BCHEM_4.08_Seminar Report on Vitamins and Minerals

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    VITAMINSVitamin General

    informationSources Function Absorption and Metabolism Storage Deficiency Toxicity

    A Carotenoidsand Retinoids

    Growth and developmentEpithelial integrity and immunityVision

    Absorbed only when there isnormal fat absorption

    Fat-storing cells ofthe liver adipocytes,stellate cells, or Itocells

    -most preventablecause of blindness-mild deficiency:lost of sensitivity tolight-increased

    susceptibility toinfectious disease-Xerophthalmia

    unbound vitamin Acauses tissuedamage

    D Can be both ahormone and avitamin

    -Ergocalciferol(vitamin D2),found in plants-cholecalciferol(vitamin D3),found inanimal tissues

    -Essential in the maintenance ofcalcium balance- Plays a role in the regulation ofgene expression and celldifferentiation

    -osteomalacia-rickets

    Hypercalcemia – calcinosis

    E fat solublecompounds withanti-oxidantactivities thatprotects bodytissue fromdamage causedby free radicals

    Tocopherols,tocotrienol

    antioxidant -hemolytic anemia ininfants

    the least toxic of thefat-soluble vitamins

    K Vitamin K1Phyloquinone

    abundant invegetable oils(safflower andsoy), greenleafy

    For coagulation Hemophilia and otherbleeding disorders

    Uncommon inadults

    TOPIC: Vitamins and Minerals

    LECTURER: Group 6

    March 1, 2016

    SR 4.2

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    vegetables,alfafa, fish oil,seaweed, eggyolk and branfrom wheatflourVitamin K2Menaquinone

    synthesizedby bacteria ofgenusLactobacillusVitamin K3MenadioneSynthetic, fortheraphy

    B1 Thiamin Whole grains,cereals andbeans

    Central role in energy-yieldingmetabolism

    Absorbed primarily in jejunumand ileum; in its free form inintestinal lumen

    Bound to proteinsand 80% inpyrophosphate form

    Beriberi (chronicperipheral neuritis);shoshin beriberi(heart failure &metabolicabnormalities

    Considered low

    B2 Riboflavin

    Is not strictly avitamin since thiscan besynthesized bythe body fromTrp

    Cereal, nuts,milk, eggs,green leafyvegetables,meat

    Provides the reactive moieties ofthe coenzymes FMN and FAD

    FMN and FAD released bygastric acid;

    Little to no storage Ariboflavinosis(cheilosis, angularstomatitis, glossitis)

    Considered low

    B3 Niacin

    Derivatives thatexhibit biologicalactivity ofnicotinamide

    Dairy, poultry,fish, leanmeat, eggsand nuts

    NAD and NADPH as hydride ionacceptor; oxidation of CHO

    Absorbed in stomach andintestine

    Tissue concentrationregulated byextracellularnicotinamide

    Pellagra Toxic in excess =niacin flush

    B5 Pantothenic acid Meat, broccoliand avocados

    As coA: Combines with oxaloacetate to

    form citric acid +choline = Ach Cholesterol precursor

    Must be converted to freepantothenic acid:

    coA & ACP ->4’phosphopantetheine ->pantetheine -> (pantetheinase) -> free pantothenic acid(absorbed via Na+-dependentactive transport system)

    Not stored and mustbe replenished

    Rare, if present,shows as:Impaired energyproduction

    Unlikely

    B6 Pyridoxine,pyridoxamine,pyridoxal, andtheir 5-phosphates

    Meats, wholegrains,vegetables,nuts, bananas

    Cofactor for glycogenphosphorylase

    Coenzyme is amino acidmetabolism

    - Transamination

    Absorbed in the jejunum andileum via passive diffusion

    Phosphorylated forms must bedephosphorylate first by alkalinephosphatase

    10% in Liver80% in Muscle

    Rare Pain and numbnessof extremities

    Sensory neuropathy

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    Active form ispyridoxal 5-phosphate (PLP)

    - Trans-sulfuration (Met Cys)

    - Selenoamino acidmetabolism

    - Trp niacin

    Neurotransmitter synthesis- 5TH- Dopamine- Epi/Norepinephrine- GABA

    Hgb synthesis- Coenzyme for ALA

    synthase

    B7 Biotin

    Composed of:*Ureido(tetrahydroimidizalone) ring*Tetrahydrothiophene ring*Valeric acidMade fromalanine andpimeloyl-CoA

    Mostly found infood as biocytin&Active form iscarboxybiotin

    Egg yolk, beefliver, yeast

    Synthesizedby intestinalflora

    Carboxylation reactions

    Regulation of cell cycle

    Strengthening hair and nails;found in cosmetic products

    Important for normal embryonicgrowth

    Absorbed in the intestine andexcess is excreted in the urine

    None Rare At risk:*Infants withinherited deficiencydisorders*Those fedintravenously*Those who eat largeamounts of raw eggwhites (avidin)*Symptoms mayinclude dermatitis,glossitis, loss ofappetite and nausea

    None

    B9 Folic acid

    Active form isTetrahydrofolate(THF)

    Leafyvegetables,legumes, eggyolk, sunflowerseeds, liver

    Transfer one-carbon units

    Synthesis of methionine,purines, and thymidinemonophosphate (TMP)

    Rapidly absorbed from theproximal part of the GIT

    Once absorbed is acted upon byhepatic dihydrofolate reductaseto convert it to THF

    None Megaloblastic AnemiaNeural tube defects

    None

    B12 CobalaminThe active formsaremethylcobalamin,deoxyadenosylcobalamin

    Only found infoods ofanimal origin(meat, dairy,seafood)

    Coenzyme for reactions:Homocysteine methionine

    Methylmalonyl CoA succinylCoA

    Absorbed bound to intrinsicfactor

    None Pernicious AnemiaDementiaSpinal Degeneration

    None

    MINERALSNa - A soft, light,

    extremelymalleablesilver-whitealkali metal

    - seafood,- milk,- eggs,- common

    table salt,

    - Controls the concentration ofintracellular and extracellularH2O

    - Maintaining fluid balance ofthe body

    DIGESTIVE TRACT- active Na+ transport - ATP

    hydrolysis of ATP (N+/K+ ATPase)

    - ECF- Bones- ICF

    HYPONATREMIA- 145 mEq/L;

    state ofhyperosmolality.

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    - It reactsviolently withwater

    - Most abundantcation

    - Major ECFcation

    - abundant inmost foodexcept fruits

    - Nerve impulse conduction- Absorption of some nutrients- Regulates blood pressure

    - Na-K pump maintainselectrochemical gradient forNa+ entry from the lumen

    - Passive transport of Na+ -through the lateral spaces andtight junctions; largelyparacellular (active transport istranscellular)

    KIDNEY- Proximal tubule: 80% of the

    sodium in the glomerular filtrateis reabsorbed - via SGLT 2 in PCT, SGLT1

    in PST, Na-H antiporter andNa-K pump

    normal amount ofsodium or loss

    - >155 mEq/L - life-threatening.

    - Result of either aloss of free wateror a gain ofsodium or acombination ofboth.

    - Symptomsinclude anorexia,restlessness,nausea, andvomiting

    K - A soft, silver-white, highly orexplosivelyreactivemetallicelement

    - Decomposesin water withthe evolutionof hydrogenand catchesfirespontaneously

    - Major ICFcation

    - bananas,- citrus juices(orange

    juice),- avocado,- cantaloupe,- tomato,- potato,- lima beans,- salmon,- chicken,- other meats

    - water balance- nerve impulse transmission

    and muscle contraction- The ratio of intracellular to

    extracellular potassium (KI:Ke)- major determinant of theresting membrane potentialand plays a crucial role in thenormal functioning of all cells.

    - acts as a blood buffer andhelps lower high bloodpressure

    INTESTINAL MUCOSA- well absorbed from the small

    intestine (90% absorption) - jejunum and ileum: occurs

    along the electrochemicalgradient; passive

    - diffuses through the lateralspaces and tight junctions.

    - Colon: usually secreted - absorption will take when

    the luminal concentration isabove 25 mEq/L.

    - Potassium deficiency poseshigher

    - ICF HYPOKALEMIA- 5.5 mmol/L

    (asymptomatic)- Nonspecific

    symptoms- Mostly related to

    muscular orcardiac function.

    - Include weaknessand fatigue,muscle paralysis,dyspnea,palpitations, chestpain, nausea orvomiting,paresthesias.

    Ca - a fairly softmetal with ashiny silversurface butquicklybecomes dullas calciumreacts withoxygen to forma coating ofwhite or graycalcium oxide

    - abundant inmilk anddairyproducts,

    - leafygreens,

    - broccoli,- salmon,- sardines,- legumes

    - Essential for neuromuscularfunction

    - Secretion of enzymes andhormones and blood clotting

    - Transmission of nerveimpulses

    - Cell structure- Development of bones and

    teeth

    - Absorbed by active transport(transcellularly) and bypassive diffusion(paracellularly) across theintestinal mucosa

    - Active transport of calcium isdependent on the action ofcalcitriol and the intestinalvitamin D receptor (VDR)mostly in duodenum at lowand moderate intake levels.

    - Passive diffusion orparacellular uptake isdependent on luminal serosalelectrochemical gradients athigher calcium intakes (i.e.,when luminal concentrationsare high) throughout the

    - Bone- Teeth- ICF

    HYPOCALCEMIA – defined by plasma

    calcium level lessthan 2.2 mmol/L

    – increasedneuromuscularexcitability

    – muscle spasms,tetany, and cardiacdysfunction

    OsteoporosisOsteomalaciaRickettsRetarded growth &poor bone & teethformation

    HYPERCALCEMIA – defined as plasma

    calcium levelgreater than 2.6mmol/L

    – diffuseprecipitation ofcalciumphosphate intissues, leading towidespread organdysfunction anddamage

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    length of the intestine(duodenum, jejunum, andileum)

    Cl - A highlyirritating,greenish-yellowgaseoushalogen,capable ofcombining withnearly all otherelements

    • It is producedprincipally byelectrolysis ofsodiumchloride(common salt)

    - table salt- seaweed,- rye,- tomatoes,- celery- olives- yeastextracts

    - processedlunchmeats

    - cheeses

    - Maintenance of cellularintegrity:

    - influence on osmoticpressure

    - influence on acid-base andwater balance

    - reciprocal power of ⬆/⬇ inconcentration in response inconcentrations of otheranions.

    - Combines with H 2 in thestomach to make HCl acid for- breakdown of proteins- absorption of other metallic

    minerals- activation of intrinsic factor

    which in turn- absorbs vitamin B12

    - Governs pH balance andtransport of CO 2 - constant exchange of Cl and

    HCO 3 between RBCs andthe plasma.

    - Aid in the transport ofelectrical impulses throughoutthe body together with Na andK

    INTESTINAL MUCOSA- The mechanism of transport ofchloride in the jejunum & ileumis the same as that of s odium.

    KIDNEY- Proximal tubule

    - Early – paracellular- Late - transcellular :

    Exchange of luminal Cl− forcellular anions (e.g., formate,oxalate, HCO3, and OH−),mediated by CFEX(SLC26A6).

    - Basolateral exit step - Clchannel CFTR (in part) andcotransporter (KCC)

    - TAL - All Cl− reabsorption is

    transcellular. - Apical – NKCC - Basolateral - Cl channels of

    the ClC family - Distal Convoluted Tubule

    - Somewhat similar to that inthe TAL, except the apicalstep occurs through theNCC.

    - Initial Cortical tubule and CCT- Principal cell generates a

    transepithelial voltage (~40mV, lumen negative) that isfavorable for paracellulardiffusion of Cl−.

    - ß-typ e in ter calat ed c ellsuse transcellular process thatinvolves Cl-HCO3 exchangeacross the apical membranesand Cl− channels in thebasolateral membrane

    - ECF- ICF

    HYPOCHLOREMIA- defined by serum

    chloride level lessthan 102 mmol/L

    - Rare (chloride ispart of table saltpresent in mostfoods)

    - loss of appetite,muscle weakness,lethargy,dehydration,alkalosis

    HYPERCHLOREMIA – abnormal

    elevation in thelevel of chlorideions in thebloodstream(normal range inserum = 102 – 109 mEq/L)

    – Normally not aconcern asexcess chloride isexcreted by thebody

    – >15 g/day: maylead to acid-baseimbalance, fluidretention, high BP

    P - importantcomponent inwhole blood;they constitutephospholipidsof red bloodcells andplasmalipoproteins.

    - Meats,- fish,- chicken,- milk,- cheese,- eggs,- seeds andnuts,

    - fruits

    - Participates in mitochondrialactivity, RNA, DNA, and variousnucleotides.

    - An element in secondarymessengers such as camp andphosphoinositide.

    - Promotes oxygen r elease andprovides energy bond in ATPand creatine kinase.

    - Dietary phosphate is absorbedvia passive diffusion in aparacellular pathway; it isdriven by luminal phosphateconcentration.

    Gastrointestinal tract:- absorbs 75% to 80% ofingested phosphate andexcretes in the feces 20-25%.

    - Bones- Soft Tissue- ECF

    Hypophosphatemia- less than 2.5 mg/dL,(symptomatic: lessthan 1 mg/dL)

    - Muscle weaknessand malaise

    - Associated immunedeficiency(deficienct

    Hyperphosphatemia- >5.0mg/dL(asymptomatic)

    - The most commonrisk: ectopic ormetastaticcalcification if theproduct of the

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    - Intracellularly,phosphate ion:

    - Bound- inorganic

    phosphateesters,phospholipidsin cellmembranes, orphosphorylated intermediatemoleculeswhich areinvolved indifferentbiochemicalprocessessuch asenergygeneration,storage, andtransfer.

    - vegetables - Functions in urinary buffer andprotein phosphorylation

    - Major site is in jejunum followedby duodenum and ileum

    - Administration of 1,25(OH)2D3significantly stimulatesphosphate absorption inpatients with vitamin Ddeficiency or chronic renalfailure with low level of1,25(OH)2D3. (normally, jejunaabsorption not Vit D dependent)

    Kidneys- primary excreted by kidneys - freely filtered at glomerulus thusglomerular ultrafiltrate has thesame phosphate concentrationin the plasma

    phosphorus limitsthe chemotactic,phagocytic, andbactericidal activityof granulocytes.)

    - Neurologicmanifestationsinclude delirium,coma, seizures,encephalopathy,and paresthesias.

    - Rickets andosteomalacia arecommon caused bydeficient phosphate.

    - Fanc oni’ssyndrome is one ofthe most commoncongenitalhypophosphatemia;it is renal phosphatewasting due toexcess PTH

    serum calcium andphosphorus > 70.

    - Calcification canoccur in any organ,usually in thecornea,conjunctiva, lungs,and skin.

    - Vascularcalcification canproduce gangreneas well as depositsin the cardiacconducting system

    Mg - Light, silvery-white,moderatelyhard metallicelement

    - Fourth mostcommoncation in thebody

    - Vegetables- fruits,- nuts,- peas andbeans,

    - soy products,- whole grains- milk

    - Cofactor of hundreds ofenzymes involved in- energy metabolism- protein, RNA and DNA

    synthesis- maintenance of the electrical

    potential- Synthesis of biomolecules- Maintain bone structure- Detoxification- Interacts with calcium- regulation of blood vessels- contraction of muscles (e.g.,

    heart muscle)- calcium balance

    - Act on hormones which controlthe absorption and calciummetabolism

    - Interacts with the calciumtransport mechanisms at thecellular level

    - Maintenance of membraneelectrical potential

    - Transport of Na, K and Caacross the plasma membrane

    - Transmission of nerve impulses- Better entry of insulin into thecell

    - Both dietary sources anddigestive secretions

    - In the kidneys, magnesiumreabsorption occurs mainlyacross the TAL (unlike thepredominant ‘proximal’reabsorption pattern of themajor components of theglomerular filtrate).

    - Only ~15% of the filteredmagnesium load isreabsorbed by the proximaltubule via passive,paracellular Mg2+

    reabsorption and also bysolvent drag.

    - The lumen-positive voltage ofthe TAL as well as a specifictight junction protein calledclaudin 16 or paracellin-1 isnecessary for paracellularMg2+ reabsorption.

    - Trancellular route of Mg2+reabsorption may take placeduring Mg2+ depletion.

    - Only ~10% of the filtered loadof Mg2+ is reabsorbed along

    - Bones- Muscle- Blood

    Hypomagnesemia – defined by a serum

    Mg concentration <1.4 mEq/L (< 0.70mmol/L)

    CardiovasculardiseaseDiabetesOsteoporosis .Migraines. Asthma. .Kidney stones.

    Hypermagnesemia – defined by a

    serum Mgconcentrationgreater than 2.1mEq/L (or 1.05mmol/L).

    – renal failure

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    the DCT and collecting tubulesand ducts.

    S - Solid- Pale, yellow,

    non-metallic,brittle element;widelydistributed inclose proximityto hot springsand volcanoes

    - Found in manyminerals andores

    - meat,- poultry,- fish- eggs,- legumes,- dairyproducts,

    - fruits,- vegetables

    - Part of keratin, found in hairand skin

    - Important in formation ofcollagen, maintenance of acid-base balance, and cellularrespiration

    - Absorbed throughout the GItract (including stomach, SI,and colon

    - ~80 SO4 eaten is absorbed;excess → urine

    - Skin- Hair- Nails

    - Excess sulphur inbody due toimpaired ability tooxidize anddetoxify sulphurcompounds; i.e.inability to safelyprocess sulfa-drugs

    - Build-up in bodyof excess sulphurcompounds canbe uncomfortableand even lifethreatening

    Fe -Found inhemoproteinssuch ashaemoglobin,myoglobin andcytochromes

    -Additionalexcretion infemales includemenstruationperiod

    -Animal meat(called hemeIron)

    -Plant sources(non-hemeIron)

    -Animal meatcan be easilyabsorbed bybody

    -Redox chemistry between Fe 2+

    and Fe 3+

    -Carrier of other biochemicallyactive substances (e.g., oxygen)

    -Ferrireductase : Fe3+ → Fe2+in enterocyte surface

    -DMT1 : Transport of Fe2+ fromlumen to cytoplasm ofenterocyte

    -Ferroportin: transports Fe2+ toblood in basolateral surface

    -Hepcidin: Imhibits ferroportin

    -Hemojuvelin: modulatesexpression of hepcidin

    -Ceruloplasmin andHephaestin: oxidizes Fe2+ →Fe3+ on basolateral surface

    - Transferrin: transports Fe3+ inblood

    -Ferritin: storage ofiron in body

    -Hemosiderin:partly degraded formof ferritin

    -Iron deficiencyanemia: inadequateintake, inadequateutilization, orexcessive loss ofIron

    -Hemo-chromatosis:hereditary(increasedabsorption),excessive intake

    -hepatomegaly, skinpigmentation (slateblue color), diabetesmellitus, heartdisease,arthropathy, andhypogonadism

    -Production ofreactive oxygenspecies throughFenton Reaction:Fe(II) + H2O2 →Fe(III) + OH - + OH●

    andFe(III) + H2O2 →Fe(II) + OOH● + H +

    Cu -Seafoods(oysters)

    -Mushrooms

    -Seeds

    -Metal cofactor for a variety ofenzymes

    -Cellular respiration (cytochromec oxidase)

    -Ceruloplasmin (high affinity):Binds 6 atoms of Cu2+; 90% oftotal copper

    -Albumin (low affinity): carriesthe remaining copper; more

    -Mettalo-thioenins:high content ofCysteine; SH groupsin cysteine bindcopper and zinc

    -Result ofmalnutrition,malabsorption,chronic diarrhea,hyper-alimentation,and low-copper totalmilk diets

    -Wilson’s Disease:copper is notexcreted in bile;accumulates in liver,brain, kidneys andRBCs

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    -Nuts

    -Beans

    -Dried fruits

    -Avocadoes

    -Iron homeostasis(ceruloplasmin)

    -Melanin formation (tyrosinase)

    -Synthesis of connective tissue(lysyl oxidase)

    -Protection against oxidants(superoxide dismutase)

    important in copper transportthan ceruloplasmin - Menkes Disease:

    X-linked, males only

    -characterized by“kinky or steely” hairand growthretardation

    -frequent clinicalfinding: Keyser-Fleischer ring

    -green or goldenpigmentationaround cornea ofeyes due todeposition of Cu2+in Descemet’smembrane

    Zn -It serves as acofactor for morethan 300enzymes

    -Most commoncatalytic metalion in thecytoplasm ofcells-Found inmuscles (60%),skeleton (30%),and theremaining inother tissues

    -Ubiquitous infood

    -Oysters arerich in zinc

    -Shellfish

    -Meats

    -Plants havelessconcentrations

    -Phytate fromwhole grainsand somevegetablesinterferes withzincabsorption(decreases)

    -Synthsis and metabolism ofDNA, RNA, and proteins

    -Participates in glycolysis andcholesterol metabolism

    -Maintains membrane structures

    -Important for synthesis andaction of insulin

    -Increased absorption: presenceof animal proteins and aminoacids in a meal, intake ofcalcium, and unsaturated fattyacids

    -Intraluminal digestion frees zincso that complexes with histidine,cysteine, and nucleotides thatimprove absorption are formed

    -Phytate reduces absorption

    -High dietary calcium and lowprotein also reduce zincabsorption

    -Metallothionein : regulates zinctransfer into the portal blood

    -Albumin andα-2-macroglobulin: Zinc isbound to these in the blood

    -Muscles and bonescontains most of thebody’s zinc stores

    -Zinc in metallo-thioneins can alsobe mobilized indeficiency states

    -Growth retardation,slows skeletalmaturation, causestesticular atrophy,and reduced tasteperception

    -Old age, pregnancy,and lactation areassociated with poorzinc nutrition

    - Acro-dermatitisenteropathica:autosomal recessivedisorder withimpaired intestinalabsorption andtransport of zinc

    -Zinc is relativelynon-toxic

    -High doses andrepetitive dosesmay lead todisorders, especiallygastrointestinal tractsymptoms,decrease in hemesynthesis due to aninduced copperdeficiency, andhyperglycemia

    -Exposure to ZnOfumes and dust maycause “zinc fumefever”

    Se -The principlechemical form ofselenium:

    selenocysteine -animal

    tissues

    selenomethionine

    -plant food

    -organ meatssuch asmuscle

    Antioxidant :combined w/ vitamin E

    -Duodenum is primaryabsorptive site-reduced to selenide before

    being transported in the blood,bound to α - and γ -globulins tovarious organs and targettissues.-incorporated into specific

    selenoproteins, asselenocysteine, andnonspecifically, asselenomethionine.

    -Absorption is enhanced by :protein, Vit. A, and Vit. E

    -skeletalmuscle (major)

    -RBC

    - liver

    -spleen

    -heart

    - nails

    -tooth enamel

    -Keshan disease:myocardial necrosis,leading to weakening

    of the heart.

    -Kashin-Beckdisease: atrophy,degeneration, andnecrosis of cartilagetissue in the joints.

    hypothyroidism

    -goiter

    -extreme fatigue

    Chronic: – First sign=‘garlicky’ odor in

    the breath, and ametallic taste in themouth.- nausea or diarrhea-tiredness-joint pain- loss of mentation,paresthesia,hyperreflexia- nail changesresulting inbrittleness,deformation andloss of nails

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    -Absorption is decreased bysulfur, arsenic, mercury, andVit. C

    -mental retardation -discoloration andloss of teeth, andskin rashes.

    Acute :-gastrointestinal andneurologicalsymptoms acute-respiratory distresssyndrome-myocardialinfarction- hair loss-muscle tenderness-tremors-lightheadedness -facial flushing- kidney failure,-cardiac failure,-death(rare)

    Co -component ofvitamin B12

    -meat-liver-kidneys-milk-oysters- mussels-fish-shellfish

    -smalleramountsmushroom(shitake)

    -In fruits &vegetables,usually there

    is no cobaltwith theexception oflegumes,spinach,cabbage,lettuce,turnips, andcabbage.

    - to prevent demyelination - completely absorbed in smalldoses-poorly absorbed in larger doses

    -amino acids reduce itsabsorption

    - iron deficiency increaseabsorption

    - excreted primarily in the urine,but smaller quantities in feces

    -liver

    -kidney

    -decreasedavailability of B12=pernicious anemia

    -neurologicaldisorder-nerve damages-memory loss-mood changes-psychosis-death(rare)

    (usually b’cos ofentry of inorganicform)

    -Beer drinker'scardiomyopathy(enlarged heart)

    -congestive heart

    -can affect thethyroid

    -overproduction ofred blood cells

    - thickened blood

    -increase activityin the bonemarrow

    Mo An essentialconstituent oftwo enzymes

    -a role in waste processing inthe kidneys

    -In the presence of inorganicsulfate, tends to reduce copperabsorption and retention.

    -liver

    -kidney

    Rare, except whenthere is a geneticproblem

    -Gout-likesymptoms

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    found in humansnamely:

    xanthineoxidase

    -which isinvolved in uricacid formation forexcretion

    aldehydeoxidase

    -whichcatalyzes thechemicaloxidation ofaldehydes

    - development of the nervoussystem

    -activation of enzymes thatare involved in breaking downfood to produce energy

    - copper and molybdenum forman insoluble complex calledlingrenite , which cannot beabsorbed easily.

    -bone

    -skin

    *Those whose dietsrely mainly onprocessed or refined*High sulfur intakecan also reducemolybdenum levels.*increasedrespiratory or heartrate*night blindness*mouth and gumdisorders*sulfite sensitivity* sexual impotence inolder males

    -anemia (long termingestion)

    Cr -Found primarilyin two forms:

    trivalent(chromium 3+)

    -which isbiologicallyactive and foundin food

    hexavalent(chromium 6+)

    -a toxic formthat results fromindustrialpollution.

    -Meat

    -whole-grainproduct

    - some fruits& vegetables

    - foods h ighin s implesugars l ikesucrose andfructos e arelow inc h r o m i u m

    -regulates blood sugar

    -helps insulin transportglucose into cells, where itcan be used for energy.

    -Chromium can also help raiseHDL ("good") cholesterollevels, and may play a role inpreventing heart disease

    -Absorption of chromium fromthe intestinal tract is low about0.4% to 2.5% of the amountconsumed and the remainder isexcreted in the feces.

    -Enhancing the mineral'sabsorption are vitamin C, and vitamin B niacin

    -Dietary chromium has a lowabsorption rate, which becomeseven lower with age, so theelderly are especially at risk.

    -liver

    -spleen

    -soft tissue

    -bone

    -dev’t of diabetesand metabolicsyndrome

    -problems in bloodsugar metabolism

    -anxiety or fatigue

    - intensegastrointestinalirritation orulceration andcorrosion

    -epigastric pain

    -nausea

    -vomiting

    -diarrhea

    -vertigo

    -fever

    -muscle cramps,

    -renal failure-liver damage

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