A nutritional condition produced by a deficiency of THIAMINE in the diet, characterized by anorexia, irritability, and weight loss. Later, patients experience weakness, peripheral neuropathy, headache, and tachycardia. In addition to being caused by a poor diet, thiamine deficiency in the United States most commonly occurs as a result of alcoholism, since ethanol interferes with thiamine absorption. In countries relying on polished rice as a dietary staple, BERIBERI prevalence is very high. (From Cecil Textbook of Medicine, 19th ed, p1171)
3-((4-Amino-2-methyl-5-pyrimidinyl)methyl)-5-(2- hydroxyethyl)-4-methylthiazolium chloride.
A thiamine antagonist due to its inhibition of thiamine pyrophosphorylation. It is used to produce thiamine deficiency.
An enzyme of the transferase class that catalyzes the conversion of sedoheptulose 7-phosphate and D-glyceraldehyde 3-phosphate to D-ribose 5-phosphate and D-xylulose 5-phosphate in the PENTOSE PHOSPHATE PATHWAY. (Dorland, 27th ed) EC 2.2.1.1.
An acute neurological disorder characterized by the triad of ophthalmoplegia, ataxia, and disturbances of mental activity or consciousness. Eye movement abnormalities include nystagmus, external rectus palsies, and reduced conjugate gaze. THIAMINE DEFICIENCY and chronic ALCOHOLISM are associated conditions. Pathologic features include periventricular petechial hemorrhages and neuropil breakdown in the diencephalon and brainstem. Chronic thiamine deficiency may lead to KORSAKOFF SYNDROME. (Adams et al., Principles of Neurology, 6th ed, pp1139-42; Davis & Robertson, Textbook of Neuropathology, 2nd ed, pp452-3)
A disease caused by a deficiency of thiamine (vitamin B1) and characterized by polyneuritis, cardiac pathology, and edema. The epidemic form is found primarily in areas in which white (polished) rice is the staple food, as in Japan, China, the Philippines, India, and other countries of southeast Asia. (Dorland, 27th ed)
An acquired cognitive disorder characterized by inattentiveness and the inability to form short term memories. This disorder is frequently associated with chronic ALCOHOLISM; but it may also result from dietary deficiencies; CRANIOCEREBRAL TRAUMA; NEOPLASMS; CEREBROVASCULAR DISORDERS; ENCEPHALITIS; EPILEPSY; and other conditions. (Adams et al., Principles of Neurology, 6th ed, p1139)
The coenzyme form of Vitamin B1 present in many animal tissues. It is a required intermediate in the PYRUVATE DEHYDROGENASE COMPLEX and the KETOGLUTARATE DEHYDROGENASE COMPLEX.
Thiamine antagonist, antimetabolite.
A veterinary coccidiostat that interferes with THIAMINE metabolism.
Thiamine dihydrogen phosphate ester. The monophosphate ester of thiamine. Synonyms: monophosphothiamine; vitamin B1 monophosphate.
A mental disorder associated with chronic ethanol abuse (ALCOHOLISM) and nutritional deficiencies characterized by short term memory loss, confabulations, and disturbances of attention. (Adams et al., Principles of Neurology, 6th ed, p1139)
The paired caudal parts of the PROSENCEPHALON from which the THALAMUS; HYPOTHALAMUS; EPITHALAMUS; and SUBTHALAMUS are derived.
The Ketoglutarate Dehydrogenase Complex is a multi-enzyme complex involved in the citric acid cycle, catalyzing the oxidative decarboxylation of alpha-ketoglutarate to succinyl-CoA and CO2, thereby connecting the catabolism of amino acids, carbohydrates, and fats to the generation of energy in the form of ATP.
I'm sorry for any confusion, but "Laos" is not a medical term; it is the name of a country located in Southeast Asia, officially known as the Lao People's Democratic Republic. If you have any questions related to medical terminology or health-related topics, I would be happy to help with those!
An enzyme that catalyzes the formation of thiamine pyrophosphate from ATP and thiamine. EC 2.7.6.2.
Drugs that are chemically similar to naturally occurring metabolites, but differ enough to interfere with normal metabolic pathways. (From AMA Drug Evaluations Annual, 1994, p2033)
Pathologic partial or complete loss of the ability to recall past experiences (AMNESIA, RETROGRADE) or to form new memories (AMNESIA, ANTEROGRADE). This condition may be of organic or psychologic origin. Organic forms of amnesia are usually associated with dysfunction of the DIENCEPHALON or HIPPOCAMPUS. (From Adams et al., Principles of Neurology, 6th ed, pp426-7)
Analyses for a specific enzyme activity, or of the level of a specific enzyme that is used to assess health and disease risk, for early detection of disease or disease prediction, diagnosis, and change in disease status.
Diseases of multiple peripheral nerves simultaneously. Polyneuropathies usually are characterized by symmetrical, bilateral distal motor and sensory impairment with a graded increase in severity distally. The pathological processes affecting peripheral nerves include degeneration of the axon, myelin or both. The various forms of polyneuropathy are categorized by the type of nerve affected (e.g., sensory, motor, or autonomic), by the distribution of nerve injury (e.g., distal vs. proximal), by nerve component primarily affected (e.g., demyelinating vs. axonal), by etiology, or by pattern of inheritance.

Thiamine deficiency is prevalent in a selected group of urban Indonesian elderly people. (1/195)

This cross-sectional study involved 204 elderly individuals (93 males and 111 females). Subjects were randomly recruited using a list on which all 60-75 y-old-people living in seven sub-villages in Jakarta were included. The usual food intake was estimated using semiquantitative food frequency questionnaires. Hemoglobin, plasma retinol, vitamin B-12, red blood cell folate and the percentage stimulation of erythrocyte transketolase (ETK), as an indicator of thiamine status, were analyzed. Median energy intake was below the assessed requirement. More than 75% of the subjects had iron and thiamine intakes of approximately 2/3 of the recommended daily intake, and 20.2% of the study population had folate intake of approximately 2/3 of the recommended daily intake. Intakes of vitamins A and B-12 were adequate. Biochemical assessments demonstrated that 36.6% of the subjects had low thiamine levels (ETK stimulation > 25%). The elderly men tended to have lower thiamine levels than the elderly women. The overall prevalence of anemia was 28.9%, and the elderly women were affected more than the elderly men. Low biochemical status of vitamins A, B-12 and RBC folate was found in 5.4%, 8.8 % and 2.9% of the subjects, respectively. Dietary intakes of thiamine and folate were associated with ETK stimulation and plasma vitamin B-12 concentration (r = 0.176, P = 0.012 and r = 0.77, P = 0.001), respectively. Results of this study suggest that anemia, thiamine and possibly vitamin B-12 deficiency are prevalent in the elderly living in Indonesia. Clearly, micronutrient supplementation may be beneficial for the Indonesian elderly population living in underprivileged areas.  (+info)

Biochemical evidence of thiamin deficiency in young Ghanian children. (2/195)

Detailed biochemical studies for nutritional status were carried out on 146 Ghanaian children ages 6 months to 6 years over a 2-year period. Study children comprised three main groups: severe protein-calorie malnutrition; mild to moderate protein-calorie malnutrition and apparently healthy children. Erythrocyte transketolase activity and the percentage of erythrocyte transketolase pyrophosphate effect were also determined. In the first year of the study elevated percentage of transketolase pyrophosphate effect indicative of thiamin deficiency was found in all three of the above-mentioned groups, with the most widespread deficiency in the normal groups. In year 2, repeat studies of the severely malnourished group after 2 weeks of nutritional therapy with the administration of vitamin capsules, which included thiamin, resulted in the normalization of transketolase pyrophosphate effect. Apoenzyme activity was comparable in all groups studied. There were no obvious clinical signs of thiamin deficiency, although sensory testing was not performed. A relatively large number of children with high percentage of transketolase pyrosphosphate effect also had serum folic acid deficiency. This evidence of widespread biochemical thiamin deficiency is indicative of an at-risk population among young children for clinical thiamin deficiency. Further studies are needed to identify whether the problem is inadequate thiamin intake, destruction of thiamin by thiaminases or food preparation methods, or malabsorption of thiamin.  (+info)

Thiamin and pyridoxine requirements during intravenous hyperalimentation. (3/195)

Studies were undertaken to determine rational dosages of vitamin B1 and B6 during long-term intravenous hyperalimentation, using more sensitive techniques than formerly used to evaluate B1 and B6 status. A standard vitamin combination, type A, (usually commercially available products) has been used up to now because of convenience, disregarding the effects of long-term administration. This combination lacks biotin, folic acid, and vitamin E and contains from 10 to 100 times the dietary allowances of such vitamins as B1, B2, B6, B12, and C. In response to the possibility of vitamin overdose, two new vitamin combinations, type B (from commercial products) and type C (a convenient and easily administered combination produced at the hospital) were developed in order to provide the normal dietary allowances and at the same time eliminate any harmful side-effects. From the results obtained, 5 mg/day for thiamin HCl and 3 mg/day for pyridoxine HCl in type B and type C were found to be a sufficient and safe level as opposed to 55 mg/day for thiamin HCl and 102 mg/day for pyridoxine HCl in type A.  (+info)

Is thiamine deficiency in elderly people related to age or co-morbidity? (4/195)

OBJECTIVES: to compare erythrocyte thiamine pyrophosphate concentrations in elderly people with those in healthy younger people; to determine if any differences can be attributed to age or to co-morbidities. DESIGN: cross-sectional and 3-year longitudinal surveys. SETTING: primary care. PATIENTS: 100 volunteer blood donors and 222 elderly people from a general practice register. MEASUREMENTS: thiamine pyrophosphate concentrations using high performance liquid chromatography; physical examination, medical and medication history; grip strength, body mass index and plasma albumin. RESULTS: the mean [95% confidence interval (CI)] thiamine pyrophosphate concentration was 152 nmol/l (147-158) in the elderly group and 224 (213-235) nmol/l in the younger group (P < 0.001). Ninety-six (43.4%) of the elderly subjects had thiamine pyrophosphate concentrations below the fifth percentile of the younger subjects (140 nmol/l). Over 3 years thiamine pyrophosphate concentrations fell in the elderly cohort by 20% (95% CI: 14.5-24.5%; P < 0.01). Thiamine pyrophosphate concentrations in 39 healthy older people were no different from those in elderly people with co-morbidity but were significantly lower than those in the younger people. Elderly people with absent vibration sense in their feet had a lower thiamine pyrophosphate concentration than the rest of the group [129 (117-142)nmol/l compared with 156 (150-162)nmol/l; P < 0.01)]. Thiamine pyrophosphate concentrations were not related to prevalent diseases, common medications, body mass index, grip strength or plasma albumin. CONCLUSION: lower thiamine pyrophosphate concentrations in elderly people appear to be related more to age itself than to co-existent illnesses.  (+info)

Glucose uptake in the brainstem of thiamine-deficient rats. (5/195)

Acute dietary deficiency of thiamine was produced in immature female rats. Uptake of glucose by brainstem nuclei was determined by autoradiographic examination of tissue concentrations of 14-C-3-O-methyl-d-glucose following a test dose, and compared with levels in normal and isocaloric control animals. The experiment showed that glucose uptake was depressed in the lesions of thiamine deficiency as compared with the controls, that the depression occurred with the occurrence of morphologic evidence of tissue edema, and that the depression was temporally independent of the breakdown of the blood-brain barrier to protein which is found in the late, necrotic lesions.  (+info)

Metabolic changes in rats during developing thiamin deficiency. (6/195)

Determinations of rectal temperature, blood glucose, plasma free fatty acids, liver acetyl-CoA and carcass fat of thiamin-deficient rats indicated that during the ensuing anorexia they metabolized their fat reserves more rapidly than did pair-fed normal controls. Their lower metabolic rate indicates that the reserves mobilized are utilized inefficiently.  (+info)

Postgastrectomy polyneuropathy with thiamine deficiency. (7/195)

OBJECTIVE: Polyneuropathy has been reported after gastrectomy performed to treat various lesions. Although thiamine deficiency is a possible cause of this neuropathy, the pathogenesis still remains to be clarified. Seventeen patients with peripheral neuropathy with thiamine deficiency after gastrectomy are described. METHODS: Seventeen patients with polyneuropathy after gastrectomy accompanied by thiamine deficiency were selected. Patients were restricted to those with total or subtotal gastric resection to treat ulcer or neoplasm. Patients who had undergone operations to treat morbid obesity were excluded. RESULTS: Intervals between the operation and onset of neuropathy varied from 2 months to 39 years. Most patients did not seem malnourished. Serum concentrations of B vitamins other than thiamine were nearly normal. Symmetric motor-sensory polyneuropathy, predominantly involving the lower limbs, had progressed over intervals varying from 3 days to 8 years. Relative degrees of motor and sensory impairment also varied extensively. Some cases that progressed rapidly mimicked Guillain-Barre syndrome. Electrophysiological and pathological findings were those of axonal neuropathy. Substantial functional recovery from polyneuropathy was seen in most patients by 3 to 6 months after initiating thiamine supplementation. Motor recovery was better than sensory recovery. CONCLUSIONS: Various symptoms were seen in patients with postgastrectomy neuropathy. Thiamine deficiency should be considered in the differential diagnosis of motor-sensory polyneuropathy after gastrectomy.  (+info)

Thiamine deficiency in patients with B-chronic lymphocytic leukaemia: a pilot study. (8/195)

Malignancy associated primary thiamine deficiency has been documented in several experimental tumours, sporadic clinical case reports, and in a number of patients with fast growing haematological malignancies. Thiamine status was assessed prospectively in 14 untreated B-chronic lymphocytic leukaemia (CLL) patients, and in 14 age matched control patients with non-malignant disease. Patients with any known cause of absolute, relative, or functional thiamine deficiency were excluded. High (>15%) thiamine pyrophosphate effect (TPPE), indicating thiamine deficiency, was found in five out of 14 CLL patients (35.7%) and in none of the controls (p=0.057). Mean (SD) TPPE in the thiamine deficient patients group was 21.6 (3.4)%. In all the patients, thiamine deficiency was subclinical. No correlates for the thiamine deficiency have been found save for an increment of more than 20% in the total leucocyte count over the preceding three months, which was found in all five thiamine deficient patients compared with only one of the nine non-thiamine deficient CLL patients. Thus, CLL patients may be prone to develop primary thiamine deficiency possibly promoted by the increased leucocytes span, which may increase thiamine consumption. Since even subclinical thiamine deficiency may be detrimental to the patient's clinical course, and in view of the theoretical danger of thiamine promoted tumour cell proliferation, further large scale studies are warranted to confirm this observation, and to elucidate the issue of thiamine supplementation to CLL patients.  (+info)

Thiamine deficiency, also known as beriberi, is a condition that results from inadequate intake or impaired absorption of thiamine (vitamin B1), which is essential for energy metabolism and nerve function. This deficiency can lead to various symptoms such as peripheral neuropathy, muscle weakness, heart failure, and in severe cases, Wernicke-Korsakoff syndrome, a neurological disorder associated with alcoholism. Thiamine deficiency is commonly found in populations with poor nutrition, alcohol dependence, and gastrointestinal disorders affecting nutrient absorption.

Thiamine, also known as vitamin B1, is a water-soluble vitamin that plays a crucial role in certain metabolic reactions, particularly in the conversion of carbohydrates into energy in the body. It is essential for the proper functioning of the heart, nerves, and digestive system. Thiamine acts as a cofactor for enzymes involved in the synthesis of neurotransmitters and the metabolism of carbohydrates, lipids, and proteins. Deficiency in thiamine can lead to serious health complications, such as beriberi (a disease characterized by peripheral neuropathy, muscle wasting, and heart failure) and Wernicke-Korsakoff syndrome (a neurological disorder often seen in alcoholics due to chronic thiamine deficiency). Thiamine is found in various foods, including whole grains, legumes, pork, beef, and fortified foods.

Pyrithiamine is not typically considered a medical term, but it is a chemical compound that has been used in scientific research. It's an antivitamin, specifically an analog of thiamine (vitamin B1), which means it can interfere with the metabolism of thiamine in the body.

Here's a more specific definition from a biochemical perspective:

Pyrithiamine is a synthetic organic compound with the formula C6H7N2O2S. It is an analog of thiamine, where the aminomethyl group of thiamine is replaced by a pyridine ring. This structural modification makes pyrithiamine unable to act as a vitamin, but it can still interact with the enzymes and transport proteins involved in thiamine metabolism. As a result, pyrithiamine has been used as a tool to study thiamine deficiency and its effects on various organisms, including mammals.

Please note that pyrithiamine is not a term commonly used in clinical medicine or patient care. If you have any concerns about vitamins, nutrition, or health-related topics, it's best to consult a healthcare professional for accurate information and advice tailored to your specific situation.

Transketolase is an enzyme found in most organisms, from bacteria to humans. It plays a crucial role in the pentose phosphate pathway (PPP), which is a metabolic pathway that runs alongside glycolysis in the cell cytoplasm. The PPP provides an alternative way of generating energy and also serves to provide building blocks for new cellular components, particularly nucleotides.

Transketolase functions by catalyzing the transfer of a two-carbon ketol group from a ketose (a sugar containing a ketone functional group) to an aldose (a sugar containing an aldehyde functional group). This reaction forms a new ketose and an aldose, effectively converting three-carbon sugars into five-carbon sugars, or vice versa.

In humans, transketolase is essential for the production of NADPH, an important reducing agent in the cell, and for the synthesis of certain amino acids and nucleotides. Deficiencies in this enzyme can lead to metabolic disorders such as pentosuria.

Wernicke Encephalopathy is a neuropsychiatric disorder that is caused by a deficiency of thiamine (vitamin B1). It is characterized by a classic triad of symptoms: confusion, oculomotor dysfunction (such as nystagmus and ophthalmoplegia), and gait ataxia. Other symptoms can include memory loss, apathy, and hypothermia.

Wernicke Encephalopathy is most commonly seen in alcoholics due to poor nutrition, but it can also occur in people with conditions that cause malabsorption or increased thiamine requirements, such as AIDS, cancer, and chronic diarrhea. Immediate treatment with thiamine replacement therapy is necessary to prevent progression of the disease and potential permanent neurological damage. If left untreated, Wernicke Encephalopathy can lead to Korsakoff's syndrome, a chronic memory disorder.

Beriberi is a medical condition caused by a deficiency in thiamine (vitamin B1). This deficiency can lead to various symptoms, including peripheral neuropathy, muscle wasting, and heart failure. There are two main types of beriberi: wet beriberi, which affects the cardiovascular system, and dry beriberi, which primarily affects the nervous system.

Wet beriberi can cause symptoms such as shortness of breath, rapid heart rate, and fluid accumulation in the legs and lungs. Dry beriberi, on the other hand, is characterized by symptoms such as numbness, tingling, and weakness in the hands and feet, muscle wasting, and difficulty walking.

Beriberi can be prevented through a balanced diet that includes adequate amounts of thiamine-rich foods, such as whole grains, legumes, pork, beef, and fortified cereals. Treatment for beriberi typically involves administering thiamine supplements to restore normal levels of the vitamin in the body. In severe cases, hospitalization may be necessary to provide supportive care and monitor the patient's condition.

Korsakoff syndrome is a neuropsychiatric disorder typically caused by alcohol abuse, specifically thiamine (vitamin B1) deficiency in the brain. It's often associated with Wernicke encephalopathy, and the two together are referred to as Wernicke-Korsakoff syndrome.

The main features of Korsakoff syndrome include severe memory impairment, particularly anterograde amnesia (inability to form new memories), confabulation (making up stories due to gaps in memory), and a lack of insight into their condition. Other cognitive functions like intelligence and perception are usually preserved.

The syndrome is believed to result from damage to the mammillary bodies and other structures in the diencephalon, particularly the thalamus. Treatment involves abstinence from alcohol, thiamine replacement, and a balanced diet. The prognosis varies but often includes some degree of permanent memory impairment.

Thiamine pyrophosphate (TPP) is the active form of thiamine (vitamin B1) that plays a crucial role as a cofactor in various enzymatic reactions, particularly in carbohydrate metabolism. TPP is essential for the functioning of three key enzymes: pyruvate dehydrogenase, alpha-ketoglutarate dehydrogenase, and transketolase. These enzymes are involved in critical processes such as the conversion of pyruvate to acetyl-CoA, the oxidative decarboxylation of alpha-ketoglutarate in the Krebs cycle, and the pentose phosphate pathway, which is important for generating reducing equivalents (NADPH) and ribose sugars for nucleotide synthesis. A deficiency in thiamine or TPP can lead to severe neurological disorders, including beriberi and Wernicke-Korsakoff syndrome, which are often observed in alcoholics due to poor nutrition and impaired thiamine absorption.

Oxythiamine is not a medication or a condition, but rather a chemical compound. It is an oxidized form of thiamine (vitamin B1), which means it has been changed by the addition of oxygen molecules. Oxythiamine is used in research to study the effects of thiamine deficiency and to investigate the role of thiamine in various biological processes. It is not used as a medication in humans or animals.

Amprolium is an antiprotozoal medication used primarily in veterinary medicine to prevent and treat coccidiosis, which is a parasitic infection caused by protozoa of the Eimeria species. It works as a competitive inhibitor of thiamine (vitamin B1) absorption in the coccidian parasites, leading to their eventual death. Amprolium is available in various formulations, including powders, pellets, and solutions, for use in animals such as chickens, turkeys, and calves. It is not typically used in human medicine.

Thiamine monophosphate (TMP) is a biochemical compound that is a derivative of thiamine (vitamin B1). It is a cofactor for several enzymes involved in key metabolic processes, particularly in the conversion of carbohydrates into energy. TMP plays an essential role in the metabolism of carbohydrates, amino acids, and neurotransmitters.

Thiamine monophosphate is formed when thiamine undergoes phosphorylation by the enzyme thiamine pyrophosphokinase. This reaction adds a phosphate group to the thiamine molecule, resulting in the formation of TMP. Thiamine monophosphate can then be further phosphorylated to form thiamine triphosphate (TTP) or dephosphorylated back to thiamine.

Deficiency in thiamine and its derivatives, including TMP, can lead to several medical conditions, such as beriberi, Wernicke-Korsakoff syndrome, and other neurological disorders. These conditions are often associated with impaired energy metabolism, nerve damage, and cognitive decline. Proper intake of thiamine through diet or supplementation is crucial for maintaining normal physiological functions and preventing these health issues.

Alcohol Amnestic Disorder is not listed as a separate disorder in the current edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), which is used by mental health professionals to diagnose mental conditions. However, it was previously included in earlier editions as a subtype of Amnestic Disorder due to the effects of substance use or exposure to toxins.

Alcohol Amnestic Disorder is characterized by significant memory impairment that is directly caused by alcohol consumption. This disorder can result in anterograde amnesia, which is the inability to form new memories after drinking, and/or retrograde amnesia, which involves forgetting previously learned information or personal experiences.

The diagnosis of Alcohol Amnestic Disorder typically requires a comprehensive medical and neuropsychological evaluation to determine the extent and nature of memory impairment, as well as to rule out other potential causes for cognitive decline. Treatment usually involves a combination of abstinence from alcohol, pharmacotherapy, and psychosocial interventions to address substance use disorder and any co-occurring mental health conditions.

The diencephalon is a term used in anatomy to refer to the part of the brain that lies between the cerebrum and the midbrain. It includes several important structures, such as the thalamus, hypothalamus, epithalamus, and subthalamus.

The thalamus is a major relay station for sensory information, receiving input from all senses except smell and sending it to the appropriate areas of the cerebral cortex. The hypothalamus plays a crucial role in regulating various bodily functions, including hunger, thirst, body temperature, and sleep-wake cycles. It also produces hormones that regulate mood, growth, and development.

The epithalamus contains the pineal gland, which produces melatonin, a hormone that helps regulate sleep-wake cycles. The subthalamus is involved in motor control and coordination.

Overall, the diencephalon plays a critical role in integrating sensory information, regulating autonomic functions, and modulating behavior and emotion.

The Ketoglutarate Dehydrogenase Complex (KGDC or α-KGDH) is a multi-enzyme complex that plays a crucial role in the Krebs cycle, also known as the citric acid cycle. It is located within the mitochondrial matrix of eukaryotic cells and functions to catalyze the oxidative decarboxylation of α-ketoglutarate into succinyl-CoA, thereby connecting the Krebs cycle to the electron transport chain for energy production.

The KGDC is composed of three distinct enzymes:

1. α-Ketoglutarate dehydrogenase (E1): This enzyme catalyzes the decarboxylation and oxidation of α-ketoglutarate to form a thioester intermediate with lipoamide, which is bound to the E2 component.
2. Dihydrolipoyl succinyltransferase (E2): This enzyme facilitates the transfer of the acetyl group from the lipoamide cofactor to CoA, forming succinyl-CoA and regenerating oxidized lipoamide.
3. Dihydrolipoyl dehydrogenase (E3): The final enzyme in the complex catalyzes the reoxidation of reduced lipoamide back to its disulfide form, using FAD as a cofactor and transferring electrons to NAD+, forming NADH.

The KGDC is subject to regulation by several mechanisms, including phosphorylation-dephosphorylation reactions that can inhibit or activate the complex, respectively. Dysfunction of this enzyme complex has been implicated in various diseases, such as neurodegenerative disorders and cancer.

I'm sorry for any confusion, but "Laos" is not a medical term. It is the name of a country, the Lao People's Democratic Republic, located in Southeast Asia. If you have any questions about medical terms or health-related topics, I'd be happy to try and help answer them!

Thiamin pyrophosphokinase (TPK) is an enzyme that plays a crucial role in the metabolism of thiamin, also known as vitamin B1. Thiamin is essential for the body's energy production and nerve function. TPK catalyzes the conversion of thiamin into its active form, thiamin pyrophosphate (TPP), by adding two phosphate groups to thiamin. This reaction is the rate-limiting step in the synthesis of TPP, which serves as a cofactor for several enzymes involved in carbohydrate metabolism, particularly in the process of decarboxylation of alpha-keto acids.

TPK exists in two isoforms: cytoplasmic and mitochondrial. The cytoplasmic form (cTPK) is primarily responsible for maintaining intracellular TPP levels, while the mitochondrial form (mTPK) helps regulate TPP concentrations within the mitochondria. Proper functioning of TPK is vital for overall cellular health and energy production, as well as for preventing neurological disorders associated with thiamin deficiency, such as beriberi and Wernicke-Korsakoff syndrome.

Antimetabolites are a class of drugs that interfere with the normal metabolic processes of cells, particularly those involved in DNA replication and cell division. They are commonly used as chemotherapeutic agents to treat various types of cancer because many cancer cells divide more rapidly than normal cells. Antimetabolites work by mimicking natural substances needed for cell growth and division, such as nucleotides or amino acids, and getting incorporated into the growing cells' DNA or protein structures, which ultimately leads to the termination of cell division and death of the cancer cells. Examples of antimetabolites include methotrexate, 5-fluorouracil, and capecitabine.

Amnesia is a condition characterized by memory loss, which can be temporary or permanent. It may result from brain damage or disease, and it can affect various aspects of memory, such as the ability to recall past events (retrograde amnesia), the ability to form new memories (anterograde amnesia), or both. Amnesia can also affect a person's sense of identity and their ability to learn new skills.

There are several types of amnesia, including:

1. Anterograde amnesia: This type of amnesia affects the ability to form new memories after an injury or trauma. People with anterograde amnesia may have difficulty learning new information and remembering recent events.
2. Retrograde amnesia: Retrograde amnesia affects the ability to recall memories that were formed before an injury or trauma. People with retrograde amnesia may have trouble remembering events, people, or facts from their past.
3. Transient global amnesia: This is a temporary form of amnesia that usually lasts for less than 24 hours. It is often caused by a lack of blood flow to the brain, and it can be triggered by emotional stress, physical exertion, or other factors.
4. Korsakoff's syndrome: This is a type of amnesia that is caused by alcohol abuse and malnutrition. It is characterized by severe memory loss, confusion, and disorientation.
5. Dissociative amnesia: This type of amnesia is caused by psychological factors, such as trauma or stress. People with dissociative amnesia may have trouble remembering important personal information or events that are emotionally charged.

The treatment for amnesia depends on the underlying cause. In some cases, memory may improve over time, while in other cases, it may be permanent. Treatment may involve medication, therapy, or rehabilitation to help people with amnesia cope with their memory loss and develop new skills to compensate for their memory impairments.

Clinical enzyme tests are laboratory tests that measure the amount or activity of certain enzymes in biological samples, such as blood or bodily fluids. These tests are used to help diagnose and monitor various medical conditions, including organ damage, infection, inflammation, and genetic disorders.

Enzymes are proteins that catalyze chemical reactions in the body. Some enzymes are found primarily within specific organs or tissues, so elevated levels of these enzymes in the blood can indicate damage to those organs or tissues. For example, high levels of creatine kinase (CK) may suggest muscle damage, while increased levels of aspartate aminotransferase (AST) and alanine aminotransferase (ALT) can indicate liver damage.

There are several types of clinical enzyme tests, including:

1. Serum enzyme tests: These measure the level of enzymes in the blood serum, which is the liquid portion of the blood after clotting. Examples include CK, AST, ALT, alkaline phosphatase (ALP), and lactate dehydrogenase (LDH).
2. Urine enzyme tests: These measure the level of enzymes in the urine. An example is N-acetyl-β-D-glucosaminidase (NAG), which can indicate kidney damage.
3. Enzyme immunoassays (EIAs): These use antibodies to detect and quantify specific enzymes or proteins in a sample. They are often used for the diagnosis of infectious diseases, such as HIV or hepatitis.
4. Genetic enzyme tests: These can identify genetic mutations that cause deficiencies in specific enzymes, leading to inherited metabolic disorders like phenylketonuria (PKU) or Gaucher's disease.

It is important to note that the interpretation of clinical enzyme test results should be done by a healthcare professional, taking into account the patient's medical history, symptoms, and other diagnostic tests.

Polyneuropathy is a medical condition that refers to the damage or dysfunction of peripheral nerves (nerves outside the brain and spinal cord) in multiple areas of the body. These nerves are responsible for transmitting sensory, motor, and autonomic signals between the central nervous system and the rest of the body.

In polyneuropathies, this communication is disrupted, leading to various symptoms depending on the type and extent of nerve damage. Commonly reported symptoms include:

1. Numbness or tingling in the hands and feet
2. Muscle weakness and cramps
3. Loss of reflexes
4. Burning or stabbing pain
5. Balance and coordination issues
6. Increased sensitivity to touch
7. Autonomic dysfunction, such as bowel, bladder, or digestive problems, and changes in blood pressure

Polyneuropathies can be caused by various factors, including diabetes, alcohol abuse, nutritional deficiencies, autoimmune disorders, infections, toxins, inherited genetic conditions, or idiopathic (unknown) causes. The treatment for polyneuropathy depends on the underlying cause and may involve managing underlying medical conditions, physical therapy, pain management, and lifestyle modifications.

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Thiamine deficiency and errors of thiamine metabolism are believed to be the primary cause of Wernicke encephalopathy. Thiamine ... Thiamine deficiency affects both neurons and astrocytes, glial cells of the brain. Thiamine deficiency alters the glutamate ... in particular thiamine (vitamin B1). The condition is part of a larger group of thiamine deficiency disorders that includes ... February 2005). "Outbreak of life-threatening thiamine deficiency in infants in Israel caused by a defective soy-based formula ...
In lactating women, thiamine is delivered in breast milk even if it results in thiamine deficiency in the mother. Thiamine is ... Five natural thiamine phosphate derivatives are known: thiamine monophosphate (ThMP), thiamine pyrophosphate (TPP), thiamine ... to affect the distribution of thiamine in the body and magnesium deficiency has been shown to aggravate thiamine deficiency. ... McCandless D (2010). Thiamine Deficiency and Associate Clinical Disorders. New York, NY: Humana Press. pp. 157-9. ISBN 978-1- ...
Eating A. venata larvae (entomophagy) has led to thiamine deficiency (vitamin B1) in people who have used it as a protein ... McCandless, David W. (2010). Thiamine deficiency and associated clinical disorders. Humana Press. pp. 104-106. doi:10.1007/978- ... an etiological hypothesis of acute thiamine deficiency". Ethn Dis. 2 (2): 185-6. PMID 1467756. Wright, J; Morley, DC (1958-04- ... Outbreaks, which have later on been thought to be due to B1 deficiency, have been described as early as 1958 along with other ...
Thiamine deficiency underlies the disorder beriberi. Oxidative metabolism entails the further catabolism of pyruvate. The ... Thiamine pyrophosphate (TPP) provides the biochemical and enzymological answer. TPP is the key catalytic cofactor used by ... Central to the operation of the PDH complex is a key catalytic cofactor, thiamine pyrophosphate (TPP). We will examine closely ... E1 is pyruvate dehydrogenase, which uses thiamine pyrophosphate (TPP) as a cofactor to decarboxylate pyruvate and transfer the ...
Examples include the following: Vitamin B1 deficiency (thiamine deficiency) was reported to cause seizures, especially in ... "Epilepsy in children with infantile thiamine deficiency". Neurology. 73 (11): 828-33. doi:10.1212/WNL.0b013e3181b121f5. PMID ... Vitamin B12 deficiency was reported to be the cause of seizures for adults and for infants. Folic acid in large amounts was ... Kumar, S (2004). "Recurrent seizures: an unusual manifestation of vitamin B12 deficiency". Neurology India. 52 (1): 122-3. PMID ...
McCandless, David W. (2009-07-13), "Thiamine Deficiency in Mammals", Thiamine Deficiency and Associated Clinical Disorders, ... If a deficiency is detected, many neurological disorders can start forming Thiamine deficiency has been associated with early ... Thiamine Deficiency & fish ". Many products have been called back from the market because they contain thiamine. ... Since it was first discovered, chronic thiamine deficiency has been linked to fish species kept in aquariums. Several fast- ...
Thiamine deficiency is also related to malnutrition from poor diet, impaired use of thiamine by the cells and impaired storage ... In individuals with sub-clinical thiamine deficiency, a large dose of glucose (either as sweet food, etc. or glucose infusion) ... Frequently, secondary to thiamine deficiency and subsequent cytotoxic edema in Wernicke encephalopathy, patients will have ... This provides an explanation for why alcoholics with liver cirrhosis have a higher incidence of both thiamine deficiency and ...
Then, Iemochi fell ill with thiamine deficiency. Concerned about the future of her country, the Tokugawa shogunate and Chikako ...
Williams, R. D.; Mason, H. L.; Smith, B. F.; Wilder, R. M. (1942). "Induced Thiamine (Vitamin B1) Deficiency and the Thiamine ... Williams, R. D.; Mason, H. L.; Power, M. H.; Wilder, R. M. (1943). "Induced Thiamine (Vitamin B1) Deficiency in Man". Archives ... Williams, R. D.; Mason, H. L.; Wilder, R. M.; Smith, B. F. (1940). "Observations on Induced Thiamine (Vitamin B1) Deficiency in ... "Observations on Induced Riboflavin Deficiency and the Riboflavin Requirement of Man". The Journal of Nutrition. 25 (4): 361-377 ...
For example, in thiamine deficiency, treatment would be the immediate administration of vitamin B1. Paresis Harrington, John N ... Thiamine deficiency can cause ophthalmoparesis in susceptible persons; this is part of the syndrome called Wernicke ...
The thiamine deficiency syndrome M74 is related to the fat and thiamine content of prey fish. The diet of Baltic salmon leads ... The need for thiamine depends on the amount of fat in the diet. Thiamine deficiency in eggs results from an unbalanced diet ... deficiency in eggs is the immediate cause of M74 mortality. The deficiency can be prevented by thiamine treatments. For the ... March 19, 2012). "The thiamine deficiency syndrome M74, a reproductive disorder of Atlantic salmon (Salmo salar) feeding in the ...
Thiamine deficiency (vitamin B₁ deficiency), with focus on subclinical forms and nonsevere clinical forms as well as the severe ... But the topic of thiamine deficiency also has been identified as an important component not only of malnutrition in the classic ... Lonsdale, Derrick (2017). Thiamine deficiency disease, dysautonomia, and high calorie malnutrition. London, United Kingdom: ...
Thiamin deficiency and brain disorders. Nutr Res Rev 16, 277-284. Hoffman, R. (2016). Thiamine deficiency in the Western diet ... Thiamine deficiency is identified to increase the risk of Alzheimer's disease in adults. The role of thiamine in brain ... Different factors can be involved in this development including thiamine deficiency and age vulnerability. A degree of brain ... nutritional deficiencies including thiamine, and niacin; infections, immune disorders, liver or kidney failure, metabolic ...
... thiamine) deficiency. This has been available for treatment and prevention since 1936, so the occurrence of this syndrome in ... A pregnant woman who presents in a dehydrated state due to pernicious vomiting urgently needs thiamine, as well as intravenous ... Anaemia is common in pregnancy and the puerperium, and folate deficiency has been linked to psychosis. The psychoses, mentioned ... Thornton W E (1977) Folate deficiency in puerperal psychosis. American Journal of Obstetrics and Gynecology 129: 222-223. ...
Spinazzi M, Angelini C, Patrini C (May 2010). "Subacute sensory ataxia and optic neuropathy with thiamine deficiency". Nature ... Vitamin B12 deficiency may cause, among several neurological abnormalities, overlapping cerebellar and sensory ataxia. ... Osimani A, Berger A, Friedman J, Porat-Katz BS, Abarbanel JM (March 2005). "Neuropsychology of vitamin B12 deficiency in ... of ethanol causes atrophy of the cerebellum by oxidative and endoplasmic reticulum stresses induced by thiamine deficiency. ...
Spinazzi M, Angelini C, Patrini C (May 2010). "Subacute sensory ataxia and optic neuropathy with thiamine deficiency". Nature ...
Eventually thiamine deficiency could have led to their demise. It is noteworthy to mention that there are several other ... In the explorers' journals they noted many symptoms of thiamine deficiency, so it is thought that they did not soak the nardoo ... Aborigines prepared nardoo by soaking the sporocarps in water for at least a day to avoid the effects of thiamine deficiency ... I. Activation of thiamine breakdown by organic bases". The Journal of Biological Chemistry. 196 (1): 289-95. PMID 12980969. ...
The predominant cause of nutritional optic neuropathy is thought to be deficiency of B-complex vitamins, particularly thiamine ... "Subacute sensory ataxia and optic neuropathy with thiamine deficiency". Nature Reviews Neurology. 6 (5): 288-93. doi:10.1038/ ... Deficiency of pyridoxine (vitamin B6), niacin (vitamin B3), riboflavin (vitamin B2), and/or folic acid also seems to play a ... A well-balanced diet with plenty of protein and green leafy vegetables, vitamin supplementation (thiamine, vitamin B12, folic ...
Martin PR, Singleton CK, Hiller-Sturmhöfel S (2003). "The role of thiamine deficiency in alcoholic brain disease". Alcohol Res ... as well as thiamin deficiency. It is possible in some cases that excessive alcohol use, via a kindling mechanism, can cause the ... Wernicke-Korsakoff syndrome is a manifestation of thiamine deficiency, usually as a secondary effect of alcohol misuse. The ... However, liver disease and certain genetic enzyme deficiencies result in high acetaldehyde levels. Heavy drinkers who are ...
If treatment is initiated early, thiamine deficiency can be prevented.[citation needed] The condition was first described in ... Thiamine responsive megaloblastic anemia syndrome (also known as Rogers Syndrome) is a very rare autosomal recessive genetic ... "Thiamine-responsive megaloblastic anemia syndrome". Genetics Home Reference. US National Library of Medicine. (Articles with ... The condition is treated with high doses of thiamine (vitamin B1). In most cases (80-99%), people with this condition ...
Many South Africans also have a Thiamine (Vitamin B1) deficiency. A serious deficiency in this vital nutrient can cause ... A deficiency in iron levels can lead to anemia, which is a condition classified by decreased hemoglobin levels in the blood. ... Vitamin C deficiency also has detrimental effects on the South African population. Scurvy, a disease that develops from an ... "Micronutrient Deficiencies". World Health Organization. Retrieved 10 December 2012. Van der Merwe, A. E.; M. Steyn; G. J. R. ...
A nutritional vitamin deficiency state that is caused by thiamin deficiency which is seen most commonly in alcoholics leads to ... A nutritional deficiency in thiamine can worsen alcohol-related brain damage. There is a genetic component to thiamine ... patients with thiamin. thiamine deficiency may occur in upwards of 80% of patients with alcoholism however, only ≈13% of such ... Thiamine is a vitamin your body needs for growth, development, and cellular function, as well as converting food into energy. ...
Because thiamine deficiency causes problems with memory and other cognitive functions, thiamine and analogs like sulbutiamine ... It is also used to treat thiamine deficiency and poor concentration. Being a potent cholinergic anxiolytic[citation needed], ... Efforts to develop thiamine derivatives with better bioavailability than thiamine were conducted in the 1950s, mainly in Japan ... Sulbutiamine (brand names Arcalion, Enerion) is a synthetic derivative of thiamine (vitamin B1). In France, it is used to treat ...
Wernicke encephalopathy: An acute neurological dysfunction caused by a thiamine deficiency. It is characterized by the triad of ...
Wernicke-Korsakoff syndrome is caused by thiamine deficiency, classically due to alcoholism. The characteristic ocular ...
Cats fed exclusively on raw, freshwater fish can develop a thiamine deficiency. Those fed exclusively on liver may develop ... Deficiencies result in disorders of the skin and poor immune functioning. When zinc is supplemented in diets, skin scaliness ... A deficiency in dietary copper is also related to collagen abnormalities, hypopigmentation of the skin, and alopecia. Sources ... Many nutrients can cause a variety of deficiency symptoms in cats, and the skin is a vital organ that is susceptible to dietary ...
... caused by a deficiency of thiamine); pellagra (caused by a niacin deficiency); tetany (caused by deficiencies of calcium, ... magnesium, and Vitamin D); rickets (also caused by a deficiency of Vitamin D); and kwashiorkor (caused by severe protein ... deficiency)." (See Mintz, Steven. "Historical Context: Facts about the Slave Trade and Slavery." History Now. Gilder Lehrman ...
... many studies have shown that the long-term use of furosemide can cause varying degrees of thiamine deficiency, so thiamine ... Katta N, Balla S, Alpert MA (July 2016). "Does Long-Term Furosemide Therapy Cause Thiamine Deficiency in Patients with Heart ...

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