2. OBJECTIVES
• DEFINE VITAMIN, COFACTOR AND MINERALS
• DESCRIBE THE FUNCTION OF VITAMINS AND COFACTORS
AND MINERALS,
• PROVIDE EXAMPLES OF EACH GROUP. (CLASSIFICATION)
• DISEASES ASSOCIATED WITH VITAMINS AND MINERALS
• UTILIZATION OF MINERALS AND VITAMINS
3. INTRODUCTION
• Vitamins and minerals are MICRONUTRIENTS.
• Micronutrients are needed only in minuscule amounts, these
substances are the “magic wands” that enable the body to produce
enzymes, hormones and other substances essential for proper
growth and development.
• However, the consequences of their absence are severe.
• Iodine, vitamin A and Iron are most important in global public
health terms; lacking those represents a major threat to the
health and development of populations, particularly children and
pregnant women in low-income countries. (WHO, 2018)
4. • A variety of micronutrients are required in a healthy diet,
as they act as cofactors integral to the enzymes involved
in cell functions like DNA and protein synthesis, cell
proliferation, immunity, and anti-oxidation processes
5. • Vitamins and minerals are micronutrients.
• Are group of organic molecule and is an essential micronutrient
that cannot be synthesized in the body.
• are needed in small quantities for the proper functioning of its
metabolism.
• are obtained from diet and stored in liver
• Perform specific cellular functions
• Disease prevention
10. VITAMINA
• Vitamin A is a group of unsaturated nutritional organic
compounds
• Vitamin A refers to three biologically active vitamers
Retinol
Retinal
Ritinoic acid
• Also some refers to several provitamin carotenoids
(most notably beta-carotene)
11. CONTINUED….
• They are polysioprenoid compounds compromising two
distinct component
A cyclohexnyl ring
A side chain
• A side chain is made up of several isoprene units, which
is attached the cyclohexenyl ring
13. FUNCTION
Development of healthy skin and nerve tissue.
Aids in building up resistance to infection.
Functions in eyesight(retinal) and bone formation.(retinoic Acid)
It is important in the ration of pregnant females.(retinol)
14. ABSORPTION
B-CAROTENE
• Absorbed in small intestine and enters mucosal cells where it
is cleaved into two molecules of trans-retinal dioxygenase
and molecular oxygen
• Bile salts facilitates the reaction
• Retinal is oxydised to retinol by an NADH or NADPH-
dependent retinal reductase
• Retinol is esterified with a fatty acid, incorporated into
chylomicrons together with dietary lipids, and secreted into
lacteals
15. RETINOL ESTERS
• Hydrolyzed in the intestinal lumen by pancreatic enzyme
called carboxylic ester hydrolase
• The free retinol generated is transferred across mucosal
cell
• Then esterified , incorporated into chylomicrons and
secreted into lacteals.
• Note: the presence of lipids in the intestine ensures
efficient absorption of retinol
16. TRANSPORT ANDSTORAGE
• Vitamin A is released from the liver as retinol
• Zn is essential for retinol metabolism
• Retinol is transported in the circulation by the retinol
binding protein(RBP) in association with pre-albumin
• One molecule of RBP binds one molecule of retinol
• The retinol-rbp complex binds to specific receptors on
the cell membrane of peripheral tissue and enters the
cells
17. • Many cells of target tissues contain a cellular retinol-binding
protein (CRBP) that carries retinol to the nucleus and binds to
the chromatin (DNA)
• Retinol exerts its function in a manner to that of a steroid
hormone
• Retinoic acid is mainly transported in the blood by binding to
albumin
• Small amounts of retinoic acid in the blood is also transported in
combination with aporetinol binding protein
18. VITAMINA ANDVISION
• Rodopsin synthesis
• WALDS visual cycle
• Regeneration of 11-cis-retinal
• Dark adaptation mechanism
• Mechanism of vision
19.
20. OTHER FACTORS OF VITAMIN A
• Regulation of gene expression
• Growth and differentiation
• Glycoprotein synthesis
• Reproduction
• Antioxidant
21. SOURCES
Whole milk, carotene, animal body oils (cod fish
and tuna), legume forages and can be synthetically
produced.
22.
23. TOXICITY
• More than 300mg causes hypervitaminosis
• Symptoms: dry and pruritic skin, hepatomegaly, increase
intracranial pressure
• It can cause malformation of growing fetus
24. DEFICIENCY SIGNS
Retarded growth in the young
The development of a peculiar condition around the eyes
known as xerophthalmia
Night blindness
Reproductive disorders.
27. VITAMIN D
• Vitamin D refers to a group of fat-soluble secosteroids.
• Most important compounds in this group are
vitamin d3 - cholecalciferol
vitamin d2 – ergocalciferol
• Synthesis of vitamin D in the skin is the major natural source
of the vitamin
• Vitamin D from the diet or dermal synthesis from sunlight is
biologically inactive; activation requires enzymatic
conversion (hydroxylation) in the liver and kidney
29. FUNCTION
• is essential for the proper utilization of calcium and
phosphorus to produce normal, healthy bones.
30. ABSORPTION
• Diet from animal sources such as animal liver contains vitamin D3
• Diet from plant sources contains vitamin D2
• Absorption: vitamin D2 and D3 are absorbed from upper small
intestine and bile is essential
• Mechanism: vitamin D3 and D2 form mixed micelles by combining
with bile salts (micelles)
• Mixed micelles are presented to mucosal cells
• Absorption occurs by passive transport
31. TRANSPORT
• Vitamin D binding globulin: vitamin D is transported from
intestine to the liver by binding to vitamin D binding
globulin
• 25 – hydroxy D3 and 1,25 – dihydroxy D3 are also
transported in the blood by binding to vitamin D binding
globulin
• Storage: 25 – hydroxycholecalciferol is the major storage
and circulatory form of vitamin D
32. VITAMIN D AND SUNSHINE
• During the course of cholesterol biosynthesis 7-
dehydrocholesterol is formed as an intermediate
• On exposure to sunlight, 7-dehydrocholesterol is converted
to cholecalciferol in the skin (dermis and epidermis)
• Dark skin pigment (melanin) adversely influences the
synthesis of cholecalciferol
33. • Skin is the largest organ in the body
• The production of vitamin D in the skin is directly
proportional to the exposure to sunlight and inversely
proportional to the pigmentation of skin
• Excessive exposure to sunlight does not result in vitamin D
toxicity since excess provitamin D3 are destroyed by
sunlight itself
34. CALCITRIOL METABOLISM
• Active form: the active form of vitamin D is 1,25 –
dihydroxycholecalciferol and is also called as calcitriol
• Cholecalciferol is first hydroxylated at 25thp osition to 25 –
hydroxycholecalciferol by a specific hydroxylase present in
liver
• Kidney possesses a specific enzyme, 25 –
hydroxycholecalciferol 1 – hydroxylase
35. CONTINUED
• 25 – hydroxycholecalciferol 1 – hydroxylase hydroxylates
25 – hydroxycholecalciferol at position 1 to produce 1,25
dihydroxycholecalciferol (1,25-DHCC)
• 1,25 – DHCC contains 3 hydroxyl groups (1, 3,25) and
called as calcitriol
• Both hydroxylase enzymes (of liver and kidney) require
cytochrome P450, NADPH and molecular oxygen for
hydroxylation process
36. REGULATION
• Formation of 1,25 – DHCC is regulated by the regulation of
renal 1 α – hydroxylase
• 1 α – hydroxylase activity is increased by hypocalcemia
• Hypocalcemia stimulates PTH secretion which, in turn,
increases 1 α – hydroxylase
• 1 α – hydroxylase activity may be feedback inhibited by
1,25 – DHCC
41. •DISEASE
• Rickets can be caused by lack of sunlight, but
also from insufficient calcium. Vitamin D
linked to calcium absorption.(Rickets
reported in NYC.)
42.
43. WHAT IS VITAMIN E?
• VITAMIN E IS FOUND NATURALLY IN SOME FOODS, ADDED TO OTHERS, AND
AVAILABLE AS A DIETARY SUPPLEMENT.
• “VITAMIN E” IS THE COLLECTIVE NAME FOR A GROUP OF FAT-SOLUBLE
COMPOUNDS WITH DISTINCTIVE ANTIOXIDANT ACTIVITIES.
• ALPHA- (OR Α-) TOCOPHEROL IS THE ONLY FORM THAT IS RECOGNIZED TO
MEET HUMAN REQUIREMENTS.
• ALSO KNOWN AS A BEAUTY VITAMIN
45. SOURCES OF VITAMIN E
Numerous foods provide vitamin E
Nuts, seeds, and vegetable oils are among the best sources of
alpha-tocopherol
Significant amounts are available in green leafy vegetables and
fortified cereals
50. RDA – VITAMIN E
• AVERAGE DAILY LEVEL OF INTAKE SUFFICIENT TO MEET THE NUTRIENT
REQUIREMENTS OF NEARLY ALL (97%–98%) HEALTHY INDIVIDUALS; OFTEN USED
TO PLAN NUTRITIONALLY ADEQUATE DIETS FOR INDIVIDUALS.
51. BIOCHEMICAL FUNCTIONS
Most of the functions of Vit. E are related to its antioxidant
properties
1. Essential for membrane structure and integrity of the cells
2. Increases the synthesis of heme by enhancing ALA synthase and ALA
dehydratase
3. Required in cellular respiration- stabilizes co-enzyme Q in ETC
4. Works in association with Vitamin A, C and beta carotene- to prevent
cataracts.
5. Prevents oxidation of LDL.
54. TOXICITY- HYPERVITAMINOSIS
• VITAMIN E IS KNOWN AS A NONTOXIC SUBSTANCE IN NATURE
• HOWEVER, AT VERY HIGH DOSES, IT CAN ANTAGONIZE THE FUNCTIONS OF OTHER
FAT SOLUBLE VITAMINS
• MORE THAN 1000 IU PER DAY, LEADS TO:
• HEADACHE
• NAUSEA
• DOUBLE VISION
• MUSCLE WEAKNESSES
• GASTROINTESTINAL DISTRESS
CONTRAINDICATION: DUE TO COAGULANT DEFECT ( VITAMIN K DEFICIENCY)
64. ABSORPTION
• SIMILAR TO VITAMIN E
• ABSORPTION TAKES PLACE IN THE SMALL INTESTINE IN THE PRESENCE OF BILE
SALTS
• THE TRANSPORTATION IS CARRIED OUT THROUGH CHYLOMICRONS
• STORAGE OCCURS IN LIVER AND FROM LIVER IT IS TRANSPORTED TO
PERIPHERAL TISSUES IN BOUND WITH VLDL
68. VITAMIN K AS A COFACTOR
• VITAMIN K IS THE COFACTOR FOR THE CARBOXYLATION OF GLUTAMATE
RESIDUES IN THE POST SYNTHETIC MODIFICATION OF PROTEINS TO FORM
GAMMA-CARBOXYGLUTAMATE
75. NIACIN – VITAMIN B3
• ALSO CALLED NICOTINIC ACID
• ODORLESS WHITE CRYSTALLINE SUBSTANCE
• STRUCTURAL COMPONENT OF NAD AND NADP DEHYDROGENASE COFACTOR
• RESISTANT TO HEAT AND OXIDATION
• STABLE VITAMIN
STRUCTURE
PYRIDINE DERIVATIVE
SIMPLE STRUCTURE WITH MOLECULAR FORMULA- C6H5O2N
76.
77. FUNCTIONS
• RELEASE OF ENERGY
• SYNTHESIS OF FATS AND PROTEIN
• ACT AS COENZYME
• REDOX REACTION
• VASODILATION
• NON REDOX REACTIONS
78. DEFICIENCY AND CLINICAL CORRELATION
• DUE TO INSUFFICIENT INTAKE OF FOOD
• ALCOHOLISM
• TRYPTOPHAN ABSORPTION DISORDER
• MALABSORPTION SYNDROME
NORMAL RANGE – 0.50-0.85UG/ML
RDA
MEN – 16MG/DAY
WOMEN – 14MMG/DAY
DEFICIENCY OF NIACIN LEADS TO PELLAGRA
79. PELLAGRA
• ARISES DUE TO NIACIN DEFICIENCY
• CHARACTERIZED BY 4 D’S
DERMATITIS
DIARRHEA
DEMENTIA
DEATH
80. TOXICITY
• MEDICALLY USED TO LOWER LDL AND TRIGLYCERIDE
• INCREASES HDL
TOXICITY OCCURS WHEN NIACIN INTAKE IS MORE THAN 1000MG/DAY
SYMPTOMS OF TOXICITY
TACHYCARDIA
ITCHING
GOUT
ABDOMINAL PAIN
81.
82. PANTOTHENIC ACID- VITAMIN B5
• PANTOTHEN- MEANS EVERYWHERE
• WATER SOLUBLE
• CHICK ANTI-DERMATITIS FACTOR
STRUCTURE
PANTOIC ACID JOINED TO BETA ALANINE
HELD BY PEPTIDE BOND
HEAT STABLE
ACTIVE FORM – CO ENZYME A (COA)
83. ABSORPTION AND TRANSPORT
• FOOD –CONTAINS ACETYL COA AND PHOSPHOPANTOTHEINE
• INTESTINAL PYRO PHOSPHATASE HYDROLYZE TO YIELD FREE FORMS
• FREE FORMS ARE ABSORBED
TRANSPORT
ENTERS THE PORTAL CIRCULATION
MOSTLY ENDS UP IN LIVER
84. SYNTHESIS OF COA ( ACTIVE FORM)
• PANTOTHENIC ACID IS PHOSPHORYLATED- 4 PHOSPHOPANTOTHENIC ACID IS
FORMED
• 4-PHOSPHOPANTOTHENIC ACID IS CONVERTED TO
4-PHOSPHOPANTOTHENYLCYSTEINE
• 4-PHOSPHOPANTOTHENYLCYSTEINE IS DECARBOXYLATED TO 4-
PHOSPHOPANTOTHEINE
• 4-PHOSPHOPANTOTHEINE IS THEN CONVERTED TO DIPHOSPHO COENZYME
• PHOSPHORYLATION OF DIPHOSPHO CO ENZYME YIELDS THE ACTIVE CO ENZYME
A (COA)
87. FUNCTIONS
Function is mostly related to CoA
Involved in most of the metabolism
Acts as co-factor as in:
Pyruvate dehydrogenase complex
α-ketoglutarate dehydrogenase
FAS complex
Thiolase, HMG COA synthase
Helps in formation of neurotransmitters
Act as substrates
Essential for energy metabolism
88. DEFICIENCY AND CLINICAL CORRELATIONS
• DEFICIENCY IS VERY RARE
• USUALLY IN MALNOURISHED INDIVIDUALS
• ANOREXIA NERVOSA
• MALABSORPTION SYNDROME
NORMAL RANGE:1.6 TO 2.7 MCMOL/L
NO TOXICITY ARISES DUE TO EXCESSIVE INTAKE OF PANTOTHENIC ACID
RDA
ADULTS : 10MG/DAY
CHILDREN : 7MG/DAY
91. BIOTIN (VITAMIN B7)
• PRESENT IN MITOCHONDRIA AND CYTOSOL
• ESSENTIAL FOR CELL GROWTH
• SYNTHESIZED BY FUNGI, BACTERIA AND YEAST
STRUCTURE
MEMBER OF B COMPLEX GROUP OF VITAMIN
APPEARS AS WHITE CRYSTALLINE NEEDLE
SULPHUR CONTAINING
2 CONDENSED HETEROCYCLE (IMIDAZOLIDINE ANDTHIOLANE)
SIDE CHAIN OF VALERIC ACID
93. ABSORPTION OF BIOTIN
• INTESTINAL PROTEASE YIELDS BIOTINYLLYSINE
• INTESTINAL BIOTIN AMIDE AMINO HYDROLASE LIBERATES FREE BIOTIN
• FREE BIOTIN IS ABSORBED IN PROXIMAL PART OF SMALL INTESTINE
2 ABSORPTION MECHANISM INVOLVED:
FACILITATED TRANSPORT
PASSIVE DIFFUSION
94.
95. DEFICIENCY AND CLINICAL FEATURES
• DEFICIENCY IS VERY RARE
CLINICAL FEATURES
SEVERE DERMATITIS
WEAKNESS
NAUSEA
ALOPECIA
LOSS OF APPETITE
MUSCLE PAIN
WEAKNESS
NORMAL BLOOD BIOTIN LEVEL 400-1200NG/L
<400NGL – DEFICIENT STATE
96. CAUSE OF DEFICIENCY
• POOR PARENTERAL NUTRITION
• CONSUMING RAW EGG
• BIOTINIDASE DEFICIENCY
97. TOXICITY
• TOXICITY IS RARE
• CAN OCCUR DURING PROLONG OVERDOSE OF BIOTIN
CLINICAL SYMPTOMS INCLUDES
SKIN RASHES
SLOWER RELEASE OF INSULIN
LOWER VITAMIN C AND VITAMIN B6 LEVEL
HIGH BLOOD SUGAR LEVEL
98.
99. ASCORBIC ACID - VITAMIN C
water soluble vitamin
Acidic in nature
Is a strong reducing agent
Cannot be synthesized by humans
Present in all tissues as reduced form
Oxidation occurs in presence of copper
Mostly present in retina, thymus and adrenal gland
100. STRUCTURE
• HEXOSE DERIVATIVE
• MONOSACCHARIDE IN STRUCTURE
• 2 FORMS
L- ASCORBIC ACID
L-DEHYDRO ASCORBIC ACID
D-ASCORBIC ACID IS BIOLOGICALLY INACTIVE
101. IRON AND HEM METABOLISM
ACT AS COFACTOR
BONE FORMATION
FORMATION OF NOREPINEPHRINE
104. DEFICIENCY AND CLINICAL CORRELATION
OCCURS DUE TO:
DIETARY DEFICIENCY-ANOREXIA NERVOSA
IMPAIRED ABSORPTION
DEFICIENCY LEADS TO SCURVY
NORMAL SERUM LEVEL- 0.3-0.6MG/DL
105. SCURVY
• Occurs in case of vitamin C deficiency
Clinical signs
bleeding gums and hemorrhage
small skin discoloration due to ruptured blood vessels
easy bruising,
impaired wound and fracture healing
joint pain
loose and decaying teeth
hyperkeratosis of hair follicles
koilonychias
BARLOWS DISEASE-refers to scurvy in infants(below 12 months
106. TOXICITY
• RARE AS EXCESS IS EXCRETED IN URINE
• MORE THAN 2000MG MAY CAUSE IRON OVERLOAD-HEMOCHROMATOSIS
• EXCESS VITAMIN C CAN CAUSE:
NAUSEA
VOMITING
DIARRHEA
HYPEROXALURIA AND KIDNEY STONES
107. REFERENCES
• Dermaharmony.Com. (2017). Macronutrients and micronutrients. [Online] available at:
https://www.Dermaharmony.Com/skinnutrition/macronutrientsmicronutrients.Aspx
[accessed 29 AUG. 2018].
• Ods.Od.Nih.Gov. (2018). Office of dietary supplements - vitamin E. [Online]
available at: https://ods.Od.Nih.Gov/factsheets/vitamine-
healthprofessional/#h4 [accessed 14 sep. 2018].
• Murray. R. K, et al, 2012. Harper’s illustrated biochemistry. Ed 29. Mcgraw hill
companies. Usa
• Ods.Od.Nih.Gov. (2018). Office of dietary supplements - vitamin K. [Online]
available at: https://ods.Od.Nih.Gov/factsheets/vitamink-
healthprofessional/#h3 [accessed 30 sep. 2018].
Editor's Notes
A vitamin is an organic molecule which is an essential micronutrient, that an organism needs in small quantities for the proper functioning of its metabolism. Essential nutrients cannot be synthesized in the organism, either at all or not in sufficient quantities, and therefore must be obtained through the diet. Vitamins are required to perform specific cellular functions. For example, many of the water-soluble vitamins are precursors of coenzymes for the enzymes of intermediary metabolism. In contrast to the water soluble vitamins, only one fat-soluble vitamin (vitamin K) has a coenzyme function.
Vitamins: essential organic nutrients, required in small amounts, that cannot be synthesized by the body. Required for growth, maintenance, reproduction and lactation.