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Folate & Vitamin B12 metabolism Flashcards

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9097298801structure of folic acidpteroylglutamic acid consists of the base pteridine attached to one molecule each of p-aminobenzoic acid (PABA) and glutamic acid0
9097328400forms of folic acidin plants folic acid is present as polyglutamate conjugate the active form of folic acid is tetrahydrofolate (THF)1
9097353136sources of folic acid-green leafy vegetables fruits wheat germ liver kidney yeast2
9097374313what it is the required level of folic acid for adults and pregnant femalesadult man/nonpreg woman: 100ug/day pregnant woman: 300ug/day3
9097379580functions of folic acidimportant in DNA synthesis helps development of neural tube in fetus acts as a coenzyme4
9100103452how does folate and B12 interact in the folate trapit is the only closely linked metabolism of two vitamins: folic acid and vitB12 known in humans Sometimes, despite sufficient availability of folates, an intracellular deficiency of biologically active THF arises. The conversion os 5-methyl-THF is necessary to maintain the folate cycle and dependent on vit B12 to remethylate homocysteine to methionine (regenerating THF) The methyl group transfer is therefore greatly dependent on 5-methyl-THF and the availability of Vit B12.5
9100112321what are the functions of Vit B?it is needed as a coenzyme for two biochemical reactions: first, as methyl B12, it is a cofactor for methionine synthase, the enzyme responsible for methylation of homocysteine to methionine using methyl tetrahydrofolate and methyl donor. second as deoxyadenosyl B12, it assists in conversion of methyl malonyl coenzyme A (CoA) to succinyl CoA6
9100147992Absorption of folic aciddietary folates (a complex mixture of variously reduced and polyglutamated folates) are all converted to one compound, methyltetrahydrofolate (methyl THF), a reduced monoglutamate (PteGlu1) form which circulates in plasma. the intestinal absorption of PteGlu7 requires deconjugation by a brush-border peptidase to PteGlu1 folate movement across the apical membrane is linked to the efflux of OH- the mechanism of folate moevement out of the epithelial cell across the basolateral membrane is not understood and only occurs in the proximal small intesting at a pH of 57
9100244833causes of folate deficiencyinadequate intake increased requirements malabsorption due to sprue drugs (like methotrexate)8
9100246830what does folate deficiency manifest as clinically?megaloblastic anemia hyperhomocysteinemia9
9100247684tests for folate deficiencyrise in urinary excretion of Formimino glutamate (FIGLU) after a large dose of histidine. This is because histidine will be converted to FIGLU which is converted to glutamate by THF and then excreted.10
9100255029structure of vit Bit is a corrin ring (similar to a porphyin ring) with a cobalt ion at its center11
9100257925what are the forms of vit Bcyanocobalamin hydroxocobalamin metylocobalamin deoxyadenosylcobalamin12
9100261979sources of VitBmilk and milk products liver kidney other fleshy foods13
9100263228functions of Vit Bdna synthesis and cell division neural tube function THF recovery and SAM -- adenosylmethionine14
9100320015Phases of vit B absorption1. Intragastric Events -release of B12 from food proteins by the acid pH and pepsin in stomach -binding of B12 by R-protein or haptocorrin which is secreted by gastric glands 2. Duodenal and jejunal events -degradation of R-protein by pancreatic proteases and HCO3- (alkaline secretions) -binding of B12 by intrinsic factor (IF) which is secreted by gastric parietal cells. 3. Ileal events -attachment of B12-IF to receptor, ileal enterocyte absorbs B12-IF complex -transport of B12 across enterocyte -binding of B12 by transcobalamin II in portal blood.15
9100338686causes of vitamin B12 deficiencyreduction in intestinal absorption due to -inadequate intrinsic factor - disorders (Sprue,enteritis) - fish tapeworm and bacteria16
9100340754what does deficiency in VitB manifest aspernicious anemia peripheral neuropathy homocysteinuria.17
9100342246tests for Vitamin B deficiencyschilling test- tests how well the body absorbs Vit B from the gastrointestinal tract. the urinary excretion of methylmalonyl CoA18
9100370255describe the process of the schilling testthe test is performed by administering a radioactive oral dose of cyanocobalamin to a patient that has fasted. They are injected with vitB intramuscularly. Urine collected. Less than 7% excretion represents abnormal findings and indicates that poor absorption of the oral test dose occured. if abnormal, stage II preformed on patient. Intrinsic factor is administered alongside oral dose of VitB. If poor absorption of Vit B persists, the patient has pernicious anemia.19

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