Identification
Name Cyanocobalamin
Accession Number DB00115 (APRD00326, EXPT00965, NUTR00004)
Type small molecule
Description Cyanocobalamin (commonly known as Vitamin B12) is the most chemically complex of all the vitamins. Cyanocobalamin's structure is based on a corrin ring, which, although similar to the porphyrin ring found in heme, chlorophyll, and cytochrome, has two of the pyrrole rings directly bonded. The central metal ion is Co (cobalt). Cyanocobalamin cannot be made by plants or by animals, as the only type of organisms that have the enzymes required for the synthesis of cyanocobalamin are bacteria and archaea. Higher plants do not concentrate cyanocobalamin from the soil and so are a poor source of the substance as compared with animal tissues. Cyanocobalamin is naturally found in foods including meat (especially liver and shellfish), eggs, and milk products. [HMDB]
Structure
Categories (*)
Molecular Weight 1356.3731
Groups approved
Monoisotopic Weight 1355.575230332
Pharmacology
Indication For treatment of pernicious anemia (due to lack of or inhibition of intrinsic factor) and for prevention and treatment of vitamin B 12 deficiency.
Mechanism of action Vitamin B12 is used in the body in two forms: Methylcobalamin and 5-deoxyadenosyl cobalamin. The enzyme methionine synthase needs methylcobalamin as a cofactor. This enzyme is involved in the conversion of the amino acid homocysteine into methionine. Methionine in turn is required for DNA methylation. 5-Deoxyadenosyl cobalamin is a cofactor needed by the enzyme that converts L-methylmalonyl-CoA to succinyl-CoA. This conversion is an important step in the extraction of energy from proteins and fats. Furthermore, succinyl CoA is necessary for the production of hemoglobin, the substances that carries oxygen in red blood cells.
Absorption Readily absorbed in the lower half of the ileum.
Protein binding Very high (to specific plasma proteins called transcobalamins); binding of hydroxocobalamin is slightly higher than cyanocobalamin.
Biotransformation Hepatic
Route of elimination Not Available
Toxicity Anaphylactic reaction (skin rash, itching, wheezing)-after parenteral administration. ORL-MUS LD50 > 8000 mg/kg
Affected organisms
  • Humans and other mammals
Interactions
Drug Interactions Not Available
Food Interactions Not Available
Methionine synthase
Name Methionine synthase
Gene Name MTR
Pharmacological action yes
Actions cofactor
References
  • Stover PJ: Vitamin B12 and older adults. Curr Opin Clin Nutr Metab Care. 2010 Jan;13(1):24-7. - Pubmed
  • Allen LH: Causes of vitamin B12 and folate deficiency. Food Nutr Bull. 2008 Jun;29(2 Suppl):S20-34; discussion S35-7. - Pubmed
DTHybrid score 1.1556
Methylmalonyl-CoA mutase, mitochondrial
Name Methylmalonyl-CoA mutase, mitochondrial
Gene Name MUT
Pharmacological action yes
Actions cofactor
References
  • Worgan LC, Niles K, Tirone JC, Hofmann A, Verner A, Sammak A, Kucic T, Lepage P, Rosenblatt DS: Spectrum of mutations in mut methylmalonic acidemia and identification of a common Hispanic mutation and haplotype. Hum Mutat. 2006 Jan;27(1):31-43. - Pubmed
  • Brooks AJ, Vlasie M, Banerjee R, Brunold TC: Co-C bond activation in methylmalonyl-CoA mutase by stabilization of the post-homolysis product Co2+ cobalamin. J Am Chem Soc. 2005 Nov 30;127(47):16522-8. - Pubmed
  • Kozlowski PM, Andruniow T, Jarzecki AA, Zgierski MZ, Spiro TG: DFT analysis of co-alkyl and co-adenosyl vibrational modes in B12-cofactors. Inorg Chem. 2006 Jul 10;45(14):5585-90. - Pubmed
  • Moras E, Hosack A, Watkins D, Rosenblatt DS: Mitochondrial vitamin B12-binding proteins in patients with inborn errors of cobalamin metabolism. Mol Genet Metab. 2007 Feb;90(2):140-7. Epub 2006 Sep 29. - Pubmed
  • Stover PJ: Vitamin B12 and older adults. Curr Opin Clin Nutr Metab Care. 2010 Jan;13(1):24-7. - Pubmed
DTHybrid score 1.5112
Methionine synthase reductase, mitochondrial
Name Methionine synthase reductase, mitochondrial
Gene Name MTRR
Pharmacological action unknown
Actions cofactor
References
  • O'Leary VB, Mills JL, Pangilinan F, Kirke PN, Cox C, Conley M, Weiler A, Peng K, Shane B, Scott JM, Parle-McDermott A, Molloy AM, Brody LC: Analysis of methionine synthase reductase polymorphisms for neural tube defects risk association. Mol Genet Metab. 2005 Jul;85(3):220-7. Epub 2005 Mar 17. - Pubmed
  • Gueant-Rodriguez RM, Juilliere Y, Candito M, Adjalla CE, Gibelin P, Herbeth B, Van Obberghen E, Gueant JL: Association of MTRRA66G polymorphism (but not of MTHFR C677T and A1298C, MTRA2756G, TCN C776G) with homocysteine and coronary artery disease in the French population. Thromb Haemost. 2005 Sep;94(3):510-5. - Pubmed
  • Miriuka SG, Langman LJ, Evrovski J, Miner SE, D'Mello N, Delgado DH, Wong BY, Ross HJ, Cole DE: Genetic polymorphisms predisposing to hyperhomocysteinemia in cardiac transplant patients. Transpl Int. 2005 Jan;18(1):29-35. - Pubmed
  • Berkun Y, Abou Atta I, Rubinow A, Orbach H, Levartovsky D, Aamar S, Arbel O, Dresner-Pollak R, Friedman G, Ben-Yehuda A: 2756GG genotype of methionine synthase reductase gene is more prevalent in rheumatoid arthritis patients treated with methotrexate and is associated with methotrexate-induced nodulosis. J Rheumatol. 2007 Aug;34(8):1664-9. Epub 2007 Jul 1. - Pubmed
  • van der Linden IJ, den Heijer M, Afman LA, Gellekink H, Vermeulen SH, Kluijtmans LA, Blom HJ: The methionine synthase reductase 66A>G polymorphism is a maternal risk factor for spina bifida. J Mol Med. 2006 Dec;84(12):1047-54. Epub 2006 Oct 6. - Pubmed
DTHybrid score 1.2866
Methylmalonic aciduria type A protein, mitochondrial
Name Methylmalonic aciduria type A protein, mitochondrial
Gene Name MMAA
Pharmacological action unknown
Actions cofactor
References
  • Overington JP, Al-Lazikani B, Hopkins AL: How many drug targets are there? Nat Rev Drug Discov. 2006 Dec;5(12):993-6. - Pubmed
  • Imming P, Sinning C, Meyer A: Drugs, their targets and the nature and number of drug targets. Nat Rev Drug Discov. 2006 Oct;5(10):821-34. - Pubmed
  • Lerner-Ellis JP, Dobson CM, Wai T, Watkins D, Tirone JC, Leclerc D, Dore C, Lepage P, Gravel RA, Rosenblatt DS: Mutations in the MMAA gene in patients with the cblA disorder of vitamin B12 metabolism. Hum Mutat. 2004 Dec;24(6):509-16. - Pubmed
  • Dobson CM, Gradinger A, Longo N, Wu X, Leclerc D, Lerner-Ellis J, Lemieux M, Belair C, Watkins D, Rosenblatt DS, Gravel RA: Homozygous nonsense mutation in the MCEE gene and siRNA suppression of methylmalonyl-CoA epimerase expression: a novel cause of mild methylmalonic aciduria. Mol Genet Metab. 2006 Aug;88(4):327-33. Epub 2006 May 11. - Pubmed
DTHybrid score 1.5116
Methylmalonic aciduria and homocystinuria type C protein
Name Methylmalonic aciduria and homocystinuria type C protein
Gene Name MMACHC
Pharmacological action unknown
Actions cofactor
References
  • Chandler RJ, Aswani V, Tsai MS, Falk M, Wehrli N, Stabler S, Allen R, Sedensky M, Kazazian HH, Venditti CP: Propionyl-CoA and adenosylcobalamin metabolism in Caenorhabditis elegans: evidence for a role of methylmalonyl-CoA epimerase in intermediary metabolism. Mol Genet Metab. 2006 Sep-Oct;89(1-2):64-73. Epub 2006 Jul 14. - Pubmed
  • Ben-Omran TI, Wong H, Blaser S, Feigenbaum A: Late-onset cobalamin-C disorder: a challenging diagnosis. Am J Med Genet A. 2007 May 1;143(9):979-84. - Pubmed
  • Morel CF, Lerner-Ellis JP, Rosenblatt DS: Combined methylmalonic aciduria and homocystinuria (cblC): phenotype-genotype correlations and ethnic-specific observations. Mol Genet Metab. 2006 Aug;88(4):315-21. Epub 2006 May 22. - Pubmed
  • Lerner-Ellis JP, Tirone JC, Pawelek PD, Dore C, Atkinson JL, Watkins D, Morel CF, Fujiwara TM, Moras E, Hosack AR, Dunbar GV, Antonicka H, Forgetta V, Dobson CM, Leclerc D, Gravel RA, Shoubridge EA, Coulton JW, Lepage P, Rommens JM, Morgan K, Rosenblatt DS: Identification of the gene responsible for methylmalonic aciduria and homocystinuria, cblC type. Nat Genet. 2006 Jan;38(1):93-100. Epub 2005 Nov 27. - Pubmed
DTHybrid score 1.512
Methylenetetrahydrofolate reductase
Name Methylenetetrahydrofolate reductase
Gene Name MTHFR
Pharmacological action unknown
Actions cofactor
References
  • Nakamura T, Saionji K, Hiejima Y, Hirayama H, Tago K, Takano H, Tajiri M, Hayashi K, Kawabata M, Funamizu M, Makita Y, Hata A: Methylenetetrahydrofolate reductase genotype, vitamin B12, and folate influence plasma homocysteine in hemodialysis patients. Am J Kidney Dis. 2002 May;39(5):1032-9. - Pubmed
  • Erdogan MO, Yildiz SH, Solak M, Eser O, Cosar E, Eser B, Koken R, Buyukbas S: C677T polymorphism of the methylenetetrahydrofolate reductase gene does not affect folic acid, vitamin B12, and homocysteine serum levels in Turkish children with neural tube defects. Genet Mol Res. 2010 Jun 22;9(2):1197-203. - Pubmed
DTHybrid score 0.5328
Cob(I)yrinic acid a,c-diamide adenosyltransferase, mitochondrial
Name Cob(I)yrinic acid a,c-diamide adenosyltransferase, mitochondrial
Gene Name MMAB
Actions substrate
References
  • Zhang J, Dobson CM, Wu X, Lerner-Ellis J, Rosenblatt DS, Gravel RA: Impact of cblB mutations on the function of ATP:cob(I)alamin adenosyltransferase in disorders of vitamin B12 metabolism. Mol Genet Metab. 2006 Apr;87(4):315-22. Epub 2006 Jan 24. - Pubmed
  • Lerner-Ellis JP, Gradinger AB, Watkins D, Tirone JC, Villeneuve A, Dobson CM, Montpetit A, Lepage P, Gravel RA, Rosenblatt DS: Mutation and biochemical analysis of patients belonging to the cblB complementation class of vitamin B12-dependent methylmalonic aciduria. Mol Genet Metab. 2006 Mar;87(3):219-25. Epub 2006 Jan 10. - Pubmed
DTHybrid score 1.512
Amnionless protein
Name Amnionless protein
Gene Name AMN
Actions substrate
References
  • Al-Alami JR, Tanner SM, Tayeh MK, de la Chapelle A, El-Shanti H: Homozygous AMN mutation in hereditary selective intestinal malabsorption of vitamin B12 in Jordan. Saudi Med J. 2005 Jul;26(7):1061-4. - Pubmed
DTHybrid score 1.5116
Transcobalamin-1
Name Transcobalamin-1
Gene Name TCN1
Actions substrate
References
  • Carmel R: Haptocorrin (transcobalamin I) and cobalamin deficiencies. Clin Chem. 2007 Feb;53(2):367-8; author reply 368-9. - Pubmed
  • Al-Alami JR, Tanner SM, Tayeh MK, de la Chapelle A, El-Shanti H: Homozygous AMN mutation in hereditary selective intestinal malabsorption of vitamin B12 in Jordan. Saudi Med J. 2005 Jul;26(7):1061-4. - Pubmed
DTHybrid score 1.5116
Transcobalamin-2
Name Transcobalamin-2
Gene Name TCN2
Actions substrate
References
  • Chen X, Remacha AF, Sarda MP, Carmel R: Influence of cobalamin deficiency compared with that of cobalamin absorption on serum holo-transcobalamin II. Am J Clin Nutr. 2005 Jan;81(1):110-4. - Pubmed
  • Alessio AC, Hoehr NF, Siqueira LH, Bydlowski SP, Annichino-Bizzacchi JM: Polymorphism C776G in the transcobalamin II gene and homocysteine, folate and vitamin B12 concentrations. Association with MTHFR C677T and A1298C and MTRR A66G polymorphisms in healthy children. Thromb Res. 2007;119(5):571-7. Epub 2006 Jul 3. - Pubmed
  • Bowen RA, Drake SK, Vanjani R, Huey ED, Grafman J, Horne MK 3rd: Markedly increased vitamin B12 concentrations attributable to IgG-IgM-vitamin B12 immune complexes. Clin Chem. 2006 Nov;52(11):2107-14. - Pubmed
  • Bosco P, Gueant-Rodriguez RM, Anello G, Spada R, Romano A, Fajardo A, Caraci F, Ferri R, Gueant JL: Association of homocysteine (but not of MTHFR 677 C>T, MTR 2756 A>G, MTRR 66 A>G and TCN2 776 C>G) with ischaemic cerebrovascular disease in Sicily. Thromb Haemost. 2006 Aug;96(2):154-9. - Pubmed
  • Al-Alami JR, Tanner SM, Tayeh MK, de la Chapelle A, El-Shanti H: Homozygous AMN mutation in hereditary selective intestinal malabsorption of vitamin B12 in Jordan. Saudi Med J. 2005 Jul;26(7):1061-4. - Pubmed
DTHybrid score 1.5117
Gastric intrinsic factor
Name Gastric intrinsic factor
Gene Name Not Available
Actions substrate
References
  • Fedosov SN, Fedosova NU, Berglund L, Moestrup SK, Nexo E, Petersen TE: Composite organization of the cobalamin binding and cubilin recognition sites of intrinsic factor. Biochemistry. 2005 Mar 8;44(9):3604-14. - Pubmed
  • He Q, Madsen M, Kilkenney A, Gregory B, Christensen EI, Vorum H, Hojrup P, Schaffer AA, Kirkness EF, Tanner SM, de la Chapelle A, Giger U, Moestrup SK, Fyfe JC: Amnionless function is required for cubilin brush-border expression and intrinsic factor-cobalamin (vitamin B12) absorption in vivo. Blood. 2005 Aug 15;106(4):1447-53. Epub 2005 Apr 21. - Pubmed
  • Moestrup SK: New insights into carrier binding and epithelial uptake of the erythropoietic nutrients cobalamin and folate. Curr Opin Hematol. 2006 May;13(3):119-23. - Pubmed
DTHybrid score Not Available
Cubilin
Name Cubilin
Gene Name CUBN
Actions substrate
References
  • Fedosov SN, Fedosova NU, Berglund L, Moestrup SK, Nexo E, Petersen TE: Composite organization of the cobalamin binding and cubilin recognition sites of intrinsic factor. Biochemistry. 2005 Mar 8;44(9):3604-14. - Pubmed
  • He Q, Madsen M, Kilkenney A, Gregory B, Christensen EI, Vorum H, Hojrup P, Schaffer AA, Kirkness EF, Tanner SM, de la Chapelle A, Giger U, Moestrup SK, Fyfe JC: Amnionless function is required for cubilin brush-border expression and intrinsic factor-cobalamin (vitamin B12) absorption in vivo. Blood. 2005 Aug 15;106(4):1447-53. Epub 2005 Apr 21. - Pubmed
  • Moestrup SK: New insights into carrier binding and epithelial uptake of the erythropoietic nutrients cobalamin and folate. Curr Opin Hematol. 2006 May;13(3):119-23. - Pubmed
DTHybrid score 1.5103
Id Partner name Gene Name Score
2935 Methionine synthase metH 1.1556
317 Methionine-R-sulfoxide reductase SEPX1 0.0696
480 Methionine-R-sulfoxide reductase B2 MSRB2 0.0695
3996 Betaine--homocysteine S-methyltransferase 2 BHMT2 0.0695
3921 Methionine adenosyltransferase 2 subunit beta MAT2B 0.0695
3995 Methionyl-tRNA synthetase, mitochondrial MARS2 0.0695
600 Methionyl-tRNA synthetase, cytoplasmic MARS 0.0695
334 S-adenosylmethionine synthetase isoform type-2 MAT2A 0.0582
191 Peptide methionine sulfoxide reductase MSRA 0.0561
941 Betaine--homocysteine S-methyltransferase 1 BHMT 0.0522
453 S-adenosylmethionine synthetase isoform type-1 MAT1A 0.0518
3426 Glutamine synthetase glnA 0.0425
3987 Glutamine synthetase GLUL 0.0425
2795 Methionine aminopeptidase 2 METAP2 0.0351
5698 Riboflavin synthase alpha chain ribE 0.0336
3763 5,10-methylenetetrahydrofolate reductase metF 0.0332
3918 5,10-methylenetetrahydrofolate reductase MTHFR 0.0332
5094 5,10-methylenetetrahydrofolate reductase metF 0.0332
3920 Methylenetetrahydrofolate reductase intermediate form MTHFR 0.0328
3919 Methionyl-tRNA formyltransferase, mitochondrial MTFMT 0.032
59 AMT protein AMT 0.032
1202 10-formyltetrahydrofolate dehydrogenase ALDH1L1 0.032
6151 Monocarboxylate transporter 10 SLC16A10 0.0313
408 Riboflavin kinase RFK 0.031
244 Angiotensin-converting enzyme ACE 0.0267
296 Bifunctional methylenetetrahydrofolate dehydrogenase/cyclohydrolase, mitochondrial MTHFD2 0.0261
13 Aminomethyltransferase, mitochondrial AMT 0.0246
3885 Hypothetical protein DKFZp686P09201 DKFZp686P09201 0.0237
2287 Bifunctional purine biosynthesis protein PURH [Includes: Phosphoribosylaminoimidazolecarboxamide formyltransferase ATIC 0.0237
3879 Serine hydroxymethyltransferase 2 Not Available 0.0237
321 Serine hydroxymethyltransferase, mitochondrial SHMT2 0.0237
3884 SHMT2 protein SHMT2 0.0237
3901 SHMT2 protein SHMT2 0.0237
914 Formimidoyltransferase-cyclodeaminase FTCD 0.023
1974 Oligopeptide transporter, kidney isoform SLC15A2 0.022
293 Gamma-glutamyl hydrolase GGH 0.0216
654 Flavin reductase BLVRB 0.0214
679 C-1-tetrahydrofolate synthase, cytoplasmic MTHFD1 0.0213
1539 Oligopeptide transporter, small intestine isoform SLC15A1 0.0212
1729 Solute carrier family 22 member 6 SLC22A6 0.0206
367 Serine hydroxymethyltransferase, cytosolic SHMT1 0.02
1650 Heme carrier protein 1 SLC46A1 0.0182
718 Folate receptor gamma FOLR3 0.0178
804 Mitochondrial folate transporter/carrier SLC25A32 0.0178
299 Folate receptor beta FOLR2 0.0178
1709 Canalicular multispecific organic anion transporter 2 ABCC3 0.0166
2164 Multidrug resistance-associated protein 4 ABCC4 0.0155
3941 Amine oxidase [flavin-containing] A MAOA 0.0154
6155 ATP-binding cassette transporter sub-family C member 11 ABCC11 0.0153
1735 Canalicular multispecific organic anion transporter 1 ABCC2 0.0144
1732 ATP-binding cassette sub-family G member 2 ABCG2 0.0131
4226 Uridine phosphorylase 2 UPP2 0.011
400 Coagulation factor IX F9 0.0107
5461 Coagulation factor IX F9 0.0107
4081 Vitamin K epoxide reductase complex subunit 1-like protein 1 VKORC1L1 0.01
604 Vitamin K-dependent protein Z PROZ 0.01
6013 Cytochrome P450 2E1 CYP2E1 0.0095
24 Thymidylate synthase TMP1 0.0094
359 Thymidylate synthase TYMS 0.0094
2626 Thymidylate synthase thyA 0.0094
2729 Thymidylate synthase thyA 0.0094
5352 Thymidylate synthase THYA 0.0094
6020 Aldehyde oxidase AOX1 0.0094
4225 Uridine phosphorylase 1 UPP1 0.0094
413 Amidophosphoribosyltransferase PPAT 0.0094
2515 Amidophosphoribosyltransferase purF 0.0094
3714 Amidophosphoribosyltransferase purF 0.0094
1245 Vitamin K-dependent protein S PROS1 0.009
422 Vitamin K-dependent protein C PROC 0.009
5718 Cytochrome P450 2A6 CYP2A6 0.0083
6143 Solute carrier family 22 member 7 SLC22A7 0.008
448 Vitamin K-dependent gamma-carboxylase GGCX 0.008
3639 Thymidine phosphorylase deoA 0.0073
3936 Thymidine phosphorylase TYMP 0.0073
798 Osteocalcin BGLAP 0.0071
5818 Folate receptor alpha FOLR1 0.0071
1302 Dihydropyrimidine dehydrogenase [NADP+] DPYD 0.0068
4200 Cytochrome P450 1A2 CYP1A2 0.0066
787 Vitamin K epoxide reductase complex subunit 1 VKORC1 0.0066
2222 Equilibrative nucleoside transporter 1 SLC29A1 0.0065
587 Serum albumin ALB 0.0062
369 Coagulation factor VII F7 0.0062
6136 Multidrug resistance-associated protein 5 ABCC5 0.006
243 Ribosyldihydronicotinamide dehydrogenase [quinone] NQO2 0.0056
2157 NAD(P)H dehydrogenase [quinone] 1 NQO1 0.0053
3947 Xanthine dehydrogenase/oxidase XDH 0.005
773 Folylpolyglutamate synthase, mitochondrial FPGS 0.005
239 Coagulation factor X F10 0.0046
6160 Solute carrier organic anion transporter family member 3A1 SLCO3A1 0.004
6150 Solute carrier organic anion transporter family member 4C1 SLCO4C1 0.004
6040 6-phosphogluconate dehydrogenase, decarboxylating PGD 0.0039
6024 Cytochrome P450 1A1 CYP1A1 0.0038
54 Prothrombin F2 0.0038
4924 Cytochrome P450 2C8 CYP2C8 0.0036
6158 Solute carrier organic anion transporter family member 1C1 SLCO1C1 0.0036
6148 Multidrug resistance-associated protein 7 ABCC10 0.0036
4757 Cytochrome P450 2C9 CYP2C9 0.0034
738 Monocarboxylate transporter 1 SLC16A1 0.0033
365 Dihydrofolate reductase DHFR 0.0032
2381 Dihydrofolate reductase DFR1 0.0032
2833 Dihydrofolate reductase Not Available 0.0032
2931 Dihydrofolate reductase folA 0.0032
3544 Dihydrofolate reductase folA 0.0032
3682 Dihydrofolate reductase folA 0.0032
6642 Dihydrofolate reductase folA 0.0032
6756 Dihydrofolate reductase dfrA 0.0032
6157 Solute carrier organic anion transporter family member 1B3 SLCO1B3 0.0031
1024 Solute carrier family 22 member 11 SLC22A11 0.003
862 Multidrug resistance-associated protein 1 ABCC1 0.0028
1490 Solute carrier organic anion transporter family member 1B1 SLCO1B1 0.0027
6139 Solute carrier organic anion transporter family member 1A2 SLCO1A2 0.0027
6142 Solute carrier family 22 member 8 SLC22A8 0.0026
1588 Multidrug resistance protein 1 ABCB1 0.002