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People with beriberi, a disease caused by a thiamin deficiency, have elevated levels of blood pyruvate...

People with beriberi, a disease caused by a thiamin deficiency, have elevated levels of blood pyruvate and α-ketoglutarate, especially after consuming a meal rich in glucose. How can you explain the rise in these compounds based on this vitamin?

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Thiamine pyrophosphate (TPP), the active form of thiamine, is a cofactor ( Non protein part of an enzyme) for enzyme Pyruvate dehydrogenase complex and alpha-ketoglutarate dehydrogenase. These enzyme play an important role in Krebs cycle. So people with vitamin B deficiency cannot synthesized TPP so they have elevated levels of blood pyruvate and α-ketoglutarate.

Thiamine-------> TPP is cofactor for -----> Pyruvate dehydrogenase and alpha ketoglutarate enzyme

No Thiamine----> No TPP----> Elevated Pyruvate and alpha ketoglutarate level

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