Fat-soluble vitamins are soluble in lipid-based solvents like lipoproteins, while water-soluble vitamins are soluble in water-based solvents.
Fat-soluble vitamins are absorbed with lipids, while water-soluble vitamins are absorbed through simple absorption.
Fat-soluble vitamins are stored in the liver, while water-soluble vitamins are not stored.
Haemochromatosis can result in hepatic cirrhosis (hardening) in the liver.
Haemochromatosis can lead to hypogonadism (decreased activity of the gonads) and infertility.
Haemochromatosis can lead to cardiomyopathy (disease affecting heart muscle) and cardiac failure in the heart.
Haemochromatosis (iron toxicity) can cause impaired growth in the pituitary.
Haemochromatosis can cause diabetes mellitus in the pancreas.
Fat-soluble vitamins are not easily excreted, while water-soluble vitamins are excreted.
Excess intake of fat-soluble vitamins is usually toxic, while excess intake of water-soluble vitamins is non-toxic.
Deficiency of fat-soluble vitamins manifests slowly, while deficiency of water-soluble vitamins manifests rapidly.
Treatment for fat-soluble vitamin deficiency usually requires regular dietary supply, while treatment for water-soluble vitamin deficiency may involve a single large bolus.
Vitamin A (Retinol) is essential for the health of specialized tissues like the retina, skin, and mucous membranes, as well as gene-to-gene communication, immune function, and antioxidant activity.
Vitamin D (Calciferol) promotes calcium and phosphorus absorption, increases phosphorus reabsorption in kidneys, and acts on bone to release calcium and phosphorus
Iron is required for the synthesis and activity of proteins involved in the transport and metabolism of oxygen, and is involved in the structure of the electron transport chain
PLP contributes to gluconeogenesis and synthesis of neurotransmitter GABA
Vitamin E (α-tocopherol) acts as an antioxidant, aids in the formation of red blood cells, and aids in vitamin K function
Vitamin K (Phylloquinone) is essential in the blood coagulation cascade, prevents vessel mineralization, and aids in bone metabolism
Vitamin B12 (Cobalamin) is central in folate metabolism, aids in the formation of red blood cells, and is integral in the synthesis of succinyl-coA
Vitamin B9 (Folate) aids in the production of red blood cells, synthesis of DNA, and tissue growth and cell functions
Vitamin C (Ascorbic acid) maintains connective tissue, promotes the immune system, aids in iron absorption, and acts as an antioxidant
Hepcidin is a key regulator for releasing iron into circulation, and macrophages and enterocytes can release iron to the plasma through ferroportin-mediated transporter
Vitamin A deficiency can lead to xerophthalmia, which includes symptoms like night blindness, conjunctival xerosis, Bitot's spots, corneal xerosis, ulcers on the cornea, and keratomalacia.
Vitamin B complex vitamins (B2, B6, B9, B12) act as cofactors or precursors of cofactors in various metabolic pathways, including one-carbon metabolism.
One-carbon metabolism involves cycles and pathways that contribute to DNA synthesis, methylation, and transsulfuration, with vitamins B9 (folate) and B12 (cobalamin) playing key roles.
Vitamin B2 (Riboflavin) promotes healthy growth and tissue repair, aids in energy release from carbohydrates, and is a precursor of electron carriers FAD and FMN.
Vitamin B6 (Pyridoxine) maintains healthy brain function, aids in red blood cell formation, supports protein conversion, and is essential for over 100 enzymes in protein metabolism through its derivative PLP.
vitamin A is essential for the formation of visual purple in retina
vitamin A initiates formation of keratin → promotes development of teeth, soft and skeletal tissue
Fat Soluble Vitamin deficiency diseases
A - night blindness, keratomalacia, abnormal pregnancy, growth retardation, slower wound healing
D - rickets in children, osteomalacia in adults
E - haemolytic anaemia, neurological and neuromuscular dysfunction, retinopathy
K - defective blood clotting
Retinol is from animal while b-carotene is from plant
Retinoic acid can activate transcription factor for cellular differentiation, which is related to adaptive immunity process and affecting bone formation
Keratomalacia (cornea becomes soft)
The cornea is cloudy and soft like jelly. Rare.
High risk of permanent sight loss if untreated.
Bitot’s spot - White foamy patches on the conjunctiva
Xerophthalmia - Dry eyes due to lack of tears
Conjunctival xerosis (dryness) - The conjunctiva looks dry and slightly rough instead of smooth and shiny.
Night blindness (nyctalopia) - In ability to see in dim nightOften occurs in the later part of pregnancy