Vitamin deficiency associated with increase xanthurenic acid excretion in urine?
## **Core Concept**
The question tests the knowledge of vitamin deficiencies and their effects on metabolic pathways, specifically focusing on the excretion of xanthurenic acid in urine. Xanthurenic acid is a metabolite related to tryptophan metabolism.
## **Why the Correct Answer is Right**
The correct answer, **. Vitamin B6 (Pyridoxine)**, is linked to tryptophan metabolism. Vitamin B6 acts as a coenzyme for the enzyme kynureninase in the kynurenine pathway of tryptophan metabolism. A deficiency in Vitamin B6 leads to an abnormal tryptophan metabolism, resulting in increased production of xanthurenic acid, which is then excreted in the urine. This is a key biochemical abnormality associated with Vitamin B6 deficiency.
## **Why Each Wrong Option is Incorrect**
- **Option A:** Vitamin B12 deficiency primarily leads to hematological and neurological disorders, not directly related to xanthurenic acid excretion.
- **Option B:** Vitamin B2 (Riboflavin) deficiency causes skin and mucous membrane lesions and is not directly linked to tryptophan metabolism or xanthurenic acid excretion.
- **Option D:** Folic acid deficiency can lead to megaloblastic anemia and is not directly involved in the metabolic pathway leading to xanthurenic acid production.
## **Clinical Pearl / High-Yield Fact**
A key clinical correlation is that patients with Vitamin B6 deficiency may exhibit increased excretion of xanthurenic acid in urine, which can be a diagnostic clue. Additionally, certain conditions like pregnancy or the use of certain drugs (e.g., oral contraceptives) can lead to a functional Vitamin B6 deficiency, affecting tryptophan metabolism.
## **Correct Answer:** . Vitamin B6 (Pyridoxine)