Module 20 21
Module 20 21
Module 20 21
MODULE 20
DIGESTION
ABSORPTION
METABOLISM
BIOCHEMISTRY LECTURE
ORGAN FUNCTION
mixture of mucopolysaccharides and glycoproteins high in sialic acid and sulfated sugars, mixes with water to
MUCUS
form a lubricant for ease of swallowing
α-AMYLASE Secreted by acinar cells of the parotid and submandibular glands, digests starch into glucose
LINGUAL LIPASE Initiates hydrolysis of dietary fat in stomach and facilitates the duodenal-jejunal hydrolysis of triglycerides.
antibacterial enzyme that hydrolyzes β-1,4-glycosidic linkages between N-acetylmuramic acid and N?acetyl-D-
LYSOZYME
glucosamine in bacterial cell wall peptidoglycans
Secreted by acinar cells of all three major salivary glands, cleaves high molecular weight kininogen (HMWK)
KALLIKREIN
releasing the vasodilator, bradykinin
• Gastrin is in the stomach and stimulates the gastric glands to secrete pepsinogen (an inactive form of the enzyme pepsin)
and hydrochloric acid.
GASTRIN • The secretion of gastrin is stimulated by food arriving in the stomach.
• The secretion is inhibited by low pH.
• Secretin is in the duodenum and signals the secretion of sodium bicarbonate in the pancreas and it stimulates the secretion
of bile in the liver.
SECRETIN • This hormone responds to the acidity of the chyme.
• Cholecystokinin (CCK) is in the duodenum and stimulates the release of digestive enzymes in the pancreas and stimulates
the emptying of bile in the gallbladder.
CHOLECYSTOKININ • This hormone is secreted in response to the fat in chyme.
• Gastric inhibitory peptide (GIP) is in the duodenum and decreases stomach churning in order to slow the emptying of the
GASTRIC INHIBITORY
stomach.
PEPTIDE • Another function is to induce insulin secretion.
• Motilin is in the duodenum and increases the migrating myoelectric complex component of gastrointestinal motility and
MOTILIN stimulates the production of pepsin.
GHRELIN • A hormone that is released by the stomach and targets the pituitary gland, signaling to the body that it needs to eat.
PYY • It is released by the hypothalamus and signals that you have just eaten and helps to suppress our appetite.
INSULIN • Aids in suppressing the appetite after we have just eaten and there is a rise in blood glucose levels.
LEPTIN • Produced by adipose fat tissue and targets the hypothalamus which also helps to suppress appetite.
BIO-024
MODULE 21
VITAMIN
S
BIOCHEMISTRY LECTURE
MAJOR VITAMINS A, D, E, K B, C
*Vitamin B12 is an exception
Take note!
• Vitamin A deficiency is a major public health problem worldwide.
⚬ Vitamin A deficiency is the most important preventable cause of
blindness.
• Vitamin A is toxic in excess
⚬ There is only a limited capacity to metabolize vitamin A, and excessive
intakes lead to accumulation beyond the capacity of intracellular
binding proteins; unbound vitamin A causes membrane lysis and
tissue damage.
VITAMIN D
D2 = Ergocalciferol
D3 = Cholecalciferol
Best Source:
⚬ Fish liver oil
⚬ Gadusmorrhua
Body Function:
⚬ Ca homeostasis, Blood pressure regulation and development of bones
and teeth
Deficiency:
⚬ Rickets (children)
■ There is insufficient mineralization of bone. Bones become soft and
pliable . The bone growth is markedly affected.
⚬ Osteomalacia (adults)
■ The bones are softened due to insufficient mineralization and
increased osteoporosis. Patients are more prone to get fractures.
VITAMIN D
Special Notes:
• Sunshine vit. (the body makes vitamin D when it is exposed to UV rays
from the sun.)
• Precursors: Ergosterol and Cholesterol needs to be irradiated for its
conversion to the active vitamin.
• Cholecalciferol: is made from 7-dehydrocholesterol in the skin of animals
and humans.
• Ergocalciferol or calciferol: is obtained artificially by irradiation of
ergosterol and is called ergocalciferol.
• Vitamin D is also known as antirachitic vitamin.
VITAMIN D
Vitamin D is derived either from 7-dehydrocholesterol or ergosterol by the
action of ultraviolet radiations. 7-dehydrocholesterol, an intermediate of a
minor pathway of cholesterol synthesis, is available in the Malpighian layer of
epidermis. In the skin, ultraviolet light (290–315 nm) breaks the bond
between position 9 and 10 of the steroid ring. So, the ring B is opened, to
form the provitamin, secosterol. The cis double bond between 5th and 6th
carbon atoms, is then isomerized to a trans double bond (rotation on the 6th
carbon atom) to give rise to vitamin D3 or cholecalciferol. So, vitamin D is
called the “sun-shine vitamin”.
Take note!
• Calcitriol is the physiological active form of vitamin D. It increases the
blood calcium level.
• Calcitonin is the peptide hormone released from thyroid gland. It
decreases the blood calcium.
VITAMIN E
Alpha- tocopherol
- Comes from the words, tokos= child birth; phero= to bear; ol= alcohol
Best Source:
1. Plant oils 3. Triticum aestivum
2. Wheat germ
Body Function:
1. Most powerful natural anti – oxidant 3. Increased sexual vitality and vigor
2. Increases skin elasticity 4. Reduces the risk of atherosclerosis by
reducing
oxidation of LDL.
Deficiency:
1. Sterility 5. Retinitis pigmentosa
2. Hemolytic anemia 6. Acanthocytosis
3. Ataxia 7. Peripheral neuropathy
4. Patients with severe fat malabsorption, cystic fibrosis, and some forms of chronic liver
disease suffer deficiency because they are unable to absorb or transport the vitamin,
leading to nerve and muscle membrane damage.
VITAMIN E
Special Notes:
• Anti – sterility vitamin
• Known as the most potent biological antioxidant
• Selenium is present in glutathione peroxidase; an important enzyme that oxidizes and
destroys the free radicals. Selenium has been found to decrease the requirement of
vitamin E and vice versa. They act synergistically to minimize lipid peroxidation.
Sources
• Vegetable oils such as wheat germ oil, sunflower oil, safflower oil, cottonseed oil.
• High blood levels of vitamin E can cause hemorrhage in patients given warfarin.
VITAMIN K
Phytonadione, Phylloquinone, Phytomenadione
• The letter “K” is the abbreviation of the German word “koagulation vitamin”.
Best Source:
• Green leafy vegetables
Body Function:
• Promote synthesis of clotting factors II (Prothrombin), VII (SPCA), IX (Christmas Factor),
and X (Stuart Power Factor)
Deficiency:
• Hemorrhage
• Hemorrhagic disease of the newborn is attributed to vitamin K deficiency. This is due to
lack of hepatic stores, limited oral intake (breast milk has very low levels, 15 mg/liter)
and absence of intestinal bacterial flora. It is often advised that preterm infants be
given prophylactic doses of vitamin K (1 mg Menadione).
• In children and adults, Vitamin K deficiency may be manifested as bruising tendency,
echymotic patches, mucous membrane hemorrhage, post-traumatic bleeding and
internal bleeding.
VITAMIN K
Special Notes:
⚬ Antidote for warfarin poisoning
Take note!
• Warfarin and dicoumarol will competitively inhibit the gamma carboxylation system
due to structural similarity with vitamin K. Hence they are widely used as
anticoagulants for therapeutic purposes.
• Treatment of pregnant women with warfarin can lead to fetal bone abnormalities (fetal
warfarin syndrome).
VITAMIN C
Ascorbic acid
• Man, higher primates, guinea pigs and bats are the only species which cannot
synthesize ascorbic acid (block in gulonolactone oxidase step).
Best Source:
⚬ Citrus fruits (Rutaceae)
Body Function:
• Hydroxylation and amidation reactions
• Collagen synthesis
• Helps in wound healing
• Hemoglobin metabolism
- It is useful for re-conversion of met-hemoglobin to hemoglobin.
• Iron metabolism
- Ascorbic acid enhances the iron absorption from the Intestine. Ascorbic acid
reduces
ferric iron to ferrous state, which is preferentially absorbed.
• Folic Acid metabolism
- Ascorbic acid is helping the enzyme folate reductase to reduce folic acid to
VITAMIN C
Deficiency:
• Scurvy
• Infantile Scury (Barlow’s Disease)
• Microcytic, hypochromic anemia
• The reasons for anemia may be:
- Loss of blood by hemorrhage
- Decreased iron absorption
- Decreased tetrahydrofolic acid
- Accumulation of met-hemoglobin.
Take note!
• More than 2000 mg of vitamin C daily for a long time can cause iron overload, because
vitamin C helps in absorption of iron.
• Consuming too much vitamin C has the potential to increase the amount of oxalate in
your urine, thus increasing the risk of developing kidney stones.
VITAMIN P
Hesperidin & Rutin (Citrin)
Best Source:
⚬ Citrus fruits
Body Function:
⚬ Capillary fragility and permeability
Deficiency:
⚬ Decreased capillary resistance
Take note!
• If rutin is taken together with vitamin C, the activity of ascorbic acid will be
intensified.
VITAMIN B1
Thiamine
• It is also known as anti beri-beri factor, anti-neuritic factor, aneurin
Best Source:
⚬ rice polishing (Oryza sativa)
⚬ Yeast
Body Function:
⚬ Involved in protein synthesis (as thiamine pyrophosphate or cocarboxylase)
Deficiency:
⚬ Beriberi (weakness)
⚬ Wet beriberi (cardiovascular manifestaions are prominent)
⚬ Dry beriberi (CNS manifestations are the major features)
⚬ Infantile beriberi
⚬ Wernicke-korsakoff syndrome (cerebral beriberi)
⚬ Polyneuritis (common in alcoholics)
Active form: Thiamine pyrophosphate
Special Notes:
• The generic name of tiki – tiki is thiamine/ rice polishing extract thermolabile
VITAMIN B2
Riboflavin/ Lactoflavin
• First B complex component to be isolated in a pure state.
Best Source:
⚬ Yeast
⚬ Saccharomyces
Body Function:
⚬ Redox reactions (as FAD which yields 2 moles of ATP)
Deficiency:
⚬ Cheilosis (denuded lips)
⚬ Stomatitis
⚬ Glossitis
⚬ Magenta colored tongue
Special Notes:
• Stains the urine
• Vit. G
VITAMIN B3
Niacin/ Niacinamide/ Nicotinic acid/ Nicotinamide
Best Source:
⚬ Meats and organs
Body Function:
⚬ Redox reactions (as NAD which yields 3 moles of ATP)
Deficiency:
⚬ Pellagra(rough skin); cause also by deficiency of amino acid, Tryptophan.
⚬ 3 D’s: dermatitis, diarrhea, dementia
Special Notes:
• Most stable Vitamin
• Skin whitening
• Anti – hyperlipidemic
⚬Nicotinic acid inhibits the flux of free fatty acids from
adipose tissue; so acetyl CoA pool is reduced; and hence
serum cholesterol is lowered
• P-p factor ( pellagra preventive factor)
VITAMIN B4
Choline
• Choline is synthesized in the body and therefore is not a vitamin. But in view of its
importance in nutrition, conventionally, it is included as a member of vitamin B
complex.
Best Source:
⚬ Egg yolk and Meat organs
Body Function:
⚬ Transport and utilization of fats methylating agent in formation of creatinine.
(choline deficiency in the rat produces fatty liver)
Deficiency:
⚬ None known
Special Notes:
• Nitrogenous base found in lecithin
VITAMIN B5
Pantothenic acid
Best Source:
⚬ Meats and organs
Body Function:
⚬ Structural component of acetyl – CoA
Deficiency:
⚬ Fatigue
⚬ Gopalan’s Burning foot syndrome (manifested by paresthesia in lower extremities,
staggering gait due to impaired coordination and sleep disturbances)
⚬ Special Notes:
⚬ Ingredient of shampoos
⚬ It is widely distributed in nature
VITAMIN B6
Pyridoxine(alcohol) / Pyridoxamine/ Pyridoxal PO4 (aldehyde)
Best Source:
⚬ Meats and organs, green leafy vegetables, fish and egg.
Body Function:
⚬ Protein metabolism
Deficiency:
⚬ Convulsions
⚬ Peripheral neuritis
Special Notes:
• Treatment for INH side effect (since INH inhibits pyridoxal phosphate coenzyme
function)
• Cycloserine: It acts as B6 antagonist
• Oral contraceptives: Mild vitamin B6 deficiency may be seen in women taking oral
contraceptive pills.
VITAMIN B7
Biotin
• It was known as anti-egg white injury factor.
⚬ Avidin, a protein present in egg white has great affinity to biotin. Hence intake of
raw (unboiled) egg may cause biotin deficiency.
Best Source:
⚬ Meat and Organs
⚬ Normal bacterial flora of the gut will provide adequate quantities of biotin.
Body Function:
⚬ Fat and Carbohydrate metabolism (CO2 carrier in carboxylation reactions)
Deficiency:
⚬ Alopecia
⚬ Anorexia
⚬ Memory loss
⚬ Mental depression
Special Notes:
• Vit. H
• Coenzyme R
VITAMIN B8
Inositol
Best Source:
⚬ Meats and organs
Body Function:
⚬ Synergistic and lipotropic effect of choline
Deficiency:
⚬ None in man
Special Notes:
⚬ Anti – gray hair factor
VITAMIN B9
Folic acid/ folacin/ pteroyl glutamate (PGA)
• From the latin word, FOLIUM, which means leaf of vegetable.
Best Source:
⚬ Spinach
Body Function:
⚬ purine and pyrimidine synthesis
Deficiency:
⚬ Macrocytic anemia
⚬ Birth defects
⚬ Cancer
⚬ Folic acid is beneficial in prevention of cancer. Folate deficiency contributes to the
etiology of bronchial carcinoma and cervical carcinoma.
Special Notes:
⚬ Leucovorin
⚬ Anti – cancer derivative
Take note!
⚬ Milk is a poor source for folic acid.
VITAMIN B12
Cyanocobalamin/ Cobalamin/ Extrinsic factor of castle/ Antipernicious anemia factor
Best Source:
⚬ Meat and organs
Body Function:
⚬ Nucleic acid synthesis
⚬ Myelin synthesis
Deficiency:
⚬ Megaloblastic anemia
⚬ Pernicious anemia(not due to inadequate intake of B12 but due to lack of intrinsic
factor, a glycoprotein)
Special Notes:
⚬ Utilized in cancer radiation therapy central metal is cobalt used as growth stimulant
anti – anemic vitamin.