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Part of the book series: Advances in Experimental Medicine and Biology ((AEMB,volume 503))

Abstract

Vitamin B-12 is a “cobalamin”, a term that describes structures with a corrin ring which has a central cobalt atom, phosphate, a base, and ribose. One of several groups can be attached to the cobalt: cyanide, forming vitamin B-12; 5’deoxyadenosine, forming 5’ deoxyadenosylcobalamin; or a methyl group, forming methylcobalamin. Methylcobalamin is a cofactor for the conversion of homocysteine to methionine, and adenosylcobalamin is required for the conversion of methyl malonyl CoA to succinyl CoA. These cofactor functions explain why in vitamin B-12 deficiency there is elevated methylmalonic acid (MMA) in urine and serum, and plasma homocysteine (Hcy).

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References

  1. Institute of Medicine. Dietary Reference Intakes for Thiamin, Riboflavin, Niacin,Vitamin B-6,Folate,Vitamin B-12, Pantothenic Acid, Biotin and Choline (National Academy Press, Washington D.C., 1998).

    Google Scholar 

  2. L.H. Allen. Vitamin B-12 metabolism and status during pregnancy, lactation and infancy, in: Nutrient Regulation during Pregnancy, Lactation and Infant Growth, edited by L.Allen, J.King and B. Lonnerdal, pp. 173–186, (Plenum Press, New York, 1994).

    Google Scholar 

  3. A.L. Luhby, J.M. Cooperman, A.M. Donnenfeld, J.M. Herrero, D.N. Teller, and J.B. Wenig. Observations on transfer of vitamin B-12 from other to fetus and newborn, Am. J. Dis. Child. 96:532–533.

    Google Scholar 

  4. Y. Adkins and B. Lonnerdal. High affinity binding of the transcobalamin II-cobalamin complex and expression of haptocorrin by human mammary epithelial cells, Biochim. Biophys. Acta (submitted).

    Google Scholar 

  5. Y. Adkins. The Role of Haptocorrin in Vitamin B-12 Nutrition in Infancy, PhD Thesis, Department of Nutrition, University of California, Davis, 2000.

    Google Scholar 

  6. N. Trugo and F. Sardinha. Cobalamin and cobalamin-binding capacity in human milk, Nutr. Res. 14:2233, 1994.

    Article  Google Scholar 

  7. B.L. Specker, A. Black, L. Allen, and F. Morrow. Vitamin B-12: low milk concentrations are related to low serum concentrations in vegetarian women and to methylmalonic aciduria in their infants, Am. J. Clin. Nutr. 52:1073–1076, 1990.

    PubMed  CAS  Google Scholar 

  8. A.K. Black, L.H. Allen, G.H. Pelto, M.P. de Mata, and A. Chavez. Iron, vitamin B-12 and folate status in Mexico: associated factors in men and women and during pregnancy and lactation, Am. J. Clin. Nutr. 124:1179–1188, 1994.

    CAS  Google Scholar 

  9. J.E. Casterline, L.H. Allen, and M.T. Ruel. Vitamin B-12 deficiency is very prevalent in lactating Guatemalan women and their infants at three months postpartum, J. Nutr. 127:1966–1972, 1997.

    PubMed  CAS  Google Scholar 

  10. D.R. Miller, B.L. Specker, M.L. Hop, and E.J. Norman. Vitamin B-12 status in a macrobiotic community, Am. J. Clin. Nutr. 53:524–529 (1991).

    PubMed  CAS  Google Scholar 

  11. S.M. Graham, O.M. Arvela, and G.A. Wise. Long-term neurologic consequences of nutritional vitamin B-12 deficiency in infants, J. Pediatr. 121:710–714.

    Google Scholar 

  12. U. von Schenck, C. Bender-Gotze, and B. Koletzko. Persistence of neurological damage induced by dietary vitamin B-12 deficiency in infancy, Arch. Dis. Child. 77:139, 1997.

    Article  Google Scholar 

  13. P.C. Dagnelie, W.A. F.J.V.R.A. Vergote, J. Burema, M.A. van’t Hof, J.D. van Klaveren, and J.G.A.J. Hautvast. Nutritional status of infants aged 4 to 18 months on macrobiotic diets and matched omnivorous control infants: A population-based mixed-longitudinal study, Eur. J. Clin. Nutr. 43:325–338, 1989.

    PubMed  CAS  Google Scholar 

  14. J. Schneede, P.C. Dagnelie, W.A. van Staveren, S.E. Vollset, H. Refsum, and P.M. Ueland. Methylmalonic acid and homocysteine in plasma as indicators of functional cobalamin deficiency in infants on macrobiotic diets, Pediatr. Res. 36:194–201, 1994.

    Article  PubMed  CAS  Google Scholar 

  15. M. Van Dusseldorp, J. Schneede, H. Refsum, P.M. Ueland, C.M.G. Thomas, and E. de Boer. Risk of persistent cobalamin deficiency in adolescents fed a macrobiotic diet in early life, Am. J. Clin. Nutr. 69:664–671, 1999.

    PubMed  Google Scholar 

  16. M.W.J. Louwman, M. van Dusseldorp, F.J.R. van de Vijver, C.M.G. Thomas, J. Schneede, P.M. Deland, H. Refsum, and W.A. van Staveren. Signs of impaired cognitive function in adolescents with marginal cobalamin status, Am. J. Clin. Nutr. 72:762–769, 2000.

    PubMed  CAS  Google Scholar 

  17. L.H. Allen, J.L. Rosado, J.E. Casterline, H. Martinez, P. Lopez, E. Munoz, and A.K. Black. Vitamin B12 deficiency and malabsorption are highly prevalent in rural Mexican communities, Am. J. Clin. Nutr. 62:1013–1019, 1995.

    PubMed  CAS  Google Scholar 

  18. G.T. Bondevik, B. Eskeland, R.J. Ulvik, M. Ulstein, R.T. Lie, J. Schneede, and G. Kvale. Anemia in pregnancy: possible causes and risk factors in Nepali women, Eur. J. Clin. Nutr. 54:3–8, 2000.

    Article  PubMed  CAS  Google Scholar 

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Allen, L.H. (2002). Impact of Vitamin B-12 Deficiency During Lactation on Maternal and Infant Health. In: Davis, M.K., Isaacs, C.E., Hanson, L.Å., Wright, A.L. (eds) Integrating Population Outcomes, Biological Mechanisms and Research Methods in the Study of Human Milk and Lactation. Advances in Experimental Medicine and Biology, vol 503. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-0559-4_6

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  • DOI: https://doi.org/10.1007/978-1-4615-0559-4_6

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4613-5132-0

  • Online ISBN: 978-1-4615-0559-4

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