Module 3 wk 12 Flashcards

1
Q

explain where iron is found in food , and in what form

A

heme iron (ferrous iron): Fe2+, found in hemoglobin and myoglobin of food products from animal source

non-heme iron (ferric iron): Fe3+, found in plant and grain food products (and minor amounts in meat)

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2
Q

why is iron in plant products less bioavailable?

A

must be converted from 3+ to 2+ valence for absorption
and
plant products also contain factors interfering with iron absorption, even in iron-fortified foods, phytic acid, oxalic acid, polyphenols, fibre

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3
Q

explain how goitre develops in iodine deficiency

A

T4 and T3 level drop -> TSH secretion increases, thyroid gland enlarges to trap more iodine. Low T3 -> symptoms of hypothyroidism

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4
Q

What are the dietary recommendations you give to a vegan consumer about trace minerals (keyword: dietary)

A

Iron
Sources: Lentils, chickpeas, beans, tofu, fortified cereals, spinach, quinoa, and pumpkin seeds.
Enhancement Tips:
Vitamin C: Consume vitamin C-rich foods (citrus fruits, bell peppers, tomatoes) with iron-rich meals to enhance non-heme iron absorption.
Avoid Inhibitors: Limit intake of calcium-rich foods, tea, coffee, and high-phytate foods around meals high in iron to prevent absorption inhibition.

Zinc
Sources: Whole grains, legumes, tofu, tempeh, nuts (cashews, almonds), seeds (pumpkin, sunflower), and fortified cereals.
Enhancement Tips:
Soaking and Sprouting: Soak or sprout legumes, grains, and seeds to reduce phytate levels and enhance zinc absorption.
Fermentation: Include fermented foods (miso, tempeh) which can improve zinc bioavailability.

Selenium
Sources: Brazil nuts (a single nut can meet daily requirements), sunflower seeds, brown rice, whole wheat bread, and mushrooms.
Moderation: Be cautious with Brazil nuts to avoid excessive selenium intake; one to two nuts per day is typically sufficient.

Copper
Sources: Whole grains, nuts (cashews, almonds), seeds (sesame, sunflower), legumes, dark chocolate, and mushrooms.
Balance with Zinc: Ensure a balanced intake of zinc and copper, as high zinc levels can interfere with copper absorption.

Manganese is generally sufficient in a varied vegan diet.

A varied vegan diet typically provides adequate molybdenum.

Chromium is usually adequate in a balanced diet focused on whole, unprocessed foods.

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5
Q

list the minerals studied that are involved in good bone health, and their respective roles

A
  1. Calcium
    Calcium is the primary mineral in bones, giving them strength and structure. It forms hydroxyapatite crystals that provide rigidity to the bone matrix.
    Bone Remodeling: Calcium is essential for the constant process of bone remodeling, involving resorption by osteoclasts and formation by osteoblasts.
  2. Phosphorus
    Bone Formation: Phosphorus is a key component of hydroxyapatite, the mineral complex that makes up bone and tooth enamel.
    Bone Strength: It works with calcium to strengthen bones and teeth.
  3. Magnesium
    Bone Matrix Development: Magnesium is involved in the structural development of bone, with about 60% of the body’s magnesium stored in the bones.
    Calcium Metabolism: It plays a role in regulating calcium levels, ensuring proper mineralization of bones.
  4. Fluoride
    Bone Mineralization: Fluoride helps in the mineralization of bones and teeth by forming fluorapatite, which is more resistant to demineralization than hydroxyapatite.

Dental Health: Fluoride is crucial in preventing dental caries by enhancing the strength and resilience of tooth enamel.

  1. Potassium
    Acid-Base Balance: Potassium helps to neutralize acids in the body, which can otherwise lead to bone demineralization. It helps maintain a proper acid-base balance, protecting bone density.

Bone Preservation: Adequate potassium intake is associated with reduced calcium loss from bones and improved bone health.

  1. Zinc
    Bone Growth and Development: Zinc is essential for bone growth and development. It is involved in the synthesis of collagen and the formation of the bone matrix.
    Enzyme Function: Zinc is a cofactor for enzymes that play a role in bone mineralization.
  2. Manganese
    Bone Formation: Manganese is necessary for the formation of bone cartilage and bone collagen. It acts as a cofactor for enzymes involved in bone formation and metabolism.
    Bone Density: It supports the structural integrity and density of bones.
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6
Q

describe the concept of the mucosal block in the context of trace minerals

A

The mucosal block is a crucial mechanism that helps maintain mineral balance by regulating the absorption of trace minerals at the intestinal level. This process involves the coordination of transport proteins, storage proteins, and regulatory hormones to ensure that the body absorbs only what it needs and prevents toxicity from excessive mineral intake.

iron: ferritin prevent excess absorption

zinc: metallothionein = a binding protein that blocks Zn’s excess movement into circulation. The ‘mucosal block’ is overridden with high doses of supplements.

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7
Q

What mineral is part of the mandatory fortification program in Australia? explain why?

A

mandatory salt iodisation

Thyroid Function: Iodine is an essential mineral required for the synthesis of thyroid hormones, which are crucial for regulating metabolism, growth, and development.
Preventing Iodine Deficiency Disorders: Adequate iodine intake is vital for preventing iodine deficiency disorders (IDDs), which include goiter (enlarged thyroid gland), hypothyroidism, and various developmental abnormalities in children, such as cretinism.

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8
Q

What are the trace minerals at risk in the context of chronic alcohol consumption? explain why and the consequences overtime.

A

Zn: functions in alcohol dehydrogenase, converts ethanol to acetaldehyde
will result in reduced HCl production and can lead to anorexia (loss of appetite)

increases renal excretions of manganese, iron, magnesium, selenium, copper

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9
Q

explain why selenium deficiency can result in iodine function deficiency

A

has a coenzyme cofactor role in iodothyronine 5’ deiodinases: three forms of enzyme, active in different sites, convert T4 to T3 by removing 1 Iodine

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10
Q

Type of iron found exclusively in animal products

A

heme iron

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11
Q

Type of iron found in both plant and animal products

A

Non-heme iron

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12
Q

Ferric iron is reduced to ferrous iron by HCl, ascorbic acid and _______ in the duodenal brush border

A

reductases

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13
Q

Ferrous iron is absorbed via

A

DMT1

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14
Q

DMT1 synthesis is influenced by _______

A

iron status

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15
Q

Heme iron is absorbed via

A

HCP1

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16
Q

Fe2+ is stored in enterocytes bound to _______

A

ferritin

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17
Q

Ferrous iron is transported across the basolateral membrane of enterocytes via _______

A

ferroportin

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18
Q

Membrane-bound copper-dependent enzyme that oxidises Fe2+ to Fe3+ for transport

A

hephaestin

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19
Q

Copper-dependent enzyme that oxidises Fe2+ to Fe3+ in the circulation

A

ceruloplasmin

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20
Q

Fe3+ is transported in the blood bound to _______

A

transferrin

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21
Q

Iron is taken up into body cells via _______

A

endocytosis

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22
Q

Heme-containing protein that transports oxygen in red blood cells

A

hemoglobin

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23
Q

Heme-containing protein that stores oxygen in muscle cells

A

myoglobin

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24
Q

Iron is a cofactor in lysyl and prolyl hydroxylase involved in _______ synthesis

A

collagen

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25
Iron-dependent antioxidant enzyme that converts hydrogen peroxide to water and oxygen
catalase
26
Iron-dependent enzyme involved in the synthesis of thyroid hormones
Thyroid-peroxidase
27
Iron is a cofactor to phosphoenolpyruvate carboxykinase which is required for _______
gluconeogenesis
28
Iron-deficiency results in what kind of anaemia?
Microcytic hypochromic
29
Iron toxicity can result from a genetic disorder called _______ where regulation of intestinal iron absorption is impaired
Hemochromatosis
30
Factors increasing iron absorption
heme-iron vitamin C high demands for red blood cells meat protein factor (MPF) gastric acidity low iron stores
31
Factors decreasing iron absorption
high iron stores excessive intake of other minerals polyphenols antacids phytic acid oxalic acid
32
Zinc deficiency was first identified in high phytate diets in the Middle East, resulting in _______
Adolescent nutritional dwarfism
33
Major zinc transporter for absorption into enterocytes
ZIP4
34
In large doses (e.g. supplements) zinc is absorbed via _______
Paracellular diffusion
35
Protein that binds and stores zinc in enterocytes and body tissues
Metallothionein
36
Zinc is transported across the basolateral membrane of enterocytes via _______
ZnT1
37
Zinc is transported in the circulation bound to _______, α2-macroglobulin, or histidine or methionine
albumin
38
Zinc is needed for the conversion of retinol to retinal as a cofactor of _______
Alcohol dehydrogenase
39
Carboxypeptidases A and B are zinc-dependent enzymes involved in _______
protein digestion
40
Polyglutamate conjugase is a zinc-dependent enzyme involved in _______
Folate digestion
41
Zinc plays a _______ role in the antioxidant enzymes SOD1 and SOD3
Structural
42
Zinc deficiency leads to poor wound healing due to the role of zinc in _______
Matrix-metalloproteinases
43
Zinc fingers promote the binding of _______ to MREs in the promoter region of genes
Transcription factors
44
Zinc deficiency reduces the _______ response to carbohydrates
Insulin
45
Zinc deficiency results in reduced taste acuity due to its role in _______
46
An especially good source of zinc
oysters
47
Copper is found in food primarily in the ____ valence
2+
48
Copper is absorbed in the ____ valence
1+
49
Cupric copper is reduced to cuprous copper by HCl, _______ and reductases in the duodenal brush border
Vitamin C
50
Copper is mainly absorbed in the duodenum but some is absorbed in the _______
stomach
51
Citric, malic, gluconic and acetic acid _______ copper for absorption
chelate
52
Copper is stored in enterocytes bound to _______
Metallothionein
53
Copper is transported to the liver bound to _______ and α2-macroglobulin
albumin
54
Copper is released from the liver and transported in the circulation bound to _______
Ceruloplasmin
55
Copper is a cofactor in dopamine monooxygenase for the synthesis of _______
Norepinephrine
56
Copper is a cofactor of the antioxidant enzyme _______
Superoxide dismutase
57
Copper deficiency leads to iron-deficiency anaemia because copper is a cofactor in _______
Ceruloplasmin
58
Copper deficiency leads to hypopigmentation of hair and skin due to the role of copper in _______ enzymes
Tyrosinase
59
Copper is involved in crosslinking of collagen and elastin as a cofactor of _______
Lysyl oxidase
60
Manganese is found in the 2+ or ____ valence
3+
61
Manganese is absorbed along the small intestine via simple diffusion, _____ or ZIP14
DMT1
62
The presence of _______ facilitates manganese absorption
histidine
63
Manganese is transported from the liver to tissues bound to _______, α2-macroglobulin or other globulins
transferrin
64
25-40% of manganese in the body is found in _______
bone
65
Mn is a cofactor to glycosyl and xylosyl transferases in the synthesis of _______ in connective tissue
Glycosaminoglycans
66
Mn is a cofactor in arginase which cleaves arginine to form _______ and ornithine
urea
67
Mn is a cofactor in pyruvate carboxylase and PEP carboxykinase in _______
gluconeogenesis
68
Mn is a cofactor in the antioxidant enzyme _______
SOD2
69
Manganese toxicity known as _______ results in severe neurological manifestations
Manganism
70
Iodine content in food reflects regionally variable _______
soil content
71
Iodine is found in food as _______ or iodide
iodate
72
The absorption form of iodine
iodide
73
Iodide is absorbed in the stomach and duodenum by active transport via _______
Sodium-iodide symporter
74
Some foods contain _______ that interfere with iodine absorption or uptake into the thyroid gland
Goitrogens
75
The main function of iodine is as a component of _______
thyroid hormones
76
The most common thyroid hormone in the circulation
T4
77
The most biologically active thyroid hormone
T3
78
Iron-dependent enzyme that adds iodine to thyroglobulin
Thyroid peroxidase
79
Selenium-dependent enzymes that convert T4 to T3 in cells
DIO
80
T3 binds to nuclear receptors which bind to DNA to promote _______
gene expression
81
Thyroid hormone stimulates _______ expenditure
Basal energy
82
In adipose tissue, thyroid hormone enhances _______
Lipolysis
83
In the bone, thyroid hormone promotes _______
Anabolism
84
In terms of the cardiovascular system, thyroid hormone increases _______
heart rate
85
The RDI for iodine (150ug) can be met by consuming ____ teaspoon/s of iodised salt
1/2
86
Iodine deficiency results in _______ in adults
hypothyroidism
87
Enlargement of the thyroid gland to trap more iodine is known as _______
Goiter
88
When the mother is iodine deficient during pregnancy, this can lead to _______ in the infant
Neurological cretinism
89
_______ and dairy products are good sources of iodine
seafood
90
True or false: Australia has mandatory iodine fortification
true
91
The selenium content of food depends on _______ concentration
soil
92
Selenium is bound to _______ in plant foods
methionine
93
Selenium is bound to _______ in animal foods
Cysteine
94
Selenium is also found in lesser amounts as selenite and selenate in _______ foods
plant
95
Seafood is generally an excellent source of selenium, however the presence of _______ inhibits its absorption
Mercury
96
Selenium is transported to the _______ as free selenocysteine and selenomethionine
liver
97
Selenium is exported from the liver primarily as ______
Selenoprotein P
98
Selenium is stored in tissues as _______
Selenomethionine
99
Selenium is a component of 25 proteins and enzymes as _______
Selenocysteine
100
Selenium is a component of selenophosphate synthetase 2 needed for the synthesis of other _______
Selenoproteins
101
Selenoprotein that functions as an antioxidant enzyme
Glutathione peroxidase
102
Deiodinases are selenoproteins needed for the conversion of _______
T4 to T3
103
Selenium deficiency leads to reduced _______ activity
thyroid hormone
104
Chromium exists in food in the ____ valence
3+
105
The highest concentrations of chromium are in the liver, spleen and _______
bones
106
Chromium is released from food under _______ conditions
acidic
107
Chromium is mainly transported bound to _______ and albumin
tranferrin
108
While mechanisms are unclear, chromium seems to potentiate the action of _______
insulin
109
True or false: plasma and urinary chromium concentrations are good indicators of chromium status
false
110
Chromium deficiency leads to _______ resistance and elevated blood glucose and free fatty acids
insulin
111
At high doses, chromium leads to renal failure, liver dysfunction and _______ damage
DNA
112
Molybdenum is found in food as _______
molybdate
113
Molybdate is absorbed via _______ and via a carrier
passive difffusion
114
Molybdenum is transported bound to _______ or α2-macroglobulin
albumin
115
Molybdenum is a cofactor to four enzymes as _______
Molybdopterin
116
Molybdopterin is a cofactor in _______ which converts sulfite to sulfate
Sulfite oxidase
117
Molybdopterin is a cofactor in _______ which hydroxylates purines, pyrimidines and pteridines
Xanthine oxidoreductase
118
Molybdenum is involved in drug and toxin metabolism as a cofactor to _______
Amidoxime reductase
119
Molybdenum is involved in retinal and pyridoxal metabolism as a cofactor to _______
Aldehyde oxidase
120
Symptoms of gout have appeared in regions with high soil molybdenum content due to accumulation of _______ in joints
uric acid
121