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Vitamin Deficiencies and Impairments in Carbohydrate Metabolism
- November 21, 2024
- Posted by: Namrata Chhabra
- Category: Metabolism of Carbohydrates Quick Revision Series Quick revisions Quick revisions
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- Explore how vitamin deficiencies, including Thiamine (B1), Riboflavin (B2), and Niacin (B3), disrupt carbohydrate metabolism.
- Learn about impaired reactions, enzymes, and metabolic consequences in pathways like glycolysis and the TCA cycle.
Vitamin | Impaired Reaction | Enzyme Affected | Reaction Catalyzed | Pathway/Consequence |
Thiamine (B1) | Conversion of pyruvate to acetyl-CoA | Pyruvate dehydrogenase (E1 component) | Pyruvate + CoA + NAD⁺ → Acetyl-CoA + NADH + CO₂ | Impaired entry of pyruvate into the TCA cycle, lactic acid buildup |
Conversion of α-ketoglutarate to succinyl-CoA | α-Ketoglutarate dehydrogenase | α-Ketoglutarate + NAD⁺ + CoA → Succinyl-CoA + NADH + CO₂ | Reduced TCA cycle flux, energy deficit | |
Non-oxidative phase of the pentose phosphate pathway | Transketolase | Xylulose-5-phosphate + Ribose-5-phosphate ↔ Glyceraldehyde-3-phosphate + Sedoheptulose-7-phosphate | Impaired nucleotide synthesis, disrupted PPP flux | |
Riboflavin (B2) | Oxidation of succinate to fumarate | Succinate dehydrogenase | Succinate + FAD → Fumarate + FADH₂ | Decreased ATP synthesis (ETC complex II) |
Niacin (B3) | Oxidation of glyceraldehyde-3-phosphate to 1,3-bisphosphoglycerate | Glyceraldehyde-3-phosphate dehydrogenase | G3P + NAD⁺ → 1,3-Bisphosphoglycerate + NADH | Impaired glycolysis |
Oxidative decarboxylation of isocitrate to α-ketoglutarate | Isocitrate dehydrogenase (NAD-dependent) | Isocitrate + NAD⁺ → α-Ketoglutarate + NADH + CO₂ | Impaired TCA cycle progression | |
Conversion of malate to oxaloacetate | Malate dehydrogenase | Malate + NAD⁺ → Oxaloacetate + NADH | Impaired gluconeogenesis | |
Oxidation in the pentose phosphate pathway | Glucose-6-phosphate dehydrogenase (G6PD) | Glucose-6-phosphate + NADP⁺ → 6-Phosphogluconolactone + NADPH | Impaired NADPH production for antioxidant defense | |
Pantothenic Acid | Formation of acetyl-CoA from pyruvate | Pyruvate dehydrogenase complex (via Coenzyme A) | Pyruvate + CoA + NAD⁺ → Acetyl-CoA + NADH + CO₂ | Impaired carbohydrate oxidation |
Biotin | Conversion of pyruvate to oxaloacetate | Pyruvate carboxylase | Pyruvate + CO₂ + ATP → Oxaloacetate + ADP + Pi | Impaired gluconeogenesis |
Conversion of propionyl-CoA to methylmalonyl-CoA | Propionyl-CoA carboxylase | Propionyl-CoA + CO₂ + ATP → Methylmalonyl-CoA + ADP + Pi | Impaired odd-chain fatty acid catabolism, catabolism of Isoleucine, Valine, Methionine, and Threonine | |
Vitamin B12 | Conversion of methylmalonyl-CoA to succinyl-CoA | Methylmalonyl-CoA mutase | Methylmalonyl-CoA → Succinyl-CoA | Impaired entry of odd-chain fatty acids into the TCA cycle and other AAs listed above |
Vitamin B6 (PLP) | Glycogen breakdown (glycogenolysis) | Glycogen phosphorylase | Glycogen + Pi → Glucose-1-phosphate | Impaired mobilization of glucose from glycogen |
Structured Highlights
- Thiamine (B1):
- Impairs pyruvate to acetyl-CoA conversion, disrupting the TCA cycle.
- Enzyme: Pyruvate dehydrogenase.
- Riboflavin (B2):
- Affects succinate oxidation in the ETC (Complex II).
- Enzyme: Succinate dehydrogenase.
- Niacin (B3):
- Impairs glycolysis, gluconeogenesis, and TCA cycle processes.
- Enzymes: Glyceraldehyde-3-phosphate dehydrogenase, Isocitrate dehydrogenase, Malate dehydrogenase.
- Biotin:
- Essential for gluconeogenesis and odd-chain fatty acid metabolism.
- Enzymes: Pyruvate carboxylase, Propionyl-CoA carboxylase.
- Vitamin B12:
- Critical for odd-chain fatty acid and amino acid catabolism.
- Enzyme: Methylmalonyl-CoA mutase.
- Vitamin B6 (PLP):
- Affects glycogen breakdown (glycogenolysis).
- Enzyme: Glycogen phosphorylase.
Author:Namrata Chhabra

With over 38 years of experience as a Medical Educator, Medical Biochemist, and Researcher, Dr. Namrata Chhabra has a proven track record of leading and contributing to clinical, academic, and research initiatives that advance medical science and education. She holds an M.B.B.S., an M.D. and Ph.D. in Medical Biochemistry, and a Master's in Health Professions Education (MHPE). She is also a FAIMER Fellow, a prestigious recognition of her excellence in medical education and research.
Currently, she serves as the Associate Dean of Admissions, Chair of the Admissions Committee, and a Professor of Biochemistry at the American University of Antigua College of Medicine (AUACOM). In this role, she oversees the academic quality, curriculum development, faculty development, accreditation processes of the college, and student recruitment. She also teaches and mentors medical students, conducts and supervises biomedical and educational research projects, and publishes and presents her findings in national and international journals and conferences. Additionally, she is the author of three comprehensive textbooks on Medical Biochemistry, which are widely used by medical students and professionals. She is passionate about improving the health outcomes of communities and individuals by fostering a culture of innovation, collaboration, and excellence in medical education and research.