1987
DOI: 10.1146/annurev.nu.07.070187.001451
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Inherited Defects of Vitamin B Metabolism

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Cited by 120 publications
(34 citation statements)
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“…However, it is not known whether TC II like IF in some species (28) is secreted from the pancreas and mediate luminal uptake of Cbl via TC II-R. 2) patients with inherited disorders (29,30) of IF or IFCR develop Cbl deficiency, suggesting that IF/IFCR-mediated Cbl transport system is the only physiologically operational intestinal uptake system for Cbl transport in man. Despite its lack of importance in the normal uptake of dietary Cbl, it is possible that apical TC II-R can mediate uptake of TC II-Cbl when presented orally, particularly in patients who malabsorb Cbl due to several inherited disorders (29,30) or to surgical procedures such as gastrectomy and ileal resection (31). A child who malabsorbed Cbl due to inherited TC II deficiency responded well in Schilling test (32) (which measures Cbl absorption) when the child was orally fed with Cbl complexed to TC II.…”
Section: Discussionmentioning
confidence: 99%
“…However, it is not known whether TC II like IF in some species (28) is secreted from the pancreas and mediate luminal uptake of Cbl via TC II-R. 2) patients with inherited disorders (29,30) of IF or IFCR develop Cbl deficiency, suggesting that IF/IFCR-mediated Cbl transport system is the only physiologically operational intestinal uptake system for Cbl transport in man. Despite its lack of importance in the normal uptake of dietary Cbl, it is possible that apical TC II-R can mediate uptake of TC II-Cbl when presented orally, particularly in patients who malabsorb Cbl due to several inherited disorders (29,30) or to surgical procedures such as gastrectomy and ileal resection (31). A child who malabsorbed Cbl due to inherited TC II deficiency responded well in Schilling test (32) (which measures Cbl absorption) when the child was orally fed with Cbl complexed to TC II.…”
Section: Discussionmentioning
confidence: 99%
“…In contrast, no known autoimmune disorders leading to defective plasma transport of Cbl involving functional loss of either transcobalamin II or its cell surface receptor has been reported to date. However, inherited disorders involving lack or defective expression of transcobalamin II are known (9), and these children generally develop Cbl deficiency faster than those with absorption defects (4). Thus, the consequence of defective uptake of plasma TC II-Cbl due to functional loss of TC II-R should also result in the faster development of Cbl deficiency, since TC II-R-mediated uptake of TC II-Cbl is the only mode of delivery of physiological amounts of Cbl to all the tissues (10).…”
mentioning
confidence: 99%
“…Increased levels of plasma TC II have been reported in patients with a variety of diseases (3), indicating that the TC II gene may have a basal expression in many cells, but could be induced under some pathological conditions. Lack of expression or expression of defective forms of TC II leads to the development of intracellular cobalamin deficiency (4). Recent studies (2,5,6) from our laboratory have shown that in the most common form of TC II deficiency, lack of immunoreactive plasma TC II is due to lack of TC II protein synthesis, which in turn is due to extremely low levels of TC II mRNA (2).…”
Section: Human Transcobalamin II (Tc Ii)mentioning
confidence: 99%