Role of Lipid Peroxidation and Vitamin E in Magnesium Deficiency

Total Page:16

File Type:pdf, Size:1020Kb

Role of Lipid Peroxidation and Vitamin E in Magnesium Deficiency Origina6a Role of Lipid Peroxidation and Vitamin E in Magnesium Deficiency 1 1 1 2 2 \ T. Giinther ), J. Vonnann ), V. Hollriegl ), G. Disch ), H.-G. Classen ) Zusammenfassung Summary Resume Es wurde untersucht, ob Lipidperoxidation an The aim of the study was to ascertain whether Le but de la presente etude etait de verifier den Erscheinungen des Mg-Mangels beteiligt lipid peroxidation is involved in the effects of l'eventuelle implication de la peroxydation ist. Dazu wurde 115 g schweren mannlichen Mg deficiency. Male Wistar rats, weighing 115 des lipides dans les effets des deficits en ma­ Wistarratten eine Kontroll-, eine Mg-arme, g, were fed a control, an Mg-deficient, an Mg­ gnesium. Des rats Wistar males pesant 115 g eine Mg-arme plus Vitamin E-arme und eine deficient plus vitamin E-reduced and an Mg­ ont re<;u pendant 11 semaines les differents Mg-arme Vitamin E-reiche Diat 11 Wochen deficient-vitamin E-supplemented diet for 11 regimes alimentaires suivants: regime temoin, lang verftittert. Anschlief:lend wurden Vita­ weeks. At the end of the experiment, vitamin regime carence en Mg, regime carence en Mg min E, Malondialdehyd und der Mineralge­ E. malondialdehyde and mineral content were et pauvre en vitamine E et, enfin, regime halt in Serum, Leber, Herz, Nieren, Aorta, measured in serum, liver, heart, kidney, aorta, carence en Mg et supplemente en vitamine E. Hoden und Skelettmuskel gemessen. testis and skeletal muscle. Mg deficiency re­ A la fin de !'experimentation, les auteurs ont Mg Mange[ verminderte den Vitamin E-Ge­ duced vitamin E in serum and all examined mesure les taux seriques, hepatiques, cardia­ halt im Serum und alien untersuchten Gewe­ tissues. Vitamin E supplementation of Mg­ ques, renaux, aortiq ues, testiculaires et muscu­ ben. Vitamin E-Supplementation erhi:ihte den deficient rats produced only a slight increase losquelettiques de vitamine E, d'aldehyde a-Tocopherolgehalt besonders in der Leber. in a-tocopherol levels, except for the liver, malonique et de substances minerales. Mg-Mangel erh6hte den Malondialdehyd­ which stored a considerable amount. Le deficit magnesique a reduit les concentra­ Gehalt, besonders bei Vitamin E-reduzierter Mg deficiency increased malondialdehyde, tions de vitamine E dans le serum et dans to us Diat. Die durch Mg-Mangel hervorgerufenen particularly in rats also fed the low vitamin E les tissus examines. Une supplementation en Veranderungen im Mineralgehalt der Gewe­ diet. Mgdeficiency-induced alterations in min­ vitamine E chez les animaux carences en Mg a be, die Erytheme, die malign en T-Zellympho­ eral content of the tissues, erythema, develop­ entralne une augmentation des taux d'a-toco­ me, Leukamien und Tumore wurden durch ment of malignant T cell lymphoma, leukemia pherol, en particulier dans le foie. Les altera­ Vitamin E-S upp lementation nicht verhindert. and development of tumors were not pre­ tions de la teneur tissulaire en substances Nurdie durch Mg-Mangel entstandenen Hau­ vented by vitamin E supplementation. Only minerales, les erythemes, les lymphomes des tulzerationen wurden durch Vitamin E signifi­ skin ulcerations in Mg deficien~)' were signifi­ cellules T, les leucemies et les effets tumorige­ kant vermindert. cantly reduced by vitamin E. nes induits par la carence magnesique n'ont pas ete minimises par la supplementation en vitamine E, n'a reduit significativement Introduction content, cardiac necroses and in­ lead to the increased ea-dependent creased collagen content in heart and release of some hormones, such as Significant effects of experimental neuromuscular hyperexcitability [1, 2, catecholamines, prostaglandins and Mg deficiency in rats are transient 3, 4, 5]. related substances [6]. erythema and edema, skin lesions, The basic pathobiochemical mechan­ Moreover,inMg deficiency, increased reduced growth, development of ma­ ism ofMg deficiency may be an altera­ lipid peroxidation (LPO) was found lignant T-celllymphoma and leuke­ tion of the Mg-Ca-antagonism in the in isolated liver mitochondria [7] and mia, development of intestinal tumors, extracellular fluid and at membranes in liver in vivo [8]. Mg deficiency­ calcification ofkidneys and large blood 2 due to reduced extracellular Mg ' con­ induced cardiac necrosis was effec­ vessels, changed intracellular mineral centration [6]. This effect is an explan­ tively reduced in a dose-dependent ation for the Mg deficiency-increased manner by simultaneous adminis­ cell membrane permeability and ion tration of vitamin E to Mg deficient 1 ) Institute of Molecular Biology and Bio­ turnover and the increased effect of Syrian hamsters [9 ]. Since vitamin E is chemistry, Free University of Berlin, FRG 2 hormones on smooth muscle cells act­ ) Department of Pharmacology and Toxi­ one of the most effective scavengers 2 2 cology of Nutrition, ing via Ca + influx and rise in [Ca +]i. of free radicals [10], these results sug­ University of Hohenheim, Stuttgart, FRG The altered Mg-Ca ratios may also gest that free radical mechanisms are Magnesium-Bulletin 14, 2 (1992) 57 Lipid Peroxidation in Magnesium Deficiency involved in Mg deficiency-induced per cage Type Ill) were kept at a VitaminE was determined by its fluor­ myocardial injury. light-dark cycle from 8 a.m. to 8 p.m. escence in hexane extracts according The same relationship may hold for at a temperature of 21 ± 1 oc and a to Taylor et al [20]. human ischemic heart disease (IHD). relative humidity of 50--60 % for 11 Malondialdehyde (MDA) was deter­ Epidemiological studies revealed a weeks. Body weight was measured mined by a variation of the thiobar­ strong inverse correlation between weekly. bituric acid (TBA) method [21, 22]. A IHD mortality and the serum level of At the end of the experiment the rats 20% homogenate in 150 mmol/1 KCl vitamin E, whereas the classic risk were anesthesized with nembutal (or serum) was diluted 1:1 (v/v) with factors cholesterol and diastolic blood (50 mglkg i.p.) and blood, liver, kid­ 5 % trichloroacetic acid (TCA) and pressure had only a moderate asso­ neys, heart, testes and aorta were centrifuged for 5 min at 13 000 x g. ciation with IHD [11]. Alteration of taken, frozen in liquid nitrogen and 500 j..tl TBA (1%, pH7) was added to ion permeability and LPO, adversely stored at 20 oc. 500 j..tl supernatant and heated at 95 oc affected by Mg deficiency, may act Intestines were inspected for intes­ for 15 min. After cooling, the probes in accord. An increase in intra­ tinal tumors [17]. Thymus was in­ were extracted with 3 ml1-butanol by cellular Ca2~ can enhance LPO [12]. spected formalignent T celllymphoma vortexingfor 30 sec and centrifugation Mg deficiency-increased release of [18], removed and weighed. Leuco­ at 2100 g for 15 min. MDA in the catecholaminesmayincrease LPO [13] cyte content was countedinlymphoma butanol phase was measured fluor­ and Mg deficiency-induced alteration bearing rats by means of a Neubauer ometrically (Perkin Elmer LS 50, ex­ of fatty acids in phospholipids may chamber. citation: 532 nm, emission: 553 nm, slit increase LPO. Increased LPO may Blood was centrifuged at 1000 g for width: 5 nm). lead to an increase in membrane per­ 5 min. The concentrations of Mg, Ca, The calibration curve was prepared meability [14] and may enhance the and Fe in serum were measured by with malonaldehyde tetraethylacetal effects of Mg deficiency. Since LPO atomic absorption spectrophotometry (Sigrna ), which was treated in the same may be a general pathological mechan­ (AAS). way. Statistical analysis was performed ism [14], LPO may play a significant Portions of the livers and hearts were as indicated in the tables. role in the pathology ofMg deficiency. freeze-dried. Dried liver was powd­ To clarify the realtionship between ered in a plastic mortar, freeze-dried Mg deficiency and LPO, we fed a low hearts were powdered by means of a Results and Discussion vitamin E diet, and a vitamin E sup­ vibrating steel ball (Mikro-Dismem­ plemented diet to rats on a Mg de­ brator, B. Braun, Melsungen, FRG). ficient diet. For determination of Na, K, Mg, Ca, Vitamin E content (tab. 2) and Fe in livers and hearts, freeze­ In serum and all investigated tissues, dried, powdered tissue was ashed in vitamin E content was reduced by MateriaJs and Methods the Plasma Processor 200-E (Tech­ Mg deficiency. This reduction was es­ nics, Miinchen, FRG). The ash was pecially pronounced in serum and After obtaining approval of local dissolved in 0.1 N HCl. N a and K liver. When Mg deficiency was com­ authorities and the Animal Protection were measured by flame photometry bined with vitamin E reduction, the Committee, the experiment with 175 (Klina, Beckman), Mg, Ca and Fe vitamin E content was drastically re­ male Wistarrats, weighing115 g(Inter­ were measured by AAS (Philips, duced, particularly in liver. After feed­ fauna, Tuttlingen, FRG) was under­ SP9). ing the vitamin E-supplemented diet taken. Males were used, because of An aliquot of freeze-dried, powdered to Mg-deficient rats, vitamin E con­ their greater susceptibility to free-radi­ hearts was taken for determination of tent in serum and tissues was some­ cal-induced hepatotoxicity [15]. A collagen content by means ofmeasure­ what higher than in controls. How­ control diet (described elsewhere [16]) ment of hydroxyproline according to ever, in liver, vitamin E was markedly was fed to 25 rats (group A); Mg­ Stegemann [19]. increased. deficient diet was fed to 150 rats, de­ These results indicate that liver cells vided into 3 groups: group B (Mg store vitamin E, and this store can deficiency alone), group C (also vita­ Tab.l: ContentofMg. Ca,FeandvitaminEin be more depleted in vitamin E de­ control (A), Mg-deficient (B), Mg-deficient min E reduced), and group D (fed plus vit E-reduced (C) and Mg-deficient-vit E­ ficiency as compared with other excess vitamin E supplements).
Recommended publications
  • Vitamin E Deficiency and Associated Factors Among Brazilian School Children Deficiência De Vitamina E E Fatores Associados Entre Crianças Escolares Brasileiras
    Artigo Original Vitamin E deficiency and associated factors among Brazilian school children Deficiência de vitamina E e fatores associados entre crianças escolares brasileiras Viviane Imaculada do Carmo Custódio1 , Carlos Alberto Nogueira-de-Almeida2 , Luiz Antonio Del Ciampo3 , Fábio da Veiga Ued4 , Ane Cristina Fayão Almeida5 , Rodrigo José Custódio6 , Alceu Afonso Jordão Júnior7 , Júlio César Daneluzzi8 , Ivan Savioli Ferraz9 ABSTRACT Objective: Brazilian national data show a significant deficiency in pediatric vitamin E consumption, but there are very few studies evaluating laboratory-proven nutritional deficiency. The present study aimed to settle the prevalence of vitamin E deficiency (VED) and factors associated among school-aged children attended at a primary health unit in Ribeirão Preto (SP). Methods: A cross-sectional study that included 94 children between 6 and 11 years old. All sub- jects were submitted to vitamin E status analysis. To investigate the presence of factors associated with VED, socio- economic and anthropometric evaluation, determination of serum hemoglobin and zinc levels, and parasitological stool exam were performed. The associations were performed using Fisher’s exact test. Results: VED (α-tocopherol concentrations <7 μmol/L) was observed in seven subjects (7.4%). None of them had zinc deficiency. Of the total of children, three (3.2%) were malnourished, 12 (12.7%) were anemic, and 11 (13.5%) presented some pathogenic intestinal parasite. These possible risk factors, in addition to maternal-work, maternal educational level, and monthly income, were not associated with VED. Conclusions: The prevalence of VED among school-aged children attended at a primary health unit was low. Zinc deficiency, malnutrition, anemia, pathogenic intestinal parasite, maternal-work, maternal educational level, and monthly income were not a risk factor for VED.
    [Show full text]
  • Neurology and the Gastrointestinal System
    J Neurol Neurosurg Psychiatry 1998;65:291–300 291 J Neurol Neurosurg Psychiatry: first published as 10.1136/jnnp.65.3.291 on 1 September 1998. Downloaded from NEUROLOGY AND MEDICINE Neurology and the gastrointestinal system G D Perkin, I Murray-Lyon The interrelation of neurology and the gas- that the two techniques are complementary, trointestinal system includes defects of gut acetylcholinesterase staining being particularly innervation, primary disorders of the nervous helpful when the biopsy material does not system (or muscle) which lead to gastrointesti- include submucosa, or in older infants or chil- nal symptoms—for example, dysphagia—and, dren in whom the population of distal submu- finally, certain gut disorders which include cosal ganglion cells may be less dense.6 neurological features in their clinical range. The first of this trio will be discussed only Gastrointestinal disorders due to briefly in this review, the second and third in neurological disease more detail. DYSPHAGIA A neurogenic mechanism for dysphagia, which Defects of innervation may have either sensory or motor components, ACHALASIA or both, can result from a disorder at the oral, Achalasia is characterised by an absence of pharyngeal, or oesophageal phase of swallow- peristalsis in the oesophageal body accompa- ing. In most patients, the neurological disorder nied by a failure of relaxation of the lower is evident, but in others, dysphagia is the oesophageal sphincter.1 Although the condi- presenting feature. Besides the dysphagia, tion can be secondary to other disease other symptoms suggesting a neurogenic copyright. processes—for example, Chagas’ disease—in mechanism include drooling of saliva, nasal Europeans it is usually a primary disorder.
    [Show full text]
  • Effect of Fat-Soluble Vitamins A, D, E and K on Vitamin Status And
    nutrients Article Effect of Fat-Soluble Vitamins A, D, E and K on Vitamin Status and Metabolic Profile in Patients with Fat Malabsorption with and without Urolithiasis Roswitha Siener 1,*, Ihsan Machaka 1 , Birgit Alteheld 2, Norman Bitterlich 3 and Christine Metzner 4,5 1 Department of Urology, University Stone Center, University Hospital Bonn, 53127 Bonn, Germany; [email protected] 2 Department of Nutrition and Food Sciences, Nutritional Physiology, University of Bonn, 53115 Bonn, Germany; [email protected] 3 Department of Biostatistics, Medicine and Service Ltd., 09117 Chemnitz, Germany; [email protected] 4 Bonn Education Association for Dietetics r. A., 50935 Cologne, Germany; [email protected] or [email protected] 5 Clinic for Gastroenterology, Metabolic Disorders and Internal Intensive Medicine (Medical Clinic III), RWTH Aachen, 52074 Aachen, Germany * Correspondence: [email protected]; Tel.: +49-228-2871-9034 Received: 20 September 2020; Accepted: 7 October 2020; Published: 12 October 2020 Abstract: Patients with intestinal fat malabsorption and urolithiasis are particularly at risk of acquiring fat-soluble vitamin deficiencies. The aim of the study was to evaluate the vitamin status and metabolic profile before and after the supplementation of fat-soluble vitamins A, D, E and K (ADEK) in 51 patients with fat malabsorption due to different intestinal diseases both with and without urolithiasis. Anthropometric, clinical, blood and 24-h urinary parameters and dietary intake were assessed at baseline and after ADEK supplementation for two weeks. At baseline, serum aspartate aminotransferase (AST) activity was higher in stone formers (SF; n = 10) than in non-stone formers (NSF; n = 41) but decreased significantly in SF patients after supplementation.
    [Show full text]
  • Multiple Micronutrient Powder Reduces Vitamin E Deficiency In
    nutrients Article Multiple Micronutrient Powder Reduces Vitamin E Deficiency in Brazilian Children: A Pragmatic, Controlled Clinical Trial Lina M. C. Lobo 1 , Raquel M. Schincaglia 1,2, Maria do Rosário G. Peixoto 2 and Maria Claret C. M. Hadler 1,2,* ENFAC Working Group 1 Graduate Program in Health Sciences, Faculty of Medicine, Federal University of Goiás, Goiânia, Goiás 74605-020, Brazil; [email protected] (L.M.C.L.); [email protected] (R.M.S.) 2 Graduate Program in Nutrition and Health, Faculty of Nutrition, Federal University of Goiás, Goiânia, Goiás 74605-080, Brazil; [email protected] * Correspondence: [email protected]; Tel.: +55-062-98261-1506 Received: 21 September 2019; Accepted: 6 November 2019; Published: 11 November 2019 Abstract: Multiple micronutrient powder supplementation is a health promotion strategy, but data on its effectiveness regarding vitamin E are rare. The objective was to evaluate the impact of home fortification with powdered micronutrients on α-tocopherol concentrations, growth, and inflammation in Brazilian children aged 6–15 months. This is a pragmatic, controlled clinical trial, in which the intervention group received micronutrient powder sachets for up to 3 months. Vitamin E deficiency was considered when α-tocopherol was less than 11.6 µmol/L. The Poisson regression model was used to estimate adjusted values for prevalence ratios (PR) for the outcome variable. A total of 224 children participated in the study. The intervention group had a higher median α-tocopherol level (17.2 versus 3.6 µmol/L; p < 0.001) and an 82.0% reduction in the prevalence of vitamin deficiency (PR = 0.18; 95% CI 0.11–0.30) when compared with the control group.
    [Show full text]
  • Guidelines for Management of Infants with CF
    Cystic Fibrosis Foundation Evidence-Based Guidelines for Management of Infants with Cystic Fibrosis Drucy Borowitz, MD, Karen A. Robinson, PhD, Margaret Rosenfeld, MD, MPH, Stephanie D. Davis, MD, Kathryn A. Sabadosa, MPH, Stephanie L. Spear, PhD, Suzanne H. Michel, MPH, RD, LDN, Richard B. Parad, MD, MPH, Terry B. White, PhD, Philip M. Farrell, MD, PhD, Bruce C. Marshall, MD, and Frank J. Accurso, MD Newborn screening for cystic fibrosis (CF) offers the opportunity for early medical and nutritional intervention that can lead to improved outcomes. Management of the asymptomatic infant diagnosed with CF through newborn screening, prenatal diagnosis, or sibling screening is different from treatment of the symptomatically diagnosed in- dividual. The focus of management is on maintaining health by preventing nutritional and respiratory complications. The CF Foundation convened a committee to develop recommendations based on a systematic review of the ev- idence and expert opinion. These guidelines encompass monitoring and treatment recommendations for infants diagnosed with CF and are intended to help guide families, primary care providers, and specialty care centers in the care of infants with CF. (J Pediatr 2009;155:S73-93). ymptomatic diagnosis of cystic fibrosis (CF) is associated with short- and long-term complications including failure to thrive, stunting, wasting, vitamin and mineral deficiencies, recurrent pulmonary infections associated with decreased Slung function, and recurrent hospitalizations. Early identification of CF by newborn screening (NBS), prenatal diagnosis, or family history offers the opportunity to delay and potentially prevent many of these complications through early treatment. Although many treatment issues are the same for individuals with CF regardless of when they are diagnosed, some are unique to the population of newborn infants who may not have overt symptoms of the disease before referral to the CF care center.
    [Show full text]
  • Vitamin Deficiency Disorders
    CHAPTER 10 DEFICIENCY DISORDERS Mr. Ashok Kumar Dept of Pharmacy Practice SRM College of Pharmacy SRM University VITAMIN E The term vitamin E describes a family of 8 antioxidants, 4 tocopherols (α,β, γ, & δ) and 4 tocotrienols. α-tocopherol is the active form of vitamin E in the human body. FUNCTIONS • The main function of vitamin E is anti oxidant. It intercepts free radicals & prevents destruction of cell membrane. • It protects the fat in LDL from oxidation. • It inhibits platelets aggregation. • It enhances vasodilatation. • It inhibits the activity of protein kinase C. Vitamin E Dietary Sources Vegetable oils Almonds & peanuts Avocado Spinach Carrots (least) Vitamin E deficiency •Severe vitamin E deficiency causes: ¾Neurological symptoms (impaired coordination) & muscle weakness. ¾Increased risk of cardiovascular diseases ¾Hemolytic anemia in children RISK FACTORS Severe PEM Genetics defects affecting the transfer protein of α-tocopherol Fat malabsorption syndrome THERAPEUTIC USES Prevention of cardiovascular diseases Diabetes Mellitus Cancer prevention Boost immunity Dementia TOXICITY Excess vitamin E may cause: 9 Impaired blood clotting leading to increased risk of bleeding in some persons. 9It is recommended that vitamin E supplements to be stopped one month before elective surgery. VITAMIN K The K is derived from the German word Koagulation. There are 2 naturally occurring forms of vitamin K. Plants synthesize phylloquinone (vitamin K1) & bacteria synthesize menaquinone-3 (vit K2). Menaquinone-4 is produced in animals from vit K1, but its function is yet to be discovered. FUNCTIONS •Vitamin K is needed for production of vitamin K-dependent coagulation factors in the liver. •Other functions include: 9Assist in bone mineralization.
    [Show full text]
  • University of Cincinnati
    UNIVERSITY OF CINCINNATI Date:___________________ I, _________________________________________________________, hereby submit this work as part of the requirements for the degree of: in: It is entitled: This work and its defense approved by: Chair: _______________________________ _______________________________ _______________________________ _______________________________ _______________________________ Prevalence of Subclinical Vitamin K Deficiency in Cholestatic Liver Disease A thesis submitted to the Division of Research and Advanced Studies of the University of Cincinnati In partial fulfillment of the Requirements for the degree of MASTER OF SCIENCE In the Division of Epidemiology and Biostatistics, Department of Environmental Health of the College of Medicine 2004 by Jennifer A. Strople, M.D. B.A., University of Virginia, 1994 M.D., University of Alabama at Birmingham School of Medicine, 1998 Thesis committee: James E. Heubi, M.D. (Chair and Advisor) Paul Succop, Ph.D. Abstract Current practice is to monitor prothrombin time as an indicator of vitamin K sufficiency in cholestatic liver disease. Since prothrombin time is a surrogate marker, it may underestimate the actual prevalence of vitamin K deficiency in this population. This study investigates the frequency of vitamin K deficiency among a convenience sample of children and adults with cholestatic liver disease by determining plasma levels of protein induced in vitamin K absence II (PIVKA-II), and assesses the relationship between PIVKA-II levels and markers of cholestasis, measured prothrombin time, and vitamin A, E and 25-hydroxyvitamin D levels. Methods: Subjects with cholestatic liver disease were recruited from the Cincinnati referral area. Subjects with decompensated cirrhosis, malignancy, concurrent disease that results in fat malabsorption and AIDS were excluded. All subjects had blood collected for liver function tests, prothrombin time (PT), INR, bile acids, 25-hydroxyvitamin D, vitamin A, vitamin E and PIVKA-II levels.
    [Show full text]
  • Neurology of Nutritional Deficiencies
    Current Neurology and Neuroscience Reports (2019) 19:101 https://doi.org/10.1007/s11910-019-1011-2 NEUROLOGY OF SYSTEMIC DISEASES (J BILLER, SECTION EDITOR) Neurology of Nutritional Deficiencies Kristin L. Miller1 & Gabriela Trifan1 & Fernando D. Testai1 # Springer Science+Business Media, LLC, part of Springer Nature 2019 Abstract Purpose of Review The goal of this chapter is to educate clinicians on the neurologic manifestations of certain nutritional deficiencies in order to promptly identify and appropriately treat these patients. Recent Findings Many vitamin and nutritional deficiencies have been described dating back to the early days of neurology and medicine. Some are very rare and thus, there are no randomized controlled studies to assess supplementation or dosage; however, there are reviews of case reports that can assist clinicians in choosing treatments. Summary While endemic vitamin and nutritional deficiencies may be rarely encountered in many countries, vulnerable popu- lations continue to be at risk for developing neurologic complications. These populations include those with diseases causing malabsorption, the elderly, chronic alcohol users, as well as pregnant mothers with hyperemesis gravidarum to name a few. It is important to recognize syndromes associated with these nutritional deficiencies, as prompt identification and treatment may prevent permanent neurologic damage. Keywords Vitamin deficiency . B vitamin deficiency . Neurologic symptoms of vitamin deficiencies . Malabsorption vitamin deficiency . Nutritional deficiency Introduction Vitamin B1 (Thiamine) Deficiency A functional nervous system requires an adequate and consis- Background tent supply of appropriate nutrients. Worldwide, up to 820 million people are undernourished per the 2019 report by the Thiamine, also known as vitamin B1 or aneurin, is an essential Food and Agriculture Organization of the United Nations [1•].
    [Show full text]
  • Malnutrition in Asia and Neurological Consequences
    Ann Natl Acad Med Sci (India), 47(1&2): 1-12, 2011 Malnutrition in Asia and Neurological Consequences Jagjit S. Chopra*, Sudesh S. Prabhakar* and Pratibha D. Singhi** Departments of Neurology* and Peadiatric Medicine**, Post Graduate Institute of Medical Education and Research, Chandigarh-160012 ABSTRACT Prevalence of malnutrition is a global phenomenon but the greatest contribution towards it is from the developing countries. Malnutrition impairs physical growth, cognitive functions of brain, physiological functions, immune response changes. Twenty Seven percent of children under 5 years are malnourished in the developing countries. India contributes to approximately 5.6 million child deaths annually with almost one billion children dying worldwide from the consequences of malnutrition. Malnutrition produces lasting effect on developing brain during the “Brain growth spurt’’ phase which corresponds to the period from 30 weeks of gestation to two-year of post natal age. In the peripheral nervous system the growth of axons, migration of Schwann cells and onset of myelination starts at 14 to 20 weeks of gestation. Malnutrition causes muscle wasting, hypotonia and impaired deep tendon reflexes from 30-40% of malnourished children. Deficiency of micronutrients in malnourished can cause myelopathy, peripheral neuropathy, dementia, infantile seizures, infantile tremor syndrome, night blindness, optic neuropathy and spinocerebellar degeneration. Keywords : Malnutrition, prevalence, central nervous system, peripheral nervous system. Correspondence : Dr Jagjit S. Chopra, H.No. 1153, Sector 33-C, Chandigarh- 160020 Malnutrition in Asia and Neurological Consequences 2 Introduction According to WHO by 2015 According to United Nations malnutrition will decrease by 17.6%. statistics about 25% of Indian population Globally 113.4 million children younger particularly children <14 years are then 5 yrs are affected.
    [Show full text]
  • Evaluation of Micronutrient Profile of North Indian Children with Cystic Fibrosis: a Case–Control Study
    nature publishing group Articles Clinical Investigation Evaluation of micronutrient profile of North Indian children with cystic fibrosis: a case–control study Krishan Yadav1, Meenu Singh1, Suresh Kumar Angurana1, Savita Verma Attri1, Gaurav Sharma1, Minni Tageja1 and Anil Kumar Bhalla1 BACKGROUND: Data on the micronutrient levels in children and zinc, leading to their deficiency as well (7–10). The litera- with cystic fibrosis (CF) are not available from developing ture regarding the levels of fat-soluble vitamins and trace ele- countries, wherein the nutritional profile of children is quite ments in CF patients is scanty and inconclusive and is available different from that of Western countries. only from studies carried out in Western countries. No study is METHODS: Levels of fat-soluble vitamins (A, D, and E) and available from India, wherein the nutritional profile of children trace metals (iron, copper, and zinc) were measured in 27 CF is quite different from that of children in Western countries. It cases and 27 controls. becomes important in such scenarios to collect comprehensive RESULTS: CF cases had significantly low levels of all studied laboratory data and follow up prospectively to formulate effec- micronutrients compared with controls, and the levels were tive management guidelines. Therefore, it becomes imperative even lower in cases with exacerbation than in stable CF cases. to study the levels of fat-soluble vitamins, such as A, D, and E, Prevalence of deficiency of vitamin D, vitamin E, iron, copper, and trace elements, such as iron, copper, and zinc, in our CF and zinc was significantly higher in cases than in controls, patients and to correlate these levels with their clinical status.
    [Show full text]
  • The Multifaceted Biological Roles of Vitamin C
    ition & F tr oo u d N f S o c l i e a n n Kuo, J Nutr Food Sci 2013, 3:5 c r e u s o J Journal of Nutrition & Food Sciences DOI: 10.4172/2155-9600.1000231 ISSN: 2155-9600 Review Article Open Access The Multifaceted Biological Roles of Vitamin C Shiu-Ming Kuo* Department of Exercise and Nutrition Sciences and Department of Biochemistry, University at Buffalo, Buffalo, NY 14214, USA Abstract Scurvy due to severe vitamin C (ascorbic acid) deficiency among sailors was one of the earliest documented occupational diseases. This review first discussed some reduction potential-based biochemical activities of vitamin C such as assisting the post-translational collagen modification as well as acting as an antioxidant and pro-oxidant. These known activities of vitamin C were then used to address recent outcomes of vitamin C clinical trials on the prevention and treatment of non-scurvy diseases such as cardiovascular diseases and cancer. The pro-oxidant activity may contribute to the adverse effect of high-level vitamin C supplementation in clinical trials. Keywords: Vitamin C; Collagen; Cardiovascular disease; Cancer; have been demonstrated in the cell-free or cell culture experiment. Cataract These reactions may have little biologically relevance partly because of the poor bioavailability of vitamin C at high doses. The absorption Abbreviations: Gulo-/-: Gunololactone oxidase gene completely and retention of vitamin C is limited by the transporter SVCT1 in inactivated; cannot synthesize vitamin C; RDA: Recommended Dietary the intestine and kidney, respectively [13]. As a result, the plasma Allowance; SVCT: Sodium-dependent vitamin C transporter; SVCT2- concentration of vitamin C does not rise beyond 80 µM when daily /-: SVCT2 gene completely inactivated; cannot undergo inter-tissue intake increases over 20 folds above the required amount of ~100 mg distribution of vitamin C; UL: Tolerable Upper Intake Level to 2.5 g per day [4,5].
    [Show full text]
  • P 2-130 Subacute Combined Degeneration with Vitamin E
    P 2-130 Subacute combined degeneration with vitamin E deficiency cause spinocerebellar ataxia: Case report Jong Burm Jung1*, Yuntae Kim1†, Sungjae Lee2, Kyu dong Noh3, Soo A Kim1, Kiyoung Oh1 Soon Chun Hyang University Cheonan Hospital, Department of Rehabilitation Medicine1, Soon Chun Hyang University Seoul Hospital, Department of Rehabilitation Medicine2, Soon Chun Hyang University Bucheon Hospital, Department of Rehabilitation Medicine3 Subacute combined degeneration(SCD) is degeneration of posterior and lateral columns, which may include limb numbness, weakness, and gait disturbance. It is usually caused by vitamin B12 deficiency, but it is rarely caused by vitamin E deficiency. We present a rare case of SCD with vitamin E deficiency associated with severe malabsorption. A 50-year- old woman had adhesive intestinal obstruction in China and underwent surgical treatment such as adhesiolysis and small intestinal suture 4 months ago. After surgery, decreased consciousness and fever continued, therefore intensive treatment was performed. Although consciousness level was recovered to alert, ataxia, limb weakness and dysarthria occurred, Resulting in bed-ridden state for 5 weeks. She came to Korea and was admitted to our hospital for curing the unknown disease 3 months ago. At the physical examination, cranial nerves were intact. Ocular movement, hearing, tongue movements were normal. Facial sensation and symmetry were intact but severe dysarthria was observed. Muscle strength of bilateral upper extremities was MRC grade 2/5 in proximal and 3/5 in distal muscles and bilateral lower extremities was 2/5 in both proximal and distal muscles. Both upper extremities were hyperreflexic, but both lower extremities were areflexic and seemed decreased proprioception.
    [Show full text]