Dr. Rasha F. Zahran · Vitamin B1 (Thiamine) The 1st water-soluble B-vitamin family to be...
Transcript of Dr. Rasha F. Zahran · Vitamin B1 (Thiamine) The 1st water-soluble B-vitamin family to be...
Vitamins (302 c) for third year Chemistry/Biochemistry students
•Water soluble vitamins by
Dr. Rasha F. Zahran Lecturer of Biochemistry
Faculty of Science
• Damietta University
5. Vitamin B6 (Pyridoxine)
1. Vitamin B1 (Thiamine)
6. Vitamin B7 or Vitamin H
(Biotin)
2. Vitamin B2 (Riboflavin)
7. Vitamin B9 or Vitamin M
or (Folic acid)
3. Vitamin B3 (Niacin)
8. Vitamin B12
(Cyanocobalamin)
4. Vitamin B5 (Pantothenic
acid)
Vitamin B Group
Vitamin B1
Natural Sources
Thiamine are found in many nuts, seeds, brown rice,
seafood, and whole-grain products (Grains are stripped of
the B vitamin content during processing).
Sunflower seeds are a particularly good source.
Legumes, milk, and beef liver.
Vitamin B1 (Thiamine)
The 1st water-soluble B-vitamin family to be discovered.
Since body reserve of thiamine is small (~30mg), a steady
dietary supply of it is important to avoid deficiency.
Because of its central role in energy production, most of
thiamine is located in the muscles.
Once thiamine absorbed, it is rapidly transformed into the
active form, thiamin pyrophosphate (TPP) which acts
as a coenzyme.
Pyrimidine
Ring
Methyl
Bridge Thiazole Ring
Thiamin or Aneurine
Daily Required amount and Sources
RDA (Recommended Dietary Allowance )is based on
the number of calories in diet:
Energy requirement
Adult male: 3000 k cal.
Female: 2100 k cal
Children : 1700-2000 k cal
Daily requirement increases with high carbohydrate
intake and for hard worker or athletes.
Vitamin B1 requirement
1.5 mg/day
1.1 mg/day
1mg/day
Stability of Thiamine
Stable in crystalline form but not so in solution.
Destroyed by prolonged heat, baking soda (with heating),
sulfite preservatives.
Unstable in aqueous solutions with pH > 5.0. At pH 8.0 or
above, thiamine turns yellow and is destroyed by a
complex series of irreversible reactions.
In strong alkaline solution with the presence of oxidizing
agents, e.g. potassium ferricyanide, thiamine is
converted to thiochrome, which is blue fluorescent
compound and is used for fluoremetric determination of
vitamin B1 in foods, pharmaceutical preparations, and
biological fluids.
Thiochrome
Functions of Vitamin B1 1. It act as co-enzyme (TPP) in carbohydrate metabolism
(for glycolysis and Kreb’s cycle enzymes: pyruvate
dehydrogenase and α-ketoglutarate dehydrogenase), which
enable conversion of glucose into biological energy
through oxidative decarboxylation reactions. This role is
important:
To provide energy to the brain.
To improve transmission of nerve impulses by
providing nerves with energy.
To increase the efficiency of the heart muscles.
For the formation of RBC’s.
2. It act as co-enzyme for transketolase which functions in:
The pentose phosphate pathway to synthesize
NADPH.
The pentose sugars: deoxyribose and ribose are
involved in nucleic acids biosynthesis.
Thiamine Antagonists
Oxythiamine is a competitive inhibitor (Amino group
in pyrimidine ring is replaced by hydroxyl group).
Neopyrithiamine (It prevents the phosphorilation of
hydroxy ethyl group that is essential for activity
of the vitamin B1).
Thiaminase (found in raw fish destroys vitamin B1).
Causes of Thiamine Deficiency
Malnutrition.
A diet high in thiaminase-rich foods (raw freshwater
fish, raw shellfish, ferns)
Foods having anti-thiamine factors (tea, coffee etc.).
Chronic consumption of alcohol
Diagnostic Testing for Vitamin B1 deficiency
A diagnosis test for B1 deficiency can be determined by
measuring transketolase levels of erythrocyte.
Diseases of Vitamin B1 deficiency
Beriberi is the deficiency disease caused by lack of thiamine
resulted from malnutrition, alcoholism or other causes.
There are two major types of beriberi:
A. Dry beriberi: affect the nervous system
B. Wet beriberi: affects the cardiovascular system
and ends by Wernicke-Korsakoff
syndrome which affect the nervous
system.
Wet Beri-beri Dry Beri-beri
Symptoms : Dyspnea
orthopnea
Increased heart rate, enlarged
heart, heart failure.
Swelling of the lower legs.
Wernicke–Korsakoff syndrome:
-Ophthalmoplegia (paralysis
of one or more extraocular
muscles which are responsible
for eye movements)
-Confusion
- Coma
- Death if untreated.
Symptoms: Difficulty in walking
Painful tender muscles
Loss of sensation in hands
and feet
Loss of muscle function or
paralysis of the lower legs
Mental confusion/speech
difficulties
Vomiting and anorexia.
People at high risk of Vitamin B1 Deficiency
Heavy alcohol consumers (Alcohol reduces absorption of
thiamin and interferes with its conversion to TPP).
Much consumption of coffee and black tea depletes
thiamin stores in the body and hinder its absorption.
Patients having liver cirrhosis, malabsorption syndromes,
diabetes, kidney disease, or hypermetabolism.
The elderly peoples with poor nutritional status and
difficulties with absorption.
Folate deficiency impairs absorption of thiamin.
Infants who are breastfed by thiamin deficient-mothers
can rapidly develop life-threatening signs of
thiamin deficiency.
Use of Thiamine in prevention and Therapy
1. Nerve disorders: Supplemental thiamin may be
effective in inflammatory nerve disorders (such as
trigeminal neuralgia) and in diabetic neuropathy.
2. Central nervous system disorders: e.g. Alzheimer’s
disease, anxiety, and depression associated with
anxiety.
3. Heart failure: Particularly in the elderly chronic heart
failure that responds poorly to conventional
medical therapy.
4. Anemia: Thiamin deficiency produces an anemia
resembling that of folate or vitamin B12 deficiency
(with macrocytosis) that responds to thiamin.
5. Disease caused by heavy alcohol consumption.
Vitamin B1- Drug Interactions
Oral contraceptives, antibiotics, sulfa drugs, and certain
types of diuretics may lower thiamine levels in the
body.
Vitamin B1 may intensify the effects of neuromuscular
blockers that are used during some surgical
procedures.
B vitamins are best absorbed as a complex, and magnesium
also promotes the absorption of thiamine.
Toxicity
Thiamin is virtually nontoxic.
Doses > 200mg may cause drowsiness in some people.
Rare, but severe, allergic reactions may be happened with
injectable thiamin.
Vitamin B2 (Riboflavin)
Riboflavin is defined chemically as 7,8-Dimethyl-
10-[(2S,3S,4R)-2,3,4,5-tetrahydroxypentyl]
benzo [g] pteridine-2,4-dione and is a
yellow to orange-yellow powder and soluble
in water.
It is the precursor of phosphorylated coenzymes:
FMN, FAD, and flavin coenzymes linked
covalently to specific tissue proteins, at the 8-
α methyl position of the isoalloxazine ring.
Riboflavin is stored mainly in liver, kidney and heart
as it is or as FAD (70- 90%) or FMN.
Flavin adenine dinucleotide (FAD)
Rib
ose
mo
iety
Isoalloxazine moiety
Riboflavin = Vitamin B2
Riboflavin phosphate
Natural Sources
Milk, cheese, egg white and liver. leafy green vegetables, almonds and mature soybeans
Yeast. Other sources: Added as food coloring Fortify some foods as baby foods, breakfast cereals,
sauces, processed cheese, fruit drinks and vitamin-enriched milk).
Required Daily Amount and Sources
RDA is an average of 1.5 mg/ day
Mushrooms Yoghurt Milk – Egg
Mature Soya beans Spinach Calf liver
Stability of Riboflavin
Riboflavin and its coenzymes are sensitive to alkali and
acid but in the presence of light or UV light.
Riboflavin is photodegraded to yield lumiflavin (7,8,10-
trimethylisoalloxazine) under alkaline conditions and
to lumichrome (7,8-dimethylalloxazine) under acidic
conditions, and these products are biologically
inactive .
Therefore, phototherapy of neonatal jaundice and of
certain skin disorders may promote systemic
riboflavin deficiency.
Functions of Vitamin B2 1. Energy production:
The active forms of riboflavin are the phosphorylated
coenzymes FMN and FAD which play central roles in about 150
oxidation-reductions reactions and are involved in:
Metabolism of carbohydrates, fat, and protein.
Production of adenosine triphosphate (ATP) through
cellular respiration in mitochondria.
Activation of vitamin B12, folate, vitamin B6 and the
conversion of tryptophan to niacin.
2. Antioxidant action:
Riboflavin is a cofactor of glutathione reductase. This
enzyme helps in recycle of oxidized glutathione, which
plays a key role in maintaining proper function and preventing
oxidative stress in human cells including erythrocytes.
Causes of Riboflavin Deficiency
Malnutrition.
Health conditions which affect intestinal absorption.
Increase of vitamin excretion from the body.
Diagnostic testing for vitamin B2 Deficiency
A positive diagnostic test of serum riboflavin is by
measuring glutathione reductase levels of
erythrocytes.
Symptoms of vitamin B2 deficiency (Ariboflavinosis)
Red, scaly, painful, and itchy patches on sensitive skin
(around nose, ears, mouth, labia majora (female), and the
scrotum (male).
Painful fissures and cracks form at the angles of the mouth
(angular stomatitis) and on the lips (cheilosis), usually
associated with bacterial and fungal infection. The tongue and
throat become purplish and painful.
Mouth ulcers
angular stomatitis Red, scaly, painful
skin Cheilosis Mouth ulcers
Redness, burning, excessive tearing of eye.
Anemia with decreased production of red blood cells.
Deficiency of riboflavin typically produces symptoms
of vitamin B6 and niacin deficiency.
Redness, burning,
tearing of eyes
Anemia Symptoms of niacin
deficiency
People at high risk of vitamin B2 deficiency
Children, and adolescent, athletes, as well as during pregnancy
and lactation (cases with a high-energy output) need
additional vitamin B2.
People under high stress
Diabetics may have low level of riboflavin as a result of
increased urinary excretion.
The elderly people (nutritional inadequacy and problems with
absorption)
Patients administering thyroid hormones, oral contraceptives,
phenothiazines, barbiturates, probenacid, and Tricyclic
antidepressant.
Assay of Vitamin B2
Lumiflavin method:
Riboflavin solution or biological sample
is irradiated in alkaline medium to
yielded a chloroform- soluble lumiflavin,
measured by fluoremetry.
Vitamin B3 (Niacin & Niacinamide)
Two main forms of Vitamin B3 are found in foods:
nicotinic acid (niacin) and nicotinamide
(niacinamide).
Niacin can be partially satisfied by intake of
tryptophan, which is converted by the liver into
niacin.
60 mg of tryptophan can be converted into about 1mg
of niacin.
Dietary requirements for niacin are described in terms
of niacin equivalents (NEs):
1NE = 60mg of tryptophan = 1mg of niacin
RDA: 13- 20 mg/day
Natural Sources
• Tuna is one of the best sources of niacin.
• Most processed grain products are fortified with niacin.
• Cheese, milk are highest in Tryptophan and about half of the Tryptophan consumed is used to make niacin.
• Required Daily Amount: About 7 mg/ 1000 calories. 13- 20 mg/day.
•
Sources of Vitamin B3
Nicotinic acid or Niacin Nicotinamide or Niacinamide
Meat Fish Sheep liver Prawns Cow’s milk
Rice bran Groundnuts Chilgozas Turnip Beet greens
Yeast Bran
Pharmacokinetics of Vitamin B3
Absorption:
At low concentration by active transportation.
At high concentration by passive diffusion.
Transportation:
Both Nicotinic acid and Nicotinamide bind to plasma
proteins for transportation.
Biosynthesis:
The liver can synthesize Niacin from the essential
amino acid Tryptophan, but the synthesis is
extremely slow and requires vitamin B1, B2, and
B6 (60 mg of Tryptophan 1mg of niacin).
Bacteria in the gut may also perform the conversion
but are inefficient.
Functions of Vitamin B3
1. It acts as a co-enzyme in oxidation reduction reactions:
Catabolic Rxn: in form of NAD+/NADH
Anabolic Rxn: in form of NADP+/NADPH
Therefore, it is required for functions of >200 enzymes
dealing with the biosynthesis of several compounds
e.g. fatty acids, steroids and catabolism of fuel
molecules for energy.
2. DNA replication and repair:
It is vital for synthesis of DNA-bound nuclear proteins
(histones)
4. Blood sugar regulation:
It is a component of the glucose tolerance factor
(GTF), which together with insulin, helps to
control blood glucose.
5. Fat and cholesterol metabolism:
It lowers levels of total and LDL cholesterol in the
blood, while increasing levels of HDL
cholesterol (the healthy, protective form of
cholesterol).
3. Antioxidant functions:
It plays an important role in antioxidant systems,
particularly in the liver.
Vitamin B3 Deficiency Diseases
1. Milder deficiency of niacin (as well as tryptophan)
can cause:
Glossitis (inflammation of the tongue
leading to purplish discoloration)
Dermatitis around the mouth and rashes
Fatigue
Irritability
Poor appetite
Indigestion
Weight loss
Headache
Glossitis Dermatitis around
mouth Headache Fatigue Poor appetite Indigestion
2. Severe deficiency leads to Pellagra: Characterized by
Inflamed mouth (painful swollen tongue and
fissured lips) and GIT.
Diarrhea
Dermatitis in the exposed skin of hands, face, neck
(Casal’s necklace)
Dementia and mental disorders
Death.
It is very rare now, except in alcoholics, strict vegetarians,
and people with very poor nutrition (or niacin or tryptophan-
deficient food e.g corn).
Inflamed mouth Diarrhea Dermatitis of
exposed skin
Mental disorders Death.
People at high risk of vitamin B3 deficiency
People with very poor nutrition (or niacin or
tryptophan- deficient food e.g corn).
People with deficiencies in vitamin B6 or
riboflavin (conversion of tryptophan to
niacin is reduced niacin stores in the
body is reduced).
People with inflammatory bowel disease and
other digestive disorders malabsorption
of niacin.
Heavy alcohol consumption interferes with
absorption and metabolism of niacin.
People under high stress, chronic illnesses, liver
disease.
Uses in prevention and Therapy
Mental illness e.g. schizophrenia: Niacinamide can
be effective with traditional medical treatment.
Atherosclerosis and heart attack: Niacin in very
large doses (2-3 g/day):
(1) Lower total and LDL cholesterol and
raising HDL cholesterol.
(2) Dilates blood vessels lowers
blood pressure.
Arthritis: Niacin helps in treatment of osteoarthritis.
Diabetes: Niacinamide slow down the development
of nephropathy in diabetes and delay need for
insulin therapy in juvenile diabetes.
Protection against environmental toxins:
The antioxidant function of niacin
help protect liver against damage
from pesticides, chemicals, alcohol,
and drugs.
Headache: Niacin help in prevention of
headache.
Treatment of Pellagra.
Toxicity and side effects of vitamin B3
Large doses (500 mg) of niacin (but not niacinamide)
can cause dilation of capillaries tingling and
flushing of the skin.
Flushing of the skin is usually worse if nicotinic acid
is taken on an empty stomach, therefore it should
be taken just after meals.
Niacin in the form of niacinamide does not produce
these side effects.
At doses of > 2.5 g / day, it can produce hypotension,
dizziness, increased blood sugar and uric acid,
liver dysfunction, and increased risk of peptic
ulcer. These effects are gradually adopted and
decreased and are reversible on withdrawal of
nicotinic acid.
Vitamin B3 – Drug Interactions
Niacin with antihypertensive drugs severe
hypotension.
Extra niacin may be required in case of people taking
Isoniazid (antibiotics) (Inhibits biotransformation of
tryptophan to niacin), by women taking oral
contraceptives.
Bile acid sequesterants e.g. Cholestyramine and
cholestipol should be taken at a different time than
niacin (not niacinamide) otherwise they will
reduce its absorption.