SUMMARY 75Se-selenofolate radioassay was adapted for the purpose of red cell folate measurement. The results of assay of 124 whole blood samples by Lactobacillus casei microbiological assay and by radioassay using the adapted selenofolate method were concordant (r = 0 8). Red cell folate levels by the radioassay were below 170 Htg/l in people who had haematological features of folate depletion.The distribution of results among reputedly healthy subjects extended down to 140 ,ug/l.A preliminary attempt to use selenofolate radioassay to measure red cell folate yielded a correlation coefficient (r) of 0-6 with Lactobacillus casei microbiological assay (Johnson et al., 1977). We describe some simple adaptations of the radioassay and our initial experience with the adapted method.
Material and methodsAliquots were taken from venous blood in EDTA from haematologically normal subjects attending clinics at St George's Hospital. On the day of collection lysates were prepared from these samples in distilled water containing 25-50 nmol/l (5-10 g/l) sodium ascorbate. This concentration range prevents folate oxidation. It
LysisTo determine whether erythrocyte lysis and folate yield were complete results were compared in four sequestrene blood samples after (1) dilution and lysis of whole blood in distilled water containing 25-50 nmol/l sodium ascorbate (1:8); (2) dilution and lysis of whole blood in distilled water (1:8) at room temperature, with addition of sodium ascorbate 25-50 nmol/l 10 minutes later; (3) dilution and lysis of whole blood in distilled water (1:8) containing a trace of saponin at room temperature, with addition of sodium ascorbate 25-50 nmol/l 5 minutes later; and (4) whole blood lysed by saponin diluted 1:8 in distilled water containing 25-50 nmol/l sodium ascorbate.Red cell folate was measured by radioassay on the day of preparation and after 48 hours storage at -200C.
DilutionThe 1:8 dilution used for serum folate assay exploits a sensitive area of the standard curve which the same dilution of whole blood does not. Dilutions of whole blood were made in distilled water from 1:8 to 1:40, with subsequent addition of sodium ascorbate 25-50 nmol/l. The lysates were assayed for folate content.