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Clinical Biochemistry of Domestic Animals (Sixth Edition) - UMK ...

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716<br />

Chapter | 23 Vitamins<br />

b . Functions<br />

Enzymes containing flavins are distinguished, because they<br />

are capable <strong>of</strong> transferring hydrogen directly to molecular<br />

oxygen with the formation <strong>of</strong> hydrogen peroxide as a product<br />

( Powers, 2003 ; Rivlin, 2007 ). Oxygen prefers to participate<br />

in reactions involving one electron, one hydrogen transfers<br />

proceeding in a stepwise manner. The chemical characteristics<br />

<strong>of</strong> rib<strong>of</strong>lavin are ideally suited for such reactions. Thus,<br />

with the addition <strong>of</strong> rib<strong>of</strong>lavin containing c<strong>of</strong>actors to biological<br />

systems, it is possible for the system to carry out a<br />

range <strong>of</strong> redox reactions utilizing mechanisms that involve<br />

ion hydride transfers (via NAD or NADP), radical hydrogen<br />

ion transfers (via FMN, FAD) or ascorbic acid, and one electron<br />

plus one proton transfer (via FMN or FAD).<br />

c . Metabolism and Requirements<br />

FMN and FAD in foods are hydrolyzed in the upper gut to<br />

free rib<strong>of</strong>lavin. Rib<strong>of</strong>lavin is absorbed by active processes<br />

and is transported in blood to target tissues in association<br />

with albumin ( Said, 2004 ). Once in cells, rib<strong>of</strong>lavin is<br />

phosphorylated to FMN. FMN is also released from cells<br />

and may bind to albumin for reutilization by other cells.<br />

Active transfer mechanisms are responsible for the uptake<br />

<strong>of</strong> FMN. In this regard certain drugs (e.g., penicillin and<br />

theophylline) can displace rib<strong>of</strong>lavin from binding proteins<br />

that are important to its transport. Urine is the major route<br />

<strong>of</strong> excretion for rib<strong>of</strong>lavin, although some FAD is excreted<br />

in bile ( Rivlin, 2007 ).<br />

Requirements for rib<strong>of</strong>lavin are lower than those for<br />

niacin or ascorbic acid. This is primarily because rib<strong>of</strong>lavin<br />

is tightly associated with the oxidases and dehydrogenases<br />

it serves as c<strong>of</strong>actor; thus, rib<strong>of</strong>lavin turnover is dependent<br />

on the turnover <strong>of</strong> the proteins to which it is associated.<br />

In some cases, FMN is even covalently bound (e.g.,<br />

as in succinic dehydrogenase). Because <strong>of</strong> the high affinity<br />

with the enzymes that it serves as a c<strong>of</strong>actor, in most<br />

animals the half-life <strong>of</strong> rib<strong>of</strong>lavin is several weeks. Two to<br />

six milligrams <strong>of</strong> rib<strong>of</strong>lavin per kilogram <strong>of</strong> diet is required<br />

( Committee on Animal Nutrition, 2001a, 2001b ; Rivlin,<br />

2007 ; Subcommittee on Laboratory Animal Nutrition,<br />

Board on Agriculture, National Research Council, 1995).<br />

When signs <strong>of</strong> rib<strong>of</strong>lavin deficiency are observed they<br />

usually include lesions <strong>of</strong> the oral cavity, around the periphery<br />

<strong>of</strong> the lips, and particularly the angle <strong>of</strong> the mouth<br />

(cheilosis). There can also be inflammation <strong>of</strong> the tongue<br />

(glossitis) and accompanying seborrheic dermatitis. In severe<br />

cases <strong>of</strong> rib<strong>of</strong>lavin deficiency, the filiform papillae <strong>of</strong> the<br />

tongue are lost and the tongue changes color from its usual<br />

pink to magenta. Anemia and increased vascularization <strong>of</strong><br />

the eye are other common signs <strong>of</strong> rib<strong>of</strong>lavin deficiency in<br />

some animals. Arib<strong>of</strong>lavinosis is the clinical name for rib<strong>of</strong>lavin<br />

deficiency. Rib<strong>of</strong>lavin deficiency is rarely found in<br />

isolation; it occurs frequently in combination with deficiencies<br />

<strong>of</strong> other water-soluble vitamins. In addition to anemia,<br />

severe rib<strong>of</strong>lavin deficiency may result in decreased conversion<br />

<strong>of</strong> vitamin B 6 to its coenzyme form and decreased conversion<br />

<strong>of</strong> tryptophan to niacin.<br />

Lean meats, eggs, legumes, nuts, green leafy vegetables,<br />

dairy products, and milk provide rib<strong>of</strong>lavin in the<br />

diet. Because rib<strong>of</strong>lavin is destroyed by exposure to light,<br />

foods with rib<strong>of</strong>lavin should not be stored in glass containers<br />

that are exposed to light. Moreover, as grains are a poor<br />

source <strong>of</strong> rib<strong>of</strong>lavin, deficiencies frequently occur in animals<br />

given diets based on cereal grains. One <strong>of</strong> the more<br />

striking and specific signs <strong>of</strong> rib<strong>of</strong>lavin deficiency in birds<br />

is “ curled toe syndrome. ” Curled toe paralysis has been <strong>of</strong><br />

economic significance to the broiler industry. In young animals,<br />

growth failure, lost <strong>of</strong> feathers, or alopecia may be<br />

observed ( Rivlin, 2007 ).<br />

d . Determination <strong>of</strong> Rib<strong>of</strong>lavin Status<br />

The erythrocyte glutathione reductase activity coefficient<br />

(EGRAC) is the preferred clinical test <strong>of</strong> rib<strong>of</strong>lavin adequacy.<br />

This enzyme stimulation test measures the reduction<br />

<strong>of</strong> oxidized glutathione by the enzyme glutathione reductase<br />

with and without the addition <strong>of</strong> exogenous FAD. In dogs, a<br />

ratio <strong>of</strong> greater than 1.3 has been taken as deficient. Similar<br />

to the other B-vitamins, analytical approaches involve<br />

hydrophilic interaction chromatography or capillary electrophoresis<br />

using UV, florescence, or mass spectrophotometry<br />

for detection ( Rivlin, 2007 ).<br />

B . Vitamins Directed at Specific Features <strong>of</strong><br />

Carbohydrate, Protein, or Lipid Metabolism:<br />

Thiamin, Pyridoxine, and Pantothenic Acid<br />

1 . Thiamin<br />

a . Introduction<br />

Studies related to thiamin were important to the development<br />

<strong>of</strong> early concepts associated with the role and importance <strong>of</strong><br />

vitamins. Another aspect <strong>of</strong> this work, particularly efforts by<br />

the Dutch medical <strong>of</strong>ficer Christian Eijkman, was that the<br />

polyneuritis associated with human beriberi could also be<br />

produced in an experiment animal model by dietary manipulation.<br />

Eijkman and his colleagues fed a diet <strong>of</strong> polished rice,<br />

presumably low in thiamin, to chickens and observed a characteristic<br />

feature—head retraction. The focus on rice and<br />

the observation that there appeared to be a curative principle<br />

in rice bran led to the eventual isolation <strong>of</strong> thiamin. This<br />

sequence <strong>of</strong> discovery provided the underpinnings that led to<br />

the discovery <strong>of</strong> vitamins as precursors to c<strong>of</strong>actors and their<br />

roles as regulators ( Goldblith and Joslyn, 1964 ).<br />

b . General Functions<br />

Thiamin is found in cells either as the pyrophosphate (TPP)<br />

or the triphosphate (TPPP) ( Fig. 23-17 ). TPPP predominates<br />

in neural tissue and in the brain ( Davis, 1983 ). There

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