3,513 results match your criteria: "Pyridoxine Deficiency"

Schizophrenia is a kind of neurodevelopmental mental disorder in which patients begin to experience changes early in their development, typically manifesting around or after puberty and has a fluctuating course. Environmental disturbances during adolescence may be a risk factor for schizophrenia-like deficits. As a better treatment option, preventive intervention prior to schizophrenia may be more beneficial than direct treatment.

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Role of Vitamin B in Healthy Ageing and Disease.

Subcell Biochem

December 2024

Institute for Health and Sport, Victoria University, Werribee, VIC, Australia.

B vitamin complex consist of vitamins B1, B2, B5, B6, B9, B12 and is pivotal for overall health, influencing vital functions such as, energy metabolism, DNA maintenance, and healthy immune system. Inadequate B vitamin levels are associated with various health issues, including neurocognitive problems, immune imbalances, and inflammation. In ageing individuals, deficiencies in B vitamins increase the risk of cardiovascular ailments, stroke, cognitive disorders, neurodegeneration, mental health issues, and methylation-related disorders.

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Restricting lysine normalizes toxic catabolites associated with ALDH7A1 deficiency in cells and mice.

Cell Rep

December 2024

Department of Biochemistry & Molecular Biology, University of British Columbia, Vancouver, BC V6T 1Z4, Canada; Centre for Molecular Medicine and Therapeutics, University of British Columbia, Vancouver, BC V5Z 4H4, Canada; British Columbia Children's Hospital Research Institute, Vancouver, BC V5Z 4H4, Canada. Electronic address:

Lysine metabolism converges at α-aminoadipic semialdehyde dehydrogenase (ALDH7A1). Rare loss-of-function mutations in ALDH7A1 cause a toxic accumulation of lysine catabolites, including piperideine-6-carboxylate (P6C), that are thought to cause fatal seizures in children unless strictly managed with dietary lysine reduction. In this study, we perform metabolomics and expression analysis of tissues from Aldh7a1-deficient mice, which reveal tissue-specific differences in lysine metabolism and other metabolic pathways.

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Dietary Intake of Micronutrients and Use of Vitamin and/or Mineral Supplements: Brazilian National Food Survey.

Nutrients

November 2024

Postgraduate Program in Epidemiology, School of Medicine, Universidade Federal do Rio Grande do Sul, Porto Alegre 90035-190, Rio Grande do Sul, Brazil.

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Background: Pyridoxamine 5'-phosphate oxidase deficiency is a rare inborn error of vitamin B metabolism that presents with drug-resistant epileptic seizures. However, the condition is responsive to supplementation with the active vitamin B metabolite pyridoxal 5'-phosphate and, in some cases, pyridoxine.

Case Presentation: In this case report, a 10-year-old Iranian male of Fars ethnicity came to a regional hospital in Tehran, Iran with a chief complaint of tic-like movement.

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Background: Pyridoxine-dependent epilepsy is primarily characterized by early-onset refractory seizures. This condition can be caused by alpha-aminoadipic semialdehyde dehydrogenase deficiency due to a mutation in the ALDH7A1 gene, leading to the accumulation of certain substances that impact the production of various brain neurotransmitters and enzymes.

Case Presentation: Our report presents the first documented case of pyridoxine dependency in Syria.

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  • Isoniazid (INH) is an effective anti-tubercular drug, but its use is limited by serious side effects like liver damage and peripheral neuropathy due to its metabolism.
  • The liver enzyme NAT-2 interacts with INH's terminal -NH group, potentially leading to toxic byproducts and deficiencies in essential nutrients like vitamin B6, which are linked to nerve damage.
  • The review discusses INH's history, action mechanisms, clinical trial findings on side effects, and suggests developing modified chemical derivatives to minimize harmful metabolic effects.
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Does Vitamin B6 Act as an Exercise Mimetic in Skeletal Muscle?

Int J Mol Sci

September 2024

Graduate School of Integrated Sciences for Life, Hiroshima University, Higashi-Hiroshima 739-8528, Japan.

Marginal vitamin B6 (B6) deficiency is common in various segments worldwide. In a super-aged society, sarcopenia is a major concern and has gained significant research attention focused on healthy aging. To date, the primary interventions for sarcopenia have been physical exercise therapy.

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  • Genetic testing for developmental and epileptic encephalopathies (DEE) is becoming more common in clinical settings, particularly for diagnosing conditions like pyridoxine-dependent epilepsy (PDE-ALDH7A1).
  • A newborn with early seizures and resistance to standard treatments was diagnosed with PDE-ALDH7A1 through targeted next-generation sequencing, revealing pathogenic mutations in the related gene.
  • The diagnostic approach faced challenges due to limitations in identifying key biomarkers in urine, which were affected by the overlapping chemical properties of other substances in the analysis.
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Rare diseases: a challenge in paediatric dentistry.

Eur J Paediatr Dent

September 2024

Director of the Postgraduate School of Paediatric Dentistry, University of Pisa.

Article Synopsis
  • - Rare diseases, though infrequent (happening in 100-500 per million), pose significant challenges in pediatric dentistry due to their complex needs and the required specialized care.
  • - Conditions like X-linked hypophosphatemic rickets (XLH), hypophosphatasia (HPP), and osteogenesis imperfecta (OI) show how systemic health problems can directly affect oral health, necessitating a multidisciplinary approach for effective treatment.
  • - XLH is particularly notable, caused by mutations in the PHEX gene, leading to issues such as poor enamel mineralization, dental abscesses, and unique dental manifestations, emphasizing the crucial role dentists play in early diagnosis and referrals to genetic specialists.
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AADC deficiency is a severe neurometabolic inherited rare disorder due to the absence or decrease of dopamine and serotonin levels, causing deep motor and neurodevelopmental impairments. The disease is often fatal in the first decade of life, and pharmacological treatments (dopamine agonists, pyridoxine, and monoamine oxidase inhibitors as the first-line choices) can only alleviate the symptoms. Gene therapy surgery is now available for severe patients in the European Union and the United Kingdom, and follow-up data witness encouraging improvements.

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Purpose: Infertility is a worldwide concern, and recent research indicates that vitamin B deficiency may play a role in male infertility, primarily by inducing hyperhomocysteinemia and oxidative stress. These processes can have a detrimental effect on semen quality, ultimately affecting male fertility. Here, we aim to evaluate the biochemical status of pyridoxine (vitamin B) in relation to total glutathione and total antioxidant capacity.

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Extending diagnostic practices in gyrate atrophy: Enzymatic characterization and the development of an in vitro pyridoxine responsiveness assay.

Mol Genet Metab

October 2024

Laboratory Genetic Metabolic Diseases, Amsterdam UMC, University of Amsterdam, Amsterdam, the Netherlands; Amsterdam Gastroenterology, Endocrinology and Metabolism, Amsterdam, University of Amsterdam, Amsterdam, the Netherlands; United for Metabolic Diseases, the Netherlands. Electronic address:

Article Synopsis
  • - Gyrate atrophy of the choroid and retina (GACR) is a genetic disorder linked to mutations in the OAT gene, leading to severe vision loss and high ornithine levels due to impaired enzyme function.
  • - The study identified 14 pathogenic variants in the OAT gene, with a specific mutation (p.(Gly353Asp)) found in all Dutch patients, which was shown to result in enzyme dysfunction and prevent effective pyridoxine treatment.
  • - Researchers developed a new diagnostic approach that includes enzymatic analysis of OAT and pyridoxine response tests to improve understanding of GACR and aid in managing patient expectations regarding treatment outcomes.
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ALDH7A1 deficiency is an epileptic encephalopathy whose seizures respond to treatment with supraphysiological doses of pyridoxine. It arises as a result of damaging variants in ALDH7A1, a gene in the lysine catabolism pathway. α-Aminoadipic semialdehyde (α-AASA) and Δ-piperideine-6-carboxylate (P6C), which accumulate because of the block in the lysine pathway, are diagnostic biomarkers for this disorder.

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  • A 50s Native American male with a history of alcohol use disorder and seizures presented with weakness and falls, and was admitted for pneumonia, sepsis, and altered mental status.
  • On day 23 of hospitalization, he experienced a sudden feeling of food stuck in his chest, leading to an MRI that confirmed osmotic demyelination syndrome (ODS) in the central pons.
  • His condition was attributed to malnutrition, alcohol issues, low protein levels, and vitamin B6 deficiency, despite maintaining normal sodium levels; he ultimately passed away after 68 days due to complications from myelinolysis.
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  • Cornelia de Lange syndrome (CdLS) is a rare developmental disorder marked by unique facial features, skeletal issues, and growth difficulties, with CdLS type 5 (CdLS5) linked to mutations in the HDAC8 gene.
  • A case study presents a four-month-old girl with CdLS5 showing unusual symptoms like dystonia, developmental delays, and spastic quadriparesis, alongside a missense mutation in the HDAC8 gene.
  • Despite treatment with medication, her symptoms improved only partially by 22 months, contributing to the understanding that CdLS5 can cause isolated dystonia, joining other known genetic disorders.
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  • X-linked sideroblastic anemia (XLSA) and X-linked protoporphyria (XLPP) are rare genetic diseases caused by mutations affecting the enzyme ALAS2, crucial for heme production, with XLSA resulting from loss-of-function and XLPP from gain-of-function mutations.
  • Researchers created knockin mouse models using CRISPR-CAS9 to study these diseases along with a model for congenital sideroblastic anemia (CSA) linked to SLC25A38 mutations, allowing for in-depth examination of disease characteristics and responses to dietary vitamin B6.
  • The study revealed varying sensitivities to pyridoxine deficiency across models, highlighting a unique lethal interaction between certain sideroblastic anemias and vitamin
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Various diseases of the peripheral nervous system are associated with metabolic disorders of B vitamins. A lack of neurotropic vitamins, which began in the early stages of the development of a bacterial disease, led to its more rapid development. The article analyzes data on B vitamin deficiency in the pathogenesis of the most dangerous diseases of the peripheral nervous system.

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Komrower Memorial Lecture 2023. Molecular basis of phenotype expression in homocystinuria: Where are we 30 years later?

J Inherit Metab Dis

September 2024

Department of Pharmacology, Faculty of Science and Medicine, University of Fribourg, Fribourg, Switzerland.

This review summarises progress in the research of homocystinuria (HCU) in the past three decades. HCU due to cystathionine β-synthase (CBS) was discovered in 1962, and Prof. Jan Peter Kraus summarised developments in the field in the first-ever Komrower lecture in 1993.

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Vitamin B6 deficiency has been linked to cognitive impairment in human brain disorders for decades. Still, the molecular mechanisms linking vitamin B6 to these pathologies remain poorly understood, and whether vitamin B6 supplementation improves cognition is unclear as well. Pyridoxal 5'-phosphate phosphatase (PDXP), an enzyme that controls levels of pyridoxal 5'-phosphate (PLP), the co-enzymatically active form of vitamin B6, may represent an alternative therapeutic entry point into vitamin B6-associated pathologies.

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Article Synopsis
  • - Vitamin B6 is essential for DNA and amino acid metabolism, with its active form, pyridoxal 5'-phosphate (PLP), showing a potential link to lower cancer risk, although specific dietary evidence is inconsistent.
  • - Research indicates that a deficiency in PLP can cause DNA damage and promote tumor growth in fruit flies, with studies showing that supplementing with PLP can reduce tumor development.
  • - The study highlights the connection between low PLP levels, increased genome instability, and cancer development through mechanisms involving reactive oxygen species (ROS) and impaired DNA repair processes.
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