Download Neuroscience-2 Vitamin B2

Survey
yes no Was this document useful for you?
   Thank you for your participation!

* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project

Document related concepts
Transcript
PESHAWAR MEDICAL COLLEGE NWFP PAKISTAN
Tip from Tweety
PESHAWAR MEDICAL COLLEGE NWFP PAKISTAN
PESHAWAR MEDICAL COLLEGE NWFP PAKISTAN
RIBOFLAVIN
B2
PESHAWAR MEDICAL COLLEGE NWFP PAKISTAN
Major source of Energy in
Living organisms



Living organisms including humans
derive most of their energy from
oxidation-reduction reactions.
These are processes which involve the
transfer of electrons.
Flavin coenzymes participate in redox
reactions in numerous metabolic
pathways .
PESHAWAR MEDICAL COLLEGE NWFP PAKISTAN
Major source of Energy in
Living organisms


Flavins are critical for the metabolism of
carbohydrates, fats, and proteins.
Flavins help in releasing energy from
carbohydrates.

FAD is part of the electron transport
(respiratory) chain, which is central to
energy production.
PESHAWAR MEDICAL COLLEGE NWFP PAKISTAN
OTHER FUNCTIONS
B-2 is important for body growth and RBCs
production
 In treating anemia, adding Vitamin B-2 to
iron supplements, increase its
effectiveness.
 Flavins also participate in the metabolism
of some vitamins , minerals, drugs and
toxins

PESHAWAR MEDICAL COLLEGE NWFP PAKISTAN
OTHER FUNCTIONS

Riboflavin also helps to shore up the
immune system by reinforcing antibody
reserves, the body's first line of defense
against infection.
 In addition, the body uses extra riboflavin
to keep tissue in good repair and speed
healing of wounds, burns and other
injuries.
PESHAWAR MEDICAL COLLEGE NWFP PAKISTAN
PROTECTION OF NERVOUS
SYSTEM
Along with vitamins B-1, B-3 and B-6, riboflavin
has a role in treating nervous system conditions
such as:

Numbness and tingling

Alzheimer's disease

Epilepsy

Multiple sclerosis and

Even anxiety, stress and fatigue.
PESHAWAR MEDICAL COLLEGE NWFP PAKISTAN
Added Benefits of B-2

Carpal tunnel syndrome patients may benefit when
B-2 and B-6 combination therapy is given.

Epithelial and mucosal tissues require riboflavin
for their maintenance .

B-2 is also involved in oxidative degradation of
short chain fatty acids.

It also has a role in transfer of oxygen from
plasma to tissues.
PESHAWAR MEDICAL COLLEGE NWFP PAKISTAN
Added Benefits of B-2

Riboflavin is helpful for maintaining the skin, nails,
eyes, mouths, lips and tongue.

It is required for normal vision and prevention of
cataracts.

Riboflavin is also thought to decrease the duration
and frequency of migraine headaches in some
people, When used with beta blockers
PESHAWAR MEDICAL COLLEGE NWFP PAKISTAN
Uses in clinical and therapeutic situations.
Phototherapy:

The light used to irradiate the infant, breaks down
not only the toxin causing the jaundice, but also
the naturally occurring riboflavin within the
infant's blood.

For over 30 years, riboflavin supplements have
been used as part of the phototherapy treatment
of neonatal jaundice.
PESHAWAR MEDICAL COLLEGE NWFP PAKISTAN
SAFE BLOOD TRANSFUSION
Development is underway to use
riboflavin to improve the safety of
transfused blood by reducing
pathogens found in collected blood.
PESHAWAR MEDICAL COLLEGE NWFP PAKISTAN
Mechanism

Riboflavin attaches itself to the nucleic acids (DNA and
RNA) in cells, and when light is applied, the nucleic
acids are broken, effectively killing those cells.

The technology has been shown to be effective for
inactivating pathogens in all three major blood
components: (platelets, red blood cells, and plasma).

It has been shown to inactivate a broad spectrum of
pathogens, including known and emerging viruses,
bacteria, and parasites.
PESHAWAR MEDICAL COLLEGE NWFP PAKISTAN
Riboflavin deficiency
Deficiency can result in:

Skin lesions

Light sensitivity

Eye disorders

Inflamed mouth or tongue, and

Cracks and sores at the mouth's corner.
PESHAWAR MEDICAL COLLEGE NWFP PAKISTAN
Low levels of B-2

Arthritis

Colon cancer

Heart disease

Carpal tunnel syndrome

Multiple sclerosis

Anxiety, stress and fatigue
PESHAWAR MEDICAL COLLEGE NWFP PAKISTAN
Arthritis
PESHAWAR MEDICAL COLLEGE NWFP PAKISTAN
Carpal Tunnel Syndrome
PESHAWAR MEDICAL COLLEGE NWFP PAKISTAN
Multiple sclerosis
Peshawar Medical College
PESHAWAR MEDICAL COLLEGE NWFP PAKISTAN
Glossitis
PESHAWAR MEDICAL COLLEGE NWFP PAKISTAN
Why Called Riboflavin ?
It is named riboflavin because of its
structural similarity to Ribose (Sugar)
and its relationship to the flavins.
PESHAWAR MEDICAL COLLEGE NWFP PAKISTAN
Chemical structure of Riboflavin
PESHAWAR MEDICAL COLLEGE NWFP PAKISTAN
Flavin Adenine Dinucleotide
PESHAWAR MEDICAL COLLEGE NWFP PAKISTAN
Food Sources

The richest sources of riboflavin include
organ meats such as liver, kidney and
heart.
 Milk, yeast, cheese, fish, eggs and dark
green leafy vegetables are also rich
sources.
 Flour and cereals are enriched with
riboflavin.
PESHAWAR MEDICAL COLLEGE NWFP PAKISTAN
Absorption and Metabolism
Riboflavin is rapidly absorbed form
upper part of small intestine and then
phosphorylated in intestinal wall to its
active form.
PESHAWAR MEDICAL COLLEGE NWFP PAKISTAN
Distribution and excretion

Riboflavin is found in all cells of the body
but maximum concentration is found in
liver and kidneys.

With an increase in intake above needs,
vitamin is excreted by kidneys.
PESHAWAR MEDICAL COLLEGE NWFP PAKISTAN
Recommended Dietary Allowances (RDA)

Daily intake of 0.6 mg per 1000 calories for
persons of all ages is recommended
PESHAWAR MEDICAL COLLEGE NWFP PAKISTAN
RECOMMNED DAILY INTAKE
Age
Males mg/day
Females mg/day
0—12 months
0.3-0.4
0.3-0.4
Children
1-3
0.5
0.5
Children
4-8
0.6
0.6
Children
9-13
0.9
0.9
Adolescents
14-18
1.3
1.0
19+
1.3
1.1
Life stage
Infants
Adults
Pregnancy
All ages
1.4
Lactation
All ages
1.6
PESHAWAR MEDICAL COLLEGE NWFP PAKISTAN
Response to Physical state

Riboflavin is Heat stable but light
sensitive.

It is easily destroyed by light, and
foods stored in clear containers will
lose their riboflavin content in a short
period of time.

It can leach into cooking water
PESHAWAR MEDICAL COLLEGE NWFP PAKISTAN
Deficiency of vitamin B2
Deficiency of riboflavin is one of the most
common deficiency disease
 A shortage of this vitamin may manifest
itself as cracks and sores at the corners of
the mouth, eye disorders, inflammation of
the mouth/ tongue, and skin lesions.

Dermatitis, dizziness, hair loss, insomnia,
light sensitivity, poor digestion, retarded
growth, and slow mental responses have
also been reported.
PESHAWAR MEDICAL COLLEGE NWFP PAKISTAN
Riboflavin deficiency

Burning feet can also be indicative of
a shortage.
May also result in dull hair, an oily skin,
premature wrinkles on the face and
arms, and split nails.
 Riboflavin deficiency also leads to the
malfunctioning of the adrenal glands

PESHAWAR MEDICAL COLLEGE NWFP PAKISTAN
THOSE WHO ARE AT RISK OF DEVELOPING
RIBOFLAVIN DEFICIENCY.
Riboflavin deficiency occurs in
patient of chronic liver diseases, and
those who receive total parenteral
nutrition (TPN) with inadequate
riboflavin.
PESHAWAR MEDICAL COLLEGE NWFP PAKISTAN
Conditions that may increase the need
for riboflavin.

Alcoholism

Infection

Intestinal diseases

Liver disease

Burns

Cancer

Overactive thyroid

Diarrhea (continuing)

Serious injury

Fever (continuing)

Stress (continuing)

Surgical removal of
stomach

Illness (continuing)
PESHAWAR MEDICAL COLLEGE NWFP PAKISTAN
Toxic effects

There is no known toxicity to
riboflavin.

As riboflavin is water soluble, excess
if taken, is excreted in the urine.
PESHAWAR MEDICAL COLLEGE NWFP PAKISTAN
Toxic effects
Possible reactions to very high
doses may include itching,
numbness, burning or prickling
sensations, and sensitivity to light.
PESHAWAR MEDICAL COLLEGE NWFP PAKISTAN
Educate your patients that
 Excess
riboflavin will be excreted in
urine.
will impart bright yellow
color, to urine. which many
people notice when they take
vitamin supplement containing B-2.
 It
PESHAWAR MEDICAL COLLEGE NWFP PAKISTAN