biochemical Function:

    • Serves as a two-electron/two-proton hydrogen transporter in oxidation-reduction reactions across central metabolic pathways.

  • Dietary Sources:

    • Milk, organ meats, eggs, dark green leafy vegetables, enriched breads, beans, and peas.

  • Deficiency Pathology:

    • Causes generalized dermatitis, cheilosis (cracking of lips), angular stomatitis, glossitis, and skin lesions.

Vitamin B3 (Niacin)

  • Chemical Forms and Coenzymes:

    • Occurs in two vitamer forms: Nicotinic acid (containing a carboxyl group) and Nicotinamide (containing an amide group).

    • Synthesizes two active hydride-carrying coenzymes: Nicotinamide Adenine Dinucleotide (NAD+\text{NAD}^+ / NADH) and Nicotinamide Adenine Dinucleotide Phosphate (NADP+\text{NADP}^+ / NADPH).

  • Biochemical Function:

    • Functions as a reversible hydride (H−\text{H}^-) ion carrier in catabolic dehydrogenation reactions (NAD+\text{NAD}^+) and reductive anabolic pathways (NADP+\text{NADP}^+).

  • Dietary Sources:

    • Lean meats, whole grains, poultry, fish, and legumes.

  • Deficiency Pathology (Pellagra):

    • Characterized clinically by the classic "4 Ds": Dermatitis, Diarrhea, Dementia, and Death.

    • Symptoms include muscle weakness, loss of appetite, symmetrical photosynthetic dermatitis (Casal's necklace), and gastrointestinal mucosal inflammation.


Clinical Presentation of Pellagra Caused by Niacin Deficiency

Vitamin B5 (Pantothenic Acid)

  • Chemical Structure:

    • Synthesized from an amide linkage between β\beta-alanine and pantoic acid.

    • Forms the structural backbone of Coenzyme A (CoA) and acyl carrier protein (ACP).

  • Biochemical Function:

    • Acts as a carrier for acyl groups via a high-energy thioester bond at its terminal sulfhydryl group.

  • Dietary Sources:

    • Widely distributed in all plant and animal tissues, notably organ meats, nuts, and whole-grain cereals.

  • Deficiency Pathology:

    • Rare due to widespread availability; extreme deficiency leads to metabolic disturbances and anemia.

Vitamin B6 (Pyridoxine)

  • Chemical Forms:

    • Encompasses three free vitamer precursor compounds based on a pyridine ring:

    • Pyridoxine (PN): Alcohol form (-CH2OH\text{-CH}_2\text{OH}).

    • Pyridoxal (PL): Aldehyde form (-CHO\text{-CHO}).

    • Pyridoxamine (PM): Aminomethyl form (-CH2NH2\text{-CH}_2\text{NH}_2).

    • Phosphorylation produces the active coenzymes: Pyridoxine-5'-phosphate (PNP), Pyridoxal-5'-phosphate (PLP), and Pyridoxamine-5'-phosphate (PMP).

  • Biochemical Function:

    • Serves as a coenzyme in amino acid metabolism, including transamination, decarboxylation, and racemization, as well as glycogen phosphorylase activity.

  • Dietary Sources:

    • Meats, whole grains, poultry, fish, and nuts.

  • Deficiency Pathology:

    • Causes seborrheic dermatitis, peripheral neuropathy, microcytic anemia, and central nervous system disorders (e.g., convulsions).

Vitamin B7 (Biotin)

  • Chemical Structure and Mechanism:

    • Bicyclic heterocyclic ring compound (tetrahydrothiophene fused to an imidazolidone ring) attached to a valeric acid side chain.

  • Biochemical Function:

    • Functions as a coenzyme in ATP-dependent carboxylation reactions, transporting carbon dioxide (CO2\text{CO}_2) or carboxyl groups in lipogenesis (acetyl-CoA carboxylase) and gluconeogenesis (pyruvate carboxylase).

  • Dietary Sources:

    • Egg yolks, liver, yeast, nuts, and intestinal bacterial synthesis.

  • Deficiency Pathology:

    • Causes dermatitis, alopecia, muscle weakness, and neurological impairment.

Vitamin B9 (Folate / Folic Acid)

  • Chemical Forms:

    • Folic acid consists of a pteridine ring, para-aminobenzoic acid (PABA), and glutamic acid residues.

    • Reduced intracellularly by dihydrofolate reductase to active coenzyme forms: Dihydrofolate (DHF) and Tetrahydrofolate (THF).

  • Biochemical Function:

    • Acts as a carrier of one-carbon units (methyl, methylene, methenyl, formyl) required for purine, pyrimidine, and amino acid biosynthesis.

  • Dietary Sources:

    • Leafy green vegetables (foliage), asparagus, peas, and beans.

  • Deficiency Pathology:

    • Causes megaloblastic (macrocytic) anemia due to impaired DNA replication and cell division, as well as neural tube defects (e.g., spina bifida) in fetal development.

Vitamin B12 (Cobalamin)

  • Chemical Structure:

    • Complex corrin ring system surrounding a central cobalt ion (Co+\text{Co}^+).

    • The free commercial form is Cyanocobalamin; main biological coenzyme forms are Methylcobalamin and 5'-deoxyadenosylcobalamin.

  • Biochemical Function:

    • Coenzyme for methionine synthase (methyl group transfer) and methylmalonyl-CoA mutase (hydrogen atom transfer and rearrangement).

  • Dietary Sources:

    • Exclusively found in animal products including meat, fish, eggs, and milk.

  • Absorption and Deficiency Pathology:

    • Requires gastric Intrinsic Factor (IF) for receptor-mediated intestinal absorption in the ileum.

    • Pernicious Anemia: An autoimmune destruction of gastric parietal cells leading to intrinsic factor deficiency, preventing Vitamin B12\text{B}_{12} absorption.

    • Clinical Manifestations: Megaloblastic anemia combined with irreversible neurological damage (subacute combined degeneration of the spinal cord).


Pathophysiology and Symptoms of Anemia

Fat-Soluble Vitamins

  • General Characteristics:

    • Includes Vitamins A, D, E, and K.

    • Hydrophobic, nonpolar molecules stored in cell membranes, liver, and adipose tissues.

    • Do not act as coenzymes in metabolic reactions.

Vitamin A

  • Chemical Forms (Retinoids and Carotenoids):

    • Retinoids (Preformed Vitamin A):

    • Retinol: Alcohol form (R=-CH2OH\text{R} = \text{-CH}_2\text{OH}).

    • Retinal: Aldehyde form (R=-CHO\text{R} = \text{-CHO}).

    • Retinoic Acid: Carboxylic acid form (R=-COOH\text{R} = \text{-COOH}).

    • Provitamin A Carotenoids:

    • Plant pigments such as β\beta-carotene.

    • Central enzymatic cleavage of one β\beta-carotene molecule yields two molecules of retinal.

  • Major Biochemical Functions:

    • Vision: 11-cis-retinal binds to the apoprotein opsin to form the visual pigment rhodopsin in rod cells. Absorption of light isomerizes retinal to all-trans-retinal, triggering a conformational change that initiates optic nerve impulses. Bleached rhodopsin regenerates over time; insufficient Vitamin A slows regeneration, causing night blindness.

    • Cell Differentiation: Retinoic acid acts like a steroid hormone, binding nuclear receptor proteins that modulate gene transcription, controlling stem cell differentiation into specialized tissues.

    • Epithelial Tissue Maintenance: Regulates differentiation of mucus-secreting epithelial cells. Deficiency causes keratinization, leading to dry, hard, scaly surfaces.

    • Reproduction and Growth: Supports spermatogenesis in males and fetal development in females.


Visual Recovery in Dim Light versus Night Blindness
  • Dietary Sources:

    • Preformed: Eggs, butter, cheese, liver.

    • Provitamin: Dark green leafy vegetables and deep orange vegetables (carrots, sweet potatoes).

  • Deficiency Pathology:

    • Xerophthalmia (dryness of cornea/conjunctiva), inflamed eye membranes, night blindness (nyctalopia), hyperkeratosis, and increased susceptibility to infection.

Vitamin D

  • Chemical Forms and Endogenous Synthesis:

    • Vitamin D2\text{D}_2 (Ergocalciferol): Plant-derived sterol form.

    • Vitamin D3\text{D}_3 (Cholecalciferol): Animal-derived form, also synthesized endogenously in human skin.

    • Endogenous Pathway: Ultraviolet (UV) light converts 7-dehydrocholesterol (a normal cholesterol metabolite in the epidermis) into Cholecalciferol.

  • Biochemical Function:

    • Regulates systemic calcium (Ca2+\text{Ca}^{2+}) and phosphate ion homeostasis.

    • Hydroxylated in the liver and kidneys to form 1,25-dihydroxycholecalciferol (calcitriol), which:

    • Stimulates intestinal absorption of calcium and phosphate ions.

    • Decreases renal excretion of calcium and phosphate.

    • Stimulates osteoblast synthesis of calcium-binding proteins to promote bone mineralization.

  • Dietary Sources:

    • Fatty fish-liver oils, fortified milk, and egg yolks.

  • Deficiency Pathology:

    • Rickets (Children): Inadequate bone mineralization causing soft, weak bones and skeletal deformities, including bowlegs (Varus deformity) or knock-knees (Valgus deformity).

    • Osteomalacia (Adults): Demineralization of existing bone matrix leading to bone pain, muscle weakness, and increased fracture risk.

    • Hypocalcemic Tetany: Involuntary muscle spasms from low blood calcium levels.


Skeletal Malformations in Rickets and Osteomalacia

Vitamin E

  • Chemical Structure and Tocopherols:

    • Group of eight substituted chromanol ring derivatives with isoprenoid side chains, categorized into four tocopherol isomers (αα-, β\beta-, γγ-, δδ-tocopherol).

    • αα-Tocopherol exhibits the highest biological activity.

  • Chemical Stability:

    • Readily destroyed by exposure to oxygen, light, oxidation, and high temperatures (e.g., deep frying).

  • Biochemical Function:

    • Primary lipid-soluble chain-breaking antioxidant in cell membranes.

    • Protects polyunsaturated fatty acids (PUFAs) in membrane phospholipids and Vitamin A from free radical peroxidation.

    • Neutralizes reactive oxygen species (ROS) by donating a hydrogen atom, stopping destructive free radical chain reactions.

    • Spent Vitamin E radicals are reduced and recharged by Vitamin C.


Free Radical Chain Reaction and Inhibition by Vitamin E
  • Dietary Sources:

    • Whole-grain cereals, vegetable oils (wheat germ, sunflower, olive), margarine, nuts, and seeds.

  • Deficiency Pathology:

    • Increased oxidative fragility of cell membranes, leading to erythrocyte hemolysis (hemolytic anemia) and neuromuscular degeneration.

Vitamin K

  • Chemical Forms:

    • Vitamin K1\text{K}_1 (Phylloquinone): Plant form containing a phytyl side chain with a single double bond.

    • Vitamin K2\text{K}_2 (Menaquinone): Bacterial form containing an isoprenoid side chain with multiple double bonds (n=1–13n = 1\text{--}13, predominantly 7–97\text{--}9 repeats).

  • Origin:

    • Approximately 50%50\% is synthesized endogenously by intestinal gut microbiota; the remaining 50%50\% is derived from dietary sources.

  • Biochemical Function:

    • Essential co-substrate for γγ-glutamyl carboxylase, which converts specific glutamic acid residues into γγ-carboxyglutamate (Gla) residues.

    • Required for post-translational modification and activation of clotting factors (Prothrombin [Factor II], Factors VII, IX, X) and bone proteins (osteocalcin).

  • Dietary Sources:

    • Cabbage, potatoes, green peas, and dark leafy green vegetables (spinach, kale).

  • Deficiency Pathology:

    • Defective blood coagulation leading to prolonged prothrombin time, excessive bruising, mucosal bleeding, and severe hemorrhagic disorders.

Summary Reference Table of Vitamins


Comprehensive Vitamin Sources, Functions, and Deficiency Conditions
  • Water-Soluble Class Summary:

    • B1\text{B}_1 (Thiamin): Sources = bread, beans, nuts, milk, peas, pork, rice bran; Function = coenzyme in decarboxylation reactions; Deficiency = Beriberi (nausea, severe exhaustion, paralysis).

    • B2\text{B}_2 (Riboflavin): Sources = milk, meat, eggs, dark green vegetables, bread, beans, peas; Function = forms FMN and FAD hydrogen transporters; Deficiency = Dermatitis.

    • Niacin (B3\text{B}_3): Sources = meat, whole grains, poultry, fish; Function = forms NAD+\text{NAD}^+ hydride transporter; Deficiency = Pellagra (weak muscles, loss of appetite, diarrhea, dermatitis).

    • B6\text{B}_6 (Pyridoxine): Sources = meat, whole grains, poultry, fish; Function = carries amino and carboxyl groups; Deficiency = Dermatitis, nervous disorders.

    • B12\text{B}_{12} (Cobalamin): Sources = meat, fish, eggs, milk; Function = coenzyme in amino acid metabolism; Deficiency = Pernicious anemia.

    • Folic Acid (B9\text{B}_9): Sources = leafy green vegetables, peas, beans; Function = coenzyme in methyl group transfers; Deficiency = Anemia.

    • Pantothenic Acid (B5\text{B}_5): Sources = all plants and animals, nuts, whole grains; Function = part of Coenzyme A acyl carrier; Deficiency = Anemia.

    • Biotin (B7\text{B}_7): Sources = egg yolk, liver, yeast, nuts; Function = coenzyme in fatty acid synthesis; Deficiency = Dermatitis, muscle weakness.

    • Vitamin C (Ascorbic Acid): Sources = citrus fruits, tomatoes, green peppers, strawberries, leafy greens; Function = synthesis of collagen for connective tissue; Deficiency = Scurvy (tender tissues, weak bleeding gums, swollen joints).

  • Fat-Soluble Class Summary:

    • Vitamin A (Retinol): Sources = eggs, butter, cheese, dark green and deep orange vegetables; Function = synthesis of visual pigments; Deficiency = Inflamed eye membranes, night blindness, skin scaliness.

    • Vitamin D (Calciferol): Sources = fish-liver oils, fortified milk; Function = regulation of calcium and phosphorus metabolism; Deficiency = Rickets (bone malformation).

    • Vitamin E (Tocopherol): Sources = whole-grain cereals, margarine, vegetable oils; Function = prevention of oxidation of Vitamin A and membrane fatty acids; Deficiency = Red blood cell breakage.

    • Vitamin K: Sources = cabbage, potatoes, peas, leafy green vegetables; Function = synthesis of blood-clotting proteins; Deficiency = Blood-clotting disorders.