Schilling and protein-bound cobalamin absorption tests are poor instruments for diagnosing cobalamin malabsorption

2007 ◽  
Vol 241 (6) ◽  
pp. 477-484 ◽  
Author(s):  
A. LINDGREN ◽  
E. BAGGE ◽  
Å. CEDERBLAD ◽  
O. NILSSON ◽  
H. PERSSON ◽  
...  
Blood ◽  
1999 ◽  
Vol 94 (10) ◽  
pp. 3604-3606 ◽  
Author(s):  
Danbin Xu ◽  
Renata Kozyraki ◽  
Thomas C. Newman ◽  
John C. Fyfe

Cubilin is a high molecular weight multiligand receptor that mediates intestinal absorption of intrinsic factor-cobalamin and selective protein reabsorption in renal tubules. The genetic basis of selective intestinal cobalamin malabsorption with proteinuria was investigated in a canine model closely resembling human Imerslund-Gräsbeck syndrome caused by cubilin mutations. CanineCUBN cDNA was cloned and sequenced, showing high identity with human and rat CUBN cDNAs. An intragenic CUBN marker was identified in the canine family and used to test the hypothesis of genetic linkage of the disease and CUBN loci. Linkage was rejected, indicating that the canine disorder resembling Imerslund-Gräsbeck syndrome is caused by defect of a gene product other than cubilin. These results imply that there may be locus heterogeneity among human kindreds with selective intestinal cobalamin malabsorption and proteinuria and that normal brush-border expression of cubilin requires the activity of an accessory protein.


1991 ◽  
Vol 266 (7) ◽  
pp. 4489-4494
Author(s):  
J C Fyfe ◽  
K S Ramanujam ◽  
K Ramaswamy ◽  
D F Patterson ◽  
B Seetharam

2003 ◽  
Vol 37 ◽  
pp. 301-302 ◽  
Author(s):  
Emmanuel Andrès ◽  
Georges Kaltenbach ◽  
Esther Noel ◽  
Marie Noblet-Dick ◽  
Anne-Elisabeth Perrin

Nutrients ◽  
2019 ◽  
Vol 11 (9) ◽  
pp. 2148 ◽  
Author(s):  
Garrod ◽  
Rossow ◽  
Calvert ◽  
Miller ◽  
Green ◽  
...  

Traditionally, the bioavailability of vitamin B-12 (B12) from in vivo labeled foods was determined by labeling the vitamin with radiocobalt (57Co, 58Co or 60Co). This required use of penetrating radioactivity and sometimes used higher doses of B12 than the physiological limit of B12 absorption. The aim of this study was to determine the bioavailability and absorbed B12 from chicken eggs endogenously labeled with 14C-B12 using accelerator mass spectrometry (AMS). 14C-B12 was injected intramuscularly into hens to produce eggs enriched in vivo with the 14C labeled vitamin. The eggs, which provided 1.4 to 2.6 μg of B12 (~1.1 kBq) per serving, were scrambled, cooked and fed to 10 human volunteers. Baseline and post-ingestion blood, urine and stool samples were collected over a one-week period and assessed for 14C-B12 content using AMS. Bioavailability ranged from 13.2 to 57.7% (mean 30.2 ± 16.4%). Difference among subjects was explained by dose of B12, with percent bioavailability from 2.6 μg only half that from 1.4 μg. The total amount of B12 absorbed was limited to 0.5–0.8 μg (mean 0.55 ± 0.19 μg B12) and was relatively unaffected by the amount consumed. The use of 14C-B12 offers the only currently available method for quantifying B12 absorption in humans, including food cobalamin absorption. An egg is confirmed as a good source of B12, supplying approximately 20% of the average adult daily requirement (RDA for adults = 2.4 μg/day).


1993 ◽  
Vol 42 (1) ◽  
pp. 63-66 ◽  
Author(s):  
Charles E. Yale ◽  
Paul N. Gohdes ◽  
Robert F. Schilling

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