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364       Nutrition



             Lipid-soluble vitamins                           the chromoprotein rhodopsin (see p. 358).
                                                              Retinoic acid, like the steroid hormones, in-
             Vitamins are essential organic compounds         fluences the transcription of genes in the cell
             that the animal organism is not capable of       nucleus. It acts as a differentiation factor in
             forming itself, although it requires them in     growth and development processes. Vitamin
             small amounts for metabolism. Most vitamins      A deficiency can result in night blindness, vis-
             are precursors of coenzymes;in somecases,        ual impairment, and growth disturbances.
             they are also precursors of hormones or act as      Vitamin D (calciol, cholecalciferol) is the
             antioxidants. Vitamin requirements vary from     precursor of the hormone calcitriol (1α,25-di-
             species to species and are influenced by age,    hydroxycholecalciferol; see p. 320). Together
             sex, and physiological conditions such as        with two other hormones (parathyrin and
             pregnancy, breast-feeding, physical exercise,    calcitonin), calcitriol regulates the calcium
             and nutrition.                                   metabolism (see p. 342). Calciol can be syn-
                                                              thesized in the skin from 7-dehydrocholes-
                                                              terol, an endogenous steroid, by a photo-
             A. Vitamin supply
                                                              chemical reaction. Vitamin D deficiencies
             A healthy diet usually covers average daily      only occur when the skin receives insuf cient
             vitamin requirements. By contrast, malnutri-     exposure to ultraviolet light and vitamin D is
             tion, malnourishment (e. g., an unbalanced       lacking in the diet. Deficiency is observed in
             diet in older people, malnourishment in alco-    the form of rickets in children and osteomala-
             holics,ready meals),orresorptiondisturban-       cia in adults. In both cases, bone mineraliza-
             ces lead to an inadequate supply of vitamins     tion is disturbed.
             from which hypovitaminosis, or in extreme           Vitamin E (tocopherol) and related com-
             cases avitaminosis, can result. Medical treat-   pounds only occur in plants (e. g., wheat
             ments that kill the intestinal flora—e. g., anti-  germ). They contain what is known as a chro-
             biotics—can also lead to vitamin deficiencies    man ring. In the lipid phase, vitamin E is
             (K, B 12 , H) due to the absence of bacterial    mainly located in biological membranes,
             vitamin synthesis.                               where as an antioxidant it protects unsatu-
                Since only a few vitamins can be stored (A,   rated lipids against ROS (see p. 284) and other
             D, E, B 12 ), a lack of vitamins quickly leads to  radicals.
             deficiency diseases. These often affect the         Vitamin K (phylloquinone) and similar sub-
             skin, blood cells, and nervous system. The       stances with modified side chains are in-
             causes of vitamin deficiencies can be treated    volved in carboxylating glutamate residues
             by improving nutrition and by administering      of coagulation factors in the liver (see
             vitamins in tablet form. An overdose of vita-    p. 290). The form that acts as a cofactor for
             mins only leads to hypervitaminoses,with         carboxylase is derived from the vitamin by
             toxic symptoms, in the case of vitamins A        enzymatic reduction. Vitamin K antagonists
             and D. Normally, excess vitamins are rapidly     (e. g., coumarin derivatives) inhibit this reduc-
             excreted with the urine.                         tion and consequently carboxylation as well.
                                                              This fact is used to inhibit blood coagulation
                                                              in prophylactic treatment against thrombosis.
             B. Lipid-soluble vitamins
                                                              Vitamin K deficiency occurs only rarely, as the
             Vitamins are classified as either lipid-soluble  vitamin is formed by bacteria of the intestinal
             or water-soluble. The lipid-soluble vitamins     flora.
             includevitamins A,D,E,and K, allofwhich
             belong to the isoprenoids (see p. 52).
                Vitamin A (retinol) is the parent substance
             of the retinoids, which include retinal and
             retinoic acid. Theretinoids also can besynthe-
             sized by cleavage from the provitamin β-car-
             otene. Retinoids are found in meat-containing
             diets, whereas β-carotene occurs in fruits and
             vegetables (particularly carrots). Retinal is in-
             volved in visual processes as the pigment of


           Koolman, Color Atlas of Biochemistry, 2nd edition © 2005 Thieme
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