Vitamin occurrence

Occurrence. The provitamins, precursors of the vitamin Ds, are distributed widely in nature, whereas the vitamins themselves are less prevalent. The amounts of provitamins D2 and D in various plants and animals are Hsted in Table 2. 

Owing to the ubiquitous natural occurrence of vitamin K and its production by intestinal bacteria, vitamin K deficiencies are rare. However, they can be caused by certain antibiotics (qv) coupled with a reduced dietary intake. Newborn infants who do not possess the necessary intestinal bacterial population are at danger for vitamin K deficiency. As a result, vitamin K injections are routinely given to the newborn. 

Lactic acidosis (buildup of lactic acid in the blood) may also occur with die administration of metformin. Although lactic acidosis is a rare adverse reaction, its occurrence is serious and can be fatal. Lactic acidosis occurs mainly in patients with kidney dysfunction. Symptoms of lactic acidosis include malaise (vague feeling of bodily discomfort), abdominal pain, rapid respirations, shortness of breath, and muscular pain. In some patients vitamin B12 levels are decreased. This can be reversed with vitamin B12 supplements or with discontinuation of the drug therapy. Because... 

Primary hyperparathyroidism occurs as a result of hyperplasia or the occurrence of adenoma. Secondary hyperparathyroidism may result from renal failure because of the associated phosphate retention, resistance to the metabolic actions of PTH, or impaired vitamin D metabolism. The last-mentioned factor is primarily responsible for the development of osteomalacia. Muscle symptoms are much more common in patients with osteomalacia than in primary hyperparathyroidism. Muscle biopsy has revealed disseminated atrophy, sometimes confined to type 2 fibers, but in other cases involving both fiber types. Clinical features of osteomalacic myopathy are proximal limb weakness and associated bone pain the condition responds well to treatment with vitamin D. 

The occurrence of a 5a-C-centered tocopherol-derived radical 10, often called chromanol methide radical or chromanol methyl radical, had been postulated in literature dating back to the early days of vitamin E research,12 19 which have been cited or supposedly reconfirmed later (Fig. 6.5).8,20-22 In some accounts, radical structure 10 has been described in the literature as being a resonance form (canonic structure) of the tocopheroxyl radical, which of course is inaccurate. If indeed existing, radical 10 represents a tautomer of tocopheroxyl radical 2, being formed by achemical reaction, namely, a 1,4-shift of one 5a-proton to the 6-oxygen, but not just by a shift of electrons as in the case of resonance structures (Fig. 6.5). In all accounts mentioning... 

The above-described experiments, calculations, and theroretical considerations showed that there is no theoretical or experimental evidence whatsoever for the 5a-C-centered radical 10. All relevant reactions can be traced back to occurrence and reactions of o-QM 3 as the central intermediate. The three reactions commonly cited to support the occurrence of the chromanol methide radical 10 in vitamin E chemistry (Figs 6.6-6.8) are actually typical processes of the o-QM intermediate (Figs 6.9-6.11). 

It soon became apparent that the biologically active forms of Vitamin Bj.2 contained the unique Co—C-a-bond, and the instability of these covalent compounds to visible light facilitated observations on the occurrence of functional corrinoids in a number of enzymes. Deoxyadenosyl-cobalamin was found to be the most abundant corrinoid in bacteria (24) and in mammalian liver (25). Methylcobalamin was found in Escherichia coli (26), calf liver and human blood plasma (27), and also in a number of Clostridia (28). 

Recently, Prasad et al. cloned a mammalian Na+-dependent multivitamin transporter (SMVT) from rat placenta [305], This transporter is very highly expressed in intestine and transports pantothenate, biotin, and lipoate [305, 306]. Additionally, it has been suggested that there are other specific transport systems for more water-soluble vitamins. Takanaga et al. [307] demonstrated that nicotinic acid is absorbed by two independent active transport mechanisms from small intestine one is a proton cotransporter and the other an anion antiporter. These nicotinic acid related transporters are capable of taking up monocarboxylic acid-like drugs such as valproic acid, salicylic acid, and penicillins [5], Also, more water-soluble transporters were discovered as Huang and Swann [308] reported the possible occurrence of high-affinity riboflavin transporter(s) on the microvillous membrane. 

The two hydroxylase enzymes can also utilize the plant-derived steroid, ergocalci-ferol, (vitamin D2) as a substrate. The final product is biologically active and so food manufacturers often fortify their products with ergocalciferol to prevent the occurrence of vitamin D deficiency and consequent rickets in childhood or osteomalacia in adults. 

Administer pyridoxine (vitamin Be) 25 to 50 mg daily or 50 to 100 mg twice weekly to all HIV-infected patients who are undergoing tuberculosis treatment with isoniazid to reduce the occurrence of isoniazid-induced side effects in the central and peripheral nervous system. 

Lewis, D. W. (1973). Vitamin A, occurrence and distribution in fractionated mucus. Lipids 8, 321-323. 

Folic acid deficiency, unlike vitamin B12 deficiency, is often caused by inadequate dietary intake of folates. Patients with alcohol dependence and patients with liver disease can develop folic acid deficiency because of poor diet and diminished hepatic storage of folates. Pregnant women and patients with hemolytic anemia have increased folate requirements and may become folic acid-deficient, especially if their diets are marginal. Evidence implicates maternal folic acid deficiency in the occurrence of fetal neural tube defects, eg, spina bifida. (See Folic Acid Supplementation A Public Health Dilemma.) Patients with malabsorption syndromes also frequently develop folic acid deficiency. Patients who require renal dialysis develop folic acid deficiency because folates are removed from the plasma during the dialysis procedure. 

Pantothenic acid is a vitamin, which is essential to human life. Its name is derived from a Greek root that reflects its universal occurrence in living things. The bacterium Lactobacillus bulgaricus, which converts milk... 

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