Vitamins gastrointestinal tract

Myo-inositol is one of the most biologically active forms of inositol. It exists in several isomeric forms, the most common being the constituent of phospholipids in biological cell membranes. It also occurs as free inositol and as inositol hexaphosphate (IP6) also known as phytate which is a major source from food. Rice bran is one of the richest sources of IP6 as well as free inositol. Inositol is considered to belong to the B-complex vitamins. It is released in the gastrointestinal tract of humans and animals by the dephosphorylation of IP6 (phytate) by the intestinal enzyme phytase. Phytase also releases intermediate products as inositol triphosphate and inositol pentaphosphate. Inositol triphosphate in cellular membrane functions as an important intra- and intercellular messenger, that merits its value as a nutritional therapy for cancer. 

As patients lose exocrine function of the pancreas, they have decreased ability to absorb lipids and protein ingested with normal dietary intake. Weight loss from nutritional malabsorption is a common symptom of chronic pancreatitis not often seen in acute pancreatitis. Fatty- or protein-containing stools are also common carbohydrate absorption is usually unaffected. Even though patients with chronic pancreatitis have decreased ability to absorb lipid from the gastrointestinal tract, there does not appear to be an increased incidence of fat-soluble vitamin deficiency in these patients.34... 

The final mechanism of action of PTH involves the activation of vitamin D3 through the stimulation of la-hydroxylase in the kidney. In the gastrointestinal tract, vitamin D3 is essential for the absorption of calcium. Enhanced absorption of calcium from dietary sources serves to further increase the concentration of calcium in the blood. Many foods, in particular, dairy products, which are rich in calcium, are fortified with vitamin D. The release of PTH from the parathyroid glands is regulated by plasma calcium levels through negative feedback. A decrease in the level of calcium in the blood stimulates the secretion of PTH and an increase in the calcium level in the blood inhibits it. 

Santschi D E, Berthiaume R, Matte J J, Mustafa A F and Girard C L (2005), Fate of supplementary B-vitamins in the gastrointestinal tract of dairy cows , Journal of Dairy Science, 88, 2043-2054. 

G7. Glass, G. B. J., Intestinal absorption and hepatic uptake of vitamin B12 in diseases of the gastrointestinal tract. Gastroenterology 30, 37 (1956). 

W9. Witts, L. J., Recent work on B vitamins in the blood and gastrointestinal tract, especially in relation to human disorders. Brit. Med. Bull. 12, 14-17 (1956). 

Bile acids and salts have been found to enhance the absorption of both calcium and vitamin D hence, to increase calcium absorption both directly and indirectly (3,37). However, the ability of some dietary fibers such as lignin and pectin to absorb conjugated and deconjugated bile salts onto their surfaces to be excreted in the feces (a mechanism credited to the hypocholesterolemic effect of some dietary fibers) may result in an overall decrease in calcium absorption from the gastrointestinal tract (7,33,38-40). 

Rose RC (1987) Intestinal absorption of water-soluble vitamins. In Johnson LR (ed.) Physiology of the Gastrointestinal Tract, 2nd edn., Raven Press, New York, pp 1581-1596... 

Adkins, Y., and Lonnerdal, B. (2003). Potential host-defense role of a human milk vitamin B-12-binding protein, haptocorrin, in the gastrointestinal tract of breastfed infants, as assessed with porcine haptocorrin in vitro. Am. ]. Clin. Nutr. 77,1234—1240. 

Vitamin A deficiency is worldwide one of the most prevalent nutrition-dependent deficiency diseases. It leads to changes of the respiratory epithelium, which result in repeated infections of the respiratory tract, the main cause of death in vitamin A-deficient children. The difficulty in supplying the respiratory epithelium with vitamin A is that the affected children frequently suffer as well from infections of the gastrointestinal tract with subsequent reduction of the absorption of fat-soluble vitamins. Nutritargeting can in these cases avoid the problems of malabsorption and ensure the micronutrient supply. 

Severe cyanocobalamin (vitamin B12) deficiency results in pernicious anemia that is characterized by megaloblastic anemia and neuropathies. The symptoms of this deficiency can be masked by high intake of folate. Vitamin B12 is recycled by an effective enterohep-atic circulation and thus has a very long half-hfe. Absorption of vitamin B12 from the gastrointestinal tract requires the presence of gastric intrinsic factor. This factor binds to the vitamin, forming a complex that... 

Vitamin A absorption from the small intestine requires dietary fat and pancreatic lipase to break down retinyl esters and bile salts to promote the uptake of retinol and carotene. Drugs, such as mineral oil, neomycin and cholestyramine, that can modify lipid absorption from the gastrointestinal tract can impair vitamin A absorption. The use of oral contraceptives can signihcantly increase plasma vitamin A levels. 

Vitamin A (retinol, 6.1) is the parent of a range of compounds known as retinoids, which possess the biological activity of vitamin A. In general, animal foods provide preformed vitamin A as retinyl esters (e.g. 6.5, which are easily hydrolysed in the gastrointestinal tract) while plant foods provide precursors of vitamin A, i.e. carotenoids. Only carotenoids with a /3-ionone ring (e.g. /1-carotene) can serve as vitamin A precursors. /3-Carotene (6.6)... 

The structure of vitamin K is characterized by methylnaphthoquinone rings with a side chain at position 3. It exists naturally in two forms phylloquinone (vitamin Kt 6.13) occurs only in plants, while menaquinones (vitamin K2 6.14) are a family of compounds with a side chain consisting of between 1 and 14 isoprene units. Menaquinones are synthesized only by bacteria (which inhabit the human gastrointestinal tract and thus provide some of the vitamin K required by the body). Menadione (vitamin K3 6.15) is a synthetic compound with vitamin K activity. Unlike Kj and K2, menadione is water soluble and is not active until it is alkylated in vivo. 

The ion exchange resins colestyramine (rINN) and colestipol (rINN) are not absorbed, and their main adverse effects are therefore on the gastrointestinal tract. They can also interfere with the absorption of other drugs or fat-soluble vitamins. 

Finally, PTH helps increase the absorption of calcium from the gastrointestinal tract. This effect appears to be caused by the interaction between PTH and vitamin D metabolism. PTH increases the conversion of vitamin D to 1,25-dihydroxycholecalciferol (calcitriol).36 Calcitriol directly stimulates calcium absorption from the intestine. 

Problem/lnfluence of Medication. During the postoperative period, calcium and vitamin D supplements were reinstituted to facilitate bone formation. The patient, however, soon began to experience bouts of diarrhea, apparently as a side effect of the vitamin D supplements. Consequently, the vitamin D supplements were withdrawn, and only the calcium supplement was continued. Because metabolic by-products of vitamin D accelerate the absorption of calcium from the gastrointestinal tract, both agents should be administered together. This patient, however, was apparently unable... 

Although, owing to the wide distribution of vitamin Bg in nature, clinical deficiency symptoms are seldom observed, there is little doubt that pyridoxine is essential in human nutrition. Pyridoxine is absorbed from the gastrointestinal tract and is converted to the active form pyri-doxal phosphate. Absorption is decreased in gastrointestinal diseases and also in subjects taking isoniazid (3). It is excreted in the urine as 4-pyridoxic acid (2). The metabolism of vitamin Bg in human beings has been investigated (56). 

D-Pantolactone (Figure 6.3.1) is an important intermediate in the production of d-pantothenic acid, also called vitamin B5. Deficiency of pantothenic acid can result in symptoms such as pathological changes of the skin and mucosa, disorders in the gastrointestinal tract and nervous system, organ changes, and hormonal disorders. Pantothenic acid is used mainly in feed for chicken and pigs and also as a vitamin supply in human nutrition. Its commercial form, the calcium salt, is produced worldwide on a multi-thousand ton scale. 

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