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EV Quadros, DM Matthews, AV Hoffbrand and JC Linnell
The uptake of 57Co-cyanocobalamin (CN-Cbl) and its conversion to 5-
deoxyadenosylcobalamin (Ado-Cbl), methylcobalamin (Me-Cbl), and
hydroxocobalamin (OH-Cbl) has been studied in phytohemagglutinin (PHA)-
transformed lymphocytes from normal subjects and patients with patients
with pernicious anemia. Uptake and conversion were much greater by PHA-
stimulated lymphocytes than by mature non-transformed lymphocytes. In
normal cells, uptake of 57Co-CN-Cbl and synthesis of the cobalamin
coenzymes were approximately linear between 3 and 48 hr incubation. Ado-
Cbl was the major cobalamin formed, and after 72 hr the cells contained
about twice as much Ado-Cbl as Me-Cbl. Uptake by lymphocytes from patients
with untreated pernicious anemia (PA) was greater than that by normal
lymphocytes, but the proportions of Ado-Cbl and Me-Cbl synthesized by each
were similar. Folic acid and methyltetrahydrofolate enhanced synthesis of
Me-Cbl both in normal and in PA cells, while methotrexate and
5-fluorouracil depressed it. This depression was overcome by
5-formyltetrahydrofolate, suggesting that an uninterrupted folate cycle may
play an important role in Me-Cbl synthesis.
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| Copyright © 1976 by American Society of Hematology Online ISSN: 1528-0020 | |||||||||