Vitamin B9
Presented by Ali Asghar
Mphill Human Nutrition
Khyber Medical University Peshawar
Content
• Form
• Structure
• Properties
• Sources
• Digestion and absorption
• Transport and metabolism
• Functions
• Requirement
• Deficiency
• Toxicity
               Vitamin B9 is also known as folic acid
                             or folate
                Folate occurs naturally in food, and
                 folic acid is the synthetic form of
                              Vitamin B9
Introductio
n
                It was discovered by LUCY WILLS IN
                               1933
              The word folic acid is derived from latin
                word folium means leaf and it is also
               isolated from leafy vegetable spinach
          Structure of vitamin B9
• vitamin B9 consists of three main components:
• pteridine ring,
• P-aminobenzoic acid (PABA)
• glutamic acid residue.
• The pteridine ring and PABA are synthesized de novo in bacteria and
  plants, while the glutamic acid residue is added during the absorption
  process in the human intestine.
STRUCTURE OF VITAMIN B9
Food sources
• Vitamin B9 is found in a variety of foods
• including leafy green vegetables
• citrus fruits
• Legumes
• nuts and seeds
• fortified cereals and grains.
   DIGESTION AND ABSORBTION
• Vitamin B9 is present in polyglutamate form in foods which is
  converted into monoglutamate in the small intestine by hydrolases or
  congugases found in pancreatic juice and bile and transported to the
  liver.
• Where it is converted to its active form, 5- methyltetrahydrofolate (5-
  MTHF).
• 5-MTHF is then transported to other tissues, where it is used in
  various metabolic pathways, including homocysteine metabolism and
  DNA synthesis and repair.
Different
form of
folate
Absorbtion and transportation
• absorbed as folic acid, 5-methyl-FH4 and 5-formyl-FH4.
• The overall efficiency of folate absorption appears to be ∼50% (10-90%).
• Malabsorption of the vitamin occurs in diseases affecting the intestinal
  mucosa.
• Folate absorption is dependent on the pH of the proximal jejunum, with an
  optimum at pH 6,0-6,3.
• Folic acid is actively transported across the jejunum, and perhaps the
  duodenum, by a Na+-coupled, carrier-mediated process that is stimulated by
  glucose and shows a pH maximum at about pH 6.
• The transporter is a transmembrane protein with much greater affinities for
  folic acid than for reduced folates.
Absorption and transportation
• A high-affinity, folate-binding protein, also called the folate receptor (FR),
  has been identified in the intestine and other tissues.
• • The intestine contains three isoforms, each of which is associated with
  the brush border.
• • Two isoforms (α- and ß-) are glycosylphosphatidylinositol (GPI)-anchored
  to the membrane.
• • β-type is a soluble protein
• GPI-anchored receptor FRα has been shown to cycle between intracellular
  and extracellular compartments while remaining bound to the membrane,
  thus effecting the high-affinity uptake of folate and nonmolar
  concentrations.
Functions
• Synthesis of DNA
• Normal maturation of RBC AND WBC
• Synthesis of purines and pyrimidines
• Cell growth and division
• Proper development of nervous system
• Reduce risk of CVD and stroke
Requirements
Deficiency
• Inadequate intake
• Overcooking of food resulting in loss of
  folic acid
• Impaired absorption due to small intestine
  disease
• Increased demand during pregnancy
• Dialysis
Spina
bifida
• Not having enough folic
  acid during pregnancy is
  one of the most
  important factors that
  can increase chances of
  having a child with spina
  bifida
Homocyst
eine
• Deficiency of folic acid is
  associated with increased
  plasma level of
  homocysteine
• Folic acid is required for
  conversion of
  homocysteine to
  methionine
Megalobla
stic
Anemia
• Folate and vitamin B12
  deficiency can cause
  megaloblastic anemia
• form of macrocytic
  anemia, a blood disorder
  that happens when your
  bone marrow produces
  stem cells that make
  abnormally large red
  blood cells due to
  diminished purine
  synthesis
Depression
• People with low blood levels of
  folate might be more likely to
  have depression. In addition,
  they might not respond as well
  to antidepressant treatment as
  people with normal folate
  levels.
Deficiency
                  Tongue
   Poor growth                   Gingivitis
                  inflammation
   Loss of        Shortness of
                                 Diarrhea
   appetite       breath
   Irritability
           Toxicity of folic acid in moderate
           doses reportedly is virtually
           nonexistent
           Folate intake of 15mg daily are
Toxicity   problematic include
           insomnia,malaise, irratability, and
           gastrointestinal distress
           A tolerable upper intake level for
           adults of 1000ug (1mg) for synthetic
           folic acid in supplements and
           fortified foods has been suggested.
References
• The Vitamins. Fundamental
  Aspects in Nutrition and Health.
  Elsevier Inc. 2008. 16
• www.hsph.harvard.edu/nutritio
  nsource/folic-acid
• https://www.medicalnewstoday.
  com/articles/287677
• Scan the code for more
  information on folic acid