Carbohydrates Note M.N Chatterjea For Nurses Part I

Carbohydrates Note M.N Chatterjea Definition

Carbohydrates are essential biomolecules that serve various functions in the body, primarily as a source of energy. Chemically, they are defined as aldehyde or ketone derivatives of higher polyhydric alcohols. More specifically, they are compounds that yield these derivatives upon hydrolysis. Carbohydrates are integral to many physiological processes, and understanding their structure and function is vital for nursing practice.

Classification

Carbohydrates can be classified into four primary groups based on their structure and complexity:

  1. Monosaccharides
  2. Disaccharides
  3. Oligosaccharides
  4. Polysaccharides

1. Monosaccharides

Monosaccharides, often referred to as “simple sugars,” are the most basic form of carbohydrates. They cannot be hydrolyzed into simpler sugars and serve as the fundamental building blocks for more complex carbohydrates.

  • General Formula: CₙH₂ₙOₙ

Subdivision of Monosaccharides

Monosaccharides can be further categorized based on two criteria:

  • Number of Carbon Atoms: Monosaccharides are classified as trioses (3 carbons), tetroses (4 carbons), pentoses (5 carbons), hexoses (6 carbons), etc.
  • Functional Group: Monosaccharides are classified as aldoses (containing aldehyde groups, -CHO) or ketoses (containing ketone groups, -CO).
Sr. No General Formula Name Based on Carbon Atoms Aldehyde or Aldo Sugars Ketone or Keto Sugars
01 C₃H₆O₃ Trioses Glyceraldehyde Dihydroxyacetone
02 C₄H₈O₄ Tetroses Erythrose Erythrulose
03 C₅H₁₀O₅ Pentoses Ribose Ribulose
04 C₆H₁₂O₆ Hexoses Glucose Fructose

2. Disaccharides

Disaccharides consist of two monosaccharide molecules linked together. When hydrolyzed, they yield two molecules of the same or different monosaccharides.

  • General Formula: Cₙ(H₂O)ₙ₋₁

Examples of Disaccharides

  • Maltose: Composed of two glucose molecules.
  • Lactose: Composed of one glucose molecule and one galactose molecule.
  • Sucrose: Composed of one glucose molecule and one fructose molecule.
  • Lactulose: A keto disaccharide that has therapeutic applications.

3. Oligosaccharides

Oligosaccharides are carbohydrates that yield 3 to 10 monosaccharide units upon hydrolysis. An example is maltotriose, which consists of three glucose units.

4. Polysaccharides (Glycans)

Polysaccharides are complex carbohydrates that yield more than ten monosaccharide units on hydrolysis.

  • General Formula: (C₆H₁₂O₆)ₙ

Types of Polysaccharides

Polysaccharides can be further categorized into two main groups:

  1. Homo-polysaccharides (Homoglycans): Composed of the same monosaccharide units. Examples include starch, glycogen, inulin, cellulose, dextrins, and dextrans.
  2. Hetero-polysaccharides (Heteroglycans): Composed of different monosaccharide units or their derivatives. An example is mucopolysaccharides (glycosaminoglycans).

Biomedical Importance of Carbohydrates

Carbohydrates play a vital role in human health and physiology for various reasons:

1. Primary Source of Energy

Carbohydrates are the body’s primary source of energy. They are broken down into glucose, which is used by cells for metabolic processes. This energy is crucial for maintaining bodily functions, physical activity, and overall health.

2. Structural Components

Carbohydrates are key components of various biological structures. For instance, they are integral to the formation of cell membranes and contribute to the structure of nucleic acids (like DNA and RNA) and proteins.

3. Role in Metabolism

Carbohydrates participate in numerous metabolic pathways. Their degradation products can act as “promoters” or “catalysts” in various biochemical reactions. For instance, glucose can be converted into fatty acids or amino acids, highlighting the versatility of carbohydrates in metabolism.

4. Medicinal Applications

Certain carbohydrate derivatives, such as cardiac glycosides and some antibiotics, have significant therapeutic applications. These compounds can be vital in treating various medical conditions, emphasizing the importance of carbohydrates in pharmacology.

5. Nutritional Value

Lactose, the principal sugar found in milk, is critical for nutrition, especially in infants. It aids in the absorption of calcium and supports the growth of beneficial gut bacteria.

6. Precursor for Biosynthesis

Degradation products of carbohydrates are utilized in synthesizing other biomolecules, such as fatty acids, cholesterol, and amino acids. This role is vital for maintaining cellular functions and overall metabolic health.

7. Tissue Integrity

Carbohydrates are constituents of mucopolysaccharides, which form the ground substance of mesenchymal tissues. This contributes to tissue integrity, elasticity, and overall health.

8. Metabolic Disorders

Inherited deficiencies in certain enzymes involved in carbohydrate metabolism can lead to diseases such as galactosemia, glycogen storage diseases (GSDs), and lactose intolerance. Understanding these conditions requires a solid grasp of carbohydrate biochemistry.

9. Diabetes Mellitus

Disruptions in glucose metabolism are a hallmark of diabetes mellitus, making the understanding of carbohydrates essential for effective management and treatment of the condition.

Conclusion

Carbohydrates are essential to human health, serving not only as a primary source of energy but also as crucial components in various biochemical processes. Understanding their classification, structure, and function is vital for nurses and healthcare professionals to provide informed care and patient education. As research in medical nutrition and carbohydrate biochemistry progresses, the significance of carbohydrates in health and disease continues to evolve.

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