SlideShare a Scribd company logo
1 of 25
THIAMINE (B1]
Shyam sundar yadav
Nims college of paramedical
THIAMINE B1
 Thiamine (anti-beri-beri or antineuritic vitamin) is
water soluble vitamin
o It has a specific coenzyme, thiamine
pyrophosphate (TPP)
o Chemistry:
o Thiamine contains pyrimidine ring and a thiazole
ring held by a methylene bridge
 The alcohol group of thiamine is esterfied with
phosphate (2 moles) to form the coenzyme,
thiamine pyrophosphate
(TPP or Cocarboxylase)
 The phosphate moiety is donated by ATP &
reaction is catalyzed by thiamine pyrophosphate
transferase
 Thiamine is a sulphur containing water soluble
vitamin
N
N
NH2
H3C
CH2
S
N
O O
-CH2 - CH2 – O - P- O – P - O
O O
Pyrimidine ring
Methylene bridge
Thiazole Pyrophosphate
CH3
Structure of
TPP
 Metabolism:
 Absorption: Thiamin is carried by the portal blood
to the liver, present as free thiamine
 Storage: stored as thiamin pyrophosphate
 Mainly stored in skeletal muscle and also
present in significant amounts in liver, heart,
kidneys, erythrocytes and nervous system
 Coenzyme form: TPP
 The coenzyme, TPP or Cocarboxylase is
connected with energy releasing reactions in the
carbohydrate metabolism
Pyruvate dehydrogenase complex:
 It catalyses the irreversible conversion of pyruvate
to acetyl CoA
 It is essential for complete oxidation of glucose
 It links glycolysis and TCA cycle
Acetyl CoA
 Transketolase is dependent on TPP
 It is involved in HMP shunt
Pyruvate
PDH Complex
TPP
NAD+
NADH + H+
 α- Ketoglutarate dehydrogenase
complex:
 It converts α- Ketoglutarate succinyl CoAin
TCA cycle
α-Ketoglutarate
Succinyl CoA
α- Ketoglutarate DH Complex
TPP
NAD+
NADH + H+
Corresponding Acyl CoA
 Essential for transmission of nerve impulse
 TPP is required for synthesis of Acetylcholine
NADH + H+
 The branched chain α-Keto acid
dehydrogenase (decarboxylase):
 It catalyses the conversion of α-keto acids to
corresponding acyl CoA
Branched chain α-Keto acid
NAD+
Branched chain α-Keto acid DH Complex
TPP
Glucose Glucose – 6 P
Pyruvate
Acetyl CoA
TPP PDH
TCA
TPP
Succinyl CoA
Citrate
Oxaloacetate
α- Ketoglutarate
α- Ketoglutarate
dehydrogenase
Ribose - 5P
Transketolase
TPP
Seduheptulose - 7P
Xylulose - 5P
Glyceraldehyde - 3P
 Rich sources of thiamine are unrefined cereal
grains (rice, wheat), legumes (beans)
 Animal sources are liver, kidney, milk
 Thiamine is mostly concentrated in outer layer of
cereals
 Polishing of rice removes 80% of thiamine
 Thiamine is water soluble, and is excreted into
water during cooking process
 Adults - 1-1.5 mg/day
 Children - 0.7-1.2 mg/day
 Pregnancy & lactation
Deficiency :
Causes:
- 2 mg/day
B1 deficiency is caused by inadequate
intake of thiamine in diet
 Eating fishes containing microbial thiaminase, it
hydrolytically destroys thiamin
 Impaired absorption is caused by intestinal
diaorders
 Increased requirement of thiamine is seen in
hyperthyroidism, fever, pregnancy and lactation
 Chronic alcoholism is common cause of B1
deficiency
BIOCHEMICAL CHANGES IN B1 DEFICIENCY
 Carbohydrate metabolism is impaired
 Accumulation of pyruvate in tissues
 Excretion of pyruvate in urine
 Normally, pyruvate does not cross the blood-brain
barrier (BBB)
 In thiamine deficiency alteration occurs in BBB and
permits pyruvate into brain
 It results in disturbed metabolism, it may be
responsible for polyneuritis
 B1 deficiency leads to impairment in nerve impulse
transmission due to lack of TPP
 Transketolase activity in erythrocytes is decreased
 Measurement of RBC transketolase activity is
reliable diagnostic test to assess B1 deficiency
 Thiamine deficiency causes a clinical condition
called Beri-Beri
 Commonly seen in populations consuming
exclusively polished rice as staple food
 Clinical features of thiamine deficiency are
grouped into
 Wet beri-beri:
 It is characterized by edema of legs, face, trunk &
serous cavities
 Systolic BP is elevated & diastolic BP is decreased
 Tachycardia
 Fast & bouncing pulse is observed
 Enlargement of heart
 Heart becomes weak & death may occur due to
heart failure
 Dry beri-beri:
 Associated with neurological manifestations
 Clinical features
 Peripheral neuritis with numbness
 Tingling sensations in the lower legs & feet
 Ataxic gait
 Loss of weight
 Muscles become weak & walking becomes difficult
 Mental confusion
 Called as Wernicke-Korsakoff syndrome
 Mostly seen in chronic alcoholics
 Insufficient intake or impaired absorption of
thiamine
 Loss of memory,
 Apathy
 Rhythmical to & fro motion of eye balls
 Seen in infants born to mothers suffering from
thiamine deficiency
 The breast milk of these mothers contain low
levels of thiamine
 It usually occurs during 2-4 months
 Clinical features include
 Sleeplessness
 Restlessness
 Vomiting, convulsions
 Death may occur due to cardiac failure
 Increased plasma levels of pyruvate & lactate due
to low activity of PDH complex
 Accumilation of pentose sugars in erythrocytes is
due to decreased activity of transketolase
 Measurement of Transketolase activity is common
test used for the diagnosis of B1 deficiency
 Antimetabolites
 Thiaminase
 It is present in raw fish & seafood
 Thiaminase destroys thiamine if it is present
in the diet
REFERENCES
 Harper’s Biochemistry 25th Edition.
 Fundamentals of Clinical Chemistry by Tietz.
 Text Book of Medical Biochemistry-A R Aroor.
 Text Book of Biochemistry-DM Vasudevan
 Text Book of Biochemistry-MN Chatterjea
 Text Book of Biochemistry-Dr.U.Satyanarana
Thiamine.pptx

More Related Content

Similar to Thiamine.pptx

Vitamins and Neuropathy
Vitamins and NeuropathyVitamins and Neuropathy
Vitamins and NeuropathyShahd Al Ali
 
Vitamins (useful for diploma students)
Vitamins (useful for diploma students)Vitamins (useful for diploma students)
Vitamins (useful for diploma students)SushantPande1
 
Medical Biochemistry | Food and Nutrition, Vitamins and Minerals: Water Solub...
Medical Biochemistry | Food and Nutrition, Vitamins and Minerals: Water Solub...Medical Biochemistry | Food and Nutrition, Vitamins and Minerals: Water Solub...
Medical Biochemistry | Food and Nutrition, Vitamins and Minerals: Water Solub...MarufaAkhter2
 
Thiamine and beriberi
Thiamine and beriberiThiamine and beriberi
Thiamine and beriberirohini sane
 
Water soluble vitamins
Water soluble vitaminsWater soluble vitamins
Water soluble vitaminsRamesh Gupta
 
Thiamine (vitamin B1) and biochemical aspects of beriberi
Thiamine (vitamin B1) and biochemical aspects of beriberiThiamine (vitamin B1) and biochemical aspects of beriberi
Thiamine (vitamin B1) and biochemical aspects of beriberirohini sane
 
lecture 8. Water soluble vitamins.ppt
lecture 8. Water soluble vitamins.pptlecture 8. Water soluble vitamins.ppt
lecture 8. Water soluble vitamins.pptshyamshankar36
 
Water soluble vitamins
Water soluble vitaminsWater soluble vitamins
Water soluble vitaminsenamifat
 
Enzyme regulation zymogen
Enzyme regulation zymogenEnzyme regulation zymogen
Enzyme regulation zymogenMahendrakar M D
 
Drugs Antidotes and Vitamins
Drugs Antidotes and VitaminsDrugs Antidotes and Vitamins
Drugs Antidotes and VitaminsManoj Prajapati
 
Vitamins .......,..............................
Vitamins .......,..............................Vitamins .......,..............................
Vitamins .......,..............................adxmhrvy
 

Similar to Thiamine.pptx (20)

Vitamins and Neuropathy
Vitamins and NeuropathyVitamins and Neuropathy
Vitamins and Neuropathy
 
Vitamins (useful for diploma students)
Vitamins (useful for diploma students)Vitamins (useful for diploma students)
Vitamins (useful for diploma students)
 
Medical Biochemistry | Food and Nutrition, Vitamins and Minerals: Water Solub...
Medical Biochemistry | Food and Nutrition, Vitamins and Minerals: Water Solub...Medical Biochemistry | Food and Nutrition, Vitamins and Minerals: Water Solub...
Medical Biochemistry | Food and Nutrition, Vitamins and Minerals: Water Solub...
 
Thiamine and beriberi
Thiamine and beriberiThiamine and beriberi
Thiamine and beriberi
 
Water soluble vitamins
Water soluble vitaminsWater soluble vitamins
Water soluble vitamins
 
VITAMINS.ppt
VITAMINS.pptVITAMINS.ppt
VITAMINS.ppt
 
Vitamin b1
Vitamin b1Vitamin b1
Vitamin b1
 
B and C.ppt
B and C.pptB and C.ppt
B and C.ppt
 
Thiamine (vitamin B1) and biochemical aspects of beriberi
Thiamine (vitamin B1) and biochemical aspects of beriberiThiamine (vitamin B1) and biochemical aspects of beriberi
Thiamine (vitamin B1) and biochemical aspects of beriberi
 
lecture 8. Water soluble vitamins.ppt
lecture 8. Water soluble vitamins.pptlecture 8. Water soluble vitamins.ppt
lecture 8. Water soluble vitamins.ppt
 
Vitamins.pdf
Vitamins.pdfVitamins.pdf
Vitamins.pdf
 
Water soluble vitamins
Water soluble vitaminsWater soluble vitamins
Water soluble vitamins
 
Enzyme regulation zymogen
Enzyme regulation zymogenEnzyme regulation zymogen
Enzyme regulation zymogen
 
Electrolytes
ElectrolytesElectrolytes
Electrolytes
 
Drugs Antidotes and Vitamins
Drugs Antidotes and VitaminsDrugs Antidotes and Vitamins
Drugs Antidotes and Vitamins
 
Vitamins .......,..............................
Vitamins .......,..............................Vitamins .......,..............................
Vitamins .......,..............................
 
Vitamin B1 (Thiamine)
Vitamin B1 (Thiamine)Vitamin B1 (Thiamine)
Vitamin B1 (Thiamine)
 
Thymine
Thymine Thymine
Thymine
 
Water solublevitamins
Water solublevitaminsWater solublevitamins
Water solublevitamins
 
Thiamine
ThiamineThiamine
Thiamine
 

Recently uploaded

Kamrej + ℂall Girls Serviℂe Surat (Adult Only) 8849756361 Esℂort Serviℂe 24x7...
Kamrej + ℂall Girls Serviℂe Surat (Adult Only) 8849756361 Esℂort Serviℂe 24x7...Kamrej + ℂall Girls Serviℂe Surat (Adult Only) 8849756361 Esℂort Serviℂe 24x7...
Kamrej + ℂall Girls Serviℂe Surat (Adult Only) 8849756361 Esℂort Serviℂe 24x7...anushka vermaI11
 
ESC HF 2024 Spotlights Day-2.pptx heart failure
ESC HF 2024 Spotlights Day-2.pptx heart failureESC HF 2024 Spotlights Day-2.pptx heart failure
ESC HF 2024 Spotlights Day-2.pptx heart failuremahiavy26
 
Report Back from SGO: What’s the Latest in Ovarian Cancer?
Report Back from SGO: What’s the Latest in Ovarian Cancer?Report Back from SGO: What’s the Latest in Ovarian Cancer?
Report Back from SGO: What’s the Latest in Ovarian Cancer?bkling
 
Video capsule endoscopy (VCE ) in children
Video capsule endoscopy (VCE ) in childrenVideo capsule endoscopy (VCE ) in children
Video capsule endoscopy (VCE ) in childrenRaju678948
 
TEST BANK For Huether and McCance's Understanding Pathophysiology, Canadian 2...
TEST BANK For Huether and McCance's Understanding Pathophysiology, Canadian 2...TEST BANK For Huether and McCance's Understanding Pathophysiology, Canadian 2...
TEST BANK For Huether and McCance's Understanding Pathophysiology, Canadian 2...marcuskenyatta275
 
Young & Hot ℂall Girls Salem 8250077686 WhatsApp Number Best Rates of Surat ℂ...
Young & Hot ℂall Girls Salem 8250077686 WhatsApp Number Best Rates of Surat ℂ...Young & Hot ℂall Girls Salem 8250077686 WhatsApp Number Best Rates of Surat ℂ...
Young & Hot ℂall Girls Salem 8250077686 WhatsApp Number Best Rates of Surat ℂ...Call Girls in Nagpur High Profile Call Girls
 
Vesu + ℂall Girls Serviℂe Surat (Adult Only) 8849756361 Esℂort Serviℂe 24x7 C...
Vesu + ℂall Girls Serviℂe Surat (Adult Only) 8849756361 Esℂort Serviℂe 24x7 C...Vesu + ℂall Girls Serviℂe Surat (Adult Only) 8849756361 Esℂort Serviℂe 24x7 C...
Vesu + ℂall Girls Serviℂe Surat (Adult Only) 8849756361 Esℂort Serviℂe 24x7 C...anushka vermaI11
 
Young & Hot Surat ℂall Girls Vesu 8527049040 WhatsApp AnyTime Best Surat ℂall...
Young & Hot Surat ℂall Girls Vesu 8527049040 WhatsApp AnyTime Best Surat ℂall...Young & Hot Surat ℂall Girls Vesu 8527049040 WhatsApp AnyTime Best Surat ℂall...
Young & Hot Surat ℂall Girls Vesu 8527049040 WhatsApp AnyTime Best Surat ℂall...Neelam SharmaI11
 
Cytoskeleton and Cell Inclusions - Dr Muhammad Ali Rabbani - Medicose Academics
Cytoskeleton and Cell Inclusions - Dr Muhammad Ali Rabbani - Medicose AcademicsCytoskeleton and Cell Inclusions - Dr Muhammad Ali Rabbani - Medicose Academics
Cytoskeleton and Cell Inclusions - Dr Muhammad Ali Rabbani - Medicose AcademicsMedicoseAcademics
 
ANAPHYLAXIS BY DR.SOHAN BISWAS,MBBS,DNB(INTERNAL MEDICINE) RESIDENT.pptx
ANAPHYLAXIS BY DR.SOHAN BISWAS,MBBS,DNB(INTERNAL MEDICINE) RESIDENT.pptxANAPHYLAXIS BY DR.SOHAN BISWAS,MBBS,DNB(INTERNAL MEDICINE) RESIDENT.pptx
ANAPHYLAXIS BY DR.SOHAN BISWAS,MBBS,DNB(INTERNAL MEDICINE) RESIDENT.pptxDr. Sohan Biswas
 
Sonia Journal club presentation (2).pptx
Sonia Journal club presentation (2).pptxSonia Journal club presentation (2).pptx
Sonia Journal club presentation (2).pptxpalsonia139
 
VIP ℂall Girls Kandivali west Mumbai 8250077686 WhatsApp: Me All Time Serviℂe...
VIP ℂall Girls Kandivali west Mumbai 8250077686 WhatsApp: Me All Time Serviℂe...VIP ℂall Girls Kandivali west Mumbai 8250077686 WhatsApp: Me All Time Serviℂe...
VIP ℂall Girls Kandivali west Mumbai 8250077686 WhatsApp: Me All Time Serviℂe...Model Neeha Mumbai
 
VIII.1 Nursing Interventions to Promote Healthy Psychological responses, SELF...
VIII.1 Nursing Interventions to Promote Healthy Psychological responses, SELF...VIII.1 Nursing Interventions to Promote Healthy Psychological responses, SELF...
VIII.1 Nursing Interventions to Promote Healthy Psychological responses, SELF...JRRolfNeuqelet
 
Charbagh { ℂall Girls Serviℂe Lucknow ₹7.5k Pick Up & Drop With Cash Payment ...
Charbagh { ℂall Girls Serviℂe Lucknow ₹7.5k Pick Up & Drop With Cash Payment ...Charbagh { ℂall Girls Serviℂe Lucknow ₹7.5k Pick Up & Drop With Cash Payment ...
Charbagh { ℂall Girls Serviℂe Lucknow ₹7.5k Pick Up & Drop With Cash Payment ...jamal khanI11
 
duus neurology.pdf anatomy. phisiology///
duus neurology.pdf anatomy. phisiology///duus neurology.pdf anatomy. phisiology///
duus neurology.pdf anatomy. phisiology///sofia95y
 
^In Pietermaritzburg Hager Werken Embalming +27789155305 Compound Powder in ...
^In Pietermaritzburg  Hager Werken Embalming +27789155305 Compound Powder in ...^In Pietermaritzburg  Hager Werken Embalming +27789155305 Compound Powder in ...
^In Pietermaritzburg Hager Werken Embalming +27789155305 Compound Powder in ...pinkpowder997723
 
SEMESTER-V CHILD HEALTH NURSING-UNIT-1-INTRODUCTION.pdf
SEMESTER-V CHILD HEALTH NURSING-UNIT-1-INTRODUCTION.pdfSEMESTER-V CHILD HEALTH NURSING-UNIT-1-INTRODUCTION.pdf
SEMESTER-V CHILD HEALTH NURSING-UNIT-1-INTRODUCTION.pdfSachin Sharma
 
Gross Anatomy and Histology of Tongue by Dr. Rabia Inam Gandapore.pptx
Gross Anatomy and Histology of Tongue by Dr. Rabia Inam Gandapore.pptxGross Anatomy and Histology of Tongue by Dr. Rabia Inam Gandapore.pptx
Gross Anatomy and Histology of Tongue by Dr. Rabia Inam Gandapore.pptxDr. Rabia Inam Gandapore
 
NDCT Rules, 2019: An Overview | New Drugs and Clinical Trial Rules 2019
NDCT Rules, 2019: An Overview | New Drugs and Clinical Trial Rules 2019NDCT Rules, 2019: An Overview | New Drugs and Clinical Trial Rules 2019
NDCT Rules, 2019: An Overview | New Drugs and Clinical Trial Rules 2019Akash Agnihotri
 

Recently uploaded (20)

Kamrej + ℂall Girls Serviℂe Surat (Adult Only) 8849756361 Esℂort Serviℂe 24x7...
Kamrej + ℂall Girls Serviℂe Surat (Adult Only) 8849756361 Esℂort Serviℂe 24x7...Kamrej + ℂall Girls Serviℂe Surat (Adult Only) 8849756361 Esℂort Serviℂe 24x7...
Kamrej + ℂall Girls Serviℂe Surat (Adult Only) 8849756361 Esℂort Serviℂe 24x7...
 
ESC HF 2024 Spotlights Day-2.pptx heart failure
ESC HF 2024 Spotlights Day-2.pptx heart failureESC HF 2024 Spotlights Day-2.pptx heart failure
ESC HF 2024 Spotlights Day-2.pptx heart failure
 
Report Back from SGO: What’s the Latest in Ovarian Cancer?
Report Back from SGO: What’s the Latest in Ovarian Cancer?Report Back from SGO: What’s the Latest in Ovarian Cancer?
Report Back from SGO: What’s the Latest in Ovarian Cancer?
 
Video capsule endoscopy (VCE ) in children
Video capsule endoscopy (VCE ) in childrenVideo capsule endoscopy (VCE ) in children
Video capsule endoscopy (VCE ) in children
 
TEST BANK For Huether and McCance's Understanding Pathophysiology, Canadian 2...
TEST BANK For Huether and McCance's Understanding Pathophysiology, Canadian 2...TEST BANK For Huether and McCance's Understanding Pathophysiology, Canadian 2...
TEST BANK For Huether and McCance's Understanding Pathophysiology, Canadian 2...
 
Young & Hot ℂall Girls Salem 8250077686 WhatsApp Number Best Rates of Surat ℂ...
Young & Hot ℂall Girls Salem 8250077686 WhatsApp Number Best Rates of Surat ℂ...Young & Hot ℂall Girls Salem 8250077686 WhatsApp Number Best Rates of Surat ℂ...
Young & Hot ℂall Girls Salem 8250077686 WhatsApp Number Best Rates of Surat ℂ...
 
Vesu + ℂall Girls Serviℂe Surat (Adult Only) 8849756361 Esℂort Serviℂe 24x7 C...
Vesu + ℂall Girls Serviℂe Surat (Adult Only) 8849756361 Esℂort Serviℂe 24x7 C...Vesu + ℂall Girls Serviℂe Surat (Adult Only) 8849756361 Esℂort Serviℂe 24x7 C...
Vesu + ℂall Girls Serviℂe Surat (Adult Only) 8849756361 Esℂort Serviℂe 24x7 C...
 
Young & Hot Surat ℂall Girls Vesu 8527049040 WhatsApp AnyTime Best Surat ℂall...
Young & Hot Surat ℂall Girls Vesu 8527049040 WhatsApp AnyTime Best Surat ℂall...Young & Hot Surat ℂall Girls Vesu 8527049040 WhatsApp AnyTime Best Surat ℂall...
Young & Hot Surat ℂall Girls Vesu 8527049040 WhatsApp AnyTime Best Surat ℂall...
 
Cytoskeleton and Cell Inclusions - Dr Muhammad Ali Rabbani - Medicose Academics
Cytoskeleton and Cell Inclusions - Dr Muhammad Ali Rabbani - Medicose AcademicsCytoskeleton and Cell Inclusions - Dr Muhammad Ali Rabbani - Medicose Academics
Cytoskeleton and Cell Inclusions - Dr Muhammad Ali Rabbani - Medicose Academics
 
ANAPHYLAXIS BY DR.SOHAN BISWAS,MBBS,DNB(INTERNAL MEDICINE) RESIDENT.pptx
ANAPHYLAXIS BY DR.SOHAN BISWAS,MBBS,DNB(INTERNAL MEDICINE) RESIDENT.pptxANAPHYLAXIS BY DR.SOHAN BISWAS,MBBS,DNB(INTERNAL MEDICINE) RESIDENT.pptx
ANAPHYLAXIS BY DR.SOHAN BISWAS,MBBS,DNB(INTERNAL MEDICINE) RESIDENT.pptx
 
Sonia Journal club presentation (2).pptx
Sonia Journal club presentation (2).pptxSonia Journal club presentation (2).pptx
Sonia Journal club presentation (2).pptx
 
VIP ℂall Girls Kandivali west Mumbai 8250077686 WhatsApp: Me All Time Serviℂe...
VIP ℂall Girls Kandivali west Mumbai 8250077686 WhatsApp: Me All Time Serviℂe...VIP ℂall Girls Kandivali west Mumbai 8250077686 WhatsApp: Me All Time Serviℂe...
VIP ℂall Girls Kandivali west Mumbai 8250077686 WhatsApp: Me All Time Serviℂe...
 
VIII.1 Nursing Interventions to Promote Healthy Psychological responses, SELF...
VIII.1 Nursing Interventions to Promote Healthy Psychological responses, SELF...VIII.1 Nursing Interventions to Promote Healthy Psychological responses, SELF...
VIII.1 Nursing Interventions to Promote Healthy Psychological responses, SELF...
 
Charbagh { ℂall Girls Serviℂe Lucknow ₹7.5k Pick Up & Drop With Cash Payment ...
Charbagh { ℂall Girls Serviℂe Lucknow ₹7.5k Pick Up & Drop With Cash Payment ...Charbagh { ℂall Girls Serviℂe Lucknow ₹7.5k Pick Up & Drop With Cash Payment ...
Charbagh { ℂall Girls Serviℂe Lucknow ₹7.5k Pick Up & Drop With Cash Payment ...
 
duus neurology.pdf anatomy. phisiology///
duus neurology.pdf anatomy. phisiology///duus neurology.pdf anatomy. phisiology///
duus neurology.pdf anatomy. phisiology///
 
^In Pietermaritzburg Hager Werken Embalming +27789155305 Compound Powder in ...
^In Pietermaritzburg  Hager Werken Embalming +27789155305 Compound Powder in ...^In Pietermaritzburg  Hager Werken Embalming +27789155305 Compound Powder in ...
^In Pietermaritzburg Hager Werken Embalming +27789155305 Compound Powder in ...
 
Best medicine 100% Effective&Safe Mifepristion ௵+918133066128௹Abortion pills ...
Best medicine 100% Effective&Safe Mifepristion ௵+918133066128௹Abortion pills ...Best medicine 100% Effective&Safe Mifepristion ௵+918133066128௹Abortion pills ...
Best medicine 100% Effective&Safe Mifepristion ௵+918133066128௹Abortion pills ...
 
SEMESTER-V CHILD HEALTH NURSING-UNIT-1-INTRODUCTION.pdf
SEMESTER-V CHILD HEALTH NURSING-UNIT-1-INTRODUCTION.pdfSEMESTER-V CHILD HEALTH NURSING-UNIT-1-INTRODUCTION.pdf
SEMESTER-V CHILD HEALTH NURSING-UNIT-1-INTRODUCTION.pdf
 
Gross Anatomy and Histology of Tongue by Dr. Rabia Inam Gandapore.pptx
Gross Anatomy and Histology of Tongue by Dr. Rabia Inam Gandapore.pptxGross Anatomy and Histology of Tongue by Dr. Rabia Inam Gandapore.pptx
Gross Anatomy and Histology of Tongue by Dr. Rabia Inam Gandapore.pptx
 
NDCT Rules, 2019: An Overview | New Drugs and Clinical Trial Rules 2019
NDCT Rules, 2019: An Overview | New Drugs and Clinical Trial Rules 2019NDCT Rules, 2019: An Overview | New Drugs and Clinical Trial Rules 2019
NDCT Rules, 2019: An Overview | New Drugs and Clinical Trial Rules 2019
 

Thiamine.pptx

  • 1. THIAMINE (B1] Shyam sundar yadav Nims college of paramedical
  • 2. THIAMINE B1  Thiamine (anti-beri-beri or antineuritic vitamin) is water soluble vitamin o It has a specific coenzyme, thiamine pyrophosphate (TPP) o Chemistry: o Thiamine contains pyrimidine ring and a thiazole ring held by a methylene bridge
  • 3.  The alcohol group of thiamine is esterfied with phosphate (2 moles) to form the coenzyme, thiamine pyrophosphate (TPP or Cocarboxylase)  The phosphate moiety is donated by ATP & reaction is catalyzed by thiamine pyrophosphate transferase  Thiamine is a sulphur containing water soluble vitamin
  • 4. N N NH2 H3C CH2 S N O O -CH2 - CH2 – O - P- O – P - O O O Pyrimidine ring Methylene bridge Thiazole Pyrophosphate CH3 Structure of TPP
  • 5.  Metabolism:  Absorption: Thiamin is carried by the portal blood to the liver, present as free thiamine  Storage: stored as thiamin pyrophosphate  Mainly stored in skeletal muscle and also present in significant amounts in liver, heart, kidneys, erythrocytes and nervous system  Coenzyme form: TPP
  • 6.  The coenzyme, TPP or Cocarboxylase is connected with energy releasing reactions in the carbohydrate metabolism Pyruvate dehydrogenase complex:  It catalyses the irreversible conversion of pyruvate to acetyl CoA  It is essential for complete oxidation of glucose  It links glycolysis and TCA cycle
  • 7. Acetyl CoA  Transketolase is dependent on TPP  It is involved in HMP shunt Pyruvate PDH Complex TPP NAD+ NADH + H+
  • 8.  α- Ketoglutarate dehydrogenase complex:  It converts α- Ketoglutarate succinyl CoAin TCA cycle α-Ketoglutarate Succinyl CoA α- Ketoglutarate DH Complex TPP NAD+ NADH + H+
  • 9. Corresponding Acyl CoA  Essential for transmission of nerve impulse  TPP is required for synthesis of Acetylcholine NADH + H+  The branched chain α-Keto acid dehydrogenase (decarboxylase):  It catalyses the conversion of α-keto acids to corresponding acyl CoA Branched chain α-Keto acid NAD+ Branched chain α-Keto acid DH Complex TPP
  • 10. Glucose Glucose – 6 P Pyruvate Acetyl CoA TPP PDH TCA TPP Succinyl CoA Citrate Oxaloacetate α- Ketoglutarate α- Ketoglutarate dehydrogenase Ribose - 5P Transketolase TPP Seduheptulose - 7P Xylulose - 5P Glyceraldehyde - 3P
  • 11.  Rich sources of thiamine are unrefined cereal grains (rice, wheat), legumes (beans)  Animal sources are liver, kidney, milk  Thiamine is mostly concentrated in outer layer of cereals  Polishing of rice removes 80% of thiamine  Thiamine is water soluble, and is excreted into water during cooking process
  • 12.  Adults - 1-1.5 mg/day  Children - 0.7-1.2 mg/day  Pregnancy & lactation Deficiency : Causes: - 2 mg/day B1 deficiency is caused by inadequate intake of thiamine in diet
  • 13.  Eating fishes containing microbial thiaminase, it hydrolytically destroys thiamin  Impaired absorption is caused by intestinal diaorders  Increased requirement of thiamine is seen in hyperthyroidism, fever, pregnancy and lactation  Chronic alcoholism is common cause of B1 deficiency
  • 14. BIOCHEMICAL CHANGES IN B1 DEFICIENCY  Carbohydrate metabolism is impaired  Accumulation of pyruvate in tissues  Excretion of pyruvate in urine  Normally, pyruvate does not cross the blood-brain barrier (BBB)  In thiamine deficiency alteration occurs in BBB and permits pyruvate into brain  It results in disturbed metabolism, it may be responsible for polyneuritis
  • 15.  B1 deficiency leads to impairment in nerve impulse transmission due to lack of TPP  Transketolase activity in erythrocytes is decreased  Measurement of RBC transketolase activity is reliable diagnostic test to assess B1 deficiency
  • 16.  Thiamine deficiency causes a clinical condition called Beri-Beri  Commonly seen in populations consuming exclusively polished rice as staple food  Clinical features of thiamine deficiency are grouped into  Wet beri-beri:  It is characterized by edema of legs, face, trunk & serous cavities
  • 17.  Systolic BP is elevated & diastolic BP is decreased  Tachycardia  Fast & bouncing pulse is observed  Enlargement of heart  Heart becomes weak & death may occur due to heart failure
  • 18.
  • 19.  Dry beri-beri:  Associated with neurological manifestations  Clinical features  Peripheral neuritis with numbness  Tingling sensations in the lower legs & feet  Ataxic gait  Loss of weight  Muscles become weak & walking becomes difficult  Mental confusion
  • 20.  Called as Wernicke-Korsakoff syndrome  Mostly seen in chronic alcoholics  Insufficient intake or impaired absorption of thiamine  Loss of memory,  Apathy  Rhythmical to & fro motion of eye balls
  • 21.  Seen in infants born to mothers suffering from thiamine deficiency  The breast milk of these mothers contain low levels of thiamine  It usually occurs during 2-4 months  Clinical features include  Sleeplessness  Restlessness  Vomiting, convulsions  Death may occur due to cardiac failure
  • 22.  Increased plasma levels of pyruvate & lactate due to low activity of PDH complex  Accumilation of pentose sugars in erythrocytes is due to decreased activity of transketolase  Measurement of Transketolase activity is common test used for the diagnosis of B1 deficiency
  • 23.  Antimetabolites  Thiaminase  It is present in raw fish & seafood  Thiaminase destroys thiamine if it is present in the diet
  • 24. REFERENCES  Harper’s Biochemistry 25th Edition.  Fundamentals of Clinical Chemistry by Tietz.  Text Book of Medical Biochemistry-A R Aroor.  Text Book of Biochemistry-DM Vasudevan  Text Book of Biochemistry-MN Chatterjea  Text Book of Biochemistry-Dr.U.Satyanarana