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Perspectives in Nutrition, 5/e
Gordon M. Wardlaw, Ohio State University
Margaret W. Kessel, Ohio State University

The Water-Soluble Vitamins

Chapter 10 Summary

  1. Thiamin in its functional form as TPP serves as a coenzyme in decarboxylation and transketolase reactions of carbohydrates. It is involved in neurotransmission and nerve conduction. About the only North American population that could be deficient in thiamin are alcoholics. Pork, pork products, and enriched grains are reliable sources of thiamin.
  2. Riboflavin in functional form, FAD and FMN, participates in a wide variety of oxidation-reduction reactions in numerous metabolic pathways that produce energy. A pure riboflavin deficiency is unlikely but could accompany other B-vitamin deficiencies. Dairy products and enriched grains are good dietary sources.
  3. Niacin as NAD and NADP are coenzymes. NAD is important in oxidation-reduction reactions that yield energy. A deficiency of the vitamin produces the disease pellagra. Alcoholism can lead to a deficiency. Food sources of niacin are enriched cereal grains and protein foods. The body is able to synthesize the vitamin from the amino acid tryptophan. Megadoses of niacin produce a variety of toxic symptoms.
  4. Pantothenic acid in coenzyme form (CoA) shuttles two carbon fragments from the metabolism of glucose, amino acids, fatty acids, and alcohol into the citric acid cycle during energy metabolism. A deficiency of pantothenic acid is unlikely, since it is widely distributed in foods.
  5. Biotin functions as a cofactor in four carboxylases, enzymes that add carbon dioxide to a substance. Biotin is widely distributed in foods. No deficiency exists in healthy people. Intestinal bacteria also synthesize biotin.
  6. Vitamin B-6 in coenzyme form (PLP) participates in amino acid metabolism, especially the synthesis of nonessential amino acids. It is essential in the synthesis of heme in hemoglobin and the formation of certain neurotransmitters. Anemia, convulsions, and decreased immune response are symptoms of a deficiency. Animal protein foods, vegetables, and whole-grain cereals are good sources of this vitamin. It is not effective in treating PMS or carpal tunnel syndrome. Toxic effects include nerve damage.
  7. Folate in one of its many coenzyme forms (tetrahydrofolic acid) accepts one-carbon groups from various donors and serves up one-carbon groups to a variety of metabolic pathways. The most notable job performed by folate is DNA synthesis. A dietary lack of the vitamin produces megaloblastic anemia and spina bifida and is one cause of heart disease (through the homocysteine link). Deficiency is common among alcoholics. Folate is found in green vegetables, legumes, liver, and fortified cereal grains. Folate is destroyed by high cooking temperatures.
  8. Vitamin B-12 in two coenzyme forms allows three-carbon fatty acids to be oxidized for energy and promotes normal red blood cell formation. Because of its interaction with folate, a deficiency of vitamin B-12 results in the same type of megaloblastic anemia, as well as excess homocysteine in the blood. Defective absorption of vitamin B-12 is the cause of the deficiency disease pernicious anemia, which frequently occurs in older adults. In such cases, megadose supplements or injection of the vitamin is necessary. Vitamin B-12 occurs in animal foods but not in plant foods. Vegans need to look for foods fortified with the vitamin or take a supplement. Normally, the liver has a 5-year supply of vitamin B-12 in storage.
  9. Choline is a dietary component that is available from a wide variety of foods and is synthesized in the body. No natural deficiency of choline has been reported. The amino acid methionine, vitamin B-6, vitamin B-12, and folate, along with choline, are intricately involved in the metabolism of the amino acid homocysteine. Elevated homocysteine in the blood is considered a risk factor for atherosclerosis.
  10. Vitamin C does not function as a coenzyme, like the B-vitamins. One of its many roles is in the synthesis of collagen, the protein used to form connective tissue. A deficiency of vitamin C causes the disease scurvy. Fresh fruits and vegetable are reliable sources of this vitamin. Like folate, vitamin C is destroyed by heat. Among North Americans, alcoholics and older men who don't eat fresh produce are most likely to develop a deficiency. Megadoses of the vitamin causes gastrointestinal upsets but little else.
  11. Carnitine, inositol, taurine, and lipoic acid, while participating in many important biochemical reactions in the body, are not true vitamins because they can be synthesized in the body from readily available precursors, or obtained from the diet.