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NIACIN (VITAMIN B3).

STRATON Alexandru, PhD 1, GIDU Diana, PhD 1.


1
Faculty of Physical Education and Sport, Ovidius University of Constanta, Bvd. Mamaia, No. 124, e-mail:
stratonalex@gmail.com.

Abstract. Vitamin B3 is part of vitamin B complex that plays an essential role in metabolism. Niacin is necessary for the
body to produce enzymes that help releasing energy in the form of glucose. Vitamin B3 plays a role in maintaining healthy
skin and digestive system; it also has a role in normal development of nerves and reduction of total cholesterol.

Key words: niacin, nicotinamide, deficiency, toxicity.

Introduction 2003) varying in terms of certain metabolic or diet


Niacin (also known as vitamin B3, nicotinic acid factors.
or vitamin PP) is an organic compound, colorless, solid Absorption of nicotinic acid and nicotinamide in
and water soluble. The forms of vitamin B3 include the stomach and intestine is rapid, and when the
nicotinamide (niacinamide), nicotinic acid (niacin) and concentration of nicotinic acid and nicotinamide is low
derivatives having biological activity of nicotinamide. the absorption can be achieved by facilitated diffusion,
The terms of niacin, vitamin B3 or nicotinamide are often which is sodium ion dependent; when the concentration
used interchangeably to refer for any member of this of nicotinic acid and nicotinamide is high, their
family of compounds that have the same biochemical absorption is realized predominantly by passive
activity. diffusion.
Niacin cannot be converted directly into
nicotinamide, but both compounds can be converted into Food sources
NAD+ (nicotinamide adenine dinucleotide) and NADP+ Niacin is found in animal products (liver, heart,
(nicotinamide adenine dinucleotide phosphate) in vivo. kidney, chicken (roasted 9.2 mg 6), turkey (roasted 5.5
Even if the two compounds are identical in vitamin mg), beef (roast 2.4 mg), tuna, salmon (canned in own
activity, nicotinamide (niacinamide) hasn’t the same juice 6.5 mg), sardines (canned in own juice 5.2 mg),
pharmacological and toxic properties as niacin. milk, eggs), in vegetables and fruits (avocados, tomatoes,
Nicotinamide does not reduce cholesterol and has no skin leafy vegetables, broccoli, carrots, sweet potatoes,
vasodilator properties (P. Jaconello, 1992). Niacin is a asparagus) and seeds (seeds and nuts (peanuts (roasted
precursor of NAD+/NADH 1 and NADP+/NADPH 2, 13.5 mg)), whole-grain products (whole wheat flour (6.4
which plays an essential metabolic role in living cells. mg)), bean). Niacin is also found in fungi and yeast.
Niacin is involved indirectly via NAD+ in DNA repair, Amino acid tryptophan-rich foods (mushrooms,
steroid hormone 3 production in the adrenal glands and shrimp, chicken, scallops, salmon, tofu) may become an
calcium mobilization. important source of niacin indirectly, by converting the
Amino acid tryptophan 4 can be partially amino acid tryptophan into niacin.
converted in nicotinamide, with the help of iron, Niacin is lost in significant quantities by boiling
riboflavin or vitamin B6, contributing to niacin body's and is recommended to be ingested in their natural state
needs (table 1). Conversion efficiency of tryptophan to (raw).
niacin appears to be 60 to 1 (from 60mg of tryptophan
will result 1mg of niacin) 5 (D. L. Yeung and I. Laquatra,
1
NAD+ is an oxidative agent that accepts electrons from other
molecules; this reaction forms NADH, which can be used as a
reducing agent to donate electrons.
2
NADPH is the reduced form of NADP+; NADPH provides reduction
equivalents for biosynthetic and oxidation-reduction reactions
engaged in defending the body from the toxic effects of free radicals
(Reactive Oxygen Species (ROS)); NADPH is also used in anabolic
ways like lipid synthesis, synthesis of cholesterol and fatty acid chain
elongation.
3
steroids that act as hormones; are grouped into five categories:
glucocorticoids (with a role in regulating glucose metabolism),
mineralocorticoids (influencing the balance between salt (sodium)
and water), androgens (influence the development of male sex,
spermatogenesis, muscle, brain and inhibits lipid storage), estrogen
(affecting the development of secondary sexual characteristics in
female reproductive system and some important features of sperm
maturation in men, affecting fetal development and mental health)
and progestagens (with functions in maintaining pregnancy).
4
essential amino acid. 6
values in parentheses represent mg of niacin from an average of
5
indicative average. 100g of food products; values are averages guidance.
Table 1. The recommended daily allowances of niacin intake (RDA) and tolerable upper limit of
niacin intake (UL) (Standing Committee on the Scientific Evaluation of Dietary Reference Intakes
and its Panel on Folate, Other B Vitamins, and Choline, Subcommittee on Upper Reference
Levels of Nutrients, Food and Nutrition Board, Institute of Medicine, 1998)
mg/day *
Age UL mg /day ***
~mg/kgbody/day

2 ** -
<6 months
~0,2 ** † -
Babies
4 ** -
7-12 months
~0,4 ** -
1-3 years 6 10
Children
4-8 years 8 15
9-13 years 12 20
Children - male
14-18 years 16 30
9-13 years 12 20
Children - female
14-18 years 14 30
19-30 years 16 35
31-50 years 16 35
Adults - male
51-70 years 16 35
>70 years 16 35
19-30 years 14 35
31-50 years 14 35
Adults - female
51-70 years 14 35
>70 years 14 35
14-18 years 18 30
Pregnant women 19-30 years 18 35
31-50 years 18 35
14-18 years 17 30
The first 12 months after
19-30 years 17 35
pregnancy (lactation)
31-50 years 17 35
* values represent mg per day of niacin equivalents;
** adequate intake (AI) of niacin equivalents or preformed niacin;
*** UL, tolerable upper limit; values represent mg per day of niacin;
† values represent mg per day of preformed niacin.

Utility Pellagra is a classic manifestation of severe


Niacin, as nicotinic acid form and in an deficiency of niacin. Pellagra is characterized by
amount between 1.5 g and 3g per day, have a role in erythematosus skin ulceration in areas of the skin
reducing atherosclerosis, by reducing total exposed to sunlight, changes in the digestive tract
cholesterol 7 (P. L. Canner et al., 1986), triglycerides, (vomiting, constipation or diarrhea, bright red
very low density lipoproteins (VLDL), low density tongue) or neurological symptoms (depression,
lipoprotein (LDL) and raising high density apathy, headache, fatigue or memory loss) (R.
lipoprotein (HDL). Prakash et al., 2008). Although pellagra is correlated
Niacin is an important function in energy with poverty and malnutrition, it almost disappeared
metabolism as part of the coenzymes NAD+ and in industrialized countries (developed countries)
NADP+; in turn, these coenzymes can be reduced to except for its appearance in chronic alcoholics or
form NADH and NADPH; these compounds have a people with conditions that disturb the formation of
role in transport of hydrogen required in many the amino acid tryptophan (S. Pitsavas et al., 2004 ).
cellular reactions, including certain reactions that are In some cases untreated pellagra may lead to death.
part of glycolysis, Krebs cycle, electron transport Hartnup disease (Hart syndrome) 8 is an
system and β-oxidation. inherited disorder resulting also from nutritional
Niacin is necessary for the maintenance and deficiency of niacin (R. Prakash et al., 2008). This
functioning of the skin, gastrointestinal tract and disease occurs due to certain problems arising in the
nervous system. intestines and kidneys 69, which makes degradation
and absorption of dietary tryptophan difficult for the
Symptoms of deficiency body. The characteristics of this disease are similar to

8
is an autosomal recessive metabolic disorder caused by
7
organic alcohol, sterol, identified in the cell membrane and impaired transport of neutral amino acids in the brush side of the
tissues of the body being carried in the blood. intestinal mucosa and proximal tubules of renal glomerulus.
pellagra, characterized by a red scaly rash and effects associated with niacin therapy. The British
sensitivity to sunlight. journal of ophthalmology, 79 (1): 54-56.
JACONELLO P., 1992, Niacin versus niacinamide.
Symptoms of overdose (toxicity) Canadian Medical Association journal, 147 (7):
Nicotinamide dose of about 3000mg can cause 990.
side effects like nausea, vomiting, signs and MCKENNEY J. M., PROCTOR J. D., HARRIS
symptoms of liver toxicity (J. I. Rader et al., 1992; T. S., CHINCHILI V. M., 1994, A comparison of
A. Dalton and R. S. Berry, 1992; J. M. McKenney et the efficacy and toxic effects of sustained- vs
al., 1994) and failure to glucose tolerance (blood immediate-release niacin in hypercholesterolemic
sugar increased by about 5-10% which leads to patients. JAMA: the journal of the American
hiperglycemia or diabetes). In severe cases of Medical Association, 271 (9): 672-677.
overdose with niacin (3g to 9g per day of niacin), PITSAVAS S., ANDREOU C., BASCIALLA F.,
hepatic dysfunction may occur and fulminant BOZIKAS V. P., KARAVATOS A., 2004,
hepatitis 9 (D. J. Fischer et al., 1991). Another sign of Pellagra encephalopathy following B-complex
toxicity with niacin, that commonly occurs in many vitamin treatment without niacin. International
patients, is skin redness (vasodilator effect), fatigue, journal of psychiatry in medicine, 34 (1): 91-95.
and acanthosis nigricans 10, at doses ranging between PRAKASH R., GANDOTRA S., SINGH L. K.,
30mg and 3000mg of niacin (J. M. McKenney et al., DAS B., LAKRA A., 2008, Rapid resolution of
1994). Also, in patients treated with high doses of delusional parasitosis in pellagra with niacin
nicotinic acid, nonspecific gastrointestinal effects can augmentation therapy. General hospital
occur. psychiatry, 30 (6): 581-584.
In some cases, niacin overdose (1,5g - 5g of RADER J. I., CALVERT R. J., HATHCOCK J.
niacin per day) can produce significant ocular effects N., 1992, Hepatic toxicity of unmodified and
as blurry vision, toxic amblyopia 11, macular edema 12 time-release preparations of niacin. The
or cystic maculopathy (F. W. Fraunfelder et al., American journal of medicine, 92 (1): 77-81.
1995). It appears that ocular effects induced by niacin STANDING COMMITTEE ON THE
overdose may be reversible and dose-dependent. SCIENTIFIC EVALUATION OF DIETARY
REFERENCE INTAKES AND ITS PANEL
Conclusion ON FOLATE, OTHER B VITAMINS, AND
The most important role of niacin is in energy CHOLINE, SUBCOMMITTEE ON UPPER
production and in reduction of total cholesterol. REFERENCE LEVELS OF NUTRIENTS,
FOOD AND NUTRITION BOARD,
Bibliography INSTITUTE OF MEDICINE, 1998, Dietary
Reference Intakes for Thiamin, Riboflavin,
CANNER P. L., BERGE K. G., WENGER N. K., Niacin, Vitamin B6, Folate, Vitamin B12,
STAMLER J., FRIEDMAN L., PRINEAS R. Pantothenic Acid, Biotin, and Choline. National
J., FRIEDEWALD W., 1986, Fifteen year Academy Press Washington, D.C.: 58-422.
mortality in Coronary Drug Project patients: YEUNG D. L., LAQUATRA I., 2003, Heinz
long-term benefit with niacin. Journal of the handbook of nutrition (ninth edition). H. J. Heinz
American College of Cardiology, 8 (6): 1245- Company, electronic format article (pdf): 69-116.
1255.
DALTON T. A., BERRY R. S., 1992, Hepatotoxicity
associated with sustained-release niacin. The
American journal of medicine, 93 (1): 102-104.
FISCHER D. J., KNOGHT L. L., VESTAL R. E.,
1991, Fulminant hepatic failure following low-
dose sustained-release niacin therapy in hospital.
The Western journal of medicine, 155 (4): 410-
412.
FRAUNFELDER F. W., FRAUNFELDER F. T.,
ILLINGWORTH D. R., 1995, Adverse ocular
9
acute contagious or infectious disease, produced by chronic
hepatitis B virus, which can cause serious long term health
problems.
10
velvety hyperpigmentation of the skin; it usually occurs in
places where the skin folds.
11
visual impairment (optic nerve damage) which may be caused
by tobacco, alcohol, certain medications or vitamin deficiency or
overdose.
12
accumulation of fluid in the macula (yellow spot - oval
depression in the posterior retina pole of the eye).

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