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Vitamin B 12

Drugs and Chemicals · NLM MeSH · updated 2026-10-31 · version 1

Citations verified against PubMedNot yet clinician-reviewed10 referencesApproximately 4 min read

A cobalt-containing coordination compound produced by intestinal micro-organisms and found also in soil and water.

Table of Contents

1. Definition2. Research landscape3. Reading the evidence4. Open-access studies5. Key reviews6. References7. About this article

Definition and research guide

This page combines a MeSH definition, publication statistics and selected research abstracts. It is a starting point for reading the literature, not a medical textbook or a systematic evidence review.

Content available: 4 complete abstracts (772 words), 10 references. Full article text is not stored or reproduced here; follow the PMID, DOI or PMC links to read the original sources and their access terms.

Definition

A cobalt-containing coordination compound produced by intestinal micro-organisms and found also in soil and water. Higher plants do not concentrate vitamin B 12 from the soil and so are a poor source of the substance as compared with animal tissues. intrinsic factor is important for the assimilation of vitamin B 12.

Definition: NLM Medical Subject Headings (MeSH) scope note (Public domain (U.S. National Library of Medicine); attribution requested). View the MeSH record.

Also known as: B 12, Vitamin; Cyanocobalamin; Vitamin B12; B12, Vitamin; Cobalamins; Cobalamin; Eritron.

Where it fits in the MeSH classification

Broader topics
Corrinoids
Narrower topics
Cobamides; Hydroxocobalamin
See also
Schilling Test

Related concepts

  • Intrinsic Factor

Research landscape

PubMed indexes 25,200 records tagged with the MeSH heading “Vitamin B 12” (counts retrieved 2026-10-31). 3,183 of them (12.6%) were published from 2020 onward, and the busiest period so far is through 1999 with 13,955 records.

Reviews account for 2,109 records (8.4%) and meta-analyses for 197. Randomized controlled trials number 777 (3.1%) as a share of all records on the topic.

PubMed records by publication periodthrough 1999: 13,955 records; 2000-2009: 3,762 records; 2010-2019: 4,300 records; 2020 onward: 3,183 records13,955through 19993,7622000-20094,3002010-20193,1832020 onward
Records in PubMed indexed with this heading, by publication period. Real counts from NCBI E-utilities; the final period covers only part of the current year. Volume reflects how much has been published, not how strong the evidence is.
Show the data
PeriodRecords
through 199913,955
2000-20093,762
2010-20194,300
2020 onward3,183
Share of records by publication typeReviews: 8.4 percent; Meta-analyses: 0.8 percent; Randomized controlled trials: 3.1 percentReviews8.4% (2,109)Meta-analyses0.8% (197)Randomized controlled trials3.1% (777)
Share of all PubMed records on this heading that carry each publication type. Types overlap with other records, so the shares do not sum to 100%.
Publication-type chart data
Publication types among 25,200 PubMed records
TypeRecordsShare
Reviews2,1098.4%
Meta-analyses1970.8%
Randomized controlled trials7773.1%

Method: PubMed query "Vitamin B 12"[MeSH Terms] with publication-type and date filters, retrieved 2026-10-31.

Reading the evidence in drugs and chemicals

Studies of a chemical or drug can answer very different questions: what it is and how it behaves in cells and animals, how the body handles it, and whether it changes outcomes in people. Laboratory and animal findings often do not carry over to patients, and observational studies of exposures are confounded by who uses a substance and why. Nothing on this page is a recommendation to use, avoid, start or stop any substance or medicine; talk to a qualified clinician or pharmacist about your own situation. Check the dose, the species, the comparison group and whether a patient-relevant outcome was measured.

Evidence from open-access studies

These open-access studies come from PubMed’s best-match results for this heading (papers whose main topic it is), ranked here by citation count, with one recent addition. Each abstract is reproduced in full under its recorded open licence so that you can read the authors’ own words. They illustrate the literature; they are not a systematic summary of it. Citation counts measure attention, not reliability or clinical benefit.

Study comparison — selected abstracts, not a systematic review
Study / authorsYearSource label / designEurope PMC citationsLicence / source
Microbial and Genetic Resources for Cobalamin (Vitamin B12) Biosynthesis: From Ecosystems to Industrial Biotechnology
Balabanova L, Averianova L, Marchenok M, Son O, Tekutyeva L
2021Review article
Design not recorded in structured metadata
90cc by
PMID 33926061 · DOI · PMC8123684
Vitamin B12 Supplementation in Diabetic Neuropathy: A 1-Year, Randomized, Double-Blind, Placebo-Controlled Trial
Didangelos T, Karlafti E, Kotzakioulafi E, Margariti E, Giannoulaki P, Batanis G, et al.
2021Randomized controlled trial
Design not recorded in structured metadata
83cc by
PMID 33513879 · DOI · PMC7912007
The importance of vitamin B12 for individuals choosing plant-based diets
Niklewicz A, Smith AD, Smith A, Holzer A, Klein A, McCaddon A, et al.
2023Research article
Design not recorded in structured metadata
77cc by
PMID 36469110 · DOI · PMC10030528
Vitamin B12 alleviates spliceosomopathy via phospholipid remodeling
Kölschbach J, Dafsari HS, Baum E, Löhrke A, Kew C, Dikic I, et al.
2026Research article
Design not recorded in structured metadata
0cc by
PMID 42567856 · DOI · PMC13451374

Microbial and Genetic Resources for Cobalamin (Vitamin B12) Biosynthesis: From Ecosystems to Industrial Biotechnology [1]

Review article Balabanova L, Averianova L, Marchenok M, Son O, Tekutyeva L · · 2021 · cited 90 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
Many microbial producers of coenzyme B12 family cofactors together with their metabolically interdependent pathways are comprehensively studied and successfully used both in natural ecosystems dominated by auxotrophs, including bacteria and mammals, and in the safe industrial production of vitamin B12.
Closing excerpt
In the present work, we review the current state of development and challenges for cobalamin (vitamin B12) biosynthesis, describing the major and novel prospective strains, and the studies of environmental factors and genetic tools effecting on the fermentation process are reported.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (189 words)

Many microbial producers of coenzyme B12 family cofactors together with their metabolically interdependent pathways are comprehensively studied and successfully used both in natural ecosystems dominated by auxotrophs, including bacteria and mammals, and in the safe industrial production of vitamin B12. Metabolic reconstruction for genomic and metagenomic data and functional genomics continue to mine the microbial and genetic resources for biosynthesis of the vital vitamin B12. Availability of metabolic engineering techniques and usage of affordable and renewable sources allowed improving bioprocess of vitamins, providing a positive impact on both economics and environment. The commercial production of vitamin B12 is mainly achieved through the use of the two major industrial strains, Propionobacterium shermanii and Pseudomonas denitrificans, that involves about 30 enzymatic steps in the biosynthesis of cobalamin and completely replaces chemical synthesis. However, there are still unresolved issues in cobalamin biosynthesis that need to be elucidated for future bioprocess improvements. In the present work, we review the current state of development and challenges for cobalamin (vitamin B12) biosynthesis, describing the major and novel prospective strains, and the studies of environmental factors and genetic tools effecting on the fermentation process are reported.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 33926061 · DOI · PMC8123684

Vitamin B12 Supplementation in Diabetic Neuropathy: A 1-Year, Randomized, Double-Blind, Placebo-Controlled Trial [2]

Randomized controlled trial Didangelos T, Karlafti E, Kotzakioulafi E, Margariti E, Giannoulaki P, Batanis G, et al. · · 2021 · cited 83 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
AimTo investigate the effect of normalizing vitamin B12 (B12) levels with oral B12 (methylcobalamin) 1000 μg/day for one year in patients with diabetic neuropathy (DN).
Closing excerpt
045, p p ConclusionsThe treatment of patients with DN with 1 mg of oral methylcobalamin for twelve months increased plasma B12 levels and improved all neurophysiological parameters, sudomotor function, pain score, and QoL, but it did not improve CARTS and MNSIE.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (268 words)

AimTo investigate the effect of normalizing vitamin B12 (B12) levels with oral B12 (methylcobalamin) 1000 μg/day for one year in patients with diabetic neuropathy (DN).Patients and methodsIn this prospective, double-blind, placebo-controlled trial, 90 patients with type 2 diabetes on metformin for at least four years and both peripheral and autonomic DN were randomized to an active treatment group (n = 44) receiving B12 and a control group (n = 46) receiving a placebo. All patients had B12 levels less than 400 pmol/L. Subjects underwent measurements of sural nerve conduction velocity (SNCV), sural nerve action potential (amplitude) (SNAP), and vibration perception threshold (VPT), and they performed cardiovascular autonomic reflex tests (CARTs: mean circular resultant (MCR), Valsalva test, postural index, and orthostatic hypotension). Sudomotor function was assessed with the SUDOSCAN that measures electrochemical skin conductance in hands and feet (ESCH and ESCF, respectively). We also used the Michigan Neuropathy Screening Instrument Questionnaire and Examination (MNSIQ and MNSIE, respectively) and questionnaires to evaluate quality of life (QoL) and level of pain (pain score).ResultsB12 levels increased from 232.0 ± 71.8 at baseline to 776.7 ± 242.3 pmol/L at follow-up, p p p = 0.002, p p p p p = 0.014, respectively), whereas CARTS and MNSIE improved but not significantly. MCR, MNSIQ, SNCV, SNAP, and pain score significantly deteriorated in the control group (p = 0.025, p = 0.017, p = 0.045, p p ConclusionsThe treatment of patients with DN with 1 mg of oral methylcobalamin for twelve months increased plasma B12 levels and improved all neurophysiological parameters, sudomotor function, pain score, and QoL, but it did not improve CARTS and MNSIE.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 33513879 · DOI · PMC7912007

The importance of vitamin B12 for individuals choosing plant-based diets [3]

Research article Niklewicz A, Smith AD, Smith A, Holzer A, Klein A, McCaddon A, et al. · · 2023 · cited 77 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
Vitamin B12 is an essential nutrient that is not made by plants; consequently, unfortified plant-based foods are not a reliable supply.
Closing excerpt
We provide a cautionary note on the importance of preventing vitamin B12 deficits for those individuals choosing a plant-based diet and the health professionals advising them.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (164 words)

Vitamin B12 is an essential nutrient that is not made by plants; consequently, unfortified plant-based foods are not a reliable supply. Recent estimates suggest high rates of vitamin B12 deficiency among the vegetarian and vegan populations, particularly in pregnant women or women of child-bearing age who, for ethical and health reasons, are shifting towards higher consumption of plant-based foods in ever-increasing numbers. Vitamin B12 plays crucial metabolic roles across the life-course and in particular during pregnancy and in early development (first 1000 days of life). Evidence now implicates vitamin B12 deficiency with increased risk to a range of neuro, vascular, immune, and inflammatory disorders. However, the current UK recommended nutrient intake for vitamin B12 does not adequately consider the vitamin B12 deficit for those choosing a plant-based diet, including vegetarianism and in particular veganism, representing a hidden hunger. We provide a cautionary note on the importance of preventing vitamin B12 deficits for those individuals choosing a plant-based diet and the health professionals advising them.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 36469110 · DOI · PMC10030528

Vitamin B12 alleviates spliceosomopathy via phospholipid remodeling [4]

Research article Kölschbach J, Dafsari HS, Baum E, Löhrke A, Kew C, Dikic I, et al. · · 2026

Abstract reading summary — source excerpts
Opening excerpt
mRNA splicing represents a fundamental level of gene regulation that alters proteomic diversity and cellular state.
Closing excerpt
Our findings implicate vitamin B12-dependent one-carbon metabolism as a metabolic modulator with therapeutic potential to mitigate Verheij syndrome and other spliceosomopathies.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (151 words)

mRNA splicing represents a fundamental level of gene regulation that alters proteomic diversity and cellular state. Its dysfunction can profoundly rewire metabolism, yet underlying mechanisms remain elusive. Here, we investigate Verheij syndrome, caused by mutations in core splicing factor PUF60, using a Caenorhabditis elegans model, human cell lines, and patient-derived samples. We demonstrate that RNP-6/PUF60 deficiency disrupts splicing of genes governing one-carbon metabolism and phospholipid remodeling, impairing S-adenosylmethionine/S-adenosylhomocysteine cycling and phosphatidylcholine synthesis. These perturbations trigger the integrated stress response and compromise mTORC1 signaling, causing developmental growth defects. Vitamin B12 supplementation restores metabolic balance by reactivating S-adenosylmethionine-dependent phospholipid remodeling and mTORC1 activity, effectively rescuing Verheij-like phenotypes. Similar responses arise from perturbing another splicing factor, PRP-19. Mechanistically, intron retention of nhr-114/HNF4 transcription factor drives these phenotypes, while restoring its splicing rescues them. Our findings implicate vitamin B12-dependent one-carbon metabolism as a metabolic modulator with therapeutic potential to mitigate Verheij syndrome and other spliceosomopathies.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 42567856 · DOI · PMC13451374

Key reviews and meta-analyses

The most cited review-type papers among PubMed’s best-match results for this heading, listed with bibliographic details only. Follow the links for the full text and access terms.

  • Research article Clinical practice. Vitamin B12 deficiency [5]
    Stabler SP · N Engl J Med · 2013 · cited 717 times (Europe PMC)
  • Research article Vitamin B12 deficiency [6]
    Green R, Allen LH, Bjørke-Monsen AL, Brito A, Guéant JL, Miller JW, et al. · Nat Rev Dis Primers · 2017 · cited 612 times (Europe PMC)
  • Research article Homocysteine, B Vitamins, and Cognitive Impairment [7]
    Smith AD, Refsum H · Annu Rev Nutr · 2016 · cited 377 times (Europe PMC)
  • Research article Vitamin B12 in health and disease [8]
    O'Leary F, Samman S · Nutrients · 2010 · cited 319 times (Europe PMC)
  • Research article B Vitamins and One-Carbon Metabolism: Implications in Human Health and Disease [9]
    Lyon P, Strippoli V, Fang B, Cimmino L · Nutrients · 2020 · cited 315 times (Europe PMC)
  • Research article B Vitamins in the nervous system: Current knowledge of the biochemical modes of action and synergies of thiamine, pyridoxine, and cobalamin [10]
    Calderón-Ospina CA, Nava-Mesa MO · CNS Neurosci Ther · 2020 · cited 315 times (Europe PMC)

References

  1. Balabanova L, Averianova L, Marchenok M, Son O, Tekutyeva L. Microbial and Genetic Resources for Cobalamin (Vitamin B12) Biosynthesis: From Ecosystems to Industrial Biotechnology. . 2021. PMID 33926061 · DOI · PMC8123684
  2. Didangelos T, Karlafti E, Kotzakioulafi E, Margariti E, Giannoulaki P, Batanis G, et al.. Vitamin B12 Supplementation in Diabetic Neuropathy: A 1-Year, Randomized, Double-Blind, Placebo-Controlled Trial. . 2021. PMID 33513879 · DOI · PMC7912007
  3. Niklewicz A, Smith AD, Smith A, Holzer A, Klein A, McCaddon A, et al.. The importance of vitamin B12 for individuals choosing plant-based diets. . 2023. PMID 36469110 · DOI · PMC10030528
  4. Kölschbach J, Dafsari HS, Baum E, Löhrke A, Kew C, Dikic I, et al.. Vitamin B12 alleviates spliceosomopathy via phospholipid remodeling. . 2026. PMID 42567856 · DOI · PMC13451374
  5. Stabler SP. Clinical practice. Vitamin B12 deficiency. N Engl J Med. 2013. PMID 23301732 · DOI
  6. Green R, Allen LH, Bjørke-Monsen AL, Brito A, Guéant JL, Miller JW, et al.. Vitamin B12 deficiency. Nat Rev Dis Primers. 2017. PMID 28660890 · DOI
  7. Smith AD, Refsum H. Homocysteine, B Vitamins, and Cognitive Impairment. Annu Rev Nutr. 2016. PMID 27431367 · DOI
  8. O'Leary F, Samman S. Vitamin B12 in health and disease. Nutrients. 2010. PMID 22254022 · DOI · PMC3257642
  9. Lyon P, Strippoli V, Fang B, Cimmino L. B Vitamins and One-Carbon Metabolism: Implications in Human Health and Disease. Nutrients. 2020. PMID 32961717 · DOI · PMC7551072
  10. Calderón-Ospina CA, Nava-Mesa MO. B Vitamins in the nervous system: Current knowledge of the biochemical modes of action and synergies of thiamine, pyridoxine, and cobalamin. CNS Neurosci Ther. 2020. PMID 31490017 · DOI · PMC6930825

About this article

Sources
NLM Medical Subject Headings (definition, synonyms); NCBI PubMed (counts, identifiers); Europe PMC (open-access abstracts and citation counts).
Verification
Every reference was resolved against PubMed on 2026-10-31; title, year and DOI matched.
Review state
automated source verified; no human expert review has been recorded yet.
Version
1, last updated 2026-10-31.

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At a glance

25,200
PubMed records on this heading
13%
published since 2020
2,109
review articles
777
randomized trials
10
verified references below

Counts come from PubMed on 2026-10-31; they show how much has been written, not how strong the evidence is.

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