Can vitamin B12 be an adjuvant to COVID-19 treatment?

Authors

  • Monyck Jeane dos Santos Lopes Museu Paraense Emílio Goeldi. Av. Magalhães Barata, 376, 66040-170, São Braz, Belém, Pará, Brazil.

DOI:

https://doi.org/10.30574/gscbps.2020.11.3.0155

Keywords:

Coronavirus disease 2019, Vitamin, Methylcobalamin, Methyl-12, Cobalamin

Abstract

COVID-19 has become an international pandemic and is causing a worldwide public health emergency; therefore, an effective treatment is urgently needed. The hypothesis is that Covid virus interferes with the cobalamin metabolism, causing symptoms of cobalamin deficiency. This is plausible to infer, because there are symptoms of vitamin B12 deficiency that are similar to those of COVID-19. These symptoms include increase oxidative stress, homocysteine concentration, activation of the coagulation cascade, thrombocytopenia, elevated lactate dehydrogenase (LDH), low reticulocyte count, intravascular coagulation thrombosis, vasoconstriction, renal and pulmonary vasculopathies, which can result in respiratory, gastrointestinal and central nervous system disorders. Research shows that high doses of methylcobalamin is the treatment for symptoms of vitamin B12 deficiency. Thus, an additional hypothesis is that treatment with vitamin B12, especially methylcobalamin, would reduce Covid's damage to infected patients. Hence, in this review article it is suggested that methylcobalamin (vitamin B12) may serve as an attenuator to COVID-19 symptoms. Clinical studies are required to confirm this hypothesis.

Metrics

Metrics Loading ...

References

Guo YR, Cao QD, Hong ZS, Tan YY, Chen SD, Jin HJ, Tan KS, Wang DY and Yan Y. (2020). The origin, transmission and clinical therapies on coronavirus disease 2019 (COVID-19) outbreak - an update on the status. Military Medical Research, 7(11), 1-10.

Mehta P, McAuley DF, Brown M, Sanchez E, Tattersall RS and Manson JJ. (2020). COVID-19: consider cytokine storm syndromes and immunosuppression. International Health Regulations, 395, 1033-1034.

Carella AM, Benvenuto A, Lagattolla V, Marinelli T, De Luca P, Ciavarrella G, Modola G, Di Pumpo M, Ponziano E and Benvenuto M. (2020). Vitamin supplements in the Era of SARS-Cov2 pandemic. GSC Biological and Pharmaceutical Sciences, 11 (2), 07-19.

Stipp MM. (2020). SARS-CoV-2: Micronutrient Optimization in Supporting Host Immunocompetence. International Journal of Clinical Case Reports and Reviews, 2 (2), 1-11.

Rizzo G and Laganà AS. (2020). A review of vitamin B12. Molecular Nutrition, 105–129.

Hanna S, Leonard L and Rajarethinam RP. (2009). Prim Care Companion. J Clin Psychiatry, 11(5), 269-270.

Allen LH. (2018). Efficacy and Safety of Vitamin B12 Fortification. Food Fortification in a Globalized World, 255–261.

Sabry W, Elemary M, Burnouf T, Seghatchian J and Goubran H. (2020). Vitamin B12 deficiency and metabolism-mediated thrombotic microangiopathy (MM-TMA), Transfusion and Apheresis Science, 59 (102717), 1-4.

Kandeel M and Al-Nazawia M. (2020). Virtual screening and repurposing of FDA approved drugs against COVID-19 main protease. Life Sciences, 251 (117627), 1-5.

Narayanan N and Nair DT. (2020). Vitamin B12 may inhibit RNA-dependent-RNA polymerase activity of nsp12 from the SARS-CoV-2 Virus. Preprints, 1-19.

Zhang R, Wang X, Ni L, Di X, Ma B, Niu S, Liu C and Reiter RJ. (2020). COVID-19: Melatonin as a potential adjuvant treatment. Life Sciences, 250(117583), 1-6.

Yanagihara M, Nakamura M, Usui A, Nishida S, Ito E, Okawa M and Inoue Y. (2014). The Melatonin Receptor Agonist Is Effective for Free-Running Type Circadian Rhythm Sleep Disorder: Case Report on Two Sighted Patients Tohoku. J. Exp. Med, 234, 123-128.

Gupta JK and Sana QS. (2015). Potential Benefits of Methylcobalamin: A Review. Austin Journal of Pharmacology and Therapeutics, 3, 1-4.

Villarruz-Sulit MV and Cabaluna IT. (2020). Should B Vitamins be used in the treatment of COVID-19? Asia pacific center for evidence-based healthcare, 1-2.

Zhang M, Han W, Hu S and Xu H. (2013). Methylcobalamin: A Potential Vitamin of Pain Killer Neural Plasticity, 424651, 1-6.

Andres E and Dali-Youcef N. (2020). Cobalamin (vitamin B12) malabsorption. Molecular Nutrition, 367–386.

Wolffenbuttel BHR, Wouters HJCM, Heiner-Fokkema MR and Klauw MM. (2020). The many faces of cobalamin (vitamin b12) deficiency. Mayo clinic proceedings: innovations, quality & outcomes, 3(2), 200-214.

Grangé S, Bekri S, Artaud-Macari E, Francois A, Girault C, Poitou AL, Benhamou Y, Vianey-Saban C, Benoist JF, Châtelet V, Tamion F and Guerrot D. (2015). Adult-onset renal thrombotic microangiopathy and pulmonary arterial hypertension in cobalamin C deficiency. The Lancet, 386(9997), 1011–1012.

Campos AJ, Risch L, Nydegger U, Wiesner J, Dyck MVV, Renz H, Stanga Z and Risch M. (2020). Diagnostic accuracy of holotranscobalamin, vitamin b12, methylmalonic acid, and homocysteine in detecting b12 deficiency in a large, mixed patient population. Disease Markers, ID 7468506, 1-11.

Naseri M, Sarvari GR, Esmaeeli M, Azarfar A, Rasouli Z and Moeenolroayaa G. (2016). High doses of oral folate and sublingual vitamin B12 in dialysis patients with hyperhomocysteinemia. Journal of Renal Injury Prevention, 5(3), 134-139.

Lopes SC, Gadelha DD, Carvalho MD, Fernandes VO and Montenegro Junior RM. (2019). Vitamin B12 deficiency: metabolic effects, clinical evaluation, and treatment Revista de Medicina da UFC, 59(2), 40-49.

Yilmaz N and Esin E. (2020). Covid-19 and Iron Gate: The Role of Transferrin and Transferrin Receptor.

Zheng Y, Ma Y, Zhang J and Xie X. (2020). COVID-19 and the cardiovascular system. Nature Reviews Cardiology 17, 259–260.

Rahman M, Ferdoush KA, Jahan K, Masood S, Mollika R, Islam S and Orthi SU. (2020). Analgesic effects of vitamin B12: a recent update. Journal of Global Biosciences, 9(4), 7160-7170.

Nibha KP and Pancholi SS. (2012). An Overview on: Sublingual Route for Systemic Drug Delivery International. Journal of Research in Pharmaceutical and Biomedical Sciences, 3(2), 913-923.

Downloads

Published

2020-06-30

How to Cite

Lopes , M. J. dos S. (2020). Can vitamin B12 be an adjuvant to COVID-19 treatment?. GSC Biological and Pharmaceutical Sciences, 11(3), 01–05. https://doi.org/10.30574/gscbps.2020.11.3.0155

Issue

Section

Review Article