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Ninhydrin can also be used to monitor deprotection in solid phase peptide synthesis (Kaiser
Test). The chain is linked via its C-terminus to the solid support, with the N-terminus
extending off it. When that nitrogen is deprotected, a ninhydrin test yields blue. Amino-acid
residues are attached with their N-terminus protected, so if the next residue has been
successfully coupled onto the chain, the test gives a colorless or yellow result.
Ninhydrin is also used in amino acid analysis of proteins: Most of the amino acids are
hydrolyzed and reacted with ninhydrin except proline; Also, certain amino acid chains are
degraded. Therefore, separate analysis is required for identifying such amino acids that
either react differently or don't react at all with ninhydrin. The rest of the amino acids are
then quantified colorimetrically after separation by chromatography.
A solution suspected of containing the ammonium ion can be tested by ninhydrin by dotting
it onto a solid support (such as silica gel); treatment with ninhydrin should result in a
dramatic purple color if the solution contains this species. In the analysis of a chemical
reaction by thin layer chromatography (TLC), the reagent can also be used. It will detect, on
the TLC plate, virtually all amines, carbamates and also, after vigorous heating, amides.
When ninhydrin reacts with amino acids, the reaction also releases CO2. The carbon in this
CO2 originates from the carboxyl carbon of the amino acid. This reaction has been used to
release the carboxyl carbons of bone collagen from ancient bones for stable isotope analysis
in order to help reconstruct the palaeodiet of cave bears.
The carbon atom of a carbonyl bears a partial positive charge enhanced by neighboring
electron withdrawing groups like carbonyl itself. So the central carbon of a 1,2,3-tricarbonyl
compound is much more electrophilic than one in a simple ketone. Thus indane-1,2,3-trione
reacts readily with nucleophiles, including water. Whereas for most carbonyl compounds, a
carbonyl form is more stable than a product of water addition (hydrate), ninhydrin forms a
stable hydrate of the central carbon because of the destabilizing effect of the adjacent
carbonyl groups.
Note that in order to generate the ninhydrin chromophore, the amine is condensed with a
molecule of ninhydrin to give a Schiff base. Thus only ammonia and primary amines can
proceed past this step. At this step, there must also be an alpha proton (H* in the diagram)
for Schiff base transfer, so an amine adjacent to a tertiary carbon cannot be detected by the
ninhydrin test. The reaction of ninhydrin with secondary amines gives an iminium salt,
which is also coloured, and this is generally yellow-orange in color.
Reactions:
42 - Biuret test or Biuret reagent
The biuret test is a chemical test used for detecting the presence of peptide bonds. In the
presence of peptides, a copper(II) ion forms a violet-colored complex in an alkaline solution.
Several variants on the test have been developed.
The Biuret reaction can be used to assay the concentration of proteins because peptide
bonds occur with the same frequency per amino acid in the peptide. The intensity of the
color, and hence the absorption at 540 nm, is directly proportional to the protein
concentration, according to the Beer-Lambert law.
In spite of its name, the reagent does not in fact contain biuret ((H2N-CO-)2NH). The test is
so named because it also gives a positive reaction to the peptide bonds in the biuret
molecule.
Procedure :
An aqueous sample is treated with an equal volume of 1% strong base (sodium or potassium
hydroxide most often) followed by a few drops of aqueous copper(II) sulfate. If the solution
turns purple, protein is present. 5–160 mg/mL can be determined.
Biuret reagent :
The biuret reagent is made of potassium hydroxide (KOH) and hydrated copper (II) sulfate,
together with potassium sodium tartrate. The reagent turns from blue to violet in the
presence of proteins, blue to pink when combined with short-chain polypeptides.
Not all biuret tests require the biuret reagent. The reagent is commonly used in a biuret
protein assay, a colorimetric assay used to determine protein concentration—such as UV-
VIS at wavelength 540 nm (to detect the Cu2+ ion).
Cu+ is a strong reducing agent which can react for example with Mo(VI) in Folin-Ciocalteu's
reagent to form molybdenum blue. In this way, proteins can be detected in concentrations
between 0.005 and 2 mg/mL. Molybdenum blue in turn can bind certain organic dyes
(malachite green, Auramin O), resulting in further amplification of the of the signal.
Cu+ forms a deep purple complex with bicinchoninic acid (BCA), which allows proteins in
the range of 0.0005 to 2 mg/mL to be determined. This assay is often referred to as "Pierce
assay" after the manufacturer of a reagent kit.
Reactions:
41 - Millon's test or Millon's reagent
Millon's reagent is an analytical reagent used to detect the presence of soluble proteins.
A few drops of the reagent are added to the test solution, which is then heated gently.
The reagent is made by dissolving metallic mercury in nitric acid and diluting with water.
The test was developed by the French chemist Auguste Millon (1812–67).
Reactions:
MONDAY, FEBRUARY 22, 2010
40 - Tetrahydrobiopterin (THB)
*Tetrahydrobiopterin (THB, BH4; Kuvan) or sapropterin, is a naturally occurring nutrient
and essential cofactor of the three aromatic amino acid hydroxylase enzymes, used in the
biosynthesis of the neurotransmitters serotonin (5-hydroxytryptamine (5-HT)), melatonin,
dopamine, norepinephrine (noradrenaline), epinephrine (adrenaline), and nitric oxide
(NO).
*THB was discovered to play a role as an enzymatic cofactor by Seymour Kaufman. The first
enzyme found to use THB is phenylalanine hydroxylase (PAH).
*THB, developed by BioMarin under the brand name Kuvan and approved by the United
States (U.S.) Food and Drug Administration (FDA) on December 13, 2007, is a synthetic
preparation of the dihydrochloride salt of the substance, used in the treatment of PKU. HPA
due to THB deficiency-mediated PKU.
*A Sprinter Uses Creatine Phosphate and Anaerobic Glycolysis to Make ATP, Whereas a
Marathon Runner Uses Oxidative Phosphorylation.
Posted by doctor at 10:28 PM 0 comments Links to this post
Labels: Difference between energy source for sprinter and Marathon runner,Type 1 and Type 2
skeletal muscle fibers differences, Types of muscle fibers
Reactions:
THURSDAY, JANUARY 28, 2010
38 - Catecholamine synthesis
37 - Biochemical reactions of Folate coenzymes
Reaction Coenzyme Form Importance
of Folate
Involved and
Single Carbon
unit transferred
Formate activation THF; -CHO Generation of
group 10-formyl-THF
transferred.
Purine synthesis
Reactions:
WEDNESDAY, SEPTEMBER 16, 2009
Reactions:
SUNDAY, APRIL 26, 2009
a) Initiating codon
b) Mutant codon
c) Stop codon
d) Codon coding for multiple amino acids
a) Histidine
b) Lysine
c) Arginine
d) Leucine
a) Chylomicrons
b) LDL
c) VLDL
d) HDL
a) Hydrophobic chromatography
b) Affinity chromatography
c) paper chromatography
d) gel chromatography
a) Oxaloacetate
b) Alpha keto glutarate
c) Succinate
d) Citrate
To view all the Mcqs of AIIMS MAY 2001 paper with answers click here
a. alanine
b. aspartic acid
c. tyrosine
d. glycine
1. proline : the imino group of proline is not geometrically compatible with the
right handed spiral of the alpha-helix
A. B dna
b. Z dna
c. C dna
d. Mitochondrial dna
Answer:
Answer:
A. Peptidyl transferase
b. Amino acyl t rna synthetase
c. Peptidase
d.
Answer:
A. Biotin
b.
C.
D. Thiamine pyrophosphate
Answer:
A. Atp
b. Nadh
c. Gtp
d. Phospho creatinine
Answer:
A. aspartate
b. Glutamate
c. Histamine
d. Histidine
answer:
answer:
A. Atp
b. Amp
c. Glucose
d. Calcium
Answer:
Answer:
A. Amp
b. Guanyl cyclase
c. Dag
d. Ip3
answer:
A. Mass spectrometry
b. Nmr spectrometry
c. Hplc
d.
Answer:
Answer:
13q: replacing alanine by which amino acid will increase the absorbance of
proteins at 280nm?
A. Leucine
b.tryptophan
c. Proline
d. Arginine
Answer:
Posted by doctor at 12:16 AM 0 comments Links to this post
Labels: aiims biochemistry mcqs, aiims immunology mcqs, aiims immunology november 2008
mcqs, AIIMS november 2008 biochemistry mcqs, aiims november 2008 paper, aiims past papers
biochemistry mcqs
Reaction
s:
1. ATP
2. GTP
3. phosho creatine
4. NADH
Let me start the discussion with this question …..“DO YOU THINK THAT THE
QUESTION IS RELEVANT TO US ?”
If you think this question is irrelevant , then go through the following discussion
& then you ll understand why these AIIMS people want us to know about the
metabolic machinery of this humble organism.
The firefly (Photinus pyralis) contains an enzyme called LUCIFERASE. This enzyme
acts on its substrate – luciferin in the presence of ATP and calcium. The reaction
produces visible light. This reaction has been exploited by the scientific
community for research on
Eg : MDR TB
MDR TB is characterized by the presence of resistance to the two drugs
Isoniazide …….. due to mutations of genes Kat G & INH A
Rifampicin……..due the mutations in the gene rpo B gene
To the mycobacteria cultured from the patient`s clinical samples we add adeno
virus carrying the FFLUX gene (which codes for luciferase). Within a few minutes
the mycobacteria exhibit bioluminescence i.e they emit light. Now add the
antibiotic , say INH. If the mycobacteria are sensitive , they soon become non
viable & their metabolic machinery is paralysed and hence ATP is depleted. In the
absence of ATP , the light production is reduced. In fact the degree of reduction
of the bio luminescence can be taken as an indicator of the potency of the drug .
If the strains are resistant , there is NO reduction in light production
PYRO SEQUENCING
An interesting aspect is that its cuticular layer is transparent. We can add the
luciferase gene to its genome with the help of adeno or lenti virus. So whenever
its metabolic machinery is activated an ATP is produced, light is emitted.
Likewise whenever a metabolic poison is given the ‘light is switched off’
The degree of bio luminescence is proportional to the amount of ATP present
TUMORIGENESIS MODELS
The tumor cells tagged with luciferase gene become luminescent and thereby
their growth and susceptibility to chemo therapeutic agents can be studied in
vivo within mouse models
OTHERS
Luciferase gene is also used in forensic medicine - detect blood and in studying
specific cell lines
Labels: aiims biochemistry mcqs, AIIMS november 2008 biochemistry mcqs,aiims november 2008
paper, ATP mcqs, fire fly light production mechanism,luciferase, photinus pyralis
Reaction
s:
Reaction
s:
source : www.wikipedia.org
Labels: arachidonic acid metabolism, cox-1, cox-2, cyclooxygenase, ecosanoid synthesis, leukotriene
synthesis, lipoxygenase, prostacyclin synthesis,prostaglandin synthesis, thromboxane synthesis
Reaction
s:
29 - cholesterol synthesis
Cholesterol is a lipid found in the cell membranes of all animal tissues, and is
transported in the blood plasma of all animals. Cholesterol is also a sterol (a
combination steroid and alcohol). Because cholesterol is synthesized by all
eukaryotes, trace amounts of cholesterol are also found in membranes of
plants and fungi.
The name originates from the Greek chole- (bile) and stereos(solid), and the
chemical suffix -ol for an alcohol, as researchers first identified cholesterol in
solid form in gallstones by François Poulletier de la Salle in 1769. However, it is
only in 1815 that chemist Eugène Chevreul named the compound
"cholesterine".
Most of the cholesterol in the body is synthesized by the body and some has
dietary origin. Cholesterol is more abundant in tissues which either synthesize
more or have more abundant densely-packed membranes, for example, the
liver, spinal cord and brain. It plays a central role in many biochemical
processes, such as the composition of cell membranes and the synthesis of
steroid hormones.
Since cholesterol is insoluble in blood, it is transported in the circulatory
system within lipoproteins, complex spherical particles which have an exterior
composed mainly of water-soluble proteins; fats and cholesterol are carried
internally. There is a large range of lipoproteins within blood, generally called,
from larger to smaller size: chylomicrons, very low density lipoprotein (VLDL),
intermediate density lipoprotein (IDL), low density lipoprotein (LDL) and high
density lipoprotein (HDL). The cholesterol within all the various lipoproteins
is identical.
According to the lipid hypothesis, abnormally high cholesterol levels
(hypercholesterolemia), or, more correctly, higher concentrations of LDL and
lower concentrations of functional HDL are strongly associated with
cardiovascular disease because these promote atheroma development in
arteries (atherosclerosis). This disease process leads to myocardial infarction
(heart attack), stroke and peripheral vascular disease. Since higher blood LDL,
especially higher LDL particle concentrations and smaller LDL particle size,
contribute to this process more than the cholesterol content of the LDL
particles [4], LDL particles are often termed "bad cholesterol" because they
have been linked to atheroma formation. On the other hand, high
concentrations of functional HDL, which can remove cholesterol from cells
and atheroma, offer protection and are sometimes referred to colloquially as
"good cholesterol". These balances are mostly genetically determined but can
be changed by body build, medications, food choices and other factors.
Reaction
s:
28 - urea cycle
Reactions of cycle:
Ste Catalyze
Reactant Product
p d by
carbamoyl
2ATP + HCO3- +
1M phosphate + 2ADP CPS
NH4+
+ Pi
carbamoyl
2M phosphate + citrulline + Pi OTC
ornithine
citrulline + argininosuccinate
3C ASS
aspartate + ATP + AMP + PPi
4C argininosuccinate Arg + fumarate ASL
CPS1 stands for carbamoyl phosphate synthase 1 enzyme. OTC stands for
ornithine transcarbamoylase. ASS stands for arginine succinate synthase. ASL
stands for arginosuccinate lyase . ARG stands for arginase .the first two steps
occur in mitochondria(M) and the next 3 steps occur in cytosol(C)
Reaction
s:
Levelling off stage: The reaction slows as the DNA polymerase loses activity
and as consumption of reagents such as dNTPs and primers causes them to
become limiting.
Plateau: No more product accumulates due to exhaustion of reagents and
enzyme.
PCR optimization
In practice, PCR can fail for various reasons, in part due to its sensitivity to
contamination causing amplification of spurious DNA products. Because of
this, a number of techniques and procedures have been developed for
optimizing PCR conditions.[12][13]Contamination with extraneous DNA is
addressed with lab protocols and procedures that separate pre-PCR mixtures
from potential DNA contaminants.[6] This usually involves spatial separation of
PCR-setup areas from areas for analysis or purification of PCR products, and
thoroughly cleaning the work surface between reaction setups. Primer-design
techniques are important in improving PCR product yield and in avoiding the
formation of spurious products, and the usage of alternate buffer components
or polymerase enzymes can help with amplification of long or otherwise
problematic regions of DNA.
APPLICATION OF PCR
Labels: dna amplification, DNA polymerases, kary mullis, PCR, pfu polymerase,polymerase chain
reaction, real time pcr, taq polymerase, use of pcr in forensic sciences
Reaction
s:
Labels: bile acids mcqs, biochemistry mcqs, biochemistry pgi chandigarh mcqs,citric acid cycle
mcqs, glycogen storage disorders mcqs, primary and secondary bile acids, tca cycle mcqs, vitamin c
mcqs
Reaction
s:
a- cyanide
b- aluminium phosphide
c- phenobarbitone
d- carbonmonoxide
e- NO
Reaction
s:
DNA Polymerase 1 has both proof reading and excision repair activity , that is it
has both 3' - 5' exonuclease activity and 5' - 3' exonuclease activity respectively.
where as the DNA polymerase 2 and 3 have only proof reading activity and no
excision repair activity, that is they have 3' - 5' exonuclease activity and no 5' -
3' exonuclease activity.
all the three DNA polymerases have only 5' -3' polymerase activity only.
Labels: 3'-5' exonuclease activity, 5'-3' polymerase activity, DNA polymerase 1,DNA polymerase
2, DNA polymerase 3, DNA polymerase mcqs, DNA replication enzymes, excision repair, genetics
mcqs, proof reading
Reaction
s:
Labels: biochemical pathways and their location, cholesterol synthesis organelle,fatty acid elongation
organelle, gluconeogenesis location, reactions in peroxisomes, tca cycle organelle
Reaction
s:
a- glutamate dehydrogenase
b- alcohol dehydrogenase
c- lactate dehydrogenase
d- alkaline phosphatase
e- glutathione peroxidase
1. glutamate dehydrogenase
2. alcohol dehydrogenase
3. lactate dehydrogenase
4. carbonic anhydrase
5. alkaline phosphatase
6. DNA polymerase
7. RNA polymerase
8. delta-ALA dehydratase
9. superoxide dismutase
10. pancreatic carboxypeptidase
s:
19 - vitamin B6 ( pyridoxine )
Vitamin B6
Vitamin B6 is a water-soluble vitamin that was first isolated in the 1930s. There
are three traditionally considerd forms of vitamin B6: pyridoxal (PL),
pyridoxine (PN), pyridoxamine (PM). The phosphate ester derivative pyridoxal
5'-phosphate (PLP) is the principal coenzyme form and has the most
importance in human metabolism .
Function
Vitamin B6 must be obtained from the diet because humans cannot synthesize
it. PLP plays a vital role in the function of approximately 100 enzymes that
catalyze essential chemical reactions in the human body . For example, PLP
functions as a coenzyme for glycogen phosphorylase, an enzyme that catalyzes
the release of glucose from stored glycogen. Much of the PLP in the human
body is found in muscle bound to glycogen phosphorylase. PLP is also a
coenzyme for reactions used to generate glucose from amino acids, a process
known as gluconeogenesis .
Nervous system function
In the brain, the synthesis of the neurotransmitter, serotonin, from the amino
acid, tryptophan, is catalyzed by a PLP-dependent enzyme. Other
neurotransmitters, such as dopamine, norepinephrine and gamma-
aminobutyric acid (GABA), are also synthesized using PLP-dependent enzymes
.
Red blood cell formation and function
PLP functions as a coenzyme in the synthesis of heme, an iron-containing
component of hemoglobin. Hemoglobin is found in red blood cells and is
critical to their ability to transport oxygen throughout the body. Both PL and
PLP are able to bind to the hemoglobin molecule and affect its ability to pick up
and release oxygen. However, the impact of this on normal oxygen delivery to
tissues is not known .
Niacin formation
The human requirement for another B vitamin, niacin, can be met in part by
the conversion of the essential amino acid, tryptophan, to niacin, as well as
through dietary intake. PLP is a coenzyme for a critical reaction in the
synthesis of niacin from tryptophan; thus, adequate vitamin B6 decreases the
requirement for dietary niacin .
Hormone function
Steroid hormones, such as estrogen and testosterone, exert their effects in the
body by binding to steroid hormone receptors in the nucleus of the cell and
altering gene transcription. PLP binds to steroid receptors in a manner that
inhibits the binding of steroid hormones, thus decreasing their effects. The
binding of PLP to steroid receptors for estrogen, progesterone, testosterone,
and other steroid hormones suggests that the vitamin B6 status of an individual
may have implications for diseases affected by steroid hormones, including
breast cancer and prostate cancers .
Nucleic acid synthesis
PLP serves as a coenzyme for a key enzyme involved in the mobilization of
single-carbon functional groups (one-carbon metabolism). Such reactions are
involved in the synthesis of nucleic acids. The effect of vitamin B6 deficiency on
the function of the immune system may be partly related to the role of PLP in
one-carbon metabolism (see Disease Prevention).
Deficiency
Severe deficiency of vitamin B6 is uncommon. Alcoholics are thought to be
most at risk of vitamin B6 deficiency due to low dietary intakes and impaired
metabolism of the vitamin. In the early 1950s, seizures were observed in
infants as a result of severe vitamin B6 deficiency caused by an error in the
manufacture of infant formula. Abnormal electroencephalogram (EEG)
patterns have been noted in some studies of vitamin B6 deficiency. Other
neurologic symptoms noted in severe vitamin B6 deficiency include irritability,
depression, and confusion; additional symptoms include inflammation of the
tongue, sores or ulcers of the mouth, and ulcers of the skin at the corners of the
mouth .
The Recommended Dietary Allowance (RDA)
Because vitamin B6 is involved in many aspects of metabolism, several factors
are likely to effect an individual's requirement for vitamin B6. Of those factors,
protein intake has been the most studied. Increased dietary protein results in
an increased requirement for vitamin B6, probably because PLP is a coenzyme
for many enzymes involved in amino acid metabolism . Unlike previous
recommendations, the Food and Nutrition Board (FNB) of
the Institute of Medicine did not express the most recent RDA for vitamin B6 in
terms of protein intake, although the relationship was considered in setting the
RDA . The current RDA was revised by the Food and Nutrition Board (FNB) in
1998 and is presented in the table below.
Disease Prevention
Homocysteine and cardiovascular disease
Even moderately elevated levels of homocysteine in the blood have been
associated with increased risk for cardiovascular disease, including heart
disease and stroke . During protein digestion, amino acids, including
methionine, are released. Homocysteine is an intermediate in the metabolism
of methionine. Healthy individuals utilize two different pathways to metabolize
homocysteine. One pathway converts homocysteine back to methionine and is
dependent on folic acid and vitamin B12. The other pathway converts
homocysteine to the amino acid cysteine and requires two vitamin B6(PLP)-
dependent enzymes. Thus, the amount of homocysteine in the blood is
regulated by at least three vitamins: folic acid, vitamin B12, and vitamin
B6 (diagram). Several large observational studies have demonstrated an
association between low vitamin B6 intake or status with increased blood
homocysteine levels and increased risk of cardiovascular diseases. A large
prospective study found the risk of heart disease in women who consumed, on
average, 4.6 mg of vitamin B6 daily was only 67% of the risk in women who
consumed an average of 1.1 mg daily . Another large prospective study found
higher plasma levels of PLP were associated with a decreased risk of
cardiovascular disease independent of homocysteine levels . Further, several
studies have reported that low plasma PLP status is a risk factor for coronary
artery disease . In contrast to folic acid supplementation, studies
supplementing individuals with only vitamin B6 have not resulted in significant
decreases in basal (fasting) levels of homocysteine. However, one study found
that vitamin B6 supplementation was effective in lowering blood homocysteine
levels after an oral dose of methionine (methionine load test) was given ,
suggesting vitamin B6 may play a role in the metabolism of homocysteine after
meals.
Immune function
Low vitamin B6 intake and nutritional status have been associated with
impaired immune function, especially in the elderly. Decreased production of
immune system cells known as lymphocytes, as well as decreased production
of an important immune system protein called interleukin-2, have been
reported in vitamin B6 deficient individuals . Restoration of vitamin B6 status
has resulted in normalization of lymphocyte proliferation and interleukin-2
production, suggesting that adequate vitamin B6intake is important for optimal
immune system function in older individuals . However, one study found that
the amount of vitamin B6 required to reverse these immune system
impairments in the elderly was 2.9 mg/day for men and 1.9 mg/day for women;
these vitamin B6 requirements are higher than the current RDA .
Cognitive function
A few studies have associated cognitive decline in the elderly or Alzheimer's
disease with inadequate nutritional status of folic acid, vitamin B12, and
vitamin B6 and thus, elevated levels of homocysteine . One observational study
found that higher plasma vitamin B6 levels were associated with better
performance on two measures of memory, but plasma vitamin B6 levels were
unrelated to performance on 18 other cognitive tests . Similarly, a double-
blind, placebo-controlled study in 38 healthy elderly men found that vitamin
B6 supplementation improved memory but had no effect on mood or mental
performance (19). Further, a placebo-controlled trial in 211 healthy younger,
middle-aged, and older women found that vitamin B6 supplementation (75
mg/day) for five weeks improved memory performance in some age groups but
had no effect on mood (20). Recently, a systematic review of randomized trials
concluded that there is inadequate evidence that supplementation with vitamin
B6, vitamin B12, or folic acid improves cognition in those with normal or
impaired cognitive function . Because of mixed findings, it is presently unclear
whether supplementation with B vitamins might blunt cognitive decline in the
elderly. Further, it is not known if marginal B vitamin deficiencies, which are
relatively common in the elderly, even contribute to age-associated declines in
cognitive function, or whether both result from processes associated with
aging and/or disease.
Kidney stones
A large prospective study examined the relationship between vitamin B6 intake
and the occurrence of symptomatic kidney stones in women. A group of more
than 85,000 women without a prior history of kidney stones were followed
over 14 years and those who consumed 40 mg or more of vitamin B6 daily had
only two thirds the risk of developing kidney stones compared with those who
consumed 3 mg or less . However, in a group of more than 45,000 men
followed over six years, no association was found between vitamin B6 intake
and the occurrence of kidney stones . Limited data have shown that
supplementation of vitamin B6 at levels higher than the tolerable upper intake
level (100 mg/day) decreases elevated urinary oxalate levels, an important
determinant of calcium oxalate kidney stone formation in some individuals.
However, it is less clear that supplementation actually resulted in decreased
formation of calcium oxalate kidney stones. Presently, the relationship
between vitamin B6 intake and the risk of developing kidney stones requires
further study before any recommendations can be made.
Disease Treatment
Vitamin B6 supplements at pharmacologic doses (i.e., doses much larger than
those needed to prevent deficiency) have been used in an attempt to treat a
wide variety of conditions, some of which are discussed below. In general, well
designed, placebo-controlled studies have shown little evidence that large
supplemental doses of vitamin B6 are beneficial .
Side effects of oral contraceptives
Because vitamin B6 is required for the metabolism of the amino acid
tryptophan, the tryptophan load test (an assay of tryptophan metabolites after
an oral dose of tryptophan) was used as a functional assessment of vitamin
B6 status. Abnormal tryptophan load tests in women taking high-dose oral
contraceptives in the 1960s and 1970s suggested that these women were
vitamin B6deficient. Abnormal results in the tryptophan load test led a number
of clinicians to prescribe high doses (100-150 mg/day) of vitamin B6 to women
in order to relieve depression and other side effects sometimes experienced
with oral contraceptives. However, most other indices of vitamin B6 status
were normal in women on high-dose oral contraceptives, and it is unlikely that
the abnormality in tryptophan metabolism was due to vitamin B6deficiency . A
more recent placebo-controlled study in women on the lower dose oral
contraceptives, which are commonly prescribed today, found that doses up to
150 mg/day of vitamin B6(pyridoxine) had no benefit in preventing side effects,
such as nausea, vomiting, dizziness, depression, and irritability .
Premenstrual syndrome (PMS)
The use of vitamin B6 to relieve the side effects of high-dose oral contraceptives
led to the use of vitamin B6 in the treatment of premenstrual syndrome (PMS).
PMS refers to a cluster of symptoms, including but not limited to fatigue,
irritability, moodiness/depression, fluid retention, and breast tenderness, that
begin sometime after ovulation (mid-cycle) and subside with the onset of
menstruation (the monthly period). A review of 12 placebo-controlled double-
blind trials on vitamin B6 use for PMS treatment concluded that evidence for a
beneficial effect was weak. A more recent review of 25 studies suggested that
supplemental vitamin B6, up to 100 mg/day, may be of value to treat PMS;
however, only limited conclusions could be drawn because most of the studies
were of poor quality .
Depression
Because a key enzyme in the synthesis of the neurotransmitters serotonin and
norepinephrine is PLP-dependent, it has been suggested that vitamin
B6 deficiency may lead to depression. However, clinical trials have not
provided convincing evidence that vitamin B6 supplementation is an effective
treatment for depression , though vitamin B6 may have therapeutic efficacy in
premenopausal women .
Morning sickness (nausea and vomiting in pregnancy)
Vitamin B6 has been used since the 1940s to treat nausea during pregnancy.
Vitamin B6 was included in the medication Bendectin, which was prescribed
for the treatment of morning sickness and later withdrawn from the market
due to unproven concerns that it increased the risk of birth defects. Vitamin
B6 itself is considered safe during pregnancy and has been used in pregnant
women without any evidence of fetal harm . The results of two double-blind,
placebo-controlled trials that used 25 mg of pyridoxine every eight hours for
three days or 10 mg of pyridoxine every eight hours for five days suggest that
vitamin B6 may be beneficial in alleviating morning sickness. Each study found
a slight but significant reduction in nausea or vomiting in pregnant women. A
recent systematic review of placebo-controlled trials on nausea during early
pregnancy found vitamin B6 to be somewhat effective. However, it should be
noted that morning sickness also resolves without any treatment, making it
difficult to perform well-controlled trials.
Carpal tunnel syndrome
Carpal tunnel syndrome causes numbness, pain, and weakness of the hand and
fingers due to compression of the median nerve at the wrist. It may result from
repetitive stress injury of the wrist or from soft tissue swelling, which
sometimes occurs with pregnancy or hypothyroidism. Several early studies by
the same investigator suggested that vitamin B6 status was low in individuals
with carpal tunnel syndrome and that supplementation with 100-200 mg/day
over several months was beneficial . A recent study in men not taking vitamin
supplements found that decreased blood levels of PLP were associated with
increased pain, tingling, and nocturnal wakening, all symptoms of carpal
tunnel syndrome . Studies using electrophysiological measurements of median
nerve conduction have largely failed to find an association between vitamin
B6deficiency and carpal tunnel syndrome. While a few trials have noted some
symptomatic relief with vitamin B6 supplementation, double-blind, placebo-
controlled trials have not generally found vitamin B6 to be effective in treating
carpal tunnel syndrome .
Sources
Food sources
Surveys in the U.S. have shown that dietary intake of vitamin B6averages about
2 mg/day for men and 1.5 mg/day for women. A survey of elderly individuals
found that men and women over 60 years old consumed about 1.2 mg/day and
1.0 mg/day, respectively; both intakes are lower than the current RDA. Certain
plant foods contain a unique form of vitamin B6 called pyridoxine glucoside;
this form of vitamin B6 appears to be only about half as bioavailable as vitamin
B6 from other food sources or supplements. Vitamin B6 in a mixed diet has
been found to be approximately 75% bioavailable . In most cases, including
foods in the diet that are rich in vitamin B6 should supply enough to prevent
deficiency. However, those who follow a very restricted vegetarian diet might
need to increase their vitamin B6 intake by eating foods fortified with vitamin
B6 or by taking a supplement. Some foods that are relatively rich in vitamin
B6 and their vitamin B6 content in milligrams (mg) are listed in the table below.
For more information on the nutrient content of specific foods, search the
USDA food composition database.
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