Zusammenfassung
Vitamin B6 spielt bei der Biosynthese der Neurotransmitter GABA, Dopamin und Serotonin als Coenzym eine wichtige Rolle und ist somit für die gesunde perinatale Entwicklung des Zentralnervensystems von Bedeutung. In Studien mit Ratten konnte gezeigt werden, daß neugeborene Tiere von Müttern mit einem Vitamin-B6-Mangel biochemische und morphologische Anomalien im Gehirn (reduzierte GABA- und Dopaminkonzentrationen, verminderte Dendritenverzweigungen und reduzierte Zahl der myelinisierten Axone und Synapsen) aufwiesen, was Verhaltens- und motorische Störungen, wie epilepsieartige Krampfanfälle und Bewegungsstörungen zur Folge hatte. Bei menschlichen Neugeborenen mit einem schweren Vitamin-B6-Mangel wurden ähnliche Störungen beobachtet. Neugeborene, die marginal mit Vitamin B6 unterversorgt waren, wiesen ein niedrigeres Geburtsgewicht auf und zeigten ein unreiferes reaktives und adaptives Verhalten als richtig ernährte Säuglinge. Es ist zwar noch nicht möglich, die für eine optimale Gehirnentwicklung benötigte Menge an Vitamin B6 genau zu definieren; man sollte aber schwangeren und stillenden Frauen empfehlen, Vitamin-B6-reiche Nahrung auszuwählen.
Summary
Vitamin B-6 is an important coenzyme in the biosynthesis of the neurotransmitters GABA, dopamine and serotonin and is therefore required for the normal perinatal development of the central nervous system. In rat studies, biochemical and morphological abnormalities (decreased dendritic arborization and reduced numbers of myelinated axons and synapses) in the brains of pups from vitamin B-6 deficient dams were associated with behavioral changes such as epileptiform seizures and movement disorders. In severely vitamin B-6 deficient human infants, similar behavioral abnormalities have been described. Marginally deficient neonates were found to have a lower birthweight and to display less mature reactive and adaptive behavior in the Brazleton Neonatal Assessment Scale than well-fed infants. While it is not yet possible to define the exact amount of vitamin B-6 required to support optimal brain development, pregnant and lactating women should be encouraged to consume a diet that is rich in vitamin B-6.
Literatur
Adams PW, Rose DP, Folkard J, Wynn V, Seed M, Strong R (1973) Effect of pyridoxine hydrochloride (vitamin B6) upon depression associated with oral contraception. Lancet 1:897–907
Adams PW, Wynn V, Seed M, Folkard J (1974) Vitamin B6, depression, and oral contraception. Lancet 2:516–517
Alton-Mackey MG, Walker BL (1973) Graded levels of pyridoxine in the rat diet during gestation and the physical and neuromotor development of offspring. Am J Clin Nutr 26:420–428
Aycock JE, Kirksey A (1976) Influence of different levels of dietary pyridoxine on certain parameters of developing and mature brains of rats. J Nutr 106:680–688
Barnard HC, de Kock JJ, Vermaak WJH, Potgieter GM (1987) A new perspective in the assessment of vitamin B6. Nutritional status during pregnancy in humans. J. Nutr 117:1303–1306.
Breznitz Z, Sherman T (1987) Speech patterning of natural discourse of well and depressed mothers and their young children. Child Dev 58:395–400
Chang SJ, Kirksey A (1990) Pyridoxine supplementation of lactating mothers: relation to maternal nutrition status and vitamin B6 concentrations in milk. Am J Clin Nutr 51:826–831
Chang SJ, Kirksey A, Morré DM (1981) Effect of vitamin B6 deficiency on morphological changes in dendritic trees of Purkinje cells in developing cerebellum of rats. J Nutr 111:848–857
Coursin DB (1955) Vitamin B6 deficiency in infants. A follow-up study. Am J Dis Child 90:344–348
Coursin DB (1954) Convulsive seizures in infants with pyridoxine deficient diet. JAMA 154:406–408
Dakshinamurti K, Paulose CS, Slow YL (1985) Neurobiology of pyridoxine. In: Reynolds RD, Leklem JE (eds) Vitamin B6: Its role in health and disease. Alan R. Liss, New York, pp 99–121
Dakshinamurti K, Paulose CS, Viswanathan M, Siow YL (1988) Neuroendocrinology of pyridoxine deficiency. Neurosci Biobehav Rev 12:189–193
Deutsche Gesellschaft für Ernährung (DGE) (1992) Empfehlungen für die Nährstoffzufuhr. Umschau Verlag, Frankfurt
Greene HL, Porchelli P, Adcook E, Swift L (1992) Vitamins for newborn infant formulas: a review of recommendations with emphasis on data from low birth-weight infants. Eur J Clin Nutr 46, Suppl 4:1–8
Groziak SM, Kirksey A (1987) Effects of maternal dietary restriction in vitamin B6 on neocortex development in rats: B6 vitamer concentrations, volume and cell estimates. J Nutr 117:1045–1052
Groziak SM, Kirksey A (1990) Effects of maternal restriction in vitamin B6 on neocortex development in rats: Neuron differentiation and synaptogenesis. J Nutr 120:485–492
Groziak S, Kirksey A, Hamaker B (1984) Effect of maternal vitamin B6 restriction on pyridoxal phosphate concentrations in developing regions of the central nervous system in rats. J Nutr 114:727–732
Guilarte TS, Miceli RC, Moran TH (1991) Developmental effects of vitamin B6 restriction on the locomotor behavior of rats. Brain Res Bull 26:857–861
Guilarte TR, Wagner HN, Frost JJ (1987) Effects of perinatal vitamin B6 deficiency on dopaminergic neurochemistry. J Neurochem 48:432–439
Guilarte TR (1989) Regional changes in the concentrations of glutamate, glycine, taurine, and GABA in the vitamin B6 deficient developing rat brain: association with neonatal seizures. Neurochem Res 14:889–897
Guilarte TR, Wagner HN (1987) Increased concentrations of 3-hydroxykynurenine in vitamin B6 deficient neonatal rat brain. J Neurochem 49:1918–1926
Hassinen JB, Durbin GT, Bernhart FW (1954) The vitamin B6 content of milk products. J Nutr 53:249–257
Hawkins WW, Barsky J (1948) An experiment on human vitamin B6 deprivation. Science 108:248–286
Henderson LM, Hulse JD (1978) Vitamin B6 relationship in tryptophan metabolism. In: National Research Council (ed) Human vitamin B6 requirements. National Academy of Sciences, Washington DC, pp. 21–36
Kang-Yoon SA, Kirksey A, Giacoia G, West K (1992) Vitaming B6 status of breast-fed neonates: influence of pyridoxine supplementation on mothers and neonates. Am J Clin Nutr 56:548–558
Kirksey A, Roepke JLB (1981) Vitamin B6 nutriture of mothers of three breast-fed neonates with central nervous system disorders. Fed Proc 40:864 (abstr)
Kirksey A, Susten SS (1978) Influence of dietary pyridoxine on lactation in the rat. J Nutr 108:104–112
Kretsch MJ, Sauberlich HE, Newbrun E (1991) Electroencephalographic changes and periodontal status during short-term vitamin B6 depletion of young nonpregnant women. Am J Clin Nutr 53:1266–1274
Leklem JE (1986) Vitamin B6 requirement and oral contraceptive use — a concern? J Nutr 116:475–477
Leklem JE (1991) Vitamin B6. In: Machlin LJ. Handbook of vitamins 2nd ed. Marcel Dekker Inc., New York, pp 341–392
Loo YH (1980) Vitamin B6 effects on the developing brain. In: Tryfiates GP (ed) Vitaming B6 metabolism and role in growth. Food and Nutrition Press, Westport, CT, pp 187–204
McCullough AL, Kirksey A, Wachs TD, McCabe PG, Bassily NS, Bishry Z, Galal OM, Harrison GG, Jerome NW (1990) Vitamin B6 status of Egyptian mothers: relation to infant behavior and maternal-infant interactions. Am J Clin Nutr 51:1067–1074
Molony CJ, Parmelee AH (1954) Convulsions in young infants as a result of pyridoxine (vitamin B6) deficiency. JAMA 154:405–406
Morré DM, Kirksey A, Das GD (1978) Effects of vitamin B6 deficiency on the developing nervous system of the rat. Gross measurements and cytoarchitectural alterations. J Nutr 108:1250–1259
Morré DM, Kirksey A (1980) The effect of a deficiency of vitamin B6 on selected neurons of the developing rat brain. Nutr Rep Int 21:301–312
Morrison LA, Driskell JA (1985) Quantities of B6 vitamers in human milk by high-performance liquid chromatography. Influence of maternal vitamin B6 status. J Chromatogr 337:249–258
National Rescarch Council (1989) Recommended dietary allowances. 10th Edition. National Academy Press, Washington DC
Nelson KB, Ellenberg JH (1981) Apgar scores as predictors of chronic neurologic disability. Pediatrics 68:35–44
Pinelli A, Ossi C, Colombo R, Tofanetti O, Spazzi L (1984) Experimental convulsions in rats by intraventricular administration of kynurenine and structurally related compounds. Neuropharmacology 23:333–337
Pulkkinen MO, Salminen J, Virtanen S (1978) Serum vitamin B6 in pure pregnancy depression. Acta Obstet Gynecol Scand 57:471–472
Roepke JLB, Kirksey A (1979) Vitamin B6 nutriture during pregnancy and lactation. II. The effect of longterm use of oral contraceptives. Am J Clin Nutr 32:2257–2264
Roepke JLB, Kirksey A (1982) Priorities of mothers and their infants for vitamin B6 during gestation. Fed Proc 41:469 (abstr)
Roepke JLB, Kirksey A (1979) Vitamin B6 nutriture during pregnancy and lactation. I. Vitamin B6 intake, levels of the vitamin in biological fluids, and condition of the infant at birth. Am J Clin Nutr 32:2249–2256
Schuster K, Bailey LB, Mahan CS (1981) Vitamin B6 status of low-income adolescent and adult pregnant women and the condition of their infants at birth. Am J Clin Nutr 34:1731–1735
Schuster K, Bailey B, Mahan CS (1984) Effect of maternal pyridoxine HCl supplementation on the vitamin B6 status of mother and infant and on pregnancy outcome. J Nutr 114:977–988
Sharma SK, Dakshinamurti K (1992) Seizure activity in pyridoxine-deficient adult rats. Epilepsia 33:235–247
Wasynczuk A, Kirksey A, Morré DM (1983) Effects of maternal vitamin B6 deficiency on specific regions of developing rat brain: the extrapyramidal motor system. J Nutr 113:746–754
West KD, Kirksey A (1976) Influence of vitamin B6 intake on the content of the vitamin in human milk. Am J Clin Nutr 29:961–969
Winick M (1989) Nutrition, pregnancy, and early infancy. William & Wilkins, Baltimore, MD
Winston F (1973) Oral contraceptives, pyridoxine, and depression. Am J Psychiat 130:1217–1221
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Gerster, H. Die Bedeutung von Vitamin B6 für die Entwicklung des Säuglings. Z Ernährungswiss 35, 309–317 (1996). https://doi.org/10.1007/BF01610548
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DOI: https://doi.org/10.1007/BF01610548
Schlüsselwörter
- Vitamin B6
- Schwangerschaft
- Laktation
- Gehirnentwicklung
- Dendriten
- Neurotransmitter
- Krampfanfälle
- Rattenmodell
- Mensch