Vitamins B form a group of 6 hydro-soluble molecules that are essential nutrients in cell bioenergetics and metabolism and that includes thiamine (vitamin B
1), riboflavin (vitamin B
2), niacin (vitamin B
3), pantothenic acid (vitamin B
5), pyridoxine (vitamin B
6), biotin (vitamin B
7), folic acid (vitamin B
9) and cobalamin (vitamin B
12). In the case of vitamin B
6, this is the generic name for up to six different vitamers that confer final vitamin B
6 activity: pyridoxine (PN), pyridoxal (PL), and pyridoxamine (PM), as well as their respective 5’-phosphate esters, pyridoxamine-5’-phosphate (PNP), pyridoxal-5’-phosphate (PLP) and pyridoxamine-5’-phosphate (PMP) (
Figure 1A). Chemically, B
6 vitamers are derivatives of 2-methyl-3-hydroxy-5-hydroxymethyl-pyridine; being their C4 substituent hydroxymethyl (-CH
2OH), aminomethyl (-CH
2NH
2) and aldehyde (-CHO) groups respectively in PN, PM and PL. B
6 vitamers are water-soluble and naturally present in the diet in many forms and foods, added to others, and available as a dietary supplement. Nonetheless, substantial proportions of the naturally occurring PN in fruits, vegetables and grains exist in glycosylated forms that exhibit reduced bioavailability. The biological active form of vitamin B
6 is PLP, functioning as cofactor in nearly 200 PLP-dependent activities carried out by enzymes that account for up to 4% of enzyme-catalyzed reactions [
1,
2]. Such reactions are included within amino acid and glycogen metabolism, the synthesis of nucleic acids, hemoglobin and sphingomyelin, as well as the biosynthesis and degradation of multiple neurotransmitters [
3,
4,
5]. PLP is also involved in the metabolism of one-carbon units, carbohydrates, and lipids, and changes in its physiological concentration contribute to the circadian control of enzyme activities in brain and peripheral tissues [
6].
De-novo pathways for PLP biosynthesis are active only in prokaryotes and plants, in which PNP is, for example, synthesized from deoxy-xylulose 5-phosphate and 4-phosphohydroxy-L-threonine in
Escherichia coli [
7] or from intermediates from the pentose phosphate pathway and glycolysis in other bacteria and plants [
8]. In contrast, the salvage pathway is involved in interconversion between different B
6 vitamers, requiring the action of pyridoxal kinase (PLK), pyridox(-am-)ine 5’-phosphate oxidase (PNPOx) and phosphatases, and is active in both prokaryotes and eukaryotes. Therefore, humans must be supplied with this vitamin, being the main sources the diet, degraded PLP-dependent enzymes and the gut microbiota, with the latter making a significant contribution [
9]. Dietary deficiency of vitamin B
6 is in general rare, but can occur in the first year of life when the gut flora is not fully established, as well as in patients with chronic alcoholism, diabetes mellitus, coeliac disease, and those on long-term use of isoniazid or penicillamine therapeutic agents [
1,
10]. The human body only absorbs the non-phosphorylated B
6 vitamers, in a process that occurs in the jejunum portion of the intestine [
1,
2]. For that, phosphorylated B
6 vitamers are dephosphorylated by intestinal phosphatases and a glycosidase (
Figure 1B). The absorption of the pool of non-phosphorylated vitamin B
6 is suggested to occur via passive diffusion across the cell membrane, attached to amino acids/peptides or transported as a sugar adduct, but vitamin B
6 transporters are still to be clearly identified in all type of organisms [
9,
11,
12]. Some studies envisage the existence of PN specific and regulated carried-mediated processes [
10,
13,
14]. Such transport process would be temperature, energy, and pH-dependent, suggesting it may occur by a PN:H
+ symporter mechanism [
13,
15]. In addition, it also appears to be under the regulation of an intracellular protein kinase A-mediated pathway. More recent studies have also shown that some transporters involved in the uptake of other water-soluble vitamins can also contribute to PN transport, including SLC19A and SLC19A3 [
16]. Nonetheless, such possibility of PN transport appears species-specific, and so far no specific transport protein of any mammalian species has been characterized at the molecular level. In
Saccharomyces cerevisiae, Tpn1p was identified as the plasma membrane vitamin B
6 transporter, with broad substrate specificity for unphosphorylated B
6 vitamers, utilizing a proton symporter mechanism and with residues at its 4-transmembrane segment being key for functionality [
17]. Therefore, the roles of different transporters in vitamin B
6 metabolism and their individual contributions to the uptake of PN in different species are areas of ongoing research. PN and PM can be converted to PLP in the intestine cells, prior to transport to the liver or once within it. PM, PN and PL are first re-phosphorylated by PLK, and then, the FMN-dependent PNPOx transforms PMP and PNP into PLP reducing molecular oxygen to hydrogen peroxide (
Figure 1(b)). Although this occurs mainly in the liver, PNPOx is expressed in all cell types in Eukarya as well as in all type of Bacteria [
1]. PLP is exported from the liver bound to albumin; but to enter the brain, it must dissociate and be again dephosphorylated to PL at the blood-brain barrier. Within tissues such as the brain, partial catalysis by PLP or catabolism of PLP enzymes can also lead to production of PMP, which can be converted back to PLP by PNPOx through the salvage pathway.
The versatility of PLP arises from its ability to covalently bind to its client enzymatic substrates, and then to act as an electrophilic catalyst, thereby stabilizing different types of carbanionic reaction intermediates. Within client enzymes, the reactive aldehyde group of PLP generally undergoes a condensation reaction with the amino group of amino acids to produce a Schiff base. In humans, PLP-dependent holoenzymes contain PLP attached by a Schiff base linked to the ε-amino group of a lysine residue at the active site. Moreover, most reactions involve the transfer of PLP to produce a new Schiff base linkage with the amino group of an amino acid at the substrate. B
6 vitamers may also play other roles within the cell, as antioxidants, modifying expression and action of steroid hormone receptors, and on the immune function. PLP has also been reported to exhibit antiepileptic activity, because it is an antagonist of ATP at P2 pyrinoceptor [
1]. Nonetheless, PLP is a very reactive molecule and can be very toxic, causing toxicity in the liver and being involved in unwanted reactions [
18]. To avoid such processes the cells maintain intracellular levels of free PLP at approximately 1 µM [
1]. Several mechanisms contribute to maintaining such low PLP concentrations in cells and body fluids: i) PLP-dependent enzymes that keep it in bound state, ii) inhibition by PLP of PLK and PNPOx, and iii) PLP degradation by phosphatases. In addition,
in vitro studies suggest that PLP will also be protected intracellularly by being transferred directly from PLK and PNPOx to some of the PLP-dependent enzymes [
19].