Water Soluble Vitamins By Jennifer Turley and Joan Thompson © 2016 Cengage Presentation Overview • Explore chemistry, functions, deficiency, adequacy, toxicity, and food sources of the water soluble vitamins: thiamin, riboflavin, niacin, B6, B12, folate, vitamin C, panthothenic acid, biotin, and choline. Thiamin: B1 Chemistry & Functions • Enzyme cofactor in energy metabolism: Carbohydrate & BCAA. – B1 functions as the active group of thiamin pyrophosphate (TPP). • Supports normal appetite & nervous system function. ATP Energy Production Thiamin: B1 Deficiency & Toxicity Deficiency Adequacy (<66% of DRI) DRI: 1.1-1.2 mg/day Approx. <0.8 mg/day RDI: 1.5 mg Beriberi (wet and dry) Normal energy Cardio-Vascular: Heart rhythm changes (Glucose & BCAA) Central Nervous System: Mental changes, metabolism. Normal confusion, amnesia, disturbed eye movement appetite and nervous GI System: Nausea, anorexia system functioning. Neuro-Muscular: Muscle weakness, tingling hands and feet peripheral paralysis, decreased ability to coordinate motor movement, disturbed gait Other: Edema, exhaustion, weight loss Toxicity is poorly documented in humans (UL is Not Established) DRI is based upon 0.5 mg B1 per 1,000 Calories Adult DRI values Thiamin: B1 Food Sources • Pork • Whole grains • Enriched bread and cereal products It is added back by law to processed grains Thiamin in Foods Adult DRI: 1.1-1.2 mg/day Riboflavin: B2 Chemistry & Functions • Enzyme cofactor in energy metabolism: fatty acid oxidation. – B2 functions as the active group of two coenzymes flavin mononucleotide (FMN) and flavin adenine dinucleotide (FAD). Riboflavin: B2 Deficiency & Toxicity Deficiency Adequacy (<66% of DRI) DRI: 1.1-1.3 mg/day Approx. <0.85 mg/day RDI: 1.7 mg Ariboflavinosis Normal fatty acid metabolism Bone & tooth: Halts growth GI System: Sore and swollen throat, swollen magenta colored tongue, cracking at the corners of the mouth Skin: Dandruff DRI is based upon 0.6 mg B2 per 1,000 Calories Adult DRI values Toxicity is poorly documented in humans (UL is Not Established) Riboflavin: B2 Food Sources • Milk products • Organ meats • Whole and enriched grains and products such as bread, cereal, and pasta It is added back by law into processed grains Riboflavin in Foods Adult DRI: 1.1-1.3 mg/day Niacin: B3 Chemistry & Functions 1 niacin equivalent (NE) = 1 mg nicotinic acid. 60 mg tryptophan can produce 1 NE. • Enzyme cofactor in energy metabolism: amino acids, fatty acids, and glucose – A part of nicotinamide adenine dinucleotide (NAD) and nicotinamide adenine dinucleotide phosphate (NADP). – Supports steroid synthesis, health of the skin, nervous system, and digestive system. Niacin: B3 Deficiency & Toxicity Deficiency Adequacy Toxicity (<66% of DRI) DRI: 14-16 mg/day (>UL) Approx. <9-11 mg/day RDI: 20 mg >35 mg/day Pellegra Normal energy Central Nervous System: metabolism & steroid Depression, apathy, headache, synthesis. dementia (including memory DRI is based upon loss). 6.6 mg B3 per 1,000 GI System: Bright red tongue, Calories diarrhea (GI disturbances of vomiting, diarrhea, and constipation) Adult deficient, Skin: Dermatitis adequate, toxic Other: Fatigue values Not from food but rather nicotinic acid supplements Cardio-Vascular: Violent flushing reaction from vasodilation Central Nervous System: Blurred vision GI System: Nausea, vomiting, liver toxicity Niacin: B3 Food Sources • Meats, fish, poultry • Whole & enriched grains & products • Bread, cereal, & pasta • Dairy products & legumes are good sources of tryptophan It is added back by law into processed grains Niacin in Foods Adult DRI: 14-16 mg/day Vitamin B6 Chemistry & Functions • B6 forms (PN, PL, PM, PNP, PLP, PMP) are coenzymes in the metabolism of amino acids, glycogen, and some lipids. • Interconversion of amino acids (AA) to carbohydrate or carbohydrate to nonessential AA. – Removal of N from AA: “deamination” & "transamination" • Needed for heme synthesis & conversion of tryptophan to niacin. Vitamin B6 Deficiency & Toxicity Deficiency Adequacy Toxicity (<66% of DRI) DRI: 1.3 mg/day (>UL) Approx. <0.85 mg/day RDI: 2 mg >100 mg/day Normal metabolism of amino acids, glycogen, and some lipids. Normal heme synthesis & conversion of tryptophan to niacin. Not from food but rather large supplement doses Cardio-Vascular: Microcytic anemia Central Nervous System: confusion, depression, epileptic convulsions Skin: Seborrheic (greasy) dermatitis DRI is based upon 0.016 mg of B6 per gm pro consumed Neuro-Muscular: Nerve damage, sensory neuropathy, tingly to numb hands and feet Skin: Dermatological lesions Adult deficient, adequate, toxic values Vitamin B6 Food Sources • • • • • Meats, Fish, Poultry Fortified cereals Legumes Non-starchy vegetables Non-citrus fruits Vitamin B6 in Foods Adult DRI: 1.3 mg/day Vitamin B12 Chemistry & Functions • Required for nucleic acid, red blood cell & other new cell synthesis. • Important for nerve cell maintenance. • Cofactor in energy fatty acids & amino acids metabolism • Conversion of homocysteine to methionine. • Synergizes with folic acid. Vitamin B12 Interesting Facts • Needs intrinsic factor (a protein produced in the stomach) and gastric acid. • Is absorbed in the ileum. • If the GI tract is not healthy, B12 must be given by intramuscular injection. • Nasal spray B12 supplements are available. • With high dietary intakes, the excess can be stored accumulatively in the liver. Vitamin B12 Deficiency & Toxicity Deficiency Adequacy (<66% of DRI) DRI: 2.4 µg/day Approx. <0.85 µg/day RDI: 6 µg/day Pernicious anemia. Normal synthesis of Macrocytic normochromic anemia, compounded with nucleic acids and new cells, nerve cell nerve damage. maintenance, fatty acid Central Nervous System: Loss of concentration, and amino acid memory loss, disorientation, dementia, visual metabolism, and disturbances GI System: Impaired bowel (increased gas production homocysteine catabolism. & constipation), sore tongue & loss of appetite Neuro-Muscular: Nerve damage, gait disturbances, Normal synergy with tingling & numbness in the hands & feet folate Other: Insomnia, impotency, reduced bladder control Toxicity is poorly documented in humans (UL is Not Established) Adult deficient, adequate values Vitamin B12 Food Sources • Animal food sources: eggs, milk, cheese, meats. • Since it is commonly found in animal products, vegans need to supplement this nutrient. Vitamin B12 in Foods Adult DRI: 2.4 µg/day Folate, Folic Acid Chemistry & Functions • • • • Nucleic acid synthesis, new cell synthesis Cofactor in amino acid metabolism Conversion of homocysteine to methionine Synergizes with B12 Folate Deficiency & Toxicity Deficiency Adequacy (<66% of DRI) DRI: 400 µg/day Approx. <260 µg/day RDI: 400 µg/day Cardio-Vascular: Macrocytic normochromic anemia, Normal nucleic acid synthesis, heart palpitations, shortness of breath new cell formation, amino acid metabolism, conversion of Central Nervous System: Weakness, fatigue, homocysteine to methionine, decreased concentration, irritability, headache synergy with B12. GI System: Red tongue Hyperhomocysteinemia (heart disease risk) In utero deficiency can cause Spina Bifida. Toxicity is poorly documented in humans (UL is >1000 µg/day) Adult deficient, adequate, toxic values Folate Food Sources • Raw leafy green vegetables & green vegetables • Legumes, oranges, liver, brewer’s yeast, wheat germ, and some fortified cereals Folate in Foods Adult DRI: 400 µg/day Vitamin C Chemistry & Functions • Required for collagen synthesis needed in skin, bones, teeth, blood, epithelial tissue, tendons & ligaments. • Cofactor for carnitine & neurotransmitter synthesis. • Water soluble antioxidant • Increases absorption of non-heme iron Vitamin C Deficiency & Toxicity Deficiency Adequacy Toxicity (<66% of DRI) DRI: 75-90 mg/day (>UL) Approx. <50-60 mg/day RDI: 60 mg/day >2000 mg/day Scurvy Central Nervous System: Weakness, fatigue, depression Normal collagen synthesis & connective tissue formation. GI System: Gastrointestinal disturbances especially diarrhea GI System: Swollen red bleeding Normal carnitine, gums Other: Increased risk for neurotransmitter, and kidney stones and iron water soluble antioxidant Skin: Follicular hyperkeratosis, toxicity only in certain function petechia, easy bruising, impaired people wound healing Other: Joint pain, edema, coiled hairs Adult deficient, adequate, toxic values Smokers need +35 mg/day Vitamin C Food Sources • Citrus fruits, berries, kiwi, and melons • Cabbage family vegetables, peppers, • Vitamin C fortified foods Vitamin C in Foods Adult DRI: 75-90 mg/day Pantothenic Acid Chemistry, Functions, & Food Sources • Essential component in Coenzyme A which is involved in metabolism of fatty acids, cholesterol, steroid hormones, vitamins A and D, neurotransmitters, amino acids, & porphyrin & corrin rings. Pantothenic Acid Deficiency & Toxicity Deficiency Adequacy (<66% of DRI) DRI: 5 mg/day Approx. <3.3 mg/day Central Nervous System: Fatigue, apathy, irritability, restlessness Normal coenzyme A activity & metabolism of fatty acid, cholesterol, steroid hormones, vitamins A and D, GI System: Nausea, vomiting, abdominal cramps neurotransmitters, amino acids, and porphyrin and corrin rings Neuro-Musccular: Muscle cramps, impaired gait Other: Burning feet, sleep disturbances, hypoglycemia, and increased insulin sensitivity Toxicity is poorly documented in humans (UL is Not Established) Adult deficient, adequate values Pantothenic Acid in Foods Widely distributed in food, highest in high protein animal products, yeast, legumes, and whole grains Adult DRI: 5 mg/day Biotin Chemistry, Functions, & Food Sources • Coenzyme in carboxylation reactions in energy metabolism. • Cell proliferation, gene silencing, & DNA repair. • Widespread in foods, highest in high protein animal products, yeast, legumes, nuts, whole grains, & chocolate. • Small amounts made by intestinal bacteria. Quantitative data unavailable for graphical analysis Biotin Deficiency & Toxicity Deficiency Adequacy (<66% of DRI) DRI: 30 µg/day Approx. <3.3 mg/day Central Nervous System: Lethargy, depression, hallucinations, weakness, fatigue Normal energy metabolism, cell proliferation, gene silencing, and DNA repair Neuro-Muscular: Muscle pain Skin: Scaly red rash around the eyes, nose and mouth Other: Conjunctivitis, hair loss Toxicity is poorly documented in humans Adult deficient, adequate, toxic values (UL is Not Established) Choline Chemistry & Functions • Is a component of the neurotransmitter acetylcholine, thus plays a role in memory and muscle control. • Is in the phospholipid, lecithin (phosphatidlycholine) which is needed to maintain cell membrane stability. • Needed for lipid and cholesterol transport and metabolism, component of pulmonary surfactant • Is in bile acids Choline Deficiency & Toxicity Deficiency Adequacy Toxicity (<66% of DRI) DRI: 425-550 mg/day (>UL) Approx. <280-360 mg/day >3,500 mg/day GI System: Fatty liver Normal acetylcholine, cell and liver damage membrane stability, bile acids, lipid and cholesterol transport and metabolism, pulmonary surfactant Cardio-Vascular: Hypotension GI System: Altered liver function, increased salivation Other: Fishy body odor Adult deficient, adequate, toxic values Choline Food Sources • Egg yolk, soy beans, peanuts • High protein animal products Quantitative data unavailable for graphical analysis Some Summary Points • The water soluble vitamins have specific functions. • DRIs are established for all essential water soluble vitamins. • Deficiency and toxicity sign and symptoms are established for most of these nutrients. References for this presentation are the same as those for this topic found in module 5 of the textbook