Vitamin B's (8)

Draw and write Chemical Structures on paper.

Vitamin B1 - Thiamin

Information

Additional Information

Functional Group

Alkyl group (site of phosphorylation)

Pyrimidine ring, thiazole, alkyl group

Active Form(s)

Thiamin Diphosphate (TDP)

Thiamine pyrophosphate (TPP)

90% TPP is found in RBC (10% is TMP)

80% total thiamin exists as TPP

Dietary Food

Grain products (33%)

Animal (25%)

Fortified flour

Grains - 95% as free thiamin

Meats - 95% TDP & TMP

Absorption

Jejunum

  • Via ThTR1

And ileum

Transporters & Receptors

Active transport:

  1. Thiamin transporter-1 (ThTR1) - absorption

  2. Thiamin transporter-2 (ThTR2) - uptake (to cells and brain

Passive diffusion

  1. Reduced folate carrier 1 (RCF1) - transports TMP

TPP Carrier (SLC25A19)

Alcohol inhibits ThTR1 and ThTR2

Found in muscle, heart, liver, kidney, pancreas, brain

High thiamin intake can bypass ThTR1

SLC19A3 codes for ThTR2

Reabsorption

Proximal tubule cell via ThTR1, ThTR2, and RCF1 (95% gets reabsorbed)

Coenzyme Functions

Dehydrogenase Reactions

  1. Pyruvate Dehydrogenase (E1) - TPP is a coenzyme for decarboxylating pyruvate

  2. a-Ketoglutarate Dehydrogenase - succinyl-CoA oxidation for energy synthesis

  3. Branched-Chain a-keto acid Dehydrogenase - metabolizing BCAA for muscle energy


Transketolase Reactions

  1. Pentose Phosphate Pathway (Shunt Pathway) - synthesizes NADPH for biosynthetic pathways, detoxification, reduced glutathione, DNA and RNA synthesis

  2. Nucleophilic Attack - energy synthesis

Other Functions

Nervous System

  1. Neurological functions require high levels of metabolic demand (TPP is needed for ATP synthesis)

Red Blood Cell

  1. RBC has high PPP activity and NADPH synthesis for glutathione defense

Electric and chemical nerve stimulation releases thiamin & TMP

NAPDH is important for DNA and RNA

Related Pathways

  1. Pentose Phosphate Pathway (Shunt Pathway)

Assessment & Status

  1. RBC lysates - expensive & most sensitive

  2. Erythrocyte Transketolase Activity (ETKA) - functional assay for thiamin status

Reference Range: 2.5-7.5ug/dL

Urine Deficiency: <40ug/day

Deficiencies

  1. Dry (neuritic) Beriberi - paraesthesia, peripheral neuropathy, limited knee/ankle jerk, ataxia

  2. Wet (cardiac, edematous) Beriberi - heart complications (polished carb intake)

  3. Fulminant (Shoshin, pernicious) Beriberi - heart failure, peripheral edema, lactic acidosis, typically in Japanese

  4. Wernicke-Korsakoff Syndrome - brain lessions, ocular nerve paralysis, ataxia, psychosis, memory loss

Alzheimer’s and Parkinson’s disease are associated with thiamin deficiency

Risk Factors for Deficiencies

  • polished rice, wheat

  • thiaminase-rich foods (raw fish)

  • anti-thiamin factors, tannic acid (tea, coffee)

  • alcohol

  • thiamin disulfide (poorly absorbed)

Mutations

  1. SLC19A3 - gene coding for ThTR2

  2. Transketolase TKT gene - inability to synthesize NADPH

Vitamin B2 - Riboflavin

Information

Additional Information

Functional Group

Flavin (Isoalloxazine)

Flavin, ribitol sugar, isoalloxazine ring

Flavin + UV light = lumiflavin and lumichrome

Active Form(s)

Flavin mononucleotide (FMN)

Flavin adenine dinucleotide (FAD)

Via Riboflavin Kinase

Via FAD synthetase

Dietary Food

Meats, whole grains, green leafy vegetables

Bioavailability - 40-60%

95% FMN & FAD bound to proteins

Absorption

Duodenum

  • Via RFT1 and RFT2

60-95% FAD form in the liver

Transporters & Receptors

Riboflavin transporter-1 (RFT1) - absorption

RFT2 - intracellular transport

RFT3 - placenta transport for brain uptake

SLC52A1 - gene code for RFT1

SLC52A2 - gene code for RFT2

SLC52A3 - gene code for RFT3

Riboflavin-Binding Proteins (RfBPs) - transfer of B2 to reproductive and maternal tissues

RFT increases as dietary riboflavin increases

Reabsorption

Renal urinary ducts

Coenzyme Functions

Redox Reactions

  1. Flavoenzymes

  2. Glutathione Reductase - NADPH and FAD are needed for regeneration of reduced glutathione, important for RBC Glutathione recycling


Dehydrogenase Reactions

  1. NADH Dehydrogenase - FMN transfers electrons from NADH

  2. Succinate Dehydrogenase (Complex II) - FAD (has enough energy to) oxidizes succinate to produce ATP

  3. Pyruvate Dehydrogenase (E3) - FAD is a cofactor for electron transfer

  4. a-Ketoglutarate Dehydrogenase - FAD converts pyruvate to acetyl-CoA for TCA cycle

FAD is used more as a coenzyme

Important for ATP synthesis

Other Functions

ATP Synthesis

  1. Krebs Cycle (TCA Cycle) Enzymes

  2. Electron Transport Chain (ETC) Complexes

Iron Metabolism

  • Needed for iron absorption and metabolism (keeps iron in reduced state)

Vitamin Metabolism

  • Niacin (tryptophan conversion to NAD), VB6 activation (PLP to PL), Folate recycling (FAD needed for MTHFR)

Related Pathways

  1. Kynurenine Pathway - FAD needed to convert tryptophan to NAD+

  2. Folate and Methionine Cycle (FAD needed for functioning MTHFR)

  3. Krebs Cycle / TCA Cycle - ATP synthesis

  4. Electron Transport Chain - ATP synthesis

Assessment & Status

  1. Erythrocyte Glutathione Reductase Activity Coefficient (eGRAC) - functional assay, measures FAD

  2. Erythrocyte Riboflavin Content

  3. Urinary Riboflavin Excretion

Low-High Risk <1.15 >1.25

Deficiencies

  • Cheilosis / Angular Stomatitis - sores on the corners of mouth, lips

  • Glossitis - inflamed tongue

  • Anemia

  • Demyelinating peripheral neuropathy

Risk Factors for Deficiencies

  • Impaired erythropoiesis and loss of ferric reductase activity

  • Secondary deficiency with other b vitamins

Mutations

  • SLC52A3 mutation - causes impaired riboflavin transport across the placenta

Vitamin B3 - Niacin

Information

Additional Information

Functional Group

Nicotinic Acid

Nicotinamide

Nicotinamide Riboside (NR)

Pyridine ring, carboxylic acid or amine group, ribose sugar (NR)

Active Form(s)

Tryptophan → NAD+

Tryptophan can convert to NAD+

Niacin is the precursor to tryptophan

Dietary Food

Animal - NAD+

Plants - Nicotinic Acid

Poultry, red meat, eggs - Tryptophan

Microbiome of colon - Niacin

60mg tryptophan = 1mg niacin = 1mg niacin equivalent

Bioavailability: 30%

Absorption

Duodenum

NAD+ cleaves, NAM is made

Transporters & Receptors

  • No specific niacin transporter

  • Carrier-medicated facilitated diffusion

  • B0AT10 - renal & intestinal uptake

  • SLC5A8 - intestinal absorption, renal reabsorption

NR, NMN, NAD+ converts into Nicotinamide (Nam) in the duodenum.

Nam goes through cell uptake via Salvage pathway and produces NAD+

70% as NADPH in RBC

30% free niacin bound to albumin

Reabsorption

  • B0AT10 - renal reabsorption

  • SLC5A8 - renal reabsorption

Coenzyme Functions

Redox Reactions

  1. NAD+ & NADH as electron carriers (H-) in oxidation and reduction reactions

Dehydrogenase Reactions

  1. Pentose Phosphate Pathway (E3) - NAD+ used as a coenzyme to transfer electrons

Oxidation (NAD+)

Reduction (NADH)

Other Functions

NAD+ Synthesis

  1. De-novo Pathway (Kynurenine pathway) - NAD+ from tryptophan (B6 & B2 needed)

  2. Preiss-Handler Pathway - NAD+ from dietary nicotinic acid

  3. NAD+ Salvage Pathway - NAD+ from nicotinamide (NAM) recycling (from diet) by reversing NAD cleave

DNA Single Strand Breaks (SSB)

  1. PARP1 uses NAD+ as a substrate (for ADP-ribose)

  2. PARP1 detects SSB and slows down DNA SSB repair with ADP-ribose attached

Gene Expression (Transcription)

  1. Silent Mating Type Information Regulation 2 Homolog 1 (SIRT1) - NAD needed to remove acetyl groups for SIRT1 to deacetylase

Hyperlipidemia Treatment

  1. Nicotinic acid can suppress lipolysis, ApoB, VLDL

  2. Increases HDL and ApoA1

NAD+ Salvage Pathway is linked to the excretion pathway

Too much PARP1 can lead to necrosis/cancer but inhibited PARP1 can lead to apoptosis (inability to fix SSB, better than necrosis)

SIRT1 suppress gene expression during fasted state, good for longevity, increased protein diversity, and efficient gene repair and cell survival (ATP generation)

Related Pathways

  1. Kynurenine Pathway

Disrupts Kynurenine pathway - accumulation of xanthurenic acid

Assessment & Status

  1. N-methylnicotinamide in urine levels

  2. Niacin urine excretion

Low to high >1.6mg <0.5mg

Deficiencies

  • Flushing - vasodilation of prostaglandin D2 (high doses of niacin only)

  • Itching

  • Severe GI discomfort

  • Hyperuricemia - gout

Pellagra (4 D’s - dermatitis, diarrhea, delirium, death)

  • Casal collar

  • Skin lesions (GI tract too)

  • Neurological symptoms

Non-melanoma skin cancers - caused by exposure of UV radiation (reduced with nicotinamide supplementation)

Treatment - niacin supplementation can reverse skin aberrations (pellagra)

Risk Factors for Deficiencies

Mutations

Hartnup Disease

  • Mutation in SLC6A19 - gene that codes for B0AT1 (intestinal and renal absorption of tryptophan)

Will show high levels of amino acids in the urine, pellagra rash, neurological changes

Vitamin B5 - Pantothenic Acid

Information

Additional Information

Functional Group

Secondary alcohol, a carboxylic acid, and a secondary amide

b-alanine, pantoic acid

Active Form(s)

  1. Coenzyme A (CoA)

  2. Acyl Carrier Protein (ACP)

PANK catalyzes CoA

Dietary Food

High in meat liver, heart, brain, royal jelly, mushrooms

Egg yolk, milk, yogurt, legumes, whole grains, gut bacteria

Bioavailability - 40-60%

85% Coenzyme A & Acyl-CoA in dietary PA

15% 4PTH bound to ACP in dietary PA

Absorption

Jejunum

4PTH is dephosphorylated from CoA and ACP to turn to PA (to cross brush boarder)

CoA synthesis occurs in the liver

Diphosphatase & phosphatase turns CoA into 4PTH

Proteases turns ACP to 4PTH

Phosphatase & pnathethinase turns 4PTH to pantothenic acid

Transporters & Receptors

Active Transport

  1. Sodium-dependent multivitamin transporter (SMVT)

Passive Diffusion

  1. A pharmacological levels

Recycling

  1. Pantothenic Kinase II (PANKII) - phosphorylates PA to 4PTH and CoA (CoA gets recycled)

SMVT also transports biotin and lipoic acid

SMVT mRNA inhibited by biotin, pantothenic acid, lipoic acid

90% PA converts to CoA, 90% CoA in mitochondria

Heart - greatest concentrations of CoA

Reabsorption

Proximal convoluted tubule via SMVT

  • High PA - excretes free PA and 4PTH

Coenzyme Functions

Acyl Transfers Reactions (Acetylations)

  • Makes acetyl-CoA

  • Alcohols, amines, AA

  • N-terminal acetylation, histone acetylation

Anabolic Reductive Reactions

  1. De novo synthesis of FAs via Malonyl-CoA

  2. Synthesis of sterols

  3. Production of acetoacetate - ketone body

Catabolic Oxidative Reactions

  1. Activation of Fatty Acid

  2. Carnitine b-oxidation

  3. Oxidation of pyruvate to Acetyl-CoA

  4. Oxidation of a-ketoglutarae to Succinyl-CoA

  5. Oxidation of BCAA and a-keto skeletons

Lysine

  1. Acetyl-CoA (from CoA acyl transfer) - Lysine is acetylated by Acetyl-CoA to create acetyl lysine for chromatin structure, metabolic activity, protein stability, gene expression

Gene Transcription

  1. HAT catalyzes acetylation that neutralizes histones for better gene transcription

Low glucose levels during the fasted state causes the use of acetyl-CoA for fatty acid oxidation, in the fed state, this reaction will shift to fatty acid synthesis with ACP

Other Functions

  1. Fatty Acid Oxidation (CoA) - CoA is needed for ASC to turn FA into Fatty acyl-CoA (this will enter the carnitine shuttle for ATP)

  2. De novo Fatty Acid Synthesis (ACP) - after FA oxidation, ACP will be a tether in the fatty acid synthase (FAS) complex

  3. Glycolysis

  4. Pentose Phosphate Pathway (E2) - CoA acetylates to Acetyl-CoA

ACP attaches to Malonyl-CoA, allowing it to grow a FA chain

Used in skin care products (hygroscopic ability)

Related Pathways

  1. Carnitine Shuttle (FA oxidation) - Fatty acyl-CoA enters the outer mitochondria with CPT1, turning into acylcarnitines, this can now enter the inner mitochondria membrane and turn back into fatty acyl-CoA (used for ATP)

Assessment & Status

  1. Blood levels (not a good indicator)

  2. Urine extraction - functional assay

Ref BL - 1.6-2.7

Ref Urine - 2.5mg

Deficiencies

  • Burning feet syndrome - headache, fatigue, fatty liver, intestinal disturbances, numbness, tingling in hands and feet

Treatment - PA supplementation

Risk Factors for Deficiencies

PA deficiency is rare, tissues conserve PA, ubiquitous in food

Mutations

  1. PANK2 Mutation - decreases CoA, increases cysteine, causes sulfur and iron to accumulate in the brain

Vitamin B6 - Pyrimidine

Information

Additional Information

Functional Group

Aldehyde group, phosphate group

Pyridine ring

Active Form(s)

Pyridoxine PN (alcohol), pyridoxal PL (aldehyde), pyridoxamine PM (amine)

Pn → PMP → PLP

PL → PLP

PM → PMP → PLP

Dietary Food

Animal foods (PL, PLP, PMP), plant tissues (PN)

Bioavailability- 75%

Absorption

Jejunum

Transporters & Receptors

  1. Protein-mediated transpoter (passive diffusion)

  2. Alkaline phosphate (APL) - dephosohorylates Vb6 into free forms

  3. B6-specific kinases - phosphorlyates B6 to active forms

  4. FMN oxidase - oxidized PMP and PNP to PLP

PLP is 75% found in muscle

Reabsorption

Coenzyme Functions

Schiff-Based Reactions (Transamination)

  1. Decarboxylation - GABA synthesis, serotonin synthesis, dopamine synthesis

  2. Glycogen Phosphorylase - the schiff base allows GP to catalyze glycoeolysis

  3. One Carbon Metabolism

  4. Transsulfuration Pathway - homocysteine

  5. Synthesis of NAD+

Transamination - PLP aldehyde carbon links amine group to lysine (external aldimine)

Other Functions

  1. Serotonin synthesis - PLP decarboxylates trptophan into 5-HTP

  2. GABA synthesis from glutamate - glutamate is decarboxylated into GABA by GAD with B6 as a coenzyme

  3. Dopamine synthesis - PLP decarboxylates L-DOPA for AADC which makes dopamine

  4. Heme synthesis - PLP is a coenzyme for glycine decarboxylation of amino leulinic acid synthase

  5. Reduce Emetic responses - pridoxine and doxylamine 5-HTP blocks high levels of serotonin receptors

Related Pathways

  1. Transsulfuration Pathway - PLP creates schiff bases for homocysteine and serine to covert to cysteine

  2. Kynurenine Pathway - helps convert tryptophan into niacin

Assessment & Status

  1. Plasma PLP concentrations - functional assay

  2. Urine excretion of 4-pyridoxic acid

  3. Methioine load test - urine cystathionine

Treatment - pyridoxine HCL

Deficiencies

  1. Microcytic anemia

  2. Seborrheic rash (face, neck, shoulders, butt)

  3. Cheilosis, glossitis, angular stomatitis

  4. Peripheral neuropathy

Riboflavin (FMN) helps PNPO convert PNP & PMP to PLP

Risk Factors for Deficiencies

  • Alcoholics

  • Elderly are more susceptible

Mutations

Vitamin B7 - Biotin

Information

Additional Information

Functional Group

Carboxylic acid, a ureido group, and a thiophene ring

Ureido ring, thiohene ring, valeric acid side chain

Active Form(s)

Biocytin

Biotinidase - free biotin

Biocytin - Biotin & lysine (via proteases)

Dietary Food

Egg yolks, organ meats, nuts, seeds, mushrooms, avocados, sweet potatoes, salmon, legumes, and spinach

Majority biocytin form

Absorption

Jejunum

Avidin (in raw egg whites) prevents biotin absorption

Transporters & Receptors

Active Transport

  1. Sodium-dependent multivitamin transporter (SMVT) at physiological concentrations

Passive Diffusion

  1. A pharmacological levels

High biotin, PA, lipoic acid levels can inhibit mRNA of SMVT, inhibiting each others absorption

Reabsorption

  1. Biotin Recycling - proteolytic is released from biotin to make biocytin which is further broken down by biotinidase for biotin recycling, holocarboxylase synthetase is needed to tether biotin to apocarboxylases

Coenzyme Functions

Biotin-Dependent Carboxylase (Biotin Bio Tether)

  1. Pyruvate carboxylase (Biotin Bio Tether) - needed for gluconeogenesis (biotin is needed for pyruvate carboxylase)

  2. Acetyl-CoA carboxylase 1 & 2 (ACC1 & ACC2) - coenzyme for carboxylation of acetyl-coA (for FA synthesis, manoyl-coA regulation with VB5)

  3. Methylcrotonyl-CoA carboxylase (of 3-methyl crotonic acid) - oxidation of produces AA leucine

  4. Propionyl-CoAcarboxylase - carboxylation PCC (bacteria fermentation, b-oxidation of odd number FA, metabolism of isoleucine & valine

Biotin Bio Tether (Site 1 & 2) - transfers Co2 (holocarboxylase synthetase tethering of biotin to apocarboxylases)

Propionic acid and 3-methyl-C-CoA carboxylation is important for citric acid cycle (ATP)

Needed for Branch chain AA (for ATP) & Odd chain FA

ACC1 inhibition will cause excessive increase FA oxidation (overload of mitochondria, stress, decrease of ATP)

Other Functions

  1. Biotinylation of histones - regulates histone structure and gene expression (closed chromatin & gene silencing)

  2. Biotinidase - debiotinylation of histones

Biotinylation - prevents harmful gene expression & tight DNA packing

Debiotinylation - regulate accessibility of DNA for readily bind for transcription

Related Pathways

  1. Lipogenesis

  2. Gluconeogensis

Assessment & Status

Deficiencies

  1. Dermatitis - rash (eyes, nose, mouth, genital area)

  2. Alopecia - hair loss

  3. Lethargy

  4. Organic acidemia

  5. Neurological abnormality, depression, hallucination

  6. Propionic acidemia - ketoacidosis, accumulation of propionic acid

Ketogenic diet (low-carb) can worsen biotin deficiency

Risk Factors for Deficiencies

Rare, found in most food, good recycling ability

No toxicity reported, high intake

Mutations

  1. Biotinidase Mutation (BTD) - inability to liberate biotin from protein (causing urine excretion of biotin and biocytin)

  2. Holocarboxylase synthetase mutation (HLCS) - cannot tether biotin to apocarboxylases

Vitamin B9 - Folate

Information

Additional Information

Functional Group

Carboxylic acids, amides, amines, alcohols, and aromatic rings

Pteridine ring (pteron), PABA, glutamic acid

Active Form(s)

5-MTHF (from 5,10-MTHF)

10-formyl-THF (from 5,10-MTHF)

Folic acid - synthetic form (fully oxidized)

Folic - found in food

Dietary Food

High in leafy plants and animal foods

Human & cow milk - 5-THF

Bioavailability: 10-100%

Major forms in food: 5-MTHF & 10-formyl-THF

Absorption

Duodenum and jejunum

Degraded with light, heat, oxygen and acidic pH

Antifolates - inhibit binding to GCG (y glutamate carboxy-peptidase)

Phyate inhibits folate absorption

Transporters & Receptors

  1. Folylpoly-y glutamate carboxypeptidase (FGCP) - catalyzes the cleaving of monoglutamate for absorption

  2. Proton-Coupled Folate Transporter (PCFT) - duodenum and jejunum

  3. Reduced Folate Carrier Protein (RCF) - transports TMP, binds anti-folate compounds (reduces folate absorption)

  4. Passive Diffusion - high concentrations of folate

  5. Folate receptors (FOLR1) - binds folate to folate binding proteins (FBP)

  6. FOLR3 - folate receptors for delivery via placenta, brain, renal tubule

  7. Dihydrofolate reductase (DHFR) - converts folic acid to DHF → THF

FGCP inhibitors inhibit FGCP activity

RBC contain highest pool of folate (80%)

5-MTHF is main folate that is circulating in blood

Reabsorption

Renal tubule

Coenzyme Functions

Folate-Mediated One-Carbon Metabolism

  1. Nucleotides

  2. NADPH

  3. SAM

Folic acid → DHF (via DHFR) → THF + serine (glycine byproduct) → SHMT → 5,10-MTHF → pyrimidine synthesis → 10-formyl THR → 5-MTHF

Other Functions

  1. Pyrimidine synthesis - 5,10-MTHF is needed for these reactions

  2. Purine synthesis - 10,formyl-THF needed

  3. Thymidylate synthesis - transfers methyl group of 5,10-MTHF to make dUMP (deoxyuridine monophosphate) → converts to dTMP (deoxythymmidline monophosphate)

Related Pathways

  1. Folate-Methionine (Homocysteine) Cycle

  2. CNS development of neural tube

Assessment & Status

  1. Serum concentrations

  2. Red blood cel folate concentrations

  3. Plasma homocysteine

1 DFE = 1mg folate food, 0.6mg FA fortified food, 0.5mg FA supplement

Deficiencies

  1. Anencephaly - neural tube defect, no compatible with life

  2. Spina Bifida - spinal neural tube (may be fixed with surgery)

  3. Megaloblastic Macrocytic Anemia

Methotrexate (treatment drug) can lead to secondary folate deficiency (methotrexate binds to DHFR more than folic acid)

MMA accumulation (only in b12)

Risk Factors for Deficiencies

Mutations

Vitamin B12 - Cobalamin

Information

Additional Information

Functional Group

Cyanocobalamin, 5-deoxyadenosylcobalamin, methylcobalamin

Corrin ring with cobalt, 5,6-dimethylbenzimidazole

Active Form(s)

Dietary Food

Animal products, human gut microbiota synthesis

Absorption

Ileum

Protease liberates cobalamin from TC-I

Transporters & Receptors

  1. Transcobalamin I (TC-I) - binds to B12, protects from hydrolysis

  2. Intrinsic Factor - absorption of B12

  3. Transcobalamin II (TC-II) - taken up by cells

Reabsorption

Coenzyme Functions

  1. Methionine Synthetase - conversion of homocysteine to methionine

  2. Methylmalonyl-CoA mutase - conversion of methylmalonyl-CoA to succinyl-CoA (for the citric acid ATP)

VB12 is the cofactor for methionine synthestase that converts homocysteine to methionine

Prevents methylmalonyl-CoA convering to MMA which causes a decrease of glutamate synthesis, succinyl-CoA

Other Functions

Related Pathways

  1. Folate-Methionine (Homocysteine) Cycle - “folate methyl trap” recycling of 5-MTHF back to THF

Assessment & Status

Deficiencies

  1. Megaloblastic macrocytic anemia

  2. Pernicous anemia - inhibition of IF, demyelination

  3. Peripheral neuropathy

Folate can cause secondary VB12 deficiency

Risk Factors for Deficiencies

Vegans, vegetarians

Mutations