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RADIOCHEMISTRY

HUMAN HEALTH AND NUTRITION:
HOW ISOTOPES ARE HELPING TO
OVERCOME “HIDDEN HUNGER”

Radiochemistry

Diego Alexander Bonilla Ocampo

1
OVER
NUTRITION
-

UNDER NUTRITION

Industrialized World
- Less fiber and
complex
carbohydrates, and
more alcohol
- Obesity,
hypertension,
cardiovascular
diseases, diabetes
mellitus, etc.
- Immense social
and health care
costs

Developing Countries
- Mainly of poor people
- More than 780 million people (20%
developing world) are
undernourished.
- 190 million children under five
years of age suffer from proteinenergy malnutrition.
- Every day, 40 000 children under
the age of five die.
- Some 2000 million people more
than 100 developing countries
suffer from micronutrient
deficiencies

Radiochemistry

-

Diego Alexander Bonilla Ocampo

2
Many problems are
not new…

Radiochemistry

Diego Alexander Bonilla Ocampo

3
Nutritional problems underlying these
trends are generally nor related to an
absolute deficiency of food – to overt
hunger. In most cases, they are caused by
insufficient quality of food, or lack of
variety, leading to deficiencies of vitamins
and essential minerals.
The WORLD HEALTH ORGANIZATION
(WHO) has coined the term “hidden
hunger” to describe these problems

Radiochemistry

Diego Alexander Bonilla Ocampo

4
The work of the IAEA is contributing to
efforts directed at overcoming hidden hunger
and other nutrition problems.
The rationale for the IAEA's involvement is
twofold. First, adequate nutrition is an
essential component of any strategy for
improving health, and the IAEA's Statute
specifically identifies "enlarging the
contribution of atomic energy to peace, health
and prosperity" as the major objective of
programmes.
Radiochemistry

Diego Alexander Bonilla Ocampo

5
Second, isotope techniques have a wide
variety of applications — some of them
unique — for targeted research in human
nutrition, for assessing nutritional status,
and for monitoring the effectiveness of
nutritional intervention programmes.

Radiochemistry

Diego Alexander Bonilla Ocampo

6
Micronutrient Malnutrition: Vitamin
and Mineral deficiencies
Play a wide role in health and development.
Micronutrient deficiencies can cause harm from
the moment of conception because they influence
the regulation of growth and other physiological
processes.
Iron deficiency is the most common nutritional
deficiency in the world today. In infancy and
childhood, it can impair learning and the ability
to resist disease.
Radiochemistry

Diego Alexander Bonilla Ocampo

7
Iodine deficiency affects production of the
thyroid hormones that govern the development
and function of the brain and nervous system
and regulate body heat and energy. (Reduce both
physical and mental capacity, cause
miscarriages, mental retardation in children)
Vitamin-A deficiency is the most common
cause of childhood blindness, reduces the
effectiveness of the immune system, and retards
growth and development.
Radiochemistry

Diego Alexander Bonilla Ocampo

8
Radiochemistry

Diego Alexander Bonilla Ocampo

9
Antígenos (Ag): sustancias, generalmente de
gran tamaño, capaces de estimular el sistema
inmunológico de un animal y originar una
respuesta dirigida específicamente contra él.
Anticuerpo (Ac): grupo de proteínas llamadas
inmunoglobulinas, producidas por linfocitos B y
su progenie (células plasmáticas) que se
combinan específicamente con los antígenos.
Radiochemistry

Diego Alexander Bonilla Ocampo

10
RIA - RADIOINMUNOASSAY

Radiochemistry

Diego Alexander Bonilla Ocampo

11
Radiochemistry

Diego Alexander Bonilla Ocampo

12
ELISA (Enzyme-Linked
ImmunoSorbent Assay)
Se basa en el uso de antígenos o
anticuerpos marcados con una
enzima, de forma que los conjugados
resultantes tengan actividad tanto
inmunológica como enzimática.

Radiochemistry

Diego Alexander Bonilla Ocampo

13
Radiochemistry

Diego Alexander Bonilla Ocampo

14
Radiochemistry

Diego Alexander Bonilla Ocampo

15
Radiochemistry

Diego Alexander Bonilla Ocampo

16
Radiochemistry

Diego Alexander Bonilla Ocampo

17
Isotope Techniques in Studies of
Micronutrient Malnutrition
Many micronutrients, both vitamins and trace
elements, that are of crucial importance in
human nutrition can be studied with the use of
isotope techniques.
Iron. Of fundamental importance in any study
of iron nutrition is the actual uptake of iron by
the body (e.g. from a foodstuff or meal) in a
metabolically active form.
Radiochemistry

Diego Alexander Bonilla Ocampo

18
IRON
- Amount absorbed depends on the source of iron (vegetal or
meat) and presence of other substances (Vitamin C, tannin,
etc.)
-The incorporation of radioactive iron isotopes (iron-55 and
iron-59) into red blood cells following extrinsic labelling of
the food or diet to be tested and feeding it to select test
subjects. Blood samples are taken over a period of 2-4 weeks
and processed for counting with a liquid scintillation
counter.
- Recently, in some countries, the use of stable isotopes (iron54, -57, and -58) measured by mass spectrometry has come to
be regarded as a preferable technique because of the absence
of a radiation dose, (permits studies on children and women)
Radiochemistry

Diego Alexander Bonilla Ocampo

19
IRON
- Isotope methods are also useful for assessing
the iron status of individuals and populations
based on measurements of serum ferritin. Low
serum ferritin reflects depleted body iron stores
and is the most specific finding for iron
deficiency. Immunoassay - either
radioimmunoassay (RIA) or an enzyme-based
assay (ELISA) - is the only technique currently
available for measuring ferritin.
Radiochemistry

Diego Alexander Bonilla Ocampo

20
Iodine. usually identified from measurements of
urinary iodine excretion. However, useful additional
information on the nutritional iodine status of a
person or population can sometimes be obtained by
looking at the levels of thyroid-related hormones in
blood serum. Iodine deficiency of moderate to severe
degree results in changes in the pattern of secretion,
and therefore serum concentrations, of
thyroid hormones.

Radiochemistry

Diego Alexander Bonilla Ocampo

21
IODINE
- Immunoassay is the technique of choice for
such determinations. It relies on the use of
antibodies as specific binding agents to detect a
diversity of analytes (in this case, thyroid-related
hormones such as T3, T4
and TSH). A high degree of specificity,
sensitivity and robustness is provided. RIA and
ELISA are the two applicable forms of
immunoassay.
Radiochemistry

Diego Alexander Bonilla Ocampo

22
Vitamin-A. Isotope methods for studying vitamin-A
are not yet as well developed as for the other
micronutrients just mentioned. However, there is no
doubt that they will have uniquely valuable
applications in assessing vitamin-A status, e.g. from
measurements of plasma clearance of a test dose of
isotopically labelled retinol. For human studies,
deuterium is usually chosen as the isotopic label.

Radiochemistry

Diego Alexander Bonilla Ocampo

23
In increasing ways, stable and
radioactive isotopes are
contributing to research of
serious nutritional problems
affecting human health

Radiochemistry

Diego Alexander Bonilla Ocampo

24
BIBLIOGRAFÍA

-IAEA BULLETIN, 4/1994. Human Health and
Nutrition: How Isotopes are Helping to Overcome
“Hidden Hunger”. PARR, Robert M. and FJELD,
Carla R.
- http://ehu.es/biomoleculas/isotopos/ria.htm

Radiochemistry

Diego Alexander Bonilla Ocampo

25
GRACIAS

Radiochemistry

Diego Alexander Bonilla Ocampo

26

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Presentación sustentación del artículo

  • 1. RADIOCHEMISTRY HUMAN HEALTH AND NUTRITION: HOW ISOTOPES ARE HELPING TO OVERCOME “HIDDEN HUNGER” Radiochemistry Diego Alexander Bonilla Ocampo 1
  • 2. OVER NUTRITION - UNDER NUTRITION Industrialized World - Less fiber and complex carbohydrates, and more alcohol - Obesity, hypertension, cardiovascular diseases, diabetes mellitus, etc. - Immense social and health care costs Developing Countries - Mainly of poor people - More than 780 million people (20% developing world) are undernourished. - 190 million children under five years of age suffer from proteinenergy malnutrition. - Every day, 40 000 children under the age of five die. - Some 2000 million people more than 100 developing countries suffer from micronutrient deficiencies Radiochemistry - Diego Alexander Bonilla Ocampo 2
  • 3. Many problems are not new… Radiochemistry Diego Alexander Bonilla Ocampo 3
  • 4. Nutritional problems underlying these trends are generally nor related to an absolute deficiency of food – to overt hunger. In most cases, they are caused by insufficient quality of food, or lack of variety, leading to deficiencies of vitamins and essential minerals. The WORLD HEALTH ORGANIZATION (WHO) has coined the term “hidden hunger” to describe these problems Radiochemistry Diego Alexander Bonilla Ocampo 4
  • 5. The work of the IAEA is contributing to efforts directed at overcoming hidden hunger and other nutrition problems. The rationale for the IAEA's involvement is twofold. First, adequate nutrition is an essential component of any strategy for improving health, and the IAEA's Statute specifically identifies "enlarging the contribution of atomic energy to peace, health and prosperity" as the major objective of programmes. Radiochemistry Diego Alexander Bonilla Ocampo 5
  • 6. Second, isotope techniques have a wide variety of applications — some of them unique — for targeted research in human nutrition, for assessing nutritional status, and for monitoring the effectiveness of nutritional intervention programmes. Radiochemistry Diego Alexander Bonilla Ocampo 6
  • 7. Micronutrient Malnutrition: Vitamin and Mineral deficiencies Play a wide role in health and development. Micronutrient deficiencies can cause harm from the moment of conception because they influence the regulation of growth and other physiological processes. Iron deficiency is the most common nutritional deficiency in the world today. In infancy and childhood, it can impair learning and the ability to resist disease. Radiochemistry Diego Alexander Bonilla Ocampo 7
  • 8. Iodine deficiency affects production of the thyroid hormones that govern the development and function of the brain and nervous system and regulate body heat and energy. (Reduce both physical and mental capacity, cause miscarriages, mental retardation in children) Vitamin-A deficiency is the most common cause of childhood blindness, reduces the effectiveness of the immune system, and retards growth and development. Radiochemistry Diego Alexander Bonilla Ocampo 8
  • 10. Antígenos (Ag): sustancias, generalmente de gran tamaño, capaces de estimular el sistema inmunológico de un animal y originar una respuesta dirigida específicamente contra él. Anticuerpo (Ac): grupo de proteínas llamadas inmunoglobulinas, producidas por linfocitos B y su progenie (células plasmáticas) que se combinan específicamente con los antígenos. Radiochemistry Diego Alexander Bonilla Ocampo 10
  • 11. RIA - RADIOINMUNOASSAY Radiochemistry Diego Alexander Bonilla Ocampo 11
  • 13. ELISA (Enzyme-Linked ImmunoSorbent Assay) Se basa en el uso de antígenos o anticuerpos marcados con una enzima, de forma que los conjugados resultantes tengan actividad tanto inmunológica como enzimática. Radiochemistry Diego Alexander Bonilla Ocampo 13
  • 18. Isotope Techniques in Studies of Micronutrient Malnutrition Many micronutrients, both vitamins and trace elements, that are of crucial importance in human nutrition can be studied with the use of isotope techniques. Iron. Of fundamental importance in any study of iron nutrition is the actual uptake of iron by the body (e.g. from a foodstuff or meal) in a metabolically active form. Radiochemistry Diego Alexander Bonilla Ocampo 18
  • 19. IRON - Amount absorbed depends on the source of iron (vegetal or meat) and presence of other substances (Vitamin C, tannin, etc.) -The incorporation of radioactive iron isotopes (iron-55 and iron-59) into red blood cells following extrinsic labelling of the food or diet to be tested and feeding it to select test subjects. Blood samples are taken over a period of 2-4 weeks and processed for counting with a liquid scintillation counter. - Recently, in some countries, the use of stable isotopes (iron54, -57, and -58) measured by mass spectrometry has come to be regarded as a preferable technique because of the absence of a radiation dose, (permits studies on children and women) Radiochemistry Diego Alexander Bonilla Ocampo 19
  • 20. IRON - Isotope methods are also useful for assessing the iron status of individuals and populations based on measurements of serum ferritin. Low serum ferritin reflects depleted body iron stores and is the most specific finding for iron deficiency. Immunoassay - either radioimmunoassay (RIA) or an enzyme-based assay (ELISA) - is the only technique currently available for measuring ferritin. Radiochemistry Diego Alexander Bonilla Ocampo 20
  • 21. Iodine. usually identified from measurements of urinary iodine excretion. However, useful additional information on the nutritional iodine status of a person or population can sometimes be obtained by looking at the levels of thyroid-related hormones in blood serum. Iodine deficiency of moderate to severe degree results in changes in the pattern of secretion, and therefore serum concentrations, of thyroid hormones. Radiochemistry Diego Alexander Bonilla Ocampo 21
  • 22. IODINE - Immunoassay is the technique of choice for such determinations. It relies on the use of antibodies as specific binding agents to detect a diversity of analytes (in this case, thyroid-related hormones such as T3, T4 and TSH). A high degree of specificity, sensitivity and robustness is provided. RIA and ELISA are the two applicable forms of immunoassay. Radiochemistry Diego Alexander Bonilla Ocampo 22
  • 23. Vitamin-A. Isotope methods for studying vitamin-A are not yet as well developed as for the other micronutrients just mentioned. However, there is no doubt that they will have uniquely valuable applications in assessing vitamin-A status, e.g. from measurements of plasma clearance of a test dose of isotopically labelled retinol. For human studies, deuterium is usually chosen as the isotopic label. Radiochemistry Diego Alexander Bonilla Ocampo 23
  • 24. In increasing ways, stable and radioactive isotopes are contributing to research of serious nutritional problems affecting human health Radiochemistry Diego Alexander Bonilla Ocampo 24
  • 25. BIBLIOGRAFÍA -IAEA BULLETIN, 4/1994. Human Health and Nutrition: How Isotopes are Helping to Overcome “Hidden Hunger”. PARR, Robert M. and FJELD, Carla R. - http://ehu.es/biomoleculas/isotopos/ria.htm Radiochemistry Diego Alexander Bonilla Ocampo 25