“…Radioactive isotopes of vitamin BIZ have been available for biological use for sixteen years (Heinle et al 1952), but they have not led to rapid elucidation of the details of the transport and metabolism of the vitamin for several reasons. First, circulating vitamin BIZ, when present in physiological quantities, is not easily measured either by microbiologic or isotopic means; second, the vitamin has a number of analogs which show variation in binding properties and physiologic activity (Glass, 1962, Meyer et al 1963, Schiffer et al 1966, and it is stiIl not certain which one (or ones) of these is the metabolically significant form; third, the manner of serum protein binding and transport within the circulation are more complex than the patterns observed with most other plasma proteins concerned with transport, e. g., transferrin (Jandl & Katz 1963), caeruloplasmin (Sternlieb et al 1961), insulin (Kipnis & Stein 1964), penicillin (Kunin 1965), and bilirubin (Ode11 1959); fourth, the absolute amount of protein required to bind all circulating vitamin BI2 is so small (Heller et al 1964, ) that isolation of the binders has so far proven impossible, in spite of the increasingly precise techniques of protein chemistry available. Furthermore, incomplete knowledge of the normal mechanisms makes more difficult the precise understanding of variations in vitamin BIZ metabolism observed in certain disease states, such as vitamin B12 deficiency, and the myeloproliferative diseases.…”