Header for print stylesheet
You are here:    

Companion Animals: Vitamin B6

Deficiency

Characteristics of vitamin B6 deficiency in most species are retarded growth, dermatitis, epileptic-like convulsions, anemia and a partial alopecia. Due to the predominate function of the vitamin in protein metabolism, in vitamin B6 deficiency a fall in nitrogen retention is observed, feed protein is not well utilized, nitrogen excretion is excessive and impaired tryptophan metabolism may result.

An indication of a vitamin B6 deficiency is elevated urinary levels of xanthurenic acid and kynurenic acid, indicating incomplete conversion of tryptophan. Axelrod et al. (1945) showed that following a tryptophan load, young vitamin B6-deficient dogs excreted xanthurenic acid and kynurenine in their urine. Dogs supplemented with pyridoxine excreted kynurenine and kynurenic acid but no xanthurenic acid. Measuring tryptophan metabolites does not apply to cats because their tryptophan metabolism is different from most other mammalian species that have been studied (Carvalho de Silva, 1959a). Buckmaster et al. (1993) reported that recording brain stem auditory evoked potentials (BAEP) provided a noninvasive means of detecting effects of vitamin B6 deficiency in cats.

Direct measurement of one or more forms of vitamin B6 in plasma, urine or erythrocytes is a relatively reliable indicator of vitamin B6 status. Urinary 4-pyridoxic acid (4-PA) excretion is considered a short-term indicator of vitamin B6 status, due to the fact that 4-PA reflects recent vitamin B6 intake rather than the underlying state of tissue reserve. Often 4-PA is not detectable in the urine of vitamin B6-deficient subjects. One of the most commonly used measures of vitamin B6 status is the measurement of erythrocyte alanine and aspartic acid transaminase(s) activity (Leklem, 1991).

A. Deficiency in Dogs

A typical consequence of a B6 deficiency in both young and old dogs is a microcytic, hypochromic anemia. The anemia is severe with hemoglobin values as low as 1.4 g per dl (Fouts et al., 1939). It is probably caused by an inability to synthesize amino-levulinic acid, a precursor of heme. In addition to decreased appetite and body weight loss, elevated plasma iron levels, convulsions and death, there are pathological changes, including ataxia, cardiac dilatation and hypertrophy, congestion of various tissues and demyelination of peripheral nerves (NRC, 1985). Acute deficiency of vitamin B6 in growing puppies may lead to sudden death with clinical signs of only anorexia, slow growth or body weight loss.

B. Deficiency in Cats

Clinical signs of vitamin B6 deficiency in cats include growth depression, a mild microcytic, hypochromic anemia with elevated serum iron, convulsive seizures and irreversible kidney lesions consisting of areas of tubular atrophy and dilatation, fibrosis and calcium oxalate nephrosis (Gershoff et al., 1959b).

Vitamin B6-induced renal damage due to the deposition of large amounts of calcium-oxalate throughout the kidneys has been reported by a number of researchers (Gershoff et al., 1959b; Carvalho Da Silva et al., 1959a; Blanchard et al., 1991; Kirk et al., 1995). With a vitamin B6 repletion diet there is a decline in urinary oxalates and improvement of hematocrits and weight gains (Bai et al., 1989; Blanchard et al., 1991).

Histologically, the kidneys of vitamin B6-deficient cats resemble those seen in humans suffering from idiopathic oxalosis. Abnormal amounts of hemosiderin are deposited in the spleen and liver, giving the liver a bright orange color. Thus, as in the dog, it is clear that the anemia is not related to an inability to absorb iron (Ralston Purina, 1987).

Vitamin B6 deficiency has been reported to produce behavioral, neurophysiological and neuropathological abnormalities in a variety of species including cats. Buckmaster et al. (1993) used BAEP and determined that vitamin B6 deficiency in cats affected peripheral and brainstem auditory pathways. The finding of prolonged interwave intervals in vitamin B6-deficient cats was consistent with slowed axonal conduction velocity secondary to defective myelination.

 

references

view references

footer for print stylesheet