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8/19/2019 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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