Bender D A
Courtauld Institute of Biochemistry, The Middlesex Hospital Medical School, London W1P 7PN, U.K.
Neurochem Int. 1984;6(3):297-321. doi: 10.1016/0197-0186(84)90072-x.
The coenzyme functions of the B vitamins in intermediatry metabolism are well established; nevertheless, for none of them is it possible to determine precisely the connection between the biochemical lesions associated with deficiency and the neurological consequences. Although there is convincing evidence of a neurospecific role for thiamin and other B vitamins, in no case has this role been adequately described. Similarly, the neurochemical sequelae of intoxication by massive amounts of vitamins (so-called mega-vitamin therapy or orthomolecular medicine) remain largely unexplained.
B族维生素在中间代谢中的辅酶功能已得到充分证实;然而,对于其中任何一种维生素,都无法精确确定与缺乏相关的生化损伤和神经学后果之间的联系。尽管有令人信服的证据表明硫胺素和其他B族维生素具有神经特异性作用,但在任何情况下,这种作用都没有得到充分描述。同样,大量维生素中毒(所谓的大剂量维生素疗法或正分子医学)的神经化学后遗症在很大程度上仍无法解释。