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              Vitamins and Coenzymes                                                                      515




































                         FIGURE 10  Coenzyme A and its constituent components, which include the vitamin pantothenic acid.

              II.  NUTRITIONAL RECOMMENDATIONS                  adequate amounts of all of the vitamins. There are excep-
                                                                tions. Vitamin B 12  is not made by plants and strict veg-
              It is difficult to establish the amount of any vitamin that is  etarians may become deficient if their diet does not con-
              essential to a human being. Even for animals the amount  tain yogurt or other products of fermentation. Thiamin
              required for good health must exceed that needed for sur-  is  very  labile,  especially  at  high  pH.  Cooking  at  a  pH
              vival. The enormous individual variation among human  above  8  quickly  destroys  this  vitamin.  Alcoholism  is
              beings ensures that any conclusion about the requirement  another cause of thiamin deficiency, sometimes leading
              for a nutrient will be incorrect for at least some individuals.  to  the  characteristic  Wernicke’s  disease  or  Wernicke–
              The need for a vitamin will be affected by the age of the in-  Korsakoff syndrome, conditions with specific symptoms
              dividual, by differences in the ability to take up the vitamin  of  encephalopathy.  Because  of  the  lability  of  thiamin,
              from the digestive tract, and by the ability to convert it to  the number of turnovers, i.e., the number of times that a
              appropriate coenzyme forms. Also important is the ability  thiamin diphosphate molecule can pass through its cat-
              of numerous enzymes to hold the coenzyme correctly into  alytic  cycle,  seems  to  be  limited.  For  this  reason,  the
              their active sites. With many thousands of possible sites for  recommended daily allowance is increased by 0.5 mg for
              mutation of the DNA encoding these proteins, there are  each 1000 kcal (Cal) consumed beyond that for an aver-
              many possible reasons why some individuals may need  age person. Riboflavin is destroyed by light. Diets in many
              larger amounts of a vitamin than does the average person.  parts of the world are deficient in vitamin A and also in
              Recommended dietary allowances (Table I) are based on  the plant carotenes, which can be converted into vitamin
              studies by panels of nutritional investigators. They vary  A in the body. Folate deficiency may occur if there is in-
              somewhat from one country to another and are revised  adequate intake of fresh vegetables and fruit. Prolonged
              periodically. To put the needs for vitamins in a better per-  cooking can also destroy the vitamin.
              spective, Table II lists in concise form the other known  Specific dietary deficiencies sometimes affect large
              human nutritional requirements.                   populations. In the past, beriberi was a widespread con-
                Most  of  the  B  vitamins  are  synthesized  by  plants,  sequence of consumption of polished rice without vita-
              fungi, and bacteria. Meat and dairy products also contain  min supplementation. During the early decades of the last
              vitamins that have been obtained from these sources. As a  century, pellagra was widespread in southern regions of
              consequence, a well-balanced human diet usually supplies  the United States because the diet was low in protein
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