Top Banner

of 162

Copy of Chapter Six

Apr 05, 2018

Download

Documents

zyanabdullah
Welcome message from author
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
  • 8/2/2019 Copy of Chapter Six

    1/162

  • 8/2/2019 Copy of Chapter Six

    2/162

  • 8/2/2019 Copy of Chapter Six

    3/162

  • 8/2/2019 Copy of Chapter Six

    4/162

  • 8/2/2019 Copy of Chapter Six

    5/162

  • 8/2/2019 Copy of Chapter Six

    6/162

  • 8/2/2019 Copy of Chapter Six

    7/162

  • 8/2/2019 Copy of Chapter Six

    8/162

  • 8/2/2019 Copy of Chapter Six

    9/162

  • 8/2/2019 Copy of Chapter Six

    10/162

  • 8/2/2019 Copy of Chapter Six

    11/162

  • 8/2/2019 Copy of Chapter Six

    12/162

  • 8/2/2019 Copy of Chapter Six

    13/162

  • 8/2/2019 Copy of Chapter Six

    14/162

  • 8/2/2019 Copy of Chapter Six

    15/162

  • 8/2/2019 Copy of Chapter Six

    16/162

  • 8/2/2019 Copy of Chapter Six

    17/162

  • 8/2/2019 Copy of Chapter Six

    18/162

  • 8/2/2019 Copy of Chapter Six

    19/162

  • 8/2/2019 Copy of Chapter Six

    20/162

  • 8/2/2019 Copy of Chapter Six

    21/162

  • 8/2/2019 Copy of Chapter Six

    22/162

  • 8/2/2019 Copy of Chapter Six

    23/162

  • 8/2/2019 Copy of Chapter Six

    24/162

  • 8/2/2019 Copy of Chapter Six

    25/162

  • 8/2/2019 Copy of Chapter Six

    26/162

  • 8/2/2019 Copy of Chapter Six

    27/162

  • 8/2/2019 Copy of Chapter Six

    28/162

  • 8/2/2019 Copy of Chapter Six

    29/162

  • 8/2/2019 Copy of Chapter Six

    30/162

  • 8/2/2019 Copy of Chapter Six

    31/162

  • 8/2/2019 Copy of Chapter Six

    32/162

  • 8/2/2019 Copy of Chapter Six

    33/162

  • 8/2/2019 Copy of Chapter Six

    34/162

  • 8/2/2019 Copy of Chapter Six

    35/162

  • 8/2/2019 Copy of Chapter Six

    36/162

  • 8/2/2019 Copy of Chapter Six

    37/162

  • 8/2/2019 Copy of Chapter Six

    38/162

  • 8/2/2019 Copy of Chapter Six

    39/162

  • 8/2/2019 Copy of Chapter Six

    40/162

  • 8/2/2019 Copy of Chapter Six

    41/162

  • 8/2/2019 Copy of Chapter Six

    42/162

  • 8/2/2019 Copy of Chapter Six

    43/162

  • 8/2/2019 Copy of Chapter Six

    44/162

  • 8/2/2019 Copy of Chapter Six

    45/162

  • 8/2/2019 Copy of Chapter Six

    46/162

  • 8/2/2019 Copy of Chapter Six

    47/162

  • 8/2/2019 Copy of Chapter Six

    48/162

  • 8/2/2019 Copy of Chapter Six

    49/162

  • 8/2/2019 Copy of Chapter Six

    50/162

  • 8/2/2019 Copy of Chapter Six

    51/162

  • 8/2/2019 Copy of Chapter Six

    52/162

  • 8/2/2019 Copy of Chapter Six

    53/162

  • 8/2/2019 Copy of Chapter Six

    54/162

  • 8/2/2019 Copy of Chapter Six

    55/162

  • 8/2/2019 Copy of Chapter Six

    56/162

  • 8/2/2019 Copy of Chapter Six

    57/162

  • 8/2/2019 Copy of Chapter Six

    58/162

  • 8/2/2019 Copy of Chapter Six

    59/162

  • 8/2/2019 Copy of Chapter Six

    60/162

  • 8/2/2019 Copy of Chapter Six

    61/162

  • 8/2/2019 Copy of Chapter Six

    62/162

  • 8/2/2019 Copy of Chapter Six

    63/162

  • 8/2/2019 Copy of Chapter Six

    64/162

  • 8/2/2019 Copy of Chapter Six

    65/162

  • 8/2/2019 Copy of Chapter Six

    66/162

  • 8/2/2019 Copy of Chapter Six

    67/162

  • 8/2/2019 Copy of Chapter Six

    68/162

  • 8/2/2019 Copy of Chapter Six

    69/162

  • 8/2/2019 Copy of Chapter Six

    70/162

  • 8/2/2019 Copy of Chapter Six

    71/162

  • 8/2/2019 Copy of Chapter Six

    72/162

  • 8/2/2019 Copy of Chapter Six

    73/162

  • 8/2/2019 Copy of Chapter Six

    74/162

  • 8/2/2019 Copy of Chapter Six

    75/162

  • 8/2/2019 Copy of Chapter Six

    76/162

  • 8/2/2019 Copy of Chapter Six

    77/162

  • 8/2/2019 Copy of Chapter Six

    78/162

  • 8/2/2019 Copy of Chapter Six

    79/162

  • 8/2/2019 Copy of Chapter Six

    80/162

  • 8/2/2019 Copy of Chapter Six

    81/162

  • 8/2/2019 Copy of Chapter Six

    82/162

  • 8/2/2019 Copy of Chapter Six

    83/162

  • 8/2/2019 Copy of Chapter Six

    84/162

  • 8/2/2019 Copy of Chapter Six

    85/162

  • 8/2/2019 Copy of Chapter Six

    86/162

  • 8/2/2019 Copy of Chapter Six

    87/162

  • 8/2/2019 Copy of Chapter Six

    88/162

  • 8/2/2019 Copy of Chapter Six

    89/162

  • 8/2/2019 Copy of Chapter Six

    90/162

  • 8/2/2019 Copy of Chapter Six

    91/162

  • 8/2/2019 Copy of Chapter Six

    92/162

  • 8/2/2019 Copy of Chapter Six

    93/162

  • 8/2/2019 Copy of Chapter Six

    94/162

  • 8/2/2019 Copy of Chapter Six

    95/162

  • 8/2/2019 Copy of Chapter Six

    96/162

  • 8/2/2019 Copy of Chapter Six

    97/162

  • 8/2/2019 Copy of Chapter Six

    98/162

  • 8/2/2019 Copy of Chapter Six

    99/162

  • 8/2/2019 Copy of Chapter Six

    100/162

  • 8/2/2019 Copy of Chapter Six

    101/162

  • 8/2/2019 Copy of Chapter Six

    102/162

  • 8/2/2019 Copy of Chapter Six

    103/162

  • 8/2/2019 Copy of Chapter Six

    104/162

  • 8/2/2019 Copy of Chapter Six

    105/162

  • 8/2/2019 Copy of Chapter Six

    106/162

  • 8/2/2019 Copy of Chapter Six

    107/162

  • 8/2/2019 Copy of Chapter Six

    108/162

  • 8/2/2019 Copy of Chapter Six

    109/162

  • 8/2/2019 Copy of Chapter Six

    110/162

  • 8/2/2019 Copy of Chapter Six

    111/162

  • 8/2/2019 Copy of Chapter Six

    112/162

  • 8/2/2019 Copy of Chapter Six

    113/162

  • 8/2/2019 Copy of Chapter Six

    114/162

  • 8/2/2019 Copy of Chapter Six

    115/162

  • 8/2/2019 Copy of Chapter Six

    116/162

  • 8/2/2019 Copy of Chapter Six

    117/162

  • 8/2/2019 Copy of Chapter Six

    118/162

  • 8/2/2019 Copy of Chapter Six

    119/162

  • 8/2/2019 Copy of Chapter Six

    120/162

  • 8/2/2019 Copy of Chapter Six

    121/162

  • 8/2/2019 Copy of Chapter Six

    122/162

  • 8/2/2019 Copy of Chapter Six

    123/162

  • 8/2/2019 Copy of Chapter Six

    124/162

  • 8/2/2019 Copy of Chapter Six

    125/162

  • 8/2/2019 Copy of Chapter Six

    126/162

  • 8/2/2019 Copy of Chapter Six

    127/162

  • 8/2/2019 Copy of Chapter Six

    128/162

  • 8/2/2019 Copy of Chapter Six

    129/162

  • 8/2/2019 Copy of Chapter Six

    130/162

  • 8/2/2019 Copy of Chapter Six

    131/162

    The active coenzyme form of biotin is biotin itself. It is a coenzyme involved incarboxylation reactions in the metabolism of

    fats , carbohydrates and protein .

  • 8/2/2019 Copy of Chapter Six

    132/162

    RDA FORBiotin

  • 8/2/2019 Copy of Chapter Six

    133/162

    Daily needs for adults: 30 g/day

    Deficiency of biotin:

  • 8/2/2019 Copy of Chapter Six

    134/162

    Deficiency of biotin is rare in human because it is

    widely distributed in foods. But deficiency of biotin occurs in consuming large amounts of rawegg white, because egg white contains aglycoprotein avidin which binds to biotin andprevent biotin absorption. Also intakesulphonamide drugs or oral antibiotics forprolonged periods, that inhibit the growth of intestinal bacteria, eliminate this source of biotinand lead to biotin deficiency.

    The biotin deficiency leads to dermatitis, loss of hair, decrease in weight, sleepiness, depress andnausea.

    Lipoic acid:

  • 8/2/2019 Copy of Chapter Six

    135/162

    Lipoic acid is found in yeast, liver, and thecompound occurs widely in nature. Lipoicacid exists in oxidized and reduced form.

    Lipoic acid functions as a coenzyme inpyrovate dehydrogenase multi enzyme complex and - ketoglutarate dehydrogenasemulti enzyme complex.

  • 8/2/2019 Copy of Chapter Six

    136/162

    Lipoamide contains sulfurs that can be reversibly oxidized or reduced.

  • 8/2/2019 Copy of Chapter Six

    137/162

    Deficiency of lipoic acid:

  • 8/2/2019 Copy of Chapter Six

    138/162

    A deficiency of lipoic acid usually does notoccur because it is widespread in the nature.

    Folic acid:

  • 8/2/2019 Copy of Chapter Six

    139/162

    Folic acid is widely distributed in the word. Agood source of this vitamin are liver, kidney,green leafy vegetables, tomatoes, potatoes,

    Folic acid is converted to its active coenzymetetrahydrofolate (THF) or (FH4).

    F l t

  • 8/2/2019 Copy of Chapter Six

    140/162

    FolateSources

  • 8/2/2019 Copy of Chapter Six

    141/162

    positions 7 and 8 carry hydrogens in dihydrofolate (DHF) positions 5 8 carry hydrogens in tetrahydrofolate (THF)

    Tetrahydro folate act as a carrier of one

  • 8/2/2019 Copy of Chapter Six

    142/162

    carbon unit (may be methyl -CH3, methylene

    -CH2, formyl -CHO, formate- COOH.)during metabolism.FH4 is used in the synthesis of purines and

    pyrimidines , and therefore for the formation of DNA and RNA in all cells includingmaturing blood cells- synthesis of RBC andWBC.Also FH4 is needed for the synthesis of aminoacid methionine .

    Deficiency of folic acid:

  • 8/2/2019 Copy of Chapter Six

    143/162

    Folic acid deficiency leads to megaloblastic

    anemia , caused by decreasing synthesis of purine and pyrimidine , which inhibits DNA synthesis . This leads to change in size andshape of the nuclei and slower maturation of red blood cells , causing production of abnormality large red blood cells with fragile membranes . Also folate deficiency leads to

    glossistis and gastero intestinal disorders .Folic acid is especially necessary for childrenand pregnant women

    Folate

  • 8/2/2019 Copy of Chapter Six

    144/162

  • 8/2/2019 Copy of Chapter Six

    145/162

  • 8/2/2019 Copy of Chapter Six

    146/162

  • 8/2/2019 Copy of Chapter Six

    147/162

  • 8/2/2019 Copy of Chapter Six

    148/162

    Folate deficiency results in macrocytic anemia.

    Cobalamin (Vitamin B12)

  • 8/2/2019 Copy of Chapter Six

    149/162

    Dietary source of vitamin B12 are of animalorigin and include meat, eggs, milk,fish,.Vitamin B12 is absent in plant foods.

    Human obtain small amounts of this vitaminfrom their intestinal flora.

  • 8/2/2019 Copy of Chapter Six

    150/162

  • 8/2/2019 Copy of Chapter Six

    151/162

    Cobalamine exists in three forms that differ in the group attached tocobalt. The active coenzyme forms of vitamin B12 are methyl

    cobalamine and deoxyadenosyl cobalamine

  • 8/2/2019 Copy of Chapter Six

    152/162

    Cobalamin (Vitamin B12) is a coenzyme forenzymes that transfer methyl groups andproduce red blood cells.Vitamin B12 is the only water soluble vitamin

    that is stored in significant amounts in theliver, bone marrow and other tissues.

    vitaminB 12 coenzyme-dependent enzymes

  • 8/2/2019 Copy of Chapter Six

    153/162

    153

    : Murray et al, 1996

  • 8/2/2019 Copy of Chapter Six

    154/162

    Deficiency of vitamin B12:

  • 8/2/2019 Copy of Chapter Six

    155/162

    Deficiency of this vitamin is not observedbecause it is widespread in foods of animal

    origin. Vitamin B12 deficiency causes folatedeficiency (because the generation of FH4depends on the presence of Vitamin B12),therefore, all the manifestation of folatedeficiency are also seen.

  • 8/2/2019 Copy of Chapter Six

    156/162

    Also the deficiency causes pernicious anemia,

  • 8/2/2019 Copy of Chapter Six

    157/162

    a disease that is characterized by the presenceof large, immature of red blood cells in theblood. Symptoms include a sore tongue,weight loss, mental and nervous disorder. The

    damage to the central nervous system caneven cause demyelination of the peripheralnerves in the arms and legs. Eventually, thiscan progress to the spinal cord.

  • 8/2/2019 Copy of Chapter Six

    158/162

  • 8/2/2019 Copy of Chapter Six

    159/162

    Metabolic Pathways Involving BVitamins

  • 8/2/2019 Copy of Chapter Six

    160/162

  • 8/2/2019 Copy of Chapter Six

    161/162

    Controversy: Vitamin Supplements: Do theBenefits Outweigh the Risks?

  • 8/2/2019 Copy of Chapter Six

    162/162

    Which is the best source?