MRCEM Notes

Vitamin B12 (cobalamin)

Vitamin B12 is a water soluble vitamin of the B complex group. Typically humans have enough reserves of vitamin B12 to last 5 years. Vitamin B12 It is unusual in only being found in animal products.

Functions
  • cofactor for the conversion of homocysteine into methionine via the enzyme homocysteine methyltransferase
  • cofactor for the isomerization of methylmalonyl CoA to Succinyl Co A via the enzyme methylmalonyl mutase
  • used to regenerate folic acid in the body

Causes of vitamin B12 deficiency:
  • pernicious anaemia
  • Diphyllobothrium latum infection
  • Crohn's disease

Consequences of vitamin B12 deficiency:
  • macrocytic, megaloblastic anaemia
  • peripheral neuropathy

Diagram showing the biochemical role of vitamin B12 and vitamin B6
Full-size image