Vit E Flashcards

1
Q

What is the main form of Vit E

A

Tocopherols

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2
Q

How many forms of Vit E are there?

A

8 different forms

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3
Q

What are the general 2 groups that make up Vit E

A

Chromanol head group
Phytyl side chain

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4
Q

List the total 4 things that affect Vit activity

A
  1. Double bounds on the Phytyl side chain
  2. Configuration of 3 Chiral centers
  3. Esterification of the Head group
  4. location of Methyl groups on the phenolic ring
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5
Q

How to R groups affect Vit E activity

A

The more R groups the more active

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6
Q

How to double bonds on the phytyl side chain affect Vit E activity

A

The more the less active

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7
Q

What happens to groups esterified at the phenolic hydroxyl group during digestion

A

They get cleaved off and Vit E becomes active

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8
Q

How does Vit E enter the enterocyte and our systems

A

Passive diffusion into the enterocyte and incorporated into lymph
Repackaged into VLDL
Some transferred to HDL via ABCA1

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9
Q

What % of tocochromanols are absorbed

A

50%

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10
Q

Which transfer protein transports Vit E b/w membranes?

A

alpha-TTP (Tocopherol transfer protein)
- preferential to bind a-tocopherol

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11
Q

How is Vit E converted to hydrophilic metabolites

A

Tocopherol -w - oxidation
initiated by CYP-4F2

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12
Q

List the steps in Vit E breakdown

A

w-hydroxylation
oxidation
Truncation of phytyl side chain to 2-CEHC’s (4 rounds)
Conjugated to glucuronic acid/sulfate for urinary

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13
Q

Where is Vit E stored in the body?>

A

stored in membranes
90% in white adipose tissue (immobile)

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14
Q

Where is Vit E found in the body where it is readily available for redistribution

A

Liver and RBC

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15
Q

What is Vit E main metabolic function

A

to protect lipids and maintain membrane integrity by reacting as a free radical chain-breaking antioxidant

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16
Q

RDA of Vit E

A

it is as A-Tocopherol
15mg/d

17
Q

Which oils have the most active vit E

A

Safflower > Olive > Peanut

18
Q

How is Vit E status determined

A

Measurement of plasma a-tocopherol
- Normal –> 20-30 uM

19
Q

“Vit E is often measured as a ratio to cholesterol” - what does this mean?

A

If someone has high cholesterol they have high Vit E

20
Q

How much Vit E is needed to double plasma levels

A

400 mg/d

21
Q

What is the max plasma of Vit E

A

50-60 uM

22
Q

What is the functional test for Vit E

A

Erythrocyte hemolysis upon oxidative stress

23
Q

Deficiencies of Vit E are rare unless

A

Familia a-TTP deficiency
Familia abetalipoproteinemia
Lipid malabsorption

24
Q

Symptoms of toxicity of Vit E

A

inhibition of blood clotting action of Vit K
(increases time)

Reduces bioactivity of xenobiotics metabolized by CYP450

25
Q

How does Vit E affect B-carotene

A

inhibits absoption and metabolism in intestine

26
Q

It is recommended you to take Vit C if you take Vit E, why?

A

Vit C can reduce Vit E radical back to Vit E

27
Q

Vit E was most affected in what form of cancer

A

prostate

28
Q

Vit E one of few therapist available for this

A

NASH
- does not work if T2D