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1 Department of Clinical Biochemistry, AKH, and
2
Department of Clinical Biochemistry, AAS, Aarhus University Hospital, DK 8000 Aarhus C, Denmark.
3 Institute of Medicine and
4
Department of Pharmacology, University of Bergen, N-5021 Bergen, Norway.
5 The Protein Chemistry Laboratory, Aarhus University, DK-5000 Aarhus C, Denmark.
6 Locus for Homocysteine and Related Vitamins, University of Bergen, N-5021 Bergen, Norway.
aAddress correspondence to this author at: Department of Clinical Biochemistry, AKH, Aarhus University Hospital, Norrebrogade 44, DK 8000 Aarhus C, Denmark. Fax 45-8949-3060; e-mail E.Nexo{at}dadlnet.dk.
Background: We examined the effect of oral vitamin B12 treatment on fluctuations in plasma total cobalamin and its binding proteins transcobalamin (TC) and haptocorrin (HC).
Methods: Patients (n = 88; age range, 3880 years) undergoing coronary angiography (part of the homocysteine-lowering Western Norway B-Vitamin Intervention Trial) were allocated to daily oral treatment with (a) vitamin B12 (0.4 mg), folic acid (0.8 mg), and vitamin B6 (40 mg); (b) vitamin B12 and folic acid; (c) vitamin B6; or (d) placebo. EDTA blood was obtained before treatment and 3, 14, 28, and 84 days thereafter.
Results: The intraindividual variation for patients not treated with B12 was
10% for plasma total cobalamin, total TC, apo-TC, and apo-HC, and <20% for holo-TC and TC saturation. In B12-treated patients, the maximum change in concentrations was observed already after 3 days for total TC (-16%), holo-TC (+54%), and TC saturation (+82%). At this time holo-HC (+20%) and plasma total cobalamin (+28%) showed an initial burst, but had increased further at 84 days. All changes were highly significant compared with the control group (P <0.0001).
Conclusions: Oral vitamin B12 treatment produces maximal effects on total TC, holo-TC, and TC saturation within 3 days, whereas maximal increases in holo-HC and plasma total cobalamin occur later. The results support the view that holo-TC is an early marker of changes in cobalamin homeostasis.
The following articles in journals at HighWire Press have cited this article:
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M. M. Murphy, A. M. Molloy, P. M. Ueland, J. D. Fernandez-Ballart, J. Schneede, V. Arija, and J. M. Scott Longitudinal Study of the Effect of Pregnancy on Maternal and Fetal Cobalamin Status in Healthy Women and Their Offspring J. Nutr., August 1, 2007; 137(8): 1863 - 1867. [Abstract] [Full Text] [PDF] |
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R. Obeid, A. L. Morkbak, W. Munz, E. Nexo, and W. Herrmann The Cobalamin-Binding Proteins Transcobalamin and Haptocorrin in Maternal and Cord Blood Sera at Birth Clin. Chem., February 1, 2006; 52(2): 263 - 269. [Abstract] [Full Text] [PDF] |
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J. W. Miller, M. G. Garrod, A. L. Rockwood, M. M. Kushnir, L. H. Allen, M. N. Haan, and R. Green Measurement of Total Vitamin B12 and Holotranscobalamin, Singly and in Combination, in Screening for Metabolic Vitamin B12 Deficiency Clin. Chem., February 1, 2006; 52(2): 278 - 285. [Abstract] [Full Text] [PDF] |
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H. Refsum, C. Johnston, A. B. Guttormsen, and E. Nexo Holotranscobalamin and Total Transcobalamin in Human Plasma: Determination, Determinants, and Reference Values in Healthy Adults Clin. Chem., January 1, 2006; 52(1): 129 - 137. [Abstract] [Full Text] [PDF] |
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R. A. Dhonukshe-Rutten, M. van Zutphen, L. C. de Groot, S. J. Eussen, H. J Blom, and W. A van Staveren Effect of supplementation with cobalamin carried either by a milk product or a capsule in mildly cobalamin-deficient elderly Dutch persons Am. J. Clinical Nutrition, September 1, 2005; 82(3): 568 - 574. [Abstract] [Full Text] [PDF] |
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K. M von Castel-Dunwoody, G. P. Kauwell, K. P Shelnutt, J. D Vaughn, E. R Griffin, D. R Maneval, D. W Theriaque, and L. B Bailey Transcobalamin 776C->G polymorphism negatively affects vitamin B-12 metabolism Am. J. Clinical Nutrition, June 1, 2005; 81(6): 1436 - 1441. [Abstract] [Full Text] [PDF] |
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M. V. Bor, E. Nexo, and A.-M. Hvas Holo-Transcobalamin Concentration and Transcobalamin Saturation Reflect Recent Vitamin B12 Absorption Better than Does Serum Vitamin B12 Clin. Chem., June 1, 2004; 50(6): 1043 - 1049. [Abstract] [Full Text] [PDF] |
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M. V. Bor, H. Refsum, M. R. Bisp, O. Bleie, J. Schneede, J. E. Nordrehaug, P. M. Ueland, O. K. Nygard, and E. Nexo Plasma Vitamin B6 Vitamers before and after Oral Vitamin B6 Treatment: A Randomized Placebo-controlled Study Clin. Chem., January 1, 2003; 49(1): 155 - 161. [Abstract] [Full Text] [PDF] |
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