American Journal of Pharmacological Sciences
ISSN (Print): 2327-6711 ISSN (Online): 2327-672X Website: https://www.sciepub.com/journal/ajps Editor-in-chief: Srinivas NAMMI
Open Access
Journal Browser
Go
American Journal of Pharmacological Sciences. 2016, 4(2), 20-27
DOI: 10.12691/ajps-4-2-2
Open AccessArticle

Complex B vitamins: Physiology and Therapeutic Effect on Pain

Alberto Mimenza Alvarado1, and Sara Aguilar Navarro1

1Geriatric Department, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, México

Pub. Date: March 11, 2016

Cite this paper:
Alberto Mimenza Alvarado and Sara Aguilar Navarro. Complex B vitamins: Physiology and Therapeutic Effect on Pain. American Journal of Pharmacological Sciences. 2016; 4(2):20-27. doi: 10.12691/ajps-4-2-2

Abstract

Complex B vitamins (B1, B6, and B12) have shown affect several metabolic routes in the organism. Vitamin B1, or thiamine, has anti-oxidative properties and significant effects on the nitric oxide-cGMP pathway, giving it anti-hyperalgesic and anti-allodynic properties. Vitamin B6, or pyridoxine, has modulatory effects on calcium channels, inhibiting glutamate synthesis and intervening in the metabolism of carbohydrates. Vitamin B12 shows reconstructive effects and increases epidermal growth factor synthesis. Combining them produces an additive effect that, apart from participating in vital body functions, can help treat diseases such as pain. It is important to know about the mechanisms that explain their analgesic and anti-allodynic effects, in order to understand the physiologic mechanisms involved in these actions. This article summarizes Vitamins B1, B6 and B12 actions, focusing in pain treatment.

Keywords:
thiamine cobalamine pyridoxine pain nitric oxide oxidative

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

Figures

Figure of 6

References:

[1]  Hasan Nazmul, Akhtaruzzaman M, Zakir Sultan. Estimation of Vitamins B-Complex (B2, B3, B5 and B6) of Some Leafy Vegetables Indigenous to Bangladesh by HPLC Method. Journal of Analytical Sciences, Methods and Instrumentation 2013; 3:24-29.
 
[2]  Mollinedo PM, Carrillo LK. Absorción, excreción y metabolismo de las vitaminas hidrosolubles. Revista de Actualización Clínica 2014;41:2146-2150.
 
[3]  Manzetti S, Zhang J, van der Spoel D. Thiamine function, metabolism, uptake and transport. Biochemistry 2014,53:821-835.
 
[4]  Luigi di Salvo M, Contestabile R, Safo Mk. Vitamin B6 salvage enzymes: mechanism, structure and regulation. Biochimica et Biophfysica Acta 2011; 1814: 1597-1608.
 
[5]  Bowling FG. Pyridoxine supply in human development. Seminars in Cell & Development Biology 2011;22: 611-618.
 
[6]  Lachner C, Steinle NI, Regenold WT. The neuropsychiatry of vitamin B12 deficiency elderly patients. J Neuropsychiatry Clin Neurosci 2012;24: 5-15.
 
[7]  Rakesh KG, Santosh KY, Saraswat VA, et al. Thiamine deficiency realted microstructural brain changes in acute and acute on chornic liver failure of non alcoholic etiology. Clinical Nutrition 2012;31: 422-428.
 
[8]  Guéant JL, Gasten J, Vidailhet M. Méthodes biologiques de diagnostique positif et etiologique des carence vitaminiques- Nutr Clin Métabol 1995;9: 29-42.
 
[9]  Smithline H, Donnino M, Greenblatt Dj. Pharmacokinetics of high dose oral thimine hydrochloride in healthy subjects. BMC clinical pharmacology 2012;12(4): 1-10.
 
[10]  Osiezagha K, Ali S, Freeman C, et al. Thiamine deficiency and delirium. Innov Clin Neurosci 2013;10(4): 26-32.
 
[11]  Page G, Laight D, Cummings M. Thiamine deficiency in diabetes mellitus and the impact of thiamine on glucose metabolism and vascular disease. International Journal of Clinical Practice 2011;65(6): 1-17.
 
[12]  Vin ouc Luong K, Thi Hoang L. The impact of the thiamine treatment in the diabetes mellitus. J Clin Med Res 2012;4(3): 153-160.
 
[13]  O´Keeffe ST. Thiamine deficiency in elderly people. Age and Ageing 2000;29: 99-101
 
[14]  O´Keeffe ST, Tormey WP, Glasgow R, et al. The relationship between erythrocyte transketolase activity and the “TPP effect” in Wernicke´s encephalopathy and other thiamine deficiency states. Clin Chim Acta 1990;192: 89-98.
 
[15]  Roman Campos D, Santos Cruz J. Current aspects of thiamine deficiency on heart function. Life Sci 2014; 98: 1–5.
 
[16]  Lu J, Frank EL, Rapid HPLC. Measurement of thiamine and its phosphate esters in whole blood. Clinical Chemistry 2008;54(5): 901-906.
 
[17]  Nardone R, Höler Y, Storti M, et al. Thiamine deficiency induced neurochemical, neuroanatomical and neuropsycological alterations: a reappraisal. The Scientific World Journal 2013; 1-8.
 
[18]  Mimenza AJ, Aguilar SG. Comparative Clinical Trial of Safety and Tolerability of Gabapentin Plus Vitamin B1/B12 versus Pregabalin in the Treatment of Painful Peripheral. J Pain Relief 2014, S3: 1-6. Diabetic Neuropathy.
 
[19]  Vindedzis SA, Stanton KG, Sherriff JL, et al. Thimine deficiency in diabetes – is diet relevant?. Diab Vasc Dis Res 2008;5(3): 215.
 
[20]  Rao J, Oz G, Seaquist ER. Regulation of cerebral glucose metabolism. Minerva Endocrinol 2000; 31: 149-158.
 
[21]  Abdoulaye Bá. Metabolic and structural role of thiamine in nervous tissues. Cell Mol Neurobiol 2008;28: 923-931.
 
[22]  De Palma C, Falcone S, Panzeri C, et al. Endotelial nitric oxide sinthase overexpression by neuronal cells in neurodegenration: a link between inflammation and neuroprotection. Journal of Neurochemistry 2008;106(1): 193-204.
 
[23]  Lui A, Lumeng L, Aronoff Gr, et al. Relationship between body stores of vitamin B6 and plasma pyridoxal-P clearence: metabolic balance studies in humans. J Lab Clin Med 1983;106: 491-497.
 
[24]  Spinneker A, sola R, Lemmen V, et al. Vitamin B6 status, deficiency and its consequences –an overview. Nutr Hosp 2007;22(1): 7-24.
 
[25]  Herrmann W, Knapp JP. Hyperhomocysteinemia: a new risk factor for degenerative diseases. Clin Lab 2002;48: 471-481.
 
[26]  Haller J, Lowik MR, Ferry M, et al. Nutritional status: blood vitamins A, E, B6, B12, folic acid and carotene. Euronut SENECA investigators. Eur J Clin Nutr 1991;45(supl.3):63-82.
 
[27]  Siow YL. Dakshinamurti K. Neuronal DOPA decarboxylase. Ann N. Y. Acad Sci 1990;585: 173-188.
 
[28]  Ahmad I, Mirza T, Qadeer K, et al. Vitamin B6: deficiency diseases and methods of analysis. Pak J Pharm Sci 2013;26(5): 1057-1069.
 
[29]  Hashmi A, Wang L, Juneja KY, et al. Vitamin B6 inhibits oxidative stress caused by Alzheiemer´s disease-related Cu (II)-β-amyloid complexes-cooperative action of phosphor-moiety. Bioorg Med Chem Lett 2011;21: 6430-6432.
 
[30]  Pennypacker LC, Allen RH, Kelly JP, et al. High prevalence of cobalamin deficeincy in elderly outpatients. J AM Ger Soc 1992;40: 1197-1204.
 
[31]  Lindenbaum J, Rosenberg IH, Wilson PW, et al. Prevalence of cobalamin deficiency in the Framingham elderly population. Am J Clin Nutr 1994;60(1): 2-11.
 
[32]  Langan RC, Zawitoski KJ. Update on vitamin B12 deficiency. Am Fam Physician 2011; 83(12): 1425-1430.
 
[33]  Watanabe F. Vitamin B12 Sources and Bioavailability. Exp Biol Med 2007; 232:1266-1274.
 
[34]  Goebels N, Soyka M. Dementia associated with vitamin B12 deficiency: presentation of two cases and review of the literature. Jneuropsychiatry Clin Neurosci 2000;12: 389-394.
 
[35]  van Goor L, Woiski MD, Lagaay AM, et al. Review: cobalamin deficiency and mental impairment in elderly people. Age Ageing 1995;24: 536-542.
 
[36]  Reynolds E. Vitamin B12, folic acid, and the nervous system. Lancet Neurol 2006;5: 949-960.
 
[37]  Carmel R. Current concepts in cobalamin deficiency. Annu Rev Med 2000;51: 357-375.
 
[38]  Scalabrino G. The multi-faceted basis of vitamin B12 (cobalamin) neurotrophism in adult central nervous system: lessons learned from its deficiency. Progress in Neurobiology 2009;88: 203-220.
 
[39]  Mutti E, Magnaghi V, Veber D, et al. Cobalamin dfeficiency-induced changes of epidermal growth factor (EGF)-receptor expression and EGF levels in rat spinal cord. Brain Res 2011;1376: 23-30.
 
[40]  Saperstein DS, Barohn RJ. Peripheral neuropathy due to cobalamin deficiency. Current Treatment Options in Neurology 2002;4: 197-201.
 
[41]  Nations SP, Saperstein DS, Wolfe GI, et al. Clinical profile of vitamin B12 neuropathy. Neurology 1998, 50(suppl): A208-A209.
 
[42]  Song SX, Huang ZJ, Jun SX. Thiamine supresses thermal hipralgesia, inhibitis hiperexcitability, and lessens alterations of sodium currents in injured, dorsal root ganglion neurons in rats. Anesthesiology 2009;110: 387-400.
 
[43]  Itokawa Y, Cooper JR. Ion movements and thiamine. II: The release of the vitamin from membrane fragments. Bioch Biophys Acta 1970;196(2): 274-284.
 
[44]  Reyes GG, Medina SR, Rocha GH, et al. Synergistic interaction between spinal gabapentin and oral B vitamins in a neuropathic pain model. Proc West Pharmacol Soc 2003;46: 91-94.
 
[45]  Song XJ, Wang ZB. Activation of cGMP-PKG signaling pathway mediates thiamine induced-inhibition of thermal hiperalgesia in rats with primary sensory neuron injury. FASEB J 2003;439:7.
 
[46]  Vocci FJ, Petty SK, Dewey WL. Antinociceptive action of the butyryl derivatives of cyclic guanosine 3´:5´-monophosphate. J Pharmacol Exp Ther 1978;207(3): 892-898.
 
[47]  Wang ZB, Gan Q, Rupert RL, et al. Thiamine, pyridoxine, cyanocobalamin and their combination inhibit thermal, but not mechanical hyperalgesia in rats with primary sensory neuron injury. Pain 2005;114: 266-277.
 
[48]  Bernstein AL. Vitamin B6 in clinical neurology. Ann NY Acad Sci 1990;585: 250-260.
 
[49]  Plaitakis A, Nicklas WJ, Berl S. Thiamine deficiency: selective impairment of the cerebellar serotoninergic system. Neurology 1978;28(7): 691-698.
 
[50]  Büyükokuroglu ME, Gepdiremen A, Tyastekin A, et al. Pyridoxine may protect the cerebellar granular cells against glutamate-induced toxixity. Int J Vitam Nutr Res 2007;77(5): 336-340.
 
[51]  Dakshinamurti K, Sharma SK, Geiger JD. Neuroprotective actions of pyridoxine. Biochim Biophys Acta 2003;1647: (1-2): 225-229.
 
[52]  Solomon LR. Disorders of cobalamin (vitamin B12) metabolism: emerging concepts in pathophysiology, diagnosis and treatment. Blood Review 2007; 21(3): 113-130.
 
[53]  Mixcoatl ZT, Quiñones BG, Carma SN, et al. Synergistic antiallodynic interaction between gabapentin or carbamazepine and either benfotiamine or cyanocobalamin in neuropathic rats. Methods Find Exp Clin Pharmacol 2008; 30: 431-441.
 
[54]  Jermendy G. Evaluating thiamine deficiency in patients with diabetes. Diab Vasc Dis Res 2006; 3: 120-121.
 
[55]  Fukii A, Matsumoto H, Yamamoto H. Effect of vitamin B complex on neurotransmission and neurite outgrowth. Gen Pharmacol 1996;27(6): 995-1000.