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Copyright Freiburg Medical Laboratory
Freiburg Medical Laboratory ME LLC, P.O.Box 3068, Dubai
Tel: 04 396 2227
Fax: 04 396 2228
Vitamin B1, Thiamine
Germany, 5-7 d
see also Vitamins
General:
Biochemistry: Vitamin B1 is water-soluble and is found almost exclusively as
thiamine pyrophosphate. Thiamine pyrophosphate is a co-enzyme for the
decarboxylation of pyruvate (alpha−ketoglutaric acid, pyruvate derivates of
valine, leucine and isoleucine) and the transketolase reactions.
Physiology: Thiamine is resorbed rapidly in the intestine and transformed
into thiamine pyrophosphate (co-enzyme) predominantly in the liver. It is
further biotransformed by dephosphorylation in the kidney and partly
secreted as free vitamin or as conjugated sulfate ester. Thiamine is of
importance for all organs using pyruvate and lactate as energy sources or
show a high carbohydrate turnover or a high requirement for acetylic
groups (nerve cells).
Occurrence: grain or grain products, flour, meat, liver, yeast, egg, milk,
vegetables, roots. Thiamine is destroyed easily by heating (cooking).
Clinical symptoms:
Neurological: polyneuropathy, neuritis, areflexia, paresis vocal
paralysis, neuromuscular degeneration (“dry form” of Beri-Beri);
cord
Cardial: cardiac insufficiency, tachycardia, edema of lower extremities and
effusions in serous caves (“wet form” of Beri-Beri);
Hypervitaminoses are rare. Symptoms: headaches, cramps, paralysis,
arrhythmia.
Indication:
Material:
Preanalytic:
Method:
Dimension:
Ref.- range:
Suspicion of deficiency/ or over-dosage
2 ml EDTA blood
light protected dispatch is highly recommended ! No plasma !
HPLC
ng/ml
20 - 100
^ non-accredited parameter
updated
January
2015
Freiburg Medical Laboratory ME LLC is accredited according to DIN EN ISO 15189.
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