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Clinical Chemistry Vitamins
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Vitamins
Organic molecules For health, growth and reproduction Source: DIETARY Deficiency ÷ metabolic defect
o ↓ intakeo ↓ absorptiono ↓ production
Classified according to their solubility:o Water-solubleo Fat-soluble = ADEK
Water-soluble Vitamins
Vitamin B
Name Food Sources
Deficiency Diagnosis
B1 Thiamine Brain function*HPLC – common in pregnancy
Yeast, Legumes, Enriched Gram Products & Pork
Beri-beri
Wet form - 1° Cardiac Failure
Dry form – Nerve damage
Cerebral form – Wernicke-Korsakoff syndrom
Clinical evaluation, confirmed w/ therapeutic response to thiamine administration
B2 Riboflavin Part of cofactor FAD (flavin adenine dinucleotide)
Yeasts, Meats, Legumes, Milk
Greasy & sealing dermatitis
Angular stomatitis of the lips
Cheilosis glossitis
B3 Niacin or Nicotinic Acid
Part of cofactor of NAD & NADP+
Liver, Yeast, Milk, Meats, Whole grain
Pellagra
B4 Pantothenic acid
Part of coenzyme A
Tissue source: liver, adrenals, kidney, brain heart, testes
Widely distributed
Burning feet syndrome
B5 Biotin coenzyme Widely distributed
Scaly dermatitis Glossitis Hair loss Aorexia Depression Hypercholesteronemi
aB6 Pyridoxine Cofactor of
Decarboxylase Deaminase transaminase
Widely distributed in foods
Cheilosis Angular stomatitis Glossitis Dermatitis Polyneuritis Anemia
B9 and B12
Folic Acid
Cyabocobalamin
Associated w/ anemia
Folic acid: green-leafy vege
Cyabocobalamin: Meat
Fat-soluble Vitamins
Vitamin
Name Food Sources
Deficiency Diagnosis
A RetinolRetinoic acid
From dietary sources – retinyl esters or from metabolism of dietary carotenoids (provitamin A) primarily β-carotene
Stored in liverTransported in circulation
Essential for vision, cellular differentiation, growth, reproduction, and Immune system fx
Animal products, pigmented fruits and veggie (carotenoids)
Night blindness (Nyctalopia)
Growth retardation Abnormal taste
response Dermatitis Recurrent
infections
D Cholecalciferol
Proper skeleton formation & mineral hoomeostasis
irradiated foods, commercially preparedmilk
Small amounts in butter, egg yolks, liver,sardines, herring, tuna, and salmon
Rickets (young) Osteomalacia
(adult)
E Tocopherol Antioxidant and 1° defense against harmful oxidations
Protect RBC membrane from oxidant stress
vegetable oil, fresh leafy vegetables, eggyolk, legumes, peanuts, and margarine
Mild hemolytic anemia (newborn)
RBC fragility Ataxia
K Phytomenadione
Formation of Prothrombin and at least 5 coag proteins – F7,F9,F10,C,S
cabbage, cauliflower, spinach and other leafyvegetables, pork, liver, soybeans, and vegetable oils
Hemorrhage (easy bruising to massive bruising, esp. post-traumatic bleeding