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PYRIDOXINE
VITAMIN B6
A.ATCHYASRI
1ST YEAR MBBS
SVMCH & RI
STRUCTURE
PLP
Source of Vitamin B6
● Beef liver
● Tuna
● Salmon
● Fortified cereals
● Chickpeas
● Poultry
● Some vegetables and fruits,
especially dark leafy greens,
bananas, papayas, oranges,
and cantaloupe
plant sources - Pyridoxine
Animal sources-Pyridoxal and pyridoxamine
Digestion
and
absorption
of
Vit
B12
Functions
1. Act as Coenzymes in Transamination reactions
1. Act as Coenzymes in Decarboxylation reactions
3. Act as Coenzymes in many reactions
a) Glutamate GABA (deficiency leads to Convulsions)
b) Tryptophan Serotonin (cerebral activity)
c) Tryptophan Melatonin (cardiac rhythm)
d) Histidine Histamine (vasodilator)
e) Tyrosine catecholamine (neurotransmitters)
4. Heme synthesis
Aminolevulinic acid synthase is a PLP dependent enzyme, which
is the rate limiting step in heme synthesis. Therefore deficiency
may result in Anaemia.
5. Act as Coenzymes in production of Cysteine from Serine.
RDA = 1-2 mg / day
Pregnancy , lactation and old age = 2.5 mg/day
Nutritional Requirement
Assay of Vitamin B6
Activities of erythrocyte transaminases have been used frequently as indirect
measurements of Vitamin B6 status
Deficiency Manifestations
Xanthurenic aciduria
Homocystinuria
Therapeutic uses
Used in treating
A. Seizures
B. Down’s Syndrome
C. Autism
Toxicity
Excess of 2-7g of Pyridoxine per day- Sensory Neuropathy and skin lesions
Other reports, Excess of 100-200 mg/day- Neurological damage
BUZZ
What is the active form of Vitamin B6?
A. Pyridoxine
B. Pyridoxal
C. Pyridoxamine
D. Pyridoxal phosphate
All manifestations are seen in Vitamin B6 deficiency,
except
A. Skin rashes as in pellagra
B. Macrocytic anaemia
C. Peripheral neuritis
D. Convulsions in children
CASE STUDY
25 year old woman presented with neurological manifestations like depression,
irritability, nervousness, confusion and convulsions. Biochemical investigations
revealed-
- Hypochromic microcytic anaemia
- Xanthenuric acid in urine
1. What is the probable diagnosis?
2. Name the coenzyme form of the vitamin and write two reactions catalyzed by
the coenzyme.
3. Give the basis of neurological disorders.
Vitamin B6.pptx
Vitamin B6.pptx

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Vitamin B6.pptx

  • 3.
  • 4. Source of Vitamin B6 ● Beef liver ● Tuna ● Salmon ● Fortified cereals ● Chickpeas ● Poultry ● Some vegetables and fruits, especially dark leafy greens, bananas, papayas, oranges, and cantaloupe plant sources - Pyridoxine Animal sources-Pyridoxal and pyridoxamine
  • 6.
  • 7. Functions 1. Act as Coenzymes in Transamination reactions 1. Act as Coenzymes in Decarboxylation reactions
  • 8. 3. Act as Coenzymes in many reactions a) Glutamate GABA (deficiency leads to Convulsions) b) Tryptophan Serotonin (cerebral activity) c) Tryptophan Melatonin (cardiac rhythm) d) Histidine Histamine (vasodilator) e) Tyrosine catecholamine (neurotransmitters) 4. Heme synthesis Aminolevulinic acid synthase is a PLP dependent enzyme, which is the rate limiting step in heme synthesis. Therefore deficiency may result in Anaemia.
  • 9. 5. Act as Coenzymes in production of Cysteine from Serine.
  • 10. RDA = 1-2 mg / day Pregnancy , lactation and old age = 2.5 mg/day Nutritional Requirement Assay of Vitamin B6 Activities of erythrocyte transaminases have been used frequently as indirect measurements of Vitamin B6 status
  • 12. Therapeutic uses Used in treating A. Seizures B. Down’s Syndrome C. Autism
  • 13. Toxicity Excess of 2-7g of Pyridoxine per day- Sensory Neuropathy and skin lesions Other reports, Excess of 100-200 mg/day- Neurological damage
  • 14. BUZZ What is the active form of Vitamin B6? A. Pyridoxine B. Pyridoxal C. Pyridoxamine D. Pyridoxal phosphate
  • 15. All manifestations are seen in Vitamin B6 deficiency, except A. Skin rashes as in pellagra B. Macrocytic anaemia C. Peripheral neuritis D. Convulsions in children
  • 16. CASE STUDY 25 year old woman presented with neurological manifestations like depression, irritability, nervousness, confusion and convulsions. Biochemical investigations revealed- - Hypochromic microcytic anaemia - Xanthenuric acid in urine 1. What is the probable diagnosis? 2. Name the coenzyme form of the vitamin and write two reactions catalyzed by the coenzyme. 3. Give the basis of neurological disorders.