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REVIEW ARTICLE
Year : 2004  |  Volume : 52  |  Issue : 3  |  Page : 310--318

Vitamin B12 and folate depletion in cognition: A review

Rita Moretti1, Paola Torre2, Rodolfo M Antonello2, Tatiana Cattaruzza2, Giuseppe Cazzato2, Antonio Bava1 
1 Dipartimento Fisiologia e Patologia, UniversitÓ degli Studi, Trieste, Italy
2 Dipartimento Medicina Clinica e Neurologia, UCO Clinica Neurologica, UniversitÓ degli Studi, Trieste, Italy

Correspondence Address:
Rita Moretti
Dipartimento Fisiologia e Patologia, UniversitÓ degli Studi, Trieste
Italy

In cross-sectional studies, low levels of folate and B12 have been shown to be associated with cognitive decline and dementia Evidence for the putative role of folate, vitamin B12 in neurocognitive and other neurological functions comes from reported cases of severe vitamin deficiencies, particularly pernicious anemia, and homozygous defects in genes that encode for enzymes of one-carbon metabolism. The neurological alterations seen in these cases allow for a biological role of vitamins in neurophysiology. Results are quite controversial and there is an open debate in literature, considering that the potential and differential role of folate and B12 vitamin in memory acquisition and cognitive development is not completely understood or accepted. What is not clear is the fact that vitamin B12 and folate deficiency deteriorate a pre-existing not overt pathological situation or can be dangerous even in normal subjects. Even more intriguing is the interaction between B12 and folate, and their role in developing hyperhomocysteinemia. The approach to the rehabilitation of the deficiency with adequate vitamin supplementation is very confusing. Some authors suggest it, even in chronic situations, others deny any possible role. Starting from these quite confusing perspectives, the aim of this review is to report and categorize the data obtained from the literature. Despite the plausible biochemical mechanism, further studies, based on clinical, neuropsychological, laboratory and (lastly) pathological features will be necessary to better understand this fascinating biochemical riddle.


How to cite this article:
Moretti R, Torre P, Antonello RM, Cattaruzza T, Cazzato G, Bava A. Vitamin B12 and folate depletion in cognition: A review.Neurol India 2004;52:310-318


How to cite this URL:
Moretti R, Torre P, Antonello RM, Cattaruzza T, Cazzato G, Bava A. Vitamin B12 and folate depletion in cognition: A review. Neurol India [serial online] 2004 [cited 2019 Aug 26 ];52:310-318
Available from: http://www.neurologyindia.com/article.asp?issn=0028-3886;year=2004;volume=52;issue=3;spage=310;epage=318;aulast=Moretti;type=0