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| Pantothenic acid | |
|---|---|
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| IUPAC name | 3-[(2,4-dihydroxy-3, 3-dimethyl-1-oxobutyl) amino]propanoic acid |
| Identifiers | |
| CAS number | [137-08-6] |
| PubChem | |
| SMILES | CC(C)(CO)C(C(=O)NCCC(=O)O)O |
| Properties | |
| Molecular formula | C9H17NO5 |
| Molar mass | 219.235 |
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Except where noted otherwise, data are given for materials in their standard state (at 25 °C, 100 kPa) Infobox disclaimer and references |
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Pantothenic acid, also called vitamin B5 (a B vitamin), is a water-soluble vitamin required to sustain life (essential nutrient). Pantothenic acid is needed to form coenzyme-A (CoA), and is critical in the metabolism and synthesis of carbohydrates, proteins, and fats. In chemical structure, it is the amide between D-pantoate and beta-alanine. Its name is derived from the Greek pantothen (παντόθεν) meaning "from everywhere" and small quantities of pantothenic acid are found in nearly every food, with high amounts in whole-grain cereals, legumes, eggs, meat, and royal jelly. It is commonly found as its alcohol analog, the provitamin panthenol, and as calcium pantotherate.
Only the dextrorotatory (D) isomer of pantothenic acid possesses biologic activity.[1] The levorotatory (L) form may antagonize the effects of the dextrorotatory isomer.[2]
Pantothenic acid is used in the synthesis of coenzyme A (abbreviated as CoA). Coenzyme A may act as an acyl group carrier to form acetyl-CoA and other related compounds; this is a way to transport carbon atoms within the cell. The transfer of carbon atoms by coenzyme A is important in cellular respiration, as well as the biosynthesis of many important compounds such as fatty acids, cholesterol, and acetylcholine.
Since pantothenic acid participates in a wide array of key biological roles, it is considered essential to all forms of life.[3] As such, deficiencies in pantothenic acid may have numerous wide-ranging effects, as discussed below.
Pantothenic acid is vital for a healthy pregnancy.
Small quantities of pantothenic acid are found in most foods,[4] with high quantities found in whole grain and eggs. Pantothenic acid can also be found in many dietary supplements (as calcium-D-pantotherate), and some companies are now adding pantothenic acid to their beverages.
A recent study also suggests that gut bacteria in humans can generate pantothenic acid[5].
Pantothenate in the form of pantethine is considered to be the more active form of the vitamin in the body, but is unstable at high temperatures or when stored for long periods, so calcium pantothenate is the more usual form of vitamin B5 when it is sold as a dietary supplement. Ten mg of calcium pantothenate is equivalent to 9.2 mg of pantothenic acid.
| Age group | Age | Requirements
(in mg per day) |
|---|---|---|
| infants | 0-6 months | 1.7 |
| infants | 7-12 months | 2 |
| children | 4-8 years | 3 |
| children | 9-13.5 years | 4 |
| adolescents | 14-18 years | 5 |
| adults | 19 years and older | 5 |
| pregnant women | 6 | |
| breastfeeding women | 7 |
Pantothenic acid deficiency is exceptionally rare and has not been thoroughly studied. In the few cases where deficiency has been seen (victims of starvation and limited volunteer trials), nearly all symptoms can be reversed with the return of pantothenic acid.
Symptoms of deficiency are similar to other vitamin B deficiencies. Most are minor, including fatigue, allergies, nausea, and abdominal pain. In a few rare circumstances more serious (but reversible) conditions have been seen, such as adrenal insufficiency and hepatic encephalopathy.
It has been noted that painful burning sensations of the feet were reported in tests conducted on volunteers. Deficiency of pantothenic acid may explain similar sensations reported in malnourished prisoners of war.[3]
Given pantothenic acid's prevalence among living things and the limited body of studies in deficiency, many "alternative" uses of pantothenic acid have been devised.
Mouse models identified skin irritation and loss of hair color as possible results of severe pantothenic acid deficiency.[citation needed] As a result, the cosmetic industry began adding pantothenic acid to various cosmetic products, including shampoo. These products, however, showed no benefits in human trials.[citation needed] Despite this, many cosmetic products still advertise pantothenic acid additives.
Following from discoveries in mouse trials,[citation needed] in the late 1990s a small study was published promoting the use of pantothenic acid to treat acne vulgaris.
According to a study published in 1995 by Dr. Lit-Hung Leung,[6] high doses of Vitamin B5 resolved acne and decreased pore size. Dr. Leung also proposes a mechanism, stating that CoA regulates both hormones and fatty-acids, and without sufficient quantities of pantothenic acid, CoA will preferentially produce androgens. This causes fatty acids to build up and be excreted through sebaceous glands, causing acne. Leung's study gave 45 Asian males and 55 Asian females varying doses of 10-20g of pantothenic acid (100,000%-200,000% of the US Daily Value), 80% orally and 20% through topical cream. Leung noted improvement of acne within one week to one month of the start of the treatment.[citation needed]
Critics are quick to point out the flaws in Dr. Leung's study, however. Dr. Leung's study was not a double-blind placebo controlled trial. To date, the only study looking at the effect of Vitamin B5 on acne is Dr. Leung's, and few if any dermatologists prescribe high-dose pantothenic acid. Furthermore, there is no evidence documenting acetyl-CoA regulation of androgens instead of fatty acids in times of stress or limited availability, since fatty acids are also necessary for life.
28 out of 33 patients (84,8%) previously treated with alpha-lipoic acid for peripheral polyneuropathy reported further improvement after combination with pantothenic acid. The theoretical basis for this is that both substances intervene at different sites in pyruvate metabolism and are thus more effective than one substance alone. Additional clinical findings indicated that diabetic neuropathy may occur in association with a latent prediabetic metabolic disturbance, and that the symptoms of neuropathy can be favourably influenced by the described combination therapy, even in poorly controlled diabetes. [7]
| Vitamins (A11) | |
|---|---|
| fat soluble | A (Retinol, Beta-carotene, Tretinoin, Alpha-carotene) - D (Ergocalciferol, Cholecalciferol, Dihydrotachysterol, Calcitriol, Calcidiol) - E (Tocopherol, Tocotrienol) - K (Naphthoquinone, Phylloquinone/K1, Menatetrenone/K2) |
| water soluble: B vitamins | B1 (Thiamine, Sulbutiamine, Benfotiamine) - B2 (Riboflavin) - B3 (Niacin, Nicotinamide) - B5 (Pantothenic acid, Dexpanthenol, Pantethine) - B6 (Pyridoxine, Pyridoxal phosphate) - B7 (Biotin) - B9 (Folic acid) - B12 (Cyanocobalamin, Hydroxocobalamin, Methylcobalamin, Cobamamide) |
| water soluble: other | C (Ascorbic acid) - Choline |
| [hide] Preparations for treatment of wounds and ulcers (D03) | |
|---|---|
| Cicatrizants | Cadexomer iodine - Dextranomer - Dexpanthenol - Calcium pantothenate - Hyaluronic acid - Becaplermin - Glyceryl trinitrate - Isosorbide dinitrate - Crilanomer - Enoxolone |
| Proteolytic enzymes | Trypsin - Clostridiopeptidase |
The content of this section is licensed under the GNU Free Documentation License (local copy). It uses material from the Wikipedia article "Pantothenic acid" modified December 22, 2007 with previous authors listed in its history.