DOC-20240423-WA0001..pptx mbbs first year

Mbbs AIIMS bilaspur

1. FOLIC ACID (Vitamin – B9) Nishant Roll no 61

2. INTRODUCTION Vitamin B9 also called folate or folic acid, is one of 8 B vitamins. All B vitamins help the body convert food into fuel, which is used to produce energy. Folic acid is the synthetic form of B9, found in supplements and fortified foods ,while folate occurs naturally in foods.

3. DEFINITION The word of folic acid is derived from latin word folium means leaf and it is also isolated leafy vegetable spinach. Folic acid is water soluble vitamin, folic acid itself not biologically active but its biological importance is due to Tetrahydrofolate and other derivatives.

4. ACTIVE FORM Tetrahydrofolate(THF or FH 4) is the active form of folic acid. Folic acid mainly consist of three components, 1.Pteridine ring 2.PABA 3.Glutamic acid residue

5. BIOSYNTHESIS Animals, including humans, cannot synthesize folate and therefore must obtain folate from their diet. All plants and fungi and certain protozoa, bacteria can synthesize folate de novo through variations on the same biosynthetic pathway.

6. Tetrahydrofolate the enzyme of folic acid, is actively involved in one carbon metabolism. THF serves as an acceptor or donor unit in a variety if reactions involving amino acids and nucleotide metabolism.

7. PABA + Pteridine Dihydropteroate synthase Dihydropteroic acid Dihydro folic acid Dihydro folate reductase Tetrahydro folic acid (THF) N5, N10 methylene THF Purines Thymidine Methionine (DNA,RNA) (DNA) (Protein)

8. FUNCTIONS OF B9

9. Folate is needed to help our cells grow and multiply, which makes it a key vitamin in periods of rapid growth and development, such as pregnancy and infancy. Folate is particularly important to help develop the baby’s skull and spinal cord, which is why low levels of this vitamin, before and during pregnancy, can lead to severe birth defects, called neural tube defects.

10. Folate and vitamin B12 share many functions in the body. For example, they both work together to create our genetic material (DNA), form healthy red blood cells and support the normal functioning of our brain and nervous system. Both vitamins, alongside vitamin B6, also collaborate in the breaking down of homocysteine, an amino acid that can put us at higher risk of cardiovascular disease, when present in high amounts.

11. FOLATE TRAP

12. Recommended daily allowance Men and women= 400 mcg/ day Pregnant women= 600 mcg/ day Lactating women= 500 mcg/ day

13. DIETARY SOURCE

14. DEFICIENCY 1.Weakness,Nausea,loss of appetite 2.Lethargy 3.Shortness of breath 4.Fatigue 5.Glossitis 6.Megaloblastic anemia 7.In pregnancy it cause Neural Tube Defects (NTD)

15. THERAPEUTIC USES Prevention of certain birth defects. Make healthy red blood cells. Treat anemic condition in both adults and children. Acts by helping the body produce and maintain new cells. Folate is also important for the synthesis and repair of DNA and other genetic material, and its necessary for cells to divide.